Download Functional Insulin Treatment: Principles, Teaching Approach by Kinga Howorka PDF

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  • March 28, 2017
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By Kinga Howorka

Useful Insulin remedy (FIT) is the simplest approach to remedy for sort 1(insulin-dependent) diabetes to be had at the present time. no matter if with an insulin pump or with a number of day-by-day injections, the diabetic sufferer proficient in healthy is ready to dose his insulin at the foundation of exact fuction in order that he achieves near-normoglycemia and the liberty to devour while, what and what kind of he wishes. The objective of healthy is to evolve the treatment to the life-style of the sufferer. This e-book creates a standard foundation for verbal exchange between therapists (physicians, nurses, dietitians, diabetes educators) and sufferers curious about healthy. It in actual fact defines the rules of the remedy and describes the contents, media and strategies of a pragmatic software for education sufferers to hold it out.

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Extra resources for Functional Insulin Treatment: Principles, Teaching Approach and Practice

Sample text

Below 140 mg/dl), but high glycosylated hemoglobin (more than 1 % above the normal limit), for example, may be missing intermittent, postprandially occurring hyperglycemia because blood glucose is being monitored only before meals. We have found it helpful with such patients to have them test each urine portion over 1-2 days per week, so that they can see the degree of glucosuria/ketonuria themselves. 3 Determination of Acetone in Urine Patients need to know that the presence of acetone in the urine of a type I (insulin-dependent) diabetic person means one of two things: (1) there is an insulin deficit, or (2) a catabolic metabolic situation has resulted from hypocaloric nutrition.

Independently of form of therapy, urine should be tested for acetone in all situations that might lead to an increase in insulin requirement (hyperglycemia), such as acute illness, surgery, accidents, etc. Patients should therefore be asked to test for acetone in any case if blood glucose is over 300 mg/dl. Patients with insulin pumps should test at values over 240 mg/dl. Checking for acetone in urine can also be valuable for patients with an "insulin phobia," who for psychological reasons tend to keep insulin doses extremely low.

With plenty of reassurance, the situation usually improves spontaneously within a few days. Automatic finger-pricking devices do much to overcome this problem. Group support can also be very helpful. " Understandably, negative feelings can arise when these patients are finally confronted with the high blood sugar values they have (unconsciously) feared. Such a reaction is most likely to occur when the patient believes there is little he can do about the situation. Blood glucose self-monitoring under conventional insulin therapy, where the patient has little direct influence on immediate blood sugar values, can be particularly unpleasant for this reason.

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