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For diabetics who need insulin**, how long to take depends on the type and condition of diabetes. Insulin is mostly used for type 1 diabetes and mid-to-late type 2 diabetes. In general, type 1 diabetes requires long-term insulin**, and lifelong insulin should be adherent; For type 2 diabetes, you can wait for your blood sugar to stabilize, then gradually reduce your insulin dose and transition back to oral medications**.
It is recommended that patients go to a professional department of the hospital for treatment**, listen to the advice of professionals, and determine how to take insulin, how much to take, and how long to take it.
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Insulin is a commonly used drug for our diabetic patients, in type 1 diabetes, type 2 diabetes oral medication failure and type 2 diabetes oral medication combination, infection, emergency, coma, pregnancy need to use insulin, the amount of insulin used by each person is different, there are many kinds of insulin, there are long-acting insulin, intermediate-acting insulin, short-acting insulin and mixed insulin. Depending on the patient's age,** the course of the disease, the degree of hypoglycemia and the goal of control are different. Generally, if it is short-acting insulin, it needs to be given three times a day, while long-acting insulin needs to be given once a day, and mixed insulin needs to be given twice.
According to what kind of insulin the patient is taking, it can be calculated how many days a bottle can be used, and an insulin refill is 300 units, and according to the specific dosage, it can be calculated that one can be used for about a few days.
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You can eat every 30 minutes.
1. Preprandial injection: The conventional insulin currently used in clinical practice is a hexamer insulin, which needs to be separated into monomers before it can be absorbed into the bloodstream after subcutaneous injection, and it takes about 30 minutes to take effect. To synchronize insulin with blood sugar spikes, injections are given before meals.
2. Prandial injection: there is no process of separation into monomers after the injection of fast-acting insulin analogues, and the absorption is fast and the onset time is short. There is no need to inject in advance at mealtimes, and you must eat immediately after the injection, otherwise hypoglycemia may occur.
3. Postprandial injection: Type 1 sugar friends in insulin fortification**, when the preprandial blood sugar is low and rises in millimol, you can change to inject insulin after a meal, and eat more at the same time.
4. Bedtime injection: suitable for medium-acting or long-acting insulin, which is more in line with the physiological insulin secretion law. Use short-acting insulin to control postprandial blood sugar before meals, and use intermediate-acting insulin or long-acting recombinant insulin before bedtime to maintain basal insulin levels at night, which can effectively inhibit liver glucose production, reduce lipolysis, keep blood sugar stable at night, and avoid hyperglycemia at dawn.
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1.Novolin 30R or Humulin 70 30, eat 30 minutes after the fight;
2.Nohora 30 or Urbila 25, eat immediately after the fight;
3.When it comes or Chang Xiulin, it is not affected by diet, and it can be injected regularly every day.
Look at which one you take, not all insulins are created equal.
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Lifestyle changes are important at any stage of type 2 diabetes, and weight loss can significantly reduce insulin resistance and reduce the incidence of myocardial infarction and stroke. If you're overweight or obese, metformin may be your first choice of oral antidiabetic medications. If you are not overweight or obese, any oral antidiabetic drug can be used, either alone or in combination with both oral drugs.
However, your doctor will help you make a choice based on your blood sugar, B-cell function, insulin resistance, etc. For example, unlike Westerners, Chinese have more significant insulin insufficiency, and there are not many overweight or obese people, so some insulin secretagogues (such as repaglinide) with less hypoglycemia and high safety are also ideal.
If you have a healthy lifestyle and your blood sugar is still not up to standard despite taking oral medications**, your doctor will recommend that you start insulin**. Generally, insulin should be started when glycosylated hemoglobin is still greater than 7% after the maximum dose of oral medication**. Should you consider adding a third oral pill first?
Doctors generally do not recommend that if the glycosylated hemoglobin is 8% after 2 drugs**, it is difficult to reduce the glycosylated hemoglobin to 7% with the third drug, and if the glycosylated hemoglobin is 8%, plus the third drug may drop to below 7%, but it is much more expensive than adding insulin**.
Note: Never "go with the flow". High blood sugar can silently damage your body, and over time, you will find yourself with vision loss, kidney problems, amputation, ......Don't go with what you feel, know your blood sugar inside out.
Let it guide your medications.
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When to start insulin? Taking medicine can't control the rise in blood sugar. When. Insulin should be used.
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At that time, the blood sugar was very high when using insulin, and it was often impossible to go down, and if it was serious, insulin was required.
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Whether insulin should be given for life depends on the type of diabetes, type L diabetes needs to be played for life, type L diabetes, type ll diabetes, oral hypoglycemic drugs can be changed after blood sugar is stable.
