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Posts uit juni, 2022 tonen

Insulin pens with memory (using Sanofi penfills in Novo Nordisk pens)

Afbeelding
For basal, I use prefilled Abasaglar pens, with a Timesulin cap. These caps are somewhat overpriced at $20 bucks, but worth it. They only remember last time of insulin injection, not dosage. For my basal insulin, this is fine, because I use only a single dosage every day. For bolusing, I use Apidra. I need to know both the last time I took insulin, and the dose. For this, I use the Novo Nordisk echo pen. It is not supposed to be compatible with Sanofi insulin penfills, but the latter are easy to adjust so they fit a Novo Nordisk pen. Novo Nordisk and Sanofi penfills differ in 3 ways: Novo Nordisk penfills 1) are very slightly thinner; 2) have an orange plastic cap; 3) are very slightly longer. To make the Sanofi penfill into a Novo Nordisk one:  1) Make the Sanofi penfill slightly thinner by peeling of the label.   2) Twist off the orange plastic cap from a Novo Nordisk penfill, place it on the Apidra penfill. 3) Place a small ring in the Echo pen, at the back of the Sanofi penfill, t

Screw insulin pumps, I'm going back to MDI

My reasons for going back to multiple daily injections (MDI):  1) It sucks to have an insulin pump connected to you 24/7.  2) Lipodystrophy: At some point I got crazy skin reactions to either adhesive, canula, insulin or a combination of the tree; Figure 1 of Kadiyala et al. (2014) shows my belly. 3) I use Apidra insulin to prevent Lipodystrophy. Modern insulin pumps get clogged when using Apidra. Screw you, Ypsomed. Screw you, t:slim! 4) Unreliable insulin efficacy. Might be related to point 2).  5) Pump use is very expensive ($12,928 for pump vs. $9,005 for MDI, according to Toresson Grip et al., 2019).  6) Modern pumps tend to have touchscreens. Why God, why?!?! I need my pump to be a tank. I do not need a touchscreen, because they are fragile, and the need to unlock the screen 25 times per day drives me crazy. Dear lord, how I miss my good old reliable Paradigm Veo pump. Battery would last a month, it was built like a military tank, and still quite small. Going back to MDI, I soon