Well it appears to be working quite well. The Krispy Kreme is definitely not winning....!
Have you tried Faster Insulin Aspart....?Am fed up at work at the moment, so have instead been wondering what Fiasp is really an acronym for. How about:
Finally, Insulin Attacks Sweet Pastry!
Sorry, I'll get me coat...
You'd have thought so....Wonder if they will release a cartridge to fit the insight ?
Let's hope so, I don't fancy dealing with the dreaded air bubbles again, I much prefer using preloaded cartridges.
I think this is just another example of, everyone is different.This is something I don't really understand. In 18 months of using a pump I've never had a problem with air bubbles, even when I'm reusing reservoirs, and I don't understand what I'm doing differently to others.
Given most hospital formularies don't yet have it on their listing, no. In the long run, this is intended to replace Aspart in the Novo catalogue as standard Novorapid comes off patent this year, so biosimilars could be introduced that cost less (although as we've seen, that hasn't made a huge difference with Basaglar/LAntus). Novo have told me they will run the two side by side for some time, and will decide what to do about Novorapid production.Does anyone know what the roll out strategy is for this?
Is it intended to REPLACE NovoRapid in due course, or to be an alternative?
Will newly diagnosed be given this instead of NovoRapid?
Thanks Tim; really interesting reading.Probably worth having a read of my latest blog post if you're looking at this stuff. I've had a huge change in my insulin sensitivity as a result.
I suspect that if you're using MDI there is likely to be less of an issue. You aren't constantly infusing insulin, so you won't have the constant B3 subcutaneously. I'm not sure whether there is a local effect from jabs, but I suspect not as you don't reuse the same spot over and over for three days.Thanks Tim; really interesting reading.
I don't really have any major issues with NovoRapid EXCEPT that I hate how long it takes to fix a high level when used as a correction.
I must admit that the sensitivity issue is slightly concerning. What are your thoughts about retaining NovoRapid as a "regular" bolus and having a separate Fiasp pen for corrections only? Appreciate this is no good for pumpers but for those of us using pens it could be an option.
Diabetes Jedi - I'm interested. Never quite got a handle on square waves and split boluses. I usually end up correcting (badly) and stacking.@steve_p6 based on what I've seen, I think I'd agree. I think it's going to require reeducation if using this with MDI. It's not wildly fast but the profile is different to what users are used to.
On the other hand I think it will work well in CSII. The quicker action will make square waves more effective I think.
@TheBigNewt - sounds like you need to attend Diabetes Jedi training. When eating higher fat meals, many people can't manage to keep a decent blood glucose profile without split bolusing. Definitely not an easy way to get a low.
I'm the same as you Tim ... been pumping since 2008 ... and never had an air bubble problem. Loving this thread. Sadly, here in Canada we don't have any forums like you do in UK. It's all American forums, and sometimes, it's nice to come back home (I'm an expat) and discuss in a language that spells colour correctlyThis is something I don't really understand. In 18 months of using a pump I've never had a problem with air bubbles, even when I'm reusing reservoirs, and I don't understand what I'm doing differently to others.
I suspect that if you're using MDI there is likely to be less of an issue. You aren't constantly infusing insulin, so you won't have the constant B3 subcutaneously. I'm not sure whether there is a local effect from jabs, but I suspect not as you don't reuse the same spot over and over for three days.