Gastroparesis and Apidra

Levemir and ApidraI first started using Apidra in the spring of 2008. I saw people talking about it on a message board and wanted to try it. I had some concerns that it would be too fast for me with gastroparesis and my PCP had those same concerns. He didn’t have any patients using it, but one of the nurses in his practice was diabetic and used it. He said that she really liked it. Fortunately for me, even though he had concerns, he was willing to let me try it. He gave me one of the “OptiStick” pens but did not give me a script to get refills. When I asked to try Levemir, he had given me the pen plus a script to get more. I am guessing he didn’t think the Apidra would work!

I love Apidra – I believe that it is currently the best insulin on the market to manage gastroparesis with.

As far as Apidra being super fast, that is not my experience with it. This chart on WebMD comparing insulin has the onset for Apidra at 20-30 minutes. It has the onset for Humalog at 15-30 minutes and Novolog at 10-20 minutes. According to that chart, Apidra is actually the slowest of the three fast acting insulins. For me, it takes about 20 minutes to kick in. In talking to other people, 20 minutes seems to be a common kick-in time.

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Keep Calm and Shoot Up

For Day 9 of the Wego Health Writer’s Challenge, the topic is “Keep calm and carry on. Write (and create) your own Keep Calm and Carry On poster. Can you make it about your condition? Then go to ( and actually make an image to post to your blog.”

Blood sugar 367When I thought about keeping calm and relating it to diabetes, I thought about high blood sugar.  Of course, the timing worked out pretty good with having Easter dinner last night and waking up  high this morning.  And no, I didn’t even have any Easter candy!

Although this morning’s high was caused by a big dinner with stuff I don’t normally eat every day, as most diabetics know, not all highs are caused by food.  Stress can cause high blood sugar.  Being ill can cause high blood sugar – I think sometimes our blood sugar tries to warn us something is wrong before we even realize it.  Even just crawling out of bed in the morning can cause your blood sugar to go up if you have something called dawn phenomenon.  Cold weather can cause you blood sugar to go up.  There is literally a long list of things that can cause your blood sugar to go up.

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Apidra Shortage

Apidra pens and vialsI first wrote about the Apidra SoloSTAR shortage back in September. Originally, Sanofi Aventis said that the pens would be available the first quarter of this year.  On March 2nd, I wrote about drug shortages and stated that it was coming up on the end of the first quarter and there was no update as to what was going on with the Apidra pens.

I keep getting a lot of searches related to the Apidra pen shortage so yesterday I looked to see if there was any new information out there.  Sanofi did change their statement to state that they now expect to achieve normal supply levels by the second quarter of 2012:

Important pen information: Update on the temporary shortage of the
Apidra® SoloSTAR® (insulin glulisine [rDNA origin] injection) pen

This update provides the latest estimated timing for the reintroduction of Apidra® SoloSTAR® pens in the United States.

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Unofficial Basal Testing, Sort Of

I have been having some whacky blood sugars this week – going a little low after breakfast and then up over 200 around lunch time. I wasn’t sure if the lows after breakfast were from needing to adjust my breakfast Apidra or the highs were rebounds or needing more Levemir. The sure-fire way to figure things out is to do some basal testing, but … Normally I don’t mind doing some basal testing when I need to but … it is cold out and I have been freezing. When I don’t eat, I get even colder.  I know, excuses, excuses.  There was no way I was going to give up coffee and tea to do basal testing. I would surely freeze to death!

I have been working on a little project this week and Wednesday and Thursday nights, stayed up very late – which is not normal for me. Actually Wednesday night, I didn’t go to bed until about 5:30 AM Thursday morning. When I got upstairs and looked at the clock, I cringed when I realized that my alarm would be going off in about 1 ½ hours to take my Levemir.

Then I got the bright idea that I would take my Levemir early so I wouldn’t have to hear the alarm at 7. I have been having some problems with DP and my Levemir starts wearing off before the 8 hours is off. I tested my blood sugar before going upstairs and I was around 120 so taking the Levemir early should not be a problem.

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Pens or Vials?

Pens and vialsA month or so ago, a friend of mine was talking about her insurance changing what their preferred insulin was. She mentioned using vials. I already knew that she used vials but something in the way she said it made me ask why? She is someone that uses small doses of insulin on a daily basis.

I know that some people prefer to use syringes because of being able to get smaller doses than you can with a pen. However, using a syringe is no excuse for continuing to use a vial because you can stick the syringe into the pen and dose just like you would with that vial. Some people also use the regular pen needles but pull out the remaining insulin with a syringe when the pens says it is empty but you can see insulin in there.

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Don’t Even “Think” About Having Pizza!

Police CarLast week was just a tad stressful. I wrote about my stalker making another appearance. I called the police on Wednesday to let them know I had another problem with him. The police officer that I was working with wanted to come by Friday morning. I also had another problem pop up on Thursday that I wasn’t expecting. I want to wait until that gets settled before writing about it online. Needless to say, I didn’t get much sleep Thursday night and wanted to get up early Friday morning so I could get my shower before he got there.

PizzaBy the time dinner rolled around on Friday, I was exhausted. I thought that this would be a good night to order some pizza. Then I thought because I was so tired, I really didn’t want to have to baby-sit blood sugar all night because of eating pizza. This little debate went on for probably about 45 minutes in my head until I finally decided against it. I really just wanted to go to sleep.

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