Looking for tips to help with “spontaneous” activities

Thanks again, this is so helpful!

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My endo wrote a prescription for gvoke for me and it was insanely expensive under my insurance. I don’t know why I didn’t think of it at the time, but I looked recently and they have a manufacturer’s copay card. If you have commercially-available insurance (not medicare/aid), you are eligible (it is not income tested and you are not taking eligibility away from anyone else). Just fill out the info and show at your pharmacy. You can even use through mail order pharmacy; I just haven’t figured out how to do it yet!

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@jsich and @JessicaD,

Are you sisters?!? You look alike!

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Note to all about the injection of Gvoke, it DOES NOT need to go in the muscle, only under the skin, so a regular insulin syringe works absolutely fine. The is what most D camps use.

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What’s it shelf life once in the vial?

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I have not tested that out completely. Once I have moved it into a vial, I have gone through the vials pretty quickly, like within a few weeks.

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Just buy the gvoke kit vial, it’s a 2ml vial, last a really long time and no refrig needed.

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No, no ,no…just under the skin for minidosing.

Get the kit, not the hypo pen.

Is the kit the same as the PFS (pre-filled syringe)? Thanks!

No, as I posted earlier, the kit is a vial and syringe not pre loaded. It is a different product and the pharmacy will need to order it.

You need to it use an insulin syringe to mini dose and it does not have to inject it in muscle, just under the skin like insulin.

Dosing needs experimentation to get it specific for your needs.

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So I asked my provider through the patient portal to please prescribe a G-voke Kit. I didn’t hear back from them to confirm, but today received a glucagon kit from my insurance company. The one in the red case. I believe you said that could also be used to microdose glucagon. Did you say it only lasts a month? And does that need to be refrigerated after I mix it up? Still need to get the syringes but I know that’s in an earlier post and I will look at that.

Thanks,
Jess

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Mix it and keep it in the refrigerator and shoukd be good fordays, I get 30 out of it. Usea u100 insulin syringe for micro dosing. Start with 1u, just needs to get under the skin.

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How does injecting 1 unit under the skin compare to injecting 1 unit into a muscle in terms of its effects?

Might be quicker in the muscle, however, the pain difference is absolutely not worth it. The mini dosing is used like you would use candy or pre exercise food, not for emergency recovery. Recovery injection is a fill dose in the muscle. The needle length and size of insulin syringe and the glucagon syringe is quite different and the kit syringe cannot be used to deliver mini doses.

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Here are some papers and discussion on using mini-dose glucagon.

Peer reviewed paper

TCOYD

Glucagon Updates You NEED to Know, Including Mini-Dosing! - Taking Control Of Your Diabetes®

ADA Diabetes Journal

https://diabetesjournals.org/care/article/46/4/765/148356/Effect-of-Mini-Dose-Ready-to-Use-Liquid-Glucagon

Integrated Diabetes Solutions

Mini-Dose Glucagon to Prevent Exercise Induced Hypoglycemia - Integrated Diabetes Services

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