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How to Use Insulin Pen in Diabetes

The insulin pen is a device that resembles a very large pens are quite similar. Using a diabetes insulin pen is a relatively easy process and its accuracy in dosage is good and the handling is easy. Several pens need gentle shaking before apply. In one case the cartridge is loaded, screw on a needle and prime the pen to clear air. And then dial in the accurate dosage that you want to deliver the insulin to the body.

There are several variants of an insulin pen for diabetes. There are pens with one dose in increments that are suitable, if you have a low insulin requirement. A higher insulin requirements, is generally chosen a pen with twos in the dosage. Important to know is that each insulin pen model works differently. My tip: Let me explain exactly the model before you buy or use diabetes insulin pen.

Formerly it was common for diabetics as they learned to deal with a disposable syringe to inject insulin. If you use a stylus, physicians often do without it.
Practice Tips : Be sure to learn how to deal with the syringe, even if you use an insulin pen. If the pen once again to break down, you are dependent on the syringe,  and then you have to deal with this.

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Insulin Injection Technique in Diabetes Mellitus

The insulin injection (insulin syringe) is like a normal disposable syringe. With insulin, the insulin syringe into the subcutaneous fat tissue is injected.

Syringes are applied to administer an insulin injection and these are a more common and quick process. There are several size of it syringes available depending upon the insulin applied and the quantity of insulin that must be administered. Almost of the insulin injection syringes have a specific silicone coat to keep down pain at the situation from the insulin injection.

Using the markings on the syringe can be seen fairly accurately how much insulin is injected. The insulin syringe has become relatively rare. Make sure when insulin syringe that there are two different kinds of syringes: the U40-and U100 syringes.

Make sure that you buy the syringe that matches your insulin, because insulin injected U100, U40 with a syringe, resulting in hypoglycemia. Inject U40-U100 insulin with a syringe, it comes to hyperglycaemia.

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Diabetes Insulin Therapy and Management

If a therapy with Anti-diabetics is not sufficient with you, you should need a diabetes insulin therapy. That is the case when the insulin-producing cells are exhausted and have stopped production. In this case you get “normally” the so-called “conservative given insulin therapy” prescribed.

In this diabetes treatment (diabetes insulin therapy) you receive certain times when you need to inject a precise amount of insulin: this is usually two or three times per day. You must meet these requirements exactly. Accordingly, you are not very flexible when it comes to postpone meals. Your meals are not exactly distributed according to plan, it can easily lead to hypoglycaemia.

But there are other ways of developing diabetes insulin therapy:

- Diabetes intensified insulin therapy

The intensive insulin therapy is also known as basal-bolus therapy. This form of therapy is performed today in most type 1 diabetics. In the basal-bolus therapy is long-acting insulin and short-acting insulin is used. With two to three injections, with which you inject insulin, a delay, cover the basic needs of your body to insulin. In addition, you get a “normal” acting insulin, with which you meet the needs at mealtime (bolus).

Since the basic need is met, you can plan your meals free and not tied to such a strict timetable. Still need between four and eight injections a day. The resort used insulin types is possible, however, on small Injiziergeräte (such as pens). This is for most people, however, relatively easy. The intensive insulin therapy demonstrated in studies that may be replaced by this (and with the subcutaneous insulin infusion), the late complications of diabetes occur best be prevented.

- Diabetes supplemental insulin therapy

The supplemental (substitute) insulin therapy (SIT) is applied in a diabetic whose pancreas is not itself able to provide the basic care of the body to insulin (Type-2) diabetics. As the term “supplemental” implies, is replaced, only the amount of insulin that is necessary for normal human metabolism.

Usually, the patient injects himself with meals called insulin analogs, which have compared to human insulin, a faster and faster effectiveness. In this way, the blood sugar spikes that are caused by ingestion of food, is prevented. Because of the rapid effect of insulin must be complied with no time lag between injection and meal. This type of diabetes therapy provides people with diabetes also the possibility to freely design his meals, since the insulin dosage is adjusted to the eating carbs and not vice versa.

- Diabetes continuous subcutaneous insulin infusion

For the continuous subcutaneous insulin infusion, you will not have to worry about your insulin injection. They carry a small pump on the body, which is backed by the insulin-basic (Basic). For the bolus, the demand for meals, you simply press a small button on the device.

These pumps are suitable if your metabolism is still healthy. However, you must be very well trained in the use of such a pump and well informed about diabetes and to know the relationship decision. At the same time you need to estimate a degree of “body awareness” in order to possibly symptoms can occur.

