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Insulin Therapy. Age Rapid onset Weight loss Tablets fail. Pregnancy Illness Ketoacidosis Pancreat-ectomy. Insulin Treatment ( when?) Any Glucose Level. D iabetes I nsulin A cceptance B elieve. E ating T esting E mergency S upervision. IDDM Therapy Education.
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Age Rapid onset Weight loss Tablets fail Pregnancy Illness Ketoacidosis Pancreat-ectomy. Insulin Treatment(when?)Any Glucose Level
Diabetes Insulin Acceptance Believe Eating Testing Emergency Supervision IDDM Therapy Education
Objectives of InsulinTherapy • Survival • Prevention of Hypoglycemia &ketoacidosis. • Living full active life. • Prevention of long-term complications (if possible).
Which When Dose Sites Technique Checking Hypoglycemia Storage Recording Assessment Insulin Therapy Education
Complications of Insulin Injections Low Blood Glucose: -Insulin reaction -Hypoglycemia Local Reaction Insulin Allergy & Resistance
Pathogenesis of diabetes: metabolic features Genetic predisposition Insulin resistance Defective insulin secretion Hyperglycemia
Types of Insulin • Onset of Action • Peak of Activity • Duration of Action
Types of Insulin • Short Acting Insulin • Intermediate Acting Insulin • Long Acting Insulin
Insulin Regimens • Once Daily Injections • Twice Daily Injections • Multiple Daily Injections • Pump Introduction
Choice of Insulin Regimen • Blood Glucose Level • Desired Degree of Control • Pancreases Status • Lifestyle • Patient’s Ability to Adjust