My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started. Combination Therapy

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started. Combination Therapy"

Transcription

1 My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started Combination Therapy

2 How Can Combination Therapy Help My Type 2 Diabetes? When you have type 2 diabetes, you may need to control more than just one cause of high blood glucose (sugar). Your body is not making enough insulin or is not correctly using the insulin you are making. Your healthcare provider may ask you to make some lifestyle changes, begin an exercise program and follow a healthy meal plan as a way to start managing your diabetes. After a period of time you may find that you will need to add medications or insulin to better control your blood glucose. Doing whatever it takes by adding medication and insulin to better manage your diabetes is known as combination therapy. 1

3 What is Type 2 Diabetes? This is the most common form of diabetes. People can develop type 2 diabetes at any age, even childhood. Type 2 diabetes occurs when glucose from the food you eat is unable to enter your body s cells. This results in too much glucose in your blood. Treatment usually begins with lifestyle changes like regular exercise and a meal plan developed just for you. Often, after a period of time, this is not enough to control blood sugar and the treatment will change to include adding medication. Causes of High Blood Glucose: 1. Insulin Resistance This is when the fat, muscle and liver cells do not use insulin properly. More insulin than usual is needed to lower blood sugar. If you have insulin resistance, your pancreas responds by producing more insulin. More than enough insulin is present, but your body doesn t use it properly. Over time the pancreas becomes stressed trying to make so much insulin and cannot keep up with the body s need. Being overweight and inactive will increase insulin resistance. 2. Release of Stored Glucose Your liver may also release stored glucose and your body cannot make enough insulin to match it. This often happens at night. This explains why your blood glucose readings in the morning are often the highest of the day. 2

4 What is the Treatment for Type 2 Diabetes? Treatment for type 2 diabetes focuses on keeping blood glucose under control. Type 2 diabetes is a Progressive Disease. People with type 2 diabetes lose about 10 percent of their ability to produce insulin each year. 1 As this happens, a change in your treatment plan will be needed to keep your blood glucose in control. The treatment that worked in the past may no longer be effective because of the lack of insulin. Diabetes Treatment can be thought of as a number of steps leading to diabetes control. When the first step no longer keeps blood glucose in target (the range that your blood glucose should be in most of the time), then you move to the next step. Step 1: Meal Planning and Exercise Following the right meal plan and regular exercise will reduce your insulin resistance. The insulin your body does produce will start to work better at lowering your blood glucose. Your blood glucose levels may fall into the target range you and your health care provider have agreed upon. Step 2: Diabetes Pills When your meal plan and exercise routine can no longer keep your blood glucose in target, your health care provider may recommend that you begin to take 1 United Kingdom Prospective Diabetes Study Group: Overview of Six Years Therapy of Type 2 Diabetes - A Progressive Disease. Diabetes (1995) 44:

5 diabetes pills. These pills are not insulin. They work to make your own insulin work better or to help your body make more insulin. Together with your meal plan and exercise, they may help bring your blood glucose in target range. At first your doctor may ask you to take one type of diabetes pill. If after a period of time, your blood glucose is still not in the target range, another type of pill may have to be added. When at least two types of diabetes pills are taken, this is called combination therapy. Step 3: Injectable Medications: Incretin Mimetics Exenatide (Byetta ) is one of a new class of drugs for the treatment of Type 2 diabetes. When your meal plan, exercise and diabetes pills can no longer keep your blood glucose in target, a drug called Exenatide (Byetta ) may be added. This drug is injected twice a day. Adding Exenatide to some types of diabetes pills has been found effective to lower blood glucose in people with type 2 diabetes. Step 4: Insulin When the pancreas is stressed from making insulin and your diabetes medications, meal plan and exercise are no longer controlling your blood glucose; the next step is to add insulin therapy. Your Health Care Provider may recommend that you take insulin by injection, along with your diabetes pills. By combining pills and insulin you may have a better chance of controlling your blood sugar. Taking more than one kind of diabetes pill and insulin to control your blood glucose may seem to be a lot of work, but preventing the complications of diabetes is worth the effort. 4

6 Controlling Diabetes Can Make a Huge Difference In Your Life! Large research studies 2,3 with people like you have found that keeping your blood glucose within your target range can help prevent complications like blindness, kidney and heart disease. How Will You Know if Your Diabetes Medications are Working? Blood glucose results that are consistently out of target indicates that your diabetes is not under control. Your medications, meal plan, exercise and overall schedule may need to be adjusted. You need to talk to your health care provider to see what changes must be made. Tests That Tell You if Your Blood Glucose is In Your Target Range A1C blood test: This test is performed in your health care provider s office and gives a three-month average of your blood glucose levels. Improving your A1C level to less than 7 percent can help you avoid diabetes complications. (To learn more about the A1C test, read the BD booklet, A1C, What s Your Number?) 5 2 The Diabetes Control and Complications Trial Research group: The effect of intensive treatment of diabetes on the progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine 329: , United Kingdom Prospective Diabetes Study Group: Intensive Blood Glucose Control with Sulphonylureas or Insulin Compared with Conventional Treatment and Risk of Complications in Patients with type 2 diabetes. Lancet (1998); 352:

