INSULIN TREATMENT FOR DIABETES | HOW TO START INSULIN ON A PATIENT | DIABETES MELLITUS TREATMENT |

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  • Опубликовано: 2 окт 2024

Комментарии • 232

  • @MedNerdDrWaqasFazal
    @MedNerdDrWaqasFazal  2 года назад +8

    Download Slides of lecture by clicking on this link:
    www.buymeacoffee.com/docwaqasfazal/e/82060
    FOLLOW ME ON
    Instagram: instagram.com/docwaqasfazal/
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  • @briannegron8477
    @briannegron8477 2 года назад +468

    *My daughter drinks lots of water and urinates with the same rate, there are no other symptoms to show if those have anything to do with diabetes. This is a good information that I have gone through **Diabets.Care** She is 2 years 9 months, hale and healthy, have not done any blood test. But I am not certain if one can get diabetes at such a tender age. Please I will like to know more on that*

    • @ismailabukarmaxaad8950
      @ismailabukarmaxaad8950 2 года назад +2

      Go to pediatric dr

    • @doremifasolatido-ro7zs
      @doremifasolatido-ro7zs Год назад +1

      there are also other diseases that causes increased in urination like diabetes insipidus. check with your pediatrician. If you have a family history of diabetes then there is a possibility that your child could develop diabetes type 1.

    • @gandhichekuru237
      @gandhichekuru237 Год назад +1

      Possible of getting diab any age get tests done and go to endocrinologist if available paed endocrinologist get fbs plbs hblc and creatinine in a good laboratory

  • @rapstartwagi9397
    @rapstartwagi9397 4 месяца назад +2

    My problems have been solved by this video, thank you very much sir. I couldn’t differentiate any regimen from the other

  • @shafaqtanveer3486
    @shafaqtanveer3486 Год назад +34

    I called my patient today to put him on insulin therapy and wanted to be sure that I don't go wrong anywhere. This was of huge help . Keep up the great work Waqas!

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  Год назад +3

      So Nice of you Dr. Shafaq Tanveer. I am glad you found it helpful. 😊

  • @opyjoe3407
    @opyjoe3407 День назад

    Thanks so much for the explanation.
    Pls could you do a video on management of hyponatremia?

  • @IhtishamMD
    @IhtishamMD Год назад

    Superb such a good man you are and have explained everything in a very good way
    Kind of sadqa e jaria because the knowledge u learnt are now being shared in such a good way and helping other doctor to help patient

  • @jesusistruth.sthazel-adaug3279
    @jesusistruth.sthazel-adaug3279 2 года назад +2

    God bless you you Sir. Very very informative. Great and well simplified.

  • @abdinasirhaad3534
    @abdinasirhaad3534 Год назад

    Thanks a lot Dr. Waqas. This is very helpful

  • @reticent1231
    @reticent1231 3 года назад +55

    So glad that a real doctor is providing all these information instead of quacks..

  • @dr.shamshadahmad9348
    @dr.shamshadahmad9348 2 года назад +13

    Fantastic presentation on Insulin therapy. Highly educative as well as informative talk for General Practitioner Doctors like me practising in periphery and small towns !

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад +3

      Thank you very much Dr. Shamshad Ahmad for your very kind words. 😊 Keep supporting

  • @yudapratama264
    @yudapratama264 3 года назад +10

    Thank you very much for the explanation sir, very useful. I want to ask sir, what are the rules for increasing the correct dose of prandial insulin, sir? And I've read, that we can increase the dose until it reaches the target. Is the target referred to above is blood sugar before eating or after eating sir? Thank you sir...

    • @evangelistkhalifaabubakar4842
      @evangelistkhalifaabubakar4842 2 года назад

      I got rid on diabetes Completely with the help of DOCTOR OSEIWE on RUclips with his Harbal Medicine, you can also get in touch with him on health issues....

    • @riyadhalsaffar3783
      @riyadhalsaffar3783 2 года назад

      This is what called sliding scale, when you give certain amount of insulin according to Blood sugar readings

  • @christophernoah-sayers2227
    @christophernoah-sayers2227 2 года назад +2

    Why do they have to check their blood sugar before each meal if they will be taking 1/3 of 1/2 of their total insulin dose anyway?

    • @christophernoah-sayers2227
      @christophernoah-sayers2227 2 года назад

      Ok I just watched the sliding scale and I understand if you combine sliding scale with basal-bolus. Otherwise do they check their BS to avails hypoglycemia. How is the coverage for those implants that wirelessly monito glucose?

