Diabetes Chalk Talk 3: Insulin Sensitivity
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- Опубликовано: 23 ноя 2013
- Welcome to Type 1 and Joe Solowiejczyk proudly present the third instalment of the Diabetes Chalk Talk series: Insulin Sensitivity.
Contents:
00:32 -- Overview
03:33 -- Insulin types: The first insulins
10:04 -- Insulin types: Newer insulins
16:39 -- Insulin therapies and regimens
18:07 -- Multiple Daily Injections (MDI) vs. Insulin Pumps
22:18 -- The Insulin-to-Carb Ratio
25:20 -- The Insulin Sensitivity Factor
29:30 -- Putting it all together: Examples
30:56 -- Example 1: Tim, 18-month-old, Multiple Daily Injections
46:11 -- Example 2: Suzie, 16-year-old, Insulin Pump
52:58 -- Conclusion
For all five Chalk Talks and much more, visit us at: www.welcometotype1.com.
This was so helpful to a nurse going from hospital to school nursing. Only a few years ago the thinking was to put out the fire after it stated. Thanks to more forward thinking that that anticipates post meal spikes in blood glucose. Thanks a million.
I have to understand Diabetes 1 to understand diabetes 2, I am discovering this.
LOL you are so funny! "no-one remembers the dog haha"
This is helpful. Basically you are making your own sliding scale. However, what I did not understand is how did you come up with the total daily dose the patient needs. Why is Timmy's total dose 10units and how do you determin his dose is 5u of Lantus and 5u of Novolog? Is it based on weight and age? Is the the same for everyone depending on weigh and age and then you increase it acording to their numbers?
I have my premeal bs eg. 220, 1+5 (want to be 100) + carbs pre calculated, say I ate 2 eggs,toast 20, oil 1T 0, applesauce .5c,15 g and 8 oz milk 1% 12carbs.
1+5+20+15+12=53÷4(to get units of insulin=13.25 u novelog. I would round the units to 14. So to cover breakfast I inject 14u novelog, wait 15min and then eat. There has to be 5hrs between novelog injections or longer.
I am a diabetic 2. When I started lantus, before short acting novelog, which was years, I started at 60 units lantus, once a day and the Dr. added more lantus as I needed it and then fast acting before meals. I made some mistakes like exercising when my bs was too high.
I am a long distance swimmer, at least before covid. Also, I count calories now, instead of using excersizing, to control my weight. I have lost about 25 lbs. Sense counting. And have lowered my Basel. It is a juggling act.
I want to point out glaring misinformation re: Longer Acting/Basal Insulins (Lantus, Levimire):
1) They do peak/have a noticeable BG lowering bump approx 5-6hrs post injection.
2) they do not last 24hrs. Most split their basal dose and administer every 12hrs.
Granted this video was made 8yrs ago and these facts have long been confirmed.
Both Lantus and Levemire were originally marketed by the pharmaceutical companies that manufacture them to last a full 24hrs and to be true (flat line) background/basal insulins w/o a peak.
Where did 1800 come from ? O count TDD in units.
What is his name?
4:45 to skip all the other stuff he talks about