Posts Tagged ‘glucose’
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This program will demonstrate the use of insulin pens.
The goal is to inject the Insulin into the subcutaneous tissue between the top layer of the skin, the dermis and the underlying muscle layer.
Insulin pens are devices that can provide an easy way to carry and give insulin when away from home. Also, for people who are not comfortable working with syringes and bottles to draw up and measure individual doses, the pens provide a convenient and accurate alternative.
There are two types of insulin pens:
* those that are completely disposable after providing a single dose of insulin
* and those that use disposable cartridges to provide multiple doses.
* If you use more than one type of insulin, you must use a separate pen for each type. The basic method of use is similar for both pens and there are four main steps to be learned.
An insulin pen has three components.
* A base which contains the mechanism for measuring the correct dose.
* A holder for the cartridge of insulin
* and a cap, which is removed and replaced by the needle prior to the injection.
Follow the manufacturer’s instructions to remove the cap, separate the base from the cartridge holder by unscrewing it.
Rewind the base dose regulating mechanism back to zero and put down the base.
Pick up the cartridge holder. Shake out the used cartridge.
Check that the new cartridge contains the correct insulin and insert it, metal end first, into the holder.
Screw the cartridge holder back onto the base.
* Keep a record of all your injections and also record when you begin a new cartridge.
* Subtract the total insulin used in previous injections from the total of 150 units in each cartridge to be sure you have enough insulin left for the next dose.
Clean the end of the cartridge holder and the projecting cartridge with an alcohol swab.
Remove the seal from the end of the new needle unit. Don’t touch the exposed needle or allow it to touch any other object.
Screw the needle unit onto the end of the cartridge holder.
Pull the outer shield off the needle. Do not throw it away. You will need it later to remove the needle unit from the pen.
Pull the inner shield off the needle and discard it. Hold the pen upright and tap the cartridge holder to enable air bubbles to escape through the needle.
Dial the dose knob so that #1 is in the dose scale window and prime the pen according to the manufacturer’s instructions.
Hold the needle upright. Press in the injection button at the end of the unit and check that insulin comes out of the tip of the needle. If no insulin is seen, continue to dial up one unit at a time and press the injection button until insulin is seen. A new cartridge may take 4-6 units before insulin flows.
Dial in your dose of insulin in addition to the units needed to produce the insulin flow. For example, if it took 4 units to start the insulin flow and your insulin dose is 20, the total in the dose scale window will be 24.
* Choose and clean the injection site as usual.
Pinch the skin and insert the needle through the skin at a 90Ë? angle. Press the injection button at the end of the needle and wait 5 seconds for the injection to be completed before removing the needle from the skin.
* The needle must be removed from the pen immediately after the injection is finished.
Place the outer needle shield that you had saved on the counter top with the opening facing up.
Without holding onto the shield, insert the pen needle carefully into the shield and push down firmly. Grip the shield and unscrew the needle from the pen.
Dispose of the shielded needle into the puncture proof container that you have reserved for your needles. Store all pens that are in use at room temperature.
Duration : 0:6:16
Common tests used to diagnose diabetes include fasting blood sugar tests, the hemoglobin A1C test, home blood sugar tests or the oral glucose tolerance test. Get tips for reducing discomfort when testing blood sugar at home from a family nurse practitioner in this free video on diabetes tests.
Duration : 0:2:29
Diabetes can cause kidney failure because the blood vessels in the body that are used to process protein become clogged with excess sugar in the blood. Find out how kidney failure is discovered and how to prevent it with information from a family nurse practitioner in this free video on diabetes.
Duration : 0:2:27
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Storage Insulins refrigerator temperature Insulin glucose sugar blood syringe Humalog Novolog bolus Lispro Aspart Pens needles
This program will demonstrate injecting Insulin.
The goal is to inject the insulin into the subcutaneous tissue between the top layer of the skin, the dermis and the underlying muscle layer.
The only concentration of insulin available in the United States is 100 units per milliliter. A milliliter is equal to a cubic centimeter. All insulin syringes are graduated to match this concentration.
Insulin syringes are available in various volumes, for example: 3/10 cc, which would hold a maximum dose of 30 units, 1/2 cc to hold a maximum dose of 50 units and 1 cc to hold a maximum dose of 100 units.
Some insulins are cloudy suspensions. To ensure uniform dispersion of the insulin in the cloudy suspension, roll the vial gently between your hands. Avoid vigorous shaking, which will produce air bubbles or foam and interfere with obtaining the accurate dose.
Wipe off the top of the bottle with an alcohol swab. Discard the swab.
