isophane human insulin (prb) A Guide to Starting Humulin I

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "isophane human insulin (prb) A Guide to Starting Humulin I"

Transcription

1 isophane human insulin (prb) A Guide to Starting Humulin I This leaflet is intended only for those individuals who have been prescribed Humulin I. It is intended to be used in addition to the Patient Information Leaflet (PIL) which is included in your medicine and should also be read.

2 Contents What should I have received from the Pharmacist? Why have I been given this booklet? What is Humulin I and how does it work? When do I take my insulin? Who decides how much insulin I need? When do I check my blood glucose levels? Instructions for self-adjustment of my insulin How do I inject my insulin? Preparing your injection What if I forget an injection? What is a hypo and why does it happen? How do I deal with hypos? What should I do if I feel unwell? When should my treatment be reviewed? 2

3 What should I have received from the Pharmacist? KwikPen Cartridge Vial You have been prescibed an insulin called Humulin I. Ensure that your medicine has Humulin I on the packaging, as shown above Your insulin should be - please tick 3ml Humulin I cartridge for use in a durable pen device e.g The HumaPen Savvio 3ml Humulin I KwikPen (prefilled) 10ml Humulin I vial (for use with a syringe) 3

4 Why have I been given this booklet? You have been prescribed Humulin I (your insulin), to help you manage your diabetes. The aim of this booklet is to assist you in learning more about your insulin and help you make the right decisions about adjusting your insulin, and taking control of your diabetes. It is intended to be used in addition to the Patient Information Leaflet provided with your medicine. The information in this booklet is specific for Humulin I. You may be on other medication for your diabetes and should refer to the information you have been given for that. 4

5 What is Humulin I and how does it work? Humulin I is an intermediate acting insulin. Humulin I reduces your blood glucose levels. This is how Humulin I works over a 24 hour period. 24 hour action profile Insulin Activity This profile may vary with factors such as size of dose, site of injection, temperature and physical activity. 5

6 When do I take my insulin? You may need to take Humulin I in the morning (before breakfast) and/or in the evening (either before your evening meal or before bed). Your healthcare professional will advise you how often you need to take your insulin. How much will I need? Before Breakfast Before Evening Meal Before Bed Dose This is your starting dose and may change. Your dose may need to be increased or decreased based on your blood glucose readings. 6

7 Who decides how much insulin I will need? Your insulin dose will be adjusted by you and/or your healthcare professional according to the results of blood glucose tests you do. Do not worry if it takes a while before you reach your target blood glucose levels and you need more insulin. Each person is different and what is important is that it is the right amount for you. Why do I need to test my blood glucose levels? It is important that you are aware of your own blood glucose levels in order for you to take the appropriate action, for example, adjusting your insulin dose. There are a number of reasons why you may need to adjust your insulin dose, including: High blood glucose levels (hyperglycaemia) Low blood glucose levels (hypoglycaemia) Stress/illness 7

8 When do I check my blood glucose levels? It is likely that you will need to check your blood glucose levels first thing in the morning before breakfast (fasting blood glucose). However your healthcare professional will discuss with you how often and when to test. This may change during the course of your diabetes. What should your blood glucose levels be? Please complete: Your before breakfast Your before lunch Your evening meal Your before bed time... mmol/l... mmol/l... mmol/l... mmol/l It may take a while to achieve these levels and you may require an increase of your insulin. Do I need to adjust my insulin and how do I do it? You might not need to adjust your insulin. If you do need to adjust your insulin your healthcare professional will talk you through the next few steps. You may feel apprehensive at first, but it is important that you take control to make it work for you. 8

9 Instructions for self-adjustment of my insulin When testing your blood glucose, if you have consistently high readings for more than three days at any testing point, then you will need to adjust your insulin. Your healthcare professional will explain to you how to adjust your insulin and will complete the following table for your needs. Night-time Humulin I Adjust units of insulin Night-time Humulin I only Fasting (before breakfast) mmol/l above... below... Morning Humulin I only Before evening meal mmol/l Morning Humulin I above... below... Adjust units of insulin 9

10 Twice daily Humulin I Twice daily Humulin I Fasting (before breakfast) mmol/l above below Before evening meal mmol/l above below Adjust units of insulin adjust evening dose adjust morning dose Dose reduction is recommended if any results are consistently less than 4 mmol/l (hypo) at any time. 10

11 How do I inject my insulin? Your healthcare professional will explain how to inject your insulin. Injection is usually via approved pen devices or insulin syringe. Where do I inject? Your insulin can be injected in the places shown below. The site of the injection should be rotated within the chosen area to prevent complications developing at your injection site and aid insulin absorption. Check with your healthcare professional which are the most suitable injection sites. 11

12 Preparing your injection It is important that before you inject your insulin you rotate it between the palms of the hands ten times and invert it through 180 ten times immediately before use. This is to ensure the insulin is mixed properly. It should appear uniformly cloudy or milky. The image above is a KwikPen, if you have been prescribed Humulin I in a cartridge you should load the cartridge into the pen device and then mix similarly to that shown above. 12

