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  #1 (permalink)  
Old 07-21-2008, 04:19 PM
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I am a: Type 1
 
Join Date: Jul 2008
Location: Southern California
Posts: 66
Question Humalog in pump?

My new insurance wants me to use Humalog instead of Novolog which I have been using for several years. My PCP said go ahead and switch because he doesn't want to deal with a pre-authorization and they work about the same. My endo, who is now out of network, but a family friend said, don't use Humalog as it just isn't good in pumps.

I actually started using the Humalog a few days ago because I ran out of Novolog. My numbers have been about the same, maybe a little lower but I'm not really sure. I haven't had any problems yet. Do you have any bad experiences with humalog in pumps? I know some have had possible high heat issues. What exactly are the problems? Clogging, lower absorption?

I'm trying to decide if I should push the new PCP to get it switched or just see how it goes.
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25 yo female
Dx type 1 in 1996 at 13 yo
Pumping since 1997
MM 722, trying to get insurance to cover CGMS

9/18/08....6.4 not perfect but much better
7/1/08.....7.3
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  #2 (permalink)  
Old 07-21-2008, 04:40 PM
Member
I am a: Type 1
 
Join Date: May 2007
Location: Pittsburgh, PA USA
Posts: 192
I have not used Humalog in my pump but have used humalog. My endo switched me to novalog because she said humalog crystalized and clogged the tubing. Like I say I have no experience using humalog in my pump.
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Diagnosed 8/1967
last A1C 6.3
Animas IR1250 since 9/05
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Old 07-21-2008, 04:44 PM
UpNorth's Avatar
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I am a: Type 1
 
Join Date: Mar 2005
Location: Universe, Planet Earth :P
Posts: 1,008
A lot of people on here uses Humalog in their pumps. I've used Humalog in a pump for a very short time. And i like Novorapid/Novolog better. I didn't have any problems with Humalog, but it does have a tendancy to crystalize more than Novorapid/Novolog when being in contact with body temperature for a longer time- like it can be when having it in a pump. Try and see. If you don't like it, you should get your insurance to pay for the medication that works best for you!
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22 years old, diagnosed T1D on october 14th 2004.

On MDI, Novorapid and Levemir, using the NP4

Currently back to pumping with my IR1200, April 2008.


Been using D-tron and Animas IR1200 but prefer the pen
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  #4 (permalink)  
Old 07-21-2008, 04:57 PM
xMenace's Avatar
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I am a: Type 1
 
Join Date: Jun 2006
Location: Rothesay, New Brunswick Canada, eh
Posts: 7,047
I used Humalog the last two years and Novalog the last month.

I had bad sets about one out of every three or four with Humalog. I've yet to have a bad set with Novalog. I got two free vials over the winter and had zero problems then too.
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In Defense of Food with Michael Pollan


T1 1975, MM 722 pump

10/08
A1C 7/08 6.1%
HDL - 1.74 (67)
LDL - 1.89 (73)
Triglicerides - 0.52 (47.0)


7/08
A1C 7/08 5.9%
HDL - 1.55 (59.9)
LDL - 1.76 (68.1)
Triglicerides - 0.44 (40.0)

John
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  #5 (permalink)  
Old 07-21-2008, 05:37 PM
Gordonm's Avatar
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I am a: Type 1
 
Join Date: Aug 2006
Location: NJ
Posts: 707
I used Humalog for over a year in my pump with no problems. My endo just says the Novolog is a little more stable in the tubing a resevoir than the Humalog. I have noticed no difference between the two. My resevoir last me about 5 days and I have had it in heat and cold with no difference.
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Type 1 since 4/74
Pump user since 10/17/06!
MM 522 pump
CGMS started 10/3/08
A1C 5/08: 6.0
A1C 10/08 5.7
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  #6 (permalink)  
Old 07-21-2008, 07:46 PM
poodlebone's Avatar
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I am a: Type 1
 
Join Date: Apr 2006
Location: NYC
Posts: 1,447
I have been using Humalog in my pump since I started, which was May 2005. I have not had any problems with it. I fill the 300 unit reservoir and use it until it's empty, which can be 10-12 days. No problems with it clogging or losing potency, even now in the hot summer weather.

I have not used Novolog so I can't compare the two.
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Liz
Type 1 dx 4/1987
Minimed Paradigm 722 6/2008 + CGMS
Minimed Paradigm 715 5/2005 - 6/2008
13mm Silhouettes
Lifescan UltraSmart & UltraMini
Last A1c: 10/08/08: 5.6
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  #7 (permalink)  
Old 07-21-2008, 08:13 PM
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I am a: Type 1.5
 
Join Date: Jul 2005
Location: Pittsburgh, PA
Posts: 79
I have used Humalog for a couple of years. I use it in my pump with no problems.
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  #8 (permalink)  
Old 07-21-2008, 10:19 PM
RobiJo's Avatar
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I am a: Type 1
 
Join Date: Aug 2007
Location: Royal Oak, Michigan
Posts: 926
I've used both in my pump, but mostly Humalog (my script is and always has been for Humalog). I've never had a problem that I could trace back to the insulin. Typically my problems are the user....

