When Do I Take Rapid
You should inject rapid-acting insulin no more than 15 minutes before you eat. Your doctor will tell you how much insulin to inject. Remember, you should not wait more than 15 minutes to eat after you take this insulin shot.
Rapid-acting insulin can be more convenient to take than regular insulin. With regular insulin, you inject the insulin and then wait 30 to 60 minutes before eating. Many people find it hard to time their meals around regular insulin injections. Sometimes they end up eating too soon or too late. Then they dont achieve the best blood sugar control. Since rapid-acting insulin is taken so close to mealtime, it may help you control your blood sugar more effectively.
What Are The Treatments For Diabetes
Diabetes is a serious disease that you cannot treat on your own. Your doctor will help you make a diabetes treatment plan that is right for you — and that you can understand. You may also need other health care professionals on your diabetes treatment team, including a foot doctor, nutritionist, eye doctor, and a diabetes specialist .
Treatment for diabetes requires keeping close watch over your blood sugar levels with a combination of medications, exercise, and diet. By paying close attention to what and when you eat, you can minimize or avoid the “seesaw effect” of rapidly changing blood sugar levels, which can require quick changes in medication dosages, especially insulin. Find out how to choose the right diabetes treatment for you.
What Type Of Diabetes Requires Insulin Injections
People with Type 1 diabetes always require insulin injections in order to control blood sugar readings because they make little or no insulin. Insulin is also prescribed for Type 2 diabetes when oral medications or other injectable meds are not controlling blood sugar levels adequately. Anyone taking insulin of any kind is at risk for hypoglycemia . Taking insulin does not mean you have a bad type of diabetes. The purpose of using insulin is to get the best management of blood sugar readings as close to normal blood sugar readings as possible to help avoid complications from diabetes.
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Is It Possible To Inject Insulin Through Clothing
There are several reasons why injecting insulin through clothing is a bad idea, however convenient it may seem. Both syringes and pens are lubricated in order to make them as painless as possible. Clothing can remove this lubricatio, meaning injections can be more painful.
Clothing is not sterile, and substances on the clothing may contaminate the needle and at its worst this can lead to infection. Furthermore, clothing can damage the effectiveness of the needle by dulling the tip.
Possibly most seriously, clothing restricts your view of the injection site, leaving the patient unaware of the effectiveness of their injection.
When Will I Need It
You will need exogenous insulin when you have Type 1 diabetes, and your body no longer produces any insulin at all. You will need to get all your insulin from an exogenous source, either by multiple injections per day, insulin pump infusion, or inhaled nasally. If you have Type 2 diabetes, you may need exogenous insulin as you become more insulin resistant over time. Type 2 diabetes can progress to a point where, over time, insulin needs from outside sources increase. Your beta cells may also cease to produce the amount of insulin that they used to. In this case, you will require exogenous insulin to keep your blood sugars in your target range, and get good control over your diabetes.
Where can I get it?
Exogenous insulin of all types requires a prescription, except for generic brands, such as the Walmarts Relion brand of short acting and intermediate acting insulins. Name brand insulins must be obtained at a pharmacy, and only with a prescription from your doctor or healthcare provider.
The over-the-counter versions of exogenous insulin are the older version or generation of insulins. Therefore, they will not work as well as the name brands. You can use them in an emergency, when you cant get a prescription filled, such as following a disaster like a hurricane.
Is it the same for type 1 and type 2 diabetes?
What is the impact of exogenous insulin on Basal Energy Expenditure?
Study related to BEE, or BMR
Results and conclusions of the study
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Strengths And Limitations Of This Study
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The grounded theory analysis of the in-depth interviews identified several themes of autonomy-related experiences of patients embedded in specific sociophysical environments.
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The applied coding strategies allowed researchers to rely on participants experiences and their own words in order to give voice to their perspectives.
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The tentative empirical model of pathways towards patients experience of self-directedness can serve as a framework for future research, patient-centred clinical practice and education.
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The findings of this qualitative study cannot be directly transferred to other populations however, the results may help to improve the sensitivity of healthcare professionals and health educators towards diabetes patients.
Why Is This Medication Prescribed
Human insulin is used to control blood sugar in people who have type 1 diabetes or in people who have type 2 diabetes that cannot be controlled with oral medications alone. Human insulin is in a class of medications called hormones. Human insulin is used to take the place of insulin that is normally produced by the body. It works by helping move sugar from the blood into other body tissues where it is used for energy. It also stops the liver from producing more sugar. All of the types of insulin that are available work in this way. The types of insulin differ only in how quickly they begin to work and how long they continue to control blood sugar.
Over time, people who have diabetes and high blood sugar can develop serious or life-threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Using medication, making lifestyle changes , and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes-related complications such as kidney failure, nerve damage , eye problems, including changes or loss of vision, or gum disease. Your doctor and other healthcare providers will talk to you about the best way to manage your diabetes.
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Insulin Therapy In People With Type 2 Diabetes: Opportunities And Challenges
Diabetes Care
Philip Home, Matthew Riddle, William T. Cefalu, Clifford J. Bailey, Reinhard G. Bretzel, Stefano del Prato, Derek Leroith, Guntram Schernthaner, Luc van Gaal, Itamar Raz Insulin Therapy in People With Type 2 Diabetes: Opportunities and Challenges?. Diabetes Care 1 June 2014 37 : 14991508.
Constructing Everyday Experiences Of Self
The significant relationships of patients and their attitudes towards their own bodies also appeared to significantly impact the realisation of self-directedness and protection, which ensured adherence to diet and a trouble-free injection of insulin.
Attitude towards the body: attention and concealment
The respondents attitudes of the towards their own bodies affected the way patients shaped their autonomy in several aspects. Some respondents reported the desire to conceal their diabetic condition even from themselves to restore a sense of well-being, wholeness and a qualitatively superior existence.
If you didnt ask such things, it wouldnt have come to my mind that I am a diabetic. I was aware of it somewhere deep, but I dont think of it. This is how I feel very well. Thats the only way I can feel Im a person of value. Should I completely accept that L, you are indeed a person with diabetes, it would mean that a part of me ceased to exist.
A completely different way of actualising autonomy is to observe ones bodily indicators and treat them like masters. Attending to physical signs and the attached learning process led some patients to an autonomous existence:
Difficulties in assertiveness
Influencing each others attitude
This is the life of the family
At the doctors: cheating, giving up or partnering
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Growing Evidence For Insulin Therapy
As noted above, a commonly accepted view is that type 2 diabetes develops when insulin secretion can no longer compensate for the underlying metabolic disturbance. As secretory capacity progressively declines with time , it is understood that most people with type 2 diabetes will eventually require insulin therapy. Increasing use of therapies to protect against cardiovascular disease is extending the life of people with diabetes , and consequently more people will come to need insulin therapy. Diagnosis at a younger age will also extend the time of active treatment of diabetes. The effect of use of insulin in type 2 diabetes from the time of diagnosis has been evaluated in clinical trials, notably the UK Prospective Diabetes Study and Outcome Reduction With Initial Glargine Intervention . UKPDS showed that early and continued glucose control can reduce microvascular complications and, in the long-term, improve cardiovascular prognosis . The beneficial effect of insulin therapy is further supported by studies in type 1 diabetes where it is apparent that if insulin therapy is used effectively to induce early glycemic control, both micro- and macrovascular protection is achieved . Although it is acknowledged that achieving HbA1c< 53 mmol/mol is a difficult task, improvement of glycemic control with insulin is associated with improved patient well-being even if the HbA1c target is not achieved .
Qualitative Approach And Research Paradigm
To explore the everyday experiences of autonomy, we applied a qualitative constructivist and interpretivist grounded theory methodology. Building on a constructivist stance, we aimed at developing varied, complex and multiple subjective meanings of participants experiences. Our goal was to count on the participants multiple views of the situation and to look for the complexity of views rather than narrow the meanings into a few categories or ideas. The GT methodological approach allowed us to systematically study the subjective meanings produced in the social context and interactions. It also served as an inductive way of constructing and analysing the data throughout the iterative research process.
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Insulin Means Your Diabetes Is Serious
The truth is diabetes is a serious condition no matter how you treat itits just that so few people realize it. Because you can have diabetes and feel just fine , you may think youve got a touch of sugar or some other mild-sounding condition. In reality, high blood sugar poisons the body, damaging the heart, kidney, eyes, and nerves.The point is to make sure your blood sugar is under control, whether it takes diet, exercise, pills, insulin, or all of these combined.
Check Your Blood Glucose Levels
Discuss the best times to check your blood glucose levels with your doctor, diabetes educator or other members of your diabetes team. They can advise you what your target blood glucose reading should be, both before and after food. Your therapy may be adjusted depending on your blood glucose readings.
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How Should I Draw Up The Insulin
Insulin is a suspension not a solution, so before administering it you must mix it. Some insulins should be gently rolled and not shaken, while others should be shaken thoroughly. Your veterinarian will advise you on how to handle the insulin. Some insulin has more of a tendency to settle out of suspension, so mixing is very important for accurate dosing.
“The trick is to mix it vigorously enough to blend it without creating foam.”
The trick is to mix it vigorously enough to blend it without creating foam. When you have finished mixing the insulin, turn the bottle upside down to see if any of the white insulin molecules still adhere to the bottom of the bottle. If so, more mixing is needed.
Have the needle and syringe, insulin bottle, and dog ready. Then, follow these steps:
Who Takes Insulin Injections
Insulin is used mainly for individuals with type 1 diabetes mellitus in which the body does not secrete insulin optimally to lower blood sugar. People with type 2 diabetes in which the body does not respond properly, may require insulin when there are challenges normalizing the blood sugar with diet, exercise, and drugs.
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How Should Glycemic Targets Be Altered
The simplest and most often discussed modification of usual therapy for people thought to be at high risk is to modify the HbA1c target range. Instead of seeking HbA1c< 53 mmol/mol , higher-risk individuals are commonly advised to aim for between 53 and 64 mmol/mol . Although this was the target range for the standard treatment arm in ACCORD, evidence arguing that this range is always the most appropriate remains limited. For example, individuals with limited life expectancy and having HbA1c of 7586 mmol/mol probably have little to gain from strenuous efforts to reduce this value to < 64 mmol/mol . Similarly, people with serious medical illnesses requiring complex treatments, such as those with cancer undergoing treatment with cytotoxic regimens, might not need to seek even a relaxed HbA1c target range . However, very high HbA1c levels are associated with an acute risk of increased infection and vascular thrombosis as noted above , as well as tiredness, weight loss, and inconvenient polyuria.
Managing Diabetes With Insulin
Injections of insulin can help manage both types of diabetes. The injected insulin acts as a replacement for, or a supplement to, your bodys natural insulin.
People living with type 1 diabetes cant make insulin, so they must inject insulin to control their blood glucose levels.
Many people living with type 2 diabetes can manage their blood glucose levels with lifestyle changes and oral medication. However, if these treatments dont help control glucose levels, people living with type 2 diabetes may also need supplemental insulin.
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Insulin Needs In The Two Types Of Diabetes
Even though patients with both type 1 and type 2 diabetes need insulin, as that is the main cause behind the condition, their individual need for insulin varies.
While people living with type 1 diabetes need to supplement their body with insulin due to the inability of their body to make enough, the case is a bit different with type 2 diabetes.
Although a type 2 diabetes patient may be prescribed insulin, doctors will most likely recommend you first start out on a healthy diet and a more active life through regular exercise to see if it will help.
Even if at the end, you will need to take medications and/or insulin, exercising and eating right may help you require less than you expected.
A significant factor that determines whether or not a person with type 2 diabetes will need insulin is your individual circumstance.
Maintain Healthy Lifestyle Choices
Healthy food choices and being physically active remains important when starting and using insulin. This is vital in managing your weight, blood glucose levels and other factors such as cholesterol and general health and wellbeing.
When starting you will learn not only about insulin but other special considerations when using insulin therapy. Starting insulin can bring up an array of emotions and feelings about your health and diabetes. Its important to discuss any concerns you have with your diabetes team.
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Consideration Of Other Options
The decision to start insulin therapy will not usually be taken in isolation. Indeed rather than should insulin be started?, the most appropriate question is usually which of a series of options is most appropriate for this person already on treatment but needing better blood glucose control? In the above discussion, we consider situations in which insulin might be started, but in only a few will insulin be mandatory, although in many cases , it can also be the simplest approach to manage in the medium-term .
What Other Injectable Medicines Treat Type 2 Diabetes
Besides insulin, other types of injected medicines are available. These medicines help keep your blood glucose level from going too high after you eat. They may make you feel less hungry and help you lose some weight. Other injectable medicines are not substitutes for insulin. Learn more about noninsulin injectable medicines.
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What Should I Know About Storage And Disposal Of This Medication
Store unopened vials of human insulin, unopened disposable dosing devices and unopened human insulin pens in the refrigerator. Do not freeze human insulin and do not use human insulin that has been frozen. Opened vials of human insulin should be stored in the refrigerator but may also be stored at room temperature, in a cool place that is away from heat and direct sunlight. Store opened human insulin pens and opened dosing devices at room temperature. Check the manufacturer’s information to find out how long you may keep your pen or dosing device after the first use.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.