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Re: [IPk] Novorapid anyone?



Hi all, I'm back from San Francisco, and have lots of interesting news from
the American Diabetes Association conference. More anon, but for now I would
just like to advise against a stampede to Novo Rapid. Not because there's
anything wrong with Novo-Rapid, but because there's not much wrong with
Humalog either!

I suspect that very few people heve problems with humalog crystallising in
their infusion sets, and if your control is generally good with Humalog,
switching to N-R is not exchanging like for like. Novo-Rapid specifically
claim that their insulin has a different (slightly longer) activity curve
than Humalog.

If you do try it, make it an experiment you can learn from. First, gather
information at a stable time with several days readings including some 2
hours after a meal. Also get a HbA1c. Then, after changing, adjust your
rates as needed, and after around 2-3 weeks do another period of close
observation, and repeat the HbA1c before deciding.

As John says, most fluctuations have a lot more to do with our 'crazy
metabolism'!

Tony
----- Original Message -----
From: "John Neale" <email @ redacted>
To: <email @ redacted>
Sent: Saturday, June 15, 2002 11:28 AM
Subject: Re: [IPk] Novorapid anyone?


> >After reading last weeks BMJ re humalog precipitating in cannulas, I've
made
> >an appointment to change over to novorapid (not quite sure whether my
> >fluctuations are due to anything as easily rectifiable as this, or due to
my
> >crazy metabolism, but worth giving it a go, I think)
>
> Abigail -
>
> Thanks for spotting that recent BMJ paper about Humalog in pumps.
> Interesting. What the writer is suggesting is that while Humalog works
well
> for some people, it doesn't work for everyone.
>
> You can find the full paper at
>
> http://bmj.com/cgi/content/full/324/7348/1253
>
> and some "Rapid Responses" at
>
> http://bmj.com/cgi/eletters/324/7348/1253
>
> (Note: Humalog is called Lispro in medical journals)
>
> I tried NovoRapid (called Novolog in the US, and Aspart in medical
> journals) 2 years ago, and for me there was no benefit. But we all differ.
>
> John
>
> --
> mailto:email @ redacted
> http://www.webshowcase.net/johnneale
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