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Using Fiasp on a pump?

Discussion in 'Insulin Pump Forum' started by sallymac65, Sep 5, 2021.

  1. sallymac65

    sallymac65 Type 1 · Well-Known Member

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    Morning all, is anyone using the Fiasp insulin with their pump? I understand that it's not recommended, unsure why, but that it is possible (if you make your case) to your consultant it can be approved. I'm on a Tandem control iq closed loop pump and am finding the whole give yourself a dose 20mins before eating thing quite a challenge. I usually don't know what I'm going to eat 20 mins beforehand, perhaps that's bad planning, but sometimes it's hard enough to eat at all. Any advice re: Fiasp, thanks.
     
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  2. In Response

    In Response Type 1 · Well-Known Member

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    I have been pumping with Fiasp for a couple of years. It has its quirks but it is better for me than NovoSluggish. I had no problem getting it. I asked my DSN and it was added to my prescription with no question about whether it was recommended or not.
     
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  3. sallymac65

    sallymac65 Type 1 · Well-Known Member

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    Very interesting to hear, thanks
     
  4. h884

    h884 Type 1 · Well-Known Member

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    Hi sallymac65

    I was told at a review appt in June this year that I could not use flaps in my Omnipod. I was told it was not approved and that was the end of the discussion. The Pump Team however have suggested it. Like you I find pre-blousing to say the least.

    Good luck. I will watch this thread with interest
     
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  5. Hopeful34

    Hopeful34 Type 1 · Well-Known Member

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    I've used Fiasp in a pump for quite a while now. As In response says it has it's quirks but I've got better control on it. I always know what I'm going to eat before I eat. Was given it because Apidra wasn't controlling post meal spikes.
     
  6. sallymac65

    sallymac65 Type 1 · Well-Known Member

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    Success at last! It only took two emails, that's what I call a result. Thanks for your comment @h884, glad to hear it wasn't just me having challenges in getting fiasp. I hope you have some luck soon.
     
    • Winner Winner x 1
  7. searley

    searley Type 1 · Moderator
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    A few of the groups I follow say its generally OK.. some struggle getting past 2 days with the cannula so you team will need to allow for more than the standard amount

    Some struggle with it not being as effective for basal... BUT the reason it's not recommended is the pumps have not been officially tested with it... in the same way they only recommend 2 days with the sets for humalog on the tandem.. as that's how it was tested
     
    • Informative Informative x 2
  8. lindaburner

    lindaburner Type 1 · Active Member

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    I’ve been using Fiasp since June with a Medtronic 640G pump. It has definitely affected post meal peaks, but I’ve had to move onto metal cannulas, which are a pain. I had to change hospital to a new pump clinic to achieve this, as my previous clinicians just wouldn’t oblige. Main problem seems to be Fiasp is affected by heat, causing delivery issues. Proof: I went in a hot tub on Saturday night & was 13mmol overnight.
     
  9. Richard F

    Richard F Type 1 · Well-Known Member

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    Hi all

    I'm using libre 2, and an omnipod with humalog

    I'm going to start using Fiasp but keeping an open mind. Should I adjust my omnipod controller insulin duration?
    Looking at the graphs they're both 4 hr insulins but Fiasp has a more aggressive curve.
     
  10. lindaburner

    lindaburner Type 1 · Active Member

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    It’s still 4hr duration with Fiasp, just keep an eye on your blood sugars!
     
  11. Richard F

    Richard F Type 1 · Well-Known Member

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  12. Richard F

    Richard F Type 1 · Well-Known Member

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    1st 24hrs Fiasp/omnipod dash. I was a little apprehensive but all seems good.
     
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  13. Richard F

    Richard F Type 1 · Well-Known Member

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    Blimey it's a bit all or nothing isn't it!
    Not quite sure what I think at the moment (3 days in) due an omnipod change so I'll stick with it and try to work with the quirks.
     
  14. Richard F

    Richard F Type 1 · Well-Known Member

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    Really not getting on with Fiasp at all

    Couldn't get my sugars down yesterday, so increase basal and regular small bolus, led to plummeting in the small hours. Okay after breakfast then uncontrollable highs (20mmol) 2 hrs after a lunch.

    I'll give it a couple more days but feel ill be heading back to humalog.

    Do you have to amend carb/insulin ratio with Fiasp?
     
  15. Richard F

    Richard F Type 1 · Well-Known Member

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    I'm going back to Humalog, Fiasp doesn't suit.

    For me it doesn't generally seem to react any quicker, sometimes it does though, a bit random. I've upped my dose by 15% and still having trouble with high blood sugars.

    Control much worse with Fiasp.
     
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  16. Robert Henderson

    Robert Henderson · Active Member

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    If you are uncomfortable giving yourself a dose 20 mins before eating, there is also an option to do it within 20 minutes after starting a meal. This range can provide you with flexibility when taking your mealtime insulin. But it would be best if you talked with your health care provider to find the appropriate time to take Fiasp based on your individual needs and goals.
     
  17. Robert Henderson

    Robert Henderson · Active Member

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    Humalog works for me as well. My friend was also prescribed Humalog, but it didn`t suit him, and he changed it to Fiasp.
    Fiasp and Humalog are very similar in purposes and acting principle, but they cannot easily be switched between each other. We are all different, and everything is very individual. And I found a really informative article on this subject https://insulin.store/blog/what-are-the-differences-between-fiasp-and-humalog/. Humalog and Fiasp are both great, but you always need a professional doctor's consultation to know which one is best for your case.
     
  18. Richard F

    Richard F Type 1 · Well-Known Member

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    The pharmacy are telling me they're struggling on getting humalog in 10ml vials.. 3ml pen fill cartridges otherwise I may head back to novarapid.
     
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