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Apidra user: help please

Discussion in 'Parents of Children with Type 1' started by mmgirls, Jan 21, 2009.

?

How did Apidra affect your I;C and basal

  1. no change to I:C or basal

    2 vote(s)
    25.0%
  2. increased both

    2 vote(s)
    25.0%
  3. decreased both

    0 vote(s)
    0.0%
  4. increased I:C same basal

    1 vote(s)
    12.5%
  5. decreased I:C same basal

    0 vote(s)
    0.0%
  6. increased basal same I:C

    2 vote(s)
    25.0%
  7. decreased basal same I:C

    1 vote(s)
    12.5%
  8. something else - please post

    0 vote(s)
    0.0%
  1. mmgirls

    mmgirls Approved members

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    Well I tried Apidra with my DD around Xmas and we had to stop because the fast onset and decline made her feel like she was low with almost every bolus. I would like to try it again using a combo bolus to see if that will help with the feeling low issues.(i may try a cmg trail during the next attempt) I have read alot of posts and thought that the this poll may help me figure things out.
     
  2. BozziesMom

    BozziesMom Approved members

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    Ah, but we aren't pumping. Perhaps that makes a difference? I voted no change. Of course it wouldn't change our basal as we're using Lantus. And once we fiddled around with the Apidra, we ended up using the same I:C ratios after a week of juggling.
     
  3. Darryl

    Darryl Approved members

    Joined:
    May 8, 2008
    Messages:
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    When we made the switch in July:
    Humalog: ISF was 200, IC was 20
    Apidra: ISF: 150, IC: 15

    So, in our case, we had to decrease both ratios by 25%, meaning that 25% more volume of insulin was needed.

    It took a few days watching the CGM to conclude these adjustments. The adjustments remained stable for a few
    months after the switch to Apidra, then changed further in September possibly due to phasing out of the honeymoon.
     
  4. Mama2H

    Mama2H Approved members

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    Messages:
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    Hailey's basals increased dramatically but her ratio's and sensitivity stayed the same. We had a LOT of highs the first few days and I think we ended up increasing her basals by around 30% when all was said and done. That said, I would not try Apidra on my daughter without the cgms. It just works so fast in her! The results were dramatic for Hailey.
     
  5. alismom

    alismom Approved members

    Joined:
    Dec 31, 2007
    Messages:
    634
    We are on day five of the switch to Apidra. Allison's basal rates have not changed, her i/c ratios have gone up (less insulin) and sensitivity has remained the same. All of this is "so far" since this is so recent. I agree with others that a CGMS is really important with this insulin, I was shocked at how much quicker it worked on Allison than Novolog. We are impressed and plan to stick with it.
     
  6. cwdAdmin

    cwdAdmin Administrator Staff Member

    Joined:
    Oct 4, 2005
    Messages:
    22
    Off-Label Reminder

    Apidra offers flexible insulin dosing to help manage mealtime blood sugar levels and works to improve mealtime blood sugar control in children 4 years and older with type 1 diabetes and adults with type 1 or type 2 diabetes. Apidra is not FDA-approved for children under age 4.

    Although Apidra use for young children is off-label, health professionals sometimes still prescribe Apidra. Before using, please discuss Apidra options/benefits and risks with your diabetes health care team.
     
  7. mmgirls

    mmgirls Approved members

    Joined:
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    Messages:
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    How did this become a "sticky"???

    Whatever, my dd is 4 and I am/was working with the endo on this.
     

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