    • @christophernoah-sayers2227
      @christophernoah-sayers2227 2 года назад

      Also, is the total dose for basal-bolus without sliding scale 0.3-0.5units/kg and basal-bolus with sliding scale is 0.1-0.2 units/kg? Why the range?

    • @christophernoah-sayers2227
      @christophernoah-sayers2227 2 года назад

      Also, is the total dose for basal-bolus without sliding scale 0.3-0.5units/kg and basal-bolus with sliding scale is 0.1-0.2 units/kg? Why the range?

  • @gavriel25
    @gavriel25 Год назад

    Very helpful! Thank you.

  • @nailahabib8786
    @nailahabib8786 7 месяцев назад

    Beautifully explained ❤❤

  • @prakashgadag9542
    @prakashgadag9542 Год назад

    Nice lecture on Insulin

  • @arpitapachouri7337
    @arpitapachouri7337 2 года назад +2

    Good evening sir pls make vedio on ventilator

  • @RanjanNag-bz6vo
    @RanjanNag-bz6vo Год назад +1

    If ur not making insulin ur type 1
    And if ur insulin resistant ur type 2
    Best thing is the check ur fasting insulin n fasting glucose thus u come to know about ur Homa-IR score....n thus u come to know about whether u need insulin or not. Exojonus insulin in type 2 is wrongful treatment.

  • @balodesantosh8553
    @balodesantosh8553 2 года назад +3

    Excellent lecture sir.
    Sir next session plz explain about CT BRAIN

  • @baidarzaidi953
    @baidarzaidi953 2 года назад +1

    Extremely good presentation sir keep it up I like you ,Dr baidar

  • @mohammadkhan4142
    @mohammadkhan4142 2 года назад +2

    sir, please this lecture voice is not clear ,another lecture voice mixed with this lecture. plz send again

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад

      Mohammad Khan please try using headphones. And replay the video. I have rechecked the voice. 😊

    • @mohammadkhan4142
      @mohammadkhan4142 2 года назад

      @@MedNerdDrWaqasFazal now okay ..thanks for replying

  • @smis715
    @smis715 5 месяцев назад +1

    Sir is insulin is the best way of onttroling hypergly emia and why it is resistan what is the cause I of resistance

  • @ferdinardceline9539
    @ferdinardceline9539 2 года назад +9

    Such an excellent and clinically useful lecture. Could you please in your future videos also include how much dose to give (based on avg adult of 70kg, and if possible include a picture of brand name for reference) as many of us work in periphery and want to be more confident in safe prescription.
    Thanks.

    • @AkramKhan-th7qd
      @AkramKhan-th7qd 2 года назад

      There are personal variation some may be so sensitive that with small doses goes to hypoglycaemia He has given useful usual dose

  • @kiratrai1240
    @kiratrai1240 9 месяцев назад +3

    it cannot be clearer than this Doctor. Thank u so much !

  • @tanvipatel3665
    @tanvipatel3665 Год назад +1

    Please make a video on TB regimen.

  • @baidarzaidi953
    @baidarzaidi953 2 года назад +2

    Sir can we use oral hypoglycemic with insulin and which one.

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад

      Dr. Baidar yes you can continue the oral hypoglycemics that patient is taking if blood glucose is not controlled with insulin. Metformin and thiazolidinediones can be used.

  • @hctam.98
    @hctam.98 2 года назад +4

    Thank you, sir. You make it so clear! ❤️

  • @viveksingla7267
    @viveksingla7267 2 года назад +2

    Sir please can u explain with a patient example. It will be very helpful. 🙏

  • @NavneetGoel2oyeyara
    @NavneetGoel2oyeyara Год назад

    With due respect-
    Sir, There is some wrong information is being written on slides like-
    Rapid acting is Ultra short acting
    & short acting is Regular Insulins
    Hope you will consider or guide me.

  • @drusmansahi3767
    @drusmansahi3767 11 месяцев назад +1

    JazakAllah kher brother,,very comprehensive and very informative..

