1 unit of regular that is normal also called humulin R lowers blood glucose level by about 45mg /dl on average. The range is 30 to 130 mg/dl in different patients). This is used a bolus insulin for carbohydrate coverage before meal. For example if u eat 60 grams of carbohydrate and u check sugar before meal and its 220 mg /dl but ur target was 120mg/dl then add 4 units of regular insulin to correct hyperglycemia to the initial dose u were taking. Total daily insulin requirements are to be met by 50 percent basal insulin. This coverage provided by Nph or insulin glargine and other 50 percent of total daily insulin requirement by regular insulin plus the correction factor
Hi Doc, I was diagnosed with Diabetes in 2016 and I was put on novamix30 TDD was 10units , but that did nothing to control my high levels I was total to increase I am know on TDD of 35units but still my levels are uncontrollable. After watching this I feel that I might not be on the correct regiment. Is novamix 30 good for type 1...Please help..
00:40 indication of insulin - sir you said that complication of DM like neuropathy... etc are indication for insulin therapy.; but i find in books that complication of DM like ketoacidosis/ hyperosmolar coma are indication for Insulin therapy not neuropathy of nephropathy . let me know if i am wrong
+shailesh kumar I think he means that these are indications for ambulatory insulin, for the diseases you are referring insulin is used in the hospital (Though probably they will need it afterwards)
Insulin choice of therapy usually for the patient developed with NIDDM more than 5 years.. Basically if it is more than 5 years but less than a year we could give the combination of oral and insulin therapy but forpatient developing NIDDM more than 11 years we could change the therapy to insulin but it also needs some consideration like blood control etc. Usually nephropaty could developed 5 - 10 years after the sign of microalbuminuria found, so maybe he was referring to this condition i guess..
third q plz, do we start the calculated mixed dose from day one ot shall we give it gradually, lets say if i started the patient (whos lets say 90 kg)on 10 unit before luch, and then give him another 10 in the morning, and then add another ten after few days morning, is it wrong? of course i tell the pateitn to monitor his glucose level before each meal
This video was a great reminder. Very clear and easy to follow for a complex topic.
Thank you ❤❤❤
Awesomely informative and perfectly explained! Thank you so much! 😊😊 14/9/2019
Very well explained
1 unit of regular that is normal also called humulin R lowers blood glucose level by about 45mg /dl on average. The range is 30 to 130 mg/dl in different patients). This is used a bolus insulin for carbohydrate coverage before meal. For example if u eat 60 grams of carbohydrate and u check sugar before meal and its 220 mg /dl but ur target was 120mg/dl then add 4 units of regular insulin to correct hyperglycemia to the initial dose u were taking.
Total daily insulin requirements are to be met by 50 percent basal insulin. This coverage provided by Nph or insulin glargine and other 50 percent of total daily insulin requirement by regular insulin plus the correction factor
Super helpful. Thank you!
Thank you very much 👍
thanks for the presentation
Love your videos! Thank you :)
Thank you so much
thank you.
excellent
great and useful... thanks
Thank you so much, 2020
Thanks thanks thanks!!
Simply amazing 👍👍👍
Awsome Work...🖒🖒🖒🖒
best wishes for all
Excellent
Bravo brother
Awesome
what happens if the patient forgets to check blood glucose levels prior to eating. How do you attempt to correct the prandial surge in blood sugar?
Thanks
Hi Doc, I was diagnosed with Diabetes in 2016 and I was put on novamix30 TDD was 10units , but that did nothing to control my high levels I was total to increase I am know on TDD of 35units but still my levels are uncontrollable. After watching this I feel that I might not be on the correct regiment. Is novamix 30 good for type 1...Please help..
00:40 indication of insulin - sir you said that complication of DM like neuropathy... etc are indication for insulin therapy.; but i find in books that complication of DM like ketoacidosis/ hyperosmolar coma are indication for Insulin therapy not neuropathy of nephropathy . let me know if i am wrong
+shailesh kumar I think he means that these are indications for ambulatory insulin, for the diseases you are referring insulin is used in the hospital (Though probably they will need it afterwards)
Insulin choice of therapy usually for the patient developed with NIDDM more than 5 years.. Basically if it is more than 5 years but less than a year we could give the combination of oral and insulin therapy but forpatient developing NIDDM more than 11 years we could change the therapy to insulin but it also needs some consideration like blood control etc. Usually nephropaty could developed 5 - 10 years after the sign of microalbuminuria found, so maybe he was referring to this condition i guess..
doctor i have a q, is the 70/30 insulin vials separate than 50/50 vials, or what? how can i know that?
and another q plz, if 50/50 is not available can i give only the two third of the 70/30 insulin if the pateint is controlled
third q plz, do we start the calculated mixed dose from day one ot shall we give it gradually, lets say if i started the patient (whos lets say 90 kg)on 10 unit before luch, and then give him another 10 in the morning, and then add another ten after few days morning, is it wrong? of course i tell the pateitn to monitor his glucose level before each meal
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