Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? Dazed and majorly confused. AP " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne Don't cry because it's over, smile because it happened!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 High level of insulin resistance. I am on 40 lantus bid and a sliding scale of HumAlog at each meal. 2 months ago my HbA1c was 14 last week it was 7.5. LNM - IDDM Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? Dazed and majorly confused. AP " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne Don't cry because it's over, smile because it happened!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 Louis, Mines not that bad. I was 10.7 when I had my HbAc1 about a month ago, but I'm on PO meds not insulin. go back in a month to have a recheck done. Wayne Subject: Re: IDDM To: Paramedicine , " Texas EMS L " <texasems-l > Date: Wednesday, July 16, 2008, 3:01 AM High level of insulin resistance. I am on 40 lantus bid and a sliding scale of HumAlog at each meal. 2 months ago my HbA1c was 14 last week it was 7.5. LNM - IDDM Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? Dazed and majorly confused. AP " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne Don't cry because it's over, smile because it happened!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 We've played the po game and I lost 4 toes on the left foot. I resisted insulin for a lot of dumb reasons. Now I love it. My GP feels that I may well be under a 7 by the end of summer and the need for humAlog will be and has already been reduced in under 3 months. Diabetes is a very " personal " disease and everyones different. I love the fact my GP does HbA1c in the office every visit and does the lab thing every 2 months just to assure accuracy. LNM Sent via BlackBerry by AT & T IDDM Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? Dazed and majorly confused. AP " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne Don't cry because it's over, smile because it happened!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 16, 2008 Report Share Posted July 16, 2008 Mine is 6.6 Wayne D wrote: Louis, Mines not that bad. I was 10.7 when I had my HbAc1 about a month ago, but I'm on PO meds not insulin. go back in a month to have a recheck done. Wayne Subject: Re: IDDM To: Paramedicine , " Texas EMS L " <texasems-l > Date: Wednesday, July 16, 2008, 3:01 AM High level of insulin resistance. I am on 40 lantus bid and a sliding scale of HumAlog at each meal. 2 months ago my HbA1c was 14 last week it was 7.5. LNM - IDDM Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? Dazed and majorly confused. AP " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne Don't cry because it's over, smile because it happened!!! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2008 Report Share Posted July 17, 2008 AP, Let me try to shed a little light on this for you.. Lantus is a long-acting insulin designed to keep steady levels of insulin in the body over the 24 hour period. It is thought to have no specific peak time. 70/30 insulin is a mix of regular insulin and NPH. Regular insulin is a fast acting insulin that peaks in a matter of a few hours, usually around 4 hours if I'm remember correctly. NPH is intermediate acting and peaks in about 8 hours. Now, knowing when these insulins peak tells us that 70/30 gives " jolts " of the hormone to maintain glucose levels after meals, snacks, etc. Lantus however, since it does not peak but instead maintains consistant levels, helps to control glucose levels constantly mimicking the body's natural insulin levels. As you can see by the responses, Lantus works well for many people. I have had a great many patients that have been able to reduce or even eliminate the amount of regular or NPH they are using because of Lantus. Also, the HgA1C test (hemoglobin A1C) the other name for which is glcosylated hemoglobin, tells us the average blood glucose level over a 3 month period. No more lying about those blood sugar levels! LOL. The goal for a diabetic patient is to keep the HgA1C below 7, if I am not mistaken. (I'm operating purely from memory here, guys, so please correct me if I am wrong.) Hope this helps more than confuses, Amber Anaya-, RN, EMT-P > > > Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? > > Dazed and majorly confused. > > AP > > > > > > > > > > " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne > Don't cry because it's over, smile because it happened!!! