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Humalog Insulin

A: They might have it here, though I am not sure http://www.americandiabeteswholesale.com/

Its were i get my test strips.

Q: How much does a vial (10ml) of humalog insulin cost in india?
Also whats the specific name of insulin syringe to be used?

A: nike9,
Might I suggest thsat you research your answers at this link

http://nppaindia.nic.in/ceiling/
press14feb07/14-2-07-eli-lilly.html

Hope this helps
matador 89

Q: What happens to humalog insulin when it goes past its expiration date?
I assume it would just stop working, or are there other effects? Like instead of working right away it works on a delay?

A: Your right it just loses its effectiveness. Never use it because it can be harmful. I have had juvenile diabetes since i was 4 and once i accidentally gave expired insulin, i ended up in the hospital.
Just throw it away before it comes too close to expiration date and don’t leave it in the sun either.

Q: Difference between Novolog and Humalog insulin?
I know that they are both “fast acting” in oppose to regular and NPH insulin. But is there any differences between the two and how they break down carbs, effective ness etc?
Thanks!

A: Like Regular, Humalog and Novolog are used to cover meals and snacks. Most meals raise the blood sugar for only 2 to 3 hours afterwards. Once injected, Regular insulin takes 30 minutes to begin working, peaks between 2 and 4 hours and hangs on for 6 to 8 hours, long after the meal stopped raising the blood sugar. Humalog and Novolog, on the other hand, begin working in about 10 minutes, peaks at one to one and a half hours and are gone in about three and a half to four hours.

Many people who’ve tried these faster insulins report that their control is improved and that they feel better. The great advantage of fast insulins are that they match the “action time” for most meals. You can take them as you begin eating, rather than the 30 to 45 minutes prior to eating required of Regular. No longer do you need to accurately anticipate when you (or your young child with diabetes) will begin eating. In addition, Humalog and Novolog leave your body faster so you don’t have residual insulin causing low blood sugars in the late afternoon or, even worse, in the middle of the night.

For most meals, fast insulins will be lowering the blood sugar at the same time the food is raising it. The rise in the blood sugar seen in the couple of hours after eating is much lower, especially with Novolog, and by the end of three hours the blood sugar is often back to its starting point.

With Humalog or Novolog, you’re better equipped to prevent spiking blood sugar between meals, while avoiding the lows that result from the combined buildup of Regular and long-acting insulins. The new Lantus insulin is an excellent choice when using these fast insulins to cover meals. The clearly defined action times for the fast insulins makes it easier to correctly adjust meal doses.

Humalog and Novolog are also excellent insulins to use to lower high blood sugars. Their faster action means that less time is spent at high blood sugar levels, and there will be less residual insulin triggering low blood sugars later.

Humalog is produced by Lilly and was first released in the U.S. in 1996, while Novolog is made by Novo Nordisk and was released in 2001. Both insulins offer quicker action time than the original “short-acting” Regular insulin, which first became available in 1921. However, users also report significant differences in activity between each of the three insulins. Let’s first look at these differences.

couple of major differences are being reported by users between Novolog and Humalog. Especially among pumpers who switch from Humalog to Novolog, reports have surfaced that Novolog appears to be both stronger and quicker than Humalog, and doses have to be cut in order to prevent hypoglycemia. Dose reductions are often in the 10% range, and it may be wise to reduce doses right away to prevent unwanted lows. If, instead, blood sugars rise, doses can always be raised again.

Novolog also starts working faster than Humalog. Although no direct comparison of Novolog and Humalog has been reported, one research study found that in normal individuals, Novolog reaches peak activity at 52 minutes, compared to 145 minutes (2 hours and 25 minutes) for Regular insulin. Humalog peaks at about 75 minutes (Eur J Clin Pharmacol 1999 May;55(3):199-203). Both pumpers and injectors may note lower post-meal readings due to the faster onset of action.

The clearly defined action times of the fast insulin makes it easier to troubleshoot problems. For information on how to determine the number of carbs covered by each unit, see the 500 Rule in the Pocket Pancreas. Humalog and Novolog are also excellent for lowering high blood sugars with less time spent at high blood sugar levels, and less residual insulin left to trigger low blood sugars later. For information on how to safely lower highs, see the 1800 Rule, also in the Pocket Pancreas.

Q: What’s the difference between humalog insulin and humalog lispro insulin?

