Clinicians should minimize the Type diabetes insulin therapy of concomitant therapt that may cause weight gain when treating patients with insulin therapy for type 2 diabetes mellitus. It is often combined with rapid- or short-acting insulin as needed. Reviewed on: Red Book online. Advertising revenue supports our not-for-profit mission.

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Ask the Experts: How to Lower Your Risk for Heart Disease if You Have Type 2 Diabetes This chapter Type diabetes insulin therapy dedicated to Dr. Insulln McGibbon Type diabetes insulin therapy passed away from a tuerapy illness on February 11, She had an Water retention reduction strategies dedication to diabetes care and diabetex passion for teaching the importance of patient care and compassion. Her leadership and outstanding contributions to the diabetes community will always be remembered. Insulin is lifesaving pharmacological therapy for people with type 1 diabetes. Insulin preparations are primarily produced by recombinant DNA technology and are formulated either as structurally identical to human insulin or as a modification of human insulin insulin analogues to alter pharmacokinetics.

Type diabetes insulin therapy -

This means that, after a certain amount of time, they must consume a set amount of carbohydrates. The nutritional plan associated with conventional insulin therapy is relatively strict. Variety is possible by changing the side dishes while ensuring identical amounts of carbohydrates are maintained.

For example, they can alternate between rice, pasta, potatoes, or bread. It is important that the selected type of carbohydrate corresponds approximately to the same original amount of carbohydrates.

Intensified insulin therapy or basic-bolus therapy is based more on the natural metabolic processes and is needs-orientated. The amount of insulin is adjusted at short notice based on current blood sugar levels, the amount of food, and physical activity.

However, regular blood sugar testing is a prerequisite for this type of therapy. Intensified insulin therapy enables better blood sugar management and is more suited to a flexible and active lifestyle. However, it requires more effort compared to conventional insulin therapy.

During intensified conventional therapy ICT , the person administers a predefined amount of bolus insulin and basal insulin before every meal. The amount of carbohydrates in each individual meal is not additionally determined but rather follows a set plan.

In contrast, alongside the injection of basal insulin, functional insulin therapy FIT requires the user to calculate the amount of bolus insulin needed before each meal, based on the exact amount of carbohydrates. During intensified conventional therapy and functional therapy, insulin is injected using an insulin pump or injection.

In contrast, during insulin pump therapy or continuous subcutaneous insulin infusion CSII , an insulin pump is used. Half of the overall insulin requirement is comprised of the basic required amount and the other half is the insulin required due to food. The basic required amount is necessary for metabolic processes, regardless of food intake and, and is also known as the basal requirement.

The aim is to achieve a constant blood sugar level while no meal is being consumed. To react to the increase in blood sugar resulting from a meal, an additional insulin dose is necessary bolus insulin.

For type 2 diabetes , insulin therapy may be necessary when the body is not producing enough insulin and dietary adjustment and physical activity alone, or treatment using tablets , are no longer effective.

For type 1 diabetes , due to the absolute insulin deficiency, insulin must always be injected. The form and amount of insulin injected vary from case to case. For functional insulin therapy, it is essential to estimate the amount of carbohydrates and then use the calculation factor to work out the amount of insulin required for each meal.

In addition, correction factors can be used to calculate the amount of needed to correct elevated blood sugar levels. The availability of short-acting and long-acting insulins has greatly simplified the treatment of diabetes.

It is now possible for most users to adequately regulate their sugar metabolism. Nevertheless, people with diabetes who receive insulin therapy must test their blood sugar level before each meal, calculate the required amount of insulin and then inject the insulin.

The idea is to create an insulin depot in the body to release the required amount of the hormone into the bloodstream when it is actually needed, i. These types of insulins are also called glucose-sensitive insulins.

Smart insulins are still being researched and are not yet approved for use. Various companies and research groups have recently made progress:. However, all these projects are still in a very early phase of development and testing. Experts believe that it will be several years before smart insulin comes onto the market.

Bundesärztekammer et al. Teilpublikation der Langfassung. Version 1. et al. In: Proc Natl Acad Sci USA, , Deutsche Diabetes Gesellschaft: S3-Leitlinie Therapie des TypDiabetes.

In: Diabetes Care, , Wang, C. In: Adv Mater, , 29 As of: Cookie Settings Wir verwenden Cookies, um grundlegende Funktionen dieser Webseite zu ermöglichen und um unser Angebot ständig verbessern zu können.

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In healthy people, the pancreas releases more insulin into the bloodstream when the blood sugar level rises after a meal. The insulin increase after eating is primarily triggered by the consumption of carbohydrates.

