The major advantage of carb counting is that it gives flexibility to eat a meal or snack when ever you wish and gives a freedom to choose any food you like. The carbohydrate content of a meal is quantitatively a determining factor of the mealtime insulin doses. Initially carbohydrate counting and insulin dose calculation may sound like a difficult task. The good news is that the technology for the management of type 1 diabetes is moving fast and is making living with type 1 diabetes a lot easier. At ACE diets we can help you to learn the differences between carbohydrate counting and general diabetes control.
O homem de 55 anos foi instruido pelo seu medico para injetar insulina em duas areas do abdome.
Eu sou diabetico tambem, e aplico insulina na barriga a pelo menos 10 anos, mas com certeza eu nao tenho uma bunda crescendo na minha barriga. Hae mulheres… nao e preciso mais gastar uma fortuna em silicone… E so aplicar nos dois peitos! Some statistics about type 2 diabetes state that 215000 people under 20 will be diagnosed with type one or two diabetes.
Pre-diabetes is also increasing because many of the younger generation have high blood sugar but not enough to really matter or effect the body. The amount of money spent in the United States on diabetic supplies and medications annually is 174 billion dollars, and will only increase as more people are diagnosed with type 2 diabetes. Insulin pump information, however, must necessarily contain both the advantages and the disadvantages of insulin pump therapy. The delivery of insulin through insulin pumps is more effective and accurate than the insulin injections.
An insulin pump ensures that there are lesser large swings in the blood glucose levels of the people using it. Thus diabetes management becomes much simpler if an insulin pump is used, because then a person need not restrict his food and the timing of the meal.
In using an insulin pump, the tension of blood glucose level going down to a very low level does not remain. APPRECIATE IF YOU GIVE A FACEBOOK LIKE or subscribeRSS feed to get new articles in your email.
Healthcare PolicyAssess the impact of a changing regulatory environment on your business with analysis of the latest changes in policy. Pricing & ReimbursementStay ahead of the ever changing global pricing landscape with in-depth analysis of industry developments and pricing trends.
Research & DevelopmentRead about the latest drug trials, releases, and industry developments – and understand how they will affect market pricing and access. Tresiba, a basal insulin, was recently launched by NovoNordisk in Japan(the drug was approved in Europe in October 2012). In-spite of this hoopla there are many facets of treatment paradigm, often overlooked, within diabetes with patient adherence being at the top. In spite of this aggressive treatment strategy, there are some fundamental challenges which need immediate attention to make the treatment more effective and engaging. Over the years, the evolution of insulin production and administration has been quite astonishing.
The evolution of insulin is not only limited to the method of production but also to the mode of delivery.
There is no doubt that the overall quality of care has improved in diabetes in the last 50 years, but there is a greater need to increase patient adherence which has remained stubbornly low. Diabetes is a challenging disease to manage and the most difficult challenge for physicians in diabetes management is the regimen adherence, which is extremely crucial for glycemic control.
This multidimensional adherence regimen with different components poses a dilemma for the ongoing clinical practice.
According to results of the DAWN study, patients rate the clinical efficacy of insulin as low and would blame themselves if they had to start insulin therapy – an attitudinal factor affecting adherence to overall therapy.


