Intense insulin treatment: Limited blood sugar control

Intense insulin treatment can help avert long-expression diabetes problems. Contemplate the positive aspects — and comprehend the dedication.

By Mayo Clinic Personnel

If you have variety one diabetes — and in some conditions if you have variety 2 diabetes — intensive insulin treatment may well strengthen your long-expression health.

Insulin treatment can just take some get the job done, but the positive aspects are serious. Do the job with your health care group to study if intensive insulin treatment could be the best strategy for you.

What is intensive insulin treatment?

Intense insulin treatment is a cure strategy designed to maintain your blood sugar concentrations closer to the concentrations of someone who isn’t going to have diabetes. This cure calls for near checking of blood sugar concentrations and various doses of insulin.

Newer strategies of blood sugar checking and insulin shipping and delivery may well make it less difficult and safer to retain a lot more standard blood sugar concentrations. A single this kind of process is identified as a sensor-augmented insulin pump. This system combines ongoing blood sugar checking, insulin pump shipping and delivery and a personal computer algorithm that controls some of the insulin shipping and delivery.

Placing a blood sugar aim

The American Diabetic issues Association (ADA) encourages individualized blood sugar goals. But the ADA suggests that most adults goal for a hemoglobin A1C of significantly less than 7%. Hemoglobin A1C is an indicator of your blood sugar control for the earlier handful of months.

If you would like to maintain your blood sugar concentrations lower, get the job done with your physician to established a aim based mostly on your age, total health and other individual components. Your physician can suggest you what your ideal each day blood sugar range is, as properly as how to change your insulin dosing to satisfy that aim.

What are the positive aspects of aiming for a lower blood sugar?

When you continuously get the job done on retaining your blood sugar concentrations closer to standard, you may well avert or gradual the development of long-expression diabetes problems.

Striving for a hemoglobin A1C of significantly less than 7% can reduce your risk of:

  • Eye destruction from diabetes
  • Diabetic issues-related nerve destruction
  • Kidney illness from diabetes
  • Diabetic issues-related heart illness and stroke
  • Pores and skin ulcers from diabetes

What is the dedication?

For restricted blood sugar administration on insulin treatment, you’ll want to:

  • Choose various each day doses of insulin. You may well want an injection of limited-acting insulin in advance of each and every meal and an injection of intermediate or long-acting insulin after or 2 times each day, generally just in advance of bedtime. Or you may well select to use an insulin pump, which releases insulin into your human body by means of a plastic tube put below the skin on your stomach.
  • Test your blood sugar usually. You are going to want to test your blood sugar at minimum 4 situations a day, in advance of meals and bedtime. Your physician may well ask you to create down the benefits of each and every blood sugar take a look at.
  • Observe how foods and physical exercise impacts your blood sugar. What you take in has a immediate impact on your blood sugar. When you happen to be on insulin treatment, you’ll want to count the carbohydrates in your foods to guarantee that you get the suitable dose of insulin for meals and treats. Actual physical action also influences blood sugar.

Are there pitfalls to retaining my blood sugar concentrations lower?

Intense insulin treatment may well lead to:

  • Small blood sugar. When you have restricted blood sugar concentrations, any adjust in your each day program — this kind of as performing exercises a lot more than typical or not eating adequate — may well cause small blood sugar (hypoglycemia).

    Be mindful of early signs and symptoms of small blood sugar, this kind of as shaking, irritability, hunger and confusion, and reply quickly. Always have glucose tablets with you to address small blood sugar. Or if accessible, drink a glass of orange or apple juice or have a handful of pieces of hard sweet.

  • Fat attain. From time to time, the use of insulin prospects to pounds attain. To restrict pounds attain, closely stick to your physical exercise and meal strategies.

Is intensive insulin treatment proper for you?

Intense insulin treatment is advised for most people who have variety one diabetes and for some people who have variety 2 diabetes — but it isn’t proper for absolutely everyone.

Intense insulin treatment may well not be for you if:

  • You battle with regular or serious bouts of small blood sugar
  • You don’t come to feel the consequences of small blood sugar (hypoglycemia unawareness)
  • You are an more mature grownup
  • You have memory difficulties
  • You have long-standing variety 2 diabetes
  • You have heart illness, blood vessel illness or serious diabetes problems
  • You aren’t eager or equipped to observe blood sugars and inject insulin various situations a day

You and your health care group can weigh the likely pitfalls and positive aspects of intensive insulin treatment to choose if it really is proper for you.