Re: 72/25 insulin?
- From: "Julie Bove" <juliebove@xxxxxxxxxxxx>
- Date: Thu, 21 Oct 2010 12:38:01 -0700
"Charles Coughran" <ccoughran@xxxxxxxxxxxxxxxxxxxxxxxxx> wrote in message
"Julie Bove" <juliebove@xxxxxxxxxxxx> wrote in
Does anyone here use this? Is it a mix of two insulins? My
Dr. is telling me to stay with the 88 units of Lantus nightly
but discontinue that in the morning and take this 72/25 stuff
instead. He has prescribed pens. I have to go pick them up.
50 units of this stuff in the morning. And of course I am
still using Novolog on a sliding scale.
Does anyone else use this many kinds of insulins? I feel like
a freak! :(
Don't freak out, while 2 insulin regimens are much more common 3
insulin regimens are no longer rare. They are, however, more
complex since you are blending 3 insulin activity curves rather
than 2. While there is not enough information above to really
understand your situation and comment in detail, I can provide a
couple general comments.
I suspect a typo and that you have been prescribed 75/25
lispro protamine(humalog nph)/lispro(humalog). An insulin activity
chart which includes 75/25 humalog mix can be found at:
Remember that these are averages and the sometimes wide range of
activity is probably a 95% confidence level and that means 5% of us
will be outside the ranges.
Lispro protamine is an intermediate duration insulin and lispro is
a fast acting insulin like aspart (novolog).
You should call your doctor and get a clarification and make sure
you understand your regimen fully. This includes understanding
which insulins are supposed to be addressing which facets of your
insulin requirement. Some insulin regimens attempt to fully
separate the basal from the bolus requirements. Some blend the two
since both can vary in a circadian rhythm .
I am at a total loss to see why your doctor would be combining
lispro and aspart which would put the number of insulins to 4 since
there is a 70/30 aspart mix which has a very similar activity.
That's pretty much what the pharmacist said. I'm leaving soon to see him
and I'll ask.
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