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Ultimate Insulin Protocol

Strict Or Liberal Insulin Protocol Following Coronary Artery Bypass Graft (cabg) Surgery (slip)

Strict Or Liberal Insulin Protocol Following Coronary Artery Bypass Graft (cabg) Surgery (slip)

Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information This research study is designed to better understand post-operative complications as related to the tightness of blood sugar control. It is also hoped that we may learn that a more liberal control of your blood sugars is not inferior to the current strict glucose control. Our ultimate goal is to evaluate if there is any change in the rates of complications between the two groups. We will be comparing the current strict blood glucose control with a more liberal target for blood sugars. Hyperglycemia is commonly encountered following cardiac surgery, whether a patient has a history of diabetes or not. Hyperglycemia has been associated with increased perioperative morbidity and mortality; several studies have demonstrated that glycemic control utilizing insulin protocols improves operative mortality, lowers operative morbidity (mediastinitis, atrial fibrillation), and improves long-term survival. However, the optimal target for serum glucose has not been established in post-CABG patients. All CABG patients will be consented prior to surgery. Inclusion criteria for non-diabetic patient is a random fingerstick blood glucose (FSBG) above >150 mg/dL prior, during, or immediately following surgery. All patients with history of diabetes mellitus (Type 1 or Type II) will be immediately eligible for inclusion. Following CABG surgery, if the patient was started intra-operatively on an insulin infusion, then that patient will be randomized to one of two treatment target groups: Group 1 [Blood Glucose (BG): 80 mg/dL-120 mg/dL] or Group 2 [BG: 121-180 mg/dL]. The randomization design will be a 1:1 allocation of patients between the two groups, with both Continue reading >>

Questions For Mike Arnold About Ultimate Insulin Protocol - Professional Muscle

Questions For Mike Arnold About Ultimate Insulin Protocol - Professional Muscle

Questions for Mike Arnold about Ultimate Insulin Protocol Questions for Mike Arnold about Ultimate Insulin Protocol Questions are directed at Mike Arnold about his Ultimate Insulin Protocol, but anyone is free to answer. Basically, the protocol (recently modified) calls for insulin pre workout taken with karbolyn and hydro- whey with leucine and creatine . I'm sure many combine this protocol with HGH considering the major growth that can potentially take place. The question is can you use IGF1-lr3 along with this protocol considering it acts on similar pathways to insulin? Would the IGF and insulin be competing for cell receptors? Would you get comparable growth using IGF instead of HGH along with this protocol or would you expect it to be more or less? I've used insulin many times before but never in the way described in the protocol. It seems likely to unlock a lot of growth for me. Throw in as many synthetic hormones as you can and there all gonna help and there all gonna do something. Although I see igf preworkout as you just using it as an expensive sugar. Your igf levels are already gonna be cranked up from gh and insulin combined. I would use it after. Or even first thing in morning It would be helpful. some can get away with the combo some can't. I have gone from 200 @8%. To 220 @ 10%. In 8 weeks. The 2% has come on in the last 2.5 weeks. I Should pull the plug but Knowing my self I'll keep pushing until I hit 11-12%. Then I'll bitch because I'm fucking fat. Run dnp and loose my gains. Questions are directed at Mike Arnold about his Ultimate Insulin Protocol, but anyone is free to answer. Basically, the protocol (recently modified) calls for insulin pre workout taken with karbolyn and hydro- whey with leucine and creatine . I'm sure many combine this protocol w Continue reading >>

