{'en': 'What is the risk of supplying incorrect type of insulin in the diabetic patient', 'es': 'Cuál es el riesgo de suministrar tipo y dosis incorrectas de insulina en el paciente diabético'} Image

What is the risk of supplying incorrect type of insulin in the diabetic patient

fer's profile photo   09/03/2018 5:53 p.m.

In Mexico, 13 percent of diabetes patients use insulin as a blood glucose control method.However, administering it to a lesser or greater amount than the required implies a risk that the patient suffers blood glucose increase (hyperglycemia) or low (hypoglycemia), which has repercussions at various levels in the body.

When the glucose rises, the possibility of a heart attack grows, and on the contrary, if the low sugar is a risk factor of dementia, hence the importance of administering insulin and its exact dose for the patient.This is indicated by Valentín Sánchez Pedraza, interim head of the Endocrinology Service of the General Hospital of Mexico.

According to the expert, more than half of the patients care about the risk of hypoglycemia and one in four presents this problem at least once a month.Because of the same cause, up to 20 percent of those mentioned, arrives soon or leaves the school or work, a condition that can be extended for two to three days.

In mild cases of hypoglycemia, the affected person has sweating, tachycardia, irritability, hunger or anguish, symptoms that can improve taking a natural juice.But if the complication occurs while the patient sleeps, he does not notice and may suffer convulsive crises and even reach myocardium infarction when the problem is recurring.

“Of the hypoglycemia, approximately 50 percent are nocturnal and in them there are electrocardiographic changes, such as arrhythmias and in some cases the heart rate occurs very slow (bradycardia), which increases the risk of sudden death.

“In addition, it is estimated that, on average, patients with insulinized type 2 diabetes have 23 mild hypoglycemia episodes per year.However, half of them do not report their doctor about it, ”he warns, the endocrinologist.

While the international scientific community points out that insulin is the most appropriate treatment for diabetes, which corresponds to each patient?

Dr. Sánchez Pedraza clarifies that there are various types, including the basal whose objective is to maintain glucose under fasting control, as the calls make the human insulins and their analogs.There are also prandial insulins that fulfill the goal that glucose does not rise after eating, of which you exist of the rapid type, those of prolonged effect, their analogs.There are also those that combine both types, basal and prandial.

“Determine what is indicated for the patient will depend on their characteristics, for example, on their age, if it has renal damage, if you have who is administered or use a device for it, the lifestyle and even the economic aspect, betweenOther factors.

“For doctors it is a complex issue, and even 76 percent recognize that it could recommend insulin to more patients if there were not the risk of hypoglycemia, that is, the sugar indicator is below 70 milligrams per deciliter (mg/dl) of blood.Ideally, in a lower range it is between 70 and 99 mg/dl, ”he emphasizes, the endocrinologist of the General Hospital of Mexico.

Finally, the specialist orders the patient with diabetes to create a communication bond with his treating doctor on the effects of prescribed insulins and even carelessness in the administration and their ways to do so, because it will depend on the results in the results in the results in theglucose controls.

fer's profile photo
fer
09/03/2018 5:53 p.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

With the hypoglycemia that arise every week ... I am not insane, I am that I am not :))

Ruthbia's profile photo
Ruthbia
09/04/2018 9:44 p.m.

Lada enero 2015.
Uso Toujeo y Novorapid.

  

Having 1 monthly hypoglycemia in type 1 diabetes as the article

sigsauer's profile photo
sigsauer
09/04/2018 10:16 p.m.
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All doses are incorrect, they are only approaches.It is impossible to prescribe the correct dose.The healthy pancreas does is vary the dose of insulin to every second to adjust to blood glucose.

Sherpa41's profile photo
Sherpa41
09/04/2018 10:22 p.m.

En 1922 descubrieron la insulina, en 1930 la insulina lenta. ¿Que c*** han hecho desde entonces?

  

Well, with Lantus I had several daily hypoglycemia and now with Apidra they have become weekly and my endocrine (and I) we consider it normal.A hypoglycemia a month?How is that done?: D

Maritxu22's profile photo
Maritxu22
09/04/2018 10:45 p.m.

DM1 desde abril 2006. 33años
Tresiba:12-14
Fiasp a demanda
Dexcom G6

Última HbA1c: 6% (junio)

  

Only common sense tells me that if an endocrine considers "normal" to have hypoglycemia (if only one) weekly, it gives to think in the hands of professionals we are;It is practically impossible to totally avoid hypoglycemia in type 1 diabetes but what an endocrine has to do is avoid them as much as possible;If seeing a hemoglobin of 6% and the correct analytics he thinks everything is well, then perfect.To me that it seems "normal" to have weekly hypoglycems does not seem very "normal" ...

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sigsauer
09/05/2018 12:25 a.m.
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I also think that it is not worth having a good hem if you have hypos.
My hem is 7 - 7.5 for years, specifically a week ago at 7.2.I would like to lower it a little I try but there is no way.What I am clear is that I will not adjust much to be with hypos, it does not compensate for me.
Those who know me a little know that for me the hemo is not important, I do not need the number.Day to day if it is
:)

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Anaisabel
09/06/2018 5:10 p.m.
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With an active life it is difficult to maintain a hem of 6 without risk of hypos.
That is the complicated thing about insulin treatment ...

Regina's profile photo
Regina
09/06/2018 6:49 p.m.

Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20

  

Every time I trust the sensors and more of the symptoms.Royal hypos few per month, two or three, but if I look at sensor 6 a week.

Ruthbia's profile photo
Ruthbia
09/06/2018 11:39 p.m.

Lada enero 2015.
Uso Toujeo y Novorapid.

  

I think the "ideal" is the count of hydrates, and I do not catch it completely ..
Although moderately good control can be had yet the risk of having some hypoglycemia is not eliminated

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AntoSc1607
09/12/2018 6:27 p.m.
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