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Insulin Therapy
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Insulin Treatment(when?)
Any Glucose Level• Age• Rapid onset• Weight loss• Tablets fail
• Pregnancy• Illness• Ketoacidosis• Pancreat-ectomy.
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IDDM Therapy Education
•Diabetes
• Insulin
•Acceptance
•Believe
•Eating
•Testing
•Emergency
•Supervision
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Objectives of Insulin Therapy
• Survival• Prevention of Hypoglycemia
&ketoacidosis.• Living full active life.• Prevention of long-term complications
(if possible).
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Insulin Therapy Education
• Which• When• Dose• Sites• Technique
• Checking• Hypoglycemia• Storage• Recording• Assessment
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Complications of Insulin Injections
• Low Blood Glucose:-Insulin reaction-Hypoglycemia
• Local Reaction• Insulin Allergy & Resistance
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Types of Insulin
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Pathogenesis of diabetes: metabolic features
Genetic predisposition
Genetic predisposition
Insulinresistance
Insulinresistance
Defectiveinsulin secretion
Hyperglycemia
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Human Insulin
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Types of Insulin• Onset of Action• Peak of Activity• Duration of Action
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Types of Insulin• Short Acting Insulin• Intermediate Acting Insulin• Long Acting Insulin
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Insulin Regimens• Once Daily Injections• Twice Daily Injections• Multiple Daily Injections• Pump Introduction
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Insulin Treatment
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Choice of Insulin Regimen
• Blood Glucose Level• Desired Degree of Control• Pancreases Status• Lifestyle• Patient’s Ability to Adjust
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