When I get free bottles I will use either. I've never noticed a difference in bgs.
My sister just switched from Humalog TO Novalog because it was a cheaper co-pay for her. However she is like me and will use whichever is available. She hasn't reported any bg changes either.
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MM 722 and CGMS; Humalog & Symlin
a1c Trying to get below 6...
6.8 (9.10.08)
Vitrectomies May 2007 & July 2007
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  #9 (permalink)  
Old 07-22-2008, 04:49 AM
cheryl's Avatar
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I am a: Type 1
 
Join Date: Jan 2007
Location: Tenessee
Posts: 1,430
Humalog for me in the pump, Ok here it goes.....My insulin lasts all 5-7 days in resevoir as long as it is either at room temp or cold, the minute I go to the lake, that is it, it is a goner....I am elevated till I change resevoir

Right now if I am in more heat and I happen to be ok with the resevoir, my sets only last 2-2 and half days, I can get about three out of a sil, if I am just going to work everyday and coming home, I go out to much walking around going to the lake nope, the set won't last....

I noticed prior to pumping I never had to refriderate my humalog and it used to take me almost two months to use it up, now with it being in the pump, it only last 14 days out of fridge so I leave the vial in the fridge...

I am either tempted myself to try novolog, for these reasons or invest in a frio pack for going to the lake, I think a better investment might be for me switching insulins, but since you are going on humalog, see how your bg's are after you are in the hot sun, with the pump hidden MIND you LOL....I try hard not to keep it in direct sunlight, if you notice that your starting to get elevated for no reason and stay that way invest in a frio pack, because let me tell you, I work in the cooler at work, I plummit like anything and stay that way for a while seems like humalog love cold really loves cold.....

I'd invest in a frio pack if I were you if you are going to be in the sun, if you notice a change..

Cheryl
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  #10 (permalink)  
Old 07-24-2008, 10:32 AM
jeggeman31's Avatar
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I am a: Type 1.5
 
Join Date: Feb 2005
Location: Grove City Ohio
Posts: 2,156
I have used Humalog, Novolog and Apedra in my pump. They all work about the same fore me, I use Novolog now as it is cheaper on my co-pay tier than the other 2.
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Jim

Diagnosed April 1990
Pumping with the OmniPod now

Last A1C 7.1 ( February 2008 )
Diabetes & Endocrinology Center Of Ohio Website
Proud Fan Of NASCAR Nextel Cup Driver Jimmie Johnson, Lowes #48 the 2006 AND 2007 Nextel Cup Champion.

The opinions expressed are mine alone and do not necessarily represent
those of my wife who runs our house and makes more important decisions
than I do
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  #11 (permalink)  
Old 07-24-2008, 10:16 PM
Member
I am a: Type 1
 
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Location: North of NYC
Posts: 338
Never a problem. 1+ years.
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A1C Pre-Pump: 6.1


A1C Post-Pump: 5.4
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  #12 (permalink)  
Old 07-24-2008, 10:24 PM
Dewey's Avatar
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I am a: Type 1
 
Join Date: Jan 2004
Location: Mid-West
Posts: 7,248
I never had a problem with Humalog while using it in the pump, and I'd been pumping with it since August of 1996 (when it first came out). The issue I experienced with it was loss of potency due to heat with my mail order insulin from insurance (& this was due to the insurance company storing the insulin in a Vegas warehouse). Because of that issue, I wound up switching to Novolog. Other than the heat causing loss of potency on the insurance mail order Humalog, I've never had any problems with it.
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"Jesus himself could be president & someone would find a reason to gripe!"
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Pumps & Meters Used:
MM506,7,8,11 & 12, Cozmo, Animas 1200 & 1250
Many
A1C: 6.4
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  #13 (permalink)  
Old 07-24-2008, 11:04 PM
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I am a: Type 1
 
Join Date: Sep 2004
Posts: 5,772
I've used all three rapids and currently use Humalog. It's my favorite.
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  #14 (permalink)  
Old 07-25-2008, 04:31 PM
Junior Member
I am a: Type 1
 
Join Date: Jul 2008
Location: Southern California
Posts: 66
I ended up getting back on Novolog after two site changes (about a week) with Humalog. My endo decided to do the pre-authorization for it. I didn't notice much difference, maybe a tillte bit lower numbers with the Humalog. I put the new Novolog in my pump today. Since my endo felt strongly, I didn't really mind going back to it. Thanks for all your input. It made me feel better to know others had been using it without issue.
__________________
25 yo female
Dx type 1 in 1996 at 13 yo
Pumping since 1997
MM 722, trying to get insurance to cover CGMS

9/18/08....6.4 not perfect but much better
7/1/08.....7.3
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  #15 (permalink)  
Old 07-25-2008, 04:35 PM
notme's Avatar
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I have used Humalog in my pump for six years. Never a problem.
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Nancy



Despite the high cost of living, it remains popular.

diagnosed type 1 October 1986
currently using Medtronic MiniMed
paradigm 715
CLEAR
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