• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Slow Trurapi insulin

jaywak

Well-Known Member
Messages
946
Location
Norwich
Type of diabetes
Type 1
Treatment type
Insulin
Dislikes
Cold weather, angry people, queues,
I was changed recently from Novo Rapid to Trurapi insulin by my surgery and have noticed that I now have really high spikes after meals , tonight I have just eaten my fish and chips and would usually get a spike of maybe 10 - 12 but tonight it went up to 14 and is now slowly coming down , has anybody else noticed that Trurapi is slower than Novo rapid ?
 
I use Trurapi and find it very slow. The only way I can avoid high spikes over 10 mmol after eating carbs is to prebolus one to 1.5 hours before eating the carbs. It requires being extremely mindful to avoid going hypo if the meal has alot of fat. I also find the dose of Trurapi doesn't really kick in until 2.5 to 3 hours after injection and works for 6 hours !!! It's insane.
 
Yes that's what i'me finding JAT1 , It's a bit difficult though if you're out for a meal and need to inject so early, you never know what's going to happen .
 
Have you considered discussing a different bolus insulin with your team? That sounds crazily slow to me..... (Though if you've made it work for you I can see why you might not want to change).
 
Blousing that far ahead of eating sounds dangerous to me.
Can we really predict what will happen on the next 90 minutes? What if you realize you are missing an ingredient for dinner and you need to drive to the shops? Or what if you get a phone call during food prep? Is dinner time that predictable? I don't know 90 minutes before eating how hungry I am going to be.
For the sake of safety and quality of life, I would be pushing for a faster bolus insulin.
 
Last edited by a moderator:
jaywak said:
Yes that's what i'me finding JAT1 , It's a bit difficult though if you're out for a meal and need to inject so early, you never know what's going to happen .
Click to expand...
Definitely. When you are at home, preparing your own meal, then it keeps the spike down.
 
EllieM said:
Have you considered discussing a different bolus insulin with your team? That sounds crazily slow to me..... (Though if you've made it work for you I can see why you might not want to change).
Click to expand...
I'm in Western Canada and I don't have a 'team'. Trurapi is the only bolus insulin covered by the provincial health plan and so I only pay a small percentage of the price. If I used another insulin I would have to pay full price which is hundreds of dollars more. Now that I know how I can make it work for me, ok, it's a nuisance but I'm not concerned. I don't restaurant-eat, never have take-out and cook for myself so it's no big deal now. I enjoy good blood sugar levels.
 

Most insulins have their own 'profile' - i had not heard of Trurapi before so I looked it up. You may find this interesting
https://www.medicines.org.uk/emc/product/12737

See section 5.1 headed Pharmacodynamic properties. - I cannot link to it directly.
 
I checked that its insulin aspart isn't the same as novorapid ? it seems like actrapid in a fancy pen, so maybe apidra is the best option considering that weird curve they have
 
You must log in or register to reply here.
Menu
Log in
Register
Cookies are required to use this site. You must accept them to continue using the site. Learn More.…