Author Topic: Novolog to Humalog  (Read 743 times)

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Offline GrammaBear

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Novolog to Humalog
« on: 26 August 2018, 03:25:17 PM »
Sorry I don't know what you peeps call Humalog across the pond, but my insurance has dictated I switch from Novorapid (Novolog) to Humalog.  I'm wondering if Humalog also has a 'tail' as Novolog seems to do for me on occasion?  Of course the pharmacist says there is absolutely no difference between the two insulins, but the pharmacist is not diabetic.  Any comments are welcome.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

Online Pattidevans

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Re: Novolog to Humalog
« Reply #1 on: 26 August 2018, 05:37:19 PM »
Hi Kathy
I was on  it for a time when I was on MDI, I found it slightly slower than Novorapid (Novolog in the US - Humalog is the same name here).  I also thought it lasted a bit longer.   I did think that my lunchtime dose was giving me hypos about 4 hours later, but in fact that wasn't the case.  Even on a pump and on only 0.05u per hour I can still get hypos at that time of day.
See this link for the relative profiles of Novorapid and Humalog https://www.diabetes-support.org.uk/info/?page_id=408
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 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Liam

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Re: Novolog to Humalog
« Reply #2 on: 26 August 2018, 06:54:43 PM »
To be 100% honest, you'll only really know when you try it. Of course people can tell you how they reacted to it, but like most things diabetes wise, you'll need to try it for yourself and see.

Hopefully you'll get on well with it, since you don't seem to have a choice in the change?
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 GrammaBear

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Re: Novolog to Humalog
« Reply #3 on: 26 August 2018, 07:03:12 PM »
Thanks Patti and Liam.
Patti - I quite often seem to be prone to hypos later in the afternoon, no matter what I do to avoid them.  Lately I've taken to doing a temp basal of 0% (which the pump keeps reminding me that it is there) for 15-30 minutes.  Otherwise I have a hypo that just keeps on going down.  I've tried lots of things to avoid these afternoon hypos, it is a bit frustrating.

Liam - You're right, I will have to wait to see how the body and diabetes react.  I did use Humalog for a very short time whilst on MDI.  That was long before I came here and learned the the food I eat definitely affects my blood sugar numbers.  I guess I'm just scared that the hypos might be more persistent than with Novolog - have no reason to think so - just an unreasonable fear.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

Offline himtoo

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Re: Novolog to Humalog
« Reply #4 on: 27 August 2018, 09:14:55 AM »
sorry grammabear... never used it so no help there.......but i just want to comment on how irritated i get that decisions in usa and canada dont seem motivated by patient care but by money
( am assuming that your insurance company is  getting a cheaper deal )
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6) 04/18 46 (6.4)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
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laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Liam

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Re: Novolog to Humalog
« Reply #5 on: 27 August 2018, 01:46:59 PM »
I have to agree with you there Himtoo. The NHS isn't perfect but at least things like pump funding is meant to be based on need.
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 GrammaBear

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Re: Novolog to Humalog
« Reply #6 on: 27 August 2018, 05:01:48 PM »
sorry grammabear... never used it so no help there.......but i just want to comment on how irritated i get that decisions in usa and canada dont seem motivated by patient care but by money
( am assuming that your insurance company is  getting a cheaper deal )

himtoo - I'm quite certain that some 'stuffed shirt' sitting behind a big desk in a fancy office decided to save money by bidding for the cheapest contract on insulin.  Money is always the bottom line.  Just like we're promised a "cure" in the next 5 years (which oddly never comes).  Why should a cure be found when insulin manufacturers can charge $325 USD per vial and get away with it.  Earlier this Summer I ran out of insulin and begged the pharmacy to sell me one vial (I had a valid prescription on file).  But No, they would not do it because it wasn't an approved transaction - meaning it didn't go through insurance.  My supply of insulin is dictated by insurance and filling before the approved date is simply not allowed.  Am I angry?  Yes.  But I have no choice other than to move country.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