In addition, there is a base insulin production that regulates various sugar and fat metabolism processes. The insulin requirement can change due to certain situations, for example, during pregnancy or when breastfeeding.

Infections, accompanying diseases, or surgeries can also affect metabolism. The insulin requirement is normally higher in the morning and varies greatly from person to person. Other nutritional components, such as fat and protein, can also influence the release of insulin.

People who use conventional insulin therapy inject a predefined amount of insulin at set times twice per day. They usually use a fixed mix of long-acting and short-acting insulins The effects of the insulin last the whole day.

It is therefore crucial to eat meals with a certain amount of carbohydrates throughout the day. Physical activity is balanced out by eating additional meals. Conventional insulin therapy can be suitable for people with a very regular daily routine. However, the risk of suffering low blood sugar is higher when using conventional insulin therapy.

A long-acting insulin basal insulin , injected times per day, meets the basic insulin needs. And short-acting bolus insulin is injected before each meal to meet the increased insulin requirement. The insulin can be administered using an insulin pen, insulin injection, or insulin pump.

The insulin pump is used solely with short-acting insulins. The pump administers small amounts of insulin throughout the day to meet the basic insulin needs.

There are various types of intensified insulin therapy: During intensified conventional therapy ICT , the person administers a predefined amount of bolus insulin and basal insulin before every meal.

They may be able to use other treatment options to control their blood sugar levels, such as non-insulin medications and lifestyle and dietary changes.

It is essential that people who need to take insulin monitor their blood sugar levels regularly. Taking too much or too little insulin can lead to side effects or complications. Following the prescribed treatment schedule is also vital. It is essential not to miss a dose and take every dose at the right time.

Anyone who experiences side effects while taking insulin therapy should speak to a doctor. It is possible that another treatment plan or a different type of insulin may be more suitable for their needs and lifestyle. People with type 1 diabetes need to take insulin daily to control their blood sugar levels and remain healthy.

However, this treatment can cause weight gain at the start of the course, and taking too much insulin can lead to hypoglycemia. Many individuals with type 2 diabetes and gestational diabetes can use non-insulin medications and lifestyle changes to manage their condition without needing insulin.

When taking insulin, it is vital that people follow their treatment plan. Anyone experiencing side effects or complications while taking insulin should speak to their doctor, who can recommend other treatment plans or different types of insulin.

Timing of a rapid-acting or short-acting insulin shot is important. If you do not eat the meal or snack you planned to eat when you injected your pre-meal insulin dose, then your blood sugar could drop quickly and risk a hypoglycemic event that may lead to unconsciousness.

Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice. There are three well known types of diabetes. Learn more about each type, including their symptoms, causes, and risk factors here. Learn about the range of treatments for each type of diabetes and recent medical developments here.

People with diabetes may experience blood sugar spikes for various reasons. These spikes can sometimes lead to severe complications. Learn to prevent…. A blood sugar chart can help a person know if their glucose levels are within a suitable range.

If a person has diabetes, a doctor will make a plan to…. Some people with diabetes need insulin injections, but others can manage the condition with oral or other injectable medications.

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Medical News Today. Health Conditions Health Products Discover Tools Connect. What are the side effects of insulin therapy? Medically reviewed by Alan Carter, Pharm.

Side effects and risks Who needs to take insulin? Myths about insulin therapy Tips for taking insulin safely Takeaway. How we vet brands and products Medical News Today only shows you brands and products that we stand behind.

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Side effects and risks. Share on Pinterest People with type 1 diabetes need to take insulin. However, it can lead to side effects. Hypoglycemia when taking insulin. Share on Pinterest Using insulin may increase the risk of eye complications. Who needs to take insulin? Insulin delivery devices.

Myths about insulin therapy. Tips for taking insulin safely. Share on Pinterest Monitoring blood sugar is essential for people to avoid the side effects of insulin.

Q: Is it dangerous to take an insulin shot at the wrong time? A: Timing of a rapid-acting or short-acting insulin shot is important. How we reviewed this article: Sources. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.

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Many types Type diabetes insulin therapy insulin riabetes used to Type diabetes insulin therapy diabetes. Although available choices diabrtes seem lnsulin bit overwhelming at insullin, this guide can help you discuss your treatment with your doctor. Some people with type 2 diabetes will also need to take insulin. For more information about types of insulin and when to take them, talk to your doctor or diabetes educator. Skip directly to site content Skip directly to search. Español Other Languages.