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Simon Quinnell
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 16 posts |
I have a perplexing problem. Over the past 3-4 weeks my blood sugars have been very high (15-1 most of the time. Applying DAFNE principles made no difference. I was not unwell, and had no ketones. My routines and eating habits have not changed. After a process of elimination I discovered that changing to a new batch of Levemir cartridges solved the problem, however, I am at a loss as to why it appears to be going off. When I get the cartridges from the pharmacy I put them straight in the fridge, and they stay there until I need them. The cartridge in my pen is at room temperature. I have a digital thermometer in my lounge. The temperature rarely exceeds 25C, and the insulin packaging says Levemir in use will stay fresh for up to 6 weeks, up to 30C. I don't leave the pen anywhere hot. The expiry date on the pack reads 05/2013. The insulin is crystal clear in the cartridge. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
What is the shelf/fridge life of Levemir........ |
JayBee
DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust 587 posts |
Funny this has come up - I've very recently started monitoring my usage of both insulins after someone I follow on Twitter expressed some concerns about Lantus' life time once out of the fridge. I'm also on Levemir so this is interesting to know. I will see what happens with me too. |
Simon Quinnell
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 16 posts |
Thanks for the idea novorapidboi. It's worth a try! I'll request my GP to send only one 5 pack next time, and see what happens. |
RichFreed
DAFNE Graduate
Princess Alexandra Hospital, Queensland 51 posts |
It would seem to me that if you have followed the storage specs and are within the expiry date then this issue needs to be reported (since it's not the first time - could be any number of issues outside of your control eg a transport & storage procedure that has broken down prior to reaching you in the first place). At the very least the unused ones should be replaced for you (each time it happens). |
marke
Site Administrator
South East Kent PCT 675 posts |
Hi Rich is correct you should report this to your pharmacy. Every batch of any prescription drug can be traced from manufacturer all the way through to the dispensing pharmacy. If you suspect a batch is 'faulty' you should report it to the pharmacist. They can then get it investigated and ideentify if there is an |
chrisinbrum
DAFNE Graduate
University Hospitals Birmingham NHS Foundation Trust 41 posts |
Have you considered that the pen device might be faulty and therefore not giving you the units you are dialling up? Are there any recommendations for how long a pen is 'reliable' for or how often they should be replaced? |
Pepsi
DAFNE Graduate
Cambridge University Hospital NHS Foundation Trust 8 posts |
I have just been given a new cartridge pen, and the leaflet said a life of 3 years. |
novorapidboi26
DAFNE Graduate
NHS Lanarkshire 1,819 posts |
After looking at the documentation it would seem that the insulin pens you are using can last for a longer time than you are experiencing problems at...... |
Simon Quinnell
DAFNE Graduate
Maidstone & Tunbridge Wells NHS Trust 16 posts |
Hi All, |