PPT-Insulin Initiation in Type 2 DM

A Amouzegar MD Endocrine Research Center Research Institute For Endocrine Sciences Shahid Beheshti University Tehran Agenda Rationale for Early Insulin Therapy Which insulin is appropriate for being initiated. Weirui. Chai. 4/12/2011. Content. Diabetes – High Blood . Sugar. Type 1 and Type 2 . Diabetes. Treatments for Type 2 . Diabetes. Conclusion. Diabetes – High Blood Sugar. Diabetes . mellitus:. A . 1. Risk Factors for Prediabetes and Type 2 Diabetes. Family history of diabetes mellitus. Cardiovascular disease. Being overweight or obese. Sedentary lifestyle. Nonwhite ancestry. Previously identified impaired glucose tolerance, impaired fasting glucose, and/or metabolic syndrome. Gary . Strokosch. , MD. Region V Medical Specialist. Type 2. Drew Alexander, MD. Region IV Medical Specialist. November 4, 2013. Two Main Types of Diabetes. Type 1: formerly known as insulin-dependent diabetes mellitus (IDDM) or juvenile onset diabetes. Clinical Presentation of Type 2 Diabetes 1 Age ≥45 years Family history of T2D or cardiovascular disease Overweight or obese Sedentary lifestyle Non-Caucasian ancestry Previously identified IGT, IFG, and/or metabolic syndrome Basal Bolus versus Premixed . ADA Diabetes Management Algorithm 2015 . Need for Early and aggressive treatment. Legacy effect: early vs late glycemic control and complications risk. Aggressive glycemic control:. Session Objectives. Define Diabetes. Provide a brief overview of the way insulin is secreted and used in people without diabetes. Discuss the cause of Type 1 Diabetes. Review the symptoms and basic information about treatment of Type 1 Diabetes. Dr . Waqar. Malik. Consultant . Diabetologist. Blakesley. Hall, . Blakesley. Road, Birmingham. 9. th. Jan. 2017. Lay Out. Why glycaemic control is important and what role insulin plays. Different insulins old and new. Beta Cells in the Pancreas. Insulin is synthesized in beta cells. Insulin helps to regulate metabolism of carbohydrates and fats. Insulin is secreted by the pancreas. Without insulin to facilitate absorption of glucose the levels become too high. Type 1 Diabetes: Before and After Insulin. 1. . The Case for Serendipity. Available at: http://www.mc.vanderbilt.edu/lens/article/?id=221&pg=999. Accessed April 6, 2010.. 2. . Westman. et al. . Perspectives in Biology and Medicine. Kangduk Choi and Young-Bum Kim Division of Endocrinology, Diabetes and Metabolism, Beth Israel Deaconess Medical Center and Harvard Medical School,Boston, USA INTRODUCTION tissues. Skeletal muscle is Intensive Insulin Management 10Basal: Once-daily, either morning or bedtime(alternative: NPH morning and bedtime)Bolus: Fast-acting insulin before each meal;(alternative: R may be used)Premeal insulin Lispro 5-15 Hrs 1-2 4-5 NPH 1-2 Hrs 5-7 13-18 Lente 1-3 Hrs 4-8 13-20 Ultralente 2-4 Hrs 8-10 18-30 INT. J. DIAB. DEV. COUNTRIES (2000), VOL. 20 oxidation are also reduced by metformin. Metformin Markus Menzen. 1. ; Niels Væver Hartvig. 2. ; Anne Kaas. 2. ; Nikoline Nygård Knudsen. 2. ; Johan Jendle. 3. 1. Division of Internal Medicine, Department of Gastroenterology and Diabetology, Community Hospital Bonn, Bonn, Germany. Research Institute For Endocrine Sciences. Endocrine Research Center. Shahid Beheshti University. 04.04.1397. Outlines. Case presentation. Barriers of insulin therapy. Action-profile. Types of basal .