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Thread: High Peaks
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  #14 (permalink)  
Old 03-29-2008, 04:20 PM
Gary_W's Avatar
Gary_W Gary_W is offline
Senior Member
I am a: Type 1
 
Join Date: Jan 2007
Location: UK
Posts: 760
Quote:
Originally Posted by Eddy View Post
<insert favorite expletives of amazement>

That's about what N does in me.

Novorapid is really whaling on me after 50 minutes, and [practically] gone after 1:15. Humalog was about 10-15 minutes slower, but felt like an adrenaline surge when it hit.

I knew that I was at the faster end of the insulin activity scale... but I guess that I'm an out-and-out freak.

The above applies when my BG is at/near normal levels. If I go high, things take about 2.5 times as long.
If Novo really only lasts an hour and a bit in you, I'm starting to get why you dabble in so many insulins... My advice to you would be 'don't even sniff Apidra!'. Also, where on your body do you inject? Do you find certain sites slow things down? In me, my arms are a little quicker than my abdomen. I avoid injecting in my rear end as (a) it makes old ladies stare on busses and (b) it stays back there for days... Arms and abdo are a bit more reliable for consistancy.

My next thought would be the 'combo bolus' feature on pumps. On this here Animas, you can tell it how much of the bolus to give immediately and how much to give over an extended period. Other pumps do it a little differently I beleive, but on here you tell it what % of the bolus to give now and what % to give over the extend period. The percentage is variable in 5% steps and the 'extend' period is variable from 0 to 12 hours in 1/2 hour steps (and a funny little .1 hour interval to kick off which I guess is to stop a large dose hurting...). As you can vary the volume of insulin in 0.05 unit steps, you have huge control over exactly what goes in and how long it takes.

Due to the plumbers not turning up for a while, I haven't tested this in anger but I can see it being really useful. After the park today, I took my daughters to a little Indian restaurant that specialises in snack-style foods (samosa, pakora etc) and I ate loads. I needed 3 lots of Apidra to sort it over a loooong period. That kind of food is a long way from 'fire and forget' on a pump, but in theory it should be a little easier with the combo bolus.

Gary
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