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<blockquote data-quote="martinbuchan" data-source="post: 31001" data-attributes="member: 718"><p>Hi </p><p></p><p>you will often read in my posts I refer to my Type 1 neighbour (a paediatrician as well). Been on insulin for 25 years or so. HbA1C 4.5%-5.5% - usually under 5%. Currently she is on lantus/novorapid. Loves these insulins compared to the more traditional regimes. Much more flexible and gave her the same fabulous control. Myself, for 2 years I have only known lantus / novorapid or levemir/novorapid on top of my metformin. My last HbA1C 5.8% 2 weeks ago. I know I can improve still, still lose weight (2 stone this year) adn smooth out any hypos. How can this be a bad advert for analoque insulins? Of course, I could be better on a differnent regime, but I have no pressure to change my regime. Sensibly, if one has a problem period, then change the regime under advice.</p><p></p><p>I don't think there has been any drug that is 100% safe or efficacious.</p><p></p><p>My question for levemir this month is that I increased from 80 to 86 units and my morning BS raised. I am sure I show more of a morning effect now compared to 2 years ago. Also, I may start Byetta soon, the whole regime will be up ended again. I predict a 1/3 drop in basal and and I hope for a 50%+ drop in bolus (usually on 40-50 novorapid per day). I am not aiming for any decrease in HBA1c, but want to use less insulin and lose more weight.</p><p></p><p>I think it is good to point out that analoque insulins are not the be all and end all of treatment. But I don't want people put off a useful treatment option.</p></blockquote><p></p>
[QUOTE="martinbuchan, post: 31001, member: 718"] Hi you will often read in my posts I refer to my Type 1 neighbour (a paediatrician as well). Been on insulin for 25 years or so. HbA1C 4.5%-5.5% - usually under 5%. Currently she is on lantus/novorapid. Loves these insulins compared to the more traditional regimes. Much more flexible and gave her the same fabulous control. Myself, for 2 years I have only known lantus / novorapid or levemir/novorapid on top of my metformin. My last HbA1C 5.8% 2 weeks ago. I know I can improve still, still lose weight (2 stone this year) adn smooth out any hypos. How can this be a bad advert for analoque insulins? Of course, I could be better on a differnent regime, but I have no pressure to change my regime. Sensibly, if one has a problem period, then change the regime under advice. I don't think there has been any drug that is 100% safe or efficacious. My question for levemir this month is that I increased from 80 to 86 units and my morning BS raised. I am sure I show more of a morning effect now compared to 2 years ago. Also, I may start Byetta soon, the whole regime will be up ended again. I predict a 1/3 drop in basal and and I hope for a 50%+ drop in bolus (usually on 40-50 novorapid per day). I am not aiming for any decrease in HBA1c, but want to use less insulin and lose more weight. I think it is good to point out that analoque insulins are not the be all and end all of treatment. But I don't want people put off a useful treatment option. [/QUOTE]
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