Guest guest Posted October 12, 2004 Report Share Posted October 12, 2004 interesting. thanks for shareing. 53 minutes peek in novalog compared to 75 minutes in humalog is not that drastic of a difference IMO but is certainly better. I'll have to keep novalog in mind. One thing I was told by long term diabetics who trained me in carb counting is that novalog is more accomidating to low carb/ higher meat/protein diets where as humalog does better with carb rich diets. Not certain why they felt that but that was what I was told so is why I went with humalog initially. Regards, insulin > > > > > > > > > > > > > I take Novalog > > > > > > another thought, what type of quick acting insulin do you take? > > Humalog, > > > novalog, or the old R insulin? > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 12, 2004 Report Share Posted October 12, 2004 interesting. thanks for shareing. 53 minutes peek in novalog compared to 75 minutes in humalog is not that drastic of a difference IMO but is certainly better. I'll have to keep novalog in mind. One thing I was told by long term diabetics who trained me in carb counting is that novalog is more accomidating to low carb/ higher meat/protein diets where as humalog does better with carb rich diets. Not certain why they felt that but that was what I was told so is why I went with humalog initially. Regards, insulin > > > > > > > > > > > > > I take Novalog > > > > > > another thought, what type of quick acting insulin do you take? > > Humalog, > > > novalog, or the old R insulin? > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 12, 2004 Report Share Posted October 12, 2004 other sources on the net show the peek times closer, some further apart, etc. They are both good insulins though and thank God we have them! Regards, insulin > > > > > > > > I take Novalog > > > > another thought, what type of quick acting insulin do you take? > Humalog, > > novalog, or the old R insulin? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 12, 2004 Report Share Posted October 12, 2004 other sources on the net show the peek times closer, some further apart, etc. They are both good insulins though and thank God we have them! Regards, insulin > > > > > > > > I take Novalog > > > > another thought, what type of quick acting insulin do you take? > Humalog, > > novalog, or the old R insulin? > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2004 Report Share Posted October 16, 2004 Their are presently several insulin available. there is Humalog (fast actin; Novalog which is e en faster acting, there is Lantis-lasts for 24 hours; NPH which has a time period of about 6-8 hours (longer in some people. there are other Novalin insulins too, but I am not familar. There use to be one I was on for a while called Ultra Lente, and maybe that is stil around. there was also just plain Lente; both of these were medium to ong acting. There is a real oldie one called PZI, which was long actiing; I was on that for a while too. Oh, I almost forgot-there is R (regular) which is fast acting, but not as fast acing as Humalog. Insulin What Are the Different Types of Insulin? There are many forms of insulin. They are classified by how fast they start to work and how long their effects last. The types of insulin include: · Rapid acting · Short acting · Intermediate acting · Long acting · Pre-mixed What Type of Insulin Is Best Suited For Me? Your doctor will work with you to prescribe the type of insulin that is best for you. Deciding what type of insulin might be best for you depend on many factors, including: · Your body's individualized response to insulin (how long it takes insulin to be absorbed in the body and remain active in the body varies slightly from individual to individual) · Your own lifestyle choices - for instance, the type of food you eat, if/how much alcohol you drink, or how much exercise you get - factors that influence your body's processing of insulin · How willing you are to give yourself multiple injections per day · How frequently you are willing to check your blood sugar level · Your age · Your blood sugar management goals As you can now better understand, the type of insulin your doctor may prescribe for you takes many factors into account and must be individualized for you - based on your own body's metabolism of insulin, your lifestyle, treatment goals, and to some degree, your personal preferences (your willingness to tightly monitor your blood sugar and give yourself multiple injections). The following chart lists the types of insulin with details about onset (the length of time before insulin reaches the bloodstream and begins to lower blood glucose), peak (the time period when the insulin is the most effective in lowering blood glucose) and duration (how long insulin continues to lower blood glucose). These three factors may vary, depending on your body's response. The final column provides some insight into the " coverage " provided by the different insulin types in relation to mealtime. Type of Insulin & Brand Names Onset Peak Duration Role in Blood Glucose Management Rapid Acting Humalog or lispro 15-30 min. 30 min to 2½ hours 3-5 hours Rapid-acting insulin covers insulin needs for meals eaten at the same time as the injection. This type of insulin is used with longer-acting insulin. Novolog or aspart 10-20 min. 1-3 hours 3-5 hours Short Acting Regular ® humulin or novolin 30 min. -1 hour 2-5 hours 5-8 hours Short-acting insulin covers insulin needs for meals eaten within 30-60 minutes Velosulin (for use in the insulin pump) 30 min.-1 hour 2-3 hours 2-3 hours Intermediate Acting NPH (N) 1-2 hours 4-12 hours 18-24 hours Intermediate-acting insulin covers insulin needs for about half the day or overnight. This type of insulin is often combined with rapid- or short-acting insulin. Lente (L) 1-2½ hours 3-10 hours 18-24 hours Long Acting Ultralente (U) 30 min.