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Insulin Analogs

My sister-in-law takes Lantus and Humalog. If she has a normal blood sugar and doesn’t eat breakfast, should she still take Humalog in the morning?

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Our doctor recommended a dinner time mix of Humalog and Lantus. I am confused, because I read that Lantus cannot be mixed.

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My mail order pharmacy has said my insurance will no longer cover Humalog for my daughter. What can we expect if she switches to NovoLog?

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My teen has started taking one shot of Levemir in the morning. His morning numbers are high. Does he need two daily injections? Does Levemir last as long as Lantus?

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To prevent morning lows, I have to ensure that my son’s 2 a.m. blood sugar is elevated. Also, activity causes him to be low later. Is this normal?

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For about a month, my daughter has been having elevated morning blood sugars. We increased her Levemir by two units two days ago and have seen no major difference. How do we ensure she is closer to 100 mg/dl [5.6 mmol/L] in the morning?

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My teen daughter has been pumping Humalog for five years. She has developed lipoatrophy at injection sites in several areas. She does rotate sites. What do you advise?

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I know someone with type 1 diabetes who takes Humalog and NPH, in the morning, Humalog at dinner and NPH before bed. He seems to have more mood swings using the Humalog. Is this type of insulin causing these mood swings? Why use this instead of Regular insulin?

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I read that Lantus cannot be mixed with Humalog or Regular. Does this mean that the Lantus and Humalog or Regular must be injected in two separate shots? Does it mean that the longevity of Lantus permits people with diabetes to take only one shot per day without any other insulin?

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How long does it take Humalog (or any other insulin) to go “bad” when exposed to heat? How many repeated exposures to extremes, say a pen being brought into a hot car and then cooled by the air conditioning, can the insulin handle?

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