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premixed insulins

Discussion in 'Insulin' started by cdpm, Oct 16, 2021.

  1. cdpm

    cdpm Type 2 · Well-Known Member

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    i am inquiring about peoples experiences
    using premixed insulins
    the ones already mixed that cover
    meal and basal needs in the same injection
    im aware that the newer regimes
    can be better but i still need info. on the premixed ones
     
  2. Jaylee

    Jaylee Type 1 · Moderator
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    Hi,

    What are you currently prescribed.? (Insulin wise.)
    I was on fixed doses in my early years as a young T1. For me. Not the way forward. (Lifestyle to hectic.)
    I feel, "if" one has a tight "clockwork" daily routine. It can work.?
     
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  3. searley

    searley Type 1 · Moderator
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    It works better for some people not others... something that needs discussing with your care team


    My thoughts ... but may not be correct... it seems that the fixed doses are more corrective especially if its taken twice daily so you'll be high between meals I don't see how you could have lunch and not be high afterwards without insulin... its less flexible as you are on fixed doses so you need to eat and exercise more based on the insulin you have

    Where as separate meal time insulin you adjust based on your food and activity level

    I guess there are many factor to take into account when the decision is made including the mental capacity to adjust the dose and learn what works and what doesnt... willingness or ability to have multiple injections a day

    However if you have a fairly stable life it may work well

    I mention the points above as the only people I've know to use it didn't have the capacity or willingness so it was considered premix to be better for them

    Premix certainly wouldn't work for me....... however I guess if you are on tablets with poor control and just moving to insulin that it would be an easier start and probably give you better results than the tablets alone
     
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  4. cdpm

    cdpm Type 2 · Well-Known Member

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    i guess what im trying to learn is
    do i need to eat the meals?
    can i drink them as long as there
    are no hypos?
    im having alot of teeth pain and its hard to
    chew the foods

    and does breakfast need to be eaten?
    i would be taking 2 injections one before breakfast
    and one before supper
    and can i just skip lunch then?

    my routine is basically the same right now
    i eat a meal between 2 and 4pm
    sometimes a snack at night
    rare exercise with massive swelling (legs n feet)
    footwear worn when i have to go out

    i dont start it until tomorrow
    but if i dont have enuf info. i will wait
    til i do

    its a 40/60 mix but i dont know the exact name
    my drugstore has ordered it
    so i cant see what its called yet
    i can only remember the dr saying 40/60 premixed
    and his titration instructions
    and numbers to get when
     
  5. Jaylee

    Jaylee Type 1 · Moderator
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    Hi,

    You should eat something. So soft food if you can tolerate it.? Or soups would be fine..
    If you can monitor your BG levels closely whilst using your new insulin? It will help you understand trends.
    Hypo wise, you can drink sugar'd drinks to treat them..

    One issue I have as a gigging singer in a band. Is when low? I can't chew swallow & sing. Liquid sugar in drink form, works.
     
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  6. cdpm

    cdpm Type 2 · Well-Known Member

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    ok so its actually called
    novolin 40/60
    i dont know if i spelled it right
    (i called the drugstore for the name
    it hasnt arrived yet)
    so at least now i can do a search for more info.

    yes soups work well
    i avoid the chunky ones

    i have oj but it doesnt travel well
    if i go shopping
    been trying to come up with a soft candy
    that wont bust apart in my purse
    like the sugar packs did
    there are tons out there
    but not chewable for me
    maybe sugar cubes that melt?
     
  7. Jaylee

    Jaylee Type 1 · Moderator
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    Drinkables can be..
    Sugared Coke.
    Sugared tea or coffee.
    Sugared lemonade.

    Virtually anything "non diet." Milk can help to?
    I'm not certain what part of the world you reside. Lucozade is pretty much my liquid fixer of choice.
     
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  8. cdpm

    cdpm Type 2 · Well-Known Member

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    an example of my 2ND day on the premixed insulin--

    9:30 am 4.2
    10:30 am 60 units insulin
    10:30 am coffee with heavy cream and 2 splendas
    12:20 pm 2 diet hot choc. 16 g carbs total
    1:10 pm 4.0
    1:45 pm peas 20 g carbs
    2:30 pm 5.4
    4:45 pm 60 units insulin
    4:50 pm 4.1
    5 to 6 pm soup 51g carbs
    forgot to get a post supper soup reading
    12 am bedtime 4.9

    1ST day--

    10:30 am 7.0
    10:30 am 60 units insulin
    10:45 am coffee with heavy cream and 2 splendas
    11:50 am 7.0
    1:10 pm 5.4
    3 pm chili 39 g carbs
    4:30 pm 4.6
    6:40 pm 4.6
    6:40 pm 60 units insulin
    7 pm soup 51 g carbs
    8:30 pm 10.1

    not too bad
    we will see next week
     
  9. cdpm

    cdpm Type 2 · Well-Known Member

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    its weird though
    because the 2 injections are supposed to be
    6 hours apart
    before breakfast and before supper
    ok so say a person eats breakfast at 8 am then lunch at 12 that's a space of 4 hours
    but in 2 more hours its 6 hours--time to take the presupper injection
    who eats supper at 2 in the afternoon?


    that leaves a person having to eat 3 meals in 6 hours
     
  10. cdpm

    cdpm Type 2 · Well-Known Member

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    ok so it came
    the weight gain
    i guess i just will (gain weight)
    on all insulins i use
    the awful hungers gone tho
    that i had using toujeo and
    novorapid :)

    so to hopefully stop more gain
    just make sure my body needs
    every calorie i give it
    so theres none to be stored

    o and it seems that the insulin im
    on now supports 30 grams of carbs
    twice a day and still stay within 10
    postmeal
    i tried 14 g carbs today for the
    first meal and my post meal
    number barely moved
    i guess at least i had success with that
     
  11. cdpm

    cdpm Type 2 · Well-Known Member

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    still on the premix insulin
    the best thing about it so
    far is that it doesnt give me
    the ravenous hunger
    that the modern insulins
    do

    my question is
    why does a person have to eat after
    30 minutes of taking it?
    i have barely any response from it
    until at least 2 hours after injecting--
    not eating
    so why am i not crashing?
    and
    if i ate after 30 minutes
    then would i go really high
    since im not getting a response
    for a few hours?
     
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