The Ultimate Insulin Protocol Di Mike Arnold E Luso Dellinsulina Pre-workout

The Ultimate Insulin Protocol Di Mike Arnold E Luso Dellinsulina Pre-workout

Endocrinologia , Integrazione OTC , Peptidi , Supplementazione farmacologica The Ultimate Insulin Protocol di Mike Arnold e luso dellinsulina pre-workout Disclaimer: NON TENTATE DI PROVARE il presente protocollo. Questo programma pu essere molto pericoloso! NON sperimentate con tali opzioni. Inoltre si prega di notare che lautore e gli editori NON SARANNO ritenuti responsabili per eventuali morti o lesioni associate con questo approccio teorico di utilizzo di Insulina per il guadagno di massa muscolare !!! In poche parole, se provate questo approccio teorico di utilizzo di Insulina, si capisce che POTRESTE SERIAMENTE FARVI DEL MALE o morire. Detto ci, chiunque applicasse questo protocollo responsabile delle proprie azioni! Linsulina il peptide di cui tutti vogliono sapere, ma che pochi sono disposti a includere nei loro programmi. Inevitabilmente, ci si dovrebbe domandare come usare questo farmaco, e le risposte che arriverebbero sarebbero quasi sempre in termini di buone intenzioni, ammonizioni e incoraggiamenti verso il potenziale utilizzatoree il pi delle volte tutto si riduce alla decisione di astenersi. Linsulina diventata parte di un argomento un po tab nella nostra comunit, anche tra quelli di noi che volontariamente si sono impegnati a divulgare e in una certa maniera incoraggiare luso di AAS illegali. A prima vista, si pu capire il perch questa mentalit potrebbe governare la popolazione generale del BBing. Tuttavia, dopo unulteriore osservazione viene rivelato che linsulina, quando somministrata da coloro che hanno una conoscenza approfondita del farmaco e aderiscono religiosamente a tutte le linee guida di sicurezza, pu essere utilizzata sia con successo che con una relativa sicurezza. Eppure, non senza un certo grado di verit che linsulina viene affiancata d Continue reading >>

Continuous Intravenous Insulin: Ready For Prime Time

Continuous Intravenous Insulin: Ready For Prime Time

Abstract In Brief Hyperglycemia in the inpatient setting has been linked to poor outcomes. There is evidence that careful management of hyperglycemia in the acute care setting can decrease lengths of stay, morbidity, and mortality. In unstable, critically ill patients, blood glucose excursions are most effectively controlled through the use of continuous intravenous insulin infusion protocols. However, barriers remain to the acceptance and successful implementation of protocol-driven initiatives to achieve normoglycemia. A multidisciplinary team approach can help overcome staff misconceptions and fears regarding tight glycemic management in hospitalized patients. Rationale for Continuous Insulin Infusion Stress-induced hyperglycemia is a commonly encountered problem in the acute-care setting. Elevated blood glucose levels in critically ill patients may result from the presence of excessive counterregulatory hormones and high levels of tissue and circulating cytokines. These metabolic changes can result in increased insulin resistance and a failure to suppress hepatic gluconeogenesis. Thus, hyperglycemia may be present even in inpatients without a diagnosis of diabetes. Studies have shown an association between hyperglycemia and an increased risk of infection, sepsis, renal failure, congestive heart failure, stroke, and neuropathy.1–6 The recognition of hyperglycemia as a contributor to poor outcomes has provided the rationale to pursue tight glycemic control. The key to effectively controlling hyperglycemia is to identify early patients who have or are at risk of developing elevated blood glucose levels and to initiate appropriate therapy in a timely manner to maintain near-normoglycemia. Insulin is the therapy of choice for management of hyperglycemia in hospitalized Continue reading >>

Anabolic Steroids, Bodybuilding Discussion Forums. - Steroidology

Anabolic Steroids, Bodybuilding Discussion Forums. - Steroidology

4 i.u. post workout along with simple carbs and protein This method has always intrigued me but it's not worth the risk IMO. Insulin can be used very safely but this is not the way. You plan on sitting around sipping on protein enriched water all day and it's gonna keep you off the floor? I dont trust it. Thanks for the opinion, but to keep this thread as factually relevant and informative as possible could we hold off on the 'i thinks' and 'i feels' ?? Or at least wait till i'm through to start imposing personal preference. You can always does something novel like start your own thread. This forum is about discussion. If you want to post a log, then post it in the "my cycle" forum. In fact, I suggest you do just that. And this thread could be used for discussion of that log. That's where i originally posted it, but they moved it to here. I assume because it's not technically a steroid. perhaps 02gixxer isn't very proficient in written communication. Maybe he meant no imposition at all, but it seemed more of a decleration that my cycle was unmeritted and left him seeming somewhat ignorant to the basis of the cycle, which would leave me with the question "why post here at all?" I'll make it simple and post the entire thread when i'm finished, then there will be grounds for an actual discussion. Maybe I'm not proficient in written communication either but I agree with 02gixxer and *in my opinion* your plan is extremely risky. I've gone hypoglycemic many times using several times more carbs post injection than you propose. I realize that this plan advances a theory by which you wouldn't need a lot of carbs to avoid hypoglycemia. It still scares me and I don't scare easily. I hesitate to even leave your thead here because somebody much less experienced might get the wrong Continue reading >>

