Evolution Diabetes and amount of insulin

Hello everyone.

I carry relatively little diagnosed with type 1 diabetes (one year).

At the moment, I carry it quite well, I control my glycemias well as well as the ration count.

But, during all this time, I have been reading various messages in which the foreros talk about, over time, they need more insulin.

So, I have the doubt if this is really so in all cases.

That is, are insulin needs increasingly greater?

Is there a time when the body responds worse to the same amount of insulin you put before?

I understand that each body is a world and that there is no general rule for this, but if someone who takes more time of evolution can answer it would be appreciated, so I could clarify these doubts.

The daily insulin needs of each person depend on many factors, the most common being weight.
Also stress and/or other diseases.
As a general rule (and to begin with -according to many insulin prospects -) it is needed between 0.5 and 1 insulin unit (fast and slow, since in the end it is the same) for each kilo and every day (24hours);both in children and adults and/or older -anances-.

Mamarvazq said:
The daily insulin needs of each person depend on many factors, the most common being weight.
Also stress and/or other diseases.
As a general rule (and to begin with -according to many insulin prospects -) it is needed between 0.5 and 1 insulin unit (fast and slow, since in the end it is the same) for each kilo and every day (24hours);both in children and in adults and/or adults -anances -.

But over time these needs always increase, even following the same life habits?Those who have been confirming this more time?

@Carussa

I have only been in the quick needs for about two and a half years.But little and I think it has been caused by Covid and lose my habits.

As you say each person is different.Don't worry.The important thing is that you continue controlling and that when you see that you need more insulin (I follow the rule of three days in a row to put the leg) then adjust it.But the important thing is that you continue to control well and do not worry.

I have been worried for 18 years and I have never worried if I used to put me more or less insulin.
There are seasons that injected me more and others less, it depends on the type of insulin (in 18 years I have changed a few times), on stress, hormones, whether it is hot or cold, on an added disease, etc.
With diabetes, what matters is that one is good, the amount does not matter :)

@jldiazdel and @anaisabel, thanks for your messages.The truth is that this was my idea, trying to continue controlling everything possible and not worrying if at a given time I need some more insulin.But sometimes, for what I read, it seemed that this was always going to more.I am glad to know that it does not have to be like this.:)

Take care of everything you can without obsessing and without living for diabetes but with it.Have her friend and use what she is asking for: P for your being well.

@Anaisabel Thank you !!!

carussa said:
@jldiazdel and @anaisabel, thanks for your messages.The truth is that this was my idea, trying to continue controlling everything possible and not worrying if at a given time I need some more insulin.But sometimes, for what I read, it seemed that this was always going to more.I am glad to know that it does not have to be like this.:)

I think that what worries you that you probably think, as almost everyone at the beginning of this story, that if your need for insulin increases it is because it has "aggravated" diabetes.No. It is not so.The need for insulin varies over time for many factors.Sometimes you should increase doses, sometimes you should reduce them.No problem.It is normal.And it means absolutely anything that sometimes you need to increase the doses, as it does not mean that you are healing when it must be reduced 😃😃
Greetings.

@Mario_s I'm afraid what you say, and also that a time can come in which I do not control evolution or changes.That is, at one point the diabetes 'goes on your own' and it is more difficult for me to control it and know how much insulin I must wear or what I have to do so that I do not leave my hands.But go, that these are fears and insecurities of mine.I have to focus more on a day -to -day basis and not think about what can happen.
Thanks for your answer!

@Mario_s I'm afraid what you say, and also that a time can come in which I do not control evolution or changes.That is, at one point the diabetes 'goes on your own' and it is more difficult for me to control it and know how much insulin I must wear or what I have to do so that I do not leave my hands.But go, that these are fears and insecurities of mine.I have to focus more on a day -to -day basis and not think about what can happen.
Thanks for your answer!

jldiazdel said:
@carussa

I have only been in the quick needs for about two and a half years.But little and I think it has been caused by Covid and lose my habits.

As you say each person is different.Don't worry.The important thing is that you continue controlling and that when you see that you need more insulin (I follow the rule of three days in a row to put the leg) then adjust it.But the important thing is that you continue to control well and do not worry.

@Carussa, have you had covid?How have you passed it?Has it been mild?

@Regina no, I have not passed the Covid.

@Carusa, I hadn't read it well :)

@Carussa calm with the changes.They are not as fast as it seems, they are going little by little.
You have not started for a short time with changes.
The effects of hormones, for me that has been and is the great change.
My first year of diabetes, I did not find out, from the second notice that with ovulation or menstruation I need more slow and fast insulin about 2-3 days.
They are always controllable, do not overwhelm.

@Ruthbia with ovulation I have noticed any month some change, but only quickly, for the moment I have not had to touch it.But it reassures me to know that possible changes are controllable.Thank you.

