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RE: [IP] Re: Regular insulin in pump



Thank You Jan. One correction Humulin U-500 R concentrated insulin does
require an RX.


John S Wilkinson
Rome, NY
"A  veteran  is someone who, at one point in his or her life, wrote a blank
check made payable to The 'United States of America', for an amount of up to
and including their life." (Author unknown)

-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Jan H.
Sent: Saturday, October 02, 2010 10:26 AM
To: email @ redacted
Subject: [IP] Re: Regular insulin in pump

> I couldn't imagine using Regular insulin in my pump. Wow!
> Regular is less expensive right?

That was in response to:
>> I use 100 units of U-500 R concentrated insulin. That is 500
>> units of U-100.

Well, I guess it's time for another little history lesson since we have had 
a lot of newbies to the list. When I (we oldies) started pumping in the 
pioneer days (8/23/83 for me) there was only Regular beef/pork insulin to 
use. That meant a bolus (in whole units only, not tenths) should be 
programmed about 20 min. before eating. That's okay, except when that is 
done the phone may ring and you get side-tracked. Or, you go to McDonald's 
and there is no line, so you wait - then a line forms and you are pushed 
back. Go to a restaurant and wait for a table. Get a table, then when does 
the order get taken, or delivered - correctly? A lot of variables there.

I got an abscess from a site with Reg. so dr. Rx'd Velosulin by Nordisk 
(pure pork) which worked safer. Then they added a buffering to it and named 
it Velosulin BR because more pumpers came on the scene.

I did that for 16 years before Humalog was available to me. Humalog changed 
the face of pumping drastically. I put it in the category of home BG 
testing.

After 8 years of Humalog use, it suddenly (abruptly!!) quit working in me. I

tried Novolog which was great. Good we have choices - and competition so 
other companies can produce a similar/different product. When the H quit 
working I called the dr. and told the nurse I may have to use Regular. She 
said, "NO! You can't use regular in your pump!!!" I said, "I can too! I did 
for 16 years." She said, "OK, but I'll tell the doctor." Fortunately, 
Novolog worked and still is working after 2.5 years.

Sometimes people forget what the first-timers went through to get to where 
others are today. I strongly feel that if I were to start pumping today, I 
would not qualify going through what is now required with basal testing etc.

Carb counting didn't even come about until around '94, therefore, we used 
our pumps as a shot delivery system. For instance, I took 4u for bfst, 2u 
for lunch, and 6u for dinner. The 6 hurt so bad going in I had to do 3, then

delay it for 3 min. and program the other 3. Yes, that pump had a delay on 
it.

Yes, Regular is cheaper and does not require an Rx; NPH also does not. The 
other insulins are analogs and are safe to require Rx's so they can charge a

bunch more.

Back to the present day.

Jan/Muskers T-1 11/50 http://tinyurl.com/TSL-CLIP -
http://tinyurl.com/youtube-J-Hughey
http://tinyurl.com/evolutionofpumps
.
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