13 What if I forget an injection? Forgetting your insulin is rarely an emergency situation. Seek advice from your diabetes team. The advice will vary depending on when you have realised you have forgotten to take your insulin What if I cannot remember if I had my insulin? If you are in any doubt, do not take your insulin again. In both cases your blood glucose may run a little higher after the injection you have forgotten. Do not worry. It is very important that you know the name of your pen device, your insulin and the name of your blood glucose meter My insulin is: My pen is: My blood glucose meter is: 13

14 What is a hypo and why does it happen? A blood glucose reading of 4mmol/L and under is hypoglycaemia (a hypo ). A hypo occurs when blood glucose falls too low. People feel different things when a hypo is starting, you may also find some of your hypos feel different from others. A hypo can happen for a number of reasons: If you ve missed a meal or had one later than usual If you ve not had enough food or eaten less food than normal If you ve had more insulin than necessary If you ve been more active than usual If you ve been drinking alcohol If you ve experienced extremes in temperature, either hot or cold If your diabetes is well controlled occasional hypos are a normal part of life for people with diabetes, but they shouldn t take over your life. If you are having frequent hypos, speak with your diabetes team. 14

15 Hypos begin quickly, but there are usually warning signs. Symptoms can vary from person to person, but may include the following: Sweating Thumping heart Looking pale Weakness or tiredness Pins and needles sensation Dizziness/ feeling tipsy, drunk Disturbed vision Mild confusion Slurred speech Hunger Aggression or altered behaviour Headache If hypoglycaemia isn t corrected it can lead to more serious conditions such as loss of consciousness. 15

16 How do I deal with hypos? If you experience a hypo, you should deal with it by taking 15-20g of quick acting carbohydrate such as: 5-7 Dextrosol tablets or, ml of original Lucozade or, ml of pure fruit juice such as orange juice Your healthcare professional may also advise you of quick acting carbohydrate such as: It is advisable to re-check your blood glucose level after taking carbohydrate to ensure your blood glucose levels are rising. 16

17 If you are not about to eat a meal, ensure you eat grams of slow acting carbohydrate, to maintain your blood glucose levels until you next eat. This can be: half a sandwich fruit a small bowl of cereal biscuits and milk Your healthcare professional may also advise you of slow acting carbohydrate such as: The exact quantity will vary from person to person. Remember to carry your identity card and glucose tablets with you in case of an emergency. If you have regular hypos consider adjusting your insulin and/or contacting your nurse or doctor. 17

18 What should I do if I feel unwell? A number of common illnesses can cause your blood glucose to rise. When you are unwell you may not want to eat or take your insulin treatment as normal, but it is important to follow these basic rules: 1. Keep on taking your insulin However ill you feel and however little food you are eating, according to your blood glucose levels you may still need insulin. Sometimes in these circumstances you need more than your usual dose. Ask your healthcare professional for specific advice on what action to take when you are ill. 2. Monitor your blood glucose Monitor your blood glucose. Test at least 4 times daily as your blood glucose levels will indicate whether you require extra insulin doses. 3. Take carbohydrates in liquid form Take unsweetened fluids if your blood glucose is high. If you still do not feel like eating as your blood glucose returns to normal then substitute food with sweetened fruit juices or drinks that contain glucose. 18

19 When should my treatment be reviewed? If you have type 2 diabetes then we recommend that you contact your healthcare professional when you have reached a total of... units. This is so your treatment can be discussed with you and you may also be advised to monitor blood glucose tests at different times of the day or night. You should contact your healthcare professional earlier if you have any questions or are unsure what to do with your insulin. 19

20 If you have type 2 diabetes it is important to note that diabetes is a progressive condition. Over time your pancreas makes less and less insulin. In the future you may need mealtime insulin. Mealtime insulin is taken with food. Your current basal insulin covers your blood glucose (sugar) levels between meals and at night while mealtime insulin can help you control the rise in your levels when you eat. It requires you to add injections and possibly increase the number of blood glucose tests each day. Your management plan will be individually developed to meet your needs and lifestyle. 20

21 Notes Page 21

22 Notes Page 22

23 Notes Page 23

24 Side effects should be reported. This includes any possible side effects not listed in the package leaflet. If you experience side effects talk to your doctor or other healthcare professional. Any side effects from your medication can be reported at Side effects and product complaints can also be reported to Lilly: please call Lilly UK on By reporting side effects you can help provide more information on the safety of medicines. Eli Lilly & Company Priestley Road Basingstoke RG24 9NL This booklet has been developed with the Diabetes Specialist Nurses in Sheffield, Middlesbrough and Salford Royal Foundation Trusts and Diabetes Specialist Nurses from Dumfries & Galloway Royal Infirmary. The booklet has been reviewed for medical accuracy and printed by lilly. UKHML00004c(1) March 2014

human insulin (prb) 30% soluble insulin 70% isophane insulin A Guide to Starting Humulin M3

human insulin (prb) 30% soluble insulin 70% isophane insulin A Guide to Starting Humulin M3 human insulin (prb) 30% soluble insulin 70% isophane insulin A Guide to Starting Humulin M3 This booklet is intended only for those who have been Prescribed Humulin M3. It is intended to be used in addition

