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Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
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Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment primarily uses...
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Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Removing barriers to insulin use.

Molly G Minze1, Kavita Dalal, Brian K Irons

  • 1School of Pharmacy, Texas Tech University Health Sciences Center, Abilene, TX, USA. molly.minze@ttuhsc.edu

The Journal of Family Practice
|October 7, 2011
PubMed
Summary
This summary is machine-generated.

Physicians and patients often resist insulin therapy for type 2 diabetes, despite its proven benefits. This guide helps overcome psychological "insulin resistance" to improve treatment adherence.

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Area of Science:

  • Endocrinology
  • Metabolic Disorders
  • Diabetes Management

Background:

  • Type 2 diabetes is a progressive metabolic disorder.
  • Insulin therapy is highly effective but underutilized.
  • Patient and physician reluctance presents a significant barrier to optimal glycemic control.

Purpose of the Study:

  • To explore the reasons behind the reluctance to initiate insulin therapy in type 2 diabetes.
  • To provide strategies for overcoming psychological and practical barriers to insulin treatment.
  • To improve patient outcomes through enhanced insulin therapy adoption.

Main Methods:

  • Literature review on barriers to insulin therapy.
  • Analysis of patient and physician perspectives.
  • Development of a framework for addressing "insulin resistance" to treatment.

Main Results:

  • Common barriers include fear of hypoglycemia, weight gain, and perceived treatment failure.
  • Physician-related factors include time constraints and educational gaps.
  • Patient education and shared decision-making are crucial for successful initiation.

Conclusions:

  • Addressing psychological "insulin resistance" is key to increasing insulin adoption.
  • Effective communication and tailored strategies can overcome patient and physician hesitancy.
  • Optimizing insulin use improves long-term type 2 diabetes management and patient well-being.