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In type 1 diabetes the pancreas no longer produces insulin (or at least not a significant amount) therefore the primary type 1 diabetes treatment consists of giving the body insulin as closely as we can to the way the body would do it naturally. There is no one right way to manage diabetes, since many different types of insulin treatment can successfully control blood sugar levels.  The type of insulin treatment varies from person to person, and can depend on many individual factors – including age and life style.
Many type 1 diabetics have what is called a ‘honeymoon’ period for the first few months (or even year) after being diagnosed.
Over time, people with type 1 diabetes usually learn to adjust their own insulin dose, although you will need help from time to time. There are a few types of insulin, which can be used alone or in combination in order to treat type 1 diabetes.
There are two general types of insulin treatment plans: intensive insulin treatment and standard (conventional) insulin treatment. Intensive insulin treatment — Intensive insulin treatment is best for keeping blood sugar in tight control.
Intensive insulin therapy is recommended for most people with type 1 diabetes because it gives you the best chance for successful blood sugar control, and it is best to start it as soon as possible. The drawback to intensive insulin control is that you might experience a higher rate of low blood sugars (hypoglycemia) and it is about 3 times as expensive as standard insulin treatment.
Intensive insulin therapy usually entails a long acting insulin (like glargine or detemir) that is used as a basal insulin, and an additional rapid insulin (lispro, aspart, or glusine) every time you eat. The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes. We also offer free, instant access to over 1,500 related articles on your pet's health including preventive medicine, common and not so common diseases, and even informative case studies. Insulin injections may be a double-edged sword for diabetic patients over 50 years of age, because of a recent study that appeared in Journal of the American Medical Association (JAMA) Internal Medicine journal saying such medication may bring more harm than good. Existing guidelines on type 2 diabetes mellitus suggest intensifying the treatment till the blood sugar levels of the patient reaches a particular goal.
Vijan also emphasizes that prescribing medications is not only about the reduction of complication risks but also of helping these patients enhance the quality of their lives. The study also recommends that the general benefit of a new medicine is less dependent on blood sugar but more on the safety, side effects and hassles of taking the new therapy. For several diabetic patients, little benefit is added to an exhaustive blood sugar therapy when one achieves the moderate levels of glucose control, while the costs of treatments, risks and burdens largely increase, says Vijan. The researchers say that individualized recommendations for treatments as determined by the possible risk of complications in patients are the better approach, instead of focusing on glucose issues alone. The study titled Effect of Patients’ Risks and Preferences on Health Gains With Plasma Glucose Level Lowering in Type 2 Diabetes Mellitus was conducted by VA Ann Arbor Healthcare System, University College London and University of Michigan Health System.
My Third Left "Nipple" Comment By FatCatAnna Added: Apr 30, 2016 Hey there readers - you can see another #dblog on my i-port experience that is a year later than the one you are reading here.
Or just maybe if your doctor had allowed you a few more weeks, you would have been able to achieve a normal blood sugar range. If the scenario above has happened to you or to anyone that you know, I want to first start by assuring you that you are perfectly OK with experiencing all those thoughts and emotions. My mission is to provide my readers with information in an easy to understand way so that they can get into action- FAST. There’s a common misconception that once a person with type 2 diabetes starts insulin that they now have type 1 diabetes. So how come someone diagnosed with type 2 diabetes all of a sudden needs to start using insulin?
In a person without diabetes, this whole process works seamlessly to maintain healthy blood sugars. In type 2 diabetes, in the beginning, oral medications help to stimulate the pancreas to produce more insulin. When a person with type 2 diabetes starts on insulin to get healthy blood sugar control, it gives the pancreas a much needed rest.
