OOPS- this could be interesting- silly me mixed up my insulin.

[OverVolt]

Pharmacist going on an insulin binge... interesting!

Stick to more glucosey items, not that fructose soda crap. Eat like... rice and pasta with glucose tabs.

 

[Hayabusa Rider]

I dunno, cerpin can have the 'busa, I'm not a motorcycle guy.

Audio stuffz?

Not new but decent I think. Onkyo tx-nr 5007, DefTech speakers etc. The best sounding thing I have is an old Nakamichi stereo receiver, from back in the days of Stasis technology.

 

[Hayabusa Rider]

Pharmacist going on a insulin binge... interesting!

Stuck to more glucosey items, not that fructose soda crap. Eat like... rice and pasta with glucose tabs.

Gotta go with what I have, but I'm pretty stable right now at about 70.

Too bad, I have a set of awesome Debuyer carbon steel skillets I wouldn't be needing.

 

[Stopsignhank]

Did you make it?

 

[TheVrolok]

Heh, being a type 2 I only need it when stupid

Which unfortunately is now (then)

Still alive? We hope

 

[thestrangebrew1]

Update?

 

[Hayabusa Rider]

 

[Ophir]

How does the device allow you to deliver a "potentially fatal dose?" Seems like terrible error proofing there.

 

[TheVrolok]

How does the device allow you to deliver a "potentially fatal dose?" Seems like terrible error proofing there.

... all (given toxicity profile) medications allow you to deliver a potentially fatal dose provided you have sufficient quantity. Seriously?

 

[Ophir]

... all (given toxicity profile) medications allow you to deliver a potentially fatal dose provided you have sufficient quantity. Seriously?

Obviously, on repeated applications; however, no medication or device should allow a single application fatal dose without supervision of a medical professional.

That's just common sense legal CYA.

 

[MrCassdin]

Type 2 here and highly insulin resistant. Just got to my destination after a long drive and the light here isn't great. Being tired and all I did something I haven't before and injected 110 units of Humalog.

Well at least I noticed it so I'll be testing and eating all the carbs I want!

Will I get teh ebolas?

Do you follow the ADA's diet for T2 diabetics? They suggest 150 grams of carbohydrates from starch per day or less (most doctors think it should be more like 90 or less). You can have all the carbs from fiber you want (like broccoli, celery, etc).

Everyone's body is different, not suggesting you are doing anything wrong. I am at the point now (T2) that I do not take any meds or insulin, I just don't eat carbs from starch. Prior to getting my diet under control I was on Metformin (large, large dose) and "six months away" from insulin according to my doctor.

 

[MrCassdin]

How does the device allow you to deliver a "potentially fatal dose?" Seems like terrible error proofing there.

You dial in the cc you need. The ability to change the cc as required is built in purposefully so your dosage can be changed on the fly on your doctor's orders.

We can't safety proof everything. A woman in Canada (IIRC) died last year after drinking 3 two-liter bottles of diet coke back to back.

 

[MongGrel]

:thumbsup::thumbsup:

 

[TheVrolok]

Obviously, on repeated applications; however, no medication or device should allow a single application fatal dose without supervision of a medical professional.

That's just common sense legal CYA.

Isn't any other way to do it with insulin without absurdly increasing costs.

 

[Printer Bandit]

How does the device allow you to deliver a "potentially fatal dose?" Seems like terrible error proofing there.

with syringes, you're free to do what you want.

Although, you can get some that only go up to 50 units.

 

[Ophir]

You dial in the cc you need. The ability to change the cc as required is built in purposefully so your dosage can be changed on the fly on your doctor's orders.

We can't safety proof everything. A woman in Canada (IIRC) died last year after drinking 3 two-liter bottles of diet coke back to back.

That's true, but a properly designed device would poka-yoke the delivery system to prevent you from inadvertently administering a lethal dose.

In this case, I assumed the OP was using a dialable injection pen and FUBARed the dose. One would think the system would be designed to require and extra step to dial-in a greater than safe dose. With syringes, specifying the use of smaller syringes would be smart.

 

[Ophir]

with syringes, you're free to do what you want.

Although, you can get some that only go up to 50 units.

Fair enough. I'm getting outside of what I know, so I'll concede this argument; but, I will stand by my original comment: a delivery system should not be designed to allow simple mistakes to kill the user.

As a process engineer for a biotech company where a single batch scrap can run into the millions, a big part of my job is to error-proof the procedures to prevent careless mistakes. I would assume a company with so much exposure to legal claims would extensively mitigate these risks with simple poka-yoke solutions.

PS - BTW, glad you're alright OP.

 

[TheVrolok]

That's true, but a properly designed device would poka-yoke the delivery system to prevent you from inadvertently administering a lethal dose.

In this case, I assumed the OP was using a dialable injection pen and FUBARed the dose. One would think the system would be designed to require and extra step to dial-in a greater than safe dose. With syringes, specifying the use of smaller syringes would be smart.

How exactly would the system know what your appropriate dose would be?

 

[Howard]

You alright now bud?

 

[TheVrolok]

You alright now bud?

Duration of action of lispro is under 5 hours. He should be fine. That said, now he's probably short on his lispro and might not have brought enough extra. Bring on the high blood sugars?

 

[Ophir]

How exactly would the system know what your appropriate dose would be?

It wouldn't need to "know" anything, it would be designed to prevent such a simple mistake. Theoretically. I already admitted I'm not knowledgeable in this application and concede the argument. I've never injected insulin and when I've seen it done, I assumed it came from a pen that was matched to the medication - hence the delivery system design comment. Apparently, that's not the case. So, my bad on that.

It still doesn't seem smart to carry your medication in such a way that a simple mistake can kill you. Unintentionally taking 5X too many pills or loading a syringe to 100 when your dose is 20 is extremely stupid. Dialing in the wrong dose in the dark falls under the category of simple mistake.

 

[Red Squirrel]

Buy a pack of sugar cubes. Eat them like they were potato chips.

 

[sao123]

I didn't realize insulin takers still had to do the H & N types anymore.

 

[brainhulk]

Try a subq insulin pump?

 

[Hayabusa Rider]

That's true, but a properly designed device would poka-yoke the delivery system to prevent you from inadvertently administering a lethal dose.

In this case, I assumed the OP was using a dialable injection pen and FUBARed the dose. One would think the system would be designed to require and extra step to dial-in a greater than safe dose. With syringes, specifying the use of smaller syringes would be smart.

What I did was reach into my travel bag and pull out the wrong pen in a dark room. Insulin requirements are extremely variable between individuals and I'm relatively resistant so I need somewhere between 100 an 150 units of long acting insulin. I went with 110 and I had to inject twice to get that much. Like I said I was tired and it was dark and I goofed. The device won't allow more than 60 units to be dialed in at any one time. A "safe dose" could be a few units for one person and twenty times that and sometimes much more for another. "Individual variation" it's called. Sucks is what it is.