Well, I agree on many of the things you say: this month is going to do 13 years that DM1 was diagnosed, all these years I have been with insulin (insulatard nph + actrapid) and not analogues of insulin (among other things because analogues existrelatively little time).
I have changed the treatment and now use insulin analogues (Lantus + Apidra), I have been with the new treatment for about six weeks and I see good things and not so good things:
PLEASE:
More physiological in terms of meals (bowling) since they can move a bit without generating problems in the rest of the glycemia of the day, which is well, it is an improvement in what is called "quality of lifeof the patient ".
I have been with the new treatment for so little time, I have not put it into practice, I try to maintain the greatest number of constant things between them the hours of breakfast/food/dinner, more than anything to avoid problems but by power it can be done.
Against:
As for the basal I think it is less physiological for several reasons:
1) The insulin that covers the basal (in my case the Lantus) does not work the same during all the hours that lasts, the graphs with curves are very beautiful but it has its peak in the first 6-8 hours (risk of hypoglycemia) and inThe latter only lets themselves "fall" even sometimes does not arrive (risk of hyperglycemia).
2nd) To me the lantus makes me many strangers especially in the end, the same one day lasts 24 hours as another day does not arrive and leaves me sold at 10-23 hours, if it always happened at least you could try to apply any strategyBut it does it randomly.
3rd) Insulin needs to meet the basal are not equal during all hours of the day and in some cases they are considerable differences, you do not have to be a child or a teenager or a pregnant woman to have a dawn/phenomenon of the very marked dawn, I do not belong to any of those groups and I have problems to stop it.
People who use Levemir with 2 punctures per day are more physiological in terms of basal, to differentiate the needs of nightly insulin with one of the punctures and to differentiate the needs of diurnal basal insulin with the other puncture, butWith Lantus that is not possible and using lantus in guidelines of 2 punctures per day is to lose the grace of the Lantus (last? 24? Hours?) And is it eating hypoglycemia at all hours.
4º) Use an insulin that covers the basal and only the basal I am seeing that it is a very prone treatment to deviations, but deviations both up (being a little high) and down (hypoglycemia even if they are slight).
Many things that influence diabetes, too many, many of those things can not avoid, our emotional state, a situation of stress, our state of health (a small cold, a little fever, ...) evenSleep a little (not that I am someone who sleeps always but I have seen that the few times I have done it I got up without come to mind).
It is also a groceries when you have a hypoglycemia even if it is mild, having to measure the millimeter what you take to get out of that situation to be able to get to the next meal is a fear movie, the minimum you are in values too high and of course too high... how is an insulin that covers the basal and only the basal or waiting for the next meal and fix it with the quick of that food or you put an extra injection with a very low dose ... often business.
I have eaten more hypoglycemia in these last weeks than in the thirteen years I have been with diabetes and it is no exaggeration, in fact the issue is so serious than right now after these last two weeks eating me hypoglycemia day yes and day too (whenThey were not two per day) that right now I did not find out about hypoglycemia, whenEntero is too late and it is the body that has taken me to beast (I find out that I have had a last bull, in a later control, after having eaten the hypoglycemia plus the rebound).
In this forum I see that there is a current in favor of the brutal insulin anologists, I have not yet seen the business to the lantus issue, I see it difficult to achieve better hemoglobins now with analogues than with the previous treatment of "mixtures."
In this forum I see many people take pests on the mixtures that were used before and that are still used today in some cases (under 6 years, pregnant women, ...) I only have to say that I am totally againstof the mixtures _comerciales_ but only against the _comerciales_, the mixtures in insulating nPH syringe and actrapid (for saying what I used before) also work and it is equally easy to find the doses as with the analogues.
People should disappoint and see that in certain cases (children, adolescents, pregnant women) the level of hormones in these groups makes the treatment that is put, the same, the type of insulins that are put on, control the diabetes in thoseCases is very difficult and it is not the fault of "mixtures."
In the end ... that maybe all this is the fault that I have been with the analogues for very little time, I look forward to seeing the business to this treatment PQ what is today the conclusion that I arrive is that not even the previous treatment wasSo bad or the current treatment with analogues is so good, both have their things in favor and their things against.
(Sorry for the roll).
