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Bad Insulin Reaction

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Beware The Perils Of Severe Hypoglycemia

Over 80 years ago, famed diabetologist Elliot Joslin said about the treatment of patients with type 1 diabetes: “Ketoacidosis may kill a patient, but frequent hypoglycemic reactions will ruin him.” Unfortunately, hypoglycemia continues to be the most difficult problem facing most patients, families, and caregivers who deal with the management of type 1 diabetes on a daily basis. Frequent hypoglycemia episodes not only can “ruin,” or adversely impact the quality of life for patients, but also, when severe, can cause seizures, coma, and even death. A Tragic Case Recently, our group published a case report in the journal Endocrine Practice describing a tragic death from hypoglycemia that occurred while the patient slept in his own bed. Our patient, a 23-year-old man with type 1 diabetes who had a history of recurrent severe hypoglycemia, was using an older model insulin pump and wearing a separate, non-real-time continuous glucose monitoring (CGM) system. He was given the CGM in 2005 for the purpose of tracking his nocturnal (nighttime) blood glucose values and making further insulin pump adjustments. After he was pronounced dead in the emergency room, our diabetes nurse remov Continue reading >>

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Popular Questions

  1. sqtaz61

    How do you know if insulin is bad when you are not certain either degree limit was met?

  2. ant hill

    Hi, Would you know if it was warm or had too much sunlight or any abnormal discoloration in the liquid?.

  3. LancetChick

    When it's bad, it just doesn't work. In my experience with bad insulin (has only happened 3 or 4 times) it happens very quickly, going from good insulin to water in about a day. I've learned to keep my vials in the refrigerator at all times, taking only the pre-filled syringes with me when I leave the house. That way it lasts until I've used it all, much longer than 28 days. If you suspect a bottle of insulin, just open a new one and see if it makes a difference.

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