Types of insulin and How to Use Them
|
|
|
- Amy Walters
- 3 years ago
- Views:
Transcription
1 Diabetes and Insulin Pumps Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012
2 Objectives Describe the different types of insulin used in diabetes Identify the types of insulin that are compatible with insulin pumps Predict supplies that patients on insulin pumps will need
3 Overview Types of diabetes Medications used to treat diabetes Types of insulin Insulin pump use What are they Why are they used How are they used
4 Types of Diabetes 3 main types of diabetes: Type 1 Type 2 Gestational Another, lesser known type: Type 1 & 1/2
5 Types of Diabetes Type 1 diabetes Juvenile diabetes 5% of diabetic patients have Type 1 Body does not produce insulin Hormone from pancreas Allows body cells to use food as energy Essential for life
6 Types of Diabetes Type 2 Diabetes 95% of diabetic patients are Type 2 Body is resistant to insulin May not produce enough Usually develops in adulthood
7 Types of Diabetes Gestational diabetes Develops during pregnancy Can go away after baby is born Puts mother at risk for diabetes later
8 Complications of Diabetes With either type, body cannot pull sugar from blood into cells to use for energy Sugar builds up in blood Damages blood vessels Eye Kidney Nerve Heart
9 Prevention of complications of diabetes Reducing blood sugar to near normal levels reduces risk of damage to vessels What is normal? Fasting blood glucose <100mg/dL Blood glucose <140mg/dL Different patients will have different blood glucose goals
10 Medications Type 1: Insulin Type 2: Replaces body s natural insulin Oral agents Help body use insulin that it produces Signal pancreas to put out more insulin Stop liver from making glucose Insulin
11 Types of Insulin Many different types Differ by How fast they start to work How long they last Types Rapid acting Fast acting Intermediate acting Long acting
12 Types of Insulin Type Generic Brand Rapid acting Aspart NovoLOG Lispro Glulisine HumaLOG Apidra Short acting Regular Humulin R Novolin R Intermediate acting NPH Long acting Detemir Levemir Glargine Humulin N Novolin N *also come in mixes with rapid/short acting Lantus
13 Types of Insulin
14 QUESTION 1 Which of the following types of insulin has the shortest time to onset? A. Short acting B. Rapid acting C. Long acting D. Intermediate acting
15 QUESTION 1 Which of the following types of insulin has the shortest time to onset? A. Short acting B. Rapid acting C. Long acting D. Intermediate acting
16 Insulin Use GOAL OF INSULIN: recreate natural insulin supply throughout the day Type 2 Supplement body s own insulin Body may eventually not make any of it s own Type 1 Body does not make any 100% of insulin will come from injections
17 Natural Insulin Supply Basal = baseline Glucose = sugar
18 Insulin Use GOAL OF INSULIN: recreate natural insulin supply Accomplish this by using combinations of different insulins May require 4 or more injections per day May be difficult to find dose that will control blood sugar best
19 Insulin Pumps Small, pager-sized device Administers insulin continuously throughout the day Eliminates need for multiple daily injections Still have to check blood sugar several times a day
20 Insulin Pumps Basal rate Small amount of insulin infused throughout day Bolus doses Larger doses of insulin can be given to match food intake or correct high blood sugars These doses vary from person to person Determined by healthcare provider
21 Insulin Pumps Use RAPID-ACTING insulin
22 Insulin Pumps Use RAPID-ACTING insulin Quit onset Short duration
23 Types of Insulin Type Generic Brand Rapid acting Aspart NovoLOG Lispro Glulisine HumaLOG Apidra Short acting Regular Humulin R Novolin R Intermediate acting NPH Long acting Detemir Levemir Glargine Humulin N Novolin N *also come in mixes with rapid/short acting Lantus
24 Insulin Pumps Use RAPID-ACTING insulin Quit onset Short duration Infused continuously for basal rate Infused in boluses for meals or to correct high blood sugars
25 Insulin Pumps
26 Insulin Pump Small computer that helps to calculate doses and infuse it Basal dose set by doctor Meal time dose depends on carbohydrate intake Patient must count carbohydrates in their meal Correctional doses for high blood sugar
27 QUESTION 2 Ms. Anderson is a new insulin pump patient who brings in prescriptions to be filled for her new pump supplies, including one prescription for insulin. It is for Lantus (glargine) as directed with pump. You are most concerned about this prescription because: A. You are unsure how many units she will use per day and do not know how many vials to give her. B. She is not going straight home and will be unable to refrigerate the vial right away. C. Glargine is not appropriate for use with insulin pumps. D. Ms. Anderson s previous glargineprescription is not expired and has plenty of refills. This is an unnecessary prescription.
