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

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Drs Laurence Hirsch and Kenneth Strauss, from BD Diabetes Care in Franklin Lakes, New Jersey, and West Flanders, Belgium, and Dr Anders Frid, from Skane University in Malmo, Sweden, discuss 3 articles appearing in the September 2016 issue of Mayo Clinic Proceedings which offers results of a multinational survey and expert opinion on best practices for injection techniques and safety. Available at: http://tinyurl.com/hbrpbz6 FITTER Website: https://www.fitter4diabetes.com

Special Article New Insulin Delivery Recommendations

Correct technique in insulin delivery is critical for optimal control of diabetes. This article reviews the most recent studies in the field and then offers new injection and infusion recommendations for insulin users. It is meant to complement and extend the injection recommendations published in 2010.1 These latest recommendations were based on the results of the fourth Injection Technique Questionnaire (ITQ) survey (published elsewhere in this issue). From February 2014 through June 2015, 13,289 insulin-injecting patients with diabetes from 42 countries participated in the ITQ survey, one of the largest multinational studies of its kind. A smaller Infusion Technique Questionnaire survey was undertaken concurrently with the ITQ in 356 patients using continuous subcutaneous insulin infusion (CSII) in four countries and informed the drafting of the new infusion recommendations. The ITQ survey results (fo Continue reading >>

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  1. elven235

    Hi guys,
    Currently I'm taking brown rice and sweet potato as my main carbohydrate source since I'm trying to lose some fat.
    My favorite cooking method of sweet potato is baking
    However, I have found some researches and read some articles stating that baked sweet potato has very high Glycemic Index.
    I would love to hear your opinions regarding this topic because I'm very confused right now and thinking of get rid of baked sweet potato (but I love it)

  2. BGoodman88

    Unless you're diabetic, don't worry about GI. It has no effect on fat loss/body composition.

  3. EjnarKolinkar

    Originally Posted by elven235
    Hi guys,
    Currently I'm taking brown rice and sweet potato as my main carbohydrate source since I'm trying to lose some fat.
    My favorite cooking method of sweet potato is baking
    However, I have found some researches and read some articles stating that baked sweet potato has very high Glycemic Index.
    I would love to hear your opinions regarding this topic because I'm very confused right now and thinking of get rid of baked sweet potato (but I love it)

    Consult a physician if you have blood sugar issues, otherwise enjoy a mix of rice, sweet potatoes, white potatoes, corn, quinoa, etc. Diversity > "Best food". Micro-nutrients vary with foods so mix it up a bit.

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The ability of modern medicine to prolong life has raised a variety of difficult legal, ethical, and social issues on which reasonable minds can differ. Among these is the morality of euthanasia in cases of deep coma or irreversible injury, as well as the dead donor rule with respect to organ harvesting and transplants. As science continues to refine and develop lifesaving technologies, questions remain as to how much medical effort and financial resources should be expended to prolong the lives of patients suspended between life and death. At what point should death be considered irreversible? What criteria should be used to determine when to withhold or withdraw life-prolonging treatments in cases of severe brain damage and terminal illness? In exploring these complex dilemmas, medical director Christopher Comfort, organ transplant specialist Sam Shemie, ethicist Mildred Solomon, and attorney Barbara Coombs Lee examine the underlying assumptions and considerations that ultimately shape individual and societal decisions surrounding these issues. The New York Academy of Sciences Tuesday, November 12, 2013 http://www.nourfoundation.com/prolong...

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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Popular Questions

  1. Jwast

    My situation is, I've lost my medicaid coverage. I grossed about $80 too much a month ago because of overtime and medicaid decided to drop the hammer on me and deny further coverage. I'm starting a new job next week that pays nearly double what I make now so I will not be getting medicaid back. Until my insurance kicks in at my new job (60-90 days) I need to figure something out, even if it isn't an ideal situation, I simply can not afford Novolog at ~150/bottle, I can barely manage the ~20/bottle ReliOn until my new jobs first payday but it's doable.
    I've searched the interwebs and keep finding wildly different answers about Novolin R in insulin pumps. What do I need to be aware of/do to make it work? Can this be done in a reasonably safe manner without the supervision/consultation of a doctor? I understand that Novolin R takes a bit longer to start working and peaks later but can I just use the same basal rates offset by an hour or so and is it a 1:1 conversion for dosages?
    Any help at all is appreciated and if anyone has any other solutions for me I am open to just about anything.

  2. lornetc

    For standard U-100 concentrations, dosages, carb ratios and basal rates should be the same for going from Aspart to Novolin R. You will just have to adjust the times in your pump settings. Remember with Regular insulin that you have to bolus between 30 and 45 minutes before your meal in order for it to be active enough in your system that your BG doesn't spike.

  3. Random_dg

    Your flair suggests that you're a Regular user at the moment - so a question: does Regular have a similar absorption pattern as the Aspart? I'm thinking that using Regular for basal as well might have different results than using the Aspart for basal. It's active for a longer period, it might be at its peak at a different time as compared to Aspart, and other differences. How do you exactly go about switching, besides taking the boluses earlier?

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This animation shows you how to give yourself an insulin shot! http://beyondtype1.org/

Giving Yourself An Insulin Shot For Diabetes

For those with diabetes, an insulin shot delivers medicine into the subcutaneous tissue -- the tissue between your skin and muscle. Subcutaneous tissue (also called "sub Q" tissue) is found throughout your body. Please follow these steps when using an insulin syringe. Note: these instructions are not for patients using an insulin pen or a non-needle injection system. Select a clean, dry work area, and gather the following insulin supplies: Bottle of insulin Sterile insulin syringe (needle attached) with wrapper removed Two alcohol wipes (or cotton balls and a bottle of rubbing alcohol) One container for used equipment (such as a hard plastic or metal container with a screw-on or tightly secured lid or a commercial "sharps" container) Wash hands with soap and warm water and dry them with a clean towel. Remove the plastic cap from the insulin bottle. Roll the bottle of insulin between your hands two to three times to mix the insulin. Do not shake the bottle, as air bubbles can form and affect the amount of insulin withdrawn. Wipe off the rubber part on the top of the insulin bottle with an alcohol pad or cotton ball dampened with alcohol. Set the insulin bottle nearby on a flat surfa Continue reading >>

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Popular Questions

  1. L_Lubas

    I started the week before Christmas with this whole GD diet thing and insulin at bedtime. I started at 20 units of insulin and then had to go to 22, and now I am at 25. It will probably go up again as your body keeps progressing through pregnancy, the number will increase. I'm finding the fasting numbers of mine are starting to rise again, so i am fully expecting another dose increase.

  2. Shi21201685949116

    That makes me feel a lot better...I was thinking my insulin numbers were crazy high (I'm being put up to 16 units tonight) but I had nothing to really compare it to other than the 6 units I started at.

  3. L_Lubas

    Think of it this way. Some people are on 100+ units. Consider us lucky to be so low. ;)

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