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Humulin N

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Q: Can I get Humulin N and Humulin R at a pharmacy in the Philippines?

A: I know that in the states you can at least get R insulin over the counter (Every state it seems except PA—Stupid commonwealth…) I would recommend finding a pharmacy or doctor over there and either calling, or emailing. You could probably find a hospital’s email contact pretty easily online. I’m betting that your question for Yahoo Answers is simply too specific to merit any good answers… Good Luck!

Q: Humilag and Humulin N: are they similar?
My fiance has Type 1 Diabetes and has just run out of Humalog. My father is also Diabetic and had a brand new bottle of Humulin N and offered to give it to my fiance (since my father has health care and my fiance does not). My question is can he use Humulin N eventhough he usually uses Humalog? Why or why not? And if you can provide any websites, that would be great.
Also, his usual dose of Humalog is 6 to 7 units. How much more or less of Humulin would he have to take?

A: OK, Your type 1 diabetic fiance should know this unless he is just recently diagnosed. Humalog is a rapid acting insulin and Humulin N is NPH is a long/intermediate acting insulin. NPH lasts 18+ hours and has a peak, Humalog starts to work in 15 min. and lasts only 4-6 hours. To get advice on weather or not he should sub the one for the other I say NO! Ask a Dr. about samples and you can call Eli Lilly to get on a patient assist program.
http://www.lillydiabetes.com/content/humulin-brand-of-insulins.jsp
http://www.humalog.com/patient/humalog_insulins.jsp

http://www.lillycares.com/index.jsp

Q: How much is Humulin N?

A: it depends on where you buy it (what pharmacy) and your location (what state). Here in NY, all the Humulin insulins go for between $35 and $50..depending on where I go to buy it.

Q: Switching from Novolin to Humulin?
Is it safe to switch from Novolin NPH to Humulin N? Are they identical products?

A: I have done just that several months ago. However, it was the reverse direction – from Humulin to Novolin. I found that after using both I preferred the Novolin over the Humulin because the Humulin lasted about two hours (really) and the Novolin lasted three hours. I was on Humulin for about a year and never experienced the insulin action longer than two hours! It is suppose to last for about 5 hours. However, experience told me time and again that it worked only for two hours and crashed. Having to change to Novolin was the best for me because – after a month – I knew it was working better than the Humulin. For me, it was working consistently for three hours. At the two hour point I would test my BG and it would be fine. However, after a couple of days – at the start of the switchover – I discovered there was a 10 percent difference between my two hour reading and my three hour reading. Now, after about nine months on Novolin, I won’t go back – it’s that much of a difference in my readings.

If you must change, check it out for yourself and see if there’s any difference in your readings.

Good luck.

Q: In the morning sometimes my blood sugar numbers are too low, like 64. Am I over medicated?
I am taking 50 units of Humulin N at bed time and sliding scale of Novolog during the day. Also I take metformin and Actos.

A: You didn’t say if you were taking the metformin at night. This is NOT the place to decide how to medically manage your diabetes! Take your numbers to your doctor. But a 64 before you eat breakfast isn’t terrible. It’s a little low. I would consider eating a lifesaver right before you go to bed. Or if you are in the habit of getting up to urinate during the night eating a lifesaver closer to the middle of your sleep time. But talk with your doctor. If you DO take a metformin at night maybe cutting it in half would help, but your doctor needs to decide that.

Q: I need help figureing out how to do my math can you help me?
I’m going to school for pharmacy technician and I need to study for a test on tuesday. I need help figuring out how to do this type of math.

Humulin N U-100 10ml 35 U SQ daily. I need to know how many days to take this for.

A: You might be in the wrong section. Try medicine.

Q: Why do I have to put air into the bottles when mixing insuline (Humilin-R and N)?
I have a 11 yr young Lab who is diagnosed as a diabetic. I could put this question on the dog ‘page’ but thought to have more input here?

I now have to give her mixed shots (Humulin-R and N) in the 70/30 rate, since neither the R nor the N by itself get her glucose down. Her levels keep between 350 and 500 for several weeks now so, according to the vet, giving mixed shots might do the trick. I have been reading up on how to draw ‘from clear to cloudy’ and how to do the ’steps’: put cloudy bottle on table, pull plunger down to let X units of air in seringe equal to amount of cloudy insulin needed without touching the insuling, push air into cloudy insulin bottle, do the same for the clear insuline, then turn clear insuline bottle upside down and pull out needed units and then take the needed units form the cloudy insuline.

My question is that I don’t really get why I have to inject air into the bottles first? What is the purpose of that?
I have to add that with the Humilin-R her glucose level drops from say 394 to 88 or even under and it doesn’t really work too long (done the glucose-curve several times), the Humilin-N keeps her level around 350 and up to a whopping 500, therefore we want to try the mixed shots. Not that it that makes any difference for the question, but maybe people have some general advice for me concerning using mixed insuline?