28 QUESTION 2 Ms. Anderson is a new insulin pump patient who brings in prescriptions to be filled for her new pump supplies, including one prescription for insulin. It is for Lantus (glargine) as directed with pump. You are most concerned about this prescription because: A. You are unsure how many units she will use per day and do not know how many vials to give her. B. She is not going straight home and will be unable to refrigerate the vial right away. C. Glargine is not appropriate for use with insulin pumps. >RAPID ACTING INSULINS< A. Ms. Anderson s previous glargineprescription is not expired and has plenty of refills. This is an unnecessary prescription.
29 Insulin Pump Indications Failure to achieve glucose goals with injections Exercise Pregnancy Gastroparesis(slowed gastric emptying) Changing work/meal schedules Pediatric patients
30 Carbohydrate Counting Carbohydrate counting Requires researching food Requires reading food labels Food labels can be confusing Requires some mathematical skills
31 Carbohydrate Counting If I eat a bowl of ice cream, how many carbohydrates have I eaten? How much was in the bowl? How many carbohydrates were there if I had 1.5 cups of ice cream?
32 Pump Candidates Type 1 diabetes Or Type 2 with complete deficiency Need tighter glucose control Motivated and competent Carbohydrate counting Understand insulin adjustment/mathematical equations Demonstrate excellent compliance
33
34
35
36
37 Insulin Reservoir
38 Pump Insulin Supplies Infusion sets changed every 3 days Cartridges/reservoirs Patients will still need needles/syringes To fill the reservoir in the pump In case their pump fails and they have to give injections Glucose testing supplies
39 Cost Pumps can cost more than $6,000-$7,000 Infusion sets cost $10-20/set Changing every 3 days May be covered by insurance
40 Inpatient Pump Patients Pump patients in the hospital Some hospitals allow patients to stay on their pumps in the hospital Provide own supplies and manage it themselves Technicians can be involved with creating a policy to allow patients to keep continue to use their pumps as inpatients
41 QUESTION 3 Ms. Anderson also turns in a prescription for some syringes. She tells you she does not need the syringes since she is now using a pump and asks you to discard the prescription. What should you tell her? A. You are right. You will not use syringes anymore since the pump will be supplying all of your insulin needs. I will discard the prescription. B. You will still need syringes to give yourself meal time insulin injections in addition to your pump. I will fill these. C. You will still need syringes to give yourself basal insulin injections in addition to your pump. I will fill these. D. You might want to have some syringes on hand incase your pump malfunctions and you need an alternate way to inject your insulin. I will fill these just incase you need them.
42 QUESTION 3 Ms. Anderson also turns in a prescription for some syringes. She tells you she does not need the syringes since she is now using a pump and asks you to discard the prescription. What should you tell her? A. You are right. You will not use syringes anymore since the pump will be supplying all of your insulin needs. I will discard the prescription. B. You will still need syringes to give yourself meal time insulin injections in addition to your pump. I will fill these. C. You will still need syringes to give yourself basal insulin injections in addition to your pump. I will fill these. D. You might want to have some syringes on hand incase your pump malfunctions and you need an alternate way to inject your insulin. I will fill these just incase you need them.
43 References Insulin Pump Therapy. Pharmacist s Letter. December Technician Training Tutorial: Dispensing Insulin. Pharmacy Technician s Letter Insulin Pump Therapy: Guidelines for Successful Outcomes. American Association of Diabetes Educators Consensus Summit.
