Insulin injection is also very particular about
Posted by shiy on October 12, 2008 in Diabetes
1. 1st day of the validity of insulin: the role of insulin in effect for about 12 o’clock, it normally takes two injections. If the islet function in patients with less serious damage, not eating at night under the circumstances, fasting plasma glucose control in the sound and only three during the day higher after meal blood sugar, can be injected before a breakfast meeting in the efficiency of insulin. On the contrary, if better control of blood sugar during the day, only high fasting glucose, is common in obesity, eating dinner and too many patients in the dawn phenomenon, in a bedtime injection of insulin, in effect, the dose per kg weight 0.2 Unit. Because of the effect of insulin before bed is the peak before breakfast in the morning better control of high blood sugar.
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2. In effect, a bedtime insulin, oral hypoglycemic agents during the day: overweight diabetic patients with insulin injections to obesity, high blood sugar in diabetic patients do not, three times a day can double Effects of oral drugs, hypoglycemic, lipid-lowering, drop weight, sleep An injection before the effect of insulin, insulin resistance against the liver caused by the early morning high blood sugar, works well.
3. 2nd day of the effect of insulin: apply to fasting and postprandial glucose mild increase of patients, the use of better control of blood sugar after fasting and postprandial glucose remains high, can be diverted to Connaught and Ling 30 R, 1, 2.
4. 2nd day of Connaught and Ling 30 R or Connaught and Ling 50 R: suitable for the majority of fasting and postprandial hyperglycemia in the main patients. Advantages are: the preparation human insulin, absorb good, strong role, according to the level of postprandial glucose, insulin may increase or decrease in the ratio of R, 2 times a day to accept patients. Drawback: Some patients with high blood sugar after lunch difficult to control, needed to be served first oral hypoglycemic agents.
5. Three times a day short-acting insulin: applicable to high blood sugar, the initial use of insulin, or diabetes in patients with post-operative infections, the advantages are: based on fasting blood glucose and food intake, regulation of insulin dosage, easy to grasp, low blood sugar less. Drawback is: at night and early morning high blood sugar difficult to control.
6. Before breakfast and lunch with short-acting and dinner with Connaught and Ling 30 R: twice a day for the Connaught and Ling 30 R, poor blood sugar control. The advantages of this method is: can reduce the amount of insulin to improve efficacy and avoid hypoglycemia occurred. As early as in fasting short-acting insulin to control both postprandial glucose, the Connaught and Ling 30 R control after dinner and night of blood glucose compared with physiological needs.
7. Three meals a day before the short-acting insulin, insulin before bed in effect: suitable for elderly patients with diabetes, or labor intensity, or irregular eating, or early, with short-acting before lunch, and dinner with Connaught Ling 30 R insulin is not the early morning blood glucose control Good One. Three meals a day before the short-acting insulin postprandial glucose control, bedtime injection of insulin or long-term effect of recombinant insulin (insulin Gan Jing, Arginyl insulin), can be maintained at night the basis of insulin secretion, compared with physiological insulin secretion of , Inhibit the liver produce glucose, reduce fat decomposition, and maintain stable blood sugar at night, but a little low blood sugar.
8. Day four times a short-acting insulin: the meal and before bed with three, apply to the initial use of insulin or can not be in ketosis and temporarily hospitalized patients. Bedtime insulin best of not more than 10 units.
9. 1st day of insulin analogue insulin Gan Jing (more): absorption and stability, to avoid the traditional long-term suspension absorption instability, caused by unstable blood sugar, can effectively control the basis of blood sugar, low blood sugar less a day when one of the more , The joint three meals a day available before the secretion of insulin gifted musicians, can simulate physiological insulin secretion, hypoglycemic effects can be comparable with the insulin pump.
10. Day six times short-acting insulin: suitable for type 1 diabetes or have special needs of patients, in 2000 Sydney Olympics the United States short course swimming athletes Hall, is six times a day insulin injections under the circumstances of the Olympic champion.
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