Friday, February 26, 2021

Insulin Therapy

There are several situations in which Insulin is prescribed for diabetics. This is mainly done when the blood glucose levels remain very high in spite of best efforts at diet, exercise and oral anti-diabetic medications. Insulin is also given during hospitalizations, around surgeries, myocardial infarction (heart attacks), and serious medical illnesses in the intensive care unit and during pregnancy.

Insulin is the only therapy for type 1 diabetics.  Insulin is not a last resort medication and can be prescribed at any duration of diabetes. Indeed, there are some situations when the symptoms of high blood sugar such as excessive urination, weight loss, blurred vision may necessitate early initiation of insulin.

Insulin injections are self-administered through thin needles in disposable insulin pen devices. These are taken just underneath the skin form where it is absorbed into the bloodstream.

There are different types of insulins. The basal insulins are usually prescribed once daily at bedtime. These insulins have a relatively flat profile, meaning they are peakless, and therefore in the correctly prescribed doses have a lesser risk of having low blood sugars (hypoglycemia). These insulins are very good for control of blood glucose in fasting state and in between meals.

Another variety of Insulin is the rapid acting insulin. These have a fast onset of action, usually in a few minutes and peak in a couple of hours. Therefore they are taken just before or after a meal. They help to cancel the increases in blood glucose that happen due to meal intake. They are used to keep the after meal glucose under control.

Your physician may prescribed a basal insulin once daily or various combinations of basal and fast acting insulin, called the Basal –bolus regimen.

Pre-mixed insulins have fixed dose combination of fast acting insulins and intermediate acting insulins. These are usually prescribed twice daily.

When you are on insulin you must be educated on the symptoms of low blood sugar or hypoglycemia which include dizziness, fatigue, extreme hunger, sweating, palpitations and confusion. At such times you will have to take two spoons of sugar directly in mouth or in juice and reach a health care facility as soon as possible. Very rarely, you may experience skin allergies due to the injection.

Nevertheless, when prescribed in right doses and situation insulin helps in smooth blood glucose control.

dr_sunil_j_rao

Dr Sunil J Rao
Internal Medicine Specialist
Bahrain Specialist Hospital
Email: sunilj@bsh.com.bh

MOST READ

HH Shaikh Nasser receives Southern Governor

National Security Advisor, His Highness Shaikh Nasser bin Hamad Al Khalifa, today received the Southern Governor, His Highness Shaikh Khalifa bin Ali bin Khalifa...

Bahraini-Kuwaiti relations role model for fraternity, partnership

The Kingdom of Bahrain shares with the State of Kuwait its celebrations of its 60th National Day and the 30th anniversary of its Liberation...

Aspiring Parents get two chances of conception in 1 cycle via IVF

Bahrain Specialist Hospital, whose internationally recognized Center of Excellence for Women Care and a leading IVF Center in Bahrain, is offering couples a limited...

Share Your Suggestions and enquiries with Sunni Waqf Directorate via Tawasul!

The process of communicating with the Sunni Waqf Directorate just became easier and quicker as you can now communicate directly with its officials through...

HH Southern Governor launches ‘Riffa Glory’ book

Southern Governor, His Highness Shaikh Khalifa bin Ali Al Khalifa, launched the 'Riffa’s Glory: Past and Present' book, compiled by the Southern Governorate as...

American School of Bahrain (ASB) introduces Arabic Language and Islamic Studies Program to Impart and Uphold Bahraini Cultural Values

The American School of Bahrain (ASB) has introduced a comprehensive Arabic language and Islamic Studies program as a way of imparting and upholding Bahraini...

On the Directives of HH Shaikh Nasser bin Hamad Al Khalifa, Holding Sports Events and Functions Prohibited Without Approval from Ministry of Youth and...

HH Shaikh Nasser bin Hamad Al Khalifa, Representative of HM the King for Humanitarian Works and Youth Affairs and President of the Supreme Council for Youth and Sports has issued decree...

BRAVE CF Champion Eldar Eldarov Gets Hero’s Welcome And Sparks KHK MMA Year Of Hunting Belts

KHK MMA head coach and BRAVE CF Super Lightweight World Champion Eldar Eldarov was welcomed back upon his return to Bahrain after defending his...

New Marker of Inflammation Discovered by the Arabian Gulf University Health Biotechnology team

The “Molecular Medicines Reports” journal published in January 2021 the results of a study conducted by the Medical Biotechnology Research Team in the College...

Caribou Coffee and Fuddruckers gives 25% to Frontline Heroes and perks to those who took the vaccine

The first quarter of 2020 brought in the first cases of Covid-19 to Bahrain which led to the closing of non-essential businesses and limitations...

Labour Minister praises training institutes’ role

Labour and Social Development Minister, Jameel bin Mohammed Ali Humaidan, has stressed that the outputs of training should meet the needs of the labour...

Maserati MC20 makes its debut in Bahrain

The Maserati MC20, the brand’s new super sports car, made its debut in Bahrain. After its regional debut in the UAE in January, the...

HH Shaikh Isa bin Salman chairs meeting of the Rashid Equestrian and Horse Racing Club High Committee

His Highness Shaikh Isa bin Salman bin Hamad Al Khalifa, Chairman of the Rashid Equestrian and Horse Racing Club High Committee today remotely chaired...

HH Shaikh Nasser bin Hamad Crowns Manal Fakhrawi as Champion of HM the King Endurance Festival Cup’s 160-km Race

Under the patronage of HM King Hamad bin Isa Al Khalifa, the King of the Kingdom of Bahrain, the 160-km race of HM the...