  • @Sanjay-hd4xm
    @Sanjay-hd4xm 2 года назад +3

    Ooh...finally someone who made things easy and clear..thanks a lot air

  • @Biceps3j
    @Biceps3j 2 года назад +2

    Thanks Mr Dr Waqas fajal
    Please make more videos

  • @abhishekbaiwal5271
    @abhishekbaiwal5271 2 года назад +2

    Thankyou thankyou sir

  • @bhargavreddyjanapana4232
    @bhargavreddyjanapana4232 3 года назад +2

    Sir u simplified the complex topic
    I acquired a lot of information from this vedio
    Thank you sir

  • @hinaejaz3407
    @hinaejaz3407 3 года назад +2

    Aoa.sir plz make a video of emergency treatment.e.g when unconscious pt came in ER then what should be immdiately treatment nd how to diagnose

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  3 года назад +1

      Walaikmasalam Surely, I do plan to make video on this topic. 😊

  • @jaitenderpaulsingh8270
    @jaitenderpaulsingh8270 2 года назад +3

    Vary well explained sir. Thanks for sharing And spreading awareness which mostly the doctors never tell to the patients. Carry-on sir.

  • @muhammadbashir9747
    @muhammadbashir9747 2 года назад +1

    Beautifully explained. But give an example of a real case scenario like a patient having fasting glucose level of 350 mg or 450 mg/dl.

  • @uvaissiddiqui3806
    @uvaissiddiqui3806 2 года назад +2

    Thanks a lot...I m doing internship... really aap k video bht beneficial hain.

  • @hezy7595
    @hezy7595 2 года назад +2

    Wow!
    I just want to say thank you so much sir. Receive much love from Kenya.

  • @ashokchakkarwar8917
    @ashokchakkarwar8917 6 месяцев назад +1

    Doctor you are to good that I can not express in words, thanks a lot. Namaskar

  • @doctorabhi8030
    @doctorabhi8030 Год назад +1

    Oh my god ...... thank you so much sir......now i get it, now my mind is crystal clear.....your method of explaining is incredible......🙏🙏👌👌✌️✌️👍👍

  • @priyasonkhla1120
    @priyasonkhla1120 2 года назад +1

    Good eveni g doxab…doxab m working in a periphery area where patient dont go to md medicine fo diabetes can please tell with dose of medication

  • @sidrailyas4518
    @sidrailyas4518 Год назад +1

    Thank you sir 🌺

  • @zubanusrif7312
    @zubanusrif7312 Год назад +1

    tysm sir no one explained this the way you taught. I always got so inspired with professors starting different regimes and so badly wanted to know and understand this. GOD BLESS.

  • @indranilpanja9119
    @indranilpanja9119 2 года назад +2

    Concepts became clear as water... Thank you, was struggling since night to understand basal bolus 🙏

  • @mitra150
    @mitra150 Год назад +1

    Very nicely explained……in mixed regimen is it a good practice to use 30/70 for morning dose and 50/50 for evening dose??

  • @marjanmathilda1475
    @marjanmathilda1475 2 года назад +3

    Awesome lecture ! Thank you

  • @dr.satadipannayak3924
    @dr.satadipannayak3924 2 года назад +2

    Thank you so much Sir for making it simple and easy

  • @nirmalyaroy3516
    @nirmalyaroy3516 2 года назад +2

    Thank you sir...waiting for more complicated topic in easy way.

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад

      I am glad you found it helpful Nirmalya Roy. Check out my other videos in my playlist on emergency medicine and cardiology Boot Camp.

  • @123Kuss.
    @123Kuss. 11 месяцев назад

    Sir iam diabetic type 2 (hereditary)
    patient age 57
    Sir my daily fbs is 312 to 356 in dis range
    I daily eat 1mg tab amaryl tds
    Sir please can u suggest best Insulin dose 🙏🙏🙏

  • @muhammadrashidmalik1236
    @muhammadrashidmalik1236 4 месяца назад

    Aoa sir
    If the patient is on mixed regimen 70/30 but his blood sugar levels are not in control what should we do in this case can we increase the units of mixtard ? Or we have to shift it on anyother regimen?