-3 hours 10-20 hours 20-36 hours Long-acting insulin covers insulin needs for about 1 full day. This type of insulin is often combined, when needed, with rapid- or short-acting insulin. Lantus 1-1½ hour No peak time; insulin is delivered at a steady level 20-24 hours Pre-Mixed* Humulin 70/30 30 min. 2-4 hours 14-24 hours These products are generally taken twice a day before mealtime. Novolin 70/30 30 min. 2-12 hours Up to24 hours Novolog 70/30 10-20 min. 1-4 hours Up to 24 Humulin 50/50 30 min. 2-5 hours 18-24 hours Humalog mix 75/25 15 min. 30 min.-2½ hours 16-20 hours * Premixed insulins are a combination of specific proportions of intermediate-acting and short-acting insulin in one bottle or insulin pen (the numbers following the brand name indicate the percentage of each type of insulin). When do I take my insulin? Follow your healthcare provider's guidelines on when to take your insulin. The time span between your insulin injection and meals may vary depending on the type of insulin you are taking. In general, however, you should coordinate your insulin injection with when you want to eat. From the chart above, the " onset " column provides useful information. Again, the " onset " refers to when the insulin will begin to work in your body. You want the insulin to begin working in your body at the same time your food is being absorbed. This timing of both the self injection and meal consumption will help avoid low blood glucose levels. So, for example, if you take Novolog or another rapid-acting insulin, you should self inject about 15 minutes before mealtime. Short-acting insulins, such as regular insulin, should be taken 30 to 60 minutes before a meal. Intermediate-acting insulins should be taken up to 1 hour prior to a meal. Premixed insulins. Depending on the product used, premixed solutions should be taken 15 minutes or 30 to 45 minutes before mealtime. Exceptions. Injections of long-acting insulins are not " timed " to mealtime because of their long duration of action. Ultralente is taken once or twice a day irrespective of mealtime. Lantus is only administered once a day (and should be administered at the same time each day). Keep in mind that these long-acting insulins may need to be given with shorter-acting insulin products - depending on your individual situation - that will likely need to be " timed " with mealtime. Finally, the rapid-acting products can also be taken immediately after a meal (rather than 15 minutes before mealtime). Some products can also be administered at bedtime. For more information about when to take insulin, read the " dosing and administration " section of the insulin product package insert that came with your insulin product or call your doctor. Get the facts about insulin. Learn the basics about diabetes. View the full table of contents for the Diabetes Guide. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 16, 2004 Report Share Posted October 16, 2004 Their are presently several insulin available. there is Humalog (fast actin; Novalog which is e en faster acting, there is Lantis-lasts for 24 hours; NPH which has a time period of about 6-8 hours (longer in some people. there are other Novalin insulins too, but I am not familar. There use to be one I was on for a while called Ultra Lente, and maybe that is stil around. there was also just plain Lente; both of these were medium to ong acting. There is a real oldie one called PZI, which was long actiing; I was on that for a while too. Oh, I almost forgot-there is R (regular) which is fast acting, but not as fast acing as Humalog. Insulin What Are the Different Types of Insulin? There are many forms of insulin. They are classified by how fast they start to work and how long their effects last. The types of insulin include: · Rapid acting · Short acting · Intermediate acting · Long acting · Pre-mixed What Type of Insulin Is Best Suited For Me? Your doctor will work with you to prescribe the type of insulin that is best for you. Deciding what type of insulin might be best for you depend on many factors, including: · Your body's individualized response to insulin (how long it takes insulin to be absorbed in the body and remain active in the body varies slightly from individual to individual) · Your own lifestyle choices - for instance, the type of food you eat, if/how much alcohol you drink, or how much exercise you get - factors that influence your body's processing of insulin · How willing you are to give yourself multiple injections per day · How frequently you are willing to check your blood sugar level · Your age · Your blood sugar management goals As you can now better understand, the type of insulin your doctor may prescribe for you takes many factors into account and must be individualized for you - based on your own body's metabolism of insulin, your lifestyle, treatment goals, and to some degree, your personal preferences (your willingness to tightly monitor your blood sugar and give yourself multiple injections). The following chart lists the types of insulin with details about onset (the length of time before insulin reaches the bloodstream and begins to lower blood glucose), peak (the time period when the insulin is the most effective in lowering blood glucose) and duration (how long insulin continues to lower blood glucose). These three factors may vary, depending on your body's response. The final column provides some insight into the " coverage " provided by the different insulin types in relation to mealtime. Type of Insulin & Brand Names Onset Peak Duration Role in Blood Glucose Management Rapid Acting Humalog or lispro 15-30 min. 30 min to 2½ hours 3-5 hours Rapid-acting insulin covers insulin needs for meals eaten at the same time as the injection. This type of insulin is used with longer-acting insulin. Novolog or aspart 10-20 min. 1-3 hours 3-5 hours Short Acting Regular ® humulin or novolin 30 min. -1 hour 2-5 hours 5-8 hours Short-acting insulin covers insulin needs for meals eaten within 30-60 minutes Velosulin (for use in the insulin pump) 30 min.