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Type 1 Diabetes
Insulin ..... A postcode lottery?
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<blockquote data-quote="AndyS" data-source="post: 703427" data-attributes="member: 20775"><p>Oddly enough I actually asked this question when I was diagnosed 5 years ago.</p><p>I was started on Lantus and Novorapid. I was told that Lantus was the preferred basal insulin since it gave the most predictable release profile and the novorapid was simply what they all tended to prescribe unless someone had problems with it. (First made sense and I let the second slide)</p><p></p><p>A couple of years down the road and it was clear that Lantus did not work for me as my numbers indicated that it was only lasting around 18 hours and not the full 24. I was moved onto Levemir at that point and we started to split the dose. At the same time I also did a DAFNE course and was told by the DAFNE educator that they generally preferred Levemir + (Insert Bolus Insulin) as making changes to the basal rates was much easier with Levemir than it was with Lantus since the latter often took a few days to settle down after a change while Levemir was pretty much straight away.</p><p></p><p>My overall opinion is that it seems to more or less come down to the preferences of your practitioner at the time of diagnosis and whatever is "in fashion" at the time. My own feeling is I am on a much better regimen now so I think it kind of falls to us in some respects to not only record our logs accurately (even when the numbers suck) but actually read them and see if there are patterns that indicate we may need to have our Dr's re-assess what we are on.</p><p></p><p>Sometimes I think we end up taking stuff long term purely because no one has actually sat down and had a good look at what we are on.</p><p></p><p>Least, that's how I see it <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="AndyS, post: 703427, member: 20775"] Oddly enough I actually asked this question when I was diagnosed 5 years ago. I was started on Lantus and Novorapid. I was told that Lantus was the preferred basal insulin since it gave the most predictable release profile and the novorapid was simply what they all tended to prescribe unless someone had problems with it. (First made sense and I let the second slide) A couple of years down the road and it was clear that Lantus did not work for me as my numbers indicated that it was only lasting around 18 hours and not the full 24. I was moved onto Levemir at that point and we started to split the dose. At the same time I also did a DAFNE course and was told by the DAFNE educator that they generally preferred Levemir + (Insert Bolus Insulin) as making changes to the basal rates was much easier with Levemir than it was with Lantus since the latter often took a few days to settle down after a change while Levemir was pretty much straight away. My overall opinion is that it seems to more or less come down to the preferences of your practitioner at the time of diagnosis and whatever is "in fashion" at the time. My own feeling is I am on a much better regimen now so I think it kind of falls to us in some respects to not only record our logs accurately (even when the numbers suck) but actually read them and see if there are patterns that indicate we may need to have our Dr's re-assess what we are on. Sometimes I think we end up taking stuff long term purely because no one has actually sat down and had a good look at what we are on. Least, that's how I see it :) [/QUOTE]
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