Delivering Good News for 24 Hours Essay

It is necessary to consider changing from an oral diabetes medication to insulin injections after

A special diet is important to balance the daily insulin injections. In particular, young children with diabetes need enough calories to grow and develop normally. Insulin requirements for people with type I diabetes differ considerably. Some patients may keep balanced blood sugar with an insulin injection at breakfast levels. Others may require several injections a day. Insulin requirements may change as the patient ages, surgery, pregnancy or unrelated disease.

Caring for type 1 diabetes requires a very complex treatment. You are required to have lifelong insulin therapy which varies dosage with your form of medicine. Your blood stream receives the insulin by pump or injections which have to be taken several times daily, every day. With each meal you much also count the amount of carbohydrates to make sure you're eating the right amount for your body. Your blood sugar levels must be checked often to make sure they are in range with in your target area (between 70 and 240 mg/dL). If your blood sugar level is too low you may pass out and should eat something immediately. This device is used to draw a blood sample and measure it for your blood glucose level which will then help base your meal off the

People who have diabetes know the purpose of an insulin pump. But people that don't have diabetes don't even know what an insulin pump is or what it is made out of. An insulin pumps job is to deliver insulin for people that have diabetes. It can be worn as a belt or put into a pocket. The pump is connected to a tube that is put under the skin and taped. People that have insulin pumps or use it, use it so it can deliver insulin throughout the day and take out extra doses of insulin to handle increases in blood sugar. (example: After eating) ( Nemours)

There is no indefinite way to treat diabetes. Diabetics must determine their blood sugar levels with a glucometer, and then obtain the correct amount of insulin. The insulin can be administer with different methods. Insulin can be injected into the blood stream with a syringe. Blood sugar must be monitored frequently. Another method is using an insulin pump. The pump is worn at the wait and a catheter is inserted in the abdomen. Pumps are designed to produce the correct amount of insulin into the body as needed. Bionic pancreases are in the process of being created and refined as a more accurate, real time, way to monitor blood sugar, and inject

Insulin is a hormone made naturally in the body by the pancreas. This hormone controls the level of sugar in the blood. People who have type 1 diabetes need to have regular insulin injections. In type 1 diabetes, the body stops making insulin and the blood glucose level goes very high. Some people who have type 2 diabetes may also need to have insulin injections to help control blood sugar

The insulin pump took place of the injections, makes it easier for him to track his blood sugar and receive the needed insulin amount while being more discreet about it. During his time in high school he often felt embarrassed since he had to leave class early to test his sugar before lunch and other students noticed. When asked if he go back and tell his younger self something about this disease he stated, “I would tell myself it is not as bad as you think, yeah it sucks, but just stay on top of it and you will be fine.” If you work on controlling the disease, life is easier. Often diabetics get to used to how their bodies react to highs and lows and can then react to those signs and symptoms without needing to test. The pump helps people from getting complacent with their management and just basing their levels off how

However, there is a limit and the pancreas stop secreting insulin. Consequently, patients might be prescribed insulin, which is apply in a variety of ways. Insulin can be taken on a needle and syringe, which can be injective in the patients belly, thighs, or upper arm (NIDDK, 2017). Another way to obtain insulin is through an insulin pen that has a needle at its point and its filled with insulin (NIDDK, 2017). Furthermore, a patient can take insulin by inhaling powdered from an inhaler, which is place in the mouth. The insulin inhale goes directly into the lungs and moves into the blood (NIDDK, 2017). All these methods can help the body obtain insulin and reduce the blood glucose in the bloodstream. Moreover, if a person suffers from both obesity and type 2 diabetes they can undergo bariatric surgery. This surgery helps the person lose a large amount of weight and maintain glucose levels under control (NIDDK,

Despite being diagnosed two years ago and having a toe amputation at the same time, the patient is not compliant to her medications and has been substituting cinnamon tea for insulin. A client’s readiness for learning should always be assessed, but even more so when she is elderly and Hispanic, both factors known for increased obstinacy. A patient who is not ready to learn or to understand will not let the facts affect her actions and will continue her non-compliance. Similarly, the patient should be educated on injection sites. Insulin can be injected in numerous places, including but not limited to the abdomen, the outer arm, and the buttocks. The nurse should use the outer arm, or buttocks while the patient is admitted since the patient is not able to reach these. The patient is then able to use the thigh and the abdomen at home. The differing of sites is to prevent firm lumps or fat deposits, which alter the way insulin is absorbed, from forming. Furthermore, the patient’s activity level should be increased as tolerated. Due to her age, the client may not be able to do much exercise; however, activity should be a part of her day. Studies have shown that as little as 50 minutes of walking for three days a week have significant long and short term effects, even on the elderly. Included in these effects are increased daily physical activity, physical strength, and energy consumption as well as decreased fasting blood glucose and A1C levels (Sung, 438). Similarly, increased activity will promote weight loss, which will also be helpful in the long term. Along the same lines, the patient must understand the importance of balancing exercise with food intake and insulin injections. The more the body has to work, the more glucose it will use up, which in turn will then use more insulin. By balancing exercise with intake, the elderly patient will be able to control sudden life-threatening increases

