Author Topic: Victoza and insultard  (Read 712 times)

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Offline pms543

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Victoza and insultard
« on: 26 April 2017, 03:04:55 PM »
Having seen my diabetic nurse yesterday  she wanted me to go on different insulin because she felt that the insultard is not working . I persuaded her to leave it for three months while I really try on this low carbohydrate diet and she agreed but wanted me to up the dosage of victoza from 0.6 to 1.2mls


I did this yesterday and tested an hour later to find my bag went up to 17!!


Today I took my injections after breakfast about 8:30am and bg had slowly  risen from 13 before lunch to 18.3 just now 😱  They weren't going to this high before I increased the victoza
Bear in mind I am not eating much carbs and insultard is 36units so can anyone throw any light before I throw the towel!!
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline Venomous

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Re: Victoza and insultard
« Reply #1 on: 26 April 2017, 03:15:03 PM »
Is the insulin not getting in somehow? Do you change the needle each time? If not change the needle before your next shot.

Is the insulin in date? Has it got too warm at some point? Maybe use an entirely new pen.

Same issues with the victoza too.

Perhaps you are getting an infection or inflammation of some sort?
T2 and PCOS. Just had large serous adenofibroma removed with ovary and fallopian tube. Bp is now normal!

Novorapid, levemir, trulicity, metformin.

Offline nytquill17

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Re: Victoza and insultard
« Reply #2 on: 26 April 2017, 03:27:11 PM »
2 things:

1) What did you eat so far today, in what portions? It's very easy to take in more carbs than you thought you did.
2) I find that it often takes me a few days of reducing carbs for my system to settle down, especially if I've been eating high carb for a while. Everyone is different, but for me personally it wouldn't surprise me at all to not see any noticeable results the first day or even the first week of low-carbing.
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
  ~-~-~-~
"There is no answer; seek it lovingly."

Offline pms543

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Re: Victoza and insultard
« Reply #3 on: 26 April 2017, 03:50:54 PM »
Ok thanks both

I use brand new needles each time

I Inject in different areas not on the same site each time

 Both are in date and kept in a place that's not too warm or too cold

 I do feel rough today and could be the start of some infection/type thing

Today so far I have eaten 120 g of full fat Greek yoghurt with 50 g of stewed rhubarb lunch was home-made cauliflower soup with one oopsy bread and that's it besides the 2 cups of tea with semiskimmed milk
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline Venomous

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Re: Victoza and insultard
« Reply #4 on: 26 April 2017, 04:51:43 PM »
Did you put sugar in with the stewed rhubarb maybe?
T2 and PCOS. Just had large serous adenofibroma removed with ovary and fallopian tube. Bp is now normal!

Novorapid, levemir, trulicity, metformin.

Offline pms543

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Re: Victoza and insultard
« Reply #5 on: 26 April 2017, 05:04:01 PM »
Did you put sugar in with the stewed rhubarb maybe?

No sugar but a dash of total sweet ( xylitol)
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline Pattidevans

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  • It's ONLY Diabetes. It could be something worse!
Re: Victoza and insultard
« Reply #6 on: 26 April 2017, 06:55:16 PM »
Hi Pms

Have they increased your steroids at all.  It would be ever so helpful if you put a full and up to date list of your meds in your sig.

How long has your Insulatard been out of the fridge and could it have been stored somewhere warm e.g. perhaps left in your handbag in a place where the sun was shining through the window onto it.  I used to think that it was a rare occurrence for insulin to go off, but in actual fact it does happen a fair bit.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline pms543

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Re: Victoza and insultard
« Reply #7 on: 26 April 2017, 07:57:20 PM »
Hi Pms

Have they increased your steroids at all.  It would be ever so helpful if you put a full and up to date list of your meds in your sig.

How long has your Insulatard been out of the fridge and could it have been stored somewhere warm e.g. perhaps left in your handbag in a place where the sun was shining through the window onto it.  I used to think that it was a rare occurrence for insulin to go off, but in actual fact it does happen a fair bit.
Thanks Patti, done
My steroids remain at 30mg per day and have done for a few months

I don't keep any of the injections in fridge and never have or advised to ? I need to find out! EDITED TO ADD: Its fine to keep stored at room temp according to Diabetes UK
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline Liam

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Re: Victoza and insultard
« Reply #8 on: 26 April 2017, 08:02:24 PM »
They are meant to be stored in the fridge before use Pms. Once in use they can be stored at room temp (not above 30 but that is rare in the UK anyway) for up to a month.

