[IPk] Humalog v. Novorapid (YMMV)
Fiona asked the other day how I've found Novorapid different from Humalog.
After a few weeks on it, I have picked up on some things I didn't expect:
1. Novorapid doesn't go as bubbly if you shake the vial as Humalog does
2. I had more trouble clearing a large bubble when I filled my reservoir
with Novorapid, but there were fewer pesky tiny 'Champagne' bubbles than I
usually get with Humalog
3. I have observed Novorapid to start working as fast as Humalog. I know
John Neale found Novorapid to start working more slowly than Humalog--might
well be an individual chemistry sort of thing
4. Caroline Batistoni and I talked this past weekend about the two insulins.
She pointed out that Novorapid has a much longer drop-off time than Humalog,
something I should have realized: now I see that my post-lunch and
post-dinner blood sugars have been lower because of that slower drop-off
time. Not that I'm complaining much, but I have had to watch for mild hypos
more carefully. I have to remind myself that I'm not in Humalogland anymore
and some things are different.
Last night before bed, a few hours after a slice of pizza, some ice cream,
and a couple of cocktails I had a bg of 4.4 mmol/L. Knowing the post-alcohol
bg drop was coming, I switched my basal from my programmed 1.1u/hr to a
temporary one of 0.2u/hr for 3 hours and went to sleep. Woke up at 8 a.m.
this morning (6 hours of sleep) with a bg of 4.1 mmol/L. Amazing!
I'd love to have use of a CGMS right now!!! If I bounced around or went
lower and then back up to okay again last night, that'd be interesting. I'd
like to believe I had a constant bg of about 4 mmol/L, but I have no idea.
The senior diabetes nurse at the John Radcliffe says they're looking into
buying a CGMS right now...fingers crossed it comes soon.
Think I might stick with NovoRapid, but I'm not fully decided yet...many
marriages don't last the 5 years I spent with Humalog.
A grateful and fortunate bunny,
IDDM 10+ years; MiniMed pumper 7 years
Co-ordinator, Oxford University Student Union Diabetes Network
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