Reprinted with permission from Amy Tenderich of www.diabetesmine.com . Another larger-than-life Diabetes Marketing War , this time without the romantic names: I wrote a post introducing the first-ever competitor to Sanofi-Aventis' long-acting insulin, Lantus. The new product is called Levemir , from Novo Nordisk. What I missed more recently was that things turned ugly back in March. Sanofi filed suit against Novo Nordisk in a New Jersey U.S. District Court claiming that Novo was falsely promoting their drug as effective for 24 hours, which Sanofi claims is not true. The case was dropped on June 23 for lack of evidence, so Novo can go on making its long-lasting efficacy claim. Who's right here? Who knows? Novo's studies do seem to confirm its other two points of differentiation: that Levemir is well-absorbed by patients and causes less weight gain. Meanwhile a report released at the recent ADA Conference shows that a once-a-day dose of Lantus and Levemir have similar effects ...
Insulin nomenclature is clearly confusing. Among other reasons:
The same product may have several different names; the names may be different in the U.S. compared to other countries; the same product may be made by several manufacturers and given differing names.
The product may be from different sources (previously all insulin came from animal pancreases: beef, pork, or mixed beef/pork; but now-a-days, insulins usually are semisynthetic human).
Insulins are classified by duration of action, as being rapid, intermediate, and prolonged.
Several manufacturers may also mix two insulin products into the same vial, producing mixtures of 70% one and 30% another, or 50/50. To make it worse, what the US calls 70/30 would be called 30/70 in Europe! And in the US, 70/30, 75/25, and 50/50 are the usual mixtures, but in Europe there will be others such as 80/20 (oops, 20/80).
Some of the "big players" in the insulin arena are described below. I give the U.S. brand name first, then common na...
Isn’t it funny when a mistake leads you to discover something beneficial? I had this happen to me last week and thought I’d share, so other can benefit from my “mistake”. (Note: My doctor has given me the green light to make these changes to my dosing without his consultation. Please check with your doctor before changing the timing or dosing of your insulin.)
Typically I give myself two injections of Lantus daily: one at bedtime (usually around 10:00 p.m.) and another with breakfast (between 6:30 and 7:00 a.m.) One morning, I realized I forgot my morning Lantus dose and ended up giving it to myself at 10:30 a.m. Later that day, I noticed the Dexcom didn’t show the gradual rise of my blood sugar in the late afternoon to early evening period that I was getting used to seeing. Maybe the timing of the Lantus dose had something to do with it?
I decided to test the theory and try giving the second daily do...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.