The Ultimate But Simple Workout Nutrition Guide For Getting Shredded | Poliquin Article

The Ultimate But Simple Workout Nutrition Guide For Getting Shredded | Poliquin Article

The Ultimate but Simple Workout Nutrition Guide for Getting Shredded Anyone with a little common sense and a decent amount of training experience knows that workout nutrition is not that complicated. Unfortunately, what you should put in your mouth and when it needs to happen has been confused by outrageous claims from sports nutrition marketers and uninformed individuals. Add to that the ridiculous dietary information coming from the media, and youre in for some serious workout nutrition madness. This article will tell you what we know for sure based on the research and provide practically-based workout nutrition pointers for a lean and muscular life. #1: The perfect diet varies for each person and is informed by genetics. Same goes for the ideal workout nutrition planits individual and should be based on all the following factors: Training status plays a huge role in dictating nutrition needs. Untrained, deconditioned individuals have vastly different nutrition needs from physique-oriented trainees or elite athletes. For example, if youre untrained, your focus should be strictly on eating high-quality whole food at meals. For athletes, workout nutrition is a priority that should supplement diet. Gender. Women burn more fat during exercise than men, which means they will use as much as 25 percent less muscle glycogen, so refueling guidelines are different. Age. Both quality and quantity of protein are more important for older trainees than youngsters. Volume, intensity, and training mode. If youre trying to lose fat, training in a state of low glycogen is not a bad thing, whereas if your goal is long-distance performance, low glycogen is bad news. Training fasted or fed. Eating before working out makes during-workout nutrition unnecessary unless youre doing an ultra-d Continue reading >>

The Ultimate Guide To Muscle Protein Synthesis

The Ultimate Guide To Muscle Protein Synthesis

The Ultimate Guide to Muscle Protein Synthesis Muscle protein synthesis is the process of building muscle mass. Muscle protein synthesis is essential for exercise recovery and adaptation. As such, its a really popular topic in the fitness community. But the methods used to measure muscle protein synthesis in studies are very complicated. Some basic knowledge of the various methods is essential to draw proper conclusions from the research youll read. The purpose of this article is to provide a comprehensive guide on muscle protein synthesis: what is it, how is it measured, what are the strengths and limitations, how to draw proper conclusions from muscle protein synthesis research, and of course practical guidelines how to optimize it. Ive made a table of contents, so you can jump to specific sections of interest or reference a specific section. Please note that section 2 described the various methods to measure muscle protein synthesis. You might want to skip this section if you just want exercise and nutrition guidelines to optimize gains. Perhaps you can come back to it later when you are ready to become a true muscle protein synthesis research master. Protein is the main building block of your muscle. Protein synthesis is the process of building new proteins. This process happens in all organs. Muscle protein synthesis is the process of building specifically muscle protein. Think of a muscle as a wall. Each brick is a protein. Muscle protein synthesis is the addition of new bricks to the wall. Now, this would mean the wall would become larger and larger. However, there is an opposing process. On the other side of the wall, a process is removing bricks. This process is called muscle protein breakdown, sometimes referred to as muscle proteolysis or muscle degradation. Continue reading >>