Pick up the syringe and remove the needle cap. With the syringe held upright, pull the plunger back until the end of the plunger is at the mark of your dose,which in this example is 20 units. There is now air in the syringe.
Check the insulin bottle to ensure you have the correct type of insulin.
With the insulin bottle held firmly on a counter or tabletop, insert the needle through the rubber cap into the bottle.
Push the plunger down so that the air goes from the syringe into the bottle.
Turn the bottle upside down so that the air in it is at the top.
With the tip of the needle kept in the liquid, pull the plunger back to your dose. If any air bubbles are in the syringe, push the plunger back in and draw up the dose again.
Remove the syringe and needle from the bottle. Do not let the needle touch anything else until it touches your skin for the injection.
Wipe the skin of the chosen injection site with an alcohol swab and let the skin dry.
Pinch up the skin and put the needle fully through the skin at an 80 to 90 degree angle and push the plunger down completely.
Discard the syringe and attached needle into a puncture-proof container and replace the container’s screw cap.
Instead of a puncture-proof container you can purchase a special “Sharps” container with a hinged lid to store your used syringes and needles.
* When your storage or “Sharps” container is 3/4 full, dispose of it according to the policies of your local authorities.
The recommended sites for insulin injections are shown. Change the place of each injection by moving a couple of inches from the previous site.
By doing this, you can stay in one general area for several days.
Duration : 0:4:54
While Type 2 Diabetes cannot be reverse, complications can be prevented by maintaining a healthy body weight, eating several small meals a day and exercising regularly. Take diabetes medications as prescribed by a doctor with advice from a family nurse practitioner in this free video on diabetes treatments.
Duration : 0:1:27
This is another video on Diabetes from 1HappyDiabetic.
This video explains the symptoms of High Blood Sugar.
Go to http://1happydiabetic.com/ for more!
Duration : 0:7:58
Some interesting facts about diabetes include that around one-third of the people born in the year 2000 will develop diabetes, and half of the individuals born in that same year will develop pre-diabetes. Discover how in the U.S., an individual with diabetes goes blind every two hours with information from a family nurse practitioner in this free video on diabetes.
Duration : 0:1:8
A patient discovers that she has Type II Diabetes after a routine physical.
Duration : 0:1:49
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This video comes out of another myth that gets propagated out by Atkins Diet bashers that somehow we are more likely to get diabetes by following low carb. Certainly there is no shortage of misinformation on the web:
http://www.atkinsexposed.org/atkins/122/Nutritionists_Warn_Diabetics_to_be_Wary_of_Atkins_Diet.htm
http://www.diabetesuffolk.com/LivingWithDiabetes/The%20Atkins%20diet.htm
Some say we are dangerous for both Type 1 and Type 2 diabetics. Some just type 1 diabetics, but it really couldn’t be further from the truth. As all people, ESPECIALLY diabetics, could benefit from controlling blood glucose levels by carbohydrate monitoring or restriction.
There are two major proponents for Low Carb for diabetics:
Richard Bernstein, Type 1 Diabetic since 1946
http://www.diabetes911.net/about.php
Author of THE Diabetes Diet and Diabetes Solution
Mary Ross Vernon
Chairman of the board, American Society of Bariatric Physicians
Co-Author of Atkins Diabetes Revolution with Robert Atkins
http://tinyurl.com/cbjk76
2007 and 2008 Runner Up for Diabetic Educator of the Year Award
Mary Ross Vernon has been controlling diabetes with an Very Low Carb Diet (similar to Atkins Diet) for many years. She says both her Type 1 and Type 2 patients have benefited from carbohydrate restriction. She also notes that seeking quality physicians to handle the dramatic decrease in Insulin requirements is paramount as some patients could be medication free in 3 days! See the attached quote (http://rjr10036.typepad.com/askdrvernon/2007/05/ron_of_sarasota.html).
Recently a number of studies have been released to support this position as well. One of the most notable for describing the failure of the existing recommendation of high carb and regulating with increasing doses of insulin is the study released in 2005 Nutrition and Metabolism magazine, “The case for low carbohydrate diets in diabetes management.” (http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1188071&tool=pmcentrez) They detail that the high carbohydrate diet has lead to worse glycemic control, dislipidemia, hypertension, obesity, and cardiovascular disease (CVD). They noted in their review of studies that the low carb followers showed dramatic improvement in comparison to the high carb followers.
(Part 2 to be released later)
Duration : 0:11:8
Common risk factors for getting diabetes include being non-Caucasian, leading a sedentary lifestyle, having high blood pressure or cholesterol, and having had gestational diabetes. Lower the risks of developing diabetes by learning about the causes with information from a family nurse practitioner in this free video on diabetes.
Duration : 0:1:34
