糖尿病胰岛素治疗方案（Insulin therapy for diabetes mellitus）.docVIP

糖尿病胰岛素治疗方案（Insulin therapy for diabetes mellitus） The diabetic insulin therapy Selection of insulin types * animal insulin is extract from animal pancreas purified through a series of processes such as production, the people belongs to the heterogeneous protein has strong immunogenicity and may cause sensitization, long-term use may have led to reduced efficacy of antibody. Recombinant human insulin is a biological engineering drug produced by gene recombination technology. It has the same structure and biological activity as human endogenous insulin. * recombinant human insulin analogues of amino acid structure of amino acid modification technology of recombinant human insulin in the human body, can change the pharmacokinetics, accelerate or extend the onset or duration of action in vivo, but because of its structure and human endogenous insulin is not completely consistent, also belong to the heterologous polypeptide of people it is immunogenic and may cause sensitization, or antibodies lead to less effective. Human insulin should be used in the following groups: A woman who has been pregnant or intending to have a pregnancy Allergic person Insulin resistance is present in animals Insulin therapy has just begun Those who wish to apply insulin intermittently Long term use of human insulin analogues with reduced efficacy A new patient who does not know the type of insulin originally used Insulin delivery regimen 1, insulin physiological supply program, 3~4 injections per day (intensive treatment program) Fast / short acting insulin, pre meal injection + medium / long-acting insulin, before going to bed, 4 injections per day Fast / short acting insulin is given 3 times a day before meals Before breakfast and before dinner, take a quick / short acting insulin + pre oral oral hypoglycemic agent + bedtime medium / long-acting insulin, 3 times a day Pre insulin injection + pre injection / short acting insulin + bedtime injection / medium / long acting insulin, 3 injectio