NPH or Lantus! What Say You?

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NPH or Lantus! What Say You?


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Old 03-05-2011, 03:37   #1
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Question NPH or Lantus! What Say You?

I need your help and would appreciate any input and feedback regarding the drug NPH, and whether it is as effective as Lantus.

Because I'm on Medicare, I am required by my HMO to be a part of a yearly pharmacy treatment team review. Today I had a long discussion (on the phone) with my assigned pharmacist, and she said that in order to lower the cost to the HMO, it would be advantageous for me to switch over to NPH, which will require me to inject long acting insulin two times a day in contrast to the once a day injection of Lantus.

It will also require me to play around with my pre-meal Novolog injections in order to find the right dosage to compliment the NPH..

It has taken me the better half of a year to get my BG numbers down to a range of between 80-120 (on a regular basis prior to each meal and at bedtime), and I am reluctant to have to switch and start all over with the experiments while I get my BG levels back to an acceptable level, like they are now.

However, I did tell the pharmacist that I'd consider it the change after I did research on the drug, checked with forum members for input, and talked with me Endo (in person).

Thus, I am coming to you, my fellow diabetics for your input as to the pros and cons of using either NPH or Lantus.

It will only mean a reduction of ten dollars every three months in a co-pay, so it is not a big financial saver for me. It is only saving the HMO a lot of money, because she told me Lantus is five times the cost of NPH.

Thanks for any input from your own experiences. It will go a long way in helping me to decide whether to stay with Lantus, or capitulate and use NPH.

Shalom,

Pastor Paul


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Old 03-05-2011, 04:28   #2
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I would rather die than go back on NPH. It is in no way anything like Lantus. The peeks you have with are severe and when it peeks you better be near some food. I is the meth of the insulin world , just terrible stuff. This is of coarse in my humble opinion

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Old 03-05-2011, 04:48   #3
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Quote:
Originally Posted by righteousdude2 View Post
I need your hekp and would appreciate any input and feedback regarding the drug NPH, and whether it is as effective as Lantus.

Because I'm on Medicare, I am required by my HMO to be a part of a yearly pharmacy treatment team review. Today I had a long discussion (on the phone) with my assigned pharmacist, and she said that in order to lower the cost to the HMO, it would be advantageous for me to switch over to NPH, which will require me to inject long acting insulin two times a day in contrast to the once a day injection of Lantus.

It will also require me to play around with my pre-meal Novolog injections in order to find the right dosage to compliment the NPH..

It has taken me the better half of a year to get my BG numbers down to a range of between 80-120 (on a regular basis prior to each meal and at bedtime), and I am reluctant to have to switch and start all over with the experiments while I get my BG levels back to an acceptable level, like they are now.

However, I did tell the pharmacist that I'd consider it the change after I did research on the drug, checked with forum members for input, and talked with me Endo (in person).

Thus, I am coming to you, mu fellow diabetics for your input as to the pros and cons of using either NPH or Lantus.

It will only mean a reduction of ten dollars every three months in a co-pay, so it is not a big financial saver for me. It is only saving the HMO a lot of money, because she told me Lantus is five times the cost of NPH.

Thanks for any input from your own experiences. It will go a long way in helping me to decide whether to stay with Lantus, or capitulate and use NPH.

Shalom,

Pastor Paul
Paul, I don't think you will like the results. Your body is the most important thing here not the governments bottom line. The government can make reductions elsewhere. With NPH there is a peak so you will have to make sure that you eat or you will go low. Then you have to be a wizard to take Novolog with it. If I had no choice, I could make it work, but you will not see the best fasting readings on NPH. Unless you want something else to do with your time, keep things as they are. I will only take NPH to SAVE ME money. I am not a big fan of the goverenment trying to save money where our seniors are concerned. My parents are both on Medicare and each have their Medicare premium deducted from their monthly check, my Mom gets very little and her increases have never been more than $1 per month. My father has a pension that offers their secondary insurance but it costs them $400 per month. Both are frightened to use their insurances, because they have to meet deductibles with Medicare and with their seconday insurance. Both of my parents need medical care but turn their head the other way because of the cost.