There are times that I have had to start a patient with new onset diabetes on insulin and then later on, they were able to transition to oral medication or reduce the amount of insulin they were taking.
In order to live powerfully with type 2 diabetes, it is important to dispel the misconceptions that surround being placed on insulin. So the first step begins with your acceptance of the fact that you have reached a stage in your diabetes management that you require insulin. The next step is a belief in yourself that you will do what it takes to learn all you can about insulin therapy.
She graduated from medical school in 1987 with awards in Obstetrics & Gynecology, Clinical Pharmacology and General Surgery. She is trained as an ontological life coach and is committed to helping professional women achieve a higher level of wellbeing as the roadmap to experiencing a more wholesome life.
She is also an author of a book empowering patients to live a more powerful life with diabetes. She graduated from medical school in 1987 with several awards in Obstetrics & Gynecology, Clinical Pharmacology and General Surgery. She is also an author of a book on diabetes, designed to educate people about diabetes in an easy to understand way. ADA recommends basa insulin over sliding-scale insulin and oral agents for treating severe diabetes. According to the new surgical guidelines posted by the American Diabetes Association, patients with diabetes that underwent surgery for diabetes induced complication should be treated with basal insulin rather than sliding-scale insulin. Diabetes mellitus, refers to a certain metabolic condition in which the patient’s blood sugar reaches high levels. According to medical literature on metabolic diseases, diabetes can be categorized into three major types: type 1 diabetes, type 2 diabetes and gestational diabetes. In type one diabetes, your live is unable to produce insulin, hence its surname of insulin-dependent diabetes. Patients diagnosed with type 1 diabetes can suffer severe complications such as heart and blood vessel diseases (angina, atherosclerosis), neuropathy, nephropathy, bacterial and fungal infections of skin and month, pregnancy issues and retinopathy. Type 2 diabetes is when your body does not produce enough insulin or your cells develop what it’s called insulin resistance.
As for the other type of diabetes, it can occur sometime during pregnancy due to the body’s high level of blood sugar.
Basal insulin recommended in diabetes treatment because oral agents used in therapy do not allow rapid correction of the glycemic levels. ADA said that the normal level of blood sugar for someone who doesn’t suffer from diabetes is between 70 and 140, 101-200 from those suspected of diabetes.
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Insulin requirements are relatively lower during this time, and when it ends patients insulin needs rise dramatically. Changes in weight, diet, health conditions (including pregnancy), activity level, emotional states, and work can affect the amount of insulin you need to take in order to control your blood sugar. Most people with type 1 diabetes meet with a doctor or nurse every three to four months, and review blood sugar levels and insulin doses at these visits, helping to fine-tune diabetes control. You will need to take 3 or more insulin shots per day or use an insulin pump, and you will need to check your blood sugar frequently. However, this regimen will be successful only if you are fully committed to it and you have good understanding of the regimen—this means checking your sugars 4 or more times a day. For more information about diabetes mellitus, see the fact sheets "Diabetes Mellitus - General Information", and "Diabetes Mellitus - Principles of Treatment". We encourage you to read any of these popular articles below or search our extensive pet health library. With over 600 hospitals and 1,800 fully qualified, dedicated and compassionate veterinarians, we strive to give your pet the very best in medical care.
Take this new study showing insulin injections for type 2 diabetes are not as beneficial as it seems for patients over 50 years old. Findings from the study, however, indicate that insulin shots for such health condition have negative side effects that outdo the benefits one gets from it. For patients aged 75 years old, the dangers of such treatments most likely overshadow any of the benefits. Use this comparison tool as a guide to learn more about the features and benefits of your current monitor or to find a new one.