DIABETES MEDICATION INSULIN
Section Three DIABETES MEDICATION INSULIN This section will tell you: About insulin. How to care and store your insulin. When to take your insulin. Different ways of taking insulin. WHAT IS INSULIN? Insulin
Injectable Insulin During Pregnancy
Injectable Insulin During Pregnancy What is insulin? Insulin is a hormone made by the pancreas. The pancreas is a small organ that lies behind and below the stomach. Insulin allows the food you eat to
Insulin and Diabetes
Insulin What is Insulin? Insulin is a hormone produced by special cells in the pancreas These cells that are produced are called beta cells Insulin allows the glucose from food we eat to enter the cells
2010 Partners & Peers for Diabetes Care, Inc. www.partnersandpeers.org
Without a working knowledge of the way insulin works in your body it is very difficult to effectively manage diabetes... Kind of like driving a car without knowing how to use the gas pedal and brakes...
Premixed Insulin for Type 2 Diabetes. a gu i d e f o r a d u lt s
Premixed Insulin for Type 2 Diabetes a gu i d e f o r a d u lt s March 2009 What This Guide Covers / 2 Type 2 Diabetes / 3 Learning About Blood Sugar / 4 Learning About Insulin / 5 Comparing Medicines
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
Diabetes Fundamentals
Diabetes Fundamentals Prevalence of Diabetes in the U.S. Undiagnosed 10.7% of all people 20+ 23.1% of all people 60+ (12.2 million) Slide provided by Roche Diagnostics Sources: ADA, WHO statistics Prevalence
UW MEDICINE PATIENT EDUCATION. Using Insulin. Basic facts about insulin and self-injection. What is insulin? How does diabetes affect the body?
UW MEDICINE PATIENT EDUCATION Using Insulin Basic facts about insulin and self-injection This handout explains what insulin is, the different types of insulin, how to store it, how to give an injection
10 to 30 minutes ½ to 3 hours 3 to 5 hours. 30 60 minutes 1 to 5 hours 8 hours. 1 to 4 hours
Insulin Action There are several types of insulin. They are classified by how long they act: very fast, fast, slow and very slow acting. Each type of insulin has a certain time period in which it works.
Insulin: A Practice Update. Department of Nursing Staff Development Elizabeth Borgelt, MS, RN
Insulin: A Practice Update Department of Nursing Staff Development Elizabeth Borgelt, MS, RN Learning Outcome The learner will be able to identify the different types of insulins available, their actions,
Insulin T Y P E 1 T Y P E 2
T Y P E 1 T Y P E 2 INSULIN There are many different insulins for many different situations and lifestyles. This section should help you and your doctor decide which insulin or insulins are best for you.
CLASS OBJECTIVES. Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies
Insulins CLASS OBJECTIVES Describe the history of insulin discovery List types of insulin Define indications and dosages Review case studies INVENTION OF INSULIN 1921 The first stills used to make insulin
Prior Authorization Guideline
Prior Authorization Guideline Guideline: PC (CO) - Insulin Delivery Systems Therapeutic Class: Hormones and Synthetic Substitutes Therapeutic Sub-Class: Insulin Delivery Systems Client: CO Approval Date:
Guidelines for Education and Training
Aim These protocols aim to provide the necessary guidance to enable insulin to be initiated safely and effectively Objectives 1. To provide the suggested procedure for the initiation of insulin for people
Insulin Pens & Improving Patient Adherence
Insulin Pens & Improving Patient Adherence Bonnie Pepon, RN, BSN, CDE Certified Diabetes Educator Conemaugh Diabetes Institute Kip Benko, MD FACEP Asst Clinical Professor University of Pittsburgh School
Diabetes: When To Treat With Insulin and Treatment Goals
Diabetes: When To Treat With Insulin and Treatment Goals Lanita. S. White, Pharm.D. Director, UAMS 12 th Street Health and Wellness Center Assistant Professor of Pharmacy Practice, UAMS College of Pharmacy
INJEX Self Study Program Part 1
INJEX Self Study Program Part 1 What is Diabetes? Diabetes is a disease in which the body does not produce or properly use insulin. Diabetes is a disorder of metabolism -- the way our bodies use digested
THE INS AND OUTS OF INSULIN. Mary Beth Wald, RN,BSN,CDE
THE INS AND OUTS OF INSULIN Mary Beth Wald, RN,BSN,CDE WHAT HAPPENS IN MY BODY? When we eat, the food gets changed into glucose, a type of sugar. Glucose travels in the blood to all the cells in your body
at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012
at The Valley Hospital (TVH) for Nursing Students/Nursing Instructors 2012 Subject - Insulin Safety Background Insulin known to be high risk medication Can promote serious hypoglycemia if given incorrectly
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
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
Why is Insulin so Important?
