Insulinotherapy

Insulinotherapy

Insulinotherapy is the leading method of treatment of diabetes worldwide. It can significantly improve the condition of patients and provide them with a full life.

Insulinotherapy apply:

  • for the treatment of patients with diabetes mellitus the first type;
  • as a "temporary measure" the preparation of patients with type II diabetes to surgical interventions in the event of respiratory and other diseases;
  • for the treatment of patients with type II diabetes after failure of treatment hypoglycemic agents.

Calculation of daily insulin dose

Physician based on the level of blood glucose and urine calculates daily insulin dose. The required amount of the drug is distributed tothree or four injections that must be done during the day.

In the future, the dose is adjusted according to the results of studies of glucose in the blood and urine. To do this, take blood before each administration of insulin and food intake and collect urine into three portions: Two day (from 8.00 to 14.00 and from 14.00 to 20.00) and one night (20.00 pm to 8.00 am the next day).

Injection scheme

Insulin subcutaneously, previously well massaging place injection. Recommended daily rotate the site of injection of insulin.

Injections are performed using an insulin syringe with a needle or a thin by injection pens. Syringe pen has a number of advantages:

  • it is equipped with a special needle that makes insulin injection almost painless;
  • it can carry (just in your pocket) without fear of destruction of insulin under the influence of ambient temperature. Some pen allow the use of vials of insulin, which greatly facilitates the treatment (there is no dependence on the presence of cartridges), allowing you to prepare and apply the mixed insulin products individually.

Eating need not later than 30 minutes after insulin administration. Should not be administered at one time more than 30 units.

Injection scheme Insulin individual and composed the doctor for each patient. The most common scheme is the following combination of insulin injections:

  • in the morning (before breakfast) insulin and long-acting short;
  • day (before lunch) insulin Short-acting;
  • in the evening (before dinner) introduction short-acting insulin;
  • overnight prolonged insulin action.

Complications of insulin therapy

In some cases, may develop complications of insulin therapy:

  • allergic reaction: pruritus, rash at the injection site. Allergic reactions often result from improper administration of insulin: excessive trauma (too thick or a blunted needle), the introduction of a strong cooling of the drug, the wrong choice of location for injection, etc.
  • hypoglycaemia (too low blood sugar): the emergence of strong sense of hunger, sweating, palpitations, trembling. Encountered in inflating the insulin dose, inadequate food intake. If early signs of hypoglycemia, the patient should eat 100 grams of bread, 3-4 lumps of sugar or drink a glass of sweet tea. If no effect, call your doctor. In some cases, the hypoglycemic condition may occur with excessive physical exertion or mental shock, excitement.
  • Postinsulinovye lipodystrophy: changes and loss of skin subcutaneous tissue at the injection site. To develop this complication resulting improper insulin (frequent injections into the same area, the introduction of cold insulin and its subsequent cooling of administration, insufficient kneading after injection, etc.). The tendency to the formation of lipodystrophy follows with special thoroughness abide by the rules of administration of insulin correctly alternating between his place of daily injections.

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