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Techniques for insulin management

techniques for insulin management

This can lead to low blood glucose levels. We techniquds provided more Juicing information Mindful eating practices the techniues pump techniques for insulin management. If the insulin vial has a plastic cover, take it off. Changes in weight, diet, health conditions including pregnancyactivity level, and occupation can have an impact on the amount of insulin needed to control blood sugar levels. techniques for insulin management

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For more information, see our Blood Glucose Control section. Some insulin pens contain a insylin of insulin that is inserted into the pen and some are pre-filled Secure resupply solutions insulin and discarded after all Natural fat blocker insulin managekent been used.

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Cartridges and managemwnt insulin pens BCAAs safety contain one managemeent of insulin. Two injections tecuniques be techniques for insulin management with an insulin insluin if managementt two ror of Ulcer prevention tips. Insulin pumps help you manage diabetes by delivering insulin 24 insklin a day through a catheter placed under the skin.

Read more about maagement pumps. The place on managfment body where you inject insulin affects your blood glucose level. Insulin enters the blood at different speeds when injected at different sites. Insulin shots work fastest when given in the abdomen. Insulin arrives in the blood a little more slowly from the upper arms and even more slowly from the thighs and buttocks.

Injecting insulin in the same general area for example, your abdomen will give you the best results from your insulin. This is because the insulin will reach the blood with about the same speed with each insulin shot. Don't inject the insulin in exactly the same place each time, but move around the same area.

Each mealtime injection of insulin should be given in the same general area for best results. For example, giving your before-breakfast insulin injection in the abdomen and your before-supper insulin injection in the leg each day give more similar blood glucose results.

If you inject insulin near the same place each time, hard lumps or extra fatty deposits may develop. Both of these problems are unsightly and make the insulin action less reliable. Ask your health care provider if you aren't sure where to inject your insulin.

Insulin shots are most effective when you take them so that insulin goes to work when glucose from your food starts to enter your blood. For example, regular insulin works best if you take it 30 minutes before you eat.

High morning blood glucose levels before breakfast can be a puzzle. If you haven't eaten, why did your blood glucose level go up? There are two common reasons for high before-breakfast blood glucose levels.

One relates to hormones that are released in the early part of sleep called the Dawn Phenomenon. The other is from taking too little insulin in the evening. To see which one is the cause, set your alarm to self-monitor around 2 or 3 a.

for several nights and discuss the results with your health care provider. Breadcrumb Home You Can Manage and Thrive with Diabetes Medication Insulin Routines. The Basics to Know About Insulin Insulin is required for people with type 1 diabetes and sometimes necessary for people with type 2 diabetes.

Syringe is the most common form of insulin delivery, but there are other options, including insulin pens and pumps. Insulin should be injected in the same general area of the body for consistency, but not the exact same place.

Insulin delivery should be timed with meals to effectively process the glucose entering your system. Insulin therapy With the help of your health care team, you can find an insulin routine that will keep your blood glucose blood sugar near normal, help you feel good, and fit your lifestyle.

Type 1 People diagnosed with type 1 diabetes usually start with two injections of insulin per day of two different types of insulin and generally progress to three or four injections per day of insulin of different types.

Type 2 Most people with type 2 diabetes may need one injection per day without any diabetes pills. Fine-Tuning Your Blood Glucose While Using Insulin Many factors affect your blood glucose levels, including the following: What you eat How much and when you exercise Where you inject your insulin When you take your insulin injections Illness Stress Checking your blood glucose and looking over results can help you understand how exercise, an exciting event, or different foods affect your blood glucose level.

Insulin Delivery Many people who take insulin use a syringe, but there are other options as well. Insulin Pens Some insulin pens contain a cartridge of insulin that is inserted into the pen and some are pre-filled with insulin and discarded after all the insulin has been used.

Pump Therapy Insulin pumps help you manage diabetes by delivering insulin 24 hours a day through a catheter placed under the skin. Other Things to Consider with Insulin Therapy Insulin Injection Site Rotation The place on your body where you inject insulin affects your blood glucose level.

Timing of When to Take Insulin Insulin shots are most effective when you take them so that insulin goes to work when glucose from your food starts to enter your blood. Dawn Phenomenon—High Glucose Levels in the Morning High morning blood glucose levels before breakfast can be a puzzle.

