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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest The Dosage Of Humalog Instead Of Tresiba

Hello I ran out of my Long acting Insulin Tresiba 100 units and I am on medicare and I do not have any Prescription coverage (partD) can I use this short acting insulin --Humalog 75/25.. if so How many units.. with the longacting I gave my self 28 units twice a day.. with the short I have taken 15units before each meal...what do you suggest///
Mon, 24 Jul 2017
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Endocrinologist,  's  Response
Hello
I have gone through your question.
I can understand your concern.

You actually have a basal-bolus injection regimen with 28 UI long acting insulin twice a day and 15 UI before each meal.This means that your total insulin dosis is 101 UI/day.

You need a large daily dosis of insulin to control your diabetes,so in these circustances it is not recommended to change the regymen of isuline therapy and to start using Humalog 75/25.(You can discuss the problem of prescription coverage with your treating endocrinologist and find a way how to solve this problem.)

Humalog Mix75/25 is a mixture of insulin lispro solution, a rapid-acting insulin and insulin lispro protamine suspension, an intermediate-acting blood glucose-lowering agent.

This insulin is used with another insulin regimen(different from your actual insulin regimen) that in my opinion is not the right choice to control your diabetes,for the moment.

So,My answer is :No,You ca not use Humalog 25/75 for the moment.Don't change your insulin regimen without your treating doctor opinion.It can be harmful.

Hope this is hepful.
Best regards.

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Suggest The Dosage Of Humalog Instead Of Tresiba

Hello I have gone through your question. I can understand your concern. You actually have a basal-bolus injection regimen with 28 UI long acting insulin twice a day and 15 UI before each meal.This means that your total insulin dosis is 101 UI/day. You need a large daily dosis of insulin to control your diabetes,so in these circustances it is not recommended to change the regymen of isuline therapy and to start using Humalog 75/25.(You can discuss the problem of prescription coverage with your treating endocrinologist and find a way how to solve this problem.) Humalog Mix75/25 is a mixture of insulin lispro solution, a rapid-acting insulin and insulin lispro protamine suspension, an intermediate-acting blood glucose-lowering agent. This insulin is used with another insulin regimen(different from your actual insulin regimen) that in my opinion is not the right choice to control your diabetes,for the moment. So,My answer is :No,You ca not use Humalog 25/75 for the moment.Don t change your insulin regimen without your treating doctor opinion.It can be harmful. Hope this is hepful. Best regards.