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Re: [IP] Lanthus/ Off the Pump



Going off the pump, even for a short time, means going back to more
difficulties, greater regimentation, and lower quality of life.
Before going on the pump, I used NPH/Regular and then Ultralente/Regular MDI
regimens (for years).  Neither worked well.  Taking NPH is like being forced
on an unending rollercoaster ride.  Ultralente, once in your system, cannot
be removed.  Large swings in activity level were a real problem.  I suspect
Lantis would be like Ultralente.
 Having finally had it with long-acting insulins, I designed my own regimen
based on Semi-lente/Regular - which my doctor approved.  Regular throughout
the day (3 shots with meals), Semi-lente at bedtime for the overnight - and
it peaked at the right time for my "dawn phenomena".  Semi-lente didn't
stick around long enough to screw up the next day.  Worked fairly well, even
though I felt like a pincushion.
I used to go back to this Semi-lente/Regular regimen when "off-pump".
Alas, Semi-lente is no longer available, and Regular at bedtime doesn't last
through the night.  But I still refuse those long-acting insulins!  I'd
rather get up at 3am just to take a shot of Regular!

My 2 cents,
Dave

----- Original Message -----
From: <email @ redacted>
To: <email @ redacted>
Sent: Monday, June 03, 2002 11:59 AM
Subject: Re: [IP] Lanthus/ Off the Pump


> FYI:
>    Minimed has a sheet called "disconnection guidelines"
>  from their professional education department, showing how to disconnect
for
> 1-4 hours vs. overnight vs. 1-4 days WITHOUT using intermediate acting
> insulin, but necessitating checking & injecting during the night
..However,
> beyond 4 days, intermediate acting insulin like Nph is necessitated....I
> presume this was printed prior to Lantus being available.
> Regards
> Renee
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