-1 hour 2-3 hours 2-3 hours Intermediate Acting NPH (N) 1-2 hours 4-12 hours 18-24 hours Intermediate-acting insulin covers insulin needs for about half the day or overnight. This type of insulin is often combined with rapid- or short-acting insulin. Lente (L) 1-2½ hours 3-10 hours 18-24 hours Long Acting Ultralente (U) 30 min.-3 hours 10-20 hours 20-36 hours Long-acting insulin covers insulin needs for about 1 full day. This type of insulin is often combined, when needed, with rapid- or short-acting insulin. Lantus 1-1½ hour No peak time; insulin is delivered at a steady level 20-24 hours Pre-Mixed* Humulin 70/30 30 min. 2-4 hours 14-24 hours These products are generally taken twice a day before mealtime. Novolin 70/30 30 min. 2-12 hours Up to24 hours Novolog 70/30 10-20 min. 1-4 hours Up to 24 Humulin 50/50 30 min. 2-5 hours 18-24 hours Humalog mix 75/25 15 min. 30 min.-2½ hours 16-20 hours * Premixed insulins are a combination of specific proportions of intermediate-acting and short-acting insulin in one bottle or insulin pen (the numbers following the brand name indicate the percentage of each type of insulin). When do I take my insulin? Follow your healthcare provider's guidelines on when to take your insulin. The time span between your insulin injection and meals may vary depending on the type of insulin you are taking. In general, however, you should coordinate your insulin injection with when you want to eat. From the chart above, the " onset " column provides useful information. Again, the " onset " refers to when the insulin will begin to work in your body. You want the insulin to begin working in your body at the same time your food is being absorbed. This timing of both the self injection and meal consumption will help avoid low blood glucose levels. So, for example, if you take Novolog or another rapid-acting insulin, you should self inject about 15 minutes before mealtime. Short-acting insulins, such as regular insulin, should be taken 30 to 60 minutes before a meal. Intermediate-acting insulins should be taken up to 1 hour prior to a meal. Premixed insulins. Depending on the product used, premixed solutions should be taken 15 minutes or 30 to 45 minutes before mealtime. Exceptions. Injections of long-acting insulins are not " timed " to mealtime because of their long duration of action. Ultralente is taken once or twice a day irrespective of mealtime. Lantus is only administered once a day (and should be administered at the same time each day). Keep in mind that these long-acting insulins may need to be given with shorter-acting insulin products - depending on your individual situation - that will likely need to be " timed " with mealtime. Finally, the rapid-acting products can also be taken immediately after a meal (rather than 15 minutes before mealtime). Some products can also be administered at bedtime. For more information about when to take insulin, read the " dosing and administration " section of the insulin product package insert that came with your insulin product or call your doctor. Get the facts about insulin. Learn the basics about diabetes. View the full table of contents for the Diabetes Guide. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hello my question is about insulin, when I go for my hemoglobin a1c for the last three months the dr. raises my medications. when my sugars are not so good. he says he doesn't want to give me insulin because of me having problems reading the units. cy told that one of you are using the pen dial type of shot? I don't think my dr. is unaware that there are other people that are blind that can use this. I spoke to my cousin who is a pharmacist about it. and she said she would show me how it looks or feels like. or some thing about dialing the units? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 , Hopefully Pat, or Harry will explain to you about the Dial-A-Dose or whatever it is called. Oh Pat, HELP! 's doctor does not believe that a blind person can self administer the insulin because, of course, blind folks are helpless. This man needs to turn in his/her diploma. Cy, the Ancient One & Grady, the Laboratory Retriever... insulin Hello my question is about insulin, when I go for my hemoglobin a1c for the last three months the dr. raises my medications. when my sugars are not so good. he says he doesn't want to give me insulin because of me having problems reading the units. cy told that one of you are using the pen dial type of shot? I don't think my dr. is unaware that there are other people that are blind that can use this. I spoke to my cousin who is a pharmacist about it. and she said she would show me how it looks or feels like. or some thing about dialing the units? