Type 1 treatment Flashcards
what is the mainstay of treatment in type 1?
INSULIN
describe the secretion of insulin?
it is secreted at a low basal rate which accounts for about 50% of insulin produced
post prandial insulin is secreted in relation to post prandial glucose
name some types of insulin you can get?
rapid acting
short acting
intermediate acting
long acting
rapid acting analogue-intermediate mixture
short acting analogue- intermediate mixture
how is carb amount estimated in food?
food measurement food composition tables food lables websites other technologies
what is in insulin pump?
gives a continuous administration of short acting insulin subcutaneously
can also deliver manually activated bolus of insulin to cover meals
can deliver background insulin dictated by basal rate
what do you need to take into account when prescribing insulin?
patient usual regimem and dose blood glucose monitoring ketone monitoring sepsis/acute illness steroid therapy age lifestyle
what are the indications for a pancreas implant
imminent or ESRD due to receive or with kideny transplant
severe hypo
incapacitating clinical or emotional problems