Case Study: Competitive exercise
|
|
- Betty Newman
- 5 years ago
- Views:
Transcription
1 Case Study: Competitive exercise 32 year-old cyclist Type 1 diabetes since age 15 Last HbA1 54 No complications and hypo aware On Humalog 8/8/8 and Levemir 15 Complains about significant hypoglycaemia when he trains.? Refer to the Training day blood glucoses record page what would you advise to this patient? You may find the supporting information helpful
2 SMBG (mmol/l) mmol/l 12 Training day blood glucoses Breakfast And 6u Start of exercise 5:00 6:00 7:00 8:00 9:00 10:00 Time of day
3 Three times to think about During 1 Hour after 6-8 Hrs after
4 Strategy Advantages Disadvantages Reducing pre-exercise bolus insulin Reducing pre-exercise basal insulin Taking extra CHO with exercise Pre- or postexercise sprint Summary of Clinical Strategies to Maintain Glycaemic Control With Exercise Reduces hypoglycaemia during and following exercise; reduces CHO requirement As above Useful for unplanned or prolonged exercise Reduces hypoglycaemia following exercise Needs pre-planning; not helpful for spontaneous exercise or for late post-prandial exercise As above, causes pre- and late post-exercise hyperglycaemia May not be possible with some exercises; not helpful where weight control is important; easy to over-replace causing hyperglycaemia Effect limited to shorter and less intense exercise Lumb AN, Gallen IW. Curr Opin Endocrinol Diabetes Obes. 2009;16:
5 Insulin changes need for different exercise times Time of day Pre breakfast no change Change in insulin No change insulin 1-2 hrs after breakfast Reduced pre dose insulin (start 50%) Before lunch and 2 hours after breakfast No change insulin 1-2 hours after lunch Reduced pre dose insulin (start 50%) Before supper and 2 hrs after lunch Between supper and bed Reduce morning background by 10% Reduced pre dose insulin (start 50%) And decrease pm background by 10%
6 Different insulin regimes Actrapid or Humulin S Hypo risk Novorapid or Humalog Hypo risk 0 2 h 4 h 6h
7 Guidelines for the reduction of the pre-meal insulin lispro dose in relation to the intensity and duration of postprandial exercise. Exercise intensity (% VO 2 peak ) % Bolus Dose reduction 30 min of exercise 60 min of exercise * * Extrapolated Rabasa-Lhoret, R. et al. Diabetes Care 2001
8 Race Day! On race days, he finds that his glucose values rise significantly and are uncontrollable. He often has to drop out of races due to poor performance on these race days Refer to his CGM tracing page. What could you advise to address the following: Strategies to manage race day stress Insulin dosing
9 Case 1 CGM tracing Breakfast + 4 u of Humalog Lunch + 8u of Humalog Dinner + 8 u of Humalog 15 U Levemir
10 Strategies for nocturnal hypoglycemia using DAFNE 1. Bedtime snack with protein and starch (Kalergis M et al. Diabetes Care 2003; Campbell et al., Diabetes Care 2014) 2. Basal insulin adjustment? NPH reduce by 20%? Split glargine dose could be reduced by 20%?