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 I have been using the count-a-dose now for at least eight or nine years and we who are blind can draw our own insulen. I'm not sure who handles the count-a-dose I got my one from the national federation of the blind in baltimore it is real easy to use also, you might even draw your insulen more correctly than as I call them sighted impaired people. Maxie aids used to handle them also. jason or harry may have more information that this your friend wayne insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c > for the last three months the dr. raises my medications. > when my sugars are not so good. > he says he doesn't want to give me insulin because of me having problems > reading the units. cy told that one of you are using the pen dial type > of shot? I don't think my dr. is unaware that there are other people > that are blind that can use this. I spoke to my cousin who is a > pharmacist about it. and she said she would show me how it looks or > feels like. or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Hi Wayne, Sure is good to hear from you and thanks for the info. Cy, the Ancient One & Grady, the Laboratory Retriever... Re: insulin I have been using the count-a-dose now for at least eight or nine years and we who are blind can draw our own insulen. I'm not sure who handles the count-a-dose I got my one from the national federation of the blind in baltimore it is real easy to use also, you might even draw your insulen more correctly than as I call them sighted impaired people. Maxie aids used to handle them also. jason or harry may have more information that this your friend wayne insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c for the > last three months the dr. raises my medications. when my sugars are > not so good. he says he doesn't want to give me insulin because of me > having problems reading the units. cy told that one of you are using > the pen dial type of shot? I don't think my dr. is unaware that there > are other people that are blind that can use this. I spoke to my > cousin who is a pharmacist about it. and she said she would show me > how it looks or feels like. or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Are you going to an endocrinologist? It is amazing he hasn't had any experience with blind diabetics before. insulin Hello my question is about insulin, when I go for my hemoglobin a1c for the last three months the dr. raises my medications. when my sugars are not so good. he says he doesn't want to give me insulin because of me having problems reading the units. cy told that one of you are using the pen dial type of shot? I don't think my dr. is unaware that there are other people that are blind that can use this. I spoke to my cousin who is a pharmacist about it. and she said she would show me how it looks or feels like. or some thing about dialing the units? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 You're right about that. I wonder if she seems an endo usually has blind diabetics and knows aobut the count-a-dse and talking meters. insulin Hello my question is about insulin, when I go for my hemoglobin a1c for the last three months the dr. raises my medications. when my sugars are not so good. he says he doesn't want to give me insulin because of me having problems reading the units. cy told that one of you are using the pen dial type of shot? I don't think my dr. is unaware that there are other people that are blind that can use this. I spoke to my cousin who is a pharmacist about it. and she said she would show me how it looks or feels like. or some thing about dialing the units? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 the one you have does the dial turn with a click? like when you turn an oven on or but you can feel the click I don;'t know what I'm trying to say!! HA HA HA insulin > > > > > > > > > > Hello > > my question is about insulin, when I go for my hemoglobin a1c > > for the last three months the dr. raises my medications. > > when my sugars are not so good. > > he says he doesn't want to give me insulin because of me having problems > > reading the units. cy told that one of you are using the pen dial type > > of shot? I don't think my dr. is unaware that there are other people > > that are blind that can use this. I spoke to my cousin who is a > > pharmacist about it. and she said she would show me how it looks or > > feels like. or some thing about dialing the units? > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 no, I'm not at this time. I need to speak to him about that. I don't think my insurance covers that. the Dr. I have is a good one he cares about his patients. I think I'm his only one who is blind. and possibly it's my fault that I never brought up the endocrinologist. I will call my insurance and find out if they cover that. I have medicare and or another plan where I don't pay a co-pay and my preps are no co-pays as well. I used to see one but it cost too much to see one. and I'm on a fixed income. it cost me $35.00 to see one. they are considered specailty dr. on my plan I used have. I don't know if you guys have " Cigna " where some you live. but here in Az we have it. insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c > for the last three months the dr. raises my medications. > when my sugars are not so good. > he says he doesn't want to give me insulin because of me having problems > reading the units. > cy told that one of you are using the pen dial type of shot? > I don't think my dr. is unaware that there are other people that are blind > that can use this. > I spoke to my cousin who is a pharmacist about it. and she said she would > show me how it looks or feels like. > or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 I forgot to mention some times insurances may not cover the pen some stay with the syringes. insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c > for the last three months the dr. raises my medications. > when my sugars are not so good. > he says he doesn't want to give me insulin because of me having problems > reading the units. > cy told that one of you are using the pen dial type of shot? > I don't think my dr. is