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Insulin

Will a mixture of Humalog and NPH take longer to become effective than just Humalog alone?

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Recently, I read that insulin in use should be stored at room temperature, and pens should not be stored in the refrigerator (which I do). Could you recommend some guidelines with regard to storage of insulin, both in use and awaiting use?

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My daughter only has one shot of 6 units of NPH in the morning. This lasts her through supper, then at bedtime she is usually in the 200s mg/dl [11.1 mmol/L] and the same at 3 am. Even at those high numbers,her morning sugar is in the low 100s mg/dl [5.6 mmol/L]. Should she be having an injection to cover those two time frames when she is high or will she just end up going too low by morning?

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Could you please explain to me in detail how NPH works? I am especially interested in how the insulin molecule is released into the blood stream detaching itself from its binding to protamine. I have read that protamine may cause the immune system to make antibodies to the insulin. Is this the cause of the unpredictable peaks of NPH?

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I was surprised to hear my granddaughter is getting five to six insulin shots a day, rather than two. Her blood sugars are erratic, too. Is this normal?

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My 14 year old son was diagnosed with type 1, but had no GAD antibodies. Could he really have type 2? Does he need pills instead?

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Our four year old takes Humalog and NPH. Her blood sugars are elevated at lunch and dinner. Are we giving her too many carbohydrates? Is there a scale or ratio of insulin to grams of carbohydrates for each meal and snack?

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How does the newly approved Apidra compare to Humalog and NovoLog?

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My daughter takes NPH and Humalog. She eats well and exercises, but still has some high readings. What effects will these highs have? What other insulin therapy should we consider?

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I am using Novolin 70/30 insulin, and I am going to England for about six months. Can I get 70/30 insulin in England in any pharmacy? Do if they have another compatible insulin? What is the name of it?

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