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Humulin R

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Q: I have Type 2 Diabetes and take Humulin N and R but only have N left?
I have run out of my Humulin R insulin but still have my N left. I won’t be able to get my R for a few days. I am prescribed to take both together twice a day. Is it ok to just take my N (long lasting one) only until I can get my R again? Is this safe? If anyone with Type 2 or deals with these insulins know and can lend some insight please let me know. Thanks

A: No, you cannot skip even part of your insulin.

Get some R now.

Q: What’s the difference in Humulin R and Humalog?
I just started on Lantus two days ago..My doctor mentioned Humalog to me but for now I’m still taking Regular a couple of times a day. My sugars are way too high. The doctor just increased my Lantus again today. Thanks..
Thank you. Does Humalog work better for most people?
Thank you all.

A: I have not used Regular insulin since Humalog became available years ago (Lantus is great but this is a basal or long acting insulin). Regular is variable in onset and duration and typically too slow in onset for proper prandial (post meal) gluocse control. Humalog and Novalog are the 1st truly rapid acting insulins – both of which are available in pen systems that are much preferred by all – and the use of Regular is no longer appropriate.

Q: Can I get Humulin N and Humulin R at a pharmacy in the Philippines?

A: I know that in the states you can at least get R insulin over the counter (Every state it seems except PA—Stupid commonwealth…) I would recommend finding a pharmacy or doctor over there and either calling, or emailing. You could probably find a hospital’s email contact pretty easily online. I’m betting that your question for Yahoo Answers is simply too specific to merit any good answers… Good Luck!

Q: can humulin r and lantis be mixed?
my sister in law wants to know if you can mix humulin r and lantis? i personally dont know about insulin but she called and told me to look it up on the internet. thanks

A: lantis should NOT be mixed with anything

Q: Insulins: Humulin 70/30 & Humulin R?
Can Humulin 70/30 sub cu. once a day adn Humulin R sub cu. by sliding scale q.i.d. be mixed together?

A: Humulin 70/30 is 70% Humulin N and 30% Humulin R. When I switched from a mixture of about 80% Lilly Ultralente and 20% Semilente once a day in 1993, my doctor put me on Humulin N and Humulin R in the morning and Humulin 70/30 in the evening. I’ve always been sliding scale, since 1955. My mom had three semesters of medical school, so she had the knowledge to adjust my insulin dosage. I started determining my dosage when I was 14. I stopped taking the Humulin R in the morning 2 or 3 years ago. I’ve always been sensitive to regular insulin, and my sensitivity has increased since I’ve been post-menopausal, although every now and then I still have indications of a monthly hormonal cycle. The phase of the moon effects me a lot more.

Q: is there a difference between INSULINS (short acting) Novolin R, Humulin R and insulin, regular?
Just curious if there is a difference and if so what is it?
im not taking insulin by the way. I am studying pharmacology for Rn school. The instructors have asked us to study insulin over the holidays and get ready to be tested in January. In our book it shows insulin short acting and insulin Reg with the name Novolin R and Humulin R. Just trying to differentiate.

A: Like Regular, Humalog and Novolog are used to cover meals and snacks. Most meals raise the blood sugar for only 2 to 3 hours afterwards. Once injected, Regular insulin takes 30 minutes to begin working, peaks between 2 and 4 hours and hangs on for 6 to 8 hours, long after the meal stopped raising the blood sugar. Humalog and Novolog, on the other hand, begin working in about 10 minutes, peaks at one to one and a half hours and are gone in about three and a half to four hours.

Many people who’ve tried these faster insulins report that their control is improved and that they feel better. The great advantage of fast insulins are that they match the “action time” for most meals. You can take them as you begin eating, rather than the 30 to 45 minutes prior to eating required of Regular. No longer do you need to accurately anticipate when you (or your young child with diabetes) will begin eating. In addition, Humalog and Novolog leave your body faster so you don’t have residual insulin causing low blood sugars in the late afternoon or, even worse, in the middle of the night.

For most meals, fast insulins will be lowering the blood sugar at the same time the food is raising it. The rise in the blood sugar seen in the couple of hours after eating is much lower, especially with Novolog, and by the end of three hours the blood sugar is often back to its starting point.

With Humalog or Novolog, you’re better equipped to prevent spiking blood sugar between meals, while avoiding the lows that result from the combined buildup of Regular and long-acting insulins. The new Lantus insulin is an excellent choice when using these fast insulins to cover meals. The clearly defined action times for the fast insulins makes it easier to correctly adjust meal doses.