Insulin Therapy Why is Insulin so Important? If the glucose stays in your blood it doesn t do your cells (body) any good The glucose has to get inside the cells for the body to use it What Does Insulin
Intensive Insulin Therapy in Diabetes Management
Intensive Insulin Therapy in Diabetes Management Lillian F. Lien, MD Medical Director, Duke Inpatient Diabetes Management Assistant Professor of Medicine Division of Endocrinology, Metabolism, & Nutrition
Diabetes. New Trends Presented by Barbara Obst RN MS August 2008
Diabetes New Trends Presented by Barbara Obst RN MS August 2008 What is Diabetes Diabetes is a condition characterized by high levels of glucose. The glucose circulates in your blood and serves as the
Diabetes Medications: Insulin Therapy
Diabetes Medications: Insulin Therapy Courtesy Univ Texas San Antonio Eric L. Johnson, M.D. Department of Family and Community Medicine Diabetes and Insulin Type 1 Diabetes Autoimmune destruction of beta
Let s Talk About Meters and Meds. Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014
Let s Talk About Meters and Meds Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014 How to monitor diabetes control: Hemoglobin A 1 C, or just A 1
Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors
Optimizing Insulin Therapy Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Introduction Diabetes management, and particularly self-management, has come a long way. Unfortunately,
Insulin Pens. Basic facts. What is insulin? What are the different types of insulin?
UW MEDICINE PATIENT EDUCATION Insulin Pens Basic facts This handout explains what insulin is, the different types of insulin, how to store it, how to give an injection with an insulin pen, and other important
Onset Peak Duration Comments
Rapid- Acting 5-15 minutes 0.5-3 hours 3-5 hours Meal should be available before administering, ideally taking within 10 minutes of eating). Good in refrigerator (36-46 F) until expiration date. Protect
Chapter 8 Insulin: Types and Activit y
Chapter 8 Insulin: Types and Activit y H. Peter Chase, MD Satish Garg, MD INSULIN Before insulin was discovered in 1921, there was little help for people who had type 1 diabetes. Since then, millions of
Insulin: Breaking Barriers Enhancing Therapies. Jerry Meece, RPh, FACA, CDE jmeece12@cooke.net
Insulin: Breaking Barriers Enhancing Therapies Jerry Meece, RPh, FACA, CDE jmeece12@cooke.net Questions To Address Who are candidates for insulin? When do we start insulin? How do the different types of
Insulin Initiation and Intensification
Insulin Initiation and Intensification ANDREW S. RHINEHART, MD, FACP, CDE MEDICAL DIRECTOR AND DIABETOLOGIST JOHNSTON MEMORIAL DIABETES CARE CENTER Objectives Understand the pharmacodynamics and pharmacokinetics
BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS
BASAL BOLUS INSULIN FOR MEDICAL- SURGICAL INPATIENTS C O N T A C T D I A B E T E S S E R V I C E S F O R M O R E I N F O R M A T I O N 8 4 7-9 1 7-6 9 0 7 THIS SLIDE PRESENTATION WAS PREPARED BY SUE DROGOS,
Introduction. We hope this guide will aide you and your staff in creating a safe and supportive environment for your students challenged by diabetes.
Introduction Diabetes is a chronic disease that affects the body s ability to metabolize food. The body converts much of the food we eat into glucose, the body s main source of energy. Glucose is carried
Diabetes Mellitus: Type 1
Diabetes Mellitus: Type 1 What is type 1 diabetes mellitus? Type 1 diabetes is a disorder that happens when your body produces little or no insulin. The lack of insulin causes the level of sugar in your
Guide for Storage of Insulin
Guide for Storage of Insulin Every effort is made to assure the accuracy of the attached information. This information is not intended to be used as a tool to prescribe medication or provide other clinical
Diabetes The Basics. What is Diabetes? How does sugar get into your cells? Type 1 diabetes. Type 2 diabetes. Why control Diabetes?