7 Self Monitoring of Blood Glucose: Using your blood glucose meter to check your blood glucose level at home daily will keep you informed about your day-to-day blood glucose changes. (To learn more about self-monitoring of blood glucose, read the BD booklet, My Doctor Says I Should Monitor My Blood Sugar What Does This Mean?) What Should My Blood Glucose Level Be? Blood glucose goes up and down throughout the day. In people who do not have diabetes, the normal range for a fasting blood glucose is between 70 and 100 mg/dl (fasting: not eating for at least 8 hours). Blood glucose goes up after eating and should return to less than 140 mg/dl 2 hours later. Your healthcare provider will work with you to decide on your personal blood glucose goals or targets. The American Diabetes Association (ADA) recommends the following Target Blood Glucose Ranges: RECOMMENDED TARGET BLOOD SUGAR LEVELS ADA RECOMMENDED TARGETS FOR BLOOD GLUCOSE (SUGAR) CONTROL 4 Normal Target When To Take Action Plasma Glucose Before eating Less than to 130 If less than 90 or greater than hours after Less than 140 Less than 180 If less than eating 80 or greater than 200 Bedtime Less than to 150 If less than 110 or greater than American Diabetes Association: Clinical Practice Recommendations Diabetes Care-Supplement 1. pp. S10, S15, January

8 Knowing if your blood glucose is in target or out of target each day gives you the information you need to make changes in the way you manage your diabetes. Example: Checking blood glucose before eating and two hours after eating lets you learn about the foods and amounts of food that cause your blood glucose to rise. BLOOD GLUCOSE LEVELS BEFORE AND AFTER A MEAL Blood glucose Blood glucose two Food eaten at dinner before dinner hours after dinner *higher than Chicken, mashed goal of < 180 potatoes, bread, broccoli and juice In this example, the blood glucose was in target before the meal, and is out of target after the meal. This may be because: 1. The food eaten was a poor choice; changes should be made to the meal plan. 2. The food portion was too large; a smaller serving should be tried next time. 3. The medication is not enough to cover the carbohydrate (carb) content of the meal. Three of the foods eaten have a high carbohydrate (carb) content (potatoes, bread and juice). They may have caused the blood glucose level to rise higher than expected. Next time, the amount of carbs eaten should be reduced. If this amount of carb is part of the meal plan, the healthcare provider should consider adjusting the medication so that the post-meal blood glucose stays in target. 7

9 Since blood glucose levels are influenced by the action of your pancreas and liver, it makes sense to combine medications that work in these areas to bring high blood glucose to the target range. How do Diabetes Pills Work? Each type of pill works in a different way to lower blood sugar. Some pills work to help your body use glucose better, others force your pancreas to make more insulin. Your health care provider may decide you need to take pills from more than one group of pills to attack your diabetes from different directions. Below, you will find the different groups of the diabetes pills that are available and how they work. Ask your healthcare provider to write in the name and dose of the diabetes medicine you are taking in the correct group below. WHAT DIABETES PILLS DO (Medicines by Function) Group 1: Biguanides (by-gwan-ides) Slow down the glucose made by the liver; help cells use glucose May also lower blood fat and cholesterol Does not cause hypoglycemia (low blood sugar) Name: Directions: Group 2: Thiazolidinediones (THIGH-ah-ZO-li-deen-DYE-owns) or TZDs Helps muscles use glucose better, decreases the insulin resistance Does not cause hypoglycemia Name: Directions: 8

10 Group 3: Alpha-glucosidase inhibitors (AL-fa-gloo-KOS-ih-dayss in-hib-it-ers) Blocks starchy foods from turning into glucose. Causes a slower and lower rise of blood glucose through the day. Does not cause hypoglycemia Name: Directions: Group 4: Sulfonylureas (SUL-fah-nil-YOO-ree-ahs) Helps the pancreas make more insulin May cause hypoglycemia Name: Directions: Group 5: Meglitinides (meh-glit-in-ides) Helps the pancreas make more insulin right before meals Lowers blood glucose most 1 hour after a meal May cause hypoglycemia Name: Directions: Group 6: Combination Medicines Two medicines that work differently, combined together into one pill to help the body use glucose better and/or the pancreas make more insulin Name: Directions: Group 7: DPP-4 Inhibitors Lowers blood glucose only when high, especially after a meal. Reduces the amount of stored glucose that may be released from your liver Does not cause hypoglycemia Name: Directions: 9

11 There may come a point in time that even combining diabetes pills will not keep your blood glucose in target. Your doctor may ask you to consider adding an incretin mimetic (Byetta ) or insulin to your treatment. How Does Exenatide Byetta Work? Increases the release of insulin by the pancreas. Decreases glucagon levels. Slows the emptying of food from the stomach. Makes you feel full. Lowers blood glucose without the risk of low blood glucose. May help some people lose weight. Injected with a pen device Insulin One Step Closer to Control Insulin helps glucose enter the cells of your body to provide energy. If your body is not making enough insulin, then you may need to take insulin. This does not mean you failed or your diabetes is getting worse. There is nothing you did or did not do that is responsible for your needing insulin. It just means that your body needs some help to work better. Because insulin is a protein and is destroyed by the acids in the stomach, it cannot be swallowed like a pill. At present, insulin syringes, insulin pens and insulin pumps deliver insulin. A small number of people may use inhaled insulin. 10

