Replies to This Discussion

Permalink Reply by Libby on March 16, 2008 at 9:28am

I use Novolog, but not because of any properties of the insulin. I am on MDI and the Novopen Junior allows for 1/2 units of insulin. I like that flexibility as I use small doses. (2-4 units usually) I do find that under 2 units doesn't always register but I often do 2 1/2 or 3 1/2 depending on my starting BG level, exercise plans and planned carb intake.

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Permalink Reply by Brigitte on March 16, 2008 at 11:11am

hello, I used novolog (novorapid in France) a year ago and my doctor told me to use Apidra. I have one shot of lantus by day, and I use small doses of Apidra (4-5 units) My A1c was bad (8,5%) . I think that apidra, for myself, is more speedy than novolog. After meal and 4 units of apidra my bg can be at 0,50 two hours later. It was not the same with novolog. Without walking I stayed at 2,20 two hours after meal under novolog. But my A1c is 7,7% now.
For me, Apidra is too much fast and novolog is too slow!!! Maybe I need to have pen wiho allows 1/2 unit of insulin but there's not that kind of pen in France!
I hope you make the good choose. sorry for my mistakes.
Brigitte

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Permalink Reply by Lauren on June 4, 2008 at 10:00am

Try checking the novolog site - I found information about the Novopen Junior that way. The Junior allows for half unit dosages, and is called a variety of different things in other countries. Like in Austrialia it is marketed as the Novopen Demi. Etc etc. :) I'm sure they sell it in France, it might just be hard to find or have a different name.

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Permalink Reply by Lauren on June 4, 2008 at 10:06am

I found it! http://www.novonordisk.fr/documents/article_page/document/Dispositi...

It should be called the Novopen Demi where you are. :) I had to call up a pharmacy and order it here in the States. They take the Novolog 3ml catridges. Hope that helps!

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Permalink Reply by Gerri on July 14, 2009 at 9:35pm

(Brigitte, can you get syringes with 1/2 units in France? I prefer syringes to pens & have 1/2 unit small needle syringes.)

I use Apidra to correct highs because it works really fast for me. I'm an oddball who needs to use Regular for bolus insulin.

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Permalink Reply by Marps on July 15, 2009 at 6:50am

Brigitte

I was using Novolog that was too slow for me but Humalog works well for me. Maybe you should ask your doctor about trying that one?

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Permalink Reply by landileigh on March 16, 2008 at 11:45am

i've used novolog, and none of the others and have had good success with it.

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Permalink Reply by Cody Turner on March 16, 2008 at 2:44pm

I use Humalog, Symlin, and Lantus. I use the Humalog and Symlin before meals and Humalog on a sliding scale if I need it in between meals and then Lantus at lunch and bedtime. Most recent A1c was 7.0

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Permalink Reply by Andrea on March 16, 2008 at 3:05pm

I've been on Humalog forever -- never really thought about changing it. I'm curious to see what you discover!!

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Permalink Reply by Kristin on March 16, 2008 at 3:11pm

I also have used Humalog for the past several years. I used Novolog before that, but didn't really notice any difference when I changed (admittedly, with my control it probably would not have been noticed if there was a difference).

Humalog is the only fast-acting insulin available in Hungary (where I live). And since I'm paying about a dollar a month for insulin here, it would be hard to convince me to change!!!

But please let us know your findings!!!

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Permalink Reply by craig620 on March 16, 2008 at 3:29pm

I've used all three, Humalog the longest ago. Switched to Novolog because the pens were disposable and and I thought the "clicker" on the Humalog pen was wearing out. I tried Apidra because at one time I was being so aggressive with insulin, I thought I noticed a trend where 2 hours post meal was okay, but was going low after that, apidra was supposed to have a quicker peak and slightly shorter duration. While using Apidra, I felt like maybe it ended to quickly, and I was getting highs past the 2 hour time frame. In the end, Apidra just didn't seem that different plus the Apidra pen is bulky and awkward. So I'm still using Novolog and happy with it.
I also found Scott's post about the old animal insulins compared to the new analogs a very good read.

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Permalink Reply by sri on March 16, 2008 at 4:53pm

I did a one month switch to Apidra for the same reasons as you. I have been on Humalog since my diagnosis. i pump using an Animas 2020. Here's what I found:
1. With Apidra, my basal rates went down by 50%.
2. Apidra did seem to kick in quicker. Humalog used to peak in 90 minutes for me. Apidra peaks in 60 minutes.
3. When I switched back, it took a day for the Humalog to be effective again. i suspect that the body's immune system has to get used to the new insulin. This is the one thing you need to watch out for when you switch analog insulins and back.

I also tried a CGMS trial to study the trends. I like what I see in Apidra. I think I'll switch.

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