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NovaRapid Hypos

masonbason63

masonbason63

Well-Known Member
Messages
649
Location
Essex
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
Being type 1, my health and what really grates me are false people who make themselves out to be something when their not
I've been using NovaRapid in my old pump to try before I go onto Insight for the last week. Yesterday lunch I had a Panini roll, according to Carbs & Cals was 47 CHO apx, bloods were 6.2 I waited 20 mins then had 5.0 units an hour later was down to 3.8 and boy did I feel rough never felt like it took a sweet drink and was back to normal within an hour but it was the rest of the day I've never felt like this not for years that was yesterday.
Today mid morning normal bloods at 10.30 was hit by another rotten hypo now I feel c**p all over again switched pump to 50% temp basal rate for a while not sure if it's the NovaRapid or just my type 1 giving me a bit of agro.
 
What did you have in the Panini Roll, as you know fats like cheese and mayo can delay the absorption of the meal and given that you bolused 20 mins early your insulin may have peaked too soon.

Other than that its maybe time to review your basal rates.
 
noblehead said:
What did you have in the Panini Roll, as you know fats like cheese and mayo can delay the absorption of the meal and given that you bolused 20 mins early your insulin may have peaked too soon.

Other than that its maybe time to review your basal rates.
Click to expand...
Sorry noblehead forgot to mention i bolused 20 mins after eating roll, just had ham and pickle in it. Did think about basal rate adjustment I've recently had a look at where I could lower rates without raising my overall bloods. I don't really get bad hypo's and I get reasonable warnings and I test more than I probably need to. It's just the after effects they just seem very long and feel rotten
 
2-3 hours after eating is mormally the bolus...?

You say you gone back to
Old pump.... So are you using previous settings? Just that a lot can change just in a week.. Let alone longer....so you would really need to start with basal testing again.
 
donnellysdogs said:
2-3 hours after eating is mormally the bolus...?

You say you gone back to
Old pump.... So are you using previous settings? Just that a lot can change just in a week.. Let alone longer....so you would really need to start with basal testing again.
Click to expand...
No I haven't gone back to old pump the DSN wanted me to try NovaRapid before I started using the insight they've got me.
"You've put 2-3 hours after eating is normally the bolus" I've always bolused within the hour with anything I've ate and never had a problem with it in the past on the pump, my last insulin was Humalog.
Perhaps I'm just not very clued up on this as I thought I was, I was always told i could have my insulin when and just after I've eaten as it's fast acting, I was never told about different time effects of food just the insulin I've done this for nearly 40 years now.
Thanks for help on this people
 
What I meant is:

If high or low 2-3 hours after having a bolus then in general the first thing to consider would be the bolus ratio rather than the basal.
 
Changing insulins will alter everything as they act differently.. Which is probably why your DSN wanted you to go back to Novorapid....if you are going low or high then you should be looking at your bolus ratios.... As these will have to be set up on your pump and you need to look at whether you get different reactions to a morning eating to lunch to evening etc.

I'm sure you know this, so please ignore me if I'm stating the obvious.

Different foods alter the digestion and absorpion working too.

As you have gone back to novorapid because of varying action times to humalog this may well have an effect on your basals.

Are you having an approximate ratio of 50 bolus / 50 basal each day?

Ie say 20 units basal / 20 units bolus?
 
donnellysdogs said:
What I meant is:

If high or low 2-3 hours after having a bolus then in general the first thing to consider would be the bolus ratio rather than the basal.
Click to expand...
Oh right I got a bit confused Sorry
Been checking bloods every hour they're fine even after tea tonight, normally so well controlled start again tomorrow and see what happens will put in a TBR before bed just in case don't really fancy a night time hypo.

I do feel it could be my body's adjustment to a different type of insulin i don't know what others have found or think
 
Sorry just caught up you've just answered my last post donnellydogs thanks
As to ratios yes as you've quoted works the same as what I'm on
 
Currently you can only use the Insight with Novorapid as they are the only company that have committed to making preloaded cartridges for it.
Unfortunately self filling cartridges have currently been withdrawn as Accuchek found problems with them that they are addressing with the manyfacturer of the cartridges.
So, currently it is
Novorapid or nothing on Insight pump.

I think
The differences will be because novorapud acts differently to the humalog. So its not your body but the insulins... Your DSN is spot on to get you to swap before Insight.. Due to it being Novorapid or nothing!
 
donnellysdogs said:
Currently you can only use the Insight with Novorapid as they are the only company that have committed to making preloaded cartridges for it.
Unfortunately self filling cartridges have currently been withdrawn as Accuchek found problems with them that they are addressing with the manyfacturer of the cartridges.
So, currently it is
Novorapid or nothing on Insight pump.

I think
The differences will be because novorapud acts differently to the humalog. So its not your body but the insulins... Your DSN is spot on to get you to swap before Insight.. Due to it being Novorapid or nothing!
Click to expand...
Yes I'd already looked at info and you yourself had posted about it a while bad that's obviously the reason for trying NovaRapid first, I just suppose in a mad moment I was thinking it would be swap insulin no problem and away I go, I think I'll get through tomorrow and on Monday review my basal rate and carb/insulin ratios etc
 
Worth while doing all you say because then all you will have to worry about is the workings of the new pump....the cartridge loading system is brilliant...absolutely superb. So quick compared to having to self fill them.

Good luck on Insight. When do you get it?
 
donnellysdogs said:
Worth while doing all you say because then all you will have to worry about is the workings of the new pump....the cartridge loading system is brilliant...absolutely superb. So quick compared to having to self fill them.

Good luck on Insight. When do you get it?
Click to expand...
I believe the DSN has it now but there was queries at the chemist about the changed in insulin which I've now obviously sorted I've got NovaRapid 3ml for my current pump and what seem diddly little cartridges for the insight "just can't believe how small they look"
It's now arranging to meet with Lynn from Roche and fitting in to her busy schedule "just can't wait, be like a kid with a new toy" ha ha
 
Some time ago, I changed from Novorapid to Apidra but changed back to Novorapid again as it seemed that I needed more Apidra but less Novorapid so I would think that unfortunately, a basal rate test needs to be done
 
masonbason63 said:
Sorry noblehead forgot to mention i bolused 20 mins after eating roll, just had ham and pickle in it. Did think about basal rate adjustment I've recently had a look at where I could lower rates without raising my overall bloods. I don't really get bad hypo's and I get reasonable warnings and I test more than I probably need to. It's just the after effects they just seem very long and feel rotten
Click to expand...

Probably as you don't get many bad hypo's they will make you feel awful when they occur.

You really do need to do some basal testing, its the first rule above all else when your bg levels are either high or low, when you rule that out you can then look at things like your I:C ratio's or your carb counting skills, I've only just started on a pump in the last couple of months and already have 5 different basal rates set on my pump (although I could go up to 7), basal testing is a pain in the backside but its worth it to get good bg control.
 
That's the plan for tomorrow although did have a good night, got up a couple of times and tested and bloods were fine.
When I used Humalog I knew if I didn't eat any carbs I'd never got above high 7s and lower than mid 4s which was pretty ok for me.
I'm still using a D-Tron plus which only has 2 Basal settings which I've only ever used 1 and TBR for anything else, and it's been like that for the past 15 years I've been on a pump so I'm looking forward to having more options.
 
I have seen basal testing a lot on this thread and others.
How do you do it?
Why do we need to do it?
Thanks
 
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