When we started the quarantine I used 10 basal, I have had to climb to 16, it is usually normal to climb the cold, the fast I have folded the ratios.
That is an example, but every day there are different needs, by activity, by stress, for nerves, because you do not sleep, because you have a cold ...
In my case, in my evolution as a diabetic, I have lowered insulin insulin units, since I have requested weight.
Insulin is life, it's like water, there are those who drink more and who drink less 🤷🤷🤷

Certainly, there are different factors that influence the amount of insulin you may require: stress, infections, hormonal changes, etc.There is also a condition called "insulin resistance", often related to obesity.I explain you ... As we know, people are obese because of the amount of fat that covers their tissues, these tissues are formed by cells, which are also covered with fat, this fat prevents insulin from adequately entering the cell, this iswhat is called "insulin resistance."How is this avoided?Controlling our diet, keeping us in our ideal pesos to avoid this accumulation of fat and exercising so that our muscles burn calories and our body oxyghene.The cells contain a number of mitochondria What is a mitochondria?They are responsible for turning into energy what we eat.There are very serious studies that show that when cells are exercised they are able to multiply up to 5 times the number of mitochondria.At this time you should not worry so much about the problems that can be presented in the future.I would recommend you take care of your illness by not having them through adequate control of your diabetes.Remember that the magic triar to control diabetes is: food, exercise and medications or insulin, in that order.I have been at the Mexican Diabetes Federation, and I know patients who have been insulin, or medicines for many years.Only with diet and exercise.I also know others that have reversed their diabetes doing the same.Cheer up, welcome your illness with a lot of love, see your body as you see a sick child, require care, patience and dedication, give it to him and you will have many years of health.

Hello!
I have been with type 1 diabetes for 15 years.
My insulin needs have decreased and has to do with the food and consumption of hydrates.
The first years the truth is that he ate enough hydrates, as the endocrine told me.I put the insulin necessary and that's it.For breakfast, lunch, eat, snack and dinner, always with hydrates.With the passage of time I realized that if I had dinner without hydrates I could spend all the stable night, between 80-120, so I started doing so, and I lowered the needs of slow and fast.
Now from time to time breakfast also under hydrates (the week before the rule that I have more insulin resistance), and I avoid that peak.I keep eating everything and does not mean that one day he dates with a lot of hydrate, but promptly.Excess insulin is as harmful as hyperglycemia, so I think it is quite key to control of hydrates (and that they are of good quality), because the healthy diet currently recommends, has too many hydrates and sugar according to other specialists.
This doctor explains and justifies it quite well.
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Evolution of diabetes
Reading time: 7 min
Diabetes forecast
Acute diabetes complications
Hypoglycemia
Hyperglycemia
Diabetic ketoacidosis
Hyperosmolar syndrome
Chronic Diabetes Complications
What can I do to avoid or delay the appearance of complications?
Foot care in people with diabetes
Diabetes forecast
Diabetes is a chronic disease that has no cure, except gestational diabetes that tends to disappear when the baby is born.His treatment has improved a lot in recent years and continues to investigate to seek prevention strategies and new treatments.

Acute diabetes complications
Hypoglycemia
Hypoglycemia is a drop in blood glucose below 70 mg/dl.All people treated with insulin and/or some hypoglycemic oral drugs can suffer hypoglycemia.

The most common symptoms are:

Person with sweat, tremors, paleness
Tremor, sweat, paleness, palpitations, feeling of hunger, dizziness (called adrenergic symptoms).

blurred vision
Speech alteration, blurred vision, lack of coordination (called neuroglucopenics).

Finger and glucometer
Some people notice anything when they have sugar values ​​below 70. It is what is called unnoticed hypoglycemia.For patient safety, when hypoglycemia go unnoticed, preventive measures must be extreme more than ever.

Hypoglycemia appears by:

Meal schedule
Do not eat or delay food schedule.

Increase exercise
Practice more exercise than usual.

Increase insulin dose
Get more insulin in relation to carbohydrate contribution.

alcohol
Important alcohol intake can favor hypoglycemia.

In case of hypoglycemia, one of the following options must be taken:

Juice glass
1 glass of juice (200 ml) or

Glass, liquid, on
1 glass of milk and a sugar envelope or

Sugar envelopes
2 sugar envelopes or

Beverage with straw
1 glass or half can of a soda that is not light

Severe hypoglycemia
It is a decrease in sugar that produces a total or partial decrease in consciousness.The person with severe hypoglycemia needs help from a third person.

Tips for family and/friends

If the person has not lost consciousness, trying to give a glass of juice or sugary drink (1 glass).It is important that the person is not lying down, the liquid must be given with the person seated or incorporated.
If the person is unconscious or has a little coherent speech, he should not ingest anything.In this case, glucagon should be injected (Glucage Hypokit 1mg).Once prepared, click on any area where insulin is injected so that blood sugar rises and recovers consciousness.
Once you regain consciousness, give juice or something similar and get in touch with the health team.
In case of not having glucagon calling emergencies (112).
Hyperglycemia
Hyperglycemia is an excessive increase in blood sugar.All people with diabetes, whether their treatment is with insulin, with pills or food and exercise, can have hyperglycemia episodes.