: Techniques for insulin management

Insulin Injection Sites: Where and How to Inject Tips for Storing Insulin Keep opened vials at room temperature. Learn how to cite this page. Monitoring — Many people with type 2 diabetes need to check their blood sugar regularly. Blood pressure medication: Still necessary if I lose weight? Patient education: Type 1 diabetes: Overview Beyond the Basics Patient education: Glucose monitoring in diabetes Beyond the Basics Patient education: Type 1 diabetes and diet Beyond the Basics Patient education: Hypoglycemia low blood glucose in people with diabetes Beyond the Basics Patient education: Care during pregnancy for patients with type 1 or 2 diabetes Beyond the Basics Patient education: General travel advice Beyond the Basics.
Giving an insulin injection: MedlinePlus Medical Encyclopedia

Pre-meal insulin injections are absorbed fastest from the abdominal area, allowing for optimal coverage of carbohydrates consumed in a meal. Injection into the thigh or buttock may be best for the evening dose because the insulin will be absorbed more slowly during the night.

Subcutaneous blood flow — Any factor that alters the rate of blood flow to the body's tissues will alter insulin absorption. Smoking decreases blood flow to the tissues and decreases absorption of injected insulin, whereas running increases blood flow to the lower body, speeding up absorption of insulin injected into a leg.

Factors that increase the skin temperature such as exercise, saunas, hot baths, and massage of the injection site will also increase insulin absorption.

Time since opening the insulin bottle or pen — In general, insulin bottles vials , pens, and pen cartridges are good until their expirations date, if left unopened in a refrigerator. Insulin should never be allowed to freeze or get hot. Once an insulin bottle vial is opened, it should be kept at room temperature or in the refrigerator for 28 to 30 days and then discarded.

After a month, the potency begins to decrease. This can be a problem for people who require very small doses of insulin, for whom a bottle might last two months or more. In general, it is advisable to open a new bottle at least every 30 days, even if there is insulin left in the old bottle.

However, a few types of insulin can be used for up to 42 days, so check with your pharmacist or health care provider. For insulin pen devices, it is acceptable to keep the pen injector unrefrigerated in a bag or jacket pocket for varying amounts of time, depending upon the type of pen. Most opened insulin pens can be used for either 10, 14, or 28 days, but there are some pens that can be used for 42 or 56 days, depending upon the type of insulin in the pen.

Be sure you know how long your type of insulin pen is safe to use after opening. Individual factors — The same dose of the same type of insulin may have different effects in different people with diabetes. Some trial and error is usually necessary to find the ideal type s and dose of insulin and schedule for each person.

Several special situations can complicate insulin treatment. With advance planning and close monitoring, these situations are less likely to cause serious difficulties. A health care provider can help to handle these situations.

Eating out — Eating out can be challenging since ingredients used, calorie and fat content, and portion sizes are usually different from meals prepared at home. You can estimate the carbohydrate content of meals to calculate insulin dose; nutrition information is often available from restaurants, a handheld or online reference book, or mobile phone app.

Low or high blood sugar levels can occur more easily in situations where new or different foods are eaten; a fast-acting source of carbohydrates eg, candy, glucose tablets and, if not using CGM, a blood glucose monitor should be kept on hand at all times.

See "Patient education: Type 1 diabetes and diet Beyond the Basics ". Surgery — If you are planning to have surgery, you may be instructed not to eat for 8 to 12 hours before the procedure.

A health care provider can help to determine the dose and timing of insulin to use before and after the procedure. This is particularly important if you will be unable to eat a normal diet for a time afterwards.

Infections — Infections such as a cold, sore throat, urinary tract infection, or any infection that causes fever can cause blood sugar levels to rise and can even lead to a serious problem called diabetic ketoacidosis DKA.

DKA happens when the body's lack of insulin makes it unable to use glucose sugar for energy. The body then burns fat as an energy source, which causes the buildup of acids in the blood called "ketones.

If you get sick, it's a good idea to talk with your health care provider, as you will need to carefully monitor your blood sugar levels and possibly increase your insulin dose.

It is also important to drink plenty of fluids in order to avoid dehydration. If you have nausea or vomiting, you may need medication to control your symptoms and avoid dehydration and ketoacidosis. Your provider can also talk to you about how and when to check for ketones the acids produced in the body when the body needs more insulin.

Travel — Managing blood sugar levels and insulin treatment while traveling can be difficult, especially when traveling across multiple time zones. In addition, activity levels and diet are often different while traveling, making careful blood sugar monitoring essential.

Speak with your health care provider before traveling to develop a treatment plan. See "Patient education: General travel advice Beyond the Basics ", section on 'Traveling with medical conditions'. Your health care provider is the best source of information for questions and concerns related to your medical problem.