The Ultimate Insulin Protocol

The Ultimate Insulin Protocol

Since writing The Ultimate Insulin Protocol roughly 5 years ago, I have received numerous requests asking for my opinion regarding some of the newer products on the market and whether or not they can be used as substitutions for the original components. After responding with a few abbreviated posts, but continuing to see similar questions posted all over the boards, I decided to take a few minutes to address this officially, but more importantly, to clear up some of the misconceptions surrounding the original protocol. First and foremost, the reader should understand that when this protocol was designed, it was intended to be generic in nature; to serve as basic template one could follow when putting together their own program. But rather than being used for its intended purpose, many began to replicate it word for word, without any regard for the importance of personalization. For those of you who are unfamiliar with the original, the objective was simple: to create an easy to follow, highly effective, sustainable program devoid of the metabolic health risks inherent in many of the more elaborate programs, while being suitable for both beginner and advanced bodybuilders alike. In short, I wanted people to be able to experience the benefits of insulin, but without the potential consequences so often associated with its use. Due to its success in balancing effectiveness with safety, it was in a sense the “ultimate” insulin protocol. Although many factors were considered in its design, it was insulin timing and food type-timing that formed the foundation and on which everything else was built. While the original did include certain supplements in addition to the protein and carb-based variety, the majority were optional; there to give the reader some ideas as to what Continue reading >>

Mike Arnold Protocol

Mike Arnold Protocol

If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. doing some random research and came across this and was just wondering if you guys had any input: 20 grams of Hydrolyzed protein (whey, casein, or beef). 20 grams Hydrolyzed protein (whey, casein, or beef). 20 grams hydrolyzed protyein (whey, casein, or beef). Note: You should consume a regular meal within 3-4 hours of beginning this protocol. Also, I don't recomnmend doing it if it has been 5 or more hours since you heve last eaten, as your blood suagr will be pretty low when you start....so try to get in your last meal within 3 to no more than 4 hours before beginning the protocol. Lastly, since you will be drinking your last shake either at the end of your workout or very close to it (unless you workout for many hours), there is no need to eat a whole food meal assoonas the workout is over. You can wait a good hour after consuming your fina shake before eating a post-workout meal, as your body will already be supplied with all the nutrients it needs to grow. The Following User Says Thank You to bvs For This Useful Post: Am running a similar pre-workout protocol at present (Novo) on specific training days (heavy legs, heavy back). Given the expected peak (60-90 mins) your timing looks good. I prefer to sip a peri-workout drink containing carbs, BCAAs & creatine (I run Intra MD & love it) and then get a simple post-workout shake with carbs (I use waxy maize) and protein in / around the 90 mins window. Agree on his advice of getting a meal of carbs & protein no more than 3-4 hours before pinning your Humalo Continue reading >>

Can Restoring Immune Balance Be The Ultimate Therapy For Type 1 Diabetes?

Can Restoring Immune Balance Be The Ultimate Therapy For Type 1 Diabetes?

Can restoring immune balance be the ultimate therapy for type 1 diabetes? We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Can restoring immune balance be the ultimate therapy for type 1 diabetes? Insulin replacement therapy, which includes multiple daily doses of shortacting and longacting insulin analogs, insulin pump, continuous glucose monitoring (CGMS), and insulin pump with CGMS, has made a marked advance in the management of type 1 diabetes, of which there is no cure yet. The insulin pump with CGMS, with a warning of hyper and hypoglycemia, has become available. Achieving nearnormal glucose control and reduced rates of severe hypoglycemia are feasible. Despite continuous improvement in insulin therapy, and dedication and scrutiny of both patients and caregivers, treatment targets are not achieved in most patients. Even the most advanced insulin delivery technologies do not replace the capabilities of native insulinproducing cells. Under even such technologies, patients with type 1 diabetes required the skill to integrate various factors, such as insulin dose, timing of insulin injection, duration of insulin action, physical activity, seasonal effects, effects of menstruation in women and so on. Transplantation of the pancreas or pancreas/kidney might be the ultimate therapy; however, there are some reports of redevelopment of type 1 diabetes even after the transplantation, and adverse events caused by immune suppressants. Continue reading >>