A: lispro is short acting insulin i.e its effect is for 6-8 hours only then another dose is required…whereas normal human insulin is intermediate acting , works for 12 hours.

Q: How many mg/dl of blood suger can be corected by one unit Humalog insulin according to your experiece?
I am a case of IDDM get use of Glargine as basal and Humalog for covering the meals and extra blood sugaer .I want to know for example if before meal my blood sugar is 200 mg.dl how many Humalog is needed to correct my BSto 80mg/dl.I know for the meal I should take insulin according to the quantity of carbs I use.Thanks a lot

A: This is called a correction factor or senstitivity factor. There’s a formula that you can use to figure this out. This works best for someone who has type 1, but those who are using both long acting insulin and fast acting like humalog can use it too. Everyone is different so there’s not one number that works for everyone. This formula also works best for those who know that their long acting insulin is set correctly, not causing lows with too much and not causing highs from too little. First figure out how many TOTAL units of insulin you’re using, both your long and fast acting insulins. Then look at how much of the total your long acting insulin makes of up of this number. Most people will use 50% of their total insulin as long acting, and the other half will be 50% fast acting, on average. If this is you, divide 1800 by your TOTAL units of insulin per day. For example, if you use 40 units total per day divide 1800 by 40 which would give you 45. One unit of insulin will lower you 45 points. If your long acting insulin makes up LESS than 50% of your TOTAL insulin per day, (but it shouldn’t be less than 40%, that would mean you need to make adjustments to your insulin) you can use 1600 to 1800 to divide into. If your long acting insulin is MORE than 50% (but not higher than 60%, again, this means your insulin needs to be adjusted) you can use anything between 1800 and 2200 to divide into. You should speak to your doctor before attempting these formulas and when figuring them you should test a lot to make sure your glucose doesn’t drop to low until you are sure you have the correct dose figured out. This is called the 1800 rule. You can learn more about it in a book called Using Insulin. Or for pumpers you can find it in Pumping Insulin.

Q: Has anyone taken lantus, humalog insulin and then been prescribed metformin hydrochloride tablets?
This is usually for type 2 diabetics, I was wondering how the combination worked together?

A: Hi, I’ve been on Metformin of one formulation or another for 10 years. Then about 4 years ago the doc added Lantus, and just recently we added the humalog.

I wish to get rid of the Metformin HCL, but don’t think it would work well. It gives me nasty gas problem no matter what I do, but it also helps keep the liver from dumping stored glucose on the system.

As for the other way round, on one forum I read of a lady who has recently become insulin resistant and had Metformin added to her type 1 insulin regimen.

that is called by some Endos “double diabetes”. And yes, she is able to control her glucose levels much better that way.

Q: Why has my humalog insulin stopped working?
I went on vacation and brought an additional Humalog pen with me. When I started using it about a week later it was working okay at first. But last night I had to throw the insulin out because it was working at all. The temp last week didn’t go above 80 deg and I kept the additional pen inside near dark. I thought the max temp was 85? I’m just not sure why it worked for the first couple of days this week, but then all of a sudden it was not affective?
By not working I mean my blood glucose would not come down (until I opened a new pen).

A: I use humalog insulin. When i buy the insulin, I always leave it out of refrigerator. I hate injecting cold insulin. I live here in the south and the temperature is in the 90s and heat has little effect on the insulin. Perhaps there was another reason like stress or infection or etc. You mentioned a vacation. Hhhhhmmm When I came back from my vacation, I had double the work and double the stress. Sometimes I have no idea why my blood sugar is so off but it happens

Q: If I want to shift from Humalog insulin to novolog what considerations should be done?
I am a case of IDDM getting use of Lantus as basal and Humalog to cover the meals if I want to shift from humalog to Novolog should I have in change in dosage?what other actions should I do in order to prevent the difficulties?

A: The dosage is exactly the same. You may notice slightly different onset time or duration time, but only very slight.

Q: Is Humalog(insulin) in a non-diabetic person fatal?
I know a kid who had taken humalog for fun as a non diabetic. And I just want to know if it is going to kill him. And if not how much is a safe dose for his so called “high”?