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Re: Novolog to Humalog
« Reply #7 on: 27 August 2018, 11:21:20 PM »
It's a terrible situation Kathy.  The Insulin in the US is sold at SUCH inflated prices compared to Europe.
I used to have access to the NHS cost prices but the site became subscription only and I can't afford to do it any more.  I know someone on here found a site which was free, but much harder to search.  Hopefully someone might let us know.  I might start another thread asking.  The cost was nothing like $325 per vial.
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 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Lucy

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Re: Novolog to Humalog
« Reply #8 on: 29 August 2018, 10:38:54 PM »
Is this what you're interested in Patti - UK prices to NHS for September are:

Novorapid
£14.08 for 10ml vial
£28.31 for box of 5 cartridges
£30.60 for box of 5 prefilled pens

Humalog
£16.61 for 10ml vial
£28.31 for box of 5 cartridges
£29.46 for box of 5 prefilled pens

Apidra
£16.00 for 10ml vial
£28.30 for box of 5 cartridges
£28.30 for box of 5 prefilled pens
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

Offline Lucy

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Re: Novolog to Humalog
« Reply #9 on: 29 August 2018, 10:41:03 PM »
Gramma i've only used humalog for a short time several years ago when there was an apidra manufacturing problem and apidra became unavailable. I switched to humalog and found that unlike apidra it had a bit of a kick in the tail at 4.5-5 hours and would dip my bg then. However i have never used novorapid so not sure if its similar to that or not.
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

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Re: Novolog to Humalog
« Reply #10 on: 29 August 2018, 11:12:53 PM »
Thanks for those costs Lucy.  May I ask where you found them?  Scandalous what they are charged in the US in comparison.
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 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Lucy

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Re: Novolog to Humalog
« Reply #11 on: 30 August 2018, 09:06:06 PM »
Hi Patti, i got them from the link in the other thread. I just used the index and looked under I for Insulin (not under H for Humalog where i looked first). Also i assumed that the costs are listed in pence but wasn't sure about that.
Type: Lucy.
Lantus and Apidra. Metformin XR, Propanolol

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Re: Novolog to Humalog
« Reply #12 on: 30 August 2018, 11:36:36 PM »
Thanks Lucy.
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 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline GrammaBear

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Re: Novolog to Humalog
« Reply #13 on: 18 December 2018, 04:56:54 PM »
A bit of an update on this post:  I have tried Humalog as dictated by insurance here, for over 3 months.  The results have been anything but stellar.  My blood glucose average went from 120 (6.6) to 150 (8.3) in the 3+ months since switching from Novolog to Humalog.

I saw my GP and took a download from my pump which verified my blood glucose readings for the same amount of time since switching.  My average daily carb count was about 120 and I guess there is room for improvement there.  Doctor suggested lowering carb count to 100 and see if that might help a bit.  I am also trying to view downloads from the Dexcom G5 sensor to see where else I can improve. 

My GP applied for a special waiver for me to switch back to Novolog and insurance denied it.  If I wanted to pay out of pocket for Novolog, it would cost me $3,798 USD for enough vials to last me 90 days.  Be glad for your NHS in spite of any issues you might have with it.  I am stuck with Humalog which clearly doesn't work as well for me.  For the first time since 2003, I am struggling to stay motivated to the point of giving up.

My GP saw how frustrated I am over these changes, so she suggested delaying doing an A1C test for another 3 months.  Maybe I can figure out something to turn around these numbers I am seeing on my blood meter and the downloads from the pump.
Type 1
Tandem Tslim pump Oct 2015
Dexcom G5 CGM Sep 2007
A1C 6.3% ~ Sep 2018

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Re: Novolog to Humalog
« Reply #14 on: 18 December 2018, 05:23:13 PM »
At first I thought how shocking it was that the insurance company can dictate what insulin you are on.  Then I sort of re-thought it and what is truly shocking is what the insulin manufacturers are charging for the insulin!  I did vaguely see some news that one of the US companies had slashed the price of something by 95% but ISTR it was an injection device and not insulin.  By rights the companies ought to be taken to court and ordered to price this life-saving medication at an affordable level.  I wonder what mileage there is in getting someone like Avaaz and 38 degrees to start petitions.  They seem to be very successful in other global issues.
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 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans