Myths About Insulin And Type 2 Diabetes
When you hear the word insulin, do you picture giant needles or pop culture portrayals of insulin users with low blood sugar ?Either way, most people think of insulin as a difficult, painful, or potentially scary medical treatment.The problem is that if you have type 2 diabetes, you need to know the real deal before you can make an informed choice about whether or not this potentially lifesaving therapy is right for you.Here, we take a look at the facts and fiction about insulin when it comes to treating type 2 diabetes.
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.
Glycemic Control During Pregnancy
Because pregnant patients with type 1 DM are at risk for multiple poor maternal and fetal outcomes, it is essential to provide these patients with prepregnancy counseling, good glycemic control before and during pregnancy, and a complete medical evaluation. High-risk possibilities include exacerbation of existing hypertension, renal insufficiency, retinopathy, and more frequent congenital anomalies. These patients should be referred to obstetricians specializing in high-risk pregnancies.
Despite advanced age, multiparity, obesity, and social disadvantage, patients with type 2 DM were found to have better glycemic control, fewer large-for-gestational-age infants, fewer preterm deliveries, and fewer neonatal care admissions than patients with type 1 DM. This finding suggests that better tools are needed to improve glycemic control in patients with type 1 DM.
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Can Type 2 Diabetes Be Cured
There is no cure for type 2 diabetes, but some people are able to put their diabetes into remission. This means that your blood sugar levels are healthy and you dont need to take diabetes medication any more. Remission can be life-changing, but its not possible for everyone.
Learn more about diabetes remission.
Which Type Of Diabetes Require Injectable Insulin Blood Sugar Support
Diabetes can be a tough thing to cope with. There especially can be lots of battles when a individual is freshly diagnosed, but the primary one is being in rejection about it. Some people might get fantastic blood sugar control with diet plan and fitness only, but then just having glucose inspected when at the physicians go to. Another struggle might be the lack of interest, products or care to check that glucose a minimum of once a day.
For many people with diabetes, food is the greatest struggle. The millions of us who have actually ever attempted a diet plan know how tough it is to change how we consume. Sadly, diabetes is filled with food myths, so most need help knowing whats true and whats not. Your time and money will be well invested if you choose to get some education from a signed up dietitian or a certified diabetes educator.
No matter how you or a enjoyed one is fighting with diabetes, theres constantly hope in those struggles disappearing or getting better. Were here to help do just that! However initially, lets dive a little much deeper into the depths of this health problem and get a food understanding of what everything indicates.
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How Should I Store My Insulin
- Keep current insulin at room temperature to help alleviate injection discomfort.
- Insulin can usually be stored at room temperature for about a month. Once in use, insulin pens should be stored at room temperature. Expiration dates of insulin pens can vary depending upon the type of insulin. For disposable pens, you should discard the entire device when empty or when you reach the expiration date.
- Store extra insulin in the refrigerator.
- Dont expose insulin to excessive cold or heat.
Getting Started With Insulin If You Have Type 2 Diabetes
New to insulin? Learn about insulin dosing and timing and how often to test your blood sugar levels if you have type 2 diabetes.
If you have type 2 diabetes, it is likely that your treatment regimen will change over time as your needs change, and at some point, your healthcare professional may suggest that you start taking insulin. While this might feel scary, there are millions of others living with type 2 diabetes and taking insulin, so its definitely manageable.
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What Severe Complications Can Occur Because Of Rationing Or Running Out Of Insulin
Diabetic ketoacidosis is an emergency condition that results if you dont have enough insulin to regulate your blood sugar. DKA causes your body to break down fat for energy in the absence of insulin. This leads to a dangerous accumulation of acids known as ketones in your blood that can cause your brain to swell and your body to go into shock.
Signs of diabetic ketoacidosis include:
- Thirst or a very dry mouth
- Frequent urination
- High levels of ketones in your urine
- Nausea, vomiting, or stomach pain
- Difficulty breathing
- A fruity or acetone odor on your breath
- Confusion or acting drunk while sober
DKA is so common and can come on so quickly that it is the first sign of Type 1 diabetes in 20% of cases, and the way many type 1 diabetics are first diagnosed with the condition. If you go into diabetic ketoacidosis, dont try to hide it or make light of it. Treat it as the emergency it is and get to a hospital as soon as possible to recover. Ive had people tell me theyre tired of taking insulin, or that theyre rationing it due to cost. In type 1 diabetes, thats all it takes to end up in a life-threatening situation, says Dr. Zilbermint.
Another complication facing diabetics who use insulin is the potential for hyperglycemia, also known as insulin shock, which involves using too much insulin and causing your blood sugar to drop extremely low. This can cause coma, seizures, and heart attacks, says Dr. Powers.
How To Get Free Prescriptions For Diabetes Medicine
Youre entitled to free prescriptions for your diabetes medicine.
To claim your free prescriptions, youll need to apply for an exemption certificate. This is known as a PF57 form. To do this:
- fill in a form at your GP surgery
- you should get the certificate in the post about a week later itll last for 5 years
- take it to your pharmacy with your prescriptions
Save your receipts if you have to pay for diabetes medicine before you receive your exemption certificate. You can claim the money back if you include the receipts along with your completed PF57 form.
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Insulin Use Requires Multiple Daily Injections
Not always. If you need insulin, you have options. You can try a long-acting once-a-day insulin , which mimics the low level of insulin normally found in the body all day long. This may be enough to control blood sugar on its own, or it can be combined with oral medications. If blood sugar is still too high after meals, however, you may need to take insulin several times a day, just before eating.
Why Do I Need To Take Insulin
All people who have type 1 diabetes and some people who have type 2 diabetes need to take insulin to help control their blood sugar levels. The goal of taking insulin is to keep your blood sugar level in a normal range as much as possible. Keeping blood sugar in check helps you stay healthy. Insulin cant be taken by mouth. It is usually taken by injection . It can also be taken using an insulin pen or an insulin pump.
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What Are The Different Ways To Take Insulin
The way you take insulin may depend on your lifestyle, insurance plan, and preferences. You may decide that needles are not for you and prefer a different method. Talk with your doctor about the options and which is best for you. Most people with diabetes use a needle and syringe, pen, or insulin pump. Inhalers, injection ports, and jet injectors are less common.
Types Of Insulin Where To Inject It And The Best Methods For Insulin Delivery
role of insulinshort- and long-term complicationsYour diabetes treatment team is there to help you. Patients’ Guide to Managing Your Child’s Type 1 Diabetes
This article will provide a basic overview of insulin. You can also visit our Patients’ Guide to Insulin for more information as well as read more in the section on Type 1 Diabetes Treatments, which has a chart providing more detail about the types of insulin that your doctor may prescribe.
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Throwing Away Your Needles And Lancets
Sharps bins and needle clippers are the safest way of disposing of your insulin needles and your lancets. A needle clipper removes the needle from your insulin pen, and is useful when youre out and about. How you get rid of your sharps bin depends on where you live. Your healthcare team should have information to help you get rid of your bin.
Faq: Frequently Asked Questions
1. Why is insulin so expensive?
Though reforms are underway in many parts of the US, insulin costs are still prohibitively expensive for many people with diabetes. Reasons include the complexity of the pharmaceutical supply chain and lack of generic substitutes.
2. What is sliding scale insulin?
Sliding scale therapy is a regimen that prescribes a progressive increase in insulin doses before meals and at bedtime, based on your blood sugar levels.
3. What is an insulin index?
The insulin index gives foods a rating based on how much your blood insulin concentration rises in the two hours after consumption.
4. What is an insulin resistance diet?
An insulin resistance diet incorporates foods that will help maintain your bodys balance of insulin and blood sugar. Think nourishing calories from veggies, fruit, lean proteins, and healthy fats.
