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Diabetes Medication – Insulin

October 9, 2019

The last group of medications is of course
insulin if the oral agents or even the oral agents plus the
injectable form of Incretins taken either by themselves or in combination
don’t succeed in lowering your blood sugar
sufficiently to your goal which is an A1c less than 7% and a fasting
glucose less than 7 mmol/L then you probably have to take insulin while
maintaining your oral agents of pills that you have
been taking sometimes you may stop one or another of those
pills but you would have to combine continuous pills such as metformin
and TZD or metformin and a sulfonylurea. An insulin comes in several forms there is a very short acting analog insulin is taken
just before meals there is a short acting which is a little bit longer
lasting 3 to 5 hours there is intermediate insulin which peaks at about seven hours last 15 hours
is called NPH and then there analog long-acting forms of
insulin which are called Glargine or Lantus, and Levemir or Detemir last two agents are taken only once or perhaps
twice a day for details of how these incidents are taken and
there peaked time of effectiveness I would refer you to our starting insulin module

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