  • @anthonyngowi1280
    @anthonyngowi1280 Год назад +1

    thank you so much Doc...this was a very well put video

  • @HaiderAli-yk9ve
    @HaiderAli-yk9ve 4 месяца назад

    At what rbs level bolus dose should be avoided ,? E.g if before lunch rbs is bw 100 to 150 should we give bolus dose
    Also what about if rbs is less than 100 should we give bolus

  • @hinalchaudharil
    @hinalchaudharil 20 дней назад

    Thank u so much sir
    Providing informative knowledge in simple way 👏👏

  • @valentinob2199
    @valentinob2199 2 года назад +1

    Thank you Dr for a very clear and easy to understand video on this, much appreciated. Kindly consider my situation and advise provided by my Dr please.I have been on basal for a few years now and now need to combine with bolus. However, my understanding is that I only need to take bolus if I'm going to consume a high carb meal. And I need to check my sugar "after" the high carb meal to determine if the amount of bolus injected was sufficient to lower my sugar for "next time adjustment" should I plan to eat the same or similar high carb meal. This seem different to your calculations with fixed dose based on the 50-50 concept. Your thoughts on this would be much appreciated. I currently use aspart and Ryzodeg.

  • @Allhamdolillah2
    @Allhamdolillah2 Год назад +1

    Sir am glad In times where nobody is teaching anything to Junior you are here to help us jazakAllah

  • @AbdulRauf-v1y8m
    @AbdulRauf-v1y8m 2 месяца назад

    Thank you Sir for providing marvelous information in an excellent way.

  • @josephmartin8293
    @josephmartin8293 3 года назад +5

    Thank you sir very nice demonstration in reading book i can't able to understand this insulin regimens you make this topic easy understandable way sir. Sir please put topic about hypertension also.

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  3 года назад

      Thank you Joseph Martin. Will surely make video on hypertension too. 😊

  • @gnanasagarsagar9225
    @gnanasagarsagar9225 Год назад

    Adds are irritating.
    Adds sound is more than yours. When add comes suddenly sound is increasing.

  • @RuheeSharma-f9z
    @RuheeSharma-f9z 8 дней назад

    Very good explanation. You made everything crystal clear

  • @pkanta7672
    @pkanta7672 18 дней назад

    Very good explanation
    Bhagwan aapko khub bhakshy
    Aap jo bhla kar rhy h, usky liye

  • @Doctor_Saim
    @Doctor_Saim Год назад +1

    A/w Dr, your videos helping me a lot to get best approach towards the clinical settings. Keep uploading...😊

  • @IPhone7pluse
    @IPhone7pluse 7 дней назад

    The confusion get cleared
    Tnx for teaching , keep up the great job sir ❤

  • @jugarimedic4964
    @jugarimedic4964 9 месяцев назад

    In mixed regiment we give mixture of short acting and intermediate acting insulin
    plz correct it Sir

  • @shahabe1349
    @shahabe1349 2 года назад +3

    Thank you Dr.Fazal for your great lecture.

  • @Naturecure-24
    @Naturecure-24 Год назад

    Nice explanation sir..
    I have one doubt if patient take snack at evening is there any need to take insulin shot again

  • @mediina6527
    @mediina6527 3 года назад +2

    Plz make sliding scale video public...its not opening

  • @shivammishra8757
    @shivammishra8757 Год назад +1

    Very nice explanation sir😊

  • @draisha4473
    @draisha4473 2 года назад +2

    Very well explained sir
    thankyou sir

  • @pandeykuldip
    @pandeykuldip Месяц назад

    Very practical lecture.ALL must be familiar.

  • @amalkasir9767
    @amalkasir9767 2 года назад +1

    You are such an amazing, and your explanation is very clear and comprehensive ..!!
    Thanks a million !!

  • @Saddamhussain-yo7mw
    @Saddamhussain-yo7mw 2 года назад +1

    Thank you so much for this outstanding lecture....it was much confusing for me from long time ...Dil sa ap kalya duva neklaa ka hamesha Khush rahaa aor Allah ap ka knowledge ma aor ezafa Kara ...Ameeen,

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад +1

      Ameen & thank you Sadam Hussain for your very kind words for me. Highly grateful. 😊

  • @RAKESHGUPTA-bp9ed
    @RAKESHGUPTA-bp9ed 2 года назад +1

    Sir plz make a video on gouty arthritis

  • @Dr-Rahatkhan
    @Dr-Rahatkhan Год назад +2

    You are a magician ❤ Great video 👍

  • @bishowrajgyawali5802
    @bishowrajgyawali5802 8 месяцев назад +1

    Thanks❤

  • @neel7105
    @neel7105 Год назад +1

    You are my role model & inspiration Sir. Thanks a million times😊

  • @asadmasood6692
    @asadmasood6692 2 года назад +1

    Thanks sir .. your way of teaching is very outstanding and very helpfull and easy to understand.. thanks for providing competent knowledge.. keep helping us. Allah bless you

  • @ruksanaakhtar7284
    @ruksanaakhtar7284 2 года назад +1

    Very beautifully explained ! Thankyou

  • @vedamanickam6348
    @vedamanickam6348 3 года назад +1

    it will be nice if you add some case scenerio.
    Nice lecture

  • @Brain-l5u
    @Brain-l5u 2 года назад

    hindi meh v explain hona chaihiye

  • @sapnakumari-gr9fy
    @sapnakumari-gr9fy Год назад

    Sir what about multiple injections doses?

