GLIMEPIRIDE vs INSULIN LISPRO

I am a type 2 diabetic. Last July, right before I started keto my doc was rumbling about me "graduating" to insulin. He had added glimepiride and Januvia, and my A1C had still crept north of 7. I began keto on July 9th. Since then, with 40 pounds gone we eliminated glimepiride, then januvia, and mid

Hello, My dad (77M, male) attempted suicide yesterday. He fell from a 12-foot balcony. He was admitted to the ER and has three primary injuries. A broken hip, where his right leg meets the hip. Bruising to the abdominal aorta. And a fractured vertebrae (C6)/out of place disk in the neck (C6). He is

The following post does not constitute medical advice. If anything in here is interesting to you, talk to your endocrinologist. I just wanted to give my personal experience of being on Metformin for approximately 14 years. For context, I am an insulin-dependent diabetic and a thyroid cancer surviv

Good morning folks. I am seeking advice for people who have maybe been in a similar situation. In my office of apps and one doc, we are assigned partners and share an office with said partner. The person on call for the week also covers for the doc if need be. Coverage includes signing off on injec

First published last Wednesday, 18th of March. Following a rapid increase in popularity of GLP-1 drugs for diabetes and weight loss, such as semaglutide and tirzepatide, approximately one in eight U.S. adults now take these medications, which also provide cardiovascular benefits. However, when patie

I had some pain in my bladder before Christmas and went to an Urgent Care place. I had been drinking half a gallon of water a day for two months and the doctor thought that maybe it was the increase in drinking that was making my bladder hurt, since my "urine had no sugar and no ketones" in it. Fast

Hey folks, I’m on day 4 of doing a Keto Chow–only diet (just the shakes, around 1650 cals/day), and even though I’ve been super low carb, I’m still waking up with really high blood sugar. About 160–180 every morning. (Note, I have ben low carb for about three months now and did this experiment speci

Hello guys I hope all of you are doing good. I was diagnosed last year in December my hba1c was 11.5 and I am just 28. So doctor put me on metformin 500 mg and glimepiride 1mg. Every 15 days we did sugar and blood report for fbs and ppbs. Within two months it was under control. So doctor did an exp

I see articles recently shared talking about people not taking their insulin or reducing it due to costs. There is help, here are the programs I use the most, please share with your patients. [Admelog (similar to Humalog) $99/month for up to 10 vials or 5 packs of pens, any other sanofi insulins (l

Basically title. I’m a clinical pharmacist at a hospital. We are trying to start a patient on standard sliding scale insulin lispro, but one of their allergies is listed as cat dander and the lispro is flagging as allergy cross reactivity. I cannot find ANYTHING online to support this. Does anyone

Know little to nothing about it, but one MD says he’s done it before. What exactly is the point? Package insert for lispro says when given intravenously, the clearance rate is similar to insulin regular.

Curious how other institutions handle insulin on the floor. Currently we let RN’s draw up regular and lispro using pt specific 3mL vials pulled from Omni cell, we draw up glargine in our IV room, and all the other flavors we dispense a pt specific vial from central and RN draws up on the floor. Wel

I've heard from multiple patients who switched from Humalog to Admelog that now their sugars are all over the place. people who have been on the therapy long term and have well controlled numbers that report once they switched to admelog they had to increase their dose. 2 of these patients switched

Hey guys I’m P4 student and I question regarding expiry dates. I had situation during my hospital rotation I was preparing an admelog prescription and when assigning the expiration date I wrote down April 28. Since the vial only last 28 days at room temperature. My preceptor told me the expirati