Insulin is a peptide gland hormone. It has an important effect on metabolic processes in almost all body tissues. Lack of secretion of this hormone or violation of its action is the basis of diabetes mellitus. Since 1922, people began to inject insulin into sick people, with excellent results. Thus, an effective means of combating a dangerous disease appeared.
When we hear the word insulin, we see huge needles or a diabetic-exhausted person with low sugar levels in our minds. In doing so, it will be important to debunk some of the myths about insulin.
Diabetics cannot live without insulin. In fact, patients with the first type of diabetes, and this is 5-10% of all patients, really experience a vital need for this medicine. But for those who have a disease of the second type, and this is the vast majority, insulin intake is not at all necessary.
Taking insulin suggests that a person can no longer cope with his illness. You really shouldn't be so categorical. Doctors say that even those patients who do a full range of physical exercises and adhere to a special diet still need insulin.
Insulin causes a drop in blood sugar levels. Such an effect from taking the medicine can indeed occur, but the probability of this is small. The risk of getting low blood sugar from insulin is even lower in people with type 2 diabetes. In addition, new generation drugs have appeared on the market today that mimic the natural production of insulin. This greatly reduces the risk of hypoglycemia. For example, this is the basal insulin "Lantus".
If you started taking insulin, then this is already forever. Not necessarily. Sometimes people take this medicine for a specific time interval, for example, this can happen during pregnancy.
It is better to take oral medications than insulin. In this case, it is worth talking about metformin. This drug is taken by mouth and fights diabetes. Only now it is far from effective for everyone, acting on different people in different ways.
Insulin leads to weight gain. Those people who suffer from the second type of diabetes can actually gain weight due to insulin therapy. But this is just the same and normal, because such a phenomenon is a direct consequence of the fact that the body has begun to resist the disease. If there is no obvious overdose, then insulin therapy should not cause weight gain. Often the medication is started just after a long period of diabetes decompensation. High sugar levels in this case lead to weight loss, because part of the food consumed is lost in the form of urine glucose. Insulin leads to normalization of sugar, now nutrients are not lost. Food begins to be used by the body to the full, and the weight returns to normal. Studies have shown that long-term use of insulin, on average for 10 years, gives an increase of 6 kilograms in patients with type 2 diabetes, and 3-5 kilograms in those who are on pills, and even 2 kilograms in those who are on a diet. But with age, a person always has a tendency to gradually gain weight, this is due to a decrease in physical activity. Being overweight and having normal sugar levels is much safer than high sugar at normal weight.
Taking insulin indicates that a person has serious diabetes problems. In fact, it is worth paying attention to the disease itself, and not to the medications taken with it. Regardless of whether a person takes insulin or not, diabetes itself is a serious problem that must be dealt with. The severity of the disease is determined by whether diabetes has complications. On average, those patients who take insulin do have a longer duration of illness and more complications. However, in this case, severe forms of diabetes are not at all a consequence of the use of insulin, but the reason for this form of treatment.
The insulin shot is very painful. This is not true, because very thin needles are used today. Thanks to them, the injection is almost painless. The injection itself is comparable in pain to a mosquito bite. If a person still experiences fear of injections, and this feeling is akin to fear of blood, then there are needleless injectors. Special means of introduction with a hidden needle, Pen-mate, are also used.
Insulin treatment involves quite a few injections every day. It is not always so. Sometimes you can inject yourself 1 dose of insulin for the whole night, just in this case, you just need to calculate a different amount of medicine.
Insulin is the last hope to defeat diabetes. Many people try different methods, medications and methods before using insulin. But it can even be harmful. Effective treatment should not be postponed. After all, the timely start of the use of insulin can help to avoid any complications in the future.
Taking insulin, you need to do it on a strict schedule, linking to it and food intake. During therapy with mixed insulin, in which short and extended insulin are mixed in a single solution, it is possible to shift the meal time by 1-2 hours. If you use these forms of medicine separately, then you can talk about the unlimited possibilities of the diet. As a result, the dietary requirements for a patient receiving insulin are practically the same as for any other patient receiving antihyperglycemic tablets.
Taking insulin, the patient becomes attached to his home and the medicine stored in the refrigerator. And it is difficult to take medicine outside the home. Today there are modern means of injecting into the body. So, a syringe pen can help to give an injection outside the home - at work, away, on the road. And the started bottle of insulin, like the cartridge of the pen itself, can be stored at room temperature. The injection itself no longer requires pretreatment with alcohol of the skin, now the injection can be done even through clothing. It only takes a little training, which turns out to be technically much easier to administer insulin than other injections.
Small doses of insulin are better than large doses. This myth is quite common not only among patients, but even among the doctors themselves. As a result, patients receive insufficient doses of the medicine. This leads to chronic, often even long-term, diabetes decompensation. In fact, the insulin dose must be determined by the sugar level while using the medication. If in order to achieve normal sugar it is required to increase the dose of insulin taken during the day, this must be done. There is only one alternative - a small dose of medicine and high sugar levels. And this is a direct path to damage to the body and complications of diabetes. True, sometimes you can enhance the effect of the insulin that is already being used. In the case of type 2 diabetes, it is possible to follow a diet and try to reduce weight to a normal level. It must be remembered that in any form of this disease, the effect of insulin can be reduced due to incorrect injection technique, poor nutrition, and chronic inflammatory processes. By itself, the ratio of the daily amount of insulin to the patient's weight cannot be used as a criterion for calculating the required dose. The recommendations of European and American doctors state that there are no restrictions on the daily dose of insulin. A single dose of short-acting insulin is 6-10 units, the maximum is 14-16. Two hours after eating, if necessary, you can additionally enter another 4-6 units.
Blood glucose must be determined on an empty stomach. To avoid complications from diabetes, you need to know what is the value of blood sugar throughout the day. Therefore, indications are needed not only on an empty stomach, but also throughout the day. Sometimes even "night" numbers are required.