Functional Insulin Treatment: Principles, Teaching Approach by Kinga Howorka

By Kinga Howorka

The practical use of insulin is the simplest approach to remedy of diabetes requiring insulin on hand this day. This publication of useful Insulin remedy, healthy, indicates find out how to positioned it into perform. past diabetes teaching programs have tailored the patient's way of life to the stipulations of remedy. The objective of healthy is to avoid/delay past due problems whereas tailoring the remedy to the lifetime of the sufferer: even if with a number of day-by-day injections or with controllable infusion, the diabetic individual proficient in healthy is ready to dose her/his insulin in accordance with its genuine functionality, i.e., both for consuming or for fasting or for correction of hyperglycemia, in order that she/he achieves either, the objective glycemic keep watch over and the liberty to quickly or to devour at any time when, no matter what and what kind of she/he desires. integrated are new thoughts for sufferer motivation, new insulin analogs, administration of nutrients in obese, effortless estimations of algorithms for beginning useful use of insulin and every little thing that makes versatile therapy an fundamental resolution for each self-responsible one that wishes insulin.

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Extra resources for Functional Insulin Treatment: Principles, Teaching Approach and Practice

Sample text

Which regime should patients be advised to choose? If we consider the fact that under classical, conventional insulin therapy, self-monitoring is either not carried out at all, or if it is, then usually without immediate consequences, then it is clear that this type of treatment cannot be recommended for the average insulin-dependent diabetic patient. 4 Strategies for Insulin Treatment 39 apy and functional insulin substitution. Here the patient must make his own decision. Intensified insulin therapy, in which at least 2-3 insulin injections are carried out per day, is the absolute minimum in the current longterm treatment of type I diabetes.

Li1ted): 1CHO ""ni t 112;1- , .... U ~ N Correction; ~U regu t"r I~kwv~s my BG by apPlox . eX,AMPI. E. n Date: TIME : Mon. : g=i~~ ~~~~ons .... .. ,," ... fatgellOf conection 01 aberrant 6G values Fastinglpfe-meal' 100 mgldl (or . ) Aller meals . 1hour < 160 mgfdl (Of < ...... ) Target range lor MeG ' lrom __ ... to , ... • [UI .. m. B 9 10 11 12 1 2 3 4 5 6 7 p. m. , rayed ins.. Regular un.. BG CHO '" Comments. Tue. Delayed inS. ru Ins. BG IIISG ,. CHO Fr':111 11 111 1 Commenu. Time : T hu.

1981, Schade, Santiago, Skyler, Rizza 1989). Unfortunately, nomenclature varies among countries and even among diabetes centers, making communication between therapists sometimes difficult. 2. In my opinion, the decisive criterion for categorizing the various therapeutic regimes is not the relative degree of effort involved, i. , not the "intensity" of the treatment. It would be false and misleading to confuse the present form of FIT with its historical precursors (i. , "ultralente-based insulin regimens:' or continuous insulin infusion), which would require constantly regimented diet and lifestyle without allowances for immediate correction of hyperglycemia.

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