A: Injection of air into the insulin bottle in the amount of units that you are preparing to give helps to ensure that the right amount of insulin is then easily withdrawn without bubbles, as it creates air pressure in the vial when you tip it upside down to withdraw the insulin.

Q: High blood sugar in the morning?
I have been going to bed with blood glucose levels of six and seven and when i wake up they are at 10 and 11. I currently takw two insulins, Humalog and Humulin N, at bed I take 12 units of humulin and i take 3 units with my breakfast. As for my humolog i take 5 units with breakfast and lunch and 9 units with my dinner. If anyone can help me, it would be greatly appreciated. Thank You

A: I’m a type one diabetic and the same thing happens to me. I take the same insulin as you and the same result happens to me. I go to sleep fine and wake up high in the morning. It is normal. It is called the “dawn” effect. Another reason for this is your insulin is maybe wearing off. Regarldless it is perfectly normal.

Q: I am confused about insulin pens.?
I would like to switch to using an insulin pen, preferably one that uses the BD Ultra Fine III Short Pen Needles (or equivalent). I want a fast-acting insulin. What I am really confused about is the difference between Humulin N and Humulin R, mainly the difference in how quickly they work. I would prefer to stick with Lilly, as they make my other pen, Byetta, and would likely use the same type of pen needle.
I have discussed this with my doctor, she just wasn’t sure which types of insulin are available in a pen. She agreed with me on using fast-acting, and it will only be used as a back-up to the Byetta. This is just a matter of finding the type of insulin we are looking for in a pen. So far, the Humalog sounds about right.

A: R is short for regular. It is equivalent to the insulin that comes from the pancreas. It starts working in 30-45 minutes, peaks at about 1-2 hours, and lasts for about 4-6 hours.

N is short for NPH. It is regular insulin suspended in a special solution to make it absorb more slowly. It peaks in about 4-5 hours, and lasts for about 8 hours. This is used for basal insulin, usually 2 times a day. It’s absorption can be very irregular leading to wide swings in sugar.

Humalog, also made by Lily, is human insulin with 2 of the amino acids switched. It starts working in 15-20 minutes, peaks in about 1 hour, and lasts for about 3-5 hours.

Lantus is a long acting, “peakless” insulin that you could take once a day for basal insulin.

Q: Any vets or vet techs please help!?
One of my cats is diabetic and I have to give him Humulin N q 12 hours. My other cat is his brother (same parents, different litter) and has been acting weird lately. I know I need to take him in, and I’m going to in the morning, but if anyone could help ease my mind or give me some ideas before then I would greatly appreciate it. For the last 2-3 days, he has not been moving much, as if one of his legs are hurt or something. Although I can’t quite put my finger on which one it could be. He is kind of meowing weird too, as if he’s in pain. He is about 8 years old. I don’t think he hurt himself in any way, because I can’t imagine how that could have happened. Then when I fed the 2 cats a couple hours ago, he threw up about a tablespoon or two of white foam, and he NEVER throws up at all. I know throwing up foam is a really bad sign. I heard somewhere to feel his nose, so I did and it’s wet and cold. I’m wondering if he’s diabetic too, like his brother, maybe he has neuropathy
Also he’s really fat, like 15 pounds. So is his brother that has Diabetes.
His food is not on the recall list, sorry I forgot to mention that, I feed him Purina Friskies.

A: Doesn’t sound like he’s diabetic.

I would take him to the ER if there is one near you, or ASAP in the morning.

Vomiting can lead to dehydration and cause some problems for the vital organs.

Check him around for an open wound?

Have you been paying attention to the pet food recalls?

Have your vet do a blood panel on the kitty as soon as possible to see what the liver and kidney function is doing.

Try and keep the cat confined, comfortable and hydrated until the vet tomorrow.

Q: Insulin brand difference?
For a year now I have been using Humulin N (cloudy) and Humilin R (clear) mixed in into one syringe. Yesterday I surprising ran out of N, and since it was really short notice I couldnt get any more shipped to me from my prescriber right away. So I went to a local pharmacy and they gave me Novolin N. I used to use Novolin back in the day, but with Novolin R. Now I need to know if its okay to use Novolin N and Humulin R mixed together until I get more Humulin N. Like is there any difference between the two brands besides just brand names? All I know is when looking at the new bottle of Novolin N and an old empty bottle of Humilin N, they both say “NPH, human insulin (rDNA origin), isophane suspension” somewhere on the bottle. Although that makes them seem like the exact same thing, I need to be sure that they will work the same.
If anyone can help me thank you so much!

A: Chemically, there is no difference between the two. When used properly, both will give you excellent results.

But you should call the pharmacy (or your doctor) to see if maybe the DOSE needs to be differnet, due to different concentrations if drug uin the bottle.

In the mean time, keep a CLOSE watch on your blood sugar levels! Don;t let them get too high or too low.