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Old 03-05-2011, 06:24   #4
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Paul, I don't think you will like the results. Your body is the most important thing here not the governments bottom line. The government can make reductions elsewhere. With NPH there is a peak so you will have to make sure that you eat or you will go low. Then you have to be a wizard to take Novolog with it. If I had no choice, I could make it work, but you will not see the best fasting readings on NPH. Unless you want something else to do with your time, keep things as they are. I will only take NPH to SAVE ME money. I am not a big fan of the goverenment trying to save money where our seniors are concerned. My parents are both on Medicare and each have their Medicare premium deducted from their monthly check, my Mom gets very little and her increases have never been more than $1 per month. My father has a pension that offers their secondary insurance but it costs them $400 per month. Both are frightened to use their insurances, because they have to meet deductibles with Medicare and with their seconday insurance. Both of my parents need medical care but turn their head the other way because of the cost.
This is the third time, in the past few months that the HMO is asking me to change to a less expensive medicine. In September of 2010, I received a letter from my HMO that in order to bring the insurance in line with the new Obamacare, they were making changes to the formulary, my co-pays tripled, and they are wanting us to use our primary care doctor more, and the specialists less!

I can't help but think that this request to go to nph, and help them save money on the Lantus is just another bump in the road due to the national health care plan. I've already cut back on several medicines to save me money at the pharmacy, replacing a few medicines with OTC items. However, I am reluctant to capitulate on this request!

I appreciate both comments I have received so far and look forward to others putting in their two cents!

Pastor Paul

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Old 03-05-2011, 13:56   #5
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I am not on Medicare yet but in 4 1/2 years , I will be dealing with the same issues. At my last checkup my doctor recommended even though I am thin and bgs are good he feels I might need insulin at some point. We now have high deductible insurance so all our Rx's are out of pocket, so pricey insulin would be a big burden. My doctor suggested NPH at Walmart. When I asked around I got similar responses. That it is very hard to control and sometimes you have to split it into several doses to get good coverage. I would stick with the Lantus if you can. I have a sneaky feeling, this is only the start, we are going to see all sorts of pricey drugs restricted.

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Old 03-05-2011, 14:16   #6
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In my opinion Lantus has a much more stable curve where as the NPH has a sharper peak. I thought I had better control when I using the Lantus over what I had with NPH. Cheaper is not always better.

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Old 03-05-2011, 15:50   #7
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This is not a health care issue or part of the health care bill. It is about greedy people trying to squezze every penny they can get out of those that don't have it yo give.

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Old 03-09-2011, 00:47   #8
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I like Lantus. I have tried other insulin but this is the best for me.

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Old 03-09-2011, 01:03   #9
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Quote:
Originally Posted by Adjitater View Post
This is not a health care issue or part of the health care bill. It is about greedy people trying to squezze every penny they can get out of those that don't have it yo give.
I heartily agree! It is absolutely not part of the healthcare bill.




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Old 01-04-2012, 21:31   #10
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Quote:
Originally Posted by righteousdude2 View Post
I need your help and would appreciate any input and feedback regarding the drug NPH, and whether it is as effective as Lantus.

Because I'm on Medicare, I am required by my HMO to be a part of a yearly pharmacy treatment team review. Today I had a long discussion (on the phone) with my assigned pharmacist, and she said that in order to lower the cost to the HMO, it would be advantageous for me to switch over to NPH, which will require me to inject long acting insulin two times a day in contrast to the once a day injection of Lantus.

It will also require me to play around with my pre-meal Novolog injections in order to find the right dosage to compliment the NPH..

It has taken me the better half of a year to get my BG numbers down to a range of between 80-120 (on a regular basis prior to each meal and at bedtime), and I am reluctant to have to switch and start all over with the experiments while I get my BG levels back to an acceptable level, like they are now.

However, I did tell the pharmacist that I'd consider it the change after I did research on the drug, checked with forum members for input, and talked with me Endo (in person).

Thus, I am coming to you, my fellow diabetics for your input as to the pros and cons of using either NPH or Lantus.

It will only mean a reduction of ten dollars every three months in a co-pay, so it is not a big financial saver for me. It is only saving the HMO a lot of money, because she told me Lantus is five times the cost of NPH.

Thanks for any input from your own experiences. It will go a long way in helping me to decide whether to stay with Lantus, or capitulate and use NPH.

Shalom,

Pastor Paul
I would stay with Lantus. It is worth the extra cost. It was a dramatic improvement over NPH when introduced a little more than a decade ago. It eliminated my night time lows. Lantus is as steady as a rock. NPH is old technology. Taking more than one slow-acting insulin a day adds risk.

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