Intensive insulin therapy

What is intensive diabetes therapy?

What is intensive insulin therapy ? Intensive insulin therapy is a treatment approach designed to keep your blood sugar levels closer to the levels of someone who doesn’t have diabetes . This treatment requires close monitoring of blood sugar levels and multiple doses of insulin.

What are the advantages of intensive insulin therapy?

The two primary advantages of intensive/flexible therapy over more traditional two or three injection regimens are: greater flexibility of meal times, carbohydrate quantities, and physical activities, and. better glycemic control to reduce the incidence and severity of the complications of diabetes .

What are the side effects of insulin therapy?

Insulin regular (human) side effects sweating . dizziness or lightheadedness . shakiness . hunger . fast heart rate. tingling in your hands, feet, lips, or tongue. trouble concentrating or confusion . blurred vision.

What is sliding scale insulin therapy?

Sliding scale therapy approximates daily insulin requirements. The term ” sliding scale ” refers to the progressive increase in pre-meal or nighttime insulin doses. The term “ sliding scale ” refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges.

How much insulin do I need to take?

In type 1 diabetes, most people need a total of 0.5 – 0.8 units of insulin per kilogram of body weight each day. Roughly half this insulin is needed for food intake, and half is the basal rate. In DAFNE half is therefore taken as long-acting insulin and this is divided into two injections of Levemir (detemir) insulin .

How do I calculate how much insulin to take?

Basal/background insulin dose: Basal/background Insulin Dose. = 40-50% of Total Daily Insulin Dose. 500 ÷ Total Daily Insulin Dose. = 1 unit insulin covers so many grams of carbohydrate. Correction Factor = 1800 ÷Total Daily Insulin Dose = 1 unit of insulin will reduce the blood sugar so many mg/dl.

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What is basal insulin vs bolus insulin?

Basal provides a constant supply of insulin to bring down high resting blood glucose levels. Bolus insulin, on the other hand, has a much more powerful but shorter-lived effect on blood sugar , making it an ideal supplement for people with diabetes to take after meals and in moments of extremely high blood sugar .

What is the correction factor for insulin?

A Correction Factor (sometimes called insulin sensitivity), is how much 1 unit of rapid acting insulin will generally lower your blood glucose over 2 to 4 hours when you are in a fasting or pre-meal state. However, you should keep in mind: this is an estimate. it may need to change as your baseline dose changes.

What is continuous subcutaneous insulin infusion?

This technology, continuous subcutaneous insulin infusion ( CSII ) (often now just called ” insulin pump therapy”), uses a portable electromechanical pump to help mimic nondiabetic insulin delivery, infusing short-acting insulin into the subcutaneous tissue at preselected rates—essentially a slow basal rate throughout the

Is insulin hard on your kidneys?

Insulin is a hormone. It controls how much sugar is in your blood. A high level of sugar in your blood can cause problems in many parts of your body, including your heart, kidneys , eyes, and brain. Over time, this can lead to kidney disease and kidney failure.

Is insulin bad for your kidneys?

In the bloodstream As long as the pancreas produces enough insulin and your body can use it properly, blood sugar levels will be kept within a healthy range. A buildup of glucose in the blood (hyperglycemia) can cause complications like nerve damage (neuropathy), kidney damage, and eye problems.

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Can you get off insulin once you start?

Once you start , you can ‘t stop (FICTION) Once glucose levels are controlled and lifestyle changes are in place, people may be able to use oral meds instead of insulin or reduce multiple daily injections to once daily.

Is 100 units of insulin too much?

The most common strength is U- 100 , or 100 units of insulin per milliliter of fluid. People who are more insulin -resistant may require more than that, so the drug is available at up to U-500 strength.

Why do we use an insulin sliding scale?

A person may have to use supplemental insulin to stay healthy. Insulin therapy aims to keep blood sugar levels as close to healthy levels as possible, to prevent symptoms and the risk of diabetes complications. The sliding scale is one way of working out how much insulin to take before each meal.

How many units of novolin r should I take?

For intravenous use, Novolin R should be used at concentrations from 0.05 units /mL to 1.0 unit /mL in infusion systems using polypropylene infusion bags.

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