Nervous about changing type of insulin

Go Back   The Diabetes Forum Support Community For Diabetics Online > Diabetes Forum Community > Diabetes

Diabetes This section of the forum can be used to discuss anything and everything to do with Diabetes. Please use this general Diabetes section for any comments or discussions that don't fit into the more specific forum categories below. Please also ensure that all posts and threads are on topic, about Diabetes.


Nervous about changing type of insulin


Closed Thread
 
Shared Thread Thread Tools
Old 03-12-2012, 20:24   #1
Active Member
 
Join Date: Nov 2011
Location: Punta Gorda, Belize
Posts: 14

Member Type
Type 2
Diagnosed in 2011

1 likes given
Default Nervous about changing type of insulin

I was diagnosed with diabetes in September 2011 when I was visiting in the USA. We are US citizens living in Belize in Central America. They put me on Lantus with no other diabetes medicine and with my medicine and diet, I have a good control of it. Lantus is not available here so I am having to change to NPH and very nervous about it. I know it is not a long acting insulin like Lantus, just an intermediate acting. They want me to take it for 2 weeks before going back to the doctor to see if I need any adjustments or additional meds. I haven't started it yet because I am finishing my bottle of Lantus I have. One thing that bothered me is that the doctor (a US doctor visiting the clinic there) said to the PA helping me, that insulin is all the same, don't worry about her changing. It rather ticked me off but not much I can do about it. The doctors and PAs only spend one month rotations here so I won't be under the same ones care when I go back. I go back to the States every 6 months and will be getting my checkups there and that is who I will be depending on but I am worried in the meantime. I don't return until the middle of May. Does this sound OK to you all? Do I have anything to worry about? This is my first change so it is stressful for me.

murray865 is offline  
Old 03-12-2012, 20:46   #2
Senior Member
 
silvertiger's Avatar
 
Join Date: Nov 2011
Location: Saskatchewan, Canada
Posts: 3,861

Member Type
Type Pre
Diagnosed in 2011

4282 likes received
5061 likes given
Default

I'm a Type 2 so no advice, but *hugs*. I hate having to change drugs.

__________________

View silvertiger's full Diabetes Forum profile here.
silvertiger is offline  
Old 03-12-2012, 21:16   #3
Senior Member
 
Join Date: Jun 2009
Location: North East Ohio, USA
Posts: 4,368

Member Type
Type 2
Diagnosed in 2007

1790 likes received
1507 likes given
Default

NPH is a long acting insulin. It is the older version of insulin. Lantus and Levimer are to newer long acting insulin and quite expensive. Many people in the US still use NPH, especially during pregnancy. It is very safe. It may peak a little different than Lantus. You may need to split it into a morning and evening dose. I would assume you are a type 2? If you have very good control you may be able to wean off insulin and switch to oral meds. You may want to discuss that with your diet. A good resource a lot of us use is

Blood Sugar 101

She has a good discussion of the different types on oral meds and insulins used by type 2's. You could always order Lantus from the US or Canada but it is expensive if your insurance is not covering it.

__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
jwags is offline  
 
Old 03-12-2012, 21:26   #4
Active Member
 
Join Date: Nov 2011
Location: Punta Gorda, Belize
Posts: 14

Member Type
Type 2
Diagnosed in 2011

1 likes given
Default

I am a type 2 but looking at the information on the internet, it shows that it is an intermediate acting insulin. My insurance does pay for my insulin but it would be too long for it to be without refrigeration if they sent it to me. It takes at least 2 weeks to get by regular mail and a week for "overnight" UPS or FEDEX. I can get the insulin free here so cost is not a problem either way I go. I would worry about it being unrefrigerated for a long period of time using the mail service.

murray865 is offline  
Old 03-12-2012, 21:55   #5
Moderator
 
VeeJay's Avatar
 
Join Date: Jan 2012
Location: Midwest USA
Posts: 9,320

Member Type
Type 2
Diagnosed in 2010

11902 likes received
4377 likes given
Default

Quote:
Originally Posted by murray865 View Post
I am a type 2 but looking at the information on the internet, it shows that it is an intermediate acting insulin.
Not an insulin user here, but just wanted to welcome you to the forum. Also, just thinking about the long/intermediate issue - this may be why those using NPH split the dose and take it twice a day.

Since you are your best advocate for your diabetes health, I'd say, do what works for you.

Just curious, if you're a type 2, why weren't you put on metformin to help reduce insulin resistance?