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2008 Report Share Posted July 17, 2008 You are right ADA wants HA1C at 7.0 aanaya453 wrote: AP, Let me try to shed a little light on this for you.. Lantus is a long-acting insulin designed to keep steady levels of insulin in the body over the 24 hour period. It is thought to have no specific peak time. 70/30 insulin is a mix of regular insulin and NPH. Regular insulin is a fast acting insulin that peaks in a matter of a few hours, usually around 4 hours if I'm remember correctly. NPH is intermediate acting and peaks in about 8 hours. Now, knowing when these insulins peak tells us that 70/30 gives " jolts " of the hormone to maintain glucose levels after meals, snacks, etc. Lantus however, since it does not peak but instead maintains consistant levels, helps to control glucose levels constantly mimicking the body's natural insulin levels. As you can see by the responses, Lantus works well for many people. I have had a great many patients that have been able to reduce or even eliminate the amount of regular or NPH they are using because of Lantus. Also, the HgA1C test (hemoglobin A1C) the other name for which is glcosylated hemoglobin, tells us the average blood glucose level over a 3 month period. No more lying about those blood sugar levels! LOL. The goal for a diabetic patient is to keep the HgA1C below 7, if I am not mistaken. (I'm operating purely from memory here, guys, so please correct me if I am wrong.) Hope this helps more than confuses, Amber Anaya-, RN, EMT-P > > > Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? > > Dazed and majorly confused. > > AP > > > > > > > > > > " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne > Don't cry because it's over, smile because it happened!!! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 17, 2008 Report Share Posted July 17, 2008 You might try looking into the new diabetic injectable made from the venom of the gila monster. It is called Biata. Cool stuff. FieldMedic Austin, Texas Be Warned, my opinions are my own. They do not express the views, protocols, agendas or concerns of those for whom I work with or support. Once again, the words contained herein are strictly of my own opinions. " There is no darkness like that of IGNORANCE " Re: Re: IDDM You are right ADA wants HA1C at 7.0 aanaya453 <aanaya453 (AT) yahoo (DOT) com> wrote: AP, Let me try to shed a little light on this for you.. Lantus is a long-acting insulin designed to keep steady levels of insulin in the body over the 24 hour period. It is thought to have no specific peak time. 70/30 insulin is a mix of regular insulin and NPH. Regular insulin is a fast acting insulin that peaks in a matter of a few hours, usually around 4 hours if I'm remember correctly. NPH is intermediate acting and peaks in about 8 hours. Now, knowing when these insulins peak tells us that 70/30 gives " jolts " of the hormone to maintain glucose levels after meals, snacks, etc. Lantus however, since it does not peak but instead maintains consistant levels, helps to control glucose levels constantly mimicking the body's natural insulin levels. As you can see by the responses, Lantus works well for many people. I have had a great many patients that have been able to reduce or even eliminate the amount of regular or NPH they are using because of Lantus. Also, the HgA1C test (hemoglobin A1C) the other name for which is glcosylated hemoglobin, tells us the average blood glucose level over a 3 month period. No more lying about those blood sugar levels! LOL. The goal for a diabetic patient is to keep the HgA1C below 7, if I am not mistaken. (I'm operating purely from memory here, guys, so please correct me if I am wrong.) Hope this helps more than confuses, Amber Anaya-, RN, EMT-P > > > Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this??? > > Dazed and majorly confused. > > AP > > > > > > > > > > " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne > Don't cry because it's over, smile because it happened!!! > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2008 Report Share Posted July 18, 2008 I think the drug you are referring to is called Byetta. I don't believe it is recommend for insulin dependant diabetics yet. W. Vondran EMT-P To: texasems-l@...: fieldmedics@...: Thu, 17 Jul 2008 20:57:05 -0700Subject: Re: Re: IDDM You might try looking into the new diabetic injectable made from the venom of the gila monster. It is called Biata. Cool stuff. FieldMedicAustin, TexasBe Warned, my opinions are my own. They do not express the views, protocols, agendas or concerns of those for whom I work with or support. Once again, the words contained herein are strictly of my own opinions. " There is no darkness like that of IGNORANCE " Re: Re: IDDMYou are right ADA wants HA1C at 7.0 aanaya453 <aanaya453 (AT) yahoo (DOT) com> wrote: AP,Let me try to shed a little light on this for you..Lantus is a long-acting insulin designed to keep steady levels of insulin in the body over the 24 hour period. It is thought to have no specific peak time. 70/30 insulin is a mix of regular insulin and NPH. Regular insulin is a fast acting insulin that peaks in a matter of a few hours, usually around 4 hours if I'm remember correctly. NPH is intermediate acting and peaks in about 8 hours. Now, knowing when these insulins peak tells us that 70/30 gives " jolts " of the hormone to maintain glucose levels after meals, snacks, etc. Lantus however, since it does not peak but instead maintains consistant levels, helps to control glucose levels constantly mimicking the body's natural insulin levels. As you can see by the responses, Lantus