Ultimate Guide For Lean Gains, Part 1: Carb Cycling

Ultimate Guide For Lean Gains, Part 1: Carb Cycling

Ultimate Guide for Lean Gains, Part 1: Carb Cycling To add the evasive ten pounds of sleeve-stretching muscle its best to use a time proven nutritional method - carb cycling . High performance strength and physique athletes have used carb cycling for decades to optimize athletic performance and body composition. Gaining muscle requires a caloric surplus, potentially covering those shredded abs, so its time to ditch the old standby of bulking with unrestricted diets. Theres a better way. By maximizing the anabolic power of insulin with carb cycling, its possible to shred fat and build muscle simultaneously. Once you've got your nutrition dialed, check out Part Two: The Lifting Program . Insulin is an extremely anabolic hormone that will make or break your physique. Too little and youre doomed to flat muscles, poor recovery, and pre-shrinking your affliction t-shirts. Too much and youll resemble the Michelin Man and suffer from myriad health problems. Insulin is a hormone made in the pancreas, an organ located behind the stomach. The pancreas contains clusters of cells called islets. Beta cells within the islets store and release insulin into the blood. Insulin plays a major role in metabolism. The digestive tract breaks down carbohydrates into glucose, but its with the help of insulin that cells are able to absorb glucose and use it for energy.5 I nsulin-producing beta cells, in green, on a mouse pancreas islet. Photo from Wikimedia Commons . Insulin regulates nutrient entry into muscle cells. When insulin is seldom elevated, then muscle growth related benefits wont occur. A higher carbohydrate intake when your body is increasingly sensitive, such as post-workout , promotes carbohydrates to initiate tissue repair and set the stage for muscle growth. Conversely, when the Continue reading >>

Hyperglycemia And Switching To Subcutaneous Insulin

Hyperglycemia And Switching To Subcutaneous Insulin

Hyperglycemia and Switching to Subcutaneous Insulin A 47-year-old man with type 2 diabetes was admitted to the hospital with nonketotic hyperglycemia due to medication nonadherence. He was placed on a transitional care (step-down) unit and the decision was made to start an intravenous (IV) insulin drip to control his hyperglycemia. This hospital used the Glucommandera computer-based system that recommends insulin and IV fluid infusion rates based on the patient's blood glucose levelsfor protocol-based management of hyperglycemia. The admitting physician entered initial orders into the Glucommander, and the system recommended changes to the infusions based on subsequent blood glucose measurements. Within several hours, the patient's blood sugars improved from over 600 to less than 200, so, per the protocol, his insulin infusion was decreased and the IV fluids were changed to D5 1/2 NS (hypotonic saline with added dextrose). That evening, the patient began to experience chest pain. An electrocardiogram (ECG) was performed and showed T-wave inversions in the lateral leads, prompting concern for cardiac ischemia. The cross-covering resident and attending saw the patient and decided to transfer him to the intensive care unit (ICU) for closer monitoring. The patient was made NPO (nothing by mouth) in case an urgent cardiac procedure was required. The resident therefore decided to discontinue the Glucommander, as he did not want the patient to experience dangerously low blood sugars. Orders were written for the patient to receive sliding scale subcutaneous insulin, and his IV fluids were changed to normal saline with no added dextrose. The patient's chest pain quickly resolved and he had no further ECG changes or evidence of cardiac ischemia. However, over the next several ho Continue reading >>

Use Of Intensive Insulin Therapy For The Management Of Glycemic Control In Hospitalized Patients: A Clinical Practice Guideline From The American College Of Physicians Free

Use Of Intensive Insulin Therapy For The Management Of Glycemic Control In Hospitalized Patients: A Clinical Practice Guideline From The American College Of Physicians Free

Description: The American College of Physicians (ACP) developed this guideline to present the evidence for the link between the use of intensive insulin therapy to achieve different glycemic targets and health outcomes in hospitalized patients with or without diabetes mellitus. Methods: Published literature on this topic was identified by using MEDLINE and the Cochrane Library. Additional articles were obtained from systematic reviews and the reference lists of pertinent studies, reviews, and editorials, as well as by consulting experts; unpublished studies on ClinicalTrials.gov were also identified. The literature search included studies published from 1950 through March 2009. Searches were limited to English-language publications. The primary outcomes of interest were short-term mortality and hypoglycemia. This guideline grades the evidence and recommendations by using the ACP clinical practice guidelines grading system. Recommendation 1: ACP recommends not using intensive insulin therapy to strictly control blood glucose in non–surgical intensive care unit (SICU)/medical intensive care unit (MICU) patients with or without diabetes mellitus (Grade: strong recommendation, moderate-quality evidence). Recommendation 2: ACP recommends not using intensive insulin therapy to normalize blood glucose in SICU/MICU patients with or without diabetes mellitus (Grade: strong recommendation, high-quality evidence). Recommendation 3: ACP recommends a target blood glucose level of 7.8 to 11.1 mmol/L (140 to 200 mg/dL) if insulin therapy is used in SICU/MICU patients (Grade: weak recommendation, moderate-quality evidence). Hyperglycemia is a common finding among medical and surgical patients with or without known diabetes during hospital admission (1, 2). Although the prevalence of Continue reading >>

