Insulin therapy

Insulin is an important hormone in our body, which maintains the normal functioning of the human body. Generally, patients with diabetes have problems with their insulin, so treating insulin is a direct way to treat diabetes. Maybe we don’t know much about this knowledge, but if we have the opportunity to learn some, it will still be of some help to ourselves, at least it is a way of protection.

Insulin therapy can also be divided into many types, which can be simply summarized as supplementary therapy, replacement therapy and intensive therapy. Different treatment methods are used for different people. This is something everyone should know.

Insulin therapy for diabetes mellitus Insulin therapy for diabetes mellitus: clinically includes complementary therapy, replacement therapy and intensive therapy. For acute complications and certain stressful situations of patients, small doses of insulin are used through continuous intravenous drip. If blood sugar is >13.9mmol/L, use 500ml of normal saline plus 20 units of regular insulin for intravenous drip, at an average of 6 per hour. When blood sugar drops to <13.9mmol/L, switch to 5% sugar or sugar saline intravenous drip, using 1/3 unit of insulin for every gram of sugar. When the condition is stable, ketone bodies turn negative, and blood sugar is <11.1mmol/L, subcutaneous injection or the original treatment can be used.

1. The initial insulin treatment dose for type 1 diabetes is 0.5~1/kg body weight. Adjust 2 to 4 times every 3 to 4 days until satisfactory blood sugar control is achieved. Basic plus enhanced treatment before meals can be adopted, that is, inject rapid-acting insulin before three meals and intermediate-acting insulin before bedtime (the total daily amount is roughly divided into 30%, 20%, 20%, and 30%).

Premixed insulin injection can also be used, 2/3 of the daily dose of Novolin 30R or 50R 30 minutes before breakfast, and 1/3 of the daily dose of Novolin 30R or 50R 30 minutes before dinner, subcutaneously. The insulin injection dose for diabetes can be estimated based on body weight in kilograms, physiological needs, and fasting blood sugar. The daily physiological requirement is 40~48, of which about half is the basal secretion.

If oral hypoglycemic drugs for type 2 diabetes cannot effectively control blood sugar, insulin is required. Complementary and alternative treatments are available.

Supplementary treatment: Continue to take oral hypoglycemic drugs. Add 0.1-0.2/kg body weight of intermediate-acting insulin or premixed insulin before breakfast or dinner. According to the blood sugar test results, increase or decrease by 2-4 every 3-4 days.

Alternative treatment: Take oral medication. Inject 0.2/kg body weight of low-protamine zinc insulin or Novolin N or premixed insulin before breakfast or dinner, and increase or decrease 2-4 every 3-4 days. If the total daily amount is >30, divide it into 2/3 in the morning and 1/3 in the evening and inject it subcutaneously. If blood sugar after a meal is too high, add rapid-acting insulin before the meal. Patients who initially use animal insulin should reduce the dose by 10-30% when switching to human insulin.

The above introduces some knowledge about insulin therapy. I believe that after reading it, you will have a better understanding of this aspect. Everyone should know the importance of insulin to us, so that the market will pay attention to and understand this knowledge. If we find any discomfort in our life, we should check and treat it in time.