Long-acting insulin has a very long duration of action and, when combined with faster-acting insulin, provides better glucose control for some patients. In patients with type 1 DM, they must be used in conjunction with rapid-acting or short-acting insulin given before meals.

Insulin pens are another common form of administration; pens can come in pre-filled or reusable forms (“Insulin” 57). Reusable pens only require a simple change of insulin cartridge and an attachment of a needle and the pen is ready for use (“Insulin” 57). Pre-filled insulins require no extra handling or mixing and they are ready for immediate use, however, this type of pen is more expensive than a reusable pen (“Insulin” 57). Lastly, there is the insulin pump. The insulin pump mimics the behavior of the pancreas and it is used for people who require for frequent injection, such as a person with type 1 diabetes (“Insulin” 57). While convenient, the insulin pump also carries risk for skin infection at the pump site or leaks within the pump (“Insulin” 58). If the pump malfunctions in any way, the amount of insulin the affected person is receiving could cause their insulin levels to fall dangerously low and in turn, cause diabetic ketoacidosis in type 1 diabetics (“Insulin” 58). A fairly new method of insulin administration is through the use of a nasal spray; in 2014, the FDA approved a new form of insulin called “Afrezza” (“Insulin”

Insulin is an absolute requirement for patients with Type One Diabetes. There are several factors that must be considered when deciding on a mode of insulin delivery: effects on HgA1C, hypoglycemia risk, weight changes, lipohypertrophy, cost and quality of life. The Diabetes Control and Complications Trial in 1993 demonstrated the importance of intensive insulin therapy on future microvascular, macrovascular and neurologic diabetes-related complications. Intensive insulin therapy consists of two categories: multiple daily injections and continuous subcutaneous insulin infusion, also known as the insulin pump. Continuous subcutaneous insulin infusion has a significant benefit on patients who are not adequately controlled, especially in patients with baseline HgA1Cs >10%. Continuous glucose monitoring is most beneficial when used at high frequencies in combination with continuous subcutaneous insulin infusion. An additional benefit of continuous subcutaneous insulin infusion is a lower incidence of lipohypertrophy in pediatric patients. A significant disadvantage of the insulin pump and continuous glucose monitoring is the higher cost of treatment. Inconclusive or variable outcomes were related to weight gain and changes in quality of life.

Syringes, blood testers, clinking of glass vials, the rare but still terrifying seizure from low blood sugar — these are some of the memories I have as a child. My mother disappearing after meals and carrying around bottles of juice would always arouse my curiosity. I was too young at the time to understand the seriousness of Type I Diabetes and the constant vigilance required to manage it. Having been diagnosed at an early age, it was a controlling force of her everyday life. That changed in 1997 when my mother was selected to receive an electronic insulin pump. I was fascinated by this device. A few simple presses of a button and the proper dosage of insulin would be administered almost instantly from a preloaded vial. Four buttons and a

Insulin-injection devices are available in a wide variety that includes a simple syringe, semiautomatic pen injector devices, as well as needle-free jet injectors. Increasing numbers of young people use insulin pumps to deliver continuous subcutaneous insulin, with bolus doses at meal times (Pihoker et al., 2008).

Rapid-acting analogs have different amino acid structure than that of human insulin. This causes decrease in hexameric insulin formation after injection into the subcutaneous space. Furthermore there is rapid dissolution of insulin into monomers, rapid insulin absorption into the bloodstream and a shorter duration of action. In vivo studies have found that, rapid-acting insulin analogs have identical potency compared to regular human insulin and higher peak concentrations are achieved . Compared to regular insulin, the rapid-acting insulin analogs lead to less postprandial hyperglycemia and less late postprandial hypoglycemia. Injection of rapid-acting insulin analogs, 15-20 minutes before meal leads to maximal