Conclusion : There are several ways of insulin therapy, which can come to you when your life changes are used. So it is worthwhile for you to be well informed, because you can discuss with your doctor the best treatment of diabetes.

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Can Antidiabetic Drugs Help Diabetics Type 2

Many diabetes patients who might suffer from type 2 diabetes, losing regular medication, if they would carry enough sports and switch their diet. By increase physical activity (sports activity) in diabetes (at least three times a week, 30 minutes) wins the body back to the insulin receptivity and endogenous insulin works better.

Unfortunately, not everyone can be affected in this simple way to treat without medication. Possible reasons for this are, in addition magelnder cooperation of the patient :
* Notwenidige Präperate of medication, which can increase blood sugar levels (eg, cortisone drugs)
* Food allergies or food incompatibilities (e.g. an accumulated occurrence of allergies approximately differently fruit places)
* Simultaneous dementia preventing the patient to the desired behavior change

Patients of these groups are applicable for a diabetes therapy with antidiabetic drugs. These are taken orally and can be divided in three different groups.  Groups of active substances of the oral anti diabetic.

- Biguanide

Metformin is the only Präperat, which is to be received still from these Grupper. The meaning of the old active substance decreased since newer developments strongly. Biguanide lower blood sugar mirror of the patient without influencing control on the insulin budget.
The Präperat for overweight is particularly suitable, because in contrast to sulfonylureas, which can lead to weight gain, appetite-suppressing effect biguanides. Not geegnet is the drug, however, for patients with liver or kidney damage and cardiovascular disorders.

- Glucose absorption timer

This type of medication ensures that glucose is excreted through the intestine too quickly into the blood. It works by inhibiting the enzyme alpha-Glukosodase.

The body’s insulin is made by coagulating concentration better cope with the reduction. If one takes this Präperate, one should remember that it is particularly sugar from fruit, bread, etc. inhibits – in an emergency so they can not compensate for hypoglycemia more! Get better, therefore, on grape!

- Sulphonyl urea

Drugs containing this active substance stimulate the pancreas to produce insulin. Advantage consists of the fact that the drug even in small doses, and therefore has a receipt once daily is sufficient. The disadvantage is that the increased production of the producing cells are also more depleted.

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The Most Frequent Cirrhosis Causes

There are some causes of cirrhosis, such as alcohol, non-alcoholic fatty liver disease (NAFLD), cryptogenic cirrhosis, chronic viral hepatitis, Inherited disorders, primary biliary cirrhosis, primary sclerosing cholangitis, autoimmune hepatitis, biliary atresia, and cardiac chronic heart failure as cirrhosis causes problems.

• Alcohol cause hepatic cirrhosis

Alcohol is a very common cause of cirrhosis, especially in the western world. The development of cirrhosis depends on the amount and regularity of alcohol consumption. Chronic high levels of alcohol consumption for liver cell damage. Thirty percent of people drinking daily for at least eight to sixteen ounces of hard liquor or the equivalent of fifteen or more years will develop cirrhosis. Alcohol causes a range of diseases of the liver to be simple and uncomplicated fatty liver (steatosis), to more severe fatty liver with inflammation (nonalcoholic steatohepatitis or hepatitis), cirrhosis.

• Non-alcoholic Fatty Liver Disease (NAFLD)

NAFLD, better known as Non-Alcoholic Fatty Liver Disease refers to a broad spectrum of liver diseases such as alcoholic liver disease, ranging from simple steatosis to non-alcoholic steato-hepatitis (NASH) to cirrhosis. All stages of NAFLD have in common the accumulation of fat in liver cells. The term is used because NAFLD nonalcoholic occurs in people who do not consume excessive amounts of alcohol, however, in many respects, the microscopic image of non-alcoholic fatty liver is similar to what can be seen in liver disease caused by excessive alcohol consumption. Is NAFLD associated with a condition called insulin resistance, which in turn is associated with metabolic syndrome and type 2 diabetes mellitus. Obesity is a major cause of insulin resistance, metabolic syndrome, type 2 diabetes. NAFLD is the most common liver disease in the United States and is responsible for 24% of all liver diseases. In fact, the number of livers that are transplanted from non-alcoholic fatty liver, cirrhosis is related to the increase. The public health administrators that the current epidemic of obesity dramatically increases the development of nonalcoholic fatty liver and cirrhosis in the population.

