Factors That Speed Insulin Absorption
Variation in insulin absorption can cause changes in blood glucose levels. Insulin absorption is increased by:
- injecting into an exercised area such as the thighs or arms
- high temperatures due to a hot shower, bath, hot water bottle, spa or sauna
- massaging the area around the injection site
- injecting into muscle this causes the insulin to be absorbed more quickly and could cause blood glucose levels to drop too low.
Summary Of Findings For The Main Comparison
Shortacting insulin analogues compared to regular human insulin for adults with type 2 diabetes mellitus
|Shortacting insulin analogues compared to regular human insulin for adults with type 2 diabetes mellitus|
|Patients: adults with type 2 diabetes mellitus Setting: outpatients Intervention: shortacting insulin analogues Comparison: regular human insulin|
How Much Do Insulins Cost
The cost of insulin can vary significantly based on the type used , and the delivery method Insulin costs also may vary depending on the type of insurance, since many plans utilize formularies that may price similar insulin products differently depending on the preferred supplier . For people without health insurance, insulin can cost anywhere from $25 to more than $300 per vial. Underinsured or uninsured patients can use free SingleCare coupons to save money on insulin and other diabetes needs.
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How Does It Work
Type 1 Diabetes, formerly known as Juvenile Onset Diabetes, is an autoimmune disorder that often develops at younger ages, however can occur at adulthood as well. It is believed that the immune system of the Type 1 Diabetic attacks the cells in the Pancreas called Beta Cells, which are responsible for producing insulin. Insulin is a hormone that helps regulate levels of blood sugar in the bloodstream. Symptoms of Type 1 Diabetes can include excessive hunger, thirst and urination, weight loss, blurred vision and tingling in the hands and feet. For people who do not have Diabetes, insulin is produced at a normal, constant levels on a consistent basis, with surges of extra insulin released after meals are ingested. Without the Beta Cells in the Pancreas producing insulin, there is no way for the blood glucose to be controlled in a Type 1 Diabetic without proper medical intervention. Uncontrolled Blood Glucose levels can be life-threatening and need to be managed as quickly as possible by a physician.
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About Low Blood Sugar
Low blood sugar is the most common side effect of Humalog. Low blood sugar happens when a person’s blood sugar falls below 70mg/dL. It can be caused by:
- Being more physically active than usual
- Taking too much diabetes medication
- Eating at the wrong time for the medication taken
- Other medications taken in addition to Humalog
- Not finishing meals or snacks
Low blood sugar can also be caused by a combination of these or other factors.
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Things To Consider Before Taking Insulin
You always need to be aware of what youre eating when you take insulin. Some people might be able to tolerate it well but others, not so much. Make sure you read up on any foods you want to consume and find out if they are good for insulin users.
And most people can still play sports with their injections. Just make sure your doctor is aware of it beforehand. Its important to note that exercise may affect the absorption rates of the insulin high in carbs or sugars could throw off blood glucose levels, especially if youre just starting out with your injections.
Also, you should take a physical examination before using insulin. Yes, it is important that a doctor or a specialist approves of the use of insulins for each person. Its also vital to have regular check-ups so as to monitor blood sugar levels and any possible side effects from taking insulin.
When it comes to pregnant women who have diabetes, They have to be extra careful. Pregnant women usually require very low doses of short-acting insulin per day due to changes in their body composition many dont even need it at all.
The use of short-acting insulin is pretty simple. However, there are many medical things that can get in the way of a person being able to take their injections regularly and effectively. If someone cannot take their injections regularly then theyre going to have problems managing their disease and making sure that their condition doesnt get worse.
When Should I See My Doctor
If you are using this type of insulin as needed, call your doctor if the blood sugar level becomes too low . Your dose may need to be adjusted. Also seek medical attention if it is so high that complications arise like diabetic ketosis where the body produces too much acid and the blood becomes highly acidic, putting you at risk for coma.
Symptoms of DKA include:
- Increased thirst and urination
- Sudden weight loss
If you notice signs or symptoms of ketoacidosis such as confusion, drowsiness, increased thirst, increased urination nausea stomach pain vomiting shortness of breath tiredness, and trouble breathing while sleeping , seek medical attention immediately. Insulin is a hormone produced by the pancreas that helps turn sugar from food into energy the body can use. In people with diabetes, either their own pancreas doesnt make enough insulin or their cells dont respond appropriately to insulin and cannot get sugar out of the bloodstream. As a result, sugar builds up in the blood causing high blood glucose levels which is extremely dangerous. If left untreated, this will cause serious damage to many parts of the body including the heart, eyes, kidneys, and nerves over time.