More information

A Guide to Starting. Humalog Mix25

A Guide to Starting. Humalog Mix25 A Guide to Starting Humalog Mix25 This booklet is intended only for those individuals who have been prescribed Humalog Mix 25. It is intended to be used in addition to the Patient Information Leaflet (PIL)

More information

Starting mealtime insulin

Starting mealtime insulin Starting mealtime insulin This booklet is designed for people with type 2 diabetes who are moving from a basal insulin regimen to a mealtime insulin regimen. A mealtime insulin regimen may include an insulin

More information

Starting insulin treatment for people with type 2 diabetes. What you need to know

Starting insulin treatment for people with type 2 diabetes. What you need to know Starting insulin treatment for people with type 2 diabetes What you need to know Contents Information 3 Any questions? 3 Glossary of terms 3 Why do I need insulin? 4 What does insulin do? 5 Why are there

More information

Starting insulin for people with type 2 diabetes

Starting insulin for people with type 2 diabetes Starting insulin for people with type 2 diabetes What you need to know Contents Page Why do I need insulin? 3 What does insulin do? 4 Why are there different types of insulin? 4 How do I take insulin?

More information

TREATING HYPOGLYCAEMIA IN CHILDREN AND YOUNG PEOPLE WITH TYPE 1 DIABETES

TREATING HYPOGLYCAEMIA IN CHILDREN AND YOUNG PEOPLE WITH TYPE 1 DIABETES TREATING HYPOGLYCAEMIA IN CHILDREN AND YOUNG PEOPLE WITH TYPE 1 DIABETES Information Leaflet Your Health. Our Priority. Page 2 of 5 What is Hypoglycaemia? Hypoglycaemia (Hypo) means a low blood glucose

More information

Insulin Safety. The safe use of insulin and you. Patient Information Booklet

Insulin Safety. The safe use of insulin and you. Patient Information Booklet Insulin Safety The safe use of insulin and you The Right insulin The Right dose The Right way The Right time Hypoglycaemia Diabetes Patient Information Booklet Adapted from the National Patient Safety

More information

An introduction to carbohydrate counting

An introduction to carbohydrate counting An introduction to carbohydrate counting Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there.

Your blood sugar will be checked on arrival to Endoscopy and monitored whilst you are there. GASTROSCOPY TABLET CONTROLLED DIABETES (Including injectable medication which is not insulin) MORNING APOINTMENT Take your tablets as normal on the day before the test. On the day of the test: Omit your

More information

Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106

Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106 EMPOW ERING A COMMUNITY OF LEARNERS AND LEADERS Diabetes Insulin Pump Health Care Plan District Nurse Phone: 262-560-2104 District Nurse Fax: 262-560-2106 Student DOB School Grade Doctor Phone School Year

More information

Guidance for self administration of insulin injections

Guidance for self administration of insulin injections Guidance for self administration of insulin injections You have been recommended to give yourself insulin by injection during your pregnancy. The diabetes specialist midwife has already shown you how to

More information

The safe use of insulin and you

The safe use of insulin and you Ambulatory Care & Local Networks The safe use of insulin and you Information for patients The right insulin The right dose The right way The right time 3 Insulin treatment improves the quality of life

More information

Information for Patients with Diabetes having Lower Endoscopic Investigations requiring full bowel preparation

Information for Patients with Diabetes having Lower Endoscopic Investigations requiring full bowel preparation York Teaching Hospital NHS Foundation Trust Information for Patients with Diabetes having Lower Endoscopic Investigations requiring full bowel preparation Morning Appointment Information for patients,

More information

Information for Starting Insulin Basal-Bolus Regime

Information for Starting Insulin Basal-Bolus Regime Information for Starting Insulin Basal-Bolus Regime Department of Diabetes Page 12 Patient Information Insulin Instructions for Basal Bolus Regimen Two types of insulin are used in this insulin regimen.

More information

Humulin (HU-mu-lin) R

Humulin (HU-mu-lin) R 1 PATIENT INFORMATION Humulin (HU-mu-lin) R Regular U-500 (Concentrated) insulin human injection, USP (rdna origin) Read the Patient Information that comes with Humulin R U-500 before you start taking

More information

Insulin pens workshop Making the complex simple

Insulin pens workshop Making the complex simple Agenda: Insulin doses Needles Insulin Pen Devices Insulin storage Key information (Patient &HCP) Injection sites Hypoglycaemia Home blood glucose testing Sick day advice Traveling Sharps Insulin pens workshop

More information

TYPE 1 DIABETES - SICK DAY RULES

TYPE 1 DIABETES - SICK DAY RULES TYPE 1 DIABETES - SICK DAY RULES Information Leaflet Your Health. Our Priority. Page 2 of 6 Introduction People with diabetes don t get ill any more often than other people, but illness and infections

More information

Department of Health Commencing insulin therapy

Department of Health Commencing insulin therapy Department of Health Commencing insulin therapy Great state. Great opportunity. State of Queensland (Queensland Health) 2008 2013 This work is licensed under a Creative Commons Attribution No Derivatives

More information

Gestational Diabetes. A Guide to Insulin in Pregnancy

Gestational Diabetes. A Guide to Insulin in Pregnancy Gestational Diabetes A Guide to Insulin in Pregnancy Why do I need insulin? It is important for your baby that your blood glucose stays below 5.5 mmols before breakfast and below 7 two hours after meals