11 Basal reduction of 20% help limit nocturnal hypoglycemia Ages ~13, n=16 60 min aerobic cycling was performed in the afternoon Bedtime with no change in pump setting, or with a 20% reduction in basal at bedtime for 6 hrs, or oral terbutaline (2.5 mg) Taplin Ceet al., J Pediatr Nov;157(5):784-8
12 Case 1 Options are Eat earlier Eat later with greater reduction in insulin Taken addition carbohydrate just before event
15 th Annual DAFNE collaborative meeting Tuesday 28 th June 2016
15 th Annual DAFNE collaborative meeting Tuesday 28 th June 2016 Sponsored by: Abbott Diabetes Care and Lilly Diabetes Type 1 and exercise Royal Berkshire Hospital Centre for Diabetes and Endocrinology
More informationOlympic diabetes What have we learned over the last decade? Ian Gallen Jephcott Symposium 9 th May 2012
Olympic diabetes What have we learned over the last decade? Ian Gallen Jephcott Symposium 9 th May 2012 Diabetes and exercise Ian Gallen Challenges in the management SR s diabetes prior to 2000 Olympic
More informationHypoglyceamia and Exercise
Hypoglyceamia and Exercise Noreen Barker Diabetes Specialist Nurse May 2016 Hypoglyceamia What is a hypo? Why are we concerned? Signs and symptoms Treatments Causes Hypo unawareness Managing diabetes and
More informationINSULIN THERAY دکتر رحیم وکیلی استاد غدد ومتابولیسم کودکان دانشگاه علوم پزشکی مشهد
INSULIN THERAY DIABETES1 IN TYPE دکتر رحیم وکیلی استاد غدد ومتابولیسم کودکان دانشگاه علوم پزشکی مشهد Goals of management Manage symptoms Prevent acute and late complications Improve quality of life Avoid
More informationPrior to making any insulin adjustments the following knowledge and skills are required:
Diabetes Control Diabetes Control Food, activity and insulin influence your blood glucose levels. At times it may seem like a juggling act as you attempt to balance these three factors. Home blood glucose
More informationAdjusting Insulin Doses
Adjusting Insulin Doses Everyone with diabetes, including you, will need to adjust your insulin doses at some time. There are several reasons why a person may need an insulin adjustment. These reasons
More information24 Hour Support. Telephone Available 24 hours a day, 7 days a week
Contents Page What is SHAIRE? 1 What is basal-bolus regimen? 2 Why do I need a basal-bolus regimen? 3 How does basal insulin work? 3 How does rapid-acting insulin work? 4 How often should I test my Blood
More informationUniversity College Hospital. Exercise and Activity Management Multiple Daily Injections
University College Hospital Exercise and Activity Management Multiple Daily Injections Childrens and Young People s Diabetes Service Being active is an important part of a healthy lifestyle. Being more
More informationAdjusting Your Diabetes Medicine and Diet for a Test or Procedure
health information Adjusting Your Diabetes Medicine and Diet for a Test or Procedure The guidelines below will help you adjust your diabetes medicine and diet as you get ready for your procedure or lab
More informationLET S TALK INSULIN THE BASICS
LET S TALK INSULIN THE BASICS AUTHOR S DISCLOSURES Contracted for program development for Lifescan Canada Speaker for Lifescan, Lilly, BI, Consultant for Lilly, Janssen, Novo Nordisk, Lifescan Canada OBJECTIVES
More informationWorkshop 4 and 9 Helping Endurance Athletes Manage Diabetes Anne Peters, MD Saturday, February 18, :00 p.m. 3:30 p.m.
Workshop 4 and 9 Helping Endurance Athletes Manage Diabetes Anne Peters, MD Saturday, February 18, 2017 2:00 p.m. 3:30 p.m. The treatment of diabetes involves ensuring adequate delivery of fuel to muscle.
More informationTYPE 1 DIABETES AND EXERCISE. Mark W Savage
TYPE 1 DIABETES AND EXERCISE Mark W Savage Acknowledgments Slides with a blue background are cropped and courtesy of both Eli Lilly and Company, and Dr Ian Gallen FRCP Consultant Diabetologist, Royal Berkshire
More informationSelf-Monitoring Blood Glucose (SMBG) Frequency & Pattern Tool
Self-Monitoring Blood Glucose () Pattern Recommendation: Basal Insulin Only (To Target) NPH or long-acting analogue, typically given at. at least as often as is being given. Optional, less frequent can
More informationInformation for Patients
Information for Patients Guidance for Diabetic Persons having an OGD or Bronchoscopy This guidance is provided to assist with your preparation for your endoscopic procedure. If you feel unclear about how
More informationPHARMACISTS INTERACTIVE EDUCATION CASE STUDIES
PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES