Sliding Scale Insulin Basics - Adjusting Insulin Dosage - Part 2
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- Опубликовано: 29 май 2018
- In this video we talk about sliding scale insulin for medical students and nursing students. Learn more about how to adjust the dosage of sliding scale insulin, and what may contribute to change the dose or medication.
Part 1: • Sliding Scale Insulin ...
Part 2: • Sliding Scale Insulin ...
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I heard Dr. Richard Bernstein say that at one time people were taking a super dose of basal insulin to last 24 hours and even cover food but they were forced to eat a lot of carbs
That results in poor control
Does that formula of 0.2iu/kg/day the total amount of insulin needed even when combining basal and postprandial insulins?
Yes
in the first video you said you would discuss how prandial is calculated "in a later lession" (7 minuetes and 22 seconds in the part 1 video). Based on that comment I was assuming that would be covered in part 2... and it's not.
What is the maximum limit of insulin per day? And how many times can we take insulin per day?
40 units/ day is the maximum dose of insulin
@@drrenukam1389 how can u say
Thanks for post....
Would add that the idea that a Type-I, can match their fast acting, insulin dose, to their carbs/proteins/individual bodies - is a fiction that needs to be stopped. Shame on ADA and JDRF, for their parts in perpetuating this myth...
ALSO:
Published figures by insulin makers on the claimed curve of effectiveness over time could not withstand "Evidence Based" scrutiny.
FAR BETTER strategy is lower carb intake, to reduce insulin needs. Smaller scale = less likelihood of life threatening reactions. Fewer trips to hospital; BG closer to norm line...
Are you saying that fast acting insulin isn't rapid enough to counteract carbs effect? I have type 1
@@dallasstiles118 Thanks for comment:
I am saying that Glucose spikes are a MOVING target.... Insulin is a MOVING bullet (designed, if it can hit the target perfectly, to cope with that spike). Problem is - In the real world, nearly impossible to do. (There is a way to tilt the odds in your favor).
Some say that the greatest lie perpetuated by the ADA is that: "..You can eat whatever you want, as long as you take enough insulin to cover it".
I would instead refer you to one of the great authorities on Type-1 Diabetes (He himself has been diagnosed with T-1), Doctor Richard K. Bernstein.
Below is a link to one of his videos. I also recommend his booK
"Dr. Bernstein:s Diabetes Solution" - This guy KNOWS what he is talking about...
PS: I am a Type-II, my, beloved, 23 year old daughter, like you, has Type-one (T-1). - May the Lord be with you, and protect you.
PPS: NEVER give up. Good news is: No cure, but many, proven, ways to seriously mitigate the effect the disease has on you.
ruclips.net/video/WsHLk3-BVyQ/видео.html
@@jasonavance7411 i have come to the same conclusion based on experience. Just wanted to make sure I understood. Low carb leaves margin for error more
@@dallasstiles118 There are no perfect answers, that's true.
To me, it seems that high carbs (over time) drive blood glucose levels so high, that massive does of insulin are need to correct it;
Lover carb levels (obviously) require much less insulin to correct it.
***
Looked at from that angle, one might consider that it is similar to the speed of an automobile, say (for emphasis) going thru a crowded and, busy, parking lot: Going thru that lot at 10 MPH, will certainly lead to fewer, and less harmful accidents than travelling at 80 MPH.
Besides - a low carb (vs- high carb) diet is far better for you teeth, your skin, and avoiding heart failure, blindness, neuropathy, and a huge host of other diseases that result from excess sugars in our system - plus the added benefit of, almost automatically achieving height-weight proportionality. Good luck to you.
@@jasonavance7411 thanks
I wonder if he can speak a little bit faster.....