Tip 1: How to choose the insulin

Insulin - a vital hormone pancreas, responsible for the assimilation of glucose.During pregnancy, due to disease or age-related changes in the need for additional doses of this hormone may increase.How to calculate the insulin dose that is right for you personally?
Guide
1
Check your blood sugar several times a day.Optimum results - 5-6 mmol / l of glucose and 8 mmol / L at 2 hours after a meal (deviations from this figure should not exceed 3 mg / l).
2
consider when checking the time of day, the number of carbohydrates consumed, activity levels before and after meals.
3
Consider additional factors: body weight, the presence of other diseases in the acute or chronic form, the mode and form of acceptance of other drugs.Particularly important are these factors for the appointment of a permanent course of injections of insulin with prolonged action, which does not depend only on the diet, as it creates a constant supply of this hormone in the blood.
4
Keep a diary, which rec
ords the level of fasting blood sugar, estimated consumption during meals and carbohydrate units of insulin dose and short-term action.Note that the usual relationship injected insulin and the consumed carbohydrate units is 2 to 1. But, if the blood sugar is elevated, and the need to make additional injections of short-acting insulin.From the blood sugar level of 10 mmol / l, is added to 1 unit of insulin per mM of glucose (e.g. 10 mmol / l - plus one unit of 11 mmol / l - plus 2 units)
5
Start the titration with insulin injections night.If you enter a bedtime of 10 units of insulin, then the adequacy of the dose indicator of blood glucose in the morning should not exceed 7 mmol / l.If, after the introduction of the primary dose you will increase sweating, appetite increase, the lower the dose of insulin administered at night, 2 units.Such symptoms indicate hypoglycemia (in other words, the insufficient level of sugar in the blood).The balance between day and night dose of insulin should be about 2: 1.

Tip 2: How to choose the insulin dose

Today people do not think about that at the beginning of the last century, diabetes was considered a fatal disease.It was only after the invention of insulin suffering from this disease have received not only the opportunity to live for many years, but also to improve the quality of life.
How to choose a dose of insulin
Guide
1
determine the dose of insulin, based on several factors.Note the level of glucose in blood and urine, the time of day at which you are going to inject.Also be sure to keep in mind about how you are going to consume carbohydrates after injection and the level of physical activity after eating.
2
consider not only the main, but minor factors in determining the dose of insulin:
- body weight, including the thickness of the fat layer.The greater the weight of the patient, the slower the absorption of the drug;

- pregnancy and lactation;

- the presence of renal failure;

- the presence of acute infection, trauma, stress.In this case it is necessary to increase the dose of insulin;

- treatment with other drugs.Before the introduction of insulin should carefully read the instructions to them.
3
Define insulin is not a theoretical and empirically.The first payment should be made in hospital under strict observance of diet and daily routine.Thereafter, the dosage can be determined and the home, adjusting it depending on lifestyle.
4
Distribute individual daily need for insulin, but stick to certain rules:

- at twice the injection of insulin 2/3 the daily dose is best administered before the first meal, 1/3 - before the last reception.But this morning, it is used intermediate-acting insulin, and in the evening - short;

- at three times the injection of 40-50% of daily insulin needs to be administered before the first meal of 10-15% before the last meal, the remaining part - before going to bed.
5
Remember that when properly selected dose of insulin overdose can occur.At the same time there is increased sweating, weakness, tremors in the hands, there is a feeling of hunger.In severe overdose, when the blood sugar is greater than 2.7 mmol / L, there is agitation, convulsions, central nervous system depression and even coma.
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