Q: Gestational Diabetes, started insulin two days ago, but blood sugars are up?
I have been monitored for gestational diabetes since December. (I am 24 weeks along right now.) I had to start insulin on Feb 25th – Humulin N, 4 units at night – since my morning numbers were high (consistently over five, usually in the 6’s).
However, since starting the Humulin, almost all my number have gone up! My morning numbers have been 5.3 (not bad, but they haven’t gone down.) What is concerning me is that my numbers 1 hour after each meal have been in the nines – I have only had numbers that high twice in the three months I was monitoring, but now have had them 5 times in the last two days. Pre-meals my sugars are anywhere from 4.7 (normal for me) to in the 7s.
I am wondering if my other number could be going up because of the Humulin N? Can people have that kind of reaction?
My diet hasn’t really changed, except to count my milks as carbs – so that should actually be making it easier. I am so frustrated!!! I do not want to go on the Humalog if I don’t have to, especially if there is a reaction going on here.
Anyone experience anything similar?

A: You might need both – one for fasting blood sugar control and the other one to control blood sugar spikes.

Ask your doctor if you are a candidate for Byetta or Glyburide.

Q: Lantus insulin ?
my doctor mentioned maybe trying it out soon I was wondering about the cons and pros about its effect–Im taking humulin N and humulog and have been diabetic for 18 years and am now 28

A: i have been a diabetic for 32 years now and was on humilin but my dr. switched me to lantis 5 years ago. my a1c was 5.2 last month… you take it at night and it lasts longer then the humilin…. i have had 0 side effects…. good luck !

Q: Mixing two types of Insulin, Need Help. Please!?
Hi all,

I am Type-1 Diabetic patient and recently I have started using Insulin. First, I was prescribed Humulin 70/30 but my blood sugar was not adjusted.
I was then prescribed with Humulin R and Humulin N to be mixed together. I notices that Insulin R was working better than N.

Now I want to ask another question.

Are there any patients that are mixing Humalog/Lispro with Insulin R or Just using Humalog/Lispro alone. Can I control my sugar better with these two or single alone?

My readings are either in 250mg/dl+ or as low as 50mg/dl. I want to stabelize my blood glucose level

Please help me out! There is no specific diabetic guidance centers in my country, My only hope are you people with experience.

I am 22yrs old.

Thanks

A: What? There are no specific diabetic guidance centers in America? You’ve either got to be joking, or you’re not aware of where they’re situated.

First of all, Humalog/Lispro is what’s termed a bolus (fast-acting) insulin, which is taken at times of eating. This would not give adequate cover unless you were using a pump. (With a pump, insulin is infused continually over any 24-hour period so there’s no need for a longer-acting insulin.)

Humulin R has a period of action that lasts anywhere from 4 to 12 hours, so it may not be providing you with a long enough duration of operation to act as a normal basal rate of insulin would. (The basal rate is equivalent to the tiny amounts that a healthy pancreas would be offering to the system over any 24-hour period.)

You’re obviously being prescribed your insulin from a doctor somewhere, so I’d advise you to go back to that doctor and explain the sorts of blood sugar levels you’re getting. (I’m sure you already realise that blood sugar levels of 50 mg/dL are too low, and you, undoubtedly, need to take remedial action to prevent you slipping further into hypoglycemia.)

Put simply then, having been diagnosed as type 1, you will, unless you’re using a pump, need to have a combination of two insulins … the longer acting one to act as a basal dose, and the shorter acting one to act as a bolus dose.

I wish you the very best of luck in getting your doctor to review your medication.

I hope you have a long, happy, healthy, and trouble-free future.

Q: Gestational Diabetes, started insulin, but blood sugars up?
I have been monitored for gestational diabetes since December. (I am 24 weeks along right now.) I had to start insulin on Feb 25th – Humulin N, 4 units at night – since my morning numbers were high (consistently over five, usually in the 6’s).
However, since starting the Humulin, almost all my number have gone up! My morning numbers have been 5.3 (not bad, but they haven’t gone down.) What is concerning me is that my numbers 1 hour after each meal have been in the nines – I have only had numbers that high twice in the three months I was monitoring, but now have had them 5 times in the last two days. Pre-meals my sugars are anywhere from 4.7 (normal for me) to in the 7s.
I am wondering if my other number could be going up because of the Humulin N? Can people have that kind of reaction?
My diet hasn’t really changed, except to count my milks as carbs – so that should actually be making it easier. I am so frustrated!!! I do not want to go on the Humalog if I don’t have to, especially if there is a reaction going on here.
Anyone experience anything similar?
We live in a small town with no after-hours access to medical professionals. (Except ER). I have to wait until Monday morning to call the Diabetes Health Unit or my Dr.

A: I used to date a guy who was diabetic, back in my single days, but I honestly have no idea what you’re talking about so…

I basically just dropped in to advise that you call your doctor’s after-hours desk, or call your primary care physician’s after-hours to speak to a nurse or on-call doctor. If your numbers are high, that’s bad and means something is wrong. No one on this site can really give you the medical advice you need to take care of your blood sugar levels, especially if you feel your medication is not working.

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