Three diabetic patients asked for their own use of insulin

Patients with a Q: According to urine "+" how to adjust insulin dosage is a good alternative?

In two or three decades ago, the people do is based on the number of urine sugar to adjust the insulin dosage. Because then there is no way diabetes self-monitoring of blood glucose at home. To this end, the patient not only stay in urine self-test is cumbersome, and through the urine does not accurately determine the amount of insulin. Because the concentration of sugar in urine from 2% to 10% or higher concentration "++++", are unable to discern the difference between the urine several times. Similarly, negative urine glucose may be just below the renal threshold of sugar can also be very low, even lower blood sugar. And urine over a period of time in the discharge from the kidney and urine does not mean that the blood glucose level at that time. It is the level of renal glucose threshold variations due to different age. In addition, some of the nerve in patients with bladder lesions in urine do not row, the impact of residual urine by the urine glucose detected more are not allowed. In short, to determine the amount of urine insulin adjustment method is not very good, but not the use of self-monitoring of blood glucose.

In fact, diabetes has been widely used method of measuring capillary blood glucose self-monitoring of blood glucose levels and insulin dosage adjusted accordingly. In general, the application of small doses of insulin should be started. For example, in a half-hour fasting insulin injection formal, and should be measured in blood glucose 2 hours after meals. If blood sugar is still high, increase the dose the next day at this time; if blood sugar is too low, then reduce the dose. Slight fluctuations in the general blood sugar to increase or decrease in the two units is appropriate and should not be a substantial increase or decrease. Effective if applied in patients with insulin, should be based on fasting blood glucose levels Next Morning dosage adjustment. Patients with insulin at the beginning of the application to find the right dosage, the daily blood glucose should be measured several times; if the dosage had been adjusted, and its conditions are stable, no major changes in diet, a blood glucose measurement per day would suffice.


Patients with the Second Question: stable condition, the insulin can disable it?

Many patients with insulin therapy in the physicians often asked: "When will I be able to stop insulin injections?"

The answer to this question varies from case to case. Some patients with type 2 diabetes, because some incentives, if infection or excessive consumption of sugar and diabetic coma occurs, it must from the intravenous drip of insulin, but once the blood sugar drop after the removal of incentives, is likely to gradually switch to the treatment of oral hypoglycemic agents rather than insulin injections.

Advocated in recent years the medical profession of oral hypoglycemic agents and insulin combined at the same time, a new hypoglycemic agent and insulin-sensitizing agent such as an endless stream. Therefore the original patients with insulin alone may be over a period of time after administration, and gradually changed the treatment of oral hypoglycemic agents and insulin to disable. Because the application of these external insulin to a patient's own islets have been resting, functional recovery. However, this situation is to their own patients with pancreatic islet function is still retained some of the premise. If it is type 1 diabetes or type 2 diabetes patients with the latter, it must be life-long insulin.

Three patients asked: whether insulin "addiction"?

Some diabetic patients have a false understanding of insulin. They have a fear of insulin, insulin-like drug that will be "addicted", that is, do not hit down on the withdrawal. In fact, the insulin drug-irrelevant. In diabetic ketoacidosis or hyperosmolar coma, the insulin is the only effective life-saving drugs, in patients with type 1 diabetes must be treated with it.