12 Concerns About Insulin If you are worried about taking insulin, you are not alone. Many people with diabetes feel the same way and are worried about: 1. Filling the syringe with insulin and giving themselves a shot; 2. Fear of needles; 3. Hypoglycemia (low blood sugar); 4. Gaining weight; 5. Effect on their lifestyle. The Good News Many people find that once they begin to take insulin, they feel better and have much more energy. It is only then that they realize how poorly they felt before starting insulin. You should also know that insulin needles are very small and thin. If you have been self-monitoring your blood glucose, you may find that giving yourself insulin with a syringe or pen is less painful than drawing a drop of blood from your finger. Drawing and Injecting Insulin A Certified Diabetes Educator (CDE) is a health professional skilled in teaching people how to live with diabetes. A CDE is especially good at teaching people with diabetes how to self-inject with an insulin syringe or pen. A CDE will show you how easy it is to draw up the insulin and give it to yourself. Your healthcare provider may refer you to a CDE in the office or at a nearby Diabetes Center. 11

13 After giving the first injection, most people are surprised how easy it is to self-inject. To learn more about drawing up and giving insulin, read the BD booklet, My Doctor Says I Should Learn to Use Insulin What Do I Do Next? Fear of Low Blood Sugar With the proper education, you will learn how to take simple measures to avoid developing hypoglycemia. These include eating meals on time, taking your medications as prescribed at the same time each day, and understanding at what time of day your insulin will lower your blood sugar the most. When you begin taking insulin, your doctor may ask you to check your blood glucose. For more information about selfmonitoring of blood glucose, read the BD Getting Started booklet, My Doctor Says I Should Monitor My Blood Sugar What Does That Mean? Learning to recognize early signs of low blood glucose reactions will allow you to treat them before they become a problem. Hypoglycemia reactions should be reported to your doctor so that adjustments to your medications or meal plan can be made if needed. For more information about Hypoglycemia, read the BD booklet, My Doctor Says I Should Avoid Low Blood Sugar Reactions How Can I Prevent Them? 12

14 Weight Gain When you are ready to begin insulin, it is wise to meet with a Registered Dietitian to review your meal plan. This can help prevent the weight gain that often occurs when insulin is started. 5 Once you begin taking insulin, your blood glucose levels will improve because your body s cells are now absorbing the glucose you were previously losing through your urine. Unless you change the way you are eating, you will gain weight. Also, if you were eating larger portions of food to avoid a low blood sugar reaction, continuing to eat this way will cause you to gain weight. A Registered Dietitian can help you make the changes to the content and portion sizes of your meal plan to avoid weight gain after insulin is added to your treatment. Quality of Life Studies such as the UKPDS (United Kingdom Prospective Diabetes Study) have shown that adding insulin therapy did not have a negative effect on the quality of life of people with diabetes. 6 New insulin delivery devices are now available that make taking insulin easier 5 United Kingdom Prospective Diabetes Study Group: Conventional (Diet) Treatment Group Data (UKPDS 16). Diabetes United Kingdom Prospective Diabetes Study Group: Quality of Life in Type 2 Diabetic Patients is Affected by Complications, But Not by Intensive Policies to Improve Blood Glucose or Blood Pressure Control. Diabetes Care (1999) 42:

15 and more convenient than ever. Most people are surprised how easy it is to work insulin therapy into their daily routine. Why Combine Insulin With Diabetes Pills? Your health care provider may ask you to add insulin to the diabetes pills that you are taking. The insulin will replace the insulin that your pancreas cannot make and the pill may make you more sensitive to that insulin. The overall effect is that your blood glucose should be in-target. For example, you may be asked to take a long-acting insulin once at night, to help your body throughout the day and a pill that helps your pancreas produce insulin right before you eat, to help with the increase in sugar you may experience after you eat. The decision to combine medications is made by you and your health care provider, based on your individual needs. How Insulin Works: Some types of insulin work very quickly and are usually given before a meal. Others take longer to work and can be taken in the morning or at bedtime. Never substitute one type of insulin for another unless instructed to do so by your health care provider. You should know what kind of insulin you are taking and the time of day it works the hardest to lower your blood sugar. This is the time of day you might experience a hypoglycemic reaction. 14