A person diagnosed with type 2 diabetes does not need insulin injections in order to survive.
Eno’s Guide to Living Powerfully with Diabetes’, insulin is a naturally produced in the pancreas.
For instance, if you have not eaten, insulin sends a message to the fat stores in the body.
In fact I summise that the more you beat the horse, the wearier it becomes and this may even hasten it’s demise.
Research shows the benefit of lowering blood sugars very early, in order to reduce potential complications. THE ILLUSTRATION IS USED JUST TO PROVIDE A VISUAL AID AND IS IN NO WAY INTENDED TO OFFEND ANY READERS.
Eno Nsima-Obot is a board certified Internal Medicine Physician, with over 20 years of experience in the health & wellness industry. She was also the recipient for the quarterly award for compassion when she worked as a primary care physician with a large multi-specialty medical group in Chicago. Eno Nsima-Obot is a board certified Internal Medicine Physician, with over 20 years of experience in the health & wellness industry.
She is passionate about placing a human touch to healthcare and was the recipient for the quarterly award for compassion when she worked as a primary care physician with a large multi-specialty medical group in Chicago. Eno is committed to helping woman living with chronic illnesses such as type 2 diabetes achieve optimal health and wellbeing, so that they are able to experience a more wholesome life.
Basal Insulin recommended in diabetes treatment is a far better alternative to oral agents that have been known to produce life-threatening side effects. Usually this occurs because the live cannot produce sufficient insulin or, as recent studies point out, the cells in our body either reject or don’t respond to insulin. The traditional symptoms associated with diabetes mellitus are polyuria (meaning that you urinate more often), polydipsia (you are very thirsty all the time and tend to drink large quantities of water) and polyphagia (body’s nutritional requirements are higher than usual).
Patients diagnosed with this form of diabetes have to take regular doses of insulin for the rest of their life. Standard insulin treatment is an older regimen, although it may still be recommended for selected patients.
What is diabetes mellitus?-->-->Diabetes mellitus in dogs is caused by the failure of the pancreas to regulate blood sugar. Not good toward boarding, grooming, prescription and non-prescription medication, and retail items. This tool provides you with two important numbers reflecting the estimated impact of your present body weight and shape upon your overall health. While oral agents may help, they do not reduce blood sugar nor A1C levels as dramatically as insulin can.
As time goes on and with the natural course of type 2 diabetes, the way that you and your doctor manage type 2 diabetes will change.
Also, they must be careful to measure their blood sugar with a special device named glucometer.
In the dog, diabetes mellitus is usually Insulin Dependent Diabetes Mellitus (also called Type 1 Diabetes).
Unlike a person with type 1 diabetes who if they do not use insulin injections, they could die. This type of diabetes usually results from destruction of most or all of the beta-cells that produce insulin in the pancreas. As the name implies, dogs with this type of diabetes require insulin injections to stabilize blood sugar levels. Dogs with diabetes mellitus require one or more daily insulin injections, and almost all require some sort of dietary change. Although the dog can go a day or so without insulin and not have a crisis, this should not be a regular occurrence; treatment should be looked upon as part of the dog's daily routine. This means that you, as the dog's owner, must make both a financial commitment and a personal commitment to treat your dog. If are out of town or go on vacation, your dog must receive proper treatment in your absence. The "immediate crisis" is only great if your dog is so sick that it has quit eating and drinking for several days. Dogs in this state, called diabetic ketoacidosis, may require a several days of intensive care. Otherwise, the initial hospitalization may be only for a day or two while the dog's initial response to insulin injections is evaluated. Your veterinarian will work with you to try to achieve consistent regulation, but some dogs are difficult to keep regulated. Your dog needs consistent administration of insulin, consistent feeding, and a stable, stress-free lifestyle.
Although it is not essential, your dog should live indoors to minimize uncontrollable variables that can disrupt regulation.