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Insulin Types And Actions Chart
This chart covers the different brands of insulin, how long it takes for each to start lowering blood sugar, when the peak of action will occur, and how long it will continue to work. Read the product information provided with your medication and follow the instructions from your healthcare provider and pharmacist for using insulin.
Different Types Of Insulin
Insulin is the medication used to manage type 1 and, in some cases, type 2 diabetes.
There are several things you should know about insulin.
- Insulin is a hormone that lowers glucose in your blood.
- Injected or inhaled insulin replaces what the body makes naturally. People with type 1 diabetes must take insulin to survive.
- About half the people with type 2 diabetes will need to take insulin at some point in their lives. Taking insulin doesnt mean youve failed your body may just need extra help.
- Insulin is safe and one of the most effective ways to lower blood glucose. It is measured in units just as milk is measured in pints and quarts.
- Insulin is made in different strengths. Most people use a strength called U-100.
- Insulins come in several different types. Some are faster-working and last for a shorter period of time while others are slower-working and last for a longer period of time.
- Different companies make different types of insulin. Always use the same brand and type of insulin that your provider has prescribed.
- Different injection sites may absorb some types of insulin at faster or slower rates.
- The main side effect of insulin is that it can cause low blood glucose levels. Knowing how to recognize and treat lows is an important part of taking insulin
Types of Insulin
All insulin is not the same. The types of insulin differ in:
- how fast they begin to work
- when they work their hardest
- how long they continue to work
- how is it being administered
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Disposal Of Used Insulin Syringes
Used syringes, pen needles, cannulas and lancets must be disposed of in an Australian Standards-approved sharps container, which is puncture-proof and has a secure lid. These containers are usually yellow and are available through pharmacies, local municipal councils and state or territory diabetes organisations such as Diabetes Victoria.
Procedures to dispose of sharps containers vary from state to state.
For sharps disposal information and help, you can contact:
- state or territory diabetes organisations, such as Diabetes Victoria
- state Department of Health
Insulin needs to be stored correctly. This includes:
- Store unopened insulin on its side in a fridge.
- Keep the fridge temperature between 2 and 8 °C.
- Make sure that insulin does not freeze.
- Once opened, keep it at room temperature for not more than one month and then dispose of it safely.
- Avoid keeping insulin in direct sunlight.
Extreme temperatures can damage insulin so it doesn’t work properly. It must not be left where temperatures are over 30 °C. In summer your car can get this hot so don’t leave your insulin there.
There are various insulated insulin carry bags available for transporting insulin.
Pregnant Women With Gestational Diabetes
Gestational diabetes refers to diabetes that is diagnosed during a womans pregnancy. Similar to Type 2 diabetes, the insulin present may not be sufficient to maintain normal blood glucose levels and ensure the cells are receiving the fuel they need. Often insulin injections are necessary for the duration of the pregnancy to protect both the mother and the babys health.
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How Do You Know If The Insulin In Your Body Isnt Working Properly
People with type 1 diabetes are generally diagnosed when symptoms cause them to seek medical care.
Type 2 diabetes is often diagnosed with a simple blood test during a routine physical exam or annual checkup.
A lab test of your fasting blood sugar levels or an A1C test can indicate if your blood sugar is within a healthy range. This can signal whether the insulin in your body is working correctly.
Characteristics Of Insulin Action
There are three characteristics that define how insulin medication function:
Insulin is prescribed by matching the characteristics of a particular insulin with the individual needs of the patient. Some people are on only one kind of insulin, while others take a combination of insulin medication to customize good glucose control.
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How Do Different Types Of Insulin Work
Insulin is a hormone made by the pancreas that allows your body to use sugar from carbohydrates in the food that you eat for energy or to store glucose for future use. Diabetes is a health condition in which the body is unable to regulate blood sugar on its own through insulin. There are two distinct types of diabetes:
Type 1 Diabetes :T1D, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin. Different factors, including genetics and some viruses, may contribute to T1D.
Type 2 Diabetes :T2D is a chronic condition that affects the way your body metabolizes sugar. In T2D, the body either resists the effects of insulin or doesn’t produce enough insulin to maintain normal glucose levels. Genetics and environmental factors, such as being overweight and inactive, have been established as contributing factors.
All patients with T1D and patients with more serious forms of T2D need to take insulin medications to help their body regulate blood sugar.
There are many types of insulin medications available. Each kind has its own unique action and they are not interchangeable. The chart below will help you understand how the various insulin medications work and why your healthcare provider has prescribed them for you.
Your Blood Sugar Goals
The American Diabetes Association recommends blood sugar goals for people with diabetes. These dont apply to everyone, however, so work with your doctor to set the right goals for you.
|Blood sugar check|
|Goal:Less than 7%|
These goals are not applicable to pregnant women or children. These goals should be individualized.