16 Below, you will find the 5 different groups of insulins that are available. Ask your healthcare provider to write in the medication you are taking in the correct group below and fill in when the medication works. HOW INSULIN WORKS: (Grouped by Speed of Action) QUICK-ACTING INSULIN: This includes short and rapid acting insulin. This type of insulin stays in your body a short period of time, is usually given before a meal. Rapid acting insulin may be given after a meal when directed by your Health Care Provider. Name of Insulin Onset Peak Duration (When it starts (When it lowers blood (How long to work) glucose the most) it works) Directions: INTERMEDIATE-ACTING INSULIN: Stays in your body longer, usually given at night and/or in the morning Name of Insulin Onset Peak Duration Directions: LONG-ACTING INSULIN: Stays in your body longer, usually given at night and/or in the morning. Name of Insulin Onset Peak Duration Directions: COMBINATION INSULIN: Mixture of both long-acting and short-acting insulin. Usually given before a meal. Name of Insulin Onset Peak Duration 15 Directions:

17 Helpful Hints Taking medicine on time every day can be hard work. However, it is very important to take your medication on time in the exact way in which it is prescribed. Following are some suggestions designed to help you take your medicines consistently. Make Medication Part of Your Everyday Routine: Take morning medicine right after you brush your teeth; Leave nighttime medicine next to the lamp you shut off before going to bed; Set watch alarm to remind you when to take your medicine; Leave medicines to be taken with meals on the table where you eat; Ask family members to remind you, such as, Have you had your medicine? (The main responsibility is yours; they are simply the helpers); Ask health care provider what to do if you forget to take your medicines (get separate instructions for each medicine you take). Learn Everything About New Medicine as it is Prescribed: To be taken with present medications or replace ones you are already taking? How and when should it be taken? 16

18 Why is it important to take it? What are some possible side effects? Who should you contact if you have any questions? Don t understand instructions? ASK QUESTIONS! If Experiencing a Side Effect: Contact your health care provider for advice or a substitution before stopping your medicine. Make sure you are taking the medicine as prescribed. (For example, did you take the medicine before a meal instead of with the meal as prescribed? Maybe this is why your stomach is upset.). Adopt a do-whatever-it-takes attitude by deciding that you want to control your diabetes and prevent diabetes complications no matter how many medicines are prescribed Managing your Diabetes Well With Combination Therapy 17 Some people hesitate about starting to take insulin along with their diabetes pills. However, it is very important to take the attitude that you will do whatever you must in order to manage your diabetes in the best way possible. There may be times when you are sick, stressed, or not following your meal plan when you need insulin as well as your diabetes pills to feel better. Sometimes, however, with weight loss, exercise and good management, you can reduce the amount or even not need to take insulin for periods of time. The important thing is that Combination Therapy - adjusting your meal plan, exercise, diabetes pills and insulin as needed, with the help of your health care provider - helps you to do everything necessary to stay in good control and live a full life with diabetes!

19 Blood Glucose (Sugar) Goals: Please Contact Your Physician if: Your Blood Glucose is greater than for You experience unexplained hypoglycemic (low blood sugar less than ) reactions in a week Schedule for Checking Blood Glucose and Medication: Breakfast Blood Test Before Breakfast Lunch Blood Test Before Lunch After Breakfast 1 hour 2 hour After Lunch 1 hour 2 hour Medication/Insulin Medication/Insulin Name Dose Time Name Dose Time Dinner Blood Test Before Dinner After Dinner 1 hour 2 hour Medication/Insulin Name Dose Time Bedtime Blood Test Bedtime 3 AM Medication/Insulin Name Dose Time BD provides this brochure for informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this brochure. Written by: Andrea Zaldivar, RN, MS, ANP, CDE New York, NY We wish to acknowledge the following health professionals for reviewing this publication and providing their valuable insights: Debbie Hinnen, RN, MN, BC-ADM, CDE Witchita, KS Jean Betschart Roemer, RN, CPNP, MSN, MN, CDE Pittsburgh, PA Terri Ryan-Turek, RD, CDE Evergreen, CO BD 1 Becton Drive Franklin Lakes, NJ BDCARES ( ) Byetta is a trademark of Amylin Pharmaceuticals, Inc. BD and BD Logo are trademarks of Becton, Dickinson and Company BD

Type 2 diabetes Definition

Type 2 diabetes Definition Type 2 diabetes Definition Type 2 diabetes is a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes. Causes Diabetes

More information

Medications and Diabetes

Medications and Diabetes monitor track manage A TRUEinsight Guide manage Medications and Diabetes Understanding the Importance of Oral Medications The importance of oral medications Understanding the importance of oral medications

More information

Self-Monitoring of Blood Glucose

Self-Monitoring of Blood Glucose My Doctor Says I Should Monitor My Blood Glucose... What Does This Mean? BD Getting Started Self-Monitoring of Blood Glucose Daily Blood Sugar Monitoring When you have diabetes, managing your blood glucose

More information

Insulin Delivery Devices

Insulin Delivery Devices My Doctor Says I Need Insulin to Control My Diabetes... How Should I Take It? BD Getting Started Insulin Delivery Devices Why is Insulin So Important? Insulin is a life-saving drug for people with diabetes.

More information

Diabetes Mellitus: Type 1

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

More information

How do oral medications work?...50 How many pills will I have to take?...51

How do oral medications work?...50 How many pills will I have to take?...51 taking medication taking medication medication medication medication medication medication Diabetes medications come in two broad categories, oral medications (pills) and injectable medications (shots).