More information

SAMPLE. iabetes insulin use it safel. A patient information booklet for adults who have diabetes and use insulin. Diabetes: insulin, use it safely

SAMPLE. iabetes insulin use it safel. A patient information booklet for adults who have diabetes and use insulin. Diabetes: insulin, use it safely urther information Read this booklet and the Insulin Passport alongside all the other information about diabetes that your diabetes nurse or doctor has given to you. You will also need to read the technical

More information

Information for Patients

Information for Patients Information for Patients Guidance for Diabetic Persons having bowel preparation for a flexible sigmoidoscopy or a colonoscopy or a combined gastroscopy and colonoscopy This guidance is provided to assist

More information

Starting Insulin Injections

Starting Insulin Injections Starting Insulin Injections A Gestational Diabetes Information Booklet Supported by What does insulin do? insulin Insulin is made by your pancreas. pancreas Insulin is released into the blood when you

More information

N HUMAN Novo Nordisk Patient Information for Novolin N

N HUMAN Novo Nordisk Patient Information for Novolin N N HUMAN Novo Nordisk Patient Information for Novolin N NOVOLIN N (NO-voe-lin) NPH, Human Insulin Isophane Suspension Injection (recombinant DNA origin) 100 units/ml Important: Know your insulin. Do not

More information

Glycaemic Control in Adults with Type 1 Diabetes

Glycaemic Control in Adults with Type 1 Diabetes Glycaemic Control in Adults with Type 1 Diabetes Aim(s) and objective(s) This document aims to provide guidance on good clinical practice in managing glycaemic control in adult patients with Type 1 Diabetes

More information

Medication Guide. SYMLIN (SĬM-lĭn) (pramlintide acetate) injection

Medication Guide. SYMLIN (SĬM-lĭn) (pramlintide acetate) injection Page 1 Medication Guide SYMLIN (SĬM-lĭn) (pramlintide acetate) injection Read the Medication Guide and the Patient Instructions for Use that come with your SYMLIN product before you start using it and

More information

Diabetes and exercise

Diabetes and exercise Diabetes and exercise Summary Symptoms of hypoglycaemia are caused by low blood sugar. Hypoglycaemia can occur if you take your diabetes medication and then do not eat enough or exercise more than usual.

More information

Changing to Basal Bolus Insulin Regimen

Changing to Basal Bolus Insulin Regimen Changing to Basal Bolus Insulin Regimen What is a basal bolus insulin regimen? Basal insulin (Lantus) is injected once per day and ensures there is insulin in the body at all times. Bolus insulin (NovoRapid/Humalog)

More information

Looking After Type 1 Diabetes

Looking After Type 1 Diabetes Looking After Type 1 Diabetes Introduction to type 1 diabetes for young people. Covering the key topics which are important to understand for young people who have been newly diagnosed. Streetwise What

More information

Diabetes Monitoring Diary

Diabetes Monitoring Diary Diabetes Monitoring Diary For those Counting Diabetes Service My targets: Before breakfast Before other meals Before bed... mmol/l... mmol/l... mmol/l Correcting high blood glucose levels: Information

More information

Insulin onset, peak and duration of action

Insulin onset, peak and duration of action Insulin onset, peak and duration of action Insulin was first discovered in the early 190 s. Before then, diabetes could not be treated. Insulin was then taken from cow and pig pancreases, but nearly all

More information

Safe use of insulin e- learning module

Safe use of insulin e- learning module Safe use of insulin e- learning module Page 1 Introduction Insulin is a hormone produced by the beta cells in the pancreas, it is released when blood glucose levels are raised for example after a meal.

More information

Hypoglycemia. Low Blood Sugar Reaction

Hypoglycemia. Low Blood Sugar Reaction Hypoglycemia Low Blood Sugar Reaction Objectives At the conclusion of this program, you will be able to: 1. Recognize the signs and symptoms of hypoglycemia 2. Treat hypoglycemia 3. Know what to do to

More information

Insulin pump: advice for schools

Insulin pump: advice for schools Insulin pump: advice for schools Information for school staff Dr Gray s Hospital Your pupil.. has Type 1 insulin dependent diabetes. This means that the pancreas has stopped making the hormone insulin.

More information

Riley Hospital for Children General Diabetes Medical Management Information- Injections

Riley Hospital for Children General Diabetes Medical Management Information- Injections Riley Hospital for Children General Diabetes Medical Management Information- Injections 1. HEALTH CARE SUPERVISION All school support staff, including: secretaries, cafeteria staff, custodians and bus

More information

Insulin Pumps. with Diabetes

Insulin Pumps. with Diabetes Insulin Pumps with Diabetes Continuous subcutaneous insulin infusion (with an insulin pump) is an alternative to multiple daily injections for people with type 1 diabetes Streetwise What is an insulin

More information

A list of all medications you are taking also include any vitamins, supplements, over-the-counter medicines, or herbal products

A list of all medications you are taking also include any vitamins, supplements, over-the-counter medicines, or herbal products This is your customized insulin discussion guide to bring to your next doctor s visit. WHAT TO BRING TO YOUR NEXT CHECK UP A record of your recent blood sugar readings A list of all medications you are

More information

What is diabetes? INSULIN, WHAT DOES IT DO?

