Doctor insights on:
Insulin Pump Inserted
Is a diabetic insulin pump with the new attachable 24-7 glucose monitor more convenient than traditional insulin pumps?
Yes, and better: The continuous glucose monitoring systems represent a tremendous advance in the ability for Insulin controlled diabetics. Although they still need to check a few times a day to calibrate the meter, the continuous monitoring allows the system to anticipate trends, such as falling glucose levels and adjust the pump rate accordingly. With attention to diet and good training, the system is much safer. ...Read moreSee 1 more doctor answer
Insulin pumps is a convenient way to give insulin. The Insulin is in a reservoir and gets pumped through a needle into the skin nearby. You can program it to give a variable basal rate, and you tell it how much Insulin to give with meals. However, the pump does not measure glucose. You still need to do this. The Insulin pump is good for type 1 diabetics who are motivated to ...Read more
Depends on you: Taking Insulin by injection or by pump are both good options. There are very many well-controlled people with diabetes who do each. The primary question is which of the two ways of delivering Insulin will work best for you. People like using Insulin pumps because it simplifies the math associated with accurate testing and because it offers more flexibility in hour by hour and day by day dosing. People like injections because they are simpler and do not require being tethered to a device all the time. ...Read more
Good for some: Just like most other aspects of diabetes management there is no "right" answer to whether a pump is good for you. If you need additional flexibility in your Insulin dosing and don't mind being tethered to a device 24 hours a day and your insurance will pay for it then a pump may be a good option. If you are well-controlled on Insulin injections it may not be necessary. Ask your doctors. ...Read moreSee 1 more doctor answer
Insulin pump: It is a good insulin pump, and many users like it. However, an insulin pump often does not solve your blood sugar issues. It requires a lot of care, and you still need to check your glu many times per day. If you are thinking about a pump, you should be talking to an endocrinologist who uses a lot of pumps and who can guide you through this. ...Read more
Congratulations: Great move. Well, NovoLog is quicker acting but also quicker getting out of your system. So make sure you eat as soon as you inject. As with any insulin, proper close titration is necessary to avoid hypoglycemia and wild fluctuations in your sugar levels. Overall, best short acting Insulin on the market at present, and the most physiologic. ...Read more
NO!: Hi. No, pumps only do what you, the user and programmer, tell them to. There is one pump out now in conjunction with a continuous glucose monitor (CGM) that has an insulin suspend function, but that's still a far cry from automatic control. At this point, CGM is FAR MORE beneficial to the diabetic than a pump. Be patient...the fully automatic pump will come in our lifetime. Good luck! ...Read moreSee 1 more doctor answer
Blood insulin=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?
Need more info: Most people diagnosed with type 2 diabetes continue to make insulin for many years. The way to tell this is by measuring a blood level of c-peptide. Also- Since you are only 45, if you are not obese, would check with your doctor to see if you might have later onset type 1. ...Read more
Type II diabetic, blood insulin last test (NOT glucose)=29.5 On lantus (insulin glargine) 62 units, humalog 17 units. Am I still producing endogenous insulin?
Can I use (novolin (insulin) (insulin) 70/30+syringes) instead of (novolin (insulin) (insulin) 70/30 penfill + novolin (insulin) pen) since I have no prescription to buy the penfill? Thanks!
Sure: Just talk to your doc to make the switch to insulins and have them teach you to draw them up. They can send you to a diabetic educator for the teaching. ...Read more
Levemir (insulin detemir): There is considerable debate about Levemir (insulin detemir) vs Lantus but there is not much difference. My personal preference for patients is Lantus because the drug has an effect a bit longer than Levemir (insulin detemir). Your choice should be on the cost - take the less expensive one and things should turn out fine. ...Read more
Basal insulin: 40% of the Insulin a pancreas makes is done constantly and the other 60% is done to respond to your carbohydrate ingestion(when you eat). Lantus (insulin glargine) is the first Insulin that was design to take care of that 40% because it is designed to work over 24 hrs without any peak in action minimizing low blood sugar reactions. ...Read more
Seldom: Required? Can't think of any situation where a pump is required. A pump may help someone achieve tighter glucose control, including pregnant women, people who need very small doses, people whose activities and schedule changes day-to-day, or people whose basal Insulin requirement varies through the day. Willingness to learn carb counting and to check frequently are key to getting better results. ...Read moreSee 1 more doctor answer
Continuous Glucose M: An Insulin pump such as the minimed pump has an extra feature to monitor blood glucose or you can get a separate Continuous Glucose Monitors called Dexcom. These are useful for diabetics who have unexplained swings in their blood sugars especially when diabetics have hypoglycemia unawareness (unable to feel low blood sugars). ...Read moreSee 1 more doctor answer
I'm on metformin, lantus (insulin glargine) n novolog. Can i replace the lantus (insulin glargine) n novolog w byetta to help w weight gain n still get the same sugar control?
Only with supervisio: Please contact your health care professional about making changes in your diabetic therapy. Byetta can be helpful in controlling diabetes, but may not solve your weight gain problem. That should be controlled, under supervision, with diet and exercise. ...Read moreSee 1 more doctor answer