Insulin Therapy: Frequently Asked Questions – Insulin therapy requires frequent dose adjustments to maintain adequate blood glucose levels. Here is some information that people with type 2 diabetes can use.
So your doctor tells you that you need insulin treatment for type 2 diabetes. This is a common problem and will increase in the coming years.
About 29 million people in the United States have type 2 diabetes, and an additional 86 million people have prediabetes. 1 in 4 people with type 2 diabetes are on insulin therapy. it should probably be 1 in 4 more.
What does it mean to be on insulin therapy? Did you manage to prevent it? Will insulin really work?
These are frequently asked questions by people who need insulin therapy. As someone who has been treating people with diabetes for years and working to improve the effectiveness of treatment, I will do my best to help you find the answers to these questions. I’m also working on developing a better way to personalize the insulin dose.
Diabetes is a condition in which your pancreas does not secrete enough insulin to maintain normal blood glucose, or blood sugar, which is transported to different parts of the body to provide energy.
There are many causes of insulin deficiency, but the most common is type 2 diabetes. The main risk factors for type 2 diabetes are family history, weight, and age.
In fact, most overweight and obese people in the Western world will never develop diabetes. Weight is an important but misunderstood risk factor for diabetes. The food you eat is usually less important than weight.
Most people worldwide with type 2 diabetes do not meet medical criteria for obesity. Instead, their weight exceeds the ability of the pancreas to maintain adequate insulin secretion. Your pancreas may be less able to secrete insulin than your neighbor’s, making you more likely to develop diabetes when you gain weight.
Type 2 diabetes is a progressive condition. Over time, the pancreas tends to secrete less and less insulin. In the early stages, when your pancreas is still able to secrete some insulin but not enough to maintain normal blood glucose, losing 5 to 10 percent of your body weight—and more importantly, keeping that weight off – may slow down your insulin progression. lack of.
Even with weight loss, in most cases, diabetes eventually progresses to the point where you need to use medication. Most diabetes medications (apart from insulin replacement therapy) can only work if your pancreas is still able to secrete some insulin.
Because of the progressive nature of the disease, you may need more medications over time—and at some point, you may be so short on insulin that none of them are enough to keep your blood glucose healthy. In this case, insulin replacement therapy is necessary.
Overt insulin deficiency usually appears about 10 years after diagnosis. There is no evidence that you can completely prevent this development.
Although weight maintenance and physical activity are considered beneficial for general health, these methods have limited effect in the advanced stages of diabetes, when the pancreas produces little or no insulin.
Lack of insulin is harmful and dangerous. Without insulin, your body breaks down essential fats and proteins, which are important parts of your body, and damages many organs. The vast majority of diabetes complications occur when patients with advanced diabetes are exposed to high blood glucose for a long time.
If I could give you one piece of advice, it would be to avoid high glucose at all costs.
If you or a loved one has been diagnosed with diabetes, you’re probably familiar with what we call hemoglobin A1c. This is a measure of your average recent glucose level. Don’t let it rise. If you’ve gotten to the point where you need insulin to maintain healthy glucose levels, so be it. It’s not your fault you came to this place. you just need the right treatment for the actual stage of your type 2 diabetes.
Thus, even if insulin therapy is needed at some point in the progression of the disease, it does not solve the patient’s health problems. This is because the majority of patients using insulin therapy do not achieve their therapeutic goals in terms of maintaining appropriate blood glucose levels. Considering its benefits and the fact that insulin therapy has been around for almost a century, this is quite surprising.
Insulin has no upper dose limit and no glucose level it can lower. Unlike most other drugs, it has only one major side effect: hypoglycemia, which occurs when glucose levels drop too low. In addition, most insulin users adhere to their insulin injections and glucose readings. Why are they not achieving their treatment goals?
Unlike most other drugs, insulin requirements are dynamic and require frequent dose adjustments to address ongoing changes in insulin needs. The range of total insulin requirements is wide. No one knows whether you need 30 or 300 credits a day. When your doctor gives you insulin, he tries to give you as much as your pancreas was making before it failed. To find out how much insulin you need, your doctor will usually start with a low dose and increase it gradually.
But it doesn’t end there. Your insulin needs are constantly changing. You may need a different dose over time. You may need dose adjustments about every week to make insulin therapy effective and safe. Unfortunately, there are so many insulin users that our doctors often do not have time to adjust the dose.
Please don’t despair. there is technology that can help adjust the dose more often. Companies have developed technologies that allow insulin dosing to be as dynamic as needed to be effective for you.
In summary, it is not your fault that you need insulin therapy. This is another remedy you need when your pancreas is failing. The main challenge is to adjust your dose frequently. Fortunately, solutions are becoming available to make this easier. Type 1 diabetes is a chronic (lifelong) autoimmune disease that prevents your pancreas from producing insulin. This requires daily management with insulin injections and blood sugar monitoring. Both children and adults can be diagnosed with type 1 diabetes.
The symptoms of type 1 diabetes usually start mild and gradually worsen or become more severe, which can happen over days, weeks or months. If you or your child develop these symptoms, see your provider as soon as possible.
Insulin is an important hormone that regulates the amount of glucose (sugar) in your blood. Under normal conditions, insulin acts in the following stages:
If you don’t have enough insulin, too much sugar builds up in your blood, causing hyperglycemia (high blood sugar), and your body can’t use the food you eat for energy. It can cause serious health problems or death if left untreated. People with type 1 diabetes need synthetic insulin every day to live and stay healthy.
Type 1 diabetes and type 2 diabetes are both forms of diabetes mellitus (as opposed to diabetes insipidus) that cause hyperglycemia (high blood sugar), but they are different.
In type 2 diabetes (T2D), your pancreas does not produce enough insulin and/or your body does not always use insulin as it should – usually due to insulin resistance. Lifestyle factors, including obesity and lack of exercise, can contribute to the development of type 2 diabetes, as well as genetic factors.
Type 2 diabetes usually affects the elderly, although it is more common in children. Type 1 diabetes usually develops in children or young adults, but people of any age can develop it.
Anyone can develop type 1 diabetes (T1D) at any age, although the most common age at diagnosis is 4 to 6 years and early adulthood (10 to 14 years).
In the United States, non-Hispanic whites are more likely to develop Type 1 diabetes, and it affects people who are considered female at birth and people assigned as male at birth almost equally.
Although you don’t have to have a family member with type 1 diabetes to develop the condition, having a first-degree family member (parent or sibling) with type 1 diabetes increases your risk of developing it.
Type 1 diabetes is relatively common. About 1.24 million people in the United States live with type 1 diabetes, and by 2050, that number is expected to reach 5 million.
Type 1 diabetes is one of the most common chronic diseases affecting children in the United States, although adults can also be diagnosed with the disease.
The symptoms of type 1 diabetes usually start mild and gradually get worse or worse, which can happen over days, weeks or months. This is because your pancreas produces less insulin.
If you or your child has these symptoms, it’s important to see your doctor and get tested for type 1 diabetes as soon as possible. The sooner the diagnosis is made, the better.
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