T1DM Management 0.0 / 5 ? BiologyMAHHUniversityNone Created by: Moyo OlukogaCreated on: 05-04-14 18:36 Biphasic Insulin Secretion Phase 1- Rapid onset 10 minutes and Phase 2 prolonged plateau lasting as long as hyperglycaemia persists 1 of 8 Aim of insulin management Recreate physiological profile using basal bolus, mixed insulins, pumps 2 of 8 Role of basal bolus Allows the presence of background insulin with short peaks for a meal 3 of 8 Glucose monitors use regular finger ***** testing, used post meal and before driving 4 of 8 Honeymoon period Over use of insulin that amount actual needed which is 0.5-1 kg/unit/kg/day 5 of 8 Types of insulin Long-acting, intermediate, Short acting 6 of 8 Insulin regimes Twice daily mix insulin, basal bolus regime 7 of 8 Other treatments Pancreatic or insulin transplantation, Pumps for continuous s/c insulin infusion 8 of 8
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