Antidepressants Blog » Diabetes http://drugzz.com Offers user feedback about the effects of antidepressant drugs and natural antidepressants. Sat, 23 Apr 2011 12:26:20 +0000 en hourly 1 http://wordpress.org/?v=3.1.1 DIET THERAPY FOR DIABETES MELLITUS: SOME FALLACIES AND FACTS http://drugzz.com/2010/12/diet-therapy-for-diabetes-mellitus-some-fallacies-and-facts/ http://drugzz.com/2010/12/diet-therapy-for-diabetes-mellitus-some-fallacies-and-facts/#comments Thu, 23 Dec 2010 14:12:09 +0000 admin http://drugzz.com/?p=171 1.    Fallacy. A patient who has an infection and who is eating poorly should stop taking his insulin.
Fact. The insulin requirement is usually higher in fevers and infections. The patient should take his insulin and take fluids supplying carbohydrate if he cannot eat solid foods. He should continue to test his urine, and should alert his physician.
2.      Fallacy. A “free” diet means the patient can eat anything he wants.
Fact. Patients permitted to eat so-called “free” diets must observe regular meal hours and must eat foods that meet their nutritional requirements. They are generally told not to eat concentrated sweets such as sugar, candy, jelly, cake, and cookies. The single and double sugars are rapidly absorbed thus causing the blood sugar to become sharply elevated and making control more difficult.
3.      Fallacy. Honey can be used in place of cane sugar.
Fact. Honey is about 80 per cent carbohydrate, chiefly fructose. The fructose is eventually used as glucose, thereby requiring insulin. Therefore, the use of honey is not desirable.
4.       Fallacy. Dietetic foods may be used as desired by diabetic patients.
Fact. Dietetic foods contain some carbohydrate, protein, and fat. Their use is seldom justified, and these foods are relatively expensive. If they are used, the patient should check with the dietitian or physician so that the value can be calculated into the diet.
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]]> http://drugzz.com/2010/12/diet-therapy-for-diabetes-mellitus-some-fallacies-and-facts/feed/ 0 HOW TO DRAW UP THE DOSE OF INSULIN: INSTRUCTIONS FOR SINGLE INSULIN http://drugzz.com/2009/04/how-to-draw-up-the-dose-of-insulin-instructions-for-single-insulin/ http://drugzz.com/2009/04/how-to-draw-up-the-dose-of-insulin-instructions-for-single-insulin/#comments Thu, 23 Apr 2009 08:06:37 +0000 admin http://drugzz.com/2009/04/how-to-draw-up-the-dose-of-insulin-instructions-for-single-insulin/ You be instructed as to what type of insulin your child needs and the correct dose for him. He may be on a single type of insulin – for example, Isophane insulin – or he may be on a mixture of insulins – for example, Isophane and Actrapid insulin. It is of course important to measure the dosage accurately, as a small variation may affect the blood glucose significantly. The method of drawing up the insulin is set out below.

Clean hands

Wash hands thoroughly in soap and water. Dry them well.

Clean the insulin bottle

Wipe over the upper cap of the insulin bottle with a cotton wool swab which has been moistened with spirits.

Mix the cloudy insulin well

Any insulin which is cloudy such as Isophane insulin must be agitated so that it is thoroughly mixed just before drawing up. You can do this by gently inverting the bottle a number of times or by rolling the bottle gently between your hands. This must be done immediately before drawing up as insulin suspension settles very quickly.

First put air in the syringe

Take the syringe and draw the plunger down to the mark giving the correct dose that you are to give. This allows air to enter the needle and syringe and the volume of air will be the same as the dose that you are giving. Next, checking that the insulin has been mixed properly, plunge the needle through the cap of the bottle so that the needle is just through the cap.

Put the air into the bottle

Invert the bottle so that the point of needle is below the surface of the insulin, and push the plunger up so that all the air is expelled into the insulin bottle. This will make it easier to withdraw the insulin, as the pressure will remain the same inside the bottle, the withdrawn insulin being replaced by an equal volume of air.

Draw down insulin

When you draw down the plunger to the correct mark some air will enter the barrel. Hold the syringe with the needle and bottle still in place in a vertical position with the needle pointing upwards and tap the barrel gently so that the air bubble is at the top of the insulin in the syringe.

Now push the plunger back a little way to force the air back into the bottle. Draw down again to the correct mark. If air is still in the syringe, repeat this until it is completely gone. Now finally check that the plunger is down to the correct mark giving the right dose.

Remove the syringe and needle from the bottle. You are now ready to give the injection.

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