The Diabetes Forum Support Community For Diabetics Online banner

1 - 7 of 7 Posts

·
Registered
Joined
·
16 Posts
Discussion Starter · #1 ·
Hello all,

I am new to the forum, and was diagnosed diabetic type 2 a little over 3 years ago after having what the emergency room doctor called a "diabetic stroke". I have been on Novolog 3 X a day, and Lantus 2 X a day. I have tried to get answers on a few specific questions from various doctors, and everything I have been told is contradictory. It seems that if the doctors are not diabetic themselves, they don't really don't know, and the diabetic specialist I went to was just too impatient to make things clear to me.

I saw an episode of Dr. G on tv, about an autopsy she had performed on a lady who died after she had taken a long bus ride down south. The day was hot, and her insulin was in her purse. She took her insulin as prescribed, but ended up dying. They said her death had been caused by her insulin being rendered useless by heat, she went into a coma and died.

I get my insulin by mail, and at least 2 orders have arrived hot with the cold packs completely melted, and the bottles hot to touch. I complained to my rovider, and their pharmacist argued with me and said hot insulin was perfectly safe before it is opened, but must be refrigerated once opened.

I had been originally told by my doctor that insulin (once opened) could safely be kept at room temperature, and did not have to be refrigerated. (My home stays at 70 degrees year round, and I do take my insulin with me in an insulated bag with a cold pack if I leave home on hot days.)

Recently I noticed that my insulin has been coming with a warning label that it must be completely used within 28 days of being opened, and the rest must be discarded at the end of that period.

One doctor told me insulin could be taken before a meal, another told me not to do this, only take insulin AFTER you eat, as something may prevent your eating the meal, and there could be an insulin reaction. One doctor told me to take insulin IMMEDIATELY after eating, another said taking insulin within 30 minutes of eating is fine.

So,I would appreciate answers to the following questions:

Is it safe for insulin to be hot before it is opened?
Once opened, must it be refrigerated or is room temp ok?
Does insulin have to be discarded within 28 days of being opened?
Is it a bad idea to take insulin before eating a meal?
How long can you safely wait to inject insulin after eating?

Thank you so much,

Cherie
 

·
Registered
Joined
·
158 Posts
hi

Hello all,

I am new to the forum, and was diagnosed diabetic type 2 a little over 3 years ago after having what the emergency room doctor called a "diabetic stroke". I have been on Novolog 3 X a day, and Lantus 2 X a day. I have tried to get answers on a few specific questions from various doctors, and everything I have been told is contradictory. It seems that if the doctors are not diabetic themselves, they don't really don't know, and the diabetic specialist I went to was just too impatient to make things clear to me.

I saw an episode of Dr. G on tv, about an autopsy she had performed on a lady who died after she had taken a long bus ride down south. The day was hot, and her insulin was in her purse. She took her insulin as prescribed, but ended up dying. They said her death had been caused by her insulin being rendered useless by heat, she went into a coma and died.

I get my insulin by mail, and at least 2 orders have arrived hot with the cold packs completely melted, and the bottles hot to touch. I complained to my rovider, and their pharmacist argued with me and said hot insulin was perfectly safe before it is opened, but must be refrigerated once opened.

I had been originally told by my doctor that insulin (once opened) could safely be kept at room temperature, and did not have to be refrigerated. (My home stays at 70 degrees year round, and I do take my insulin with me in an insulated bag with a cold pack if I leave home on hot days.)

Recently I noticed that my insulin has been coming with a warning label that it must be completely used within 28 days of being opened, and the rest must be discarded at the end of that period.

One doctor told me insulin could be taken before a meal, another told me not to do this, only take insulin AFTER you eat, as something may prevent your eating the meal, and there could be an insulin reaction. One doctor told me to take insulin IMMEDIATELY after eating, another said taking insulin within 30 minutes of eating is fine.

So,I would appreciate answers to the following questions:

Is it safe for insulin to be hot before it is opened?
Once opened, must it be refrigerated or is room temp ok?
Does insulin have to be discarded within 28 days of being opened?
Is it a bad idea to take insulin before eating a meal?
How long can you safely wait to inject insulin after eating?

Thank you so much,

Cherie
to my knowledge insuln have to stay before opening although i have to let it site out to get room temperture right before I use it.Once it is opened i keep it at room tempeture.Ive heard that you have to discard it after 28 days but I go through a vial in 3 day due to my insulin resistance.With eating I bolus 30 minutes before because my insulin take effect.(I just got on the pump 3 months ago but injected 11 times a day when I wasnt on it),on the other hand I have a 7yr old T1 daughter also who takes her insulin after she eats so she can be sure of how many carbs she eats.I know I tend to ramble but I hope ive been helpful.
 

·
Registered
Joined
·
16 Posts
Discussion Starter · #3 ·
Hello, jeremiahtren,

Thanks for the post! You've been very helpful, hope you and your daughter do well.

Best wishes,

Cherie
 

·
Registered
Joined
·
158 Posts
Thanks.Its just hard sometimes knowing she got it from me.But at least she got the best teacher.
 

·
Registered
Joined
·
1,590 Posts
Hello all,

So,I would appreciate answers to the following questions:

Is it safe for insulin to be hot before it is opened?
Once opened, must it be refrigerated or is room temp ok?
Does insulin have to be discarded within 28 days of being opened?
Is it a bad idea to take insulin before eating a meal?
How long can you safely wait to inject insulin after eating?

Thank you so much,

Cherie
Hi Cherie :)

INsulin should not be hot. It should be kept below 85 degrees. I get mine in 3 month batches, I keep it in the fridge until I open it. Once I open a vial (or pen if thats what you use) that one can be kept at room temperature for around 28 days. You will use most vials or pens before 28 days. As for timing, depends on the type of insulin. Lantus or Levimeir are long acting basal insulins that are usually taken once day (sometimes twice). That one it doesnt matter when you eat because they dont peak like fast acting insulins do. For an insulin like Humalog or Novolog (fast acting insulins) they should be taken about 15 mionutes before you eat. I do know sometimes people take them after eating, but for better control, its better to take them 15 minutes before you eat. That way it is peaking just around the time you are spiking.
 

·
Registered
Joined
·
16 Posts
Discussion Starter · #6 ·
Thanks so much, Pam! That helps a lot. I still wonder a bit about taking insulin before eating. I took mine once just before we were going to eat, and a minor family emergency came up, and we had to leave in a rush. By the time we got where we had to go, I was shaking and felt like I was going to pass out. We ended up having to get candy out of a vending machine, which is not a good thing for a diabetic, but there was nothing else we could get to, and about 5 minutes later I felt a lot better. Scared me though, LOL

Thanks again for the information!

Cherie
 

·
Registered
Joined
·
1,590 Posts
Thanks so much, Pam! That helps a lot. I still wonder a bit about taking insulin before eating. I took mine once just before we were going to eat, and a minor family emergency came up, and we had to leave in a rush. By the time we got where we had to go, I was shaking and felt like I was going to pass out. We ended up having to get candy out of a vending machine, which is not a good thing for a diabetic, but there was nothing else we could get to, and about 5 minutes later I felt a lot better. Scared me though, LOL

Thanks again for the information!

Cherie
I always keep some sort of "rescue" carb source with me. Never know when you might need it :)
 
1 - 7 of 7 Posts
Top