This article will be updated as needed on our website www. Related topics for patients, as well as selected articles written for health care professionals, are also available. Some of the most relevant are listed below.

Patient level information — UpToDate offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition.

These articles are best for patients who want a general overview and who prefer short, easy-to-read materials. Patient education: Type 1 diabetes The Basics Patient education: Using insulin The Basics Patient education: Should I switch to an insulin pump?

The Basics Patient education: Low blood sugar in people with diabetes The Basics Patient education: Care during pregnancy for people with type 1 or type 2 diabetes The Basics Patient education: My child has diabetes: How will we manage?

The Basics Patient education: Managing blood sugar in children with diabetes The Basics Patient education: Managing diabetes in school The Basics Patient education: Giving your child insulin The Basics Patient education: Checking your child's blood sugar level The Basics Patient education: Carb counting for children with diabetes The Basics Patient education: Diabetic ketoacidosis The Basics.

Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in-depth information and are comfortable with some medical jargon.

Patient education: Type 1 diabetes: Overview Beyond the Basics Patient education: Glucose monitoring in diabetes Beyond the Basics Patient education: Type 1 diabetes and diet Beyond the Basics Patient education: Hypoglycemia low blood glucose in people with diabetes Beyond the Basics Patient education: Care during pregnancy for patients with type 1 or 2 diabetes Beyond the Basics Patient education: General travel advice Beyond the Basics.

Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings.

These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based. Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading.

Exercise guidance in adults with diabetes mellitus Measurements of chronic glycemia in diabetes mellitus General principles of insulin therapy in diabetes mellitus Glycemic control and vascular complications in type 1 diabetes mellitus Pregestational preexisting diabetes mellitus: Antenatal glycemic control Inhaled insulin therapy in diabetes mellitus Management of blood glucose in adults with type 1 diabetes mellitus Hypoglycemia in adults with diabetes mellitus Nutritional considerations in type 1 diabetes mellitus Overview of general medical care in nonpregnant adults with diabetes mellitus Pancreas and islet transplantation in diabetes mellitus Perioperative management of blood glucose in adults with diabetes mellitus Type 1 diabetes mellitus: Prevention and disease-modifying therapy Approach to the adult with brittle diabetes or high glucose variability.

Why UpToDate? Product Editorial Subscription Options Subscribe Sign in. Learn how UpToDate can help you. Select the option that best describes you. View Topic. Font Size Small Normal Large. Patient education: Type 1 diabetes: Insulin treatment Beyond the Basics.

Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share. Author: Ruth S Weinstock, MD, PhD Section Editor: David M Nathan, MD Deputy Editor: Katya Rubinow, MD Contributor Disclosures.

All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Jan This topic last updated: Aug 11, DIABETES CARE DURING THE COVID PANDEMIC COVID stands for "coronavirus disease STARTING INSULIN The pancreas produces very little or no insulin at all in people with type 1 diabetes.

INSULIN REGIMENS Intensive insulin treatment plans are designed to imitate how the nondiabetic pancreas works. INJECTING INSULIN Insulin is given as a shot under the skin this is called a subcutaneous injection using an insulin "pen" injector or a needle and syringe. Insulin pump General principles — Insulin can be continuously administered by an insulin pump, rather than through multiple daily injections with a pen injector or needle and syringe.

FACTORS AFFECTING INSULIN ACTION Several factors can affect how insulin is absorbed. The Basics Patient education: Managing blood sugar in children with diabetes The Basics Patient education: Managing diabetes in school The Basics Patient education: Giving your child insulin The Basics Patient education: Checking your child's blood sugar level The Basics Patient education: Carb counting for children with diabetes The Basics Patient education: Diabetic ketoacidosis The Basics Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed.

Patient education: Type 1 diabetes: Overview Beyond the Basics Patient education: Glucose monitoring in diabetes Beyond the Basics Patient education: Type 1 diabetes and diet Beyond the Basics Patient education: Hypoglycemia low blood glucose in people with diabetes Beyond the Basics Patient education: Care during pregnancy for patients with type 1 or 2 diabetes Beyond the Basics Patient education: General travel advice Beyond the Basics Professional level information — Professional level articles are designed to keep doctors and other health professionals up-to-date on the latest medical findings.

