Insulin Doses Need To Be Raised Or Lowered:
- Throughout life as you grow
- For different activities
- For foods that may affect your blood sugar differently
- When you are sick
The information on the following pages may be hard to learn. Learning to change insulin doses can take time. It is important to learn this because changing insulin doses at home when needed and between diabetes appointments will help to control your blood sugar.
It is better to prevent high blood sugars than to chase them with extra insulin at the time of the high. It is better to prevent low blood sugars than to chase them with extra quick-acting carbohydrate.
Your certified diabetes educator will teach you how to change your insulin doses to prevent high or low blood sugar. We will help you by phone or email for several months after you find out you have diabetes. After you learn to change insulin doses without our help, we are still here to help you when you need.
Normal Blood Insulin Levels
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Insulin Overdose: Causes Symptoms And What To Do
Everybody needs insulin to survive! Without enough or any insulin, your body cannot use the food you eat for energy, and blood sugar levels rise to dangerous and eventually fatal levels.
This makes insulin one of the most important hormones in your body, but just as too little insulin can be life-threatening, too much insulin an insulin overdose is equally dangerous.
In this article, we will look at how to spot the warning signs of an insulin overdose, how to treat it, and how to prevent it from occurring in the first place.
How To Avoid Mistakes
Several things can put too much insulin in your system. It most often happens when you:
Misread the syringes or vials: This is easy to do if youâre unfamiliar with a new product.
Use the wrong type of insulin: Let’s say you usually take 30 units of long-acting and 10 units of short-acting insulin. It’s easy to get them mixed up.
Take insulin, but don’t eat: Rapid-acting and short-acting insulin injections should be taken just before or with meals. Your blood sugar rises after meals. Taking rapid-acting or short-acting insulin without eating could lower your sugar to a dangerous level.
Inject insulin in an arm or leg just before exercise . Physical activity can lower your blood sugar levels and change how your body absorbs insulin. Inject in an area that isnât affected by your exercise.
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What To Do If A Diabetic Takes Too Much Insulin
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How Much Insulin Is Too Much To Take For High Blood Sugar
Ideally, you should be able to correct your blood sugar with an appropriate insulin dose. How much insulin is too much varies based on how sensitive your body is to insulin.
If you have higher-than-expected blood sugar , you should check your urine for ketones. The presence of ketones suggests your bodys cells are having trouble getting enough glucose. You could be at risk for a serious condition called diabetic ketoacidosis if you have ketones in your urine.
In this instance, you need extra help correcting your blood sugar. You should seek emergency medical attention instead of trying to keep injecting insulin to lower your blood sugar.
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Insulin Kinetics In Acute Intoxication
Study of the kinetics of self-injected insulin is difficult, particularly in nondiabetic patients, because of the presence of endogenous insulin. Thus, in order to interpret accurately the insulin levels and to study the disappearance of exogenous insulin from circulation, we used the level of peptide C as a surrogate, the value of which has previously been demonstrated . We considered the existence of suppressed C-peptide immunoreactivity and a molar ratio of insulin to C-peptide of less than 1 to represent assurance of reliable measurement of exogenous insulin .
The kinetics of insulin follow a multi-compartmental course, with a terminal plasma half-life of 10 to 20 minutes . Insulin metabolism is dependent on hepatic and renal functions, with a small contribution made by muscle and adipose tissue . Using a non-compartmental analysis in a case of insulin intoxication in a type 1 diabetic patient, Shibutani and Ogawa found an elimination half-life of 6.2 hours. In another insulin-poisoned type 1 diabetic patient, Fasching and coworkers identified a biphasic slow decline, with apparent half-lives of 4 hours and 10 hours for the two successive phases, respectively. In our patients, we identified late half-lives ranging from 0.8 to 11.7 hours, depending on the insulin type.
What Is Different About Insulin Lispro
Insulin lispro is a new type of insulin. It starts working sooner than other insulin types. It also reaches peak activity faster and goes away sooner. Insulin lispro helps keep your blood sugar level from going too high after you eat. To keep your blood sugar level steady, your doctor will probably prescribe either a longer-acting insulin or another drug for you to take each day in addition to the insulin lispro.
If you need to mix insulin lispro with a longer-acting insulin, it’s best that you mix insulin lispro only with Humulin U or Humulin N, which are brand names for certain longer-acting insulins. Insulin lispro should always be drawn into the syringe first. This will keep the longer-acting insulin from getting into the insulin lispro bottle.