Diabetes The Basics What is Diabetes? Diabetes is when there is too much sugar in your blood. Sugar from food you eat and drink stays in your blood instead of going into the cells in your body. The cells
Continuous Subcutaneous Insulin Infusion (CSII)
IMPORTANCE OF FOCUS CSII (Insulin pumps) have been used for more than 35 years. In the U.S. in 2005, the level of insulin pump penetration was estimated at 20 to 30% in patients with type 1 diabetes mellitus
Prior Authorization Guideline
Prior Authorization Guideline Guideline: PC - Apidra, Levemir Therapeutic Class: Hormones and Synthetic Substitutes Therapeutic Sub-Class: Antidiabetic Agents Client: CA, CO, NV, OK, OR, WA and AZ Approval
OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN
PART I OFFICE OF CATHOLIC SCHOOLS DIOCESE OF ARLINGTON DIABETES MEDICAL MANAGEMENT PLAN Page 1 of 5 TO BE COMPLETED BY PARENT OR GUARDIAN Student School Date of Birth Date of Diagnosis Grade/ Teacher Physical
FYI: (Acceptable range for blood glucose usually 70-110 mg/dl. know your institutions policy.)
How Insulin Works: Each type of insulin has an onset, a peak, and a duration time. Onset is the length of time before insulin reaches the bloodstream and begins lowering blood Peak is the time during which
Resident s Guide to Inpatient Diabetes
Resident s Guide to Inpatient Diabetes 1. All patients with diabetes of ANY TYPE, regardless of reason for admission, must have a Hemoglobin A1C documented in the medical record within 24 hours of admission
Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol
Glycemic Control Initiative: Insulin Order Set Changes Hypoglycemia Nursing Protocol Ruth LaCasse Kalish, RPh Department of Pharmacy Objectives Review the current practice at UConn Health with sliding
Your Insulin Adjustment Workbook Yes, You Can Do It!
S T AY I N G O N T A R G E T TARGET THERAPY Staying on Target TM Your Insulin Adjustment Workbook Yes, You Can Do It! YES, YOU CAN DO IT! Your How-To Guide for Adjusting Basal and Bolus Insulin This workbook
Parenteral Dosage of Drugs
Chapter 11 Parenteral Dosage of Drugs Parenteral Route of administration other than gastrointestinal Intramuscular (IM) Subcutaneous (SC) Intradermal (ID) IV Parenteral Most medications prepared in liquid
A Simplified Approach to Initiating Insulin. 4. Not meeting glycemic goals with oral hypoglycemic agents or
A Simplified Approach to Initiating Insulin When to Start Insulin: 1. Fasting plasma glucose (FPG) levels >250 mg/dl or 2. Glycated hemoglobin (A1C) >10% or 3. Random plasma glucose consistently >300 mg/dl
Insulin Pump Management and Continuous Glucose Monitoring Systems (CGMS)
Insulin Pump Management and Continuous Glucose Monitoring Systems (CGMS) Faith Daily, RN, BSN, CDE, CPT Certified Diabetes Educator/Insulin Pump Trainer August 16, 2014 Why Pump Therapy? Mimics normal
Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS
Managing the Hospitalized Patient on Insulin: Care Transition Catie Prinzing MSN, APRN, CNS Diabetes and Hospitalization People with DM are hospitalized 3x more frequently than patients without diabetes
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
Diabetes and the Elimination of Sliding Scale Insulin. Date: April 30 th 2013. Presenter: Derek Sanders, D.Ph.
Diabetes and the Elimination of Sliding Scale Insulin Date: April 30 th 2013 Presenter: Derek Sanders, D.Ph. Background Information Epidemiology and Risk Factors Diabetes Its Definition and Its Impact
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.
