If you manage your diabetes with one of the intermediate acting insulins, its variability from day to day might alarm you. Maybe you aren’t mixing it well enough.
This type of insulin takes one to three hours to start working and lasts for 12 to 16 hours. Its generic name is NPH; Novo Nordisk sells it as Novolin N and Lilly as Humulin N. NPH is also available premixed with short acting insulin.
But NPH insulin is itself a mixture, and that’s the problem. Its cloudy part is rich in insulin crystals while its clear part isn’t. Before you inject it, you have to mix these parts.
An insulin pen is a convenient way to inject NPH, and a typical recommendation is to “roll and gently shake 10 times” every time you use it. A study just published online ahead of print in the professional journal Diabetes Care shows that this isn’t good enough.
Only the abstract of his study by eight researchers at Italy’s Perugia...
When & Where: A recent night out spent with good friends at a crowded bar with great pizza and excellent Chianti.
I test, I bolus, and indulge in pizza, the likes of which will shake my taste buds to their very core- not to mention my blood sugars. The two slices I devour are thicker than I’m comfortable with, but it’s a special occasion and I’m going to enjoy every aspect of it.
An hour goes by and the pizza’s long gone. I excuse myself, grab my bag, and go to the bathroom. I wash my hands carefully - like a Dr. prepping for surgery - removing any remnants of the pizza’s DNA. I take out a new lance ( a rarity in itself ) and test - 230. Not terrible. Not great, but according to my pump, no correction bolus needed. I can live with 230 for now - but can my friends?
I slink back into the dining room and take my seat at the table filled with friends - all type 3’s. I smile and join in the simultaneous conver...
You see my photo to the left there? See that little yellow label with the word "Expert" written across it? It makes me a tad uncomfortable. Sure, I know all the lingo and jargon associated with diabetes and how the body works. I've read a lot about diabetes and keep up with the latest research and diabetes blogs.
But that doesn't make me an expert. Nor does it help me with that "vacation" from diabetes I want. Sure, I'm vigilant. But what makes me an expert is the same thing that makes you an expert on your body and your health:
I live with diabetes. Every. Day. For the last 21 years.
I'm just a person who has diabetes and wishes she didn't. But I can't wish diabetes away any more than I can wish away my student-loan debt or the twenty pounds I'd like to lose.
And while it's not a life I would've ever chosen for myself, the best life-changing realizations have sprung from this most unlikely of sources. In honor of the upcoming World Diabetes Day, here is the first of my three best t...
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