Has anyone had trouble with Apidra? It is now only lasting 2 days in my pump. Today - I am on my second day with it, and it doesn't seem to be working....it is frustrating to have to bolus the correct amount, and then later discover the insulin isn't working at all. I have to give myself shots to get through the day.
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.
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.
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.)
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!
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.)
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!
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.
That might be a good idea.
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 .
Thanks! I will join the Apidra group.
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.
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.