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Intensive Insulin Therapy: Narrow Blood Glucose Control



If you have type 1 diabetes and, in some cases, type 2 diabetes intensive insulin therapy may be the key to long-term health.

This aggressive therapy is not easy but the benefits are real. Find out how you can achieve the desired glycemic control with intensive insulin therapy and what intensive insulin therapy you need. Then you and your health team can decide if intensive insulin therapy is the best option for you.

What is intensive insulin therapy?

Intensive insulin therapy is an aggressive treatment approach for controlling blood sugar levels. Intensive insulin therapy requires close monitoring of blood sugar levels and multiple insulin doses.

Fortunately, new blood glucose monitoring and insulin delivery methods are being researched that can facilitate this and reduce the risk of intensive insulin therapy. One such method is a closed insulin delivery system that combines continuous blood glucose monitoring with insulin pump delivery.

If you decide to take intensive insulin therapy, you and your doctor will set various goals based on your age. general health and other individual factors. Ideally, this could mean:

  • Blood sugar levels before meals: 70 to 130 milligrams per deciliter (mg / dl) or 3.9 to 7.2 millimoles per liter (mmol / L)
  • Blood sugar levels two hours after meals : less than 180 mg / dL (10 mmol / L)
  • Hemoglobin A1C (glycated hemoglobin, an indicator of glycemic control in recent months): less than 7 percent

What are the benefits of intensive insulin therapy?

Intensive insulin therapy can prevent or slow the progression of long-term diabetes complications.

Several studies indicate that intensive insulin therapy:

  • may reduce the risk of eye injury by more than 75 percent
  • reduce the risk of nerve damage by 60 percent
  • Prevent or slow the progression of kidney disease by 50 Percent

And there is more good news. Intensive insulin therapy can increase your energy and help you feel better in general.

What is the obligation?

To achieve strict glycemic control with intensive insulin therapy, you must adhere to a strict treatment regimen.

  • You will need frequent doses of insulin. You may need an injection of short-acting insulin before each meal and an injection of intermediate or long-acting insulin at bedtime.

    Or you may opt for an insulin pump that delivers insulin to your body through a plastic tube located under your skin on the abdomen. The pump provides a continuous infusion of short-acting insulin and a bolus – additional insulin to cover expected blood sugar rise – before meals.

  • You need to check your blood sugar frequently. You need to check your blood pressure Blood sugar at least four times a day before meals and at bedtime – probably more often than you are used to. It is also important to track the results of each blood sugar test.

  • You must follow your eating and exercise plans exactly. What you eat has a direct effect on your blood sugar. Physical activity also affects blood sugar. Your doctor may ask you to keep track of what you are eating and how much you are training in a detailed diary.

What are the risks of intensive insulin therapy?

Intensive insulin therapy may cause the following side effects:

  • Low blood sugar.

    • 19659029] If you suffer from sugary blood glucose levels, any change in your daily routine – such as: Exercise more than usual or do not eat enough – leading to low blood sugar (hypoglycaemia).

      Be the first signs and symptoms, such as anxiety, sweating and tremors and respond quickly. Drink a glass of orange juice or suck some sweets. Your doctor may recommend that you take glucose tablets.

    • weight gain. When you use insulin to lower your blood sugar, the sugar in your bloodstream gets into the cells of your body and not into your urine. Your body converts the sugar that your cells do not use for energy into fat, which can lead to weight gain. To limit weight gain, follow your exercise and meal plans exactly.

    Is intensive insulin therapy the right choice for you?

    Intensive insulin therapy is recommended for most people with type 1 diabetes and for some people with type 2 diabetes. but it is not right for everyone.

    Intensive Insulin Therapy may not be intended for you if:

    • You are struggling with frequent or severe bouts of low blood sugar
    • You are a child
    • You are an elderly adult
    • you have heart disease, blood vessel disease, or severe diabetes complications

    Ultimately, it's up to you and your health team to decide if intensive insulin therapy is right for you. This decision should be based on the potential risks and benefits the therapy may offer for your specific situation.

    Updated: 2017-02-25

    Release date: 2004-11-11


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