PHARMACOLOGICAL MANAGEMENTINSULIN

Objectives

Insulin

Insulin

Insulin action

Indications for insulin therapy

Insulin therapy

Insulin types and approximate action

Activity

Variability in insulin absorption

Some factors affecting absorption

Activity

Insulin regimens: once a day insulin

Insulin regimens: once a day insulin

Twice a day insulin

Three times a day insulin

Basal-bolus regimen

Long-acting insulin analogues

Activity

Commencing insulin therapy

Commencing insulin therapy

Injecting insulin

Injecting insulin

Insulin Syringe

Insulin pens

Pumps

Examples of pump technology over time

Blood glucose targets

Starting insulin in type 2 diabetes

Pattern management

Adjusting insulin for daily changes

Which insulin to adjust when?

Steps to interpreting blood glucose diaries

Example 1

Example 2

Insulin practicalities

Insulin practicalities

Precautions

Mixing insulins

Side effects

Lipohypertrophy

Activity

Summary

References