List The Steps For Mixing A Short Acting And Long Acting Insulin In The Same Syringe

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Intermittent Insulin Injectionsinsulin Overview

Instructions for Patients Receiving Insulin Insulin is the cornerstone of therapy in the management of type 1 diabetes . Insulin therapy also has a clear role in type 2 diabetes mellitus in patients with long-standing or poorly controlled disease. Since the discovery of insulin approximately 80 years ago, insulin therapy has undergone various changes in formulations with different pharmacokinetics. In the 1930s, protamine zinc insulin, the first long-acting preparation, was introduced. In the 1950s, the neutral protamine hagedorn (NPH) and insulin zinc (lente) were introduced. [ 1 ] Newer formulations have since been developed, allowing insulin to be provided in more physiologically appropriate ways. These provide more flexibility in dosing, mimic endogenous production of insulin, and lower the incidence of nocturnal hypoglycemia. [ 2 , 3 , 4 ] When used as monotherapy, oral hypoglycemic drugs generally lower glycated hemoglobin (HgbA1C) by only 0.5%-1.5%. Most patients with type 2 diabetes eventually require multidrug therapy or insulin. Some guidelines encourage early use of insulin if HgbA1C remains poorly controlled on maximal-dose, single-drug therapy. Insulins have varying p Continue reading >>

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  1. Tlwofford

    Where do you swimmers place your sensors? I generally place them in my stomach, but it keeps ripping out, mainly upon push offs. I'm trying to get back in shape and used to swim competitively (but didn't have a CGM yet).
    Any ideas on keeping them in better? I tried tegaderm patches today and they didn't help any either.

  2. OhioGabe

    My son wears his on his upper butt cheek. At age 7, he's not really a swimmer yet, but he has it on during swim lessons.
    We found it important to unclip the transmitter and dry it off after he gets out of the pool. Just a quick blot of the towel and clip it back in to restore its full function.
    We use Opsite Flexifit tape around the sensor, too.

  3. Tlwofford

    Hmmm. He doesn't have issues with them ripping out when he sits down and stuff? I tried that about a year ago and it kept coming out just from casual rising and sitting (I'm guessing from the skin being lax and then tight and then lax and then tight).
    Keep him swimming by the way! I won state for the first time at age 8, and had the best control of my life during my swimming years. I loved the pool haha!

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Steps For Preparing A Mixed Dose Of Insulin

Steps for Preparing a Mixed Dose of Insulin slide 1 of 9, Rolling the bottles gently, Step 1. Roll the insulin bottles (vials) gently between your hands. Roll the cloudy insulin bottle until all the white powder has dissolved. Rolling the bottle warms the insulin if you have been keeping the bottle in the refrigerator. The order in which you mix the clear (rapid- or short-acting) and cloudy (long-acting) insulin is important. slide 2 of 9, Cleaning the lids of the bottles, Step 2. Wipe the rubber lid of both insulin bottles with an alcohol wipe or a cotton ball dipped in alcohol. Let the alcohol dry. Note: If you are using a bottle for the first time, remove the protective cover from the rubber lid before cleaning. Drawing air into the syringe for the cloudy insulin dose slide 3 of 9, Drawing air into the syringe for the cloudy insulin dose, Step 3. Remove the plastic cap that covers the needle on your insulin syringe. Step 4. Pull the plunger back on your insulin syringe and draw air into the syringe equal to the number of units of cloudy insulin to be given. Forcing air into the cloudy insulin bottle slide 4 of 9, Forcing air into the cloudy insulin bottle, Step 5. Push the need Continue reading >>

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  1. Gettin'Old

    HGH: With or Without Food

    I'll apologize in advance b/c i'm sure this has been answered a hundred times. I've looked around the forums though and not seen an answer.
    Do you need to take HGH on an empty stomach?
    If so, how long do you need to wait before eating?
    Thanks much,

  2. cold1

    Try to avoid carbs an hour before and after your injection. Unless you mega dosing PWO. Otherwise your good to go.

  3. RedBaron

    HGH will interfere with your cells ability to uptake glucose and get it out of your bloodstream, so as already mentioned carbs around injection time are not a really smart idea.
    I usually take my first HGH injection at about 4-5 am, so I go back to sleep for a couple of hours before I do anything. My normal morning routine is another injection of HGH, some water and glutamine, and then off to the precor for a half hour of cardio. By time that is done and I have showered and shaved, I am out of the window that carbs are an issue.
    If you need to eat around injection time, then try to eat a protein/healthy fat meal and save the carbs for a little later in the day. Insulin resistance with HGH isn't just a myth ... trust me, I know first hand what it can do if you let it (an a1c reading of 9.5% at one point). As long as you watch your eating and keep a cursory eye on what your BG levels are doing, you shouldn't have any concern. Ignore sound eating practices and don't give a thought to BG levels and you may be in for a really nice case of insulin resistance.

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Nurses Face Ethical Dilemmas Regularly In The Health

Nurses face ethical dilemmas regularly in the health care setting. Provide two (2) examples of ethical dilemmas in nursing and what steps should the nurse take when solving these dilemmas?Types of ethical dilemmas would: suicide, the right to say no, lying to patients, utilization of resources, empirical knowledge.Analyze the consequencesAnalyze the actionsMake a decisionList the steps for mixing a short acting and long acting insulin in the same syringe. (Review the Pharmacology Review Module)Roll the bottles of insulin gently between your hands. Roll the cloudy insulin until the powder has dissolved.Wipe the lid of both bottles with alcohol wipeDraw air into the syringe equal to the number of units needed out of the cloudy insulin and instill the air into the insulin bottleRemove the needle and draw back air into the syringe the amount of units needed from the clear insulinInstill the air into the clear insulin bottle then draw back the amount of clear insulin neededTap the barrel and push out the air bubblesPush the needle into the cloudy insulin bottle and pull back the amount of cloudy insulin needed.You should now have the amount of cloudy and clear insulin needed.Provide th Continue reading >>

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  1. Philomena

    Source(s): Reverse Any Diabetes Easily - http://DiabetesCure.raiwi.com/?osqC

  2. Comment

    Source(s): Cure Diabetes At Home - http://DiabetesGoFar.com/?cQbG

  3. Louise

    With the newer types of insulin these days, diabetic diets aren't necessarily as restrictive as they used to be. Read here https://tr.im/diabetestreatment
    As with any medicine or diet change, you should discuss it with your doctor. Fruits, both fresh and dried, have a natural sugar in them that will raise blood sugar levels, so be careful about eating too much. Not sure about the nuts. Moderation is always the key. I've been diabetic for 18 years and just recently changed insulin types. I love it because it gives me more freedom in when and what I eat.

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