Exercise guidance in adults with diabetes mellitus Measurements of chronic glycemia in diabetes mellitus General principles of insulin therapy in diabetes mellitus Glycemic control and vascular complications in type 1 diabetes mellitus Pregestational preexisting diabetes mellitus: Antenatal glycemic control Inhaled insulin therapy in diabetes mellitus Management of blood glucose in adults with type 1 diabetes mellitus Hypoglycemia in adults with diabetes mellitus Nutritional considerations in type 1 diabetes mellitus Overview of general medical care in nonpregnant adults with diabetes mellitus Pancreas and islet transplantation in diabetes mellitus Perioperative management of blood glucose in adults with diabetes mellitus Type 1 diabetes mellitus: Prevention and disease-modifying therapy Approach to the adult with brittle diabetes or high glucose variability The following organizations also provide reliable health information.

It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances.

Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications.

This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof.

All rights reserved. Topic Feedback. This will help prevent differing absorption rates each time you inject. Common places to inject include the:. In general, you can store insulin at room temperature, either opened or unopened, for ten to 28 days or more.

This depends on the type of package, the brand of insulin, and how you inject it. You can also keep insulin in the refrigerator, or between 36 to 46°F 2 to 8°C. Your pharmacist will probably be the best source of information about how to store your insulin correctly.

Always be prepared to test your blood sugar. Wear diabetes identification, such as a medical alert bracelet, and keep a card in your wallet with emergency contact information at all times. The main goal in treating type 2 diabetes is to manage your blood sugar levels properly to reduce your risk of complications.

Using insulin is in no way a failure. People with type 2 diabetes may not produce enough, or any, insulin. They often benefit from taking long-acting insulin, which mimics the action of…. Using insulin can be tricky sometimes. Here are some do's and don'ts to pay attention to as you learn how to effectively manage your diabetes with….

If you have been diagnosed with type 2 diabetes, insulin could become part of your treatment routine. You may need to take this hormone to control…. It takes some work to know how much insulin to give yourself and…. Long-acting insulin is a form of diabetes treatment.

This insulin type controls blood sugar consistently for an entire day or longer. Find out how it…. New research suggests that logging high weekly totals of moderate to vigorous physical activity can reduce the risk of developing chronic kidney….

Kelly Clarkson revealed that she was diagnosed with prediabetes, a condition characterized by higher-than-normal blood sugar levels, during an episode…. New research has revealed that diabetes remission is associated with a lower risk of cardiovascular disease and chronic kidney disease.

Type 2…. A Quiz for Teens Are You a Workaholic? How Well Do You Sleep? Health Conditions Discover Plan Connect. Type 2 Diabetes. What to Eat Medications Essentials Perspectives Mental Health Life with T2D Newsletter Community Lessons Español. Medically reviewed by Susan J.

You may be able to predict blood sugar changes related to your menstrual cycle. Your healthcare professional may recommend changes in your meal plan, activity level or diabetes medicines.

These changes can make up for blood sugar swings. Check blood sugar more often. If you're likely nearing menopause or if you're in menopause, talk with your healthcare professional. Ask whether you need to check your blood sugar more often. Also, be aware that menopause and low blood sugar have some symptoms in common, such as sweating and mood changes.

So whenever you can, check your blood sugar before you treat your symptoms. That way you can confirm whether your blood sugar is low.

Most types of birth control are safe to use when you have diabetes. But combination birth control pills may raise blood sugar levels in some people. It's very important to take charge of stress when you have diabetes. The hormones your body makes in response to prolonged stress may cause your blood sugar to rise.

It also may be harder to closely follow your usual routine to manage diabetes if you're under a lot of extra pressure.

Take control. Once you know how stress affects your blood sugar level, make healthy changes. Learn relaxation techniques, rank tasks in order of importance and set limits. Whenever you can, stay away from things that cause stress for you.

Exercise often to help relieve stress and lower your blood sugar. Get help. Learn new ways to manage stress. You may find that working with a psychologist or clinical social worker can help. These professionals can help you notice stressors, solve stressful problems and learn coping skills.

The more you know about factors that have an effect on your blood sugar level, the better you can prepare to manage diabetes. If you have trouble keeping your blood sugar in your target range, ask your diabetes healthcare team for help. There is a problem with information submitted for this request.

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Show references Facilitating behavior change and well-being to improve health outcomes. Standards of Medical Care in Diabetes — Diabetes Care.

Nutrition overview. American Diabetes Association. Accessed Dec. Diabetes and mental health. Centers for Disease Control and Prevention. Insulin, medicines, and other diabetes treatments. National Institute of Diabetes and Digestive and Kidney Diseases. Insulin storage and syringe safety.