What is diabetes? INSULIN, WHAT DOES IT DO? What is diabetes? Type 1 diabetes is when the body has stopped making insulin. This causes an upset in your body s glucose (sugar) balance. If you have developed type 1 diabetes it is possibly because

More information

University Hospitals of Leicester NHS Trust. Carbohydrates. A guide to carbohydrate containing foods for people with diabetes

University Hospitals of Leicester NHS Trust. Carbohydrates. A guide to carbohydrate containing foods for people with diabetes University Hospitals of Leicester NHS Trust Carbohydrates A guide to carbohydrate containing foods for people with diabetes This information is designed to help you to understand how carbohydrates affect

More information

Getting the Big Picture

Getting the Big Picture About Diabetes This health information is being provided for general educational purposes only. Your health care provider is the single best source of information regarding your health. Please consult

More information

Diabetes, driving and the law. Your simple guide to Driving and Vehicle Licensing Agency (DVLA) requirements

Diabetes, driving and the law. Your simple guide to Driving and Vehicle Licensing Agency (DVLA) requirements Diabetes, driving and the law Your simple guide to Driving and Vehicle Licensing Agency (DVLA) requirements Diabetes, driving and the law Many people with diabetes drive safely and happily every day. In

More information

Diabetes and Driving. The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Diabetes Government and Driving in Australia 2

Diabetes and Driving. The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Diabetes Government and Driving in Australia 2 Diabetes and Driving The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Diabetes Government and Driving in Australia 2 administered by Diabetes Australia. It is a privilege

More information

X-Plain Diabetes - Introduction Reference Summary

X-Plain Diabetes - Introduction Reference Summary X-Plain Diabetes - Introduction Reference Summary Introduction Diabetes is a disease that affects millions of Americans every year. Your doctor may have informed you that you have diabetes. Although there

More information

A patient guide to the use of insulin for diabetes

A patient guide to the use of insulin for diabetes A patient guide to the use of insulin for diabetes Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

blood glucose monitoring

blood glucose monitoring Talking diabetes No.04 Revised November 2011 blood glucose monitoring Self-blood glucose monitoring is a valuable diabetes management tool, which enables you to check your blood glucose levels as often

More information

A Guide to Monitoring Blood Glucose for Patients with diabetes in Care Homes

A Guide to Monitoring Blood Glucose for Patients with diabetes in Care Homes A Guide to Monitoring Blood Glucose for Patients with diabetes in Care Homes 1. Summary... 1 2. Background... 2 3. Purpose 2 4. Responsibilities. 2 5. Blood Glucose Monitoring. 2 6. Resident Groups that

More information

LOW BLOOD Glucose with TYPE 1 DIABETES

LOW BLOOD Glucose with TYPE 1 DIABETES LOW BLOOD Glucose with TYPE 1 DIABETES Hypoglycemia is the medical term for low blood glucose or low blood sugar. It occurs when blood glucose (sugar) drops below the normal range (i.e below 4 mmol/l).

More information

Sick Day Management for People with Type 2 Diabetes Using Insulin

Sick Day Management for People with Type 2 Diabetes Using Insulin Sick Day Management for People with Type 2 Diabetes Using Insulin When you are sick, controlling your blood sugar (glucose) can be a challenge. Nausea, vomiting, illness and changes in eating will affect

More information

P A T I E N T I N F O R M A T I O N. Apidra

P A T I E N T I N F O R M A T I O N. Apidra P A T I E N T I N F O R M A T I O N Apidra We have written this leaflet for those of you with diabetes who have been prescribed Apidra by your doctor. The primary goal of all diabetes treatment is to achieve

More information

See, Think, and Act! Diabetes

See, Think, and Act! Diabetes See, Think, and Act! Diabetes California After School Resource Center (CASRC) Administered for the California Department of Education (C.D.E.) Hello. My name is Joan Edelstein. I am a health trainer for

More information

Hypoglycemia and Diabetes

Hypoglycemia and Diabetes My Doctor Says I Should Avoid Low Blood Glucose Reactions... How Can I Prevent Them? BD Getting Started Hypoglycemia and Diabetes What You Should Know About Low Blood Glucose Reactions If you are taking

More information

Myths About Type 2 Diabetes and Insulin

Myths About Type 2 Diabetes and Insulin About Diabetes This health information is being provided for general educational purposes only. Your health care provider is the single best source of information regarding your health. Please consult

More information

Package Leaflet: Information for the user

Package Leaflet: Information for the user Package Leaflet: Information for the user Actrapid 100 IU/ml solution for injection in vial Insulin human (rdna) Read all of this leaflet carefully before you start using your insulin Keep this leaflet.

