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Re: Digest Number 2845

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In a message dated 4/4/2003 9:21:49 PM Pacific Standard Time,

diabetes_int writes:

> It takes work on your part, and reading lists like this. There are many here

> that have started insulin on their own by reading and observing what others

> do. I am one.

>

Dave;

Can you tell me how this is done?... where can someone get Humalog (or

other insulins) without a prescription?

TIA,

Sheree

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In a message dated 4/4/2003 9:21:49 PM Pacific Standard Time,

diabetes_int writes:

> It takes work on your part, and reading lists like this. There are many here

> that have started insulin on their own by reading and observing what others

> do. I am one.

>

Dave;

Can you tell me how this is done?... where can someone get Humalog (or

other insulins) without a prescription?

TIA,

Sheree

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The older insulins don't require a prescription. This includes NPH, regular

and Ultralente. I would not recommend the first two, would definitely

recommend the Ultralente. You do need a prescription for Humalog, Novalog and

Lantus. And if you're in Canada, Lantus isn't available there yet.

Vicki

In a message dated 04/05/2003 12:47:46 PM US Mountain Standard Time,

SLS756@... writes:

>

> Dave;

> Can you tell me how this is done?... where can someone get Humalog (or

> other insulins) without a prescription?

> TIA,

>

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It's a new type of insulin. It's supposed to last for 24 hours but it doesn't

always, for all. For me, it only worked for 19 hours. So I went back to UL.

Vicki

In a message dated 04/05/2003 2:28:36 PM US Mountain Standard Time,

wwin98@... writes:

> Is Lantus a completely new type of insulin or just a new manufacturer?

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Atta girl, Kay!

Write everything down (or print out the posts we sent you on this subject)

and take them in to your doc. Make a list...and make sure he answers all your

questions to your satisfaction. Especially important is that article that

Dave referred you to that gave the newest parameters for good BG control.

Your doc should be made aware of this. He hasn't been doing you any favors

so far.

Vicki

In a message dated 04/05/2003 4:24:22 PM US Mountain Standard Time,

fencible@... writes:

> I need to take this much more seriously before I have major problems.

> Thanks for the help. I will talk to him when I see him.

> > Kay

>

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Lantus is made by Avantis and it's been out for maybe two years. It's pretty

expensive.

Ultralente is made by Lilly and has been around for a long time but not many

doctors advocate for it for some reason. You don't need a precription for it

and it's relatively cheap. However, it really works very well. There are

many on this list who use it successfully and can help you with dosing. I

doubt that your doc will know much about it and the nurse practitioner who

instructs you probably doesn't either since it's not a new insulin.

Vicki

In a message dated 04/05/2003 4:27:42 PM US Mountain Standard Time,

wwin98@... writes:

>

> How long has it been out on the market? Is UL manufactured by only one

> company

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SLS756@... wrote:

> In a message dated 4/4/2003 9:21:49 PM Pacific Standard Time,

> diabetes_int writes:

>

> > It takes work on your part, and reading lists like this. There are many here

> > that have started insulin on their own by reading and observing what others

> > do. I am one.

> >

>

> Dave;

> Can you tell me how this is done?... where can someone get Humalog (or

> other insulins) without a prescription?

> TIA,

> Sheree

Well, you can't buy the newer analog insulins (Humulog or Novolog), or Lantus,

without a prescription, but you can buy Humulin-U (Ultralente) for use as a

basal, and Humulin-R, which is a slower insulin but used by some for meals. It

is much better to use Humulog.

You should also look at this Medscape article:

http://www.medscape.com/viewarticle/449887

--

Dave - 3:13:06 PM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

When in doubt, think.

--

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SLS756@... wrote:

> In a message dated 4/4/2003 9:21:49 PM Pacific Standard Time,

> diabetes_int writes:

>

> > It takes work on your part, and reading lists like this. There are many here

> > that have started insulin on their own by reading and observing what others

> > do. I am one.

> >

>

> Dave;

> Can you tell me how this is done?... where can someone get Humalog (or

> other insulins) without a prescription?