Some people feel nothing, others notice more thirst, eager to urinate and, on some occasions, despite being more hungry and eating more, they lose weight.The best way to know if the sugar level is high, is to measure hair glycemia.

Hyperglycemia appears by:

Beverage with straw
Take food with a high sugar content: refreshing drinks, pastries, cakes, ice cream, chocolate.

Fruit, flour and milk, arrow increase
Take more than the usual fruit, flours and milk.

Man exercising andArrow down
Do not perform habitual physical activity.

Insulin with a question
Forget insulin administration.

microscope
Suffer an infection: a flu, a phlegmon ..., especially if it is accompanied by fever.An infection is a cause of hyperglycemia, although the rest of the indicators are correct.

An infectious process can cause a rapid metabolic uncontrol.During an infection there is usually an increase in hormones and sugar level and, therefore, should be taken into account:

Insulin control
Although carbohydrate intake is lower, rapid insulin is likely to be needed to correct high values.

Man drinking water
Hydrate correctly, above all, in cases of gastroenteritis to avoid dehydration.

Glycometer sugar control
Increase the frequency of capillary and ketone glycemia in urine or blood, if necessary.

Medications, pills
Treat infection that triggers hyperglycemia.

In case of doubt or high ketone values ​​and if nausea and vomiting appear, the health team or going to the nearest hospital is to be contacted.

In case of hyperglycemia
Man drinking water
Drink more water than usual, even if you are not thirsty, not to dehydrate.

Glycometer sugar control
Increase the frequency of capillary blood glucose controls and look at the urine.

Increase insulin dose
Never stop putting insulin at the agreed hours.It may be necessary to increase the doses if hyperglycemia is maintained for more than two days.

Flour, bread, hydrates, hare
If you are not hungry, you can stop eating salad and/or vegetables, as well as meat, fish ..., but you have to always ensure the indicated amount of flours, fruit and milk, and adapt the preparation, such assoup, semolina or juice fruit flours.

Consult with the doctor if ...
You are wrong.
Capillary blood glucose figures exceed the maximum value recommended by their health team.
Capillary blood glucose is greater than 250-300 mg/dl and the Urine Cetone test is positive.
Diabetic ketoacidosis
It is an acute decompensation usually associated with type 1 diabetes and less frequent in type 2 diabetes. It is characterized by an increase in blood ketone levels, caused by an insulin deficit or an increase in insulin needs -debid, for example, to an infection- which causes the body to not use glucose as a source of energy and use fats.This phenomenon causes an excess in blood of ketone bodies (waste product of the use of fats as a source of energy).The presence of blood ketone bodies can cause blood pH to fall, which can trigger a risk situation and that require hospital admission.

nausea vomiting
What can I notice?The presence of Cetona in an abundant and maintained way throughout the day, can produce the sensation of gastric discomfort, nausea, vomiting and even respiratory distress.You can see your breath with apple taste.

Telephone, call
What do I have to do?Contact your health team quickly.

Hyperosmolar syndrome
It is an acute decompensation that occurs in patients with type 2 diabetes. It is characterized by extremely high hyperglycemia without cetone presence.

Desire to urinate
The presence of hyperosmolar syndrome can behave symptoms such as thirst, desire to urinate, weakness, nausea, weight loss, dry mouth and tongue, seizures, confusion and coma.

Telephone, call
What do I have to do?Contact the health team quickly.If it does not act, there is a risk of a diabetic coma.

Chronic Diabetes Complications
TheMost chronic complications have their origin in a vascular problem.Vascular problems occur when large arteries are closed (obstructed) or when the finest ones can be damaged, as is the case with the arteries of the eye retina and the arteries of the kidney.

Long -term diabetes can affect the eyes (diabetic retinopathy), kidneys (chronic renal disease), heart (heart disease) or foot (diabetic foot).

Chronic complications have decreased in recent years due to the improvement of treatments that provide the possibility of treating better hyperglycemia control and other risk factors.

What can I do to avoid or delay the appearance of complications?
Finger and glucometer
Maintain good diabetes control.

Vena with cholesterol on its walls, limiting blood flow.
Avoid or reduce cardiovascular risk factors.It is the risk of a person to develop a heart disease (chest or infarction angina) or in the brain (stroke) for a period of time, in general from 5 to 10 years.Cardiovascular risk factors are cholesterol, high blood pressure, overweight and obesity, smoking, diabetes and stress.

Health Professional, doctor
Once adapted to treatment and depending on each case and situation, reviews with the health team are usually every 3 or 6 months.There are studies that conclusively demonstrate that good metabolic control avoids or delays the appearance of future diabetes complications, and therefore, improves the quality of life.