__________________
My low-carb recipe collection on Pinterest
https://www.pinterest.com/VRStudio1/...light-recipes/
70 yrs. Dx May 2010
Diet controlled: VLC/HF
BG steady with no highs or lows.
A1C in the 5% range.
____________________________________
Gluten intolerant, sensitive to dairy & eggs.
Eat no grains
VeeJay is online now  
Old 03-12-2012, 22:04   #6
Senior Member
 
Join Date: Jun 2009
Location: North East Ohio, USA
Posts: 4,368

Member Type
Type 2
Diagnosed in 2007

1790 likes received
1507 likes given
Default

How high were your bgs when they put you on Lantus and what are they now? If Insulin is free there I can see why they don't carry the more expensive types. If your bgs are controlled you may be able to use oral meds for better control.

__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
jwags is offline  
Old 03-13-2012, 01:22   #7
Active Member
 
Join Date: Nov 2011
Location: Punta Gorda, Belize
Posts: 14

Member Type
Type 2
Diagnosed in 2011

1 likes given
Default

I don't know why I was immediately started on insulin as soon as I was diagnosed. I was totally blown away and didn't even know what questions to ask and didn't know there was anything but insulin that people took. My A1c was 10.9 and my bg was 406. I haven't had another check yet on my A1c but I range between 73-90 for my morning fast check and very seldom get above 190 after supper in the evenings. I have been in the 200 and 300s when I was on prednesone for a short term treatment. I was having a lot of problems that I did not know were symptoms of diabetes. I am learning and now know more questions to ask.

murray865 is offline  
Old 03-13-2012, 01:46   #8
Senior Member
 
Join Date: Dec 2011
Location: Decatur, AL, USA
Posts: 168

Member Type
Type 1
Diagnosed in 1990

142 likes received
24 likes given
Default

NPH is an intermediate acting insulin. When I first became a type 1 20 years ago it is was the longest lasting insulin available. It lasts about 12 hours. However, it has a peak at the beginning and then tapers off at the end, so it is anything but steady. I had a lot of difficulty with it, since I don't have a buffer source like type 2's. The Lantus insulin smoothes out the peaks and valleys nicely. With D the fewer variables you have the better you are able to control. My advice is test frequently, because it will be more difficult, but not impossible. I got along for 15 years with it.

frankly is offline  
Old 03-13-2012, 02:01   #9
Senior Member
 
Join Date: Jun 2009
Location: North East Ohio, USA
Posts: 4,368

Member Type
Type 2
Diagnosed in 2007

1790 likes received
1507 likes given
Default

My HbA1c was similar to yours around 11 when I was dx'd but I was put on metformin. I now try to keep my bgs between 90-120 most of the day. The majority of my numbers are around 100 or lower. Your fastings are good, but your after meal bgs seem high. Did they discuss diet at all with you. Here in the US they recomend 120-140 after meals. It could be with a tweaking of your diet you could lower the amount of insulin or even go off of it.

__________________
diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
jwags is offline  
Old 03-13-2012, 03:04   #10
nunya
Guest
 
Posts: n/a


Default

Hi murray,

NPH is just as frankly discussed in post number 8. You can use it instead of the Lantus. It has an onset of 1-2 hours, a peak at 4-12 hours and a duration of 18-24 hours. Your milage may vary though so testing is necessary. Please make testing a habit at least to learn how it works for you.

There may a good reason why you are prescribed insulin, and there is nothing wrong with using it.

 
Closed Thread

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Newbie and nervous to tell people April513 New Member Introductions 23 03-09-2011 07:01
Insulin Companies Make More Money Off Type 2's Than Type 1's Richard157 Diabetes 8 08-26-2010 02:16
That's it, I'm changing my life... wildachyld New Member Introductions 5 02-03-2009 16:07
I'm changing my destiny!! HCQ1015 New Member Introductions 6 01-22-2009 16:03
Changing name Ricky Diabetes Forum Lounge 8 12-02-2008 16:58

LEGAL NOTICE
By using this Website, you agree to abide by our Terms and Conditions (the "Terms"). This notice does not replace our Terms, which you must read in full as they contain important information. You must not post any defamatory, unlawful or undesirable content, or any content copied from a third party, on the Website. You must not copy material from the Website except in accordance with the Terms. This Website gives users an opportunity to share information only and is not intended to contain any advice which you should rely upon. It does not replace the need to take professional or other advice. We have no liability to you or any other person in respect of any content on this Website.


All times are GMT +1. The time now is 15:43.




Powered by vBulletin®
Copyright ©2000 - 2019, vBulletin Solutions, Inc.
Search Engine Optimization by vBSEO
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.
User Alert System provided by Advanced User Tagging v3.1.0 (Pro) - vBulletin Mods & Addons Copyright © 2019 DragonByte Technologies Ltd.