More information

Diabetes How to manage illness

Diabetes How to manage illness York Teaching Hospital NHS Foundation Trust Diabetes How to manage illness For adults with Type 1 diabetes on a basal bolus insulin regime For more information, please contact: Diabetes and Endocrinology

More information

Steroid Induced Diabetes

Steroid Induced Diabetes What is high blood sugar (hyperglycemia)? Hyperglycemia is a high level of sugar in the blood. Blood sugar is also called glucose. Some people are unable to process the sugar that is found in food and

More information

Type 2 Diabetes. What is diabetes? Understanding blood glucose and insulin. What is Type 2 diabetes? Page 1 of 5

Type 2 Diabetes. What is diabetes? Understanding blood glucose and insulin. What is Type 2 diabetes? Page 1 of 5 Page 1 of 5 Type 2 Diabetes Type 2 diabetes occurs mainly in people aged over 40. The 'first-line' treatment is diet, weight control and physical activity. If the blood glucose level remains high despite

More information

Insulin Dependent Diabetes Trust

Insulin Dependent Diabetes Trust Insulin Dependent Diabetes Trust Type 2 and You January 2010 Registered Company Number 3148360 Registered Charity No 1058284 We are sending this issue of Type 2 and You out early as it has some useful

More information

Diabetes Information

Diabetes Information Diabetes Information Your diabetes team includes: Consultant Paediatric Endocrinologist Paediatric Diabetes Clinical Nurse Specialists Senior Clinical Nutritionists/Dietitians Senior Clinical Psychologist

More information

Procedure for the Management of. when unwell. To be completed at the start of each academic year and reviewed regularly.

Procedure for the Management of. when unwell. To be completed at the start of each academic year and reviewed regularly. The student/parents should provide the teacher/school with: Sufficient oral and written information to allow the school to have a safe and appropriate environment for their child Supplies to treat low

More information

Insulin Dependent Diabetes Trust

Insulin Dependent Diabetes Trust Insulin Dependent Diabetes Trust Type 2 and You Issue 4 - July 2010 Registered Company Number 3148360 Registered Charity No 1058284 Welcome to the fourth issue of Type 2 and You. In this issue we look

More information

A patient s guide to the. management of diabetes at the time of surgery

A patient s guide to the. management of diabetes at the time of surgery A patient s guide to the management of diabetes at the time of surgery Diabetes is a common condition, affecting at least 4 to 5% of people in the UK. At least 10% of patients undergoing surgery have diabetes.

More information

Surgery and Procedures in Patients with Diabetes

Surgery and Procedures in Patients with Diabetes Surgery and Procedures in Patients with Diabetes University Hospitals of Leicester NHS Trust DEFINITIONS Minor Surgery and Procedures: expected to be awake, eating and drinking by the next meal, total

More information

INSULIN IN DIABETES MANAGEMENT

INSULIN IN DIABETES MANAGEMENT INSULIN IN DIABETES MANAGEMENT Do you know that in Diabetes, Insulin therapy gives maximum HbA1C reduction? What is Insulin? It is a hormone produced by pancreas to regulate the levels of glucose in the

More information

Diabetes. Patient Education. What you need to know. Diabetes Facts. Improving Health Through Education. What is Diabetes?

Diabetes. Patient Education. What you need to know. Diabetes Facts. Improving Health Through Education. What is Diabetes? Diabetes What you need to know Diabetes Facts More than 3 million Canadians have diabetes (Canadian Diabetes Association, 2009). It is the 4th leading cause of death in the world (CDA, 2009). Patient Education

More information

Hello, and welcome to today s education session, Next Steps Toward Better Control. Its part of an online education program from Sanofi US that brings

Hello, and welcome to today s education session, Next Steps Toward Better Control. Its part of an online education program from Sanofi US that brings Hello, and welcome to today s education session, Next Steps Toward Better Control. Its part of an online education program from Sanofi US that brings the expertise of Certified Diabetes Educators to diabetes

More information

Self-care guide for people with diabetes

Self-care guide for people with diabetes Self-care guide for people with diabetes English Version Supported by an unrestricted grant from 1 When the diagnosis is diabetes..................03 What is diabetes?............................04 What

More information

University College Hospital. Sick day rules insulin pump therapy

University College Hospital. Sick day rules insulin pump therapy University College Hospital Sick day rules insulin pump therapy Children and Young People s Diabetes Service Children whose diabetes is well controlled should not experience more illness or infections

More information

BLOOD GLUCOSE MONITORING MEDICATION

BLOOD GLUCOSE MONITORING MEDICATION DIABETES CARE FOR SCHOOL MEDICAL MANAGEMENT PLAN Most Recent A1C and Date: BLOOD GLUCOSE MONITORING Meter Type: Testing Independently: yes no Testing times: Before meals Two hours after insulin dosing

More information

ONCE ONLY GLUCAGON and Fast Acting Glucose gel (PGD) For nurse administration under Patient Group Direction (Trust wide PGD in place)

ONCE ONLY GLUCAGON and Fast Acting Glucose gel (PGD) For nurse administration under Patient Group Direction (Trust wide PGD in place) ADULT INSULIN PRERIPTION AND BLOOD GLUCOSE MONITORING CHART Ward CONSULTANT DATE OF ADMISSION Please affix Patient s label here Ward Ward.../...year PATIENT NAME....... DATE OF BIRTH... NHS NUMBER.......

