Hi,
Went along to pump clinic today and they are really pleased with what I've been doing and my results - think maybe I've been putting pressure on myself subconsciously to get perfect results since being on the pump!
Anyway I stated that I've not been happy with Novoslow (aka novorapid) because my after meal BGs are generally 12's until about 3 hours after, then I crash and hypo at about 3.5 hrs! Having looked at all the options carefully and the various profiles of all the rapid and regular insulins available, and other peoples experiences - I've decided to try Apidra.
The profile looks like it peaks within 2 hours then tails off quicker than novorapid so this should remove my highs and later crashes.
I looked at animal insulin and would have been happy to try this except for 2 things - no pump manufacturer recommends animal insulin but strangely none of them could explain why! I guess they just bat off responsibility on each other. The 2nd reason was predicting what I want to eat and bolusing approx half an hour beforehand just wont suit my lifestyle. With a 5 yr old daughter I generally eat when she gets hungry and I also graze on food so this half an hour pre bolus thing just wont do.
Whether the tiredness changes could be a deciding factor as to whether or not I stick with Apidra long term. I am giving myself 3 months to try it out though.
As for phosphate buffer not being in the mix of Apidra - shouldn't be a problem based on others experiences. Even the pump manufacturers werent aware of this! I change my set every 2 days and it shouldnt clog the cartridge. Will obviously keep a close eye on it. Others have been ok for up to 5 days.
So, hopefully in the next week or two I will be up and running. I'll let you know my experiences with it.
Paul
Went along to pump clinic today and they are really pleased with what I've been doing and my results - think maybe I've been putting pressure on myself subconsciously to get perfect results since being on the pump!
Anyway I stated that I've not been happy with Novoslow (aka novorapid) because my after meal BGs are generally 12's until about 3 hours after, then I crash and hypo at about 3.5 hrs! Having looked at all the options carefully and the various profiles of all the rapid and regular insulins available, and other peoples experiences - I've decided to try Apidra.
The profile looks like it peaks within 2 hours then tails off quicker than novorapid so this should remove my highs and later crashes.
I looked at animal insulin and would have been happy to try this except for 2 things - no pump manufacturer recommends animal insulin but strangely none of them could explain why! I guess they just bat off responsibility on each other. The 2nd reason was predicting what I want to eat and bolusing approx half an hour beforehand just wont suit my lifestyle. With a 5 yr old daughter I generally eat when she gets hungry and I also graze on food so this half an hour pre bolus thing just wont do.
Whether the tiredness changes could be a deciding factor as to whether or not I stick with Apidra long term. I am giving myself 3 months to try it out though.
As for phosphate buffer not being in the mix of Apidra - shouldn't be a problem based on others experiences. Even the pump manufacturers werent aware of this! I change my set every 2 days and it shouldnt clog the cartridge. Will obviously keep a close eye on it. Others have been ok for up to 5 days.
So, hopefully in the next week or two I will be up and running. I'll let you know my experiences with it.
Paul