More information

My Doctor Says: Pattern Management Will Help Me...

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

More information

Myth vs. Reality: Diabetes Related

Myth vs. Reality: Diabetes Related Myth: Only medication can control my diabetes. Reality: Lifestyle changes such as good nutrition, increased physical activity, weight loss and limiting alcohol/cigarette consumption can have a positive

More information

Type 2 Diabetes Medicines: What You Need to Know

Type 2 Diabetes Medicines: What You Need to Know Type 2 Diabetes Medicines: What You Need to Know Managing diabetes is complex because many hormones and body processes are at work controlling blood sugar (glucose). Medicines for diabetes include oral

More information

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. 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

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

Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE

Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE NATIONAL DIABETES INFORMATION CLEARINGHOUSE Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes U.S. Department of Health and Human Services National Institutes of Health

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

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

Type 2 Diabetes: How Is It Treated?

Type 2 Diabetes: How Is It Treated? TeensHealth.org A safe, private place to get doctor-approved information on health, emotions, and life. Type 2 Diabetes: How Is It Treated? Has your teacher ever assigned you a huge paper or project due

More information

Oral Therapy for Type 2 Diabetes

Oral Therapy for Type 2 Diabetes Oral Therapy for Type 2 Diabetes Diabetes pills can help to manage your blood sugar. These pills are not insulin. They work to manage your blood sugar in several ways. You may be given a combination of

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

Diabetes: Medications

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

More information

DIABETES MEDICATION-ORAL AGENTS AND OTHER HYPOGLYCEMIC AGENTS

DIABETES MEDICATION-ORAL AGENTS AND OTHER HYPOGLYCEMIC AGENTS Section Two DIABETES MEDICATION-ORAL AGENTS AND OTHER HYPOGLYCEMIC AGENTS This section will: Describe oral agents (pills) are specific for treating type 2 diabetes. Describe other hypoglycemic agents used

More information

DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY

DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY First Edition September 17, 1997 Kevin King R.N., B.S., C.C.R.N. Gregg Kunder R.N., B.S.N., C.C.T.C. 77-120 CHS UCLA Medical Center

More information

BD Getting Started. straight. For Kids with Type 1 Diabetes

BD Getting Started. straight. For Kids with Type 1 Diabetes BD Getting Started straight For Kids with Type 1 Diabetes Jennifer s Story HOME FROM THE HOSPITAL Jennifer, we missed you! Hope that you get back to us fast. Your brother told me that you were just diagnosed

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

Causes, incidence, and risk factors

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,

More information

Diabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur?

Diabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur? What is type 2 diabetes? Type 2 diabetes is a disorder that happens when your body does not make enough insulin or is unable to use its own insulin properly. The inability to use insulin is called insulin

More information

Diabetes means you have too much sugar in

Diabetes means you have too much sugar in WHAT IS DIABETES? Diabetes means you have too much sugar in your blood. The medical word for sugar in the blood or blood sugar is glucose, but most people just say sugar. Your body changes most of the

More information

Medical Assistant s Diabetes Survey

Medical Assistant s Diabetes Survey Medical Assistant s Diabetes Survey Instructions: Circle one answer for each question. Thank-you. Basic Knowledge 1. Risk factors for developing Type 2 diabetes include: a. Family members with diabetes

More information

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 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

More information

Diabetes Fundamentals

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

More information

Type 2 Diabetes. Management and Medication. HELPLINE: 01604 622837 www.iddtinternational.org

Type 2 Diabetes. Management and Medication. HELPLINE: 01604 622837 www.iddtinternational.org I N D E P E N D E N T D I A B E T E S T R U S T Type 2 Diabetes Management and Medication A charity supporting and listening to people who live with diabetes HELPLINE: 01604 622837 www.iddtinternational.org

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

Welcome to Diabetes Education! Why Should I Take Control of My Diabetes?

Welcome to Diabetes Education! Why Should I Take Control of My Diabetes? Welcome to Diabetes Education! Why Should I Take Control of My Diabetes? NEEDS and BENEFITS of SELF-MANAGEMENT You make choices about your life and health Controlling diabetes needs every day decisions

More information

Section 5: Type 2 Diabetes

Section 5: Type 2 Diabetes SECTION OVERVIEW Definition and Symptoms Blood Glucose Monitoring Healthy Eating Physical Activity Oral Medication Insulin Sharps Disposal Definition and Symptoms Type 2 diabetes is occurring more frequently

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

Doing your level best

Doing your level best New blood sugar target goals to consider Doing your level best One of your main goals in treating diabetes is to keep your blood sugar level as close to normal as possible. It takes some effort, but it

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

Department Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage.

Department Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Department Of Biochemistry Subject: Diabetes Mellitus Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Diabetes mellitus : Type 1 & Type 2 What is diabestes mellitus?