More information

ALCOHOL. 1300 136 588 ndss.com.au AND TYPE 1 DIABETES

ALCOHOL. 1300 136 588 ndss.com.au AND TYPE 1 DIABETES ALCOHOL AND TYPE 1 DIABETES 1300 136 588 ndss.com.au The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government administered by Diabetes Australia. Contents Topic Page Introduction

More information

Ketones and Ketoacidosis

Ketones and Ketoacidosis Ketones and Ketoacidosis If you have diabetes and become unwell or have high blood glucose levels of 14 mmol/l or more please check for ketones If the body does not have enough insulin its energy levels

More information

PACKAGE LEAFLET: INFORMATION FOR THE USER

PACKAGE LEAFLET: INFORMATION FOR THE USER PACKAGE LEAFLET: INFORMATION FOR THE USER HUMULIN M3 (Mixture 3) KwikPen 100 IU/ml suspension for injection (insulin, human) Read all of this leaflet carefully before you start using this medicine. - Keep

More information

written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org

written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org What Is Insulin? The cells of your body need energy and one source of energy is sugar in your blood. Insulin

More information

PHARMACOTHERAPY HOW TO INJECT INSULIN. Living your life as normal as possible. www.lilly-pharma.de www.lilly-diabetes.de

PHARMACOTHERAPY HOW TO INJECT INSULIN. Living your life as normal as possible. www.lilly-pharma.de www.lilly-diabetes.de PHARMACOTHERAPY HOW TO INJECT INSULIN Living your life as normal as possible www.lilly-pharma.de www.lilly-diabetes.de In Germany about 1.9 million people with diabetes are being treated with insulin.

More information

Introduction to Insulin. Your guide to taking insulin

Introduction to Insulin. Your guide to taking insulin Introduction to Insulin Your guide to taking insulin Introduction Insulin helps control the level of blood glucose in the body. Everyone with type 1 diabetes must take insulin, and many people with type

More information

Diabetes. Emergency Checklists. From A Child in Your Care Has Diabetes. A Collection of Information. Copyright 2005 by Elisa Hendel, M.Ed.

Diabetes. Emergency Checklists. From A Child in Your Care Has Diabetes. A Collection of Information. Copyright 2005 by Elisa Hendel, M.Ed. Diabetes Emergency Checklists From A Child in Your Care Has Diabetes. A Collection of Information. Copyright 2005 by Elisa Hendel, M.Ed. Hyperglycemia High Blood Sugar * Hyperglycemia occurs when the blood

More information

Form 9: School Health Care Plan for Insulin Pump Page 1 of 10

Form 9: School Health Care Plan for Insulin Pump Page 1 of 10 Form 9: School Health Care Plan for Insulin Pump Page 1 of 10 of Birth CHI Photograph of pupil Address School Once completed, the parent/carer is responsible for taking a copy of this School Health Care

More information

WHAT I NEED TO KNOW ABOUT MY BLOOD SUGAR

WHAT I NEED TO KNOW ABOUT MY BLOOD SUGAR WHAT I NEED TO KNOW ABOUT MY BLOOD SUGAR BLOOD WHAT I NEED SUGAR TO MANAGEMENT KNOW ABOUT GUIDE MY BLOOD SUGAR When you have type 2 diabetes, your body has a problem using the food you eat for energy.

More information

Insulin pen start checklist

Insulin pen start checklist Insulin pen start checklist Topic Instruction Date & Initials 1. Cognitive Assessment 2. Insulin Delivery loading appropriate mixing priming shot dialing up dose delivery of insulin 3. Insulin type/action

More information

Diabetes Medical Management Plan

Diabetes Medical Management Plan Diabetes Medical Management Plan 1 School District: School: School Year: Grade: Student Name: DOB: Provider Name: Phone #: Fax #: Blood Glucose Monitoring at School Blood Glucose Target Range: - mg/dl

More information

Insulin Dependent Diabetes Trust

Insulin Dependent Diabetes Trust Insulin Dependent Diabetes Trust Type 2 and You Issue 6 - January 2011 Registered Company Number 3148360 Registered Charity No 1058284 Welcome to the sixth issue of Type 2 and You. Counting Carbs Why count

More information

Continuous Subcutaneous Insulin Infusion (CSII) pump therapy

Continuous Subcutaneous Insulin Infusion (CSII) pump therapy Continuous Subcutaneous Insulin Infusion (CSII) pump therapy GHPI1267_04_15 Department: Diabetes team Review due: April 2018 www.gloshospitals.nhs.uk 21 BETTER FOR YOU BETTER FOR YOU 1 Introduction This

More information

Diabetes and insulin. A pamphlet for adults who need insulin for either Type 1 or Type 2 diabetes

Diabetes and insulin. A pamphlet for adults who need insulin for either Type 1 or Type 2 diabetes Diabetes and insulin A pamphlet for adults who need insulin for either Type 1 or Type 2 diabetes Contents page Who this pamphlet is for 1 What is diabetes? 1 The two types of diabetes 1 Diagnosis of diabetes

More information

A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration

A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration of nurse A new insulin order form should be completed for subsequent changes to type of insulin and/or frequency of administration 1. Check times for point of care meter blood glucose testing. Pre-Breakfast

More information

Insulin Dependent Diabetes Trust

Insulin Dependent Diabetes Trust Insulin Dependent Diabetes Trust Type 2 and You April 2010 Registered Company Number 3148360 Registered Charity No 1058284 Welcome to the third issue of Type 2 and You. In this issue we look at healthy

