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Is it ok to use different brands for basal and bolus injections?
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<blockquote data-quote="AlexMBrennan" data-source="post: 515125" data-attributes="member: 82151"><p>(Sorry for any mistakes - I had to retype this from memory becauseiPad is bloody useless and lost everything while I looked up that image at the end)</p><p></p><p></p><p>Yes - in the sense that there is no reason you need to take NovoNordisk branded insulin aspart (brand name NovoRapid, also known as Novolog which you misspelled Novalog) with your NovoNordisk branded insulin determir (brand name Levemir); you could take another fast acting analogue like Humalog (manufactured by Eli Lilly) instead. However...</p><p></p><p></p><p>The cheap insulin you are looking at is another KIND of insulin - human-identical insulin. The insulin you have been prescribed is newer (and still in patent) and thus more expensive - but it also works faster, and is considered better (e.g. The insulin you have been prescribed can be taken with food whereas the cheap insulin you saw has to be taken half an hour before food... which could problematic if you were eating dinner at a restaurant and the meal was delayed)</p><p></p><p>Aspart/Novolog/Novorapid has been altered to work faster and is not identical to human insulin; novalin (assuming you meant "Novololin") is human insulin but here details matter:</p><p><img src="http://upload.wikimedia.org/wikipedia/commons/f/fb/Insulin_Aspart_Structural_Formula.gif" alt="" class="fr-fic fr-dii fr-draggable " style="" /></p><p>Novolin R is comparable to Novorapid/Novolog but slower acting (as mentioned above).</p><p>Novolin N/NPH is a suspension/preparation of human insulin comparable to Levemir but with less even profile (I.e. greater risk of nocturnal hypos).</p></blockquote><p></p>
[QUOTE="AlexMBrennan, post: 515125, member: 82151"] (Sorry for any mistakes - I had to retype this from memory becauseiPad is bloody useless and lost everything while I looked up that image at the end) Yes - in the sense that there is no reason you need to take NovoNordisk branded insulin aspart (brand name NovoRapid, also known as Novolog which you misspelled Novalog) with your NovoNordisk branded insulin determir (brand name Levemir); you could take another fast acting analogue like Humalog (manufactured by Eli Lilly) instead. However... The cheap insulin you are looking at is another KIND of insulin - human-identical insulin. The insulin you have been prescribed is newer (and still in patent) and thus more expensive - but it also works faster, and is considered better (e.g. The insulin you have been prescribed can be taken with food whereas the cheap insulin you saw has to be taken half an hour before food... which could problematic if you were eating dinner at a restaurant and the meal was delayed) Aspart/Novolog/Novorapid has been altered to work faster and is not identical to human insulin; novalin (assuming you meant "Novololin") is human insulin but here details matter: [IMG]http://upload.wikimedia.org/wikipedia/commons/f/fb/Insulin_Aspart_Structural_Formula.gif[/IMG] Novolin R is comparable to Novorapid/Novolog but slower acting (as mentioned above). Novolin N/NPH is a suspension/preparation of human insulin comparable to Levemir but with less even profile (I.e. greater risk of nocturnal hypos). [/QUOTE]
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