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-   -   Not changing needles on pen (https://www.diabetesforum.com/diabetes-medication-supplies/82090-not-changing-needles-pen.html)

Bounty 08-14-2016 02:26

Quote:

Originally Posted by Bunjee (Post 1153121)
Bounty, talk to your pharmacist.

I'm not on insulin anymore. That was just the reality of the math. Care providers need to do their own math to cover this. Medicare won't let you order a refill 10 minutes before the refill date.

PennsyGirl 08-14-2016 02:30

Bounty, I see where you are coming from. However, my Endo writes it for 40 units even though I am on 30. He did that because he thought I was in a honeymoon phase but after a year he tested and I'm not. He likes to leave it higher with his patients in case of sickness or steroid use he can tell me to take a higher amt and I don't have to rush out and get a new Rx filled. Also, my Rx is for 90 days not 100. Funny thing is I don't feel like I go thru a pen every 10 days or less. I'll have to double check.
Anyway, I just checked it out with the Novolog and it is the opposite. I have less in the one without the prime and more in the other two. I think I will retest this again tonite and thruout the weekend and I'll result this Sunday.

Bounty 08-14-2016 02:42

Quote:

Originally Posted by PennsyGirl (Post 1153145)
Bounty, I see where you are coming from. However, my Endo writes it for 40 units even though I am on 30.

Always good to have a care provider on top of things. From what I've seen...that's more the exception than the rule.

Bunjee 08-14-2016 02:57

Quote:

Originally Posted by Bounty (Post 1153161)
Always good to have a care provider on top of things. From what I've seen...that's more the exception than the rule.

I suspect my primary also does the same thing - I was originally on 20 units and he must have been writing it for 40 because I'm 2 boxes ahead on the Levemir and will be 2 boxes ahead on Novolog as well in a couple of days (auto-refill). I'm also on Medicare. I was titrating up, so I'm sure he wasn't quite sure where I would end up. However, if I start up metformin again in September, I'll have to put a delay on the auto-refills since I will be using less insulin.

PennsyGirl 08-14-2016 03:03

Oh gosh, don't go praising him yet. He also rolled his eyes when I mentioned "Think like a pancreas" and also kept me on a sliding scale and never mentioned I:C ratios. He is old-school for sure and is always pushing statins. All the endos here are the same so there is no sense in changing. But, yeah, I'm grateful he is good with the insulin and actually let me keep my Rx for testing 4 times a day. He's a mixed bag.

Bunjee 08-14-2016 03:08

Quote:

Originally Posted by PennsyGirl (Post 1153201)
Oh gosh, don't go praising him yet. He also rolled his eyes when I mentioned "Think like a pancreas" and also kept me on a sliding scale and never mentioned I:C ratios. He is old-school for sure and is always pushing statins.

Wow, the endo I just saw a week ago - one of the first questions he asked was whether I knew my I:C ratio (thanks Daytona!). Hopefully, I will have some success getting more strips (currently 4 per day).

Daytona 08-14-2016 04:47

Interesting, my prescription for levemir says "start at 5U in the morning and evening and titrate up". I am now taking 50U a day and haven't had any trouble refilling as often as needed. Either that is because I still wasn't hitting the limit, Blue Cross Blue Shield of Illinois is awesome (it is, and I'm so upset that I had to change to United Health Care because my husband's insurance changed), or the prescription is so vague that they aren't giving me a limit?

Bunjee 08-17-2016 03:34

I think they just started you too low. Me too. The average starting dosage for someone my weight was 30u and she started me on 20. I'm at 42. On the other hand, when I was taking metformin, I only needed 28, so I suppose it was a reasonable call.

Oh, I got the new BD nano needles yesterday for Novolog. Very short, but I noticed I had a little insulin leakage in my injection site after removing the needle. Maybe I need to go a little slower? It's great though - don't feel a thing. No, haven't tossed the others. I still use the 8mm for Levemir, and have a 2 year supply of THOSE because of the unused ones my bro gave me.

Daytona 08-17-2016 14:03

I think I've had a drop come up after an injection only once or twice, and I use the 4mm needles. I do make sure to leave the needle in for a full 6 seconds before withdrawing.

PennsyGirl 08-27-2016 19:26

My goodness I was told to leave my needle in to the count of 10 but my original CDE told me to leave it in for the count of 1/2 of my dose. If my dose was 30, leave in for the count of 15. I don't know why but now I tend to leave it in for the full count of whatever dose I'm taking and I STILL have an occasional leakage. I hate that.
Anyway, I've been experimenting with the prime vs no prime with mixed results. I can only assume it's operator-related. I've decided the difference is so small with Lantus that I'm gong to keep priming because I don't seem to get a bead when I turn it upside down (I do with my experimental pen of leftover Novolog) so I prime just to be sure it's clear. It was a fun experiment though.


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