Humalog and Novolog are also excellent insulins to use to lower high blood sugars. Their faster action means that less time is spent at high blood sugar levels, and there will be less residual insulin triggering low blood sugars later.

Humalog is produced by Lilly and was first released in the U.S. in 1996, while Novolog is made by Novo Nordisk and was released in 2001. Both insulins offer quicker action time than the original “short-acting” Regular insulin, which first became available in 1921. However, users also report significant differences in activity between each of the three insulins. Let’s first look at these differences.

Q: which is the best insulin Humulin R or Humulin 30/70?
I hear 30/70 last longer

A: it depends on what you are using it for

humulin r is only rapid acting insulin that is used for bolus and pumping, whereas the 30/70 is a mix that contains humulin r and a longer acting insulin.

also, it depends on your body, how it reacts to the insulin, so the best person to ask this question is an endocrinologist, a specialist in the endocrine system, which the pancreas belongs to, so most endocrinologists are experts in diabetes treatment.

Q: I need documentatio and the answer to at what temperature humulin n are r freeze at. ?
I have been keeping the vials in their box and putting in a fridge to go lunch sak next to an ice pack and some believe the insulin will freeze that what. I haven’t been able to find written documentation to say eactly what point the insulin freezes

A: insulin freezes at 32 degrees Farenheit, it should not go below 38 degrees.

Q: has anyone ever used Humulin R with insulin pump?
right now i use Novolog, but i am pretty much out of it and my insurance doesn’t kick back in until June 1st. ive talked to my doctor’s office and they said they can’t give me anything because i haven’t been to them in a year. so i just need something to get me through at least a week until my doctor’s appointment on the 3rd. till then my only option is the over the counter insulin. my perscription has also expiered, so i can’t even pay out of pocket……has anyone else ever switched to Humulin temporarily? i take 1.00 an hour of Novolog.
yes, VERY frustrating when they told me they couldn’t give me anything because i technically im not a patient of theirs anymore ..even though im on file!! and have an appoinment in less than a week!! when i was a patient, they had no problem giving me free stuff every now and then. i may not be their patient, but im STILL a diabetic!!the medical system is really messed up when it comes to people with chronic illnesses. i didn’t ask for diabetes!
thanks to everyone for the advice and understanding. but here is an update. i called my doctor one last time to tell them i had no choice but to go on Humulin R. they called back and said, “No, don’t get that stuff. come in and get some samples.” …. Was that so hard?!?! lol… he said to make sure i come in for my next appointment. (well, duh!i need a new prescription!) so im thanking God for coming through for me. but it shouldn’t have had to pull teeth to get something i need from my own doctor. anywho… for now, all is right with the world. =) thanks again!

A: yes you can. we have.

Damn, they wouldn’t give you one vial to carry you over to your appt, huh? Talk about the punishment not fitting the crime! I’ve heard of punishment by death but I thought we did away with that shortly after medieval times.

Q: Any Docs or Nurses know the answer to this insulin question?
It’s been a while since I’ve been back in the profession and going back. Obviously, one of these questions is wrong on this open book test. Anyone know and why your answer is right so I will be aware in the future?

Which is an incorrect order for insulin?

A. 5 units Humulin R subcutaneously now.
B. 10 units Humulin R subcutaneously every AM.
C. 30 units Humulin N subcutaneously every AM.
D. 60 units Humulin R subcutaneously now.
I think you’re right MS3. Your answer was my first impression and now that I recall, a sliding scale doesn’t even allow 60 units! If someone needed that much insulin they probably need to be on an IV drip cause their blood glucose would be well over 350 minimum. Its been 2 years since Ive been out of nursing and going back. It will all come back to me. Thanks for your help!

A: Many type 2’s take 60+ units at a time.

When I was pregnant I was taking over 300+ units a day.

So you see, it is not unheard of.

Q: difference between humulin n and novolin n?
my boyfriend has been a diabetic since seven years old. He has always used humulin n and r insulin injetctions up until the last month. He has had been changed to novolin n and r, and feels his body is not reacting in a positive way to the change. I need to know if there are any differences between the two insulins that can cause his body to react to any changes in the insulin.

A: My understanding is that they are essentially identical and that little to no changes should be required. Is there a reason he’s still on novolin as opposed to the newer insulins Humalog or Novolog? They are much faster-acting and effective than the older insulins. Much closer to how human insulin works. Have him ask his doc about it. It’s more expensive, but most insurances cover it well now.

