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Long Acting And Short Acting Insulin

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Long-acting Insulins

Tue, 12/14/2010 - 14:43 -- Richard Morris When To Bring Your Background To The Foreground By Ruth Roberts, M.A. and John Walsh, P.A., C.D.E. Copyright 1997 by Diabetes Services, Inc. Diabetes control is the place where two worlds collide--the world of the known and the world of the unknown. You know certain things affect your blood sugars--what you eat, how much insulin you take, when you take it, and the exercise you do. When you take charge of these areas, you often have good blood sugar readings. But sometimes, out of nowhere, your blood sugars lose their track and start running out of control. As far as you are aware, you're doing the same things as before. You run through your usual troubleshooting questions. But one question many people don't get to is, "Is it time to adjust my long-acting insulin?" Long-acting insulins, whether a dose or doses of L, UL, or NPH or the basal rate in the pump, are typically given to control the blood sugar when you are not eating. Fuel as glucose or fat is released into the blood stream around the clock to keep the body running. So a long-acting insulin or a basal insulin has to be in the blood stream around the clock to assist the movement of Continue reading >>

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  1. rdrandal

    Type-2 diabetes + Insulin Pump + Medicare

    About 14 years ago medication for my Type-2 diabetes could no longer control my blood-sugar levels so I began a regiment of insulin injection therapy. After several years I utilized an insulin pump for even better control. Everything was great until I retired and started Medicare. My mail-order pharmacy informed me this week that they would no longer offer my insulin if I used it in a pump. If I told them I used it only with injections they could continue to sell me the medication. WTF?
    Medicare has requested that I take a number of tests before they would allow me to purchase pump supplies even though I have my doctor's prescription for the supplies. Every test I've taken shows that my pancreas produces insulin. This is common for a Type-2 diabetic. Because my test results don't match Type-1 results Medicare refuses to pay for my pump supplies.
    Has anyone else experienced these issues with Medicare and if so…what can you do. I'd rather not go back to injections but it appears if I want any help from Medicare I'll be forced to. I always thought that good management of diabetes was important for a healthier life but apparently the government is more concerned about cost than maintaining good health in it's citizens.

  2. Type1Lou

    You only got part of the answer from your mail-order provider. Medicare does cover insulin used in a pump but it is covered under Medicare Part B. Insulin that is injected (not used in a pump) is covered under Medicare Part D (Prescriptions) I just became eligible for Medicare and researched this thoroughly since I use a pump. (Make sure your doctor's RX includes info that this insulin is used in a pump.) The good thing is that your pump's insulin costs will not be applied to any Part D "donut hole" amount. I would advise you to check the Medicare site that shows which providers are authorized to get you your insulin…there's a list of "approved Providers". Your pump manufacturer may be able to help you navigate through the Medicare approval process for a pump. I would arm myself with documentation showing any improvement in your diabetes control (A1c"s?) while using a pump if you have that. Perhaps your doctor can help provide that info? I am a Type 1 and I understand that they may need additional documentation from you as a Type 2. That might include a C-peptide test as well as your testing log book. It is FRUSTRATING to have to validate a treatment that you have been using to better manage your condition and maintain control. I just successfully battled with my Medicare Advantage provider about obtaining the pre-authorization for the test strips I use (also under Medicare Part B) since I test 8 times daily, more than is normally allowed under Medicare. I'm just about to get my pump supplies filled for the first time under Medicare and am keeping my fingers crossed that it will go smoothly. Wishing you well

  3. rdrandal

    Thank you for the information. It's important that individuals know their options when dealing with Medicare. I have Parts A, B and D but I wasn't aware costs could fall under Part-B. My AARP Part D provider suggested this particular mail-order pharmacy. Thank you again for the information. Everything helps when dealing with our government now

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Different Types Of Insulin: What To Use And When?

What’s the difference between the different types of insulin? Long-acting, short-acting, premixed, learn more about all three. You may have a lot of questions as you begin insulin therapy. What are the different types of insulin available? Which should I be using and when? Insulins differ based on 3 key factors: 1 how quickly they work when they peak how long they last (duration) This table compares these factors in the types of insulin available:2 Type Onset (How quickly it starts working) Onset (What it is most effective) Duration (How long it works) Timing of injection (When should it be given) Bolus insulins Rapid acting analogues Apidra/Humalog/NovoRapid 10-15 min 1-2 hours 3-5 hours Given with 1 or more meals per day. To be given 0-15 minutes before or after meals. Short-acting Humulin-R/Toronto 30 min 2-3 hours 6.5 hours Given with one or more meals per day. Should be injected 30-45 minutes before the start of the meal. Basal insulins Intermediate-acting Humulin-N/NPH 1-3 hours 5-8 hours Up to 18 hours Often started once daily at bedtime. May be given once or twice daily. Not given at any time specific to meals. Long-acting analogues Lantus Levemir 90 min Not applicable La Continue reading >>

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  1. Comment

    Need A New Insulin Pump? - Now May Be The Best Time www.medtronicdiabetes.com/Insulin-Pump/Act-Now Meet The Newest Addition To The MiniMed Family. Breakthrough Diabetes Technology

  2. Comment

    Type 2 diabetes, usually referred to as adult onset, is when your body produces insulin but can not use it properly. This type can be treated successfully with the right diet and exercise in most circumstances. Read here https://tr.im/WoLAv
    If blood sugars are not kept under control at some point insulin will probably be integrated / oral medications are also available. People with diabetes can live long, happy lives but must be diligent in their care and make sure you see your endocrinologist on a regular basis.

  3. Jaimee

    Because if insulin was taken by mouth, the stomach acid would destroy it before it had a chance to enter the bloodstream

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Insulin Types

Types of Insulin Insulin types are discussed in the table below. [1] Table 1. Insulin Types (Open Table in a new window) Insulin Type Onset Peak Duration Ultra short acting: insulin lispro, insulin aspart, insulin glulisine Usually taken before a meal to cover the blood glucose elevation from eating Used with longer-acting insulin 12-30 min 0.5-3 hr 3-5 hr Short acting: regular insulin Usually taken about 30 minutes before a meal to cover blood glucose elevation from eating Used with longer-acting insulin 30 min 2.5-5 hr 4-24 hr Intermediate acting: insulin NPH Covers the blood glucose elevations when rapid-acting insulins stop working Often combined with rapid- or short-acting insulin and usually taken twice a day 1-2 hr 4-12 hr 14-24 hr Long acting: insulin glargine, ultralente insulin, insulin detemir Often combined, when needed, with rapid- or short-acting insulin Lowers blood glucose levels when rapid-acting insulins stop working Taken once or twice a day 3-4 hr No defined peak ≥24 hr Continue reading >>

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Popular Questions

  1. msann

    expiration date on syringes

    hey guys, never thought about the expiration on my syringes i dont see one, how long should we use them, will have to ask my pharmist

  2. packrat2

    I have not seen a date on insulin syringe…have a box of 100 in my hands right now, no date…regards packrat2

  3. Jeannie Holmes

    When I went to my class on how to give myself the shot, the nurse gave me expired syringes. I think if they aren't open they must be ok. but why put a date on them at all??

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