Replies to This Discussion

Permalink Reply by christy on February 5, 2012 at 4:07pm

No I haven't used Apidra, I brought up the subject with my Endo simply because I thought something with a little less duration MIGHT help with the really low bg readings 2 hours after eating. My theory was I dont need something lasting so long, however my Endo I don't think is very Apidra friendly, he made some tweaks in my pump settings and that has really reduced the number of low's Im having.

A friend of mine was taking Apidra as well..she's a type 2 and was taking something like 90 units and it was not putting a DENT in her BS, like injecting saline.

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Permalink Reply by Zoe on February 5, 2012 at 4:27pm

I use Apidra in my pump and it works fine for me; I go for 3-4 days and if I have a problem it's with the site. You say you are having to give yourself shots to get through the day. If Apidra is working for you in shots I don't see why it wouldn't work in your pump (perhaps someone else will see this differently). I would look more to a site problem than to the Apidra if it works fine for shots.

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Permalink Reply by Trudy on February 5, 2012 at 4:38pm

Hi KimK. Do you by chance use Sure-T infusion sets? They have instructions to use only 2 days, and the instructions on Apidra also say to use 2 days.

The Sure-T needle can be moved without ruining the rest of the infusion, which would be worthwhile trying if in fact you do use Sure-Ts. I can get 2 1/2 days by moving the needle when a problem arises, but the Apidra won't work beyond the 2 1/2 days. (I use a MM522.)

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Permalink Reply by Zoe on February 5, 2012 at 4:42pm

Why would you want to only use Apidra in your pump for two days, Trudy? Are you saying it says on the Apidra insert to only use it in a pump for two days? I don't remember reading that but it's been awhile since I read that.

As far as I know (and my own experience) Apidra lasts for the same amount of time as either of the other two insulins. I would certainly switch to one of the others if I only was able to keep it in my pump for two days!

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Permalink Reply by Trudy on February 5, 2012 at 5:05pm

Zoe, yes I meant the instructions say to use Apidra in a pump for two days, or at least it used to! I haven't checked lately.

Novolog lasted longer in my pump when I used Quicksets, but Sure-Ts are the only infusion sets I can use now, so 2 1/2 days it is. I don't like Novolog as well as Apidra because it's action is slower, both in the pump and for MDI. (Since I have few sites that work well for infusion sets, I spend most of the time on MDI despite the fact that I love my pump and have much better BG control with it.)

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Permalink Reply by Zoe on February 5, 2012 at 5:17pm

Interesting! I'll have to look at the instructions for Apidra next shipment I get, though I'm sure I'll forget. If anybody has the instructions, let us know if it does, in fact, say that now! Not that I would change anything, since it works for me.

Yes, we all have to use the sets that work for us. I don't know those sets you mention, as I have a Ping and can use either the Inset or the Inset 30's (the angled ones I like best). Sorry that you have such a hard time with sites; that's rough, loving the pump and not being able to use it a lot!

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Permalink Reply by KimK on February 7, 2012 at 8:30am

The problem seems to be that the Apidra gets too hot in the pump tubing, and doesn't work any more. Yesterday, I cleared out the tubing by "filling the cannula" and it seemed to get better.

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Permalink Reply by KimK on February 7, 2012 at 8:31am

That might be a good idea.

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Permalink Reply by nel on February 5, 2012 at 5:39pm

KimK , there is an Apdria user group ...you may get some information from there as well . I was using Apidra and went back to NovoRapid ( Novolog ) ...got too frustrated( easily done at my age ??) and I am a pumper .

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Permalink Reply by KimK on February 7, 2012 at 8:27am

Thanks! I will join the Apidra group.

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Permalink Reply by Matthew Yarbrough on February 5, 2012 at 6:42pm

Last spring I built up a tolerance to Apidra. I was hitting 500 too often. I grabed a bottle of Novolin and I responded and my bg's went back to normal. I am on Novolog now. I suggest you get a bottle of Humlin R or Novlin R and see if that helps. You can pump R just change your insulin tail to 6 hours instead of 4.

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Permalink Reply by Trudy on February 6, 2012 at 5:48am

Regular insulin works for gastroparesis because it's action is slow (to match the slow digestion), but even with gastroparesis you need something faster for corrections. Btw I had clogging problems in the tubing where it met the reservoir with Humalog. My own experience is that Apidra and Novolog work the best for a pump, depending on the individual.

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