PPT-Diabetes & Insulin

Pens Prepared by Alison Deux 4 th year pharmacy student Background on Diabetes More than 9 MILLION Canadians are living with diabetes or prediabetes 20 more people are diagnosed every hour. (except in . Ketosis-prone). Vicious . Circle(s) of Hyperinsulinemia-. Result in Weight Gain and Hypoglycemia. Hypoglycemia. Symptomatic or not!. Or . bolus Insulin. =. Overinsulinized. Undue Basal . Moderator. Stephen Atkin, MBBS, MD, PhD. Professor of Medicine. Weill Cornell Medicine - Qatar. Education City, Qatar Foundation. Doha, Qatar. Faculty. Tim Heise, MD. Lead Scientist. Science and Administration. 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:. Odinakachukwu Ehie, MD. Clinical Assistant Professor. UCSF Benioff Children’s Hospital . Disclosures. No relevant financial relationships. Learning Objectives:. Discuss diabetes mellitus and the importance for anesthesia providers to know about it. 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. 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?. Diabetes Mellitus . Summary of Drugs Used in the Treatment of Diabetes. Diabetes Treatment . A person with . type 1 diabetes . must rely on . exogenous insulin . to . control hyperglycemia. , . avoid . 119 Koper, Eslovenia 118 and patients sometimes experience hypoglycemia For most patients with IAS, the symptoms would be relieved quickly after stopping insulin medication. However, our patient with 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 Page 2 Insulin infusion pump management: Inpatient guidelines Published by the State of Queensland (Queensland Health), July 2016 This document is licensed under a Creative Commons Attribution 3.0 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. What is Diabetes. ?. Diabetes. is a disease in which the body . does not make insulin . (Type 1) or make and . use insulin well (Type 2). . Insulin. is a hormone that assists your body in using blood glucose, or .