Insulin Therapy

Insulin Treatment(when?)

Any Glucose Level• Age• Rapid onset• Weight loss• Tablets fail

• Pregnancy• Illness• Ketoacidosis• Pancreat-ectomy.

IDDM Therapy Education

•Diabetes

• Insulin

•Acceptance

•Believe

•Eating

•Testing

•Emergency

•Supervision

Objectives of Insulin Therapy

• Survival• Prevention of Hypoglycemia

&ketoacidosis.• Living full active life.• Prevention of long-term complications

(if possible).

Insulin Therapy Education

• Which• When• Dose• Sites• Technique

• Checking• Hypoglycemia• Storage• Recording• Assessment

Complications of Insulin Injections

• Low Blood Glucose:-Insulin reaction-Hypoglycemia

• Local Reaction• Insulin Allergy & Resistance

Types of Insulin

Pathogenesis of diabetes: metabolic features

Genetic predisposition

Genetic predisposition

Insulinresistance

Insulinresistance

Defectiveinsulin secretion

Hyperglycemia

Human Insulin

Types of Insulin• Onset of Action• Peak of Activity• Duration of Action

Types of Insulin• Short Acting Insulin• Intermediate Acting Insulin• Long Acting Insulin

Insulin Regimens• Once Daily Injections• Twice Daily Injections• Multiple Daily Injections• Pump Introduction

Insulin Treatment

Choice of Insulin Regimen

• Blood Glucose Level• Desired Degree of Control• Pancreases Status• Lifestyle• Patient’s Ability to Adjust