Q: Type 2 diabetes – Humulin?
What is the advantage of combination Humulin 70/30 and Humulin R?What is the advantage of combination drug therapy for type 2 diabetes?

A: There really is no advantage to that particular combination.

If you are on insulin, it doesn’t matter if you are type 1 or type 2, mixed insulins are not the best way to go. They are an outdated treatment option.

Combinations of 2 insulins are necessary if you want good control and less complications, but you need to take them separately so YOU can control when you eat and how many carbs, instead of the insulin dictacting what and when you must eat.

Humilin 70/30 is a mixed insulin. It gives unpredictable results if you don’t eat the same thing at the same time every single day.

Also, if you happen to inject it without mixing it well enough, you can go high or low because you get too much of one and not enough of the other.

Look into Lantus and Levemir. Either one is a good basal insulin that will keep your background blood sugar down.

For meals, you need another insulin to deal with the carbs you ingest. This can be a fast insulin like Humulin R or Novorapid.

I use Lantus for background insulin, (basal), and at mealtimes I use Novorapid (bolus).

Since switching from a mixed insulin (NPH) and rapid insulin (Novorapid) , to a basal (Lantus) and rapid insulin (NovoRapid), I have far less episodes of hypoglycemia, and far fewer headaches.

My schedual is more flexible, and I can control what I eat, when and how much. I am no longer driven by extreme hunger, caused by too much insulin hitting my bloodstream at the wrong time.

I hope this information helps, good luck!

Q: what are some alternatives to mixing insulin?
What are some alternatives if a patient is unable to mix their morning insulin? (Type 1) Patient is taking Humulin N 15, Humulin R 5 in morning and Humulin N 7 in evening.

A: N is awful. Get a new doctor.

Seriously, there are so many better options. I did 16 years on N when there were no other options available. Now there are choices. A pump, Lantus, Levimir. Talk to the doctor, or get a new one.

Q: Why does Insulin make you gain weight?
I’m eating healthier and leaner now than I did last year before I went on insulin. Im on Lantus and Humulin R. I’ve gained 25 lbs and still climbing. Are there any insulins that don’t make you gain weight?

A: Insulin lowers glucose through several mechanisms. One is to stimulate the conversion of glucose into fat. This is why Type 1 diabetics typically lose weight before diagnosis – less insulin means less fat storage. This is also why type 2 is typically overweight. Their bodies are resistant to insulin, so the body produces more insulin. More insulin means more fat. I believe the new Levemir insulin causes less weight gain than the Lantus, but I have not seen anyone on it, so that’s all I can say. What I can say, is that Byetta has been shown to help lose weight, and it does not carry the risk of low sugar. it is still an injected drug, but weight gain is not an issue. Talk to the doc about it. He may be willing to put you on byetta (assuming your insurance will cover it of course – meds only help if you can afford them!)(also assuming you are type 2. if you are type 1, ask about the levemir)

Q: Why do I have to put air into the bottles when mixing insuline (Humilin-R and N)?
I have a 11 yr young Lab who is diagnosed as a diabetic. I could put this question on the dog ‘page’ but thought to have more input here?

I now have to give her mixed shots (Humulin-R and N) in the 70/30 rate, since neither the R nor the N by itself get her glucose down. Her levels keep between 350 and 500 for several weeks now so, according to the vet, giving mixed shots might do the trick. I have been reading up on how to draw ‘from clear to cloudy’ and how to do the ’steps’: put cloudy bottle on table, pull plunger down to let X units of air in seringe equal to amount of cloudy insulin needed without touching the insuling, push air into cloudy insulin bottle, do the same for the clear insuline, then turn clear insuline bottle upside down and pull out needed units and then take the needed units form the cloudy insuline.

My question is that I don’t really get why I have to inject air into the bottles first? What is the purpose of that?
I have to add that with the Humilin-R her glucose level drops from say 394 to 88 or even under and it doesn’t really work too long (done the glucose-curve several times), the Humilin-N keeps her level around 350 and up to a whopping 500, therefore we want to try the mixed shots. Not that it that makes any difference for the question, but maybe people have some general advice for me concerning using mixed insuline?

A: Injection of air into the insulin bottle in the amount of units that you are preparing to give helps to ensure that the right amount of insulin is then easily withdrawn without bubbles, as it creates air pressure in the vial when you tip it upside down to withdraw the insulin.

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