Trurapi

[Mark Rawlinson]

As from tonight I start using Trurapi rapid insulin, 2 units before meal/s. Does this mean before everything I eat or just main meals ?
The nurse did explain this but she did not know that within 2 hours of my main meal I have bran flakes (before I go to bed) she did say, yes inject again 10 minutes before having them.
I am currently taking 1 Metformin a day (due to seriously bad side effects) 40 units of Trujeo and now the Trurapi
I am 63 and type 2

 

[EllieM]

We can't give medical advice here so I have to be careful what I say.

As a T1, who injects for everything (no insulin of my own) the amount of insulin I take depends on the number of carbs in my meal (fats and proteins also have an effect but much less so.)

I must admit I used to love bran flakes but as I remember it they are quite carby, potentially as much as your main meal, depending on what you are eating?

Trurapi's action peaks 1 to 3 hours after injection

https://www.sanofi.com/assets/countries/canada/docs/products/prescription-products/trurapi-pmi-en.pdf

TRURAPI will start to lower your blood sugar 10-20 minutes after you take it, it has a maximum
effect between 1 and 3 hours and the effects last for 3-5 hours.

So a potential issue is that your meal time insulin may still be in place when you eat your bran flakes? Can you ask your nurse again or maybe try your pharmacist?

How are you testing your bgs? A cgm (libre or dexcom) might be helpful here, as you'd quickly be able to see what is happening...

Good luck

 

[Mark Rawlinson]

We can't give medical advice here so I have to be careful what I say.

As a T1, who injects for everything (no insulin of my own) the amount of insulin I take depends on the number of carbs in my meal (fats and proteins also have an effect but much less so.)

I must admit I used to love bran flakes but as I remember it they are quite carby, potentially as much as your main meal, depending on what you are eating?

Trurapi's action peaks 1 to 3 hours after injection

https://www.sanofi.com/assets/countries/canada/docs/products/prescription-products/trurapi-pmi-en.pdf

TRURAPI will start to lower your blood sugar 10-20 minutes after you take it, it has a maximum
effect between 1 and 3 hours and the effects last for 3-5 hours.

So a potential issue is that your meal time insulin may still be in place when you eat your bran flakes? Can you ask your nurse again or maybe try your pharmacist?

How are you testing your bgs? A cgm (libre or dexcom) might be helpful here, as you'd quickly be able to see what is happening...

Good luck

Thanks you I didn't realise this was asking for medical information (will delete in an hour or two) I test with a contoiur plus and strips the old way but even on 2 units it has made a large difference when I test already
thank you

 

[EllieM]

Thanks you I didn't realise this was asking for medical information (will delete in an hour or two) I test with a contoiur plus and strips the old way but even on 2 units it has made a large difference when I test already
thank you

Nothing wrong with your question, forumites just have to be careful how they answer it. (ie info with links or personal experience and not telling you what to do.)