unaware that there are other people that are blind > that can use this. > I spoke to my cousin who is a pharmacist about it. and she said she would > show me how it looks or feels like. > or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 not all of them , cause the endocrinologist I had was doing the same thing giving me more pills. and was not aware of the glucometer. how I heard of the talking meter was when I went to a dog guide school and I met people who had diabbetes. and he was blind and he mentioned the talking meter. and the endo. dealt with not only my age group, but mostly with geriatrics. I went to her cause she was close to my area. and some one told me she was the best. insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c > for the last three months the dr. raises my medications. > when my sugars are not so good. > he says he doesn't want to give me insulin because of me having problems > reading the units. cy told that one of you are using the pen dial type > of shot? I don't think my dr. is unaware that there are other people > that are blind that can use this. I spoke to my cousin who is a > pharmacist about it. and she said she would show me how it looks or > feels like. or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 teresa, yes their is a small button on the bottom right side. first you take the cap that is on the plunger off and snap the syyrenge into place then after that you take the other end off where the needle is and open the syringe by clicking the amount of insulen you need then always remember toroll the insulen bottle betwene you r hands and hold the vial upside down when drawing the insulen out then you know the next step take the needle out on of the count-a-dose. It quite easy to use. I hope this helps you your friend wayne insulin > > > > > > > > > > > > > > > Hello > > > my question is about insulin, when I go for my hemoglobin a1c > > > for the last three months the dr. raises my medications. > > > when my sugars are not so good. > > > he says he doesn't want to give me insulin because of me having problems > > > reading the units. cy told that one of you are using the pen dial type > > > of shot? I don't think my dr. is unaware that there are other people > > > that are blind that can use this. I spoke to my cousin who is a > > > pharmacist about it. and she said she would show me how it looks or > > > feels like. or some thing about dialing the units? > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Ha, Is this doctor for real, is he still living in the dark ages? . insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c > for the last three months the dr. raises my medications. > when my sugars are not so good. > he says he doesn't want to give me insulin because of me having problems > reading the units. cy told that one of you are using the pen dial type > of shot? I don't think my dr. is unaware that there are other people > that are blind that can use this. I spoke to my cousin who is a > pharmacist about it. and she said she would show me how it looks or > feels like. or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 also, Theresa, there is an instruction tape that comes with the count-a-dose. Re: insulin teresa, yes their is a small button on the bottom right side. first you take the cap that is on the plunger off and snap the syyrenge into place then after that you take the other end off where the needle is and open the syringe by clicking the amount of insulen you need then always remember toroll the insulen bottle betwene you r hands and hold the vial upside down when drawing the insulen out then you know the next step take the needle out on of the count-a-dose. It quite easy to use. I hope this helps you your friend wayne insulin > > > > > > > > > > > > > > > Hello > > > my question is about insulin, when I go for my hemoglobin a1c > > > for the last three months the dr. raises my medications. > > > when my sugars are not so good. > > > he says he doesn't want to give me insulin because of me having problems > > > reading the units. cy told that one of you are using the pen dial type > > > of shot? I don't think my dr. is unaware that there are other people > > > that are blind that can use this. I spoke to my cousin who is a > > > pharmacist about it. and she said she would show me how it looks or > > > feels like. or some thing about dialing the units? > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2004 Report Share Posted October 19, 2004 Well, she apparently is not up on things. Re: insulin not all of them , cause the endocrinologist I had was doing the same thing giving me more pills. and was not aware of the glucometer. how I heard of the talking meter was when I went to a dog guide school and I met people who had diabbetes. and he was blind and he mentioned the talking meter. and the endo. dealt with not only my age group, but mostly with geriatrics. I went to her cause she was close to my area. and some one told me she was the best. insulin > > > > > Hello > my question is about insulin, when I go for my hemoglobin a1c > for the last three months the dr. raises my medications. > when my sugars are not so good. > he says he doesn't want to give me insulin because of me having problems > reading the units. cy told that one of you are using the pen dial type > of shot? I don't think my dr. is unaware that there are other people > that are blind that can use this. I spoke to my cousin who is a > pharmacist about it. and she said she would show me how it looks or > feels like. or some thing about dialing the units? > > > Quote Link to comment Share on other sites More sharing options...
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