Thursday, February 23, 2023

Cases of the use of insulin to control diabetes.. Type I diabetes. Pregnant diabetic patient. Type II diabetes patients



Cases of the use of insulin to control diabetes

Type I diabetics:

  •  The use of insulin necessary to preserve the life of the patient Insulin requiring for survival If the patient stops insulin injections was a feather in the Wind blown diabetes. Comatose patient then develop diabetes Alosithonah (acetone) which may lead to death.
  • a patient with diabetes diabetic pregnant, whether formerly of pregnancy Preexisting DM Or event after pregnancy Gestational DM Here we should point out once again that the patient type II diabetes if desired pregnancy and decided to stop using the contraceptive method must begin using insulin for a month before the expected pregnancy and continue insulin throughout pregnancy.

type II diabetes patients:

  • early use of insulin Early insulinization The early use of insulin in patients with type II diabetes and a way to keep on producing beta cells to insulin in the pancreas and to prevent stress these cells, and its failure in the secretion of insulin. And collide this idea concerns the patient from insulin injections, and fears of a coma hypoglycemia.
  • before surgery three days and continue to give insulin for a week after surgery
  • an abscess Abscess Body such as liver abscess or around the anus Perianal abscess Or one of the lungs Lung abscess 0
  • during viral hepatitis Viral hepatitis Or pneumonia Pneumonia 0
  • liver failure or hepatic dysfunction in patients with type II diabetes because a lot of reduced grain Diabetes wholly or partly dependent on the liver to get rid of them, and some sugar-lowering drugs may lead to the deterioration of liver function.
  • renal failure CRF Whether a patient under treatment removed Conservative treatment Or under dialysis treatment or blood Breton with taking into account the use of small doses of insulin because of kidney failure leads to increase the life of insulin in the blood Half life As it is to get rid of 50% of the insulin in the blood by the kidneys.
  • a reduced sensitivity to drugs for diabetes compounds such as sulphonylureas or allergic to sulfa compounds in this case can be used drug Ribajlened Repaglinide or Okarboz Acarbose Or MetforminMetformin If we do not succeed in controlling diabetes or if there be insulin sensitivity is the appropriate treatment.

How does type 2 diabetes affect pregnancy?

When your blood sugar is high, it causes the baby to be “overfed.” This can increase risks of shoulder injuries during delivery and increases the likelihood of a cesarean delivery, or C-section. Preterm birth. Women with type 1 and type 2 diabetes are more likely to give birth early than women without diabetes.

Does insulin affect the baby?

Too much insulin or too much glucose in a baby's system may keep the lungs from growing fully. This can cause breathing problems in babies. This is more likely in babies born before 37 weeks of pregnancy.

When does insulin resistance start in pregnancy type 1?

The insulin resistance from the contra-insulin hormones produced by the placenta does not usually occur until approximately the 24th week. Women with gestational diabetes mellitus generally have normal blood sugar levels during the critical first trimester.

Which insulin is preferred in pregnancy?

Insulin detemir is preferred over insulin glargine because it has been studied more extensively in pregnancy and can be dosed twice per day more predictably than glargine, as previously mentioned. (See "General principles of insulin therapy in diabetes mellitus", section on 'Safety'.)

What is the target for type 1 diabetes during pregnancy?

Guidelines for blood glucose monitoring for type 1 diabetes using CGM include the following: Target range for blood glucose: 63 mg/dL to 140 mg/dL (3.5 mmol/L to 7.8 mmol/L).

Is insulin safe during pregnancy?

Insulin is the traditional first-choice drug for blood sugar control during pregnancy because it is the most effective for fine-tuning blood sugar and it doesn't cross the placenta. Therefore, it is safe for the baby. Insulin can be injected with a syringe, an insulin pen, or through an insulin pump.

Is pregnancy safe with type 1 diabetes?

Women who have type 1 diabetes can have a safe pregnancy and a healthy baby, but it's important to monitor diabetes complications that could worsen throughout pregnancy, such as high blood pressure, vision loss, and kidney disease.

Is insulin used for type 1 and type 2 diabetes?

If you have type 1 diabetes, insulin therapy is vital for replacing the insulin your body doesn't produce. Sometimes, people with type 2 diabetes or gestational diabetes need insulin therapy if other treatments haven't been able to keep blood glucose levels within the desired range.