• Cryptogenic cirrhosis (cirrhosis due to unidentified causes)

Cirrhosis due to unidentified causes, better known as Cryptogenic-Cirrhosis is a common reason for liver transplantation. It’s called cryptogenic cirrhosis because for years doctors have been unable to explain why a proportion of patients with cirrhosis developed. Doctors now believe that cryptogenic cirrhosis due to NASH (nonalcoholic steatohepatitis) caused by long-standing obesity, type 2 diabetes and insulin resistance. The fat in the liver of patients with NASH is estimated to disappear with the onset of cirrhosis, and this makes it difficult for physicians to establish the link between NASH and cryptogenic cirrhosis long. An important clue leading to NASH cryptogenic cirrhosis is the discovery of a large number of Nash in the new liver of patients undergoing liver transplantation in cryptogenic cirrhosis. Finally, a French study suggests that patients with NASH have a similar risk of developing cirrhosis patients with long-term infection with hepatitis C. (See below). However, it is expected that progression to cirrhosis from NASH to be slow and the diagnosis of cirrhosis is usually performed in patients in the sixties.

• Chronic Viral Hepatitis

Viral hepatitis chronic is a condition where chronic hepatitis B or chronic hepatitis C affects the liver for years. Most patients with viral hepatitis develop chronic hepatitis and cirrhosis. For example, most patients infected with hepatitis A recover completely within a few weeks without developing chronic infection. However, some patients infected with hepatitis B and most patients infected with hepatitis C develop chronic hepatitis, which in turn leads to progressive liver disease leading to cirrhosis and sometimes liver cancer.

• Inherited (genetic) disorders

Inherited genetic disorders that cause the accumulation of toxic substances in the liver, leading to tissue damage and cirrhosis. Examples include the abnormal accumulation of iron (hemochromatosis) or copper (Wilson’s disease). In hemochromatosis, patients inherit a tendency to absorb too much iron from food. Over time, iron accumulation in various organs in the body causes cirrhosis, arthritis, heart muscle damage leading to heart failure, and testicular dysfunction causing loss of sexual appetite. Treatment aims to prevent organ damage from the removal of iron in the body by bleeding (blood removal). In Wilson’s disease, is an inherited abnormality in one of the proteins that control copper in the body. Over time, copper accumulates in the liver, eyes and brain. Cirrhosis, tremor, psychiatric disorders and other neurological disorders occur if the condition is not treated quickly. Treatment with oral medication that increases the amount of copper from the body in urine.

• Primary biliary cirrhosis (PBC)

PBC, better known as Primary Biliary Cirrhosis is a liver disease caused by abnormal immune system that is predominantly female. Abnormal immunity in PBC causes chronic inflammation and destruction of small bile ducts in the liver. The bile ducts are the passages in the liver, bile travels to the intestine. Bile is a liquid produced by the liver that contains substances necessary for digestion and absorption of fat in the intestine, and other compounds that are waste products such as bilirubin, a pigment. (Bilirubin is produced by the breakdown of hemoglobin in red blood cells.). Along with the gallbladder, bile ducts form the biliary tract. In the PBC, the destruction of small bile duct blocks the normal flow of bile into the intestine. As the inflammation continues to destroy more of the bile ducts, also extends to destroy liver cells nearby. That the destruction of hepatocytes of products, the scar tissue (fibrosis) forms and propagates in the areas of destruction. The combined effects of ongoing inflammation, scarring, and the toxic effects of waste accumulation leads to cirrhosis.

• Primary sclerosing cholangitis (PSC)

PSC, better known as Primary Sclerosing Cholangitis is a rare disease that occurs frequently in patients with ulcerative colitis. In the PSC, the large bile ducts outside the liver become inflamed, narrowed and blocked. Outflow obstruction of the bile duct in biliary tract infections and jaundice, and eventually causes cirrhosis. In some patients, bile duct injury (usually after surgery) can also cause obstruction and cirrhosis of the liver.

• Autoimmune hepatitis

Autoimmune hepatitis is a liver disease caused by abnormal immune system that occurs most often in women. The abnormal immune activity in autoimmune hepatitis resulting in inflammation and progressive destruction of liver cells (hepatocytes), which eventually leads to cirrhosis.

• Babies can be born without bile ducts (biliary atresia)

Biliary atresia, also known as infant can be born without bile ducts and eventually develop cirrhosis. Other babies are born without enzyme vital for control of sugar that leads to the accumulation of sugars and cirrhosis. On rare occasions, the absence of a specific enzyme can cause cirrhosis and scarring of the lungs (alpha-1 antitrypsin deficiency).

• Other less common causes of cirrhosis include unusual reactions to certain drugs and exposure to toxins, and chronic heart failure (cardiac cirrhosis)

In some parts of the world (especially North Africa), infection of the liver parasites (schistosomiasis) is the most common cause of liver disease and cirrhosis.

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