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Insulin Therapy

Insulin Treatment (when?) Any Glucose Level
Age
Rapid onset
Weight loss
Tablets fail
Pregnancy
Illness
Ketoacidosis
Emergency
Pancreat-ectomy
IDDM Therapy Education
Diabetes
Insulin
Acceptance
Believe
Eating
Testing
Supervision

Objectives of Insulin Therapy
Survival.
Prevention of Hypoglycemia & ketoacidosis.
Living full active life.
Prevention of long-term complications (if possible).

Insulin Therapy Education
Which
When
Dose
Sites
Technique
Checking
Hypoglycemia
Storage
Recording
Assessment

Complications of Insulin Injections
Low Blood Glucose:
Insulin reaction
Hypoglycemia
Local Reaction
Insulin Allergy & Resistance

Pathogenesis of diabetes: metabolic features
Genetic predisposition
Insulin resistance
Hyperglycemia
Defective insulin secretion
Human Insulin

Types of Insulin Types of Insulin
Onset of Action
Peak of Activity
Duration of Action
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

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