Both attitudinal and behavioural factor poses a unique dilemma in engaging the patient effectively towards therapy. According to a recent study published by The American Journal of Pharmacy Benefits, in US alone, the inflation adjusted per-capita non-adherence cost of diabetes ranges from $4007 to $6100 (approximately).
According to our team’s research with American Diabetes Association, Diabetes has reached epidemic proportion in the US with nearly 26 million adults and children living with the disease. No wonder that with figures like these, there is global outcry in healthcare systems to reduce the overall cost burden.
In the case of diabetes, there is no doubt that the overall treatment paradigm has greatly evolved in the last decade with better drug delivery systems and genetically enhanced insulin products making patient’s lives better. Praful Mehta is a senior life sciences analyst for IHS and is responsible for the development of new tools, platforms and capabilities. About the Life Sciences BlogIndustry insights from the IHS Markit Life Sciences team covering market access, pricing and reimbursement, emerging markets, generics strategies, therapeutic development pathways, forecasting and market sizing, and general competitive intelligence. For people with Type 1 Diabetes, blood glucose control is best achieved by matching rapid acting insulin dose directly to the amount of carbohydrate consumed; this method is called Carbohydrate Counting. Find your individual “correction factor” – extra units of insulin to correct a high blood glucose level that is above your personal targets. However, you will gradually become more familiar with the process and it will eventually become second nature.
If you are using insulin pump therapy, you are probably already using the bolus calculators built into most pumps. The randomized and non-randomized studies have shown the efficiency of Insulin Pump Therapy across all age groups. We are experts in advising people with multiple daily injection therapy (MDI) as well as those on insulin pump therapy (CSII). Please download the latest version of the Google Chrome, Mozilla Firefox, Apple Safari, or Windows Internet Explorer browser.
Statistic show that diabetes and diabetes type 2 affect 25.8 million people in the United States only, making it one of the worlds (besides AIDs) biggest health concerns. Type 2 diabetes causes (and is the leading cause) kidney failure, blindness, and lower limb numbness. Gestational Diabetes occurs when a woman is pregnant and can be dangerous to both child and mother. It is a medical device that administers insulin at predetermined doses on a regular basis, to diabetes patients so that patients suffering from diabetes do not have to suffer the hassle of taking regular insulin shots.
The company has hailed the drug as better than existing insulin products, with a lower risk of hypoglycaemia, and as offering the promise of a better quality of life. It is normally used by all patients with type-1 diabetes and when diet and other oral drugs have failed to manage the blood sugar in the body for patients with type-2 diabetes. It has undergone a tremendous change - from multiple injections routines to twice daily regimen to continuous subcutaneous insulin infusion through pumps. According to the research published in the Journal of Clinical Diabetes, it has been shown that diabetes regimen is multidimensional, and adherence to one regimen component may be unrelated to adherence in other regimen areas. However, a closer analysis of therapeutic component reveals interesting insights on patient adherence. However, patients who are not managing their diabetes well (poor perceived control, more complications, and diabetes related distress) are significantly more likely to see insulin therapy as potentially beneficial – a behavioural factor affecting adherence to therapy.
One common factor (acknowledged by both physicians and patients) attributable to the low adherence rates and directly affecting patient engagement is the frequency of administration. Poor adherence usually leads to lower success rates for treatment to target levels, increased adverse clinical outcomes (especially CV related), and overall mortality.
An additional 79 million have prediabetes, placing them at increased risk for developing type 2 diabetes.
However, it is ironic that in the advent of reducing overall healthcare cost, governments are so concerned about the benefits coverage, product pricing, and deep budget cuts but are completely ignoring patient adherence. It ensures a win-win solution to all the stakeholders in the healthcare system - improving quality of life for patients, increasing access to medicines for the pharmaceutical industry, reducing healthcare costs through systemic savings, and ensuring an overall better quality of human life.


Praful has been a long-time advisor to senior teams within the pharma industry on issues of market competitiveness, business integration, and commercialization strategies.
If you are on  MDI therapy there are now several blood glucose meters available with a built in mealtime (bolus) insulin calculator for calculating suggested insulin doses which means that it eliminates the need for you to make any mathematical calculations when estimating your mealtime insulin dose.
However, to make most of the technology, you also need to know about carbohydrates, how to monitor your blood glucose regularly, how to re-address insulin to carb ratios and about correction factors, how to re-address the adequacy of your background basal rate and use correct strategies for high and low blood glucose. The vast amounts of diabetes is due to the high sugar amounts in today’s food and medical advances that keep the defective diabetes gene in the population.
People over 65 are 25% of the United States diabetic patients, meaning that more people develop diabetes at a later state. Type 2 diabetes statistics show that two out of ten mothers will develop this during their pregnancy. See if you’re at risk for developing type 2 diabetes by looking up type 2 diabetes statistics and talking to your doctor.
So the insulin pump therapy can help a person suffering from diabetes mellitus by doing away with all the restrictions that cripples such a patient. However, there is a growing trend amongst specialists for adopting the early use of insulin in type-2 diabetes treatment pathways. Then, scientists came up with technological breakthrough to prepare recombinant human insulin in E.coli bacteria--commonly known as synthetic insulin. Pharmaceutical companies have been very active in inventing better methods of drug delivery, reducing the overall dose frequency and launching re-usable delivery systems, to increase overall adherence. Patients taking a once-daily dose have reported a greater compliance than compared to those taking three or more doses of medication. Non-adherence also leads to increased utilisation of systemic healthcare resources and greater costs for all the stakeholders. Moreover, Diabetes caused $245 billion dollars of total healthcare expenditure in 2012, as compared to $174 billion dollars in 2007. Even slight improvements in adherence could bring substantial systemic cost savings in the long run. For example, 1 unit of rapid acting insulin may be appropriate for every 10g of carbohydrate in a meal.
Once you have worked out and programmed the information into the meter along with your insulin-to-carbohydrate ratio and correction factors, the rest is then calculated by the meter. Using fasting tests help you learn about your individual background insulin requirements over 24-hour period and allow programming of your pump to your individual needs. This ratio is individualized from patient to patient, and it may even vary for the same patient at different times of the day. It is also important to make full use of the extra features available on your pump, such as temporary basal rates and multi wave and square wave boluses. These women also have an increased chance of getting diabetes in the next ten years after the pregnancy. The insulin pump keeps on providing the body with a regular flow of insulin at a fixed rate. Patients will also have to take into account pre-meal blood glucose level and give a correction dose if blood glucose is above the target range. So it does not remain necessary for a person with diabetes mellitus to take insulin at fixed times of the day. The correction factor is again individualized to each patient and it may vary at different times of the day. This ensures that the patient has greater flexibility and less of restrictions in his or her life.



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