Really hard to say which will work better. Since like punk others prefer mdi. However it week be very valuable if you can get him a cgm (continuous glucose minitoring).
Separate dosing of Lantus (long acting) and Humalog (short acting) where you inject each insulin separately (also called MDI for multi daily injections) is much more flexible. You test and adjust your basal insulin (lantus), then you dose your fast acting for each meal based on how much food / carbs/ protein you eat. You can also use your Humalog to correct for high blood sugars. Mixed insulin cannot be used to correct high blood sugars.
Hi, fast heart rate is due to Xopenex. Initially, use of this drug is associated with this side effect but over a period of time, tolerance usually develops. In case if you have a pre exisiting heart disease, please avoid this drug.
Consult you treating doctor to lower the dose or frequency, other alternative is sustained release deriphylline tablets.
Either way though, with your reactions after exercise, it sounds like a fast acting broncho dilater (some form of albuterol - Proventil, Porair, Maxair, Xopenex, Ventolin) might be a good idea. These medications can be used as a pretreatment for exercise eliminating the reaction and allowing for a better workout.
I hope that helps you. Good luck obtaining an accurate diagnosis and the medication that is best for you.
Advair discus (realy any dry powder inhaler) has larger particles than MDI inhalers that land on the vocal cords and irritate them causing you to be hoarse. I would suggest that you ask your docotr about MDI alternatives. Advair Hfa is one. Others include Symbicort and Dulera.
Feel better.
And I was wondering if you could get an MDI in your hip, because I am experiencing similar pain in my hip and shoulder.
All peoples in Mdi help are saying that you have not HIV but I am still very serious due eye strain, floaters, refraction and brittle nails.I am also sufferring from gas and acidity since 1 year. I am very scared what to do.
Dear Doc, Im 34 years old male. HPT since 2004 on Perindopril 6mg (ACE Inhibitors). Last January i have palpitations. ECG shown Probable LVH. I haven't done my Echo yet. Back then with ACE inhibitor my BP were not well controlled. So the Dr. change it to ARB Co-Approvel. I check my BP 3 times a day since February. My BP now are well controlled ranging from 105/66 - 136/85mmHg but usually its <130/90mmHg.
t help on the assistance side, but as cost of supplies are so high can you go back on MDI (injections) to at least reduce some of the costs.
Can you contact your pump supplier to ask if they have any assistance programmes for people in your situation?
You could ask your dr about Humalin-N and Humalin-R, which tend to be cheaper. But these are not available as mixed insulins and need to be taken as MDI (Humlin-N, twice a day, and humlin R- abouy 30 minutes before eating).
To Reduce insulin requirements, you can follow a low carb diet, reduce weight (if overweight), and add in daily exercise. This should be done under medical supervision as these measures may mean you can reduce your insulin / at risk of low blood sugars.
I take 500 MDI of Advair twice a day and spiriva. I still smoke a little a day. I also have to work in a hot humid kitchen in the summer. I started having panic attacks when I would get busy and I would get winded easily and fustrated. I am off work presently but I want to go back soon. Anyone in a similar situation and if so, any suggestions.
He said that he must have gotten some sort of virus and it triggered his asthma. He told me to continue his Singulair, Pulmicort Respules one time a day, Xopenex in the nebulizer every four hours, and he prescribed Prednisone two times per day (dr. said to start the steroid only if the cough does not slow down).
So on Wednesday morning, my son woke up at 6:30am coughing non-stop....coughing so much that he vomited!
According to the Combivent website, the only difference between Combivent MDI and COMBIVENT RESPIMAT is the delivery system.
Are you taking MDI (multiple daily injections)? DO you know your basal and bolus rates? Ie. how much insulin you need when you don't eat (basal), and how much insulin to inject for how much carbs? And then how much insulin to use for corrextions in case you are high?
Using Insulin is a great book, also Think Like A Pancreas. If you can't get them from a local bookstore, you should be able to find them on Amazon.
Hope this helps.
Hi,
Can I ask what insulins you take? Are you on pump or MDI (multiple daily injections). Is your basal insulin taken once or twice a day.
If you are going low from exercise, you may need to decrease your basal (this is easier if you are on a pump). Alternatively you may plan your exercise after eating and inject slightly less than usual insulin for the meal, as the exercise will naturally bring your blood sugars down.
She was tested for allergies and asthma twice She takes singulair albuterol inhaler and xopenex viles in her nebulizer according to the recommendations of the doctor . Each time she has a spell of not getting her breath she also experiences heart pounding episodes Also after strenuous exercise occasionally this heart pounding occurs.
My son had been diagnosed with pneumonia 4 times in the past four months, as well as bronchiolitis in between. He has been treated with Rocephin, Azithromycin, and Amoxil. He has breathing treatments 4 times a day (pulmicort & xopenex) has had 2 episodes of cyanosis, and been hospitalized for low oxygen satuation, wheezing etc. His pediatrician tells me I shouldn't panic and that he has asthma. He is only 13 mos old!
She was tested for allergies and asthma twice She takes singulair albuterol inhaler and xopenex viles in her nebulizer according to the recommendations of the doctor . Each time she has a spell of not getting her breath she also experiences heart pounding episodes Also after strenuous exercise occasionally this heart pounding occurs.
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