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Insulin


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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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1500 Rule

I have heard about the 1500 rule and wondered if it really works as a good guide. It is where you take 1500 and divide it by the total amount of insulin you inject into yourself. This gives you a number that tells you the amount of carbohydrates that one unit of Humalog® will counteract. Is this true?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Brittle Diabetes

Can you please explain the concept of "brittle" diabetes vs. the theory it is just not controlled? Also, does the length of the disease make a difference in one's ability to control it?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Bruising and Pain at Injection Sites

I am a Type 2 insulin dependant diabetic. I inject twice a day and have been doing so for about a year. I generally inject either in my abdomen or thighs. My problem is my injection sites stay bruised and painful. Is there anything I can do to lessen bruising and to make injecting less painful?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Diabetes Medication and Weight Gain

I have been taking insulin (Lantus® 24) since Jan 2002. I used 20 units for 3 months and am now on 30 units, which seems to be working better. I also take Actos® 45mg and Amaryl®. I am now exercising 3-5 days per week but haven't lost any weight. Does insulin interfere with weight loss or make you gain?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Dose of Insulin After Hypoglycemia

I am a diabetic taking one morning dose of Lantus® in the A.M. along with three individual doses of NovoLog® before each meal. I take my blood sugar each morning before giving myself the insulin. My question is: if my blood sugar is low...let's say 60 or below...and I eat some crackers with juice which raises it to above 150, should I go ahead and give myself the morning doses of insulin since my blood sugar is now at an acceptable level, or should I skip them? And why?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Forgetting a shot

What should I do if I forget my bedtime dose of Lantus®, and don’t realize it until the next morning? I take Humalog® with each meal and Lantus at bedtime. I was so embarrassed to call my doctor and admit I forgot my shot—so I just took the full dose in the morning, but then I got low during the day!

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Going off insulin

What is your opinion on going off insulin? I have been on insulin for over ten years, but knew in the beginning that my body was still producing its own. Now that I lost weight, I hardly need any insulin, but I am a little leery to try other meds. Some of the new meds that I have heard about cause weight gain, which I really don't need.

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Honeymoon Phase

My son, age 20, has been diagnosed as having Type 1 diabetes. Soon after beginning to take insulin shots, he reported that his blood sugar dropped dramatically—in the 40s & 50s every morning after taking the shots. He then stopped taking insulin, but continued monitoring his blood sugar. It remained in normal ranges for a week. He even drank a non-diet soda with seemingly no reaction. Is it possible his diabetes was temporary and that he no longer has diabetes?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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How Insulin Works

What does insulin do and why does the pancreas make extra insulin when a person eats?

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By: Judy Kohn, RN, BSN, CDE
Posted: 04.01.2009
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Injecting Insulin – Aspirate?

When giving an insulin injection is it necessary to pull back slightly to check for blood before injecting the insulin?

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