I must admit I was wondering if your pancreas was maybe giving up the ghost. They say Victoza works by slowing stomach emptying, lowering liver output and 'helps the pancreas produce more insulin when your blood sugar levels are high'. I was thinking maybe it was unable to do this now and that is maybe why you are seeing such high numbers.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline pms543

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Re: Victoza and insultard
« Reply #9 on: 26 April 2017, 08:05:01 PM »
Thanks Liam

I do keep at rom temp the one am currently using and the other virals in fridge. phew

Gosh, I hope not but who kinows!!

Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline pms543

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Re: Victoza and insultard
« Reply #10 on: 26 April 2017, 08:17:37 PM »
Thing that's really annoying me is that am only on the insultard because of the pred !
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline Pattidevans

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Re: Victoza and insultard
« Reply #11 on: 26 April 2017, 08:48:34 PM »
Quote
the other virals in fridge. phew

I hope you mean vials not virals  :o

Seriously.... The insulin should be kept in the fridge (and I presume your insulatard is in a pen not a vial) until first use and then it can be out for up to 30 days.  I always tried to keep my pens cool even if out of the fridge and same with my pump.  I recall another member on Victoza saying something about it having to be kept under a certain temperature which was quite low.  Have you read the patient information leaflet? 

From the Patient Info leaflet https://www.medicines.org.uk/emc/PIL.22118.latest.pdf :

Quote
How to store Victoza®
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the pen label and carton after ‘EXP’.
The expiry date refers to the last day of that month.
Before opening: Store in a refrigerator (2 ̊C - 8 ̊C). Do not freeze. Keep away from the freezer compartment.
During use: You can keep the pen for 1 month when stored at a temperature below 30̊C or in a refrigerator (2 ̊C - 8 ̊C), away from the freezer compartment. Do not freeze. When you are not using the pen, keep the pen cap on in order to protect from light.

FWIW it never occurred to me at first that insulin needs protecting from the light too, or it will degrade.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline pms543

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Re: Victoza and insultard
« Reply #12 on: 26 April 2017, 08:58:53 PM »
Thanks Patti Yes I do kep unopened ones in fridge! The current ones are in a zipped wallet thing so def not in daylight etc and I do not go over 30 days anyhow before a new one4 is needed
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7

Offline Lucy

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Re: Victoza and insultard
« Reply #13 on: 26 April 2017, 10:32:03 PM »
With the victoza i was told that 0.6 is a lower dose for getting used to it and 1.2 is the normal dose. I take 1.2. I wouldnt think it was the victoza that caused bg to rise
Type: Lucy. A1C 44 / 6.0% Jan17.
Lantus, Victoza and Apidra. Metformin XR, Bisoprolol (for SVT). Dexcom G4 with xdrip and nightscout.

Offline pms543

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Re: Victoza and insultard
« Reply #14 on: 27 April 2017, 07:39:46 AM »
With the victoza i was told that 0.6 is a lower dose for getting used to it and 1.2 is the normal dose. I take 1.2. I wouldnt think it was the victoza that caused bg to rise
so not sure Lucy, have always been on 0.6 this past year or more.,

Got up too early today and decided to monitor bg a lot closer, bg was 8.6@ 4.50am, an hour later & one cup of tea ( no sugar ) 9.3
Before brekky 7.00am - 9.7, bfast was a poached egg and half an avocado with a dash of paprika + cup of perculated coffee and dash of fresh cream 25 mins later 10.3

What the heck? and this i9s before any medications...

If this continues I need to ring DSN - am just venting here...I know you listen, thanks
Poppet x

I have Coeliac disease.

Diagnosed Type 2 16/08/2010

OCT 2013 2 X 500g Glucosaphage

Current slow release Metformin 2000g

Victoza 1.2 daily

36 Units Insultard

30mg Prednisalone

2 x 500mg Calcichew D3 Forte

30mg Amitriptyline


16/11/2010 1st HbA1c 8.5, HDL 1.1, LDL 2.7, Trigs 1.6 
17/02/2015 HbA1c 108mmol, HDL 1.5, LDL 4.3, Trigs 2.7 Total Chol 4.7

25/04/2017 HbA1c  84mmol,Chol 7.7