What brand of needle cap did you use to test your pen? 20u will fill the lower part of a Novofine needle cap and also a BD one I think. I've noticed that other brands such as mylife penfine classics are a good bit larger, so the usual test isn't applicable as even when the pen works properly - it won't fill the lower part entirely.Last week, I checked my pen to make sure it was still working. I dialled up 20 units and put it into the outer needle cover. The insulin barely filled a quarter of it.
Ask for a vial of Lantus. And maybe a vial of Novorapid too and a few syringes (you can use them over and over I did). A vial outta be good for a couple of years no matter what it says the expiration date is if it's in a fridge. It'll work fine. Compared to the cost of a pump and the supplies for it a couple vials of insulin are quite cheap.I understand the need for backup pens when you are on a pump in case the pump fails.
It feels like a waste to have cartridges of insulin in my fridge (and taken on trips with me) never to be opened.
I wish there was an alternative but the best I have is a set of one use syringes which I can fill from the cartridge in my pump. It's convenient for short term fails but no good for basal: I can't imagine myself injecting every hour ... or more often ... especially during the night.
It was a Novofine needle cap, so there definitely was a problem with the pen.What brand of needle cap did you use to test your pen? 20u will fill the lower part of a Novofine needle cap and also a BD one I think. I've noticed that other brands such as mylife penfine classics are a good bit larger, so the usual test isn't applicable as even when the pen works properly - it won't fill the lower part entirely.
It's possible there's nothing actually wrong with your pen
Then I hope you get your replacement soonIt was a Novofine needle cap, so there definitely was a problem with the pen.
My GP prescribed replacement pens before I started on the pump. It's now marked on my repeat list that I require Fiasp cartridges in case of emergency, so I can't see what the "protocol" problem is now.I think this is one of the areas of us pumpers that needs a shake up with co-ordination between DSN's and Gps'
I get a replacement set of 5 cartridges of fast acting novorapid and lantus every 5 months -- the ( my ) GP don't have any pens to prescribe or hand out.
I phone my DSN to send me a replacement pen every couple of years to make sure I have a working back up pen.
to my mind it is yet another area of worry and concern that could be removed from us by better co-ordination between NHS departments so to speak.
I understand the need for backup pens when you are on a pump in case the pump fails.
It feels like a waste to have cartridges of insulin in my fridge (and taken on trips with me) never to be opened.
I wish there was an alternative but the best I have is a set of one use syringes which I can fill from the cartridge in my pump. It's convenient for short term fails but no good for basal: I can't imagine myself injecting every hour ... or more often ... especially during the night.
If I have no long acting insulin like Lantus, I would need to use Novarapid injected regularly as a basal. Just like the pump does.With a pump failure you wouldnt go to injecting yourself every hour or more! Novorapid last 5 hours so eeven without a basal shot you would not be advised by any healthcare official to inject every hour or less.....
How many units does your pump deliver at the basal rate in 24 hours, 24 or so? No boluses.If I have no long acting insulin like Lantus, I would need to use Novarapid injected regularly as a basal. Just like the pump does.
basal rates on pumps vary widely for all of us -- there is no standard measure.How many units does your pump deliver at the basal rate in 24 hours, 24 or so? No boluses.
"Some doctor (actually: diabetologist/endocrinologist/DSN) would set that up for you, initially. But not simply by themselves. It would be a joint decision of the diabetic and HCP through discussion of food diaries, BG logs, activity levels, lifestyle questions, routines, habits, occupations, etc, etc... and in a lot of cases CGM data; which goes to show that it's not a lottery of what your basal rates are.So some doctor figures that out for you and sets up the pump (using data from fingersticks of course)? You don't know how many units of insulin you get a day for your basal like I do?
Indeed, but having dropped my last bottle of Lantus onto a stone floor whilst awaiting the new prescription, I can confirm that a shot of Novorapid before bed and when you get up five hours later produces some surprisingly good results in terms of blood glucose excursions. I wouldn't recommend it but it's definitely manageable.If I have no long acting insulin like Lantus, I would need to use Novarapid injected regularly as a basal. Just like the pump does.
Bit of a short sighted view really. It very much depends on the person. I went to the clinic and told the HCPs I saw what I was going to set up my pump with, providing them with a document that detailed what I thought the rates should be, ISF, carb factor, variation through the day of basal, ISF and CF and accounting for additional shots I was taking early am to counter DP. They said "Oh you don't need pump training, here's a pump". In addition, I know what my basal total looks like in the pump (22.6u - thanks for asking!), and remember what my Levemir split looked like before pumping (14u am and 10u pm, and no, it's not written down anywhere).So some doctor figures that out for you and sets up the pump (using data from fingersticks of course)? You don't know how many units of insulin you get a day for your basal like I do?
In my case, the DSN provided her best guess based on a loaned CGM. Since then, I have tweaked it based on results from a bought CGM.So some doctor figures that out for you and sets up the pump (using data from fingersticks of course)? You don't know how many units of insulin you get a day for your basal like I do?
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