Intensifying Insulin In Type 2 Diabetes
Intensifying Insulin In Type 2 Diabetes Eric L. Johnson, M.D. Associate Professor Department of Family and Community Medicine University of North Dakota School of Medicine and Health Sciences Assistant
INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco
INPATIENT DIABETES MANAGEMENT Robert J. Rushakoff, MD Professor of Medicine Director, Inpatient Diabetes University of California, San Francisco CLINICAL RECOGNITION Background: Appropriate inpatient glycemic
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
Reducing the risk of patient harm: A focus on insulin
Reducing the risk of patient harm: A focus on insulin New York State Partnership for Patients (NYSPFP) Initiative Regional Educational Session November 2013 1 1 Disclosure Matt Fricker, Matt Grissinger,
Calculating Insulin Dose
Calculating Insulin Dose First, some basic things to know about insulin: Approximately 40-50% of the total daily insulin dose is to replace insulin overnight, when you are fasting and between meals. This
Therapy Insulin Practical guide to Health Care Providers Quick Reference F Diabetes Mellitus in Type 2
Ministry of Health, Malaysia 2010 First published March 2011 Perkhidmatan Diabetes dan Endokrinologi Kementerian Kesihatan Malaysia Practical guide to Insulin Therapy in Type 2 Diabetes Mellitus Quick
Insulin. and diabetes. What is insulin? Who needs to inject insulin? Why must it be injected? What if I have to go on to insulin?
Insulin What is insulin? and diabetes Insulin is a hormone made by special cells, called beta cells, in the pancreas. When we eat, insulin is released into the blood stream where it helps to move glucose
Medications for Diabetes
AGS Diab Med Brochure 4/18/03 3:43 PM Page 1 Medications for Diabetes An Older Adult s Guide to Safe Use of Diabetes Medications THE AGS FOUNDATION FOR HEALTH IN AGING AGS Diab Med Brochure 4/18/03 3:43
insulin & diabetes What is insulin? Why must it be injected? What if I have to go on to insulin? Are there different types of insulin?
Talking diabetes No.24 insulin & diabetes Insulin injections are required when the body produces little or no insulin, as with type 1 diabetes. They are also required for some people with type 2 diabetes
Initiation and Adjustment of Insulin Regimens for Type 2 Diabetes
PL Detail-Document #300128 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER January 2014 Initiation and Adjustment of Insulin Regimens for Type
Causes, incidence, and risk factors
Causes, incidence, and risk factors Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes,
INSULIN INTENSIFICATION: Taking Care to the Next Level
INSULIN INTENSIFICATION: Taking Care to the Next Level By J. Robin Conway M.D., Diabetes Clinic, Smiths Falls, ON www.diabetesclinic.ca Type 2 Diabetes is an increasing problem in our society, due largely
Type 1 Diabetes. Dr. Tom Elliott MBBS, FRCPC Medical Director
Dr. Tom Elliott MBBS, FRCPC Medical Director 4102 2775 Laurel St. phone: 604.675.2491 Vancouver, BC fax: 604.875.5931 V5Z 1M9 Canada email: info@bcdiabetes.ca Type 1 Diabetes Type 1 diabetes was previously
Participate. to inpatients. Yes No. Team. Leader. Team. Name Degree(s) Title Department Address 1 Address 2. City State Zip Office Phone Fax E mail
This printable application is provided for your reference only. Please enter yourr application information online at www.onepenonepatient.org. Completed applications must be submitted on or before August
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
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
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
Learn about Diabetes. Your Guide to Diabetes: Type 1 and Type 2. You can learn how to take care of your diabetes.
Learn about Diabetes You can learn how to take care of your diabetes and prevent some of the serious problems diabetes can cause. The more you know, the better you can manage your diabetes. Share this
insulin & diabetes What is insulin? Why must it be injected? What if I have to go on to insulin? Are there different types of insulin?
Talking diabetes No.24 insulin & diabetes Insulin injections are required when the body produces little or no insulin, as with type 1 diabetes. They are also required for some people with type 2 diabetes
Intensifying Insulin Therapy
Intensifying Insulin Therapy Rick Hess, PharmD, CDE, BC-ADM Associate Professor Gatton College of Pharmacy, Department of Pharmacy Practice East Tennessee State University Johnson City, Tennessee Learning
My Doctor Says: Pattern Management Will Help Me...