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Does Hypoglycemia Occur In Dogs
Hypoglycemia means low blood sugar. If the blood sugar falls below 40 mg/dl, it can be life threatening. Hypoglycemia generally occurs under two conditions:
“It is possible for the dog’s insulin requirements to suddenly change.”
Your veterinarian may have you offer an extra meal and recheck the glucose level within a short time after the dog eats.
How Can I Keep My Blood Sugar Level From Getting Too High Or Too Low
You need to check your blood sugar level regularly using a blood glucose monitor. Your doctor or his or her office staff can teach you how to use the monitor. Youll need to write down each measurement and show this record to your doctor. He or she will use this information to decide how much insulin is right for you.
Blood sugar measurements can vary depending on your lifestyle. Stress levels, how often you exercise, and how fast your body absorbs food can affect measurements. Hormonal changes related to puberty, menstrual cycles, and pregnancy can, too. Illness, traveling, or a change in your routine may mean that you have to monitor your blood sugar level more often.
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When To Contact A Medical Professional
- Chest pain or pressure
- Red, painful skin that is spreading quickly
These symptoms can quickly get worse and become emergency conditions .
Also call your provider if you have:
- Numbness, tingling, or pain in your feet or legs
- Problems with your eyesight
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Insulin As Treatment For Diabetes
Injections of insulin can help treat both types of diabetes. The injected insulin acts as a replacement for or supplement to your bodys insulin. People with type 1 diabetes cant make insulin, so they must inject insulin to control their blood glucose levels.
Many people with type 2 diabetes can manage their blood glucose levels with lifestyle changes and oral medication. However, if these treatments dont help to control glucose levels, people with the condition may also need insulin to help control their blood glucose levels.
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What Special Dietary Instructions Should I Follow
Be sure to follow all exercise and dietary recommendations made by your doctor or dietitian. It is important to eat a healthy diet and to eat about the same amounts of the same kinds of foods at about the same times every day. Skipping or delaying meals or changing the amount or kind of food you eat can cause problems with your blood sugar control.
How Does Diabetes Affect Your Heart Eyes Feet Nerves And Kidneys
Blood vessels are located throughout our bodys tissues and organs. They surround our bodys cells, providing a transfer of oxygen, nutrients and other substances, using blood as the exchange vehicle. In simple terms, diabetes doesnt allow glucose to get into cells and it damages blood vessels in/near these organs and those that nourish nerves. If organs, nerves and tissues cant get the essentials they need to properly function, they can begin to fail.Proper function means that your hearts blood vessels, including arteries, are not damaged . In your kidneys, this means that waste products can be filtered out of your blood. In your eyes, this means that the blood vessels in your retina remain intact. In your feet and nerves, this means that nerves are nourished and that theres blood flow to your feet. Diabetes causes damage that prevents proper function.
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Oral Medications Are Better Than Insulin
Oral diabetes medications can be great when it comes to lowering blood glucose levels. Many have been used for years and are very safe, such as metformin.Still, they dont work for everyone. “For some people, insulin is the easiest and best because it always works, but some people respond to pills, and others dont,” says Dr. Crandall.Not all oral medications have a tried-and-true safety record. For example,
Avandia was restricted by the FDA because of research suggesting that it ups the risk of heart attack.
Too Much Insulin Or Not Enough
High morning blood sugar levels before breakfast can be a puzzle. If you haven’t eaten, why did your blood sugar level go up? There are two common reasons for high before-breakfast blood sugar levels. One relates to hormones that are released in the early part of sleep . The other is from taking too little insulin in the evening. To see which one is the cause, set your alarm to self-monitor around 2 or 3 a.m. for several nights and discuss the results with your health care provider.
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What Happens In Type 1 Diabetes
The cause of diabetes is not known. Some experts believe diabetes is inherited , but the genetics are not clearly understood. Diabetes does not always run in families. The body mistakes the cells that produce insulin for foreign cells. The body then destroys these cells. This is called an auto-immune process. Although something in the environment may trigger the disease, there are no known ways to prevent type 1 diabetes in children.