works well for many people. I have had a great many patients that have been able to reduce or even eliminate the amount of regular or NPH they are using because of Lantus. Also, the HgA1C test (hemoglobin A1C) the other name for which is glcosylated hemoglobin, tells us the average blood glucose level over a 3 month period. No more lying about those blood sugar levels! LOL. The goal for a diabetic patient is to keep the HgA1C below 7, if I am not mistaken. (I'm operating purely from memory here, guys, so please correct me if I am wrong.)Hope this helps more than confuses,Amber Anaya-, RN, EMT-P>> > Ok ya'll help me out. I've never heard of giving a patient that is IDDM both 70/30 and Lantus. The 70/30 is given three times a day at 8 units and then the Lantus is QHS at 15 units. Can someone please enlighten me on the process of this???> > Dazed and majorly confused.> > AP> > > > > > > > > > " Good friendships are fragile things and require as much care as any other fragile and precious thing. " Randolph Bourne > Don't cry because it's over, smile because it happened!!!> > > > > [Non-text portions of this message have been removed]> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2008 Report Share Posted July 18, 2008 Hmmm do what?-- Gila monster---- so that is where they get BYETTA from?----- Wow Dawn **************Get fantasy football with free live scoring. Sign up for FanHouse Fantasy Football today. (http://www.fanhouse.com/fantasyaffair?ncid=aolspr00050000000020) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2008 Report Share Posted July 18, 2008 Amber, Thanks, but that is where my questions come in. Why give the 70/30 at 6am 12am and 4pm? Then you add the Lantus in at 8pm. I mean you aren't allowing for the 70/30 to work before you go pouring more into the mix. Your biggest gap in the day is between 6 and 12, you have almost let the insulin runs its course. But then to add more fuel to the fire the pt is getting a TID snack. It just doesn't add up in my simple mind, that's why I came here to the greater ones. TIGF!!!! AP > > > > > > Ok ya'll help me out. I've never heard of giving a patient that is > IDDM both 70/30 and Lantus. The 70/30 is given three times a day at > 8 units and then the Lantus is QHS at 15 units. Can someone please > enlighten me on the process of this??? > > > > Dazed and majorly confused. > > > > AP > > > > > > > > > > > > > > > > > > > > " Good friendships are fragile things and require as much care as > any other fragile and precious thing. " Randolph Bourne > > Don't cry because it's over, smile because it happened!!! > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2008 Report Share Posted July 18, 2008 Lantus is usually given at bedtime. It works so slowly that giving a patient 24 units of Lantus would be like giving 1 unit per hour for 24 hours, but it is really more complicated than that even. Lantus doesn't peak like the others does, so it acts like a buffer thru the day. The 70/30 still does the grunt work of bringing down the sugar levels while the Lantus kind of of works to help the 70/30 work better. Taking 10 units of Lantus won't have the same effect as taking 10 units of 70/30. That is why the Lantus is not given dependant on meals or snacks. I guess in a way you could say Lantus is like some controlled release medications. As long as you take the same amount at the same time each day you will always have a certain amount of the drug in your system. Your not really adding more into the mix per say you are just keeping the mix level. Vondran EMT-P To: texasems-l@...: rookie_sis@...: Fri, 18 Jul 2008 15:41:12 +0000Subject: Re: IDDM Amber,Thanks, but that is where my questions come in. Why give the 70/30 at 6am 12am and 4pm? Then you add the Lantus in at 8pm. I mean you aren't allowing for the 70/30 to work before you go pouring more into the mix. Your biggest gap in the day is between 6 and 12, you have almost let the insulin runs its course. But then to add more fuel to the fire the pt is getting a TID snack. It just doesn't add up in my simple mind, that's why I came here to the greater ones.TIGF!!!!AP> >> > > > Ok ya'll help me out. I've never heard of giving a patient that is > IDDM both 70/30 and Lantus. The 70/30 is given three times a day at > 8 units and then the Lantus is QHS at 15 units. Can someone please > enlighten me on the process of this???> > > > Dazed and majorly confused.> > > > AP> > > > > > > > > > > > > > > > > > > > " Good friendships are fragile things and require as much care as > any other fragile and precious thing. " Randolph Bourne > > Don't cry because it's over, smile because it happened!!!> > > > > > > > > > [Non-text portions of this message have been removed]> >> _________________________________________________________________ Keep your kids safer online with Windows Live Family Safety. http://www.windowslive.com/family_safety/overview.html?ocid=TXT_TAGLM_WL_family_\ safety_072008 Quote Link to comment Share on other sites More sharing options...
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