O N S T A Y I N G T A R G E T TM TARGET THERAPY Staying on Target TM My Doctor Says: Pattern Management Will Help Me... Taking Care of Your Diabetes You check your blood glucose several times a day and
The Importance of Using Insulin Safely. Learning Objectives
The Importance of Using Insulin Safely Victor Tran, PharmD PGY 1 Pharmacy Resident Ambulatory Care Diabetes Symposium November 12, 2015 Learning Objectives List the potential adverse drug events of insulin
Diabetes Treatments: Options for Insulin Delivery. Bonnie Pepon, RN, BSN, CDE Certified Diabetes Educator Conemaugh Diabetes Institute
Diabetes Treatments: Options for Insulin Delivery Bonnie Pepon, RN, BSN, CDE Certified Diabetes Educator Conemaugh Diabetes Institute Diabetes 21 million people in the U.S. have diabetes $132 billion each
Everything You Wanted to Know about INSULIN!
Everything You Wanted to Know about INSULIN! What is Insulin? Life would not exist without insulin. In order to utilize the glucose (energy) found within the carbohydrate-laden foods we consume, insulin
Strategies for Managing the Patient on Insulin. Judy Davis RN, BA, CDE, FAADE May 3, 2013
Strategies for Managing the Patient on Insulin Judy Davis RN, BA, CDE, FAADE May 3, 2013 1 Objectives To identify the need for all health providers to play an active role in the education of the individual
Gestational Diabetes
Gestational Diabetes What is it? How do we treat it? A Gestational Diabetes Information Booklet Supported by Gestational diabetes is having too much glucose (sugar) in your blood when you re pregnant.
insulin & diabetes Talking diabetes No.24 Revised 2012
Talking diabetes No.24 Revised 2012 insulin & diabetes Insulin injections are required when the body produces little or no insulin, as with type 1 diabetes. They are also required for some people with
Mary Bruskewitz APN, MS, RN, BC-ADM Clinical Nurse Specialist Diabetes
Mary Bruskewitz APN, MS, RN, BC-ADM Clinical Nurse Specialist Diabetes Objectives Pathophysiology of Diabetes Acute & Chronic Complications Managing acute emergencies Case examples 11/24/2014 UWHealth
How to Switch Between Insulin Products
Detail-Document #251005 This Detail-Document accompanies the related article published in PHARMACIST S LETTER / PRESCRIBER S LETTER October 2009 ~ Volume 25 ~ Number 251005 How to Switch Between Insulin
Antidiabetic Drugs. Mosby items and derived items 2011, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.
Antidiabetic Drugs Mosby items and derived items 2011, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Diabetes Mellitus Two types Type 1 Type 2 Type 1 Diabetes Mellitus Lack of insulin production
Britni Hebert, MD PGY-1
Britni Hebert, MD PGY-1 Importance of Diabetes treatment Types of treatment Comparison of treatment/article Review Summary Example cases 1 out of 13 Americans have diabetes Complications include blindness,
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
Understanding Your Diabetes HELPLINE: 01604 622837 www.iddtinternational.org
I ndepend ent DI abetes t rust Understanding Your Diabetes HELPLINE: 01604 622837 www.iddtinternational.org INDEPENDENT DIABETES TRUST The Trust offers support, understanding and information to people
Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007)
Type 1 Diabetes Management Based on Glucose Intake www.utmem.edu/endocrinology click Patients (Revised 7/13/2007) The following is a system of insulin therapy, diet management, and blood glucose monitoring
INSULIN AND INCRETIN THERAPIES: WHAT COMBINATIONS ARE RIGHT FOR YOUR PATIENT?