More information

Methods for Delivering Insulin and Monitoring Blood Sugar. A Review of the Research for Children, Teens, and Adults With Diabetes

Methods for Delivering Insulin and Monitoring Blood Sugar. A Review of the Research for Children, Teens, and Adults With Diabetes Methods for Delivering Insulin and Monitoring Blood Sugar A Review of the Research for Children, Teens, and Adults With Diabetes Is This Information Right for Me? Yes, if: Your doctor* has told you that

More information

Chapter 2 What Is Diabetes?

Chapter 2 What Is Diabetes? Chapter 2 What Is Diabetes? TYPE 1 (INSULIN-DEPENDENT) DIABETES Type 1 (also known as insulin-dependent diabetes mellitus [IDDM] or juvenile or childhood) diabetes is the most common type found in children

More information

What is Type 2 Diabetes?

What is Type 2 Diabetes? Type 2 Diabetes What is Type 2 Diabetes? Diabetes is a condition where there is too much glucose in the blood. Our pancreas produces a hormone called insulin. Insulin works to regulate our blood glucose

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

Medications for Diabetes

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

More information

Diabetes Mellitus Type 2

Diabetes Mellitus Type 2 Diabetes Mellitus Type 2 What is it? Diabetes is a common health problem in the U.S. and the world. In diabetes, the body does not use the food it digests well. It is hard for the body to use carbohydrates

More information

Medicines for Type 2 Diabetes A Review of the Research for Adults

Medicines for Type 2 Diabetes A Review of the Research for Adults Medicines for Type 2 Diabetes A Review of the Research for Adults Is This Information Right for Me? Yes, if: Your doctor or health care provider has told you that you have type 2 diabetes and have high

More information

manage A TRUEinsight Guide High and Low Blood Glucose Levels

manage A TRUEinsight Guide High and Low Blood Glucose Levels monitor track manage A TRUEinsight Guide manage High and Low Blood Glucose Levels High and low blood glucose A TRUEinsight T M Guide to help you recognize and understand the symptoms of high and low blood

More information

Diabetes and Your Kidneys

Diabetes and Your Kidneys American Kidney Fund reaching out giving hope improving lives Diabetes and Your Kidneys reaching out giving hope improving lives Diabetes: The #1 Cause of Kidney Failure Your doctor told you that you have

More information

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? 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

More information

My Doctor Says Stress is Bad for My Diabetes... What Can I Do About It? BD Getting Started. Stress and Diabetes

My Doctor Says Stress is Bad for My Diabetes... What Can I Do About It? BD Getting Started. Stress and Diabetes My Doctor Says Stress is Bad for My Diabetes... What Can I Do About It? BD Getting Started Stress and Diabetes Doesn t Everyone Have Stress? It s true that stress is part of everyday life for everyone.

More information

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.

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. Diabetes Definition Diabetes is a chronic (lifelong) disease marked by high levels of sugar in the blood. Causes Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused

More information

A guidebook for people with diabetes

A guidebook for people with diabetes A guidebook for people with diabetes This booklet is designed to supplement, not replace, your doctor s advice. Please consult your doctor if you have any questions about what you read. You ll learn how

More information

This information explains the advice about type 2 diabetes in adults that is set out in NICE guideline NG28.

This information explains the advice about type 2 diabetes in adults that is set out in NICE guideline NG28. Information for the public Published: 2 December 2015 nice.org.uk About this information NICE guidelines provide advice on the care and support that should be offered to people who use health and care

More information

INJEX Self Study Program Part 1

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

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

X-Plain Hypoglycemia Reference Summary

X-Plain Hypoglycemia Reference Summary X-Plain Hypoglycemia Reference Summary Introduction Hypoglycemia is a condition that causes blood sugar level to drop dangerously low. It mostly shows up in diabetic patients who take insulin. When recognized

More information

Your Insulin Adjustment Workbook Yes, You Can Do It!

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

More information

Type 1 Diabetes. Pennington Nutrition Series. Overview. About Insulin

Type 1 Diabetes. Pennington Nutrition Series. Overview. About Insulin Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Pub No. 32 Type 1 Diabetes Overview Type 1 Diabetes (DM) is usually diagnosed in children and young adults.

More information

Medicines Used to Treat Type 2 Diabetes

Medicines Used to Treat Type 2 Diabetes Goodman Diabetes Service Medicines Used to Treat Type 2 Diabetes People who have type 2 diabetes may need to take medicine to help lower their blood glucose, in addition to being active & choosing healthy

More information

Post-Transplant Diabetes: What Every Patient Needs to Know

Post-Transplant Diabetes: What Every Patient Needs to Know Post-Transplant Diabetes: What Every Patient Needs to Know International Transplant Nurses Society What is Diabetes? Diabetes is an illness that effects how your body makes and uses a hormone called insulin.

