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胰岛素444(Insulin 444)
胰岛素444(Insulin 444)
(1) playing only two times is relatively easy to get together, but 11 may be low blood sugar and high blood sugar after lunch. (3) is the best control of blood sugar, more commonly used, but four times a day after all the pain, but the blood sugar is difficult to control, there is no way. (5) after all, expensive, usually during hospitalization, short-term use, after discharge, after all, to calculate and return to the regular use.
2) dosage and allocation
The total pancreatectomy requires 40-50U per day, and most patients can start at 18-24U/d and then adjust according to their blood sugar. Foreign advocates T1DM by 0.5-0.8U/kg, no more than 1; T2DM by 0.3-0.8U/kg.
Breakfast more (25-30%), dinner (20-25%), bedtime (20%), less meal (15-20%).
Insulin pump: 40% as the basis of continuous subcutaneous; other 60%, early and late sleep, each accounted for 20%, 15%, 15%, 10% (we usually only three times, before meals).
The patient has used insulin indications, specific blood glucose as much amount of literature is not mentioned, may according to the personal experience of it, but did not grasp the words or blood sugar is not very high, from a few, such as 18U/d used according to the blood sugar regulating might be safer. Whats more, the patient has been insulin for many years, is now bad to re tune, or during hospitalization, blood sugar is not good, should be adjusted. So usually more is tune.
In addition, we must pay attention to the patients diet, blood sugar is greatly affected by diet, if the patients diet is irregular, it can not tune the blood sugar. Some patients, although regular diet, but their high blood sugar brittleness, that is, more than a little high blood sugar, less hypoglycemia, it is difficult to tune.
Two of the most common examples are presented.
Newly diagnosed T2DM male 50kg, the first two days before meals and bedtime blood glucose was 17, 12, 16, 10 and 15, 15, 20, 16, considering the blood sugar is not very high, we first tre
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