More information

blood glucose monitoring

blood glucose monitoring Talking diabetes No.04 Revised August 2010 blood glucose monitoring Self-blood glucose monitoring is a valuable diabetes management tool, which enables people to check their own blood glucose levels as

More information

ndss.com.au The National Diabetes 3 STAY WELL 2 PLAY WELL Life after gestational diabetes Reduce your risk of diabetes - information

ndss.com.au The National Diabetes 3 STAY WELL 2 PLAY WELL Life after gestational diabetes Reduce your risk of diabetes - information Diabetes Driving Gestational Diabetes Life after gestational diabetes 1 EAT WELL 2 PLAY WELL 3 STAY WELL Reduce risk diabetes - information for all family 1300588 136 588 1300 136 ndss.com.au The National

More information

Shropshire Children s Diabetes Team Insulin Pump Training Workbook & Care Plan

Shropshire Children s Diabetes Team Insulin Pump Training Workbook & Care Plan Shropshire Children s Diabetes Team Insulin Pump Training Workbook & Care Plan Table of Contents Overview of training for insulin pump starts... 3 On the initiation visit... 4 General pump Information

More information

Blood Glucose Management

Blood Glucose Management Blood Glucose Management What Influences Blood Sugar Levels? There are three main things that influence your blood sugar: Nutrition Exercise Medication What Influences Blood Sugar Levels? NUTRITION 4 Meal

More information

www.leicestershirediabetes.org.uk Looking after diabetes during Ramadan A guide for patients A Guide to your Diabetes Management During Ramadan Diabetes Care UHL A Guide to Your Diabetes Management During

More information

New Zealand Consumer Medicine Information

New Zealand Consumer Medicine Information New Zealand Consumer Medicine Information PenMix 30 100 IU/ml suspension for injection in cartridge PenMix 40 100 IU/ml suspension for injection in cartridge PenMix 50 100 IU/ml suspension for injection

More information

Staying Safe IQ Quiz

Staying Safe IQ Quiz Staying Safe IQ Quiz Blood sugar levels that are too low or too high can abruptly turn into an emergency without fast and correct treatment. Knowing the facts like the difference between low and high blood

More information

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump

My Sick Day Plan for Type 1 Diabetes on an Insulin Pump My Sick Day Plan for Type 1 Diabetes on an Insulin Pump When you are sick, your blood sugar levels may be harder to keep under control. Your blood sugar may go too high or too low. Use this guide to help

More information

Feeling sick? What to do. Information for people with Type 1 Diabetes

Feeling sick? What to do. Information for people with Type 1 Diabetes Feeling sick? What to do Information for people with Type 1 Diabetes Diabetes and sick days A minor illness can result in a major rise in blood glucose levels Common illnesses such as tonsillitis, ear,

More information

INSULINThere are. T y p e 1 T y p e 2. many different insulins for

INSULINThere are. T y p e 1 T y p e 2. many different insulins for T y p e 1 T y p e 2 INSULINThere are many different insulins for Characteristics The three characteristics of insulin are: Onset. The length of time before insulin reaches the bloodstream and begins lowering

More information

An estimated 280 Australians develop diabetes every day. It is Australia s fastest-growing chronic disease.

An estimated 280 Australians develop diabetes every day. It is Australia s fastest-growing chronic disease. Diabetes and insulin Summary Even with the help of your doctor and diabetes nurse educator, it may take a while to find the right insulin dose to reduce your blood glucose to your target levels. Insulin

More information

BLOOD KETONE TESTING

BLOOD KETONE TESTING BLOOD KETONE TESTING Information Leaflet Your Health. Our Priority. Page 2 of 5 What are ketones? Maintaining good blood glucose control is important. When there is not enough insulin in the body, or when

More information

HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100)

HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) 1 PATIENT INFORMATION HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) WARNINGS Do not share your syringes with other people, even if the needle has been changed. You

More information

DIABETES AND INSULIN PUMP THERAPY TOP TIPS FOR TRAVELLING

DIABETES AND INSULIN PUMP THERAPY TOP TIPS FOR TRAVELLING DIABETES AND INSULIN PUMP THERAPY TOP TIPS FOR TRAVELLING Information Leaflet Your Health. Our Priority. Page 2 of 6 People with diabetes who use an insulin pump can still enjoy foreign travel. However

More information

What is DIABETES? Gwen Hall Diabetes Specialist Nurse, Community Diabetes Services Portsmouth, Primary Care Team.

What is DIABETES? Gwen Hall Diabetes Specialist Nurse, Community Diabetes Services Portsmouth, Primary Care Team. What is DIABETES? By: Gwen Hall Diabetes Specialist Nurse, Community Diabetes Services Portsmouth, Primary Care Team. WHAT IS DIABETES? What is diabetes? In simple terms diabetes prevents your body converting

More information

New Zealand Consumer Medicine Information

New Zealand Consumer Medicine Information New Zealand Consumer Medicine Information Actrapid Penfill 100 IU/ml solution for injection in cartridge Insulin human (rdna) Read all of this leaflet carefully before you start using your insulin Keep

More information