Insulin therapy in diabetes mellitus type 1 and 2

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insulin therapy in diabetes mellitusThose people, without a history there is diabetes mellitus type 1, are assigned therapies, the most important of which is insulin therapy. All preparations containing this hormone, depending on the duration of the effect and its duration can be divided into three groups.

simple or Fast-acting insulins, the therapeutic effect of which manifested after fifteen to thirty minutes after injection, injected before meals. The duration of action of approximately six to eight hours.

Preparations for a long period and medium of action, that replace the basal secretion of this fermenta, administered one to two times per day. Their purpose is to maintain a certain level of insulin in blood of a patient with diabetes mellitus type 1 throughout the day. Their action begins after four to six hours and lasts for at least thirty-six hours. Insulin is administered subcutaneously in the abdomen, posterolateral surface of the shoulder and back, front thighs and upper buttocks. The absorbability of insulin depends on physical activity, place of administration, body temperature, presence of metabolic and electrolyte disturbances in the body, and medical treatments that can improve blood microcirculation in the area around the injection site. The patient with diabetes mellitus type 2 it is important to know that injections must be periodically replaced, resulting in permanent tissues are formed microtemperature areas of Hyper - and hypotrophy of subcutaneous fat.


There are several schemes of insulin therapy in diabetes mellitus

first Scheme: with an interval at twelve o'clock in the morning and in the evening I take insulin with an average duration of its action. The so-called "short"second is administered three times daily immediately before mealtimes.

the second Scheme differs only in the fact that before dinner injection of short-acting insulin is absent.

In some cases, patients are allowed to independently increase or decrease appointed by endocrinologist insulin dose, but not more than ten percent of a daily dose in one direction or another.

If the dose is insufficient, the blood sugar level increases. The consequence of this is decompensated diabetes mellitus type 2, leading to a number of complications, such as ketoacids and diabetic coma.

In this connection it is necessary to monitor that the dose always meet the needs of the body. To this end, the doctor selects for each patient individually individual scheme of insulin therapy.