Related Experiment Videos
[Prescribing insulin in type 2 diabetes]
1Service de médecine interne, diabétologie et maladies métaboliques Hôpitaux universitaires de Strasbourg Hôpital civil 67091 Strasbourg. Jean-Frederic.Blickle@chru-strasbourg.fr
Abstract:
Insulintherapy is often the only way to obtain satisfactory glycaemic control in type 2 diabetic patients after several years of evolution of the disease. However, independently of the reluctance of the patient, it poses a few specific problems, and particularly that of weight gain initiating a vicious circle leading to deterioration of the metabolic control and to a progressive increase of insulin doses. Specific therapeutic protocols combining oral drugs and insulin have been promoted, but their efficacy is generally limited in course of time, and change to conventional or even intensified insulintherapy is in that case required. The practitioner will have to overcome his fear of using high insulin doses and give to therapeutic education the right place in order to guarantee the long term success of insulintherapy and so an effective prevention of diabetic complications.
Related Concept Videos
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Type II Diabetes I: Introduction
Diabetes Mellitus: Type 2 and Gestational
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Carbohydrate Metabolism
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in the...