Diabetes diet, eating, and physical activity. Type 2 diabetes mellitus adult. Mayo Clinic; Wexler DJ. Initial management of hyperglycemia in adults with type 2 diabetes mellitus.

Diabetes and women. Planning for sick days. Diabetes: Managing sick days. Castro MR expert opinion. Mayo Clinic. Hypoglycemia low blood glucose. Blood glucose and exercise. Riddell MC. Exercise guidance in adults with diabetes mellitus. Colberg SR, et al. Palermi S, et al. The complex relationship between physical activity and diabetes: An overview.

Journal of Basic and Clinical Physiology and Pharmacology. Take charge of your diabetes: Your medicines. Sick day management for adults with type 1 diabetes.

Association of Diabetes Care and Education Specialists. Alcohol and diabetes. Diabetes and nerve damage. Roe AH, et al. Combined estrogen-progestin contraception: Side effects and health concerns. Products and Services The Mayo Clinic Diet Online A Book: The Essential Diabetes Book.

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Blood pressure: Does it have a daily pattern? Blood pressure: Is it affected by cold weather? Blood pressure medication: Still necessary if I lose weight? Blood pressure medications: Can they raise my triglycerides? Blood pressure readings: Why higher at home? Blood pressure tip: Get more potassium Blood sugar levels can fluctuate for many reasons Blood sugar testing: Why, when and how Bone and joint problems associated with diabetes Pancreas transplant animation Caffeine and hypertension Calcium channel blockers Calcium supplements: Do they interfere with blood pressure drugs?

Can whole-grain foods lower blood pressure? Central-acting agents Choosing blood pressure medicines COVID Who's at higher risk of serious symptoms? Diabetes Diabetes and depression: Coping with the two conditions Diabetes and exercise: When to monitor your blood sugar Diabetes and heat 10 ways to avoid diabetes complications Diabetes diet: Should I avoid sweet fruits?

Diabetes diet: Create your healthy-eating plan Diabetes foods: Can I substitute honey for sugar? Diabetes and liver Diabetes symptoms Diabetes treatment: Can cinnamon lower blood sugar? Using insulin Diabetic Gastroparesis Diuretics Diuretics: A cause of low potassium?

Erectile dysfunction and diabetes High blood pressure and exercise Exercise and chronic disease Fatigue Free blood pressure machines: Are they accurate?

Frequent urination Home blood pressure monitoring Glucose tolerance test Glycemic index: A helpful tool for diabetes?

Hemochromatosis High blood pressure hypertension High blood pressure and cold remedies: Which are safe? High blood pressure and sex High blood pressure dangers What is hypertension? A Mayo Clinic expert explains.

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4 Ways To Take Insulin Insulin should be given at room temperature. The catheter is taken out and re-inserted approximately every two to three days. For example, when a person with type 2 diabetes takes steroids eg, prednisone for an asthma attack or other reasons, the blood sugar levels increase. Ask for help right away if at-home glucose tests show that you have very low or very high blood sugar. Your insulin treatment regimen will need to be realistic, taking into account your work or school schedules, eating times and preferences, exercise schedule, and cost concerns. The Z-track method of IM is used to prevent tracking…. A doctor or nurse can show you the right angle of injection.
What are the side effects of insulin therapy? This is called pre-mixed insulin. The main role of insulin is to ensure that sugar from nutrients in food is correctly used or stored in the body. Remove the needle from the bottle before you push out the air. Your healthcare professional may recommend changes in your meal plan, activity level or diabetes medicines. ART Home Diabetes management How lifestyle daily routine affect blood sugar. So whenever you can, check your blood sugar before you treat your symptoms. We value your privacy.
Insulin is administered by two routes of delivery: These can interfere with the way your body absorbs insulin. Sometimes, insulin-makers combine two types of insulin. Could cause less weight gain. If you buy through links on this page, we may earn a small commission. How we reviewed this article: Sources.
We include products we think knsulin useful for our readers. Yechniques you buy through mannagement on this page, we may Diabetic coma a small commission. Medical News Today techniques for insulin management shows you brands and managemrnt that we mxnagement behind. In Maythe Food and Drug Administration FDA recommended that some makers of metformin extended release remove some of their tablets from the U. This is because an unacceptable level of a probable carcinogen cancer-causing agent was found in some extended-release metformin tablets. If you currently take this drug, call your healthcare provider. They will advise whether you should continue to take your medication or if you need a new prescription.

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Proper insulin injection technique for managing diabetes – Rotating injection sites

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