A: Taking insulin when you don’t need it will drop your blood sugar & if you take enough can definitely cause death. It isn’t safe to do & I don’t know where he gets the idea it is a “fun” drug.It will cause insulin “shock” & can cause convulsions & brain death. Diabetic patients can get confused & overdose accidentally at home & if no one is there can die if glucose (sugar) is not given in time.It can be fatal to play with insulin if you don’t know what you’re doing. I’ve seem diabetic patients get into trouble & they knew what they were doing but developed a fever & got confused from it & took too much insulin by mistake.Fortunately the family caught on to what was going on. If this kid overdoses what will happen to him? With no one there who knew what he took what would happen?In that case it could be fatal.It’s like playing with a loaded gun.Not safe at all.Fatal?Yes, could be.

Q: Any diabetics know about Humalog insulin?
My boyfriend accidentally took 55 units of Humalog instead of Lantus. When I arrived at his house, it was a regular fiasco between his ignorant mooching daughter and me. I called the ER of the hospital where I work and asked them whether we had enough time to make the 26 mi trip or if I should wait for an ambulance. The ER physician told me to wait for an ambulance and they would start an IV and administer a stat amp D-50. When the ambulance arrived, the EMT told him to eat a snack and that would take care of it.
What would you have done? I will fill you in on the rest later.

A: holy cow 55 units???? that is a huge amount! I would have definately called 911 immediately! 55 u of Lantus is an awful lot even – that is his required dosage?? I can’t believe the EMT said to have a ’snack’ – did they know it was Humalog when he said that? Actually, before calling 911 I would have given him a shot of glucagon – did you or he or daughter test him? Seriously, I’m surprised he isn’t dead! I’m glad also, but that is just amazing! what was his blood sugar?
I hope it all turns out ok

Q: is humalog a true insulin ? or is it just in the insulin family ?
my husband recently started taking humalog. is this a ( type ) of insulin ? or is it actually ( insulin ). confused, after reading the info . he received from his doctor.

A: Humalog is insulin.

Q: Can Humalog Insulin Be Purchased Legally On-Line?
I’m a diabetic and looking for an easy way to purchase Humalog insulin on-line or in the mail. I live in the United States in South Carolina.

A: Yes, all drugs can be purchased on-line. The question is do you see a doctor and do you have a prescription? If the answer is yes, go to one of the diabetic sites. They will not charge you a premium to order your medicine plus they will put it through insurance.
If you do not have a doctors prescription that is when it gets expensive and becomes legally questionable.
Try to stick to a “name” website such as Liberty (http://www.libertymedical.com/) they are a reputable company.

Good luck

Q: as an iddm case what are the right doses of lantus and humalog insulin ?
AS A CASE OF IDDM I INJECT TWICE TIME 30/70 MIXTARD INSULIN(30% REGULAR &70%NPH)IN 2 INJECTION.IF I WANT TO SHIFT TO LANTUS INSULIN AS BASAL AND HUMALOG FOR PRE- MEAL WHAT ARE THEMOST CONVENIENT DOSES OF LANTUS &HUMALOG FOR ME?

A: The shift should be done keeping contact with your diabetes care specialist.
Here are just some ways to do it:
The first dose of Lantus : calculate the total dose of intermediate insulin from the total dose of mixtard ( morning+evening dose ) X 0.70. The Lantus first dose should be this minus 20 %.
Ofcourse the dose will be adjusted the next days. First til you achieve an ideal basal BG (80-100), then the dose is checked to see if it covers the basal need for insulin during the day ( one skips the breakfast , +/- lunch and is being tested , if the BG doesn’t go high the dose is ok.

The dose of Humalog : the ideal insulin therapy is one with variable doses, you adjust your dose according to the number of carbs, to the BG before meals, and to the level of activity you’re performing.
As a start you may consider giving 1 unit of humalog for 10 grams carbs. You should test your BG before eating and for every 20 mg/dl above the normal range ( 100-110) you can give 1 unit of Humalog. So the dose you administer before a meal will be the sum of the dose needed for carbs and the dose needed for correction.
This algoritm is not universal, and it will be adjusted to your own needs.
It might seem complicated but this regimen insures a better flexibility, and a better glycemic control. It has been calculated that an individual who tests himself and calculates each dose spends approx 5-10 extra minutes a day to do this. I guess it’s not too much. A little time and a little math.
Take care.

Q: Can Lantus or Humalog insulin cause skin problems on toes?
Iam a case of IDDM .recently I shifted to lantus and humalog .I have now skin problems on my toes .does it relate to lntus application.?

A: You should have you feet looked at by your doctor. It may be early signs of vascular disease in your feet. Your diabetes is much more likely to give skin problems on your feet than the change in insulin.

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