Regular Insulin vs Rapid Acting Insulin by Richard S. Beaser, M.D.February 25, 2017

Richard S. Beaser, M.D., is a practicing physician in the Joslin Clinic and holds the position of Associate Clinical Professor of Medicine at Harvard Medical School. He has also been the Medical Executive Director of Professional Education at Joslin and was instrumental in developing that activity at Joslin, a department he founded in 1990. He currently serves as the Chair of the Continuing Medical Education Committee at Joslin Diabetes Center and is active in professional education as well as the care of people with diabetes.    http://ift.tt/2mwIL94

 WOW! I did know he is MD and staff of Joslin Diabetes Center. Still  did not know that he is on the top of education. So, I have to take his book how to Initiate Insulin Treatment Programs and take closer look at it. Probably I did not understand what does he is educate us, diabetics type 2, how to use insulin in our every day life. Anyway, I am not American born, I am ESL.
Rapid Acting Insulin. Why switch from regular insulin to rapid acting insulin?

problem with hypoglycemia 3 to 6 hours after a dose of regular insulin is used. 

      Sorry, from 3 to 6 hr. after insulin injection it is time to take meal. If diabetic avoid to eat one can get low blood sugar. Anyway, we treat low blood sugar not with insulin dose lowering but with meat, just regular meat on-time. Personally, I do not see that low blood sugar after insulin injection can be the reason to switch to another type of insulin.
        Another point, with rapid acting insulin, what happened? If there is no low blood sugar after taking injection before 3 hours? It is rapid acting insulin. It start to work withing from 5 to 15 minutes. It stay in blood about an hour. Then what? Does blood sugar getting back to high level?

  Significant postprandial hyperglycemia not safely amenable to any other insulin dose adjustment

Still not get why to switch to rapid acting insulin from Regular insulin? Just increase the dose of insulin and do not take another type of insulin if regular insulin works good and beneficial.

Changing to a program  using insulin coverage before each meal plus a long acting basal insulin.

      This is simple, FANTASTIC! Why to change program? What is the reason to change the program? Probably, if there is no change in program then there will no need to switch from regular insulin to rapid acting insulin in first place?  For me it is all the time difficult to get medical brain workout. Now it is not only medical bran but educational as well too, two in one. Too much for me to handle.
      There are many after reasons why to switch from regular insulin to rapid acting insulin, read it if one is interesting. What I do see, it is only different combination of words. But the rea;; and very regular reason to switch from regular insulin to rapid acting insulin is money. Regular insulin one of oldest types of insulin, lowest price. Most older diabetics still use it and they are great with it.  Rapid acting insulin us newer type of insulin. Also these type of insulin in constant development, meaning with constant increase in price. And lastly, rapid acting insulin do not provide good blood sugar control. Diabetic still on high-low swing. Rapid acting insulin demand meal, increases hunger. The result, diabetic will gain weight. Good for profit. There are all the time one to whom to blame, and provider count profit.

via Ravenvoron