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ssur

Valeritas V-Go Delivery Method

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Good afternoon,

 

This forum helped me with my addition to Victoza, which has been wonderous over the last year. Endo would like me to move to the new v-GO disposal delivery system. Have appt with her and rep on thuirsday. Got the supplies the other day. Any experience with this new product.

 

Thanks in Advance

 

Russ

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I would be uncomfortable with 'preset' basal doses because from experience my basal doses do not stay the same from one month to the next. Ask your Endo a lot of questions about hypoglycemia that could be a result of too much basal or bolus insulin.

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My basal rate is not consistent from one part of the day to the next ... (I have 6 basal rates ... and thats only because I'm too lazy to get more accurate)!

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I also have 6, although during the Summer when it is hot weather I have 8 or 9 basal rates. Sometimes it seems that my basal rates change after every infusion set change :(

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For a Type 2, the V-Go may be sufficient. Even though it has set basal rates that you can't change, I bet the hourly delivery does work better than taking one or two large injections. Still, the maximum basal amount is 40 units and that may not be nearly enough coverage for many Type 2s. You can give a maximum total of 36 units of bolus insulin in 2 unit increments.

 

The device is clearly marketed only to Type 2s. A lot of the issues a Type 1 may have with it might not matter for a Type 2.

 

To me, it seems like a huge waste of plastic. It needs to be changed every day and you are limited by the dosages available (basal delivery 20, 30 or 40 units a day plus the max of 36 units for bolus). Unless a patient is so terrified of needles that he/she stops taking insulin altogether, or only some of the time, I think pens or vials & syringes would be much easier and even more flexible because you're not tied to specific doses. If you are very insulin resistant, I can't see the V-Go working.

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I agree Liz. Definitely not for type 1 diabetics and severely limited for type 2's. I remember years ago when diabetics took 1 or 2 injections per day and had strict dietary guidelines to follow. While this is more convenient and one can give limited boluses, the fixed basal and the 36 unit max bolus amount per day reminds me a little of those days of matching your life to the insulin dosage.

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Welll on friday i started with the Vgo 30 system. Delivers 1.25 U/hr additional there is 36 units available for bolus at meals. Currently I click 3 times 6 additional units each meal. I also can 'click' to cover a snack. I am using the vg0-30 which with the continuous basal and standard bolus clicks and additonal clicks I can take 66 total units per day. Prior was taking 48 lantus 24 in the morning and 24 at bedtime. Novolog measured dose average 14-15 units per shot, AND 1.8 units victiza once at dinner. Still taking Victoza under the vgo plan.

 

Sugar numbers are running a little higher than normal, thinking is started on weekend, see what today brings as a normal day. Not hard to use or operate, little hard pulling it off each morning but does stay in place.

 

Will keep posting statuses.

 

Russ

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03/04 - evening numbers were the best they have been under this program. Waiting for the 2 hour after number.

 

Russ

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I'm not surprised your numbers are running higher. It sounds like you're taking quite a bit less insulin than before (30 units of basal vs. 48) and far less bolus with each meal. The hourly delivery of fast acting insulin may give better coverage than if you had just taken 30 units of Lantus/Levemir all in one go, but it will be interesting to see if the 30 units is enough for you. Is there a reason your doctor didn't prescrive the one with 40 units of basal?

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Today numbers are running better somewhat. About 5 points higher than pre-vgo now. I thinking the vgo 40 might be a better option. With I am much happier with the numbers than I was over weekend. I have to send results on the end of this week, and have a followup end of follwing week.

 

Russ

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Ok now almost 3 weeks into this system. My numbers have been coming down to pre-vgo days. I am guessing my body needed adjust to the new flow. My morning out of bed numbers are even lower than before. I also found a great app for my phone, Glucose Buddy, free for Iphone or Android. Realy easy to use. I guess the real test will be my next AC1 to compare to the A1C before vgo. Will keep posting as things change.

 

Russ

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Hi Liz,

Hope you are doing well.

 

Please could you tell me how much does V-Go cost (the initial cost) and also the supply cost.

 

Thank you.

 

BR

Deepti

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