More information

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 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

More information

DIABETES GLOSSARY OF TERMS

DIABETES GLOSSARY OF TERMS DIABETES GLOSSARY OF TERMS Diabetes is a common condition, which most people have some understanding of, but when you listen to people talk about it, you may feel as if it has language of its own full

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

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

WHAT IS WHAT IS DIABETES? a guide to understanding type 2 diabetes. liver. pancreas

WHAT IS WHAT IS DIABETES? a guide to understanding type 2 diabetes. liver. pancreas WHAT IS WHAT IS DIABETES? a guide to understanding type 2 diabetes liver pancreas HOW THE BODY WORKS In this booklet, when we talk about blood sugar (glucose), we mean the kind of sugar found inside our

More information

For people with diabetes. A blood sugar diary

For people with diabetes. A blood sugar diary For people with diabetes A blood sugar diary A circle of help to live a healthy life YOU are at the center of a healthy life with diabetes. All the elements of good care begin and end with YOU. The importance

More information

Diabetes. New Trends Presented by Barbara Obst RN MS August 2008

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

More information

Diabetes and Exercise:

Diabetes and Exercise: Diabetes and Exercise: The Great Blood Sugar Balancing Act By Gary Scheiner MS, CDE Last month, I saw two very different clients with two very similar problems. One was a 62 year-old man named Anthony

More information

Blood Sugar Testing. Bayer Health Facts

Blood Sugar Testing. Bayer Health Facts Blood Sugar Testing Bayer Health Facts What is Blood Sugar Testing? A blood sugar test tells you how much sugar is in your blood at the moment it is tested. Blood sugar is also called blood glucose. One

More information

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat?

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? After eating, most food is turned into glucose, the body s main source of energy. 1 Normal Blood

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

SCHOOL DISTRICT #22 VERNON DIABETES POLICY

SCHOOL DISTRICT #22 VERNON DIABETES POLICY SCHOOL DISTRICT #22 VERNON DIABETES POLICY A student with diabetes does not automatically qualify for additional support. The student may qualify as a temporary D category (chronic health) after diagnosis

More information

The Basics of Insulin Pump Therapy

The Basics of Insulin Pump Therapy The Basics of Insulin Pump Therapy Table of Contents The Basics of Insulin Pump Therapy Introduction Welcome... 3 Chapter 1 Balancing Glucose and Insulin............................. 10 Section 1: Glucose,

More information

My Doctor Says I Should Learn Sick Day Rules... What Are They? BD Getting Started. Sick Days

My Doctor Says I Should Learn Sick Day Rules... What Are They? BD Getting Started. Sick Days My Doctor Says I Should Learn Sick Day Rules... What Are They? BD Getting Started Sick Days What s different about being sick because I have diabetes? When most people are sick with a cold or the flu,

More information

BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS

BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS CHAPTER 6: BOLUS INSULIN DOSAGES H. Peter Chase, MD and Erin Cobry, BS WHAT IS BOLUS INSULIN? Bolus insulin dosages refer to the quick bursts of insulin given to cover the carbohydrates in meals or snacks

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

Chapter 1 The Importance of Education in Diabetes

Chapter 1 The Importance of Education in Diabetes Chapter 1 The Importance of Education in Diabetes H. Peter Chase, MD DeAnn Johnson, RN, BSN, CDE INTRODUCTION Families and children need to understand as much as possible about diabetes. A shorter book,

More information

Diabetes and stroke. What is diabetes? What are the symptoms of diabetes? Stroke Helpline: 0303 3033 100 Website: stroke.org.uk

Diabetes and stroke. What is diabetes? What are the symptoms of diabetes? Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Diabetes and stroke Diabetes is a condition caused by too much sugar in your blood. There are over three million people in the UK who have diabetes.

More information

Pills for Type 2 Diabetes. A Guide for Adults

Pills for Type 2 Diabetes. A Guide for Adults Pills for Type 2 Diabetes A Guide for Adults December 2007 Fast Facts on Diabetes Pills n Different kinds of diabetes pills work in different ways to control blood sugar (blood glucose). n All the diabetes

More information

Children With Diabetes. With Glucagon Training For School Staff

Children With Diabetes. With Glucagon Training For School Staff Children With Diabetes With Glucagon Training For School Staff Goals for today Understand what diabetes is. Recognize a hypoglycemic reaction. Understand the intended purpose and the side effects of a

More information

It s time to TALK Targets A guide to taking control of your type 2 diabetes

It s time to TALK Targets A guide to taking control of your type 2 diabetes It s time to TALK Targets A guide to taking control of your type 2 diabetes The TALK Targets campaign was initiated and fully funded by Novo Nordisk. By supporting you and your healthcare team, TALK Targets

More information

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) 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

More information

If you have type 1 diabetes, you will probably get symptoms quite suddenly, over a few days or weeks.