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Insulin Lispro Brand Names
Serious side effects have been reported with insulin lispro. See the Insulin Lispro Precautions section.
Common side effects of insulin lispro include the following:
- hypoglycemia
- allergic reactions
- injection site reactions
- changes in the feel of your skin such as skin thickening or a little indentation in the skin
This is not a complete list of insulin lispro side effects. Ask your doctor or pharmacist for more information.
Tell your doctor if you have any side effect that bothers you or that does not go away.
How Should This Medicine Be Used
Human insulin comes as a solution and a suspension . to be injected subcutaneously . Human insulin is usually injected subcutaneously several times a day, and more than one type of insulin may be needed. Your doctor will tell you which type of insulin to use, how much insulin to use, and how often to inject insulin. Follow these directions carefully. Do not use more or less insulin or use it more often than prescribed by your doctor.
Human insulin solution may also be injected intravenously by a doctor or nurse in a healthcare setting. A doctor or nurse will carefully monitor you for side effects.
Human insulin controls high blood sugar but does not cure diabetes. Continue to use human insulin even if you feel well. Do not stop using insulin without talking to your doctor. Do not switch to another brand or type of insulin or change the dose of any type of insulin you use without talking to your doctor.
Human insulin comes in vials, prefilled disposable dosing devices, and cartridges. The cartridges are designed to be placed in dosing pens. Be sure you know what type of container your insulin comes in and what other supplies, such as needles, syringes, or pens, you will need to inject your medication. Make sure that the name and letter on your insulin are exactly what your doctor prescribed.
If your human insulin comes in a disposable dosing device, read the instructions that come with the device carefully. Ask your doctor or pharmacist to show you how to use the device.
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Why Is My Random Blood Sugar Lower Than My Fasting Blood Sugar
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Could Your Patient Be On Too Much Insulin
Jay H. Shubrook, DO Sandhya Manivannan, MD
Jay H. Shubrook, DO: Hello. I am Jay Shubrook, DO, professor in the Department of Primary Care at Touro University California College of Osteopathic Medicine in Vallejo, California. Today we are going to be talking about insulin and how you know that you are on too much insulin. Our guest today is Sandhya Manivannan, MD, family medicine diabetologist.
Primary care providers have become pretty comfortable with using basal insulin, and lots of people are taking insulin. How do you know when someone is on too much insulin? What are the signs that I should be looking for as a busy clinician?
Dr Shubrook: I don’t have many patients who come to me and say that they are having hypoglycemic episodes. How do I start that conversation with them?
Dr Manivannan: One thing that can give you a hint is their glycated hemoglobin . You can check their A1c, and if it’s almost too good, meaning 6.5% or under, they might be having undetected serum glucose lows. Although their average A1c may look good, they may have unaccounted for lows and highs. When someone’s A1c may be too good to be true, you can have your patient check their blood sugar at nightset an alarm and check their blood sugar around 3:00 AM or 4:00 AMand see if they are having dips in the night that are going undetected.
Dr Shubrook: You talked about glucose being a way to help identify that. What is the pattern that should alert me that my patient could be dropping low at night?
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Some Side Effects Can Be Serious If You Experience Any Of The Following Symptoms Call Your Doctor Immediately:
- rash and/or itching over the whole body
- shortness of breath
- large weight gain in a short period of time
- swelling of the arms, hands, feet, ankles, or lower legs
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .
How Can I Deal With An Insulin Reaction
People who have diabetes should carry at least 15 grams of a fast-acting carbohydrate with them at all times in case of hypoglycemia or an insulin reaction. The following are examples of quick sources of energy that can relieve the symptoms of an insulin reaction:
- Non-diet soda: ½ to ¾ cup.
- Fruit juice: ½ cup.
- Fruit: 2 tablespoons of raisins.
- Milk: 1 cup.
- Candy: 5 Lifesavers.
- Glucose tablets: 3 tablets .
If you dont feel better 15 minutes after having a fast-acting carbohydrate, or if monitoring shows that your blood sugar level is still too low, have another 15 grams of a fast-acting carbohydrate.
Teach your friends, work colleagues, and family members how to treat hypoglycemia, because sometimes you may need their help. Also, keep a supply of glucagon on hand. Glucagon comes in a kit with a powder and a liquid that you must mix together and then inject. It will raise your blood sugar level. If you are unconscious, or you cant eat or drink, another person can give you a shot of glucagon. Talk to your doctor to learn when and how to use glucagon.
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