> TIA,

> Sheree

Well, you can't buy the newer analog insulins (Humulog or Novolog), or Lantus,

without a prescription, but you can buy Humulin-U (Ultralente) for use as a

basal, and Humulin-R, which is a slower insulin but used by some for meals. It

is much better to use Humulog.

You should also look at this Medscape article:

http://www.medscape.com/viewarticle/449887

--

Dave - 3:13:06 PM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

When in doubt, think.

--

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On Sat, 5 Apr 2003 11:17:04 EST

SLS756@... wrote:

I think it depends on the state you live in. In MI you do

not need a script for Humilin but Humolog and others you

do.

Carolyn

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How long has it been out on the market? Is UL manufactured by only one company?

My doctor relied on his nurse pract to instruct his patients about insulin

usage and

she wasn't available when I started on insulin so maybe that is why I didn't get

any

instruction about how insulin works etc. She was a funny bird -- if she didn't

like you, she

just didn't say much. I came in from out of town, I don't drive in the city,

and my hubby had worked all night and he wanted me to get in and out of the

office asap so he had words with her. She scheduled me with the hospital nurse

to instruct me on how to inject my insulin and that was all the instruction I

got. I assumed that was all anybody got until I found this list. When I saw

all the talk about basal insulin and found that my numbers aren't in line when

they are close to 7, I am a little mad at myself. My friends with diabetes here

in the rural areas don't even get glycohemoglobins done. They go to the

hospital for a fasting blood sugar (and of course they don't eat sweets for a

week beforehand) and if they haven't gained any weight, they hear " good job "

from their M.D. I feel more comfortable with an endo than a straight M.D. but

looks like I have been fooling myself. I need to take this much more seriously

before I have major problems. Thanks for the help. I will talk to him when I

see him.

Kay

Re: Digest Number 2845

It's a new type of insulin. It's supposed to last for 24 hours but it doesn't

always, for all. For me, it only worked for 19 hours. So I went back to UL.

Vicki

In a message dated 04/05/2003 2:28:36 PM US Mountain Standard Time,

wwin98@... writes:

> Is Lantus a completely new type of insulin or just a new manufacturer?

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wwin98@... wrote:

I feel more comfortable with an endo than a straight M.D. but looks like I have

been fooling myself. I need to take this much more seriously before I have

major problems. Thanks for the help. I will

> talk to him when I see him.

> Kay

Just the title of Endo doesn't mean he is good with diabetes. I have never been

to an Endo, dietician, or anything else. I have a general practicioner (female)

who I feel does an excellent job, and I get 30-40 minute appointments with her.

Sometimes it's good to ask around, nurses, etc., as to who is good with

diabetes.

--

Dave - 6:13:06 PM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

* Auntie Em, Hate you, hate Kansas, taking the dog. Dorothy.

--

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wwin98@... wrote:

> I do have insurance which will pay for my insulin so that's no problem. He

will probably

> let me choose IF he has had some experience with another type of insulin. I

am anxious to ask. I will print some of these posts and take them to him and

tell him I am not leaving his office until I get some answers.

> Kay

IMHO, your first bet for a type 2 wanting basal and bolus insulin would be

Lantus, and Humulog.

--

Dave - 9:48:45 AM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

Feel safe tonight ... Sleep with a cop.

--

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Lantus - yes if it works for a full 24 hours for you. It didn't for me. In

that event, 2 shots of UL 12 hours apart works very well for basal. And yes

for Humalog, matched to carbs for meal coverage.

Vicki

In a message dated 04/06/2003 1:05:13 PM US Mountain Standard Time,

wwin98@... writes:

> And Lantus and Humalog are good insulins to take?

> Kay

>

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About the Humalog...don't let the doctor give you a " sliding scale " , i.e. if

your BG is X, take so much insulin; if it's Y, take a different amount. This

is correcting after the fact and is very inefficient. With matching insulin

to carbs, you can avoid going high in the first place. (This may be a new

concept to the doctor! -- but it's used for pump patients 100% of t he time.)

Vicki

In a message dated 04/06/2003 1:05:13 PM US Mountain Standard Time,

wwin98@... writes:

> And Lantus and Humalog are good insulins to take?

> Kay

>

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wwin98@... wrote:

> And Lantus and Humalog are good insulins to take?

