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Pharmacological management Insulin

Pharmacological management Insulin. Dr Rajesh Jain MD Ex –Medical Officer-WHO Project Manager World Diabetes foundation. Objectives. Insulin. Insulin. Insulin action. Indications for insulin therapy. Insulin therapy. Insulin types and approximate action. Activity.

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Pharmacological management Insulin

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  1. Pharmacological managementInsulin Dr Rajesh Jain MD Ex –Medical Officer-WHO Project Manager World Diabetes foundation

  2. Objectives

  3. Insulin

  4. Insulin

  5. Insulin action

  6. Indications for insulin therapy

  7. Insulin therapy

  8. Insulin types and approximate action

  9. Activity

  10. Variability in insulin absorption

  11. Some factors affecting absorption

  12. Activity

  13. Insulin regimens: once a day insulin

  14. Insulin regimens: once a day insulin

  15. Twice a day insulin

  16. Three times a day insulin

  17. Basal-bolus regimen

  18. Long-acting insulin analogues

  19. Individualizing Glycemic Targets

  20. Intensifying Glucose-Lowering Therapy

  21. Activity

  22. Commencing insulin therapy

  23. Commencing insulin therapy

  24. Injecting insulin

  25. Injecting insulin

  26. Insulin Syringe

  27. Insulin pens

  28. Pumps

  29. Examples of pump technology over time

  30. Blood glucose targets

  31. Starting insulin in type 2 diabetes

  32. Pattern management

  33. Adjusting insulin for daily changes

  34. Which insulin to adjust when?

  35. Steps to interpreting blood glucose diaries

  36. Example 1

  37. Example 2

  38. Insulin practicalities

  39. Insulin practicalities

  40. Precautions

  41. Mixing insulins

  42. Side effects

  43. Lipohypertrophy

  44. Activity

  45. Summary

  46. References

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