INSULIN AND INCRETIN THERAPIES: WHAT COMBINATIONS ARE RIGHT FOR YOUR PATIENT? MARTHA M. BRINSKO, MSN, ANP-BC CHARLOTTE COMMUNITY HEALTH CLINIC CHARLOTTE, NC Diagnosed and undiagnosed diabetes in the United
Understanding Advanced Carbohydrate Counting A Useful Tool for Some Patients to Improve Blood Glucose Control By Micki Hall, MS, RD, LD, CDE, CPT
Understanding Advanced Carbohydrate Counting A Useful Tool for Some Patients to Improve Blood Glucose Control By Micki Hall, MS, RD, LD, CDE, CPT Suggested CDR Learning Codes: 2070, 3020, 5190, 5460; Level
Diabetes and Technology. Disclosures Certified Insulin Pump Trainer for: Animas Medtronic Diabetes Omnipod. Rebecca Ray, MSN, APRN, FNP-C
Diabetes and Technology Rebecca Ray, MSN, APRN, FNP-C Insulin Pump Therapy and Continuous Glucose Monitoring In Patients with Type 2 Diabetes Page 1 Disclosures Certified Insulin Pump Trainer for: Animas
Tailoring Diabetes and Nutrition Management. Tailoring Diabetes and Nutrition Management. Diabetes Mellitus: Diabetes Mellitus: Clinical Presentation
Tailoring Diabetes and Nutrition Management Tailoring Diabetes and Nutrition Management Target your population Set priorities as to what to change first Julie Kuenzi, RN, MSN, CDE Ruth Koehler, RN, BSN,
HED\ED:NS-BL 037-3rd
HED\ED:NS-BL 037-3rd Insulin Insulin is produced by the beta cells in the islets of Langerhans in the pancreas. When glucose enters our blood, the pancreas should automatically excrete the right amount
(30251) Insulin SQ Prandial Carbohydrate
Diagnosis Patient MUST BE educated using carbohydrate counting for prial insulin coverage before hospitalization to be eligible for this order set Nursing Metered Glucose (Single Select Section) Metered
Insulin: A Powerful Weapon in the Diabetic Arsenal. Diana Cowell, PharmD PGY-1 Pharmacy Resident
Insulin: A Powerful Weapon in the Diabetic Arsenal Diana Cowell, PharmD PGY-1 Pharmacy Resident Objectives Identify the mechanism of action of insulin Describe the onset and duration for the various types
Insulin/Diabetes Calculations
Insulin/Diabetes Calculations Dr. Aipoalani St Lukes Endocrinology Goals Describe various calculations for insulin dosing Understand importance of the total daily dose (TDD) of insulin Be able to calculate
Diabetes Management Tube Feeding/Parenteral Nutrition Order Set (Adult)
Review Due Date: 2016 May PATIENT CARE ORDERS Weight (kg) Known Adverse Reactions or Intolerances DRUG No Yes (list) FOOD No Yes (list) LATEX No Yes ***See Suggestions for Management (on reverse)*** ***If
A Training Program for Diabetes Management in the School Setting: The Role of Unlicensed School Staff. Virginia Department of Education 2015
A Training Program for Diabetes Management in the School Setting: The Role of Unlicensed School Staff Virginia Department of Education 2015 Objectives To understand legal authorization and protection for
Managing Diabetes in the Athletic Population
Managing Diabetes in the Athletic Population Michael Prybicien, LA, ATC, CSCS, CES, PES Athletic Trainer, Passaic High School Overlook Medical Center & Adjunct Faculty, William Paterson University Dedicated
Fundamentals of Diabetes Care Module 5, Lesson 1
Module 5, Lesson 1 Fundamentals of Diabetes Care Module 5: Taking Medications Healthy Eating Being Active Monitoring Taking Medication Problem Solving Healthy Coping Reducing Risks Foundations For Control
Diabetes: Medications
Diabetes: Medications Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (APS HCQU) May 2008 sh Disclaimer Information or education provided by the HCQU is not intended to replace medical
Your Road Map to Diabetes Medication Administration Record (Part 1)
Your Road Map to Diabetes Medication dministration Record (Part 1) Ohio Revised ode (3313.713) is the education law that addresses prescriptive medication administration in Ohio schools. This OR lists
Insulin. Things You Should Know CONTENTS. What is diabetes? Is diabetes serious?
Insulin Things You Should Know This information has been designed to answer some of the questions you may have about starting on insulin.we hope it will also help to take away some of the fears and worries