Thank you. I plan to change long acting insulin first, see how it goes!@Diane85 - for Novorapid to Fiasp a 1:1 ratio is perfectly reasonable, as the underlying active component of insulin is the same thing (Aspart). All of the people that I know that have made the switch have found a 1:1 translation to work well.
Where things have differed is with what happens after a few weeks use. Most of those who are on pumps have found their insulin requirement increasing noticeably - by about 20%-25% while amongst those on MDI there has been less of a need to increase the amount of insulin needed.
The best thing to do is to keep an eye on what is going on and be aware that changes may be required to ratios.
One other thing to bear in mind is that you really don't want to change both basal and bolus insulin at the same time - it will make tracking down the cause of any issues very difficult. Change one first and give it a month to settle in, then change the other, so you can attribute any changes clearly.
Where things have differed is with what happens after a few weeks use. Most of those who are on pumps have found their insulin requirement increasing noticeably - by about 20%-25% while amongst those on MDI there has been less of a need to increase the amount of insulin needed.
Whilst this isn't bad feedback, don't make the mistake of pre-bolusing when you first use Fiasp.Don't be surprised if you find Fiasp doesn't work quite as fast as the literature suggests. I found generally it halved the time I take a pre-bolus across the board after some trial and error.
Hi Diane!I am changing from Lantus to Tresiba and Novorapid to Fiasp as the newer versions are supposedly more effective and i've been on the same 2 since my diagnosis 5 years ago. I'm just wondering if anyone has changed from the ones mentioned and looking for advice on ratios? Consultant says 1:1. Thanks.
Whilst this isn't bad feedback, don't make the mistake of pre-bolusing when you first use Fiasp.
On your first use of it, bolus with the meal and then work out if you need to pre-bolus, as the results if you pre-bolus as you would with Novorapid, and discover that you don't need to can be disastrous.
To give you some idea, I normally try and have the bolus finish with the start of a meal. Today the meal was delayed, and I am suitably in hypo territory as a result of a ten minute pre-bolus.
Sometimes post meal I end up over-correcting as my blood sugars do tend to spike badly, although I generally inject Novo just before/after I eat. Would you recommend Fiasp to help with this? I've just gone onto Tresiba about 6 weeks ago and have found my best dose to go with Novo, so hopefully this won't change too much?Hi.
I went from novorapid to fiasp about 6 weeks ago. I'm on MDI and my basal is levimer.
When switching I went 1:1 compared with NR which seemed fine for the first few weeks, now I need slightly more fiasp. Fiasp does get to work a little quicker than NR, it's certainty reduced post meal spikes and it's great for corrections.
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Also, as it works into the bloodstream twice as quickly, will a standard dose last the same duration or shorter than that of Novorapid?
My consultant has advised I change only if I want to. I find my lantus isn't as effective anymore, my hb1ac has been around 7% but with a change of work routine the last year its creeping up to just under 8% . Fiasp is quicker acting than novorapid and can be taken just as going to eat, its relatively new so i'll swap to that once established on Tresiba.Just a quick question, are you changing insulins etc because you've read online about them or because your dr is telling you to change?
My consultant has advised I change only if I want to. I find my lantus isn't as effective anymore, my hb1ac has been around 7% but with a change of work routine the last year its creeping up to just under 8% . Fiasp is quicker acting than novorapid and can be taken just as going to eat, its relatively new so i'll swap to that once established on Tresiba.
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