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Monday, 27 February 2017

Insulin Replacement Therapy. February 27, 2017

What is Physiologic Insulin Replacement Therapy? Please, do not be hard to me. I read it and still not able to get what is it? The meaning 'replacement' is that we take off something and put on something different, right? if today is sunny day I replace work jacket by spring jacket, right? So, what is, insulin replacement? what is replace and by what it replaced?
        It must consist of multiple >3 daily dose of insulin administration;
And what? it still do not replace insulin but take it in another pattern, right? If the point that insulin replace something, then what insulin replace? Nothing. There is no insulin in diabetic blood, so it is 'add-on' rather then 'replacement'
         It must provide for the basal insulin effect (peakless insulin such as Lantus or Levemir, or constant infusion of rapid acting insulin from an insulin pump);
The type of insulin regardless what type is it, does not mean 'replacement therapy'. It is simple choice of therapy rather then any 'replacement ' of it.
         It must provide incremental insulin bolus doses covering food consumption by utilizing regular or rapid acting insulin.The doses of insulin vary.
So what????? It is nothing about any 'replacement' just different regimes of therapy.So, what really Dr. Richard S. Beaser, MD, talking about? In his book he ignorantly present:
" Under no circumstances should patient attempt to self-initiate treatment, particularly using using info obtained from reading material such as this book...... ." 
Really, do not do it. There is no valid info in this book, and safe money, do not buy it. You better to read my blog, and you will find it more useful then all the book by MD.
       Ok, let take a look at the principle points of this book and reading material.
Why there are basal insulin such as long acting peakless types of insulin and regular or rapid acting insulin must be taken? Why do not take just one type of insulin, long acting insulin Lantus, Lantus Solo Star, Toujeo Solo Star,  or Levemir? Why take rapid acting insulin?
           I tried many times to take Novolog, Apidra, or Humalog, and no one work for me. I take shot of insulin, get hungry right away, and I have to eat. Soon after shot low blood sugar, and I am hungry, I have to eat to deal with low blood sugar. Sugar getting high, I need another shot of insulin to bring sugar down. I have to eat after each shot. Sugar getting down, low blood sugar, I have to eat, .... . My blood sugar run from 400 down to 40 , and then back to 400, just withing two or three hours.
       Now I no longer use this regime. I take only long acting Lantus Solo Star, three or four shots daily because of high dose of it, 300 units daily. So I take never more then 100 units in one shot, usually 80 units. Lantus Solo Star is peakless, no need to combine it with food. Usually I take insulin , even it does not need to e taken with food at the time of meal. But if I do have low blood sugar, before I go to take something to eat, I take insulin shot. It works for me in best and very surprising way.
        Now about self - initiating of insulin therapy. Who suppose to initiate this type of treatment? Doctors? They are really very Insulin Resistant. 95% of American Diabetics are insulin - independent, and mortality due to diabetes on spot number 7. It took me years to get insulin, a lot of fighting with many doctors. Many times they try to push me out of insulin, pretend that because of I am diabetic type 2 I do not need insulin. Of cause, with insulin my glucose level under tight control, so diabetes would not be confirmed. If it is higher then normal then the most stupid questing every med pro ask, "Did you eat?" I did, I do, I will do it every day, a few times daily, don't you?
        There are so many pages how to inject insulin, why do start insulin, and so so on... . Any box with insulin has this info. All this info diabetic must have at first day when insulin was Rx. Otherwise, how we suppose to start it? So, the book is for whom? Med pro? LOLOLOL! For diabetic? Of cause not. For money and recognition. MD will publish in its resume that he published book. Also because of he is char of education department people will forced to buy it. They even will discuss it. Do not ask question, these educators do not know answers. Just take a look at who is teaching.
    I am really very serious. Better to go to someone who post blogs and share info and own experience how they are dealing with high numbers. There are many good bloggers on Google. At least it is free and it is honest.


via Ravenvoron

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