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Once you get insulin, it depends on whether you will be given insulin for the rest of your life. Some patients can stop insulin after glycemic control has been achieved, and lifelong insulin use is not necessary, and these patients have the following characteristics:
1. Patients with newly diagnosed diabetes: patients with newly diagnosed diabetes have very high blood sugar, and when it is exceeded, insulin can be used for a short period of time**, and insulin can be stopped after the blood sugar reaches the standard;
2. Gestational diabetes patients: Since insulin can only be used during pregnancy, insulin can be stopped after pregnancy and oral drugs can be used instead;
3. Other patients: Some diabetic patients have a sharp increase in blood sugar under the influence of certain triggers, and can consider stopping insulin after short-term use of insulin to control blood sugar.
However, not all patients taking insulin can stop taking insulin, and some patients with type 2 diabetes who have liver and kidney dysfunction or advanced course of disease and pancreatic islet failure need to use insulin for a long time; People with type 1 diabetes need to take insulin for life and cannot stop insulin. And whether insulin can be stopped after use varies from person to person, and it is necessary to go to the hospital for treatment, and the doctor should work together**, and insulin cannot be stopped on your own.
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Whether insulin can be stopped or not depends on the degree of damage to the pancreatic islet function of diabetic patients.
Most people with type 1 diabetes can't stop taking insulin. Due to insulin deficiency due to pancreatic islet dysfunction, patients who are emaciated, have almost all of their islet cells damaged, or have had multiple episodes of diabetic ketoacidosis or hyperosmolar hyperglycemic syndrome, must rely on exogenous insulin to control blood sugar, requiring lifelong insulin injections.
People with type 2 diabetes may be able to stop taking insulin. It is caused by insulin resistance and relative insulin insufficiency. Patients with no or mild impairment of pancreatic islet function who require insulin injection to lower blood sugar due to intensive hypoglycemia ** or diabetic complications in the acute phase can stop insulin and switch to oral hypoglycemic drugs** after glycemic control is stabilized in the later stage.
When blood sugar is high, you should see an endocrinology department in time and be regular under the guidance of a doctor.
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You can't think of it this way, when your blood sugar is well controlled, you can reduce the amount appropriately, such as apples that are appropriate to regulate blood sugar through diet. This can reduce the amount of insulin you take, or stop it temporarily.
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Whether a patient who has taken insulin will be on a long-term insulin regimen in the future depends on the type of diabetes and the timing of insulin use for diabetes. If the patient has type 1 diabetes, the ability to secrete insulin is almost zero, so it depends on lifelong exogenous insulin injections**, and patients with type 1 diabetes cannot stop insulin.
For patients with type 2 diabetes, if the early blood glucose control is poor and there is a tendency to ketosis, insulin or insulin is used for short-term intensive glycemic control to reduce hyperglycemic toxicity. This part of the patient is able to wean off insulin very quickly after taking insulin.
However, patients with type 2 diabetes choose home insulin because oral hypoglycemic drugs cannot effectively control blood sugar and choose home insulin, which may need long-term use in the future.
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If some patients have good blood sugar control after taking insulin, and the function of pancreatic islets has returned to normal, insulin can be suspended.
If the patient's blood sugar is not well controlled, the insulin injection cannot be stopped, and the specific insulin injection can be stopped, and the specific insulin injection needs to be followed by the advice of the attending doctor. Patients should inject insulin on time and in accordance with the doctor's instructions in their daily life, and do not stop or reduce the drug without permission, so as not to bring some adverse effects to the body.
In ordinary life, it is necessary to develop good living habits, eat three meals a day regularly, and avoid overeating. Try to eat more crude fiber foods in your diet, eat more green vegetables, and avoid some foods that are high in sugar and fat.
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No, and insulin is not addictive, if you stick to your diet and exercise actively during the insulin injection, your blood sugar can be controlled very smoothly, and you can completely reduce the dose of insulin, and change to oral medication to control blood sugar.
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Injecting insulin is not addictive. If the patient has a long course of illness and oral medication is no longer effective, long-term insulin injections can be recommended by the doctor; If the patient already has severe chronic complications of diabetes, long-term insulin injections are also required; Some patients with type diabetes should not use oral drugs and should adhere to long-term insulin injections. Both insulin and oral medications are a **diabetes option, and the regimen can be changed in certain circumstances.
The specific medication should be combined with clinical practice, and the doctor's face-to-face guidance shall prevail.
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No, this should be determined according to the physical condition, if the body is recovering very well, there is no need to fight.
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Yes, if a person starts taking insulin, the person will take insulin for the rest of his life as long as his condition is not good, so that he can be effectively controlled.
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Yes, of course. Because this disease needs to be controlled, there is no way to completely **.
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Insulin is very effective in controlling diabetes, and generally insulin needs to be used for a long time, and once you stop using insulin, it will cause blood sugar to rise.
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After taking insulin, there may be a dependence effect on this exogenous insulin, which is why it is said.
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