However, this fear is unfounded, since the disposable injection needles are extremely sharp and cause minimal pain, the insulin does not sting or otherwise hurt on injection, and the injections are given under the skin in areas where it is impossible to damage internal structures. Once you are shown how to give them, you may be pleasantly surprised at how easy it is and how well your dog tolerates the injections.
How is insulin stored?Insulin is a hormone that will lose its effectiveness if exposed to direct sunlight or high temperatures. If you have any doubt about the storage of your pet's insulin, it is safer to replace it rather than risk using ineffective insulin.
Insulin is safe as long as it is used as directed, but it should be kept out of the reach of children. Insulin comes in an airtight bottle that is labeled with the insulin type and the concentration.
It is important to make sure you match the insulin concentration with the proper insulin needles. Insulin needles show their measurement in "units per ml", which must correspond to the concentration of the insulin you are using. Your veterinarian will instruct you on which type of insulin you are using and which type of syringe you should use.
How should I draw up the insulin?Before administering the insulin, you must mix the contents. The reason you do not shake insulin is to prevent foam formation, which will make accurate measuring difficult due to the tiny air bubbles. When you have finished mixing the insulin, turn the bottle upside down to see if any white powder adheres to the bottom of the bottle. In order to ensure that you have the correct amount of insulin in the syringe, make sure that it starts at the "0" on the syringe barrel, and that the edge of the plunger nearest the needle is on the correct unit mark on the barrel. Before injecting your dog with the insulin, check that there are no air bubbles in the syringe. Then withdraw the needle from the insulin bottle and tap the side of the barrel of the syringe with your fingernail to make the air bubble rise to the tip of the syringe. When you have removed all of the air bubbles, double-check that you have the correct amount of insulin in the syringe.
2)  Have someone hold your dog while you pick up a fold of skin from somewhere along your dog's back in the "scruff" region of the neck with your free hand. 3)  Quickly push the very sharp, very thin needle through your dog's skin at about a forty-five degree angle. However, take care to push the needle through only one layer of skin and not into your finger or through two layers of skin and out the other side.
The latter will result in injecting the insulin onto your dog's haircoat or onto the floor. 4)  To inject the insulin, place your thumb on the plunger and push it all the way into the syringe barrel.
If you are unsure if you administered it correctly, or if you "missed," do not administer additional insulin. Simply resume your normal schedule and give the next insulin injection at the regular time. Immediately place the needle guard over the needle and place the used needle and syringe into a puncture-resistant container. Be aware that some communities have strict rules about disposal of medical waste material so don't throw the needle and syringe into the garbage until you know if this is permissible.
It is usually preferable to take the used needles and syringes to your veterinary clinic or local pharmacy for disposal. Should I sterilize the skin with alcohol before giving the injection?It is neither necessary nor desirable to swab the skin with alcohol to "sterilize" it. 2)  Due to the nature of the thick hair coat and the type of bacteria that live near the skin of dogs, brief swabbing with alcohol or any other antiseptic is not effective. 3)  Because a small amount of alcohol can be carried through the skin by the needle, it may actually carry bacteria with it into the skin. 4)  If you have accidentally injected the insulin onto the surface of the skin, you will not know it.
If you do not use alcohol and the skin or hair is wet following an injection, the injection was not done properly.
Although the above procedures may at first seem complicated and somewhat overwhelming, they will very quickly become second nature. Your dog will soon learn that once or twice each day it has to sit still for a few minutes.
In most cases, a reward of stroking results in a fully cooperative dog that eventually may not even need to be held. Although most dogs will require the same dose of insulin for long periods of time, it is possible for the dog's insulin requirements to suddenly change. However, the most common causes for change are a reduction in food intake and an increase in exercise or activity. The dog should eat before giving the insulin injection, because once the insulin is administered it can't be removed from the body. Always remember that it is better in the short term for the blood sugar to be too high than too low.
This can occur because the insulin was not properly measured in the syringe or because two doses were given. You may forget that you gave it and repeat it, or two people in the family may each give a dose.
The most likely time that a dog will become hypoglycemic is the time of peak insulin effect (5-8 hours after an insulin injection).
If there is still no response, contact your veterinarian immediately for further instructions.
If it occurs at night or on the weekend, call your veterinarian's emergency phone number for instructions. SUMMARY OF INSTRUCTIONS FOR INSULIN TREATMENT OF YOUR DOG: Read and reread this material so that you understand the specifics of proper regulation and how to recognize and treat hypoglycemia. If glucose is not detected, measure the glucose two consecutive days every other week or as directed. If two injections are given each day, be sure the test is done before the evening injection.




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Comments

  1. Suner_Girl

    Long ago found Ray which.

    17.03.2016

  2. UQONSHIK

    Its job of transporting glucose molecules.

    17.03.2016