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<blockquote data-quote="janabelle" data-source="post: 94204" data-attributes="member: 7788"><p>HI Avi</p><p>Sorry you're having to wait so long to get things sorted, but stick to your guns and I'm sure you'll be fine.</p><p>If you want animal insulin, there is no reason you shouldn't have it, despite your doc thinking it's 'old fashioned'! The medical profession need to recognise that choice is important for us, and just because one insulin works for one patient it may not be suitable for another. </p><p></p><p>One reason medics may think animal insulin is 'old fashioned' is because the perception may be that it is not as effective. This is far from true. In the 80s when synthetic 'human' insulin was introduced it was also the time when blood glucose testing became available. Before that people relied on not-so-accurate urine testing. Many patients were forced on to synthetic insulins at that time being told it was the best thing since sliced bread! Exactly the same thing is happening now with newer 'analogue' insulins, but with far more aggression.</p><p></p><p>Results of clinical trials on Lantus were only based on comparing HBA1c results with those of patients taking synthetic 'human' insulins. In my experience, these tests are not worth much,if they do not take fluctuations into consideration. While I was unfortunate enough to be on Lantus, my daily BG levels fluctuated between 2- 15 (sometimes higher), yet when I complained to my clinic, they reassured me that my HBA1c was within normal levels,below 7 most of the time. Justification for not changing my insulin, but no excuse, expecially as I continually reported the problems I was having.</p><p></p><p>I have recently found out that the problems I was having with my BG control and the debilitating side-effects I suffered while on Lantus, were not mentioned anywhere in my notes. I have since made a formal complaint to the hospital and await their response.</p><p></p><p>Initial clinical trials of Lantus were only of a very short duration before it was lisenced. In my opinion it is quite concievable that it is in the interest of the insulin manufacturers for patients to remain on these insulins for the benefit of retrospective studies to prove it's worth. However if innacurate notes are being recorded by medical professionals, for whatever reason, as my case, this will severely distort the outcome of these studies. </p><p></p><p>Anyway Avi, best of luck to you.</p><p></p><p>Jus</p></blockquote><p></p>
[QUOTE="janabelle, post: 94204, member: 7788"] HI Avi Sorry you're having to wait so long to get things sorted, but stick to your guns and I'm sure you'll be fine. If you want animal insulin, there is no reason you shouldn't have it, despite your doc thinking it's 'old fashioned'! The medical profession need to recognise that choice is important for us, and just because one insulin works for one patient it may not be suitable for another. One reason medics may think animal insulin is 'old fashioned' is because the perception may be that it is not as effective. This is far from true. In the 80s when synthetic 'human' insulin was introduced it was also the time when blood glucose testing became available. Before that people relied on not-so-accurate urine testing. Many patients were forced on to synthetic insulins at that time being told it was the best thing since sliced bread! Exactly the same thing is happening now with newer 'analogue' insulins, but with far more aggression. Results of clinical trials on Lantus were only based on comparing HBA1c results with those of patients taking synthetic 'human' insulins. In my experience, these tests are not worth much,if they do not take fluctuations into consideration. While I was unfortunate enough to be on Lantus, my daily BG levels fluctuated between 2- 15 (sometimes higher), yet when I complained to my clinic, they reassured me that my HBA1c was within normal levels,below 7 most of the time. Justification for not changing my insulin, but no excuse, expecially as I continually reported the problems I was having. I have recently found out that the problems I was having with my BG control and the debilitating side-effects I suffered while on Lantus, were not mentioned anywhere in my notes. I have since made a formal complaint to the hospital and await their response. Initial clinical trials of Lantus were only of a very short duration before it was lisenced. In my opinion it is quite concievable that it is in the interest of the insulin manufacturers for patients to remain on these insulins for the benefit of retrospective studies to prove it's worth. However if innacurate notes are being recorded by medical professionals, for whatever reason, as my case, this will severely distort the outcome of these studies. Anyway Avi, best of luck to you. Jus [/QUOTE]
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