Changing from Novomix 30 to Lantus / NovoRapid?

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CiaraJansonFan

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Hi all,

Currently on Novomix 30 3 times a day (used to be twice). Just had my latest HbA1c and it has gone up to 8.7% from 8.0% last time - been hovering around 8.5% for the last 12 months or so.

Seeing my diabetes nurse on Monday and she has suggested (on the phone) that it might be a good idea to try going on to basal/bolus.

Not really looking forward to adding in yet another injection but can anyone who has moved from Novomix 30 to Lantus / NovoRapid let me know how they found it, how their control was affected and how quickly did they see any change in their HbA1c results?

Thanks
Steven

(Type 2 - or possibly 1.5! - since October 2005)
 
totsy

totsy

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hya and welcome,
i did change from novomix to novorapid and lantus a few mnths ago ,my hba1c was 7.2 and just 3 mnths later i felt so much healthier and my hba1c was 5.9, i certainly wouldnt want to go bk now, if u need any help just ask and feel free to pm me too :D good luck
 
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CiaraJansonFan

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totsy said:
hya and welcome,
i did change from novomix to novorapid and lantus a few mnths ago ,my hba1c was 7.2 and just 3 mnths later i felt so much healthier and my hba1c was 5.9, i certainly wouldnt want to go bk now, if u need any help just ask and feel free to pm me too :D good luck
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Hi, thanks for the quick reply and info - very useful!

Did you experience more/less hypos (hypers?) when you changed? At the moment I have around 3 hypos per week but it can be better or worse in phases :?

Thanks
Steven
 
totsy

totsy

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hya steven,
i still have the odd blips, the main thing was finding out what my ratio was as i was told to start at 10g carbs to one unit novorapid, obviously if u exercise are busy then take a bit less but once you get the hang of it its so much better, id say after first few wks you will be spot on :D
 
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chocoholic

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I used to be on Novomix30 and am now on Lantus/Novorapid.I think totsy and I both changed over at a similar time.
Initially, I found it tricky but I seem to have settled into it okay now.As totsy says, finding your correct ratio is the thing that needs time to adjust to.I still don't seem to havemy Novorapid spot on but I'm getting there and am glad i made the change.The extra jabs don't concern me now but it does offer a little more flexibility with your food, so I'm sure you'll find it beneficial.
 
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CiaraJansonFan

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totsy said:
hya steven,
i still have the odd blips, the main thing was finding out what my ratio was as i was told to start at 10g carbs to one unit novorapid, obviously if u exercise are busy then take a bit less but once you get the hang of it its so much better, id say after first few wks you will be spot on :D
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Hi again,

Are you saying that carb counting is essential for NovoRapid or were you doing that anyway before you changed to it? I've never done that myself, although I have found that I need to adjust how much Novomix I inject depending on what I'm eating - anywhere between 18 and 32 units at tea time for example! It is partly guesswork on my part though and I sometimes over or under estimate, hence the hypos or high readings I get :(

Thanks
Steven
 
totsy

totsy

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hya,
yes with novorapid you have to carb count, but dont worry it is easy once u know how,if u fancy a chat about it let me know :D
 
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CiaraJansonFan

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chocoholic said:
I used to be on Novomix30 and am now on Lantus/Novorapid.I think totsy and I both changed over at a similar time.
Initially, I found it tricky but I seem to have settled into it okay now.As totsy says, finding your correct ratio is the thing that needs time to adjust to.I still don't seem to havemy Novorapid spot on but I'm getting there and am glad i made the change.The extra jabs don't concern me now but it does offer a little more flexibility with your food, so I'm sure you'll find it beneficial.
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Hi, thanks for that, I'm almost looking forward to seeing my DSN on Monday! :lol:

Can you tell me where I can find out more about the GAD test please? For example is it like a normal blood test but they just check for different things? Do you have to have it done at a hospital? What does it involve exactly? Sorry about all the questions - found out a lot in the last few days but want to learn more!

Cheers
Steven
 
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CiaraJansonFan

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totsy said:
hya,
yes with novorapid you have to carb count, but dont worry it is easy once u know how,if u fancy a chat about it let me know :D
Click to expand...

Hi Totsy,

Yeah, it would be good to find out more about how you do the carb counting and adjust your NovoRapid etc. - I'm seeing my DSN on Monday but the appointment is only 30 mins long! :D
 
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chocoholic

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The GAD test, if I remember correctly, was just done from normal blood test asked for my specialist.I just got a 'positive' result. That's all I was told but it did confirm his suspicions about me being a LADA, so I was really glad he did it.
 
totsy

totsy

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ask anything you want to know and theres a chat forum on ere so pm me when you are wanting a chat and i will chat their if u want, im also like u ,i like to know everything i can lol
catch u soon :D
 
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CiaraJansonFan

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chocoholic said:
The GAD test, if I remember correctly, was just done from normal blood test asked for my specialist.I just got a 'positive' result. That's all I was told but it did confirm his suspicions about me being a LADA, so I was really glad he did it.
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Thanks, that's useful info :)

The more I read about LADA, the more convinced I am that I'm one too. I'm definitely going to mention it to my DSN on Monday and ask if I can possibly have GAD and/or c-peptide tests done. I can only ask can't I?

Oh BTW I mentioned Type 1.5 to my GP on Tuesday and he had never heard of it! He's supposed to be a diabetes specialist GP but I've always been convinced that I know far more than he does :shock:
 
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CiaraJansonFan

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Update:

Saw my DSN today and I'm changing to basal/bolus! Had my first injection of NovoRapid (8 units) at tea time and will be having my Lantus (18 units) at supper time (probably about 10:30 p.m. I think). Asked about counting carbs - she didn't exactly say it was compulsory but will be passing my details onto a dietitian to go through it with me I think!

Will start off having 6 units at breakfast and dinner and 8 units with my tea and see how it goes - will check BS more often and speak to her later in the week once things have settled down :)

Asked about the GAD test - she said they're sent to Oxford(?) to be done and cost money (the practice maybe, not sure?) and advised me to speak to my GP about having one done. Not sure whether to bother just yet or not :?

Cheers
Steven
 
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