If you have type 1 diabetes, you will probably get symptoms quite suddenly, over a few days or weeks. Patient information from the BMJ Group Diabetes type 1 Type 1 diabetes is a long-term condition. It can lead to serious health problems. But making changes to your lifestyle and taking insulin can help

More information

You may continue to use your old manuals by writing in the detailed changes below:

You may continue to use your old manuals by writing in the detailed changes below: STANFORD PATIENT EDUCATION RESEARCH CENTER: CHANGES TO THE DSMP LEADER MANUAL (2012 version to the 2015 version) Stanford has corrected the DSMP manuals with the new ADA guidelines. Call- out icons and

More information

High Blood Sugar. Printable Materials

High Blood Sugar. Printable Materials Printable Materials Activity Card #1 Symptoms of High Blood Sugar or Pre-Diabetes Symptoms People often don t know they have high blood sugar or pre-diabetes. There are no symptoms and pre-diabetes can

More information

Diabetes Self Management Training Insulin Pump Follow Up

Diabetes Self Management Training Insulin Pump Follow Up 701 East Marshall Street, West Chester, PA 19380 www.chestercountyhospital.org 610.431.5000 Diabetes Self Management Training Insulin Pump Follow Up Patient Name: Visit Date: Time: To prepare for your

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

DIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria

DIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria DIABETES MELLITUS By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria What is Diabetes Diabetes Mellitus (commonly referred to as diabetes ) is a chronic medical

More information

Diabetes. Living with. Better Health Guide. Anywhere, TN 11111. 1008 Main Street. Janet James. BCBSNEMEMWKBCD.XML - 1768150 - VersionID: 1

Diabetes. Living with. Better Health Guide. Anywhere, TN 11111. 1008 Main Street. Janet James. BCBSNEMEMWKBCD.XML - 1768150 - VersionID: 1 BCBSNEMEMWKBCD.XML - 1768150 - VersionID: 1 Living with Diabetes Better Health Guide Janet James 1008 Main Street Anywhere, TN 11111 65109016-999-000000006 13810 Southeast Eastgate Way, Suite 200 Bellevue,

More information

Chapter 8 Insulin: Types and Activit y

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

More information

4 Steps to Manage Your Diabetes for Life

4 Steps to Manage Your Diabetes for Life 4 Steps to Manage Your Diabetes for Life ENGLISH A program of the National Institutes of Health and the Centers for Disease Control and Preventioni This booklet gives four key steps to help you manage

More information

Gestational diabetes. Information to help you stay healthy during your pregnancy. What is gestational diabetes?

Gestational diabetes. Information to help you stay healthy during your pregnancy. What is gestational diabetes? Gestational diabetes Information to help you stay healthy during your pregnancy What is gestational diabetes? How gestational diabetes can affect my baby How to take care of myself and my baby during pregnancy

More information

Healthy at Heart CONTROL. Reduce Your CV Risk. What Is Diabetes? How Can You Control It? Issue 1

Healthy at Heart CONTROL. Reduce Your CV Risk. What Is Diabetes? How Can You Control It? Issue 1 Issue 1 Healthy at Heart Reduce Your CV Risk CONTROL What Is Diabetes? How Can You Control It? Blood sugar targets, tips to help you control your blood sugar, and more inside Healthy at Heart is an educational

More information

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction)

Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) Basal Rate Testing Blood sugar is affected at any time by 1) basal insulin 2) food (carbohydrate) intake 3) bolus insulin (meal time and correction) 4) activity and 5) other factors such as stress and

More information

Fundamentals of Diabetes Care Module 5, Lesson 1

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

More information

Diabetes Blood Sugar Levels Chart

Diabetes Blood Sugar Levels Chart Diabetes Blood Sugar Levels Chart Before sharing the diabetes blood sugar levels chart, it s essential to OVER EMPHASIZE the importance of gaining the best control of your blood sugar levels as you possibly

More information

Diabetes Education Information for Teachers and School staff

Diabetes Education Information for Teachers and School staff Diabetes Education Information for Teachers and School staff The information below is intended to educate school staff on the basics of diabetes care. If you have a student in your classroom or you will

More information

Libyan International Medical University www.limu.edu.ly PBL-III. ZuhirBodalal

Libyan International Medical University www.limu.edu.ly PBL-III. ZuhirBodalal Libyan International Medical University www.limu.edu.ly PBL-III ZuhirBodalal Disclaimer The following is a collection of medical information from multiple sources, both online and offline. It is to be

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

10/30/2012. Anita King, DNP, RN, FNP, CDE, FAADE Clinical Associate Professor University of South Alabama Mobile, Alabama

10/30/2012. Anita King, DNP, RN, FNP, CDE, FAADE Clinical Associate Professor University of South Alabama Mobile, Alabama Faculty Medications for Diabetes Satellite Conference and Live Webcast Wednesday, November 7, 2012 2:00 4:00 p.m. Central Time Anita King, DNP, RN, FNP, CDE, FAADE Clinical Associate Professor University

More information

Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control. Linda Macdonald, M.D. November 19, 2008

Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control. Linda Macdonald, M.D. November 19, 2008 Monitoring and Carbohydrate Counting: The Cornerstones of Diabetes Control Linda Macdonald, M.D. November 19, 2008 Objectives Understand the relationship between insulin, carbohydrate intake, and blood

More information

Diabetes FAQs. What is Diabetes? What is insulin?

Diabetes FAQs. What is Diabetes? What is insulin? Diabetes FAQs What is Diabetes? What is insulin? My doctor said I have pre-diabetes or I am borderline diabetic. Do I need to worry? What is hemoglobin A1c? What is the difference between type 1 and type

More information

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. 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

More information