> Kay

Can't advise you on that. Everyone is different, but it is fine for me, and many

others.

Some, like Vicky like Ultralente better. I was on it but prefer Lantus as you

don't have to mix it up to use it.

--

Dave - 4:18:45 PM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

I've learned....

That the easiest way for me to grow as a person is to surround myself with

people smarter than I am.

--Andy Rooney-

--

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Hi Kay,

I use Humalog and NPH. Not too many people on this list like or endorse NPH

but it works fine for me. I wanted to use Lantus but it is not available

here in Canada and Ultralente does not come in pen form and my insurance

will not pay for syringes.

Jacky

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Help STOP SPAM with the new MSN 8 and get 2 months FREE*

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whimsy2@... wrote:

> Lantus - yes if it works for a full 24 hours for you. It didn't for me. In

> that event, 2 shots of UL 12 hours apart works very well for basal. And yes

> for Humalog, matched to carbs for meal coverage.

> Vicki

>From what I've read so far, you're in the minority, so don't down it as YMMV.

Lantus works well for me, 24hrs+.

UL is not for everyone as you need to mix it well, and the results from the

beginning of the vial to the bottom can be quite different.

--

Dave - 6:38:45 PM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

I've learned....

That the less time I have to work with, the more things I get done.

--Andy Rooney-

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It would be extremely unusual for fat per se to raise your BGs. However, fat

combined with carbs WILL make BGs rise and stay high longer - the action

curve would be something more like a table shape instead of a mountain. Do

you understand what I'm saying? Vicki

In a message dated 04/07/2003 12:21:42 PM US Mountain Standard Time,

wwin98@... writes:

> I have found that fat does cause my bs to skyrocket so I have been avoiding

> it.

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What I mean is, if you eat something carby and take your BG before eating it

then at 30 minute intervals and graph it, you'll see a graph like a mountain

shape - it'll go up and then it will come down. If you eat fat with the

carbs - a good example is a slice of pizza - and test your BG before then at

half hour intervals until it comes back down again, it will go up and stay up

for a couple of hours (because of the fat) before coming down again. Like a

plateau. Is that more clear?

Anyway, fat alone doesn't raise BGs.

Vicki

In a message dated 04/07/2003 8:08:11 PM US Mountain Standard Time,

wwin98@... writes:

>

> I have never drawn it out

> Kay

> Re: Digest Number 2845

>

>

> It would be extremely unusual for fat per se to raise your BGs. However,

> fat

> combined with carbs WILL make BGs rise and stay high longer - the action

> curve would be something more like a table shape instead of a mountain.

> Do

> you understand what I'm saying? Vicki

>

>

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>Ultralente is made by Lilly and has been >around for a long time

try maybe 60 or 70 years because that is what my sister started on when she was

7 and what my great uncle took long before that.

>but not many doctors advocate for it for >some reason.

could this be because it is harder to regulate. I remember my sister and great

uncle taking 4 and 5 injections a day. You do have to remember that those were

the days prior to meters when peeing in a cup and dipping a strip of paper (very

inaccurate) was the only way to test.

Carolyn

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C Kaminski wrote:

> >Ultralente is made by Lilly and has been >around for a long time

>

> try maybe 60 or 70 years because that is what my sister started on when she

was 7 and what my great uncle took long before that.

It was discovered in 1951.

*****************

The '50s Adding zinc to insulin

to form crystals in varying sizes produced the Lente family-including

Ultralente-in 1951. The size of the insulin crystals determined the length of

the insulin's action: the larger the crystal, the longer it took to disperse

insulin from the injection site.

***********************

>

>

> >but not many doctors advocate for it for >some reason.

>

> could this be because it is harder to regulate. I remember my sister and

great uncle taking 4 and 5 injections a day. You do have to remember that those

were the days prior to meters when peeing in a cup and dipping a strip of paper

(very inaccurate) was the only way to test.

No, I think the reason more doctors don't advocate it is because it is not in

their textbooks.

--

Dave - 3:44:39 PM

T2 - 5/98 Glucophage, Lantus & H

A 4th generation Diabetic

-

Davors Daily Aphorism:

" Anybody who doesn't know what soap tastes like

never washed a dog. "

- lin P.

--

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