A Proven Path To A High-energy Morning

A Proven Path To A High-energy Morning

For years Ive worked on how to feel top-notch in the morning to lay the foundation for an amazing day. Most often my breakfast of choice has been Bulletproof Intermittent Fasting . In this protocol, you eat no protein and no carbs at all in the morning, instead enjoying a Bulletproof Coffee. That provides the most energy and the least hunger for about eight hours. However, lately Ive been skipping classical Bulletproof Intermittent Fasting on some days in order to add Upgraded Collagen to my Bulletproof Coffee. It makes me hungry an hour earlier than usual, but it delivers low inflammation, high quality, and heat stable protein to my coffee without affecting the taste! On the one day a week I might work out, this is my ultimate protein and fat combination for burning fat and gaining muscle. What to do to optimize your morning nutrition depends on your goals for the day. Because there is an incredible amount of science on this topic, this post turned out to be a pretty long one, so please accept my apologies in advance. If youre looking for the short version, here it is: On most days, a pure fat Bulletproof Intermittent Fasting breakfast is an optimal choice, but on days you work out and the day after either put Upgraded Collagen Protein in your HOT Bulletproof Coffee or Upgraded Whey 2.0 Protein in your ICED Bulletproof Coffee. Getting this right seriously optimizes your body and mind in the morning! To geek out on more of the science behind these recommendations, read on: 4 Goals of a Seriously Bulletproof Morning Goal # 1: Create and sustain awesome physical and mental energy for the day Goal #3: Feel satisfied with absolutely no cravings You can meet all 4 goals by occasionally adding exactly the right protein to your cup of Bulletproof Coffee. On most days, however Continue reading >>

The Ultimate Insulin Protocol New Applications

The Ultimate Insulin Protocol New Applications

Endocrinologia , Integrazione OTC , Peptidi , Supplementazione farmacologica The Ultimate Insulin Protocol new applications Dopo aver scritto circa 6 anni fa The Ultimate Insulin Protocol , Mike Arnold ha ricevuto numerose richieste che domandavano il suo parere per quanto riguarda alcuni dei prodotti pi recenti presenti sul mercato e anche se questi non possano essere utilizzati come sostituzione per i componenti originali del protocollo. Dopo aver risposto con un paio di messaggi abbreviati, ma continuando a leggere simili domande postate su tutte le piattaforme, Mike ha deciso di prendere qualche minuto per affrontare questo argomento ufficialmente, ma ancora pi importante, per chiarire alcune delle idee sbagliate che circondano il protocollo originale. In primo luogo, il lettore dovrebbe capire che quando questo protocollo stato progettato, stato destinato per essere di natura generica; per servire come modello di base da modulare a seconda delle proprie esigenze e caratteristiche individuali. Ma piuttosto che essere utilizzato per lo scopo previsto, molti cominciarono a replicare il protocollo parola per parola, senza alcun riguardo per limportanza dellindividualit soggettiva. Per quelli di voi che non hanno familiarit con loriginale protocollo ( clicca qui per saperne di pi ), lobiettivo era semplice: creare un protocollo facile da seguire, altamente efficace, un programma sostenibile privo (o quasi) dei rischi per la salute metabolica inerenti a molti programmi pi elaborati, pur essendo adatto sia per principianti che per culturisti esperti. In breve, Mike Arnold ha voluto che le persone siano in grado di sperimentare i vantaggi dellinsulina, ma senza le potenziali conseguenze cos spesso associate al suo uso. Grazie al bilanciamento tra efficacia e sicurezza, st Continue reading >>

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