Type 1 - Connect

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  • 1.  Fiasp Flextouch

    Posted 01-06-2022 21:00
    To Natasha & Erin, Diabetes Australia Community Team

    I posted an item on 24 May expressing an issue I have with the Fiasp Flextouch disposable pen being available on the PBS instead of the pen refill cartridges, and several points why, without doubt, the pen refills would be a better alternative.  

    There were several responses agreeing with my comments, in particular the fact that half doses are not available with the Flextouch and also the extra burden on the environment with the Flextouch.  I find it really disappointing that the government did, in the first place, choose an item that impacts the environment more and has less benefits than the alternative.

    I requested a response from the Team but this has not been forthcoming to date.  Kim also noted she would like to see a reply from the Team.  I therefore formally request that the Team engage the Advocacy Team to do whatever is necessary to have the Flextouch replaced with pen refills on the PBS.  This is not asking for something to be added to the PBS, merely a request that the government acts in a responsible way and replaces an item with a more environmentally friendly one that also has several additonal benefits.  I know this is a process and won't happen overnight, however I do believe it's a worthwhile project.

    I look forward to your reply.

  • 2.  RE: Fiasp Flextouch

    Posted 02-06-2022 08:27
    I suspect it will not cost the government any more to have both systems available on PBS. So rather than delete one in favour of the other, simply add both.
    I am also interested to understand why a half dose is considered a necessary function.


  • 3.  RE: Fiasp Flextouch

    Posted 03-06-2022 08:18
    I consider injecting 1/2 units a necessary function.  Before I got a Novopen echo I used to use a syringe for the better precision.  e.g., if 2 is too small, but 3 is too large, I inject 2.5.  



  • 4.  RE: Fiasp Flextouch

    Posted 03-06-2022 09:04
    I agree with Geoffrey.
    I used the Echo with Novorapid for several years and enjoyed the flexibility of half units.
    I know that 1 unit of Fiasp, or back then Novorapid,  will drop my BGL by 3 mmol/l.
    If I stuff my food insulin ratio at meal time and end up with a BGL of, say 10, I can take 1 unit to get to 7 (fair), 2 units to get to 4 (not a good idea), or 1.5 units to get to 5.5 (yep).
    I don't have to use half doses every time but it's another arrow in the quiver if needed.


  • 5.  RE: Fiasp Flextouch

    Posted 03-06-2022 09:46
    Agree Geoffrey. I use Levemir and Novo Rapid cartridges in reusable pens I have had for years and can dial up half units which allow me to fine tune dosages for better BG management. Doctors need to be aware they can prescribe the half unit versions of these insulins for use in cartridge pens.
    sometimes I only need a half unit otherwise I would have to have extra carbs to use 1 unit, or, go high on insufficient insulin.


  • 6.  RE: Fiasp Flextouch

    Posted 03-06-2022 09:55
    I agree with Geoffrey and Roger.
    I use cartridges of NovoRapid and Levemir in pens I have been reusing for years. I had to ask my GP to prescribe insulins in cartridges allowing half units. The pens seem to last forever and the cartridges are easy to change.
    If I could not use half units sometimes I would have to have more carbs for the higher full unit, or, go high for the lower full unit. Much better BG control with half units. Some times doctors are not aware of the options and need to be informed by their patients who are managing their diabetes. I think my diabetes educator recommended the half unit doses originally.
    Here is to good BGLs for all


  • 7.  RE: Fiasp Flextouch

    Posted 04-06-2022 08:58
    I do that as well, I remember years ago with my first pen it went up in increments of 2 

  • 8.  RE: Fiasp Flextouch

    Posted 02-06-2022 08:47
    I support this request. I still use Novorapid because Fiasp is only available in disposable pen form not cartridges and I cannot justify the additional rubbish that using Fiasp will generate for the advantage of changing my insulin regime.

    It's bad enough that Trujeo is only available in pre filled disposable pens and I feel guilty each time I throw another one in my rubbish. 

    Martin (type 1 IDDM since 2000)

  • 9.  RE: Fiasp Flextouch

    Posted 10-06-2022 10:51

    Hi All,

    Thank you for raising this important issue. We are following this up and don't have any advice as yet but we are considering ways in which we can address your concerns. We will report back when we have some more information.

    Thank you

    Community Team
    Natasha & Erin