  • @opyjoe3407
    @opyjoe3407 Месяц назад

    Thanks so much sir for this very informative video

  • @mohanvustad9417
    @mohanvustad9417 10 месяцев назад

    Can Basal insulin alone be given once daily around 9pm.

  • @prajwalprajwal7392
    @prajwalprajwal7392 Год назад

    Tq so much doctor for educating me... No one explains as simple as u explain.. Even an uneducateds can easily understand ur explanation....
    I Hv a one doubt while injecting insulin may tells we should calculate insulin based on our carbohydrates intake is it true.. If it is so how to calculate based on carbohydrates we take...

  • @quratarifa8264
    @quratarifa8264 Год назад +1

    Sir need lectures on how to read ecg

  • @ANGEL-dn3pr
    @ANGEL-dn3pr 3 месяца назад

    I’ve finally understood insulin concept thanks to your simple explanation

  • @maryamfarid5213
    @maryamfarid5213 Месяц назад

    I would say you teach perfectly... Like things go n settle in brain by your teaching method... Hats oof🎉🎉

  • @mohamedgazzaly1448
    @mohamedgazzaly1448 Год назад +1

    Excellent lecture
    Thank you sir

  • @sampathr2
    @sampathr2 Год назад

    Very good explanation about the Bolus- Basal insulin regimen. I would like to Dr how this regime works for people with insulin resistance as this insulin will not take glucose into the cell. Kindly explain. My friend's wife blood sugar measured after 2 hrs after taking insulin Bolas dose before lunch measured 329 ml/ dl. How this can happen and what is the reson for that. His family Doctor did not give proper explanation for the above phenomenon. Her C peptide and fasting insulin results are within the range. We are all confused. Please give your thoughts on this issue. Tks for sharing this wonderful video.

  • @aqibsyed8198
    @aqibsyed8198 3 года назад +2

    Allah must bless you sir.Aamin

  • @nishasahu1510
    @nishasahu1510 2 месяца назад

    Very nice explanation,, satisfied content ❤

  • @ganeshmoorthy5642
    @ganeshmoorthy5642 Год назад

    Very clear explanation sir, thank you for sharing this lecture. I have one doubt sir,Can add oral antidiabetic drug along with insulin?

  • @swatisharma7131
    @swatisharma7131 3 года назад +1

    Also give examples for insulin dose calculation

  • @User-w8s8m
    @User-w8s8m 2 года назад +1

    Wonderful presentation.... thanks a lot.

  • @dr.akhtarshaikh4571
    @dr.akhtarshaikh4571 2 года назад +1

    Thank u Sir u make very much clear

  • @Sgtnathenhale
    @Sgtnathenhale 3 года назад +4

    very comprehensive review of insulin pharmacotherapy, its one of the more forgetful parts of endocrinology.

  • @ateeqjutt4387
    @ateeqjutt4387 2 года назад

    Thank u very much sir
    Sir plz tell me abt basal bolus regimes how to calculate wo have to mix or we give 50% long acting and 50%short acting in three doses am i right ?

  • @ΑναστάσηςΡουμελιώτης
    @ΑναστάσηςΡουμελιώτης 6 месяцев назад

    Amazing video. Thanks very much for your info. You were great help for a junior colleague!

  • @KhalidFarooq786
    @KhalidFarooq786 2 года назад +1

    Beautiful ماشاء اللہ ماشاء اللہ

    • @MedNerdDrWaqasFazal
      @MedNerdDrWaqasFazal  2 года назад

      Thank you Prof Dr. Khalid Farooq for your kind comments. 😊

  • @AkramKhan-th7qd
    @AkramKhan-th7qd 2 года назад

    For level of blood glucose insulin does has been given Suppose the level is above six hundred we would have to control the peak then as mentioned

  • @ChildFromGeorgia
    @ChildFromGeorgia Год назад +1

    very good...