These guidelines don’t apply to everyone, so work with your doctor to set the right goals for you.
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How Do I Use Short
Before injecting yourself with short-acting insulin, check that it is not discolored or cloudy. Make sure youre using an approved brand of insulin. Speak to your doctor before switching to a different kind of insulin. Choose an area on your stomach, upper thighs, or the back of your arms and rotate injection sites to prevent infection. Hold the needle at a 90° angle and insert it into your skin by pushing it in swiftly. Once the needle is inserted, push down on the plunger so insulin can enter your body. Pull out the needle once you have injected all of the insulin.
When using injections with syringes, store them in a cool place but not in direct sunlight or inside a refrigerator. You should also keep this type of insulin away from moisture and do not use any after its expiration date. Keep short-acting insulin outreach from children as it can be harmful if taken inappropriately.
Do not share your needles or syringe with anyone. It can lead to infection and other health problems for both you and the person injecting themselves. Dispose of used needles in a puncture-proof sharps container. If you need help buying insulin, call your local pharmacist, diabetic educator, or primary care doctor. Try talking to your insurance company about coverage for insulin supplies.
What Is Mixed Insulin
If you take mixed insulin, that means you take it before meals and dont need to take background insulin at a different time. It can be a combination of short-acting and intermediate acting insulin, or a combination of rapid-acting and intermediate acting insulin.
You may see brands such as Insuman Comb 25 or Humalog Mix25 if you take mixed insulin. If you have type 2 diabetes, you might be prescribed this type of insulin. The insulin comes premixed and is cloudy.
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How Do I Take It
Many people get insulin into their blood using a needle and syringe, a cartridge system, or pre-filled pen systems.
The place on the body where you give yourself the shot may matter. You’ll absorb insulin the most evenly when you inject it into your belly. The next best places to inject it are your arms, thighs, and buttocks. Make it a habit to inject insulin at the same general area of your body, but change up the exact injection spot. This helps lessen scarring under the skin.
Inhaled insulin, insulin pumps, and a quick-acting insulin device are also available.
How Are Doses Scheduled
Follow your doctor’s guidelines on when to take your insulin. The time span between your shot and meals may vary depending on the type you use.
In general, though, you should coordinate your injection with a meal. You want to time your shot so that the glucose from your food gets into your system at about the same time that the insulin starts to work. This will help your body use the glucose and avoid low blood sugar reactions. From the chart on page 1, the “onset” column shows when the insulin will begin to work in your body. You want that to happen at the same time you’re absorbing food. Good timing will help you avoid low blood sugar levels.
- Rapid acting insulins: About 15 minutes before mealtime
- Short-acting insulins: 30 to 60 minutes before a meal
- Intermediate-acting insulins: Up to 1 hour prior to a meal
- Pre-mixed insulins: Depending on the product, between 10 minutes or 30 to 45 minutes before mealtime
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Advantages Of Taking Insulin
Many people who suffer from diabetes take insulin in order to regulate their blood sugar levels. This can be a challenge because of the unpredictability of diabetes and the number of side effects they may experience including hypoglycemia or hyperglycemia. In spite of this, taking insulin is still a favorable option for many because it offers them a convenient way to manage their condition without any complications. Some common advantages that they enjoy when taking insulin include:
- Regularisation of blood-glucose levels
Insulin A To Z: A Guide On Different Types Of Insulin
Elizabeth Blair, A.N.P., at Joslin Diabetes Center, helps break down the different types of insulin and how they work for people with diabetes. Types of Insulin for People with Diabetes Rapid-acting: Usually taken before a meal to cover the blood glucose elevation from eating. This type of insulin is used with longer-acting insulin. Short-acting: Usually taken about 30 minutes before a meal to cover the blood glucose elevation from eating. This type of insulin is used with longer-acting insulin. Intermediate-acting: Covers the blood glucose elevations when rapid-acting insulins stop working. This type of insulin is often combined with rapid- or short-acting insulin and is usually taken twice a day. Long-acting: This type of insulin is often combined, when needed, with rapid- or short-acting insulin. It lowers blood glucose levels when rapid-acting insulins stop working. It is taken once or twice a day. A Guide on Insulin Types for People with Diabetes Type Brand Name Onset Peak Duration Rapid-acting Humalog Novolog Apidra 10 – 30 minutes 30 minutes – 3 hours 3 – 5 hours Short-acting Regular 30 minutes – 1 hour 2 – 5 hours Up to 12 hours Intermediate- acting NPH 1.5 – 4 hours 4 – 12 hours Up to 24 hours Long-acting Lantus Levemir 0.8 – 4 hours Minimal peak Up to 24 hours To make an appointment with a Joslin diabetes nurse educator, please call 732-2400.Continue reading > >
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