Need help with insulin pen

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Need help with insulin pen


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Old 08-16-2015, 16:18   #1
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Exclamation Need help with insulin pen

Hello everyone, I have been diagnosed with Type 1 recently and advised by doc to take insulin twice a day. As I am new to insulin so can you all please help me with it. I need to know which insulin pen is the best and precise to use. I have to take Humulin R and Humulin N. Which insulin pen can be used to take these two insulin. Is Novapen 4 can be used to take these insulins?

Waiting for your suggestions as I really need to start taking insulin within few days.

Thanks & Regards,
Romit

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Old 08-16-2015, 16:29   #2
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These two insulins Humulin N (Insulin Pen) Information from Drugs.com and Humulin R: Indications, Side Effects, Warnings - Drugs.com are different in speed of action.

The slow acting (basal) insulin Humulin N should be used either at night or in the early morning and is designed to function over the day to help maintain your blood sugar at a reasonable level.

The fast acting (bolus) drug Humulin R is designed to manage the increase in blood sugar that arises just after meals.

Please have a look at the two pages that are on the links above to get a more detailled explanation but before using either, I would hope that your doctor will offer you a bit more information as the dosage for both is very much an individual thing.

Welcome to the forum, and if you can offer us a bit more information as to the background to your diagnosis, some of our other type 1 members may be able to add a bit more.

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Old 08-16-2015, 17:05   #3
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Thanks for the quick reply John.

I was diagnosed with Type 1 on 2nd July'15 though I was having diabetes since 8-9 months before which I was unaware of. My insulin level is 3.56. Within a month I controlled my sugar level form - Fasting : 296.8 & PP : 548.6 to Fasting : 92.6 & PP : 145.8 using medicines, diet control and regular exercise. Luckily I haven't developed any complications.
Insulin Dose as advised by doctor is - Humulin R + Humulin N
BBF - 8 + 16
B Dinner - 6 + 6

As I was told to be on medicine for few days and then switch over to insulin so I was not suggested how to take insulin. I want to know that can I take both these insulin using insulin pen and which insulin pen will be better for this?

Thanks for your replies.

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Old 08-16-2015, 17:10   #4
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Quote:
Originally Posted by Romit View Post
Thanks for the quick reply John.

I was diagnosed with Type 1 on 2nd July'15 though I was having diabetes since 8-9 months before which I was unaware of. My insulin level is 3.56. Within a month I controlled my sugar level form - Fasting : 296.8 & PP : 548.6 to Fasting : 92.6 & PP : 145.8 using medicines, diet control and regular exercise. Luckily I haven't developed any complications.
Insulin Dose as advised by doctor is - Humulin R + Humulin N
BBF - 8 + 16
B Dinner - 6 + 6

As I was told to be on medicine for few days and then switch over to insulin so I was not suggested how to take insulin. I want to know that can I take both these insulin using insulin pen and which insulin pen will be better for this?

Thanks for your replies.
I recommend calling your doctor or setting up an appt with a Diabetic Counselor. I have no experience with those type as insulins, so can offer no advice.

Usually doctor's set you up with an educator to start, so you will know how to count carbs and admister the insulin.

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Old 08-16-2015, 17:17   #5
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I'm sorry to say that I can't guide you very much here. You seem to be saying that the doctor has suggested you mix the two? Not convinced that approach is particularly an effective approach but as I said, give it a while and some of our insulin users may be able to comment.

If and I do say IF, mixing the two is the approach you have to take, then pens are almost certainly not an option. Your insulin will be supplied in vials and you will need to use a syringe to mix them. Not a trivial exercise without professional assistance at least to start.

Bear in mind that the forum can't and won't offer medical advice as such. We can speak only about what our own experience has taught us about ourselves.

I do have one question. You show yourself as type 1. Did the doctor do an antibody test to verify this?

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Old 08-16-2015, 23:50   #6
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As John says, you cannot mix 2 insulins from pens. Not at home, anyway. Pens come pre-loaded.

You can get 2 pens -- one for long-lasting and one for rapid -- or you can get 1 pen that is preloaded with both. (Personally, if I used a pen, I'd go with the 2-pen plan. This way I can fine-tune my doses).

Now you can mix 2 insulins in an old-school syringe (that's what I do) -- but only if your long-lasting (basal) insulin is Novolin N or Humulin N, which are NPH insulins.

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Old 08-17-2015, 09:06   #7
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I think what he is saying is that he is supposed to take designated units from both the pens at the same time.

Romit, a better approach for the time being, would be to go in for the Humulin 70/30 mix. Please ask your Dr about the mixed insulins. As you begin to understand the metabolic process & your dietary regime v/s the various insulins on the market, you could then start with MDI (multiple daily injections).

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Old 08-20-2015, 00:17   #8
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If both insulins are taken at mealtime, they will both perform within the body as they should. Mixing would not be an advantage. This is my understanding.

Th best insulins would be a basal insulin that works slowly for 24 hours, and a fast acting bolus insulin that is used before each meal and snack. The best way to use a bolus insulin is to count the number of carbohydrates you are going to eat and then determine how many units of insulin you need for that number of carbs. I need 1 unit of insulin for every 10 carbs I eat. That way of dosing is much more likely to give you stable blood sugar numbers, without so many highs and lows. Keeping the blood sugar as stable as possible, and having a good A1c less than 7.0 will help very much to prevent diabetes related complications.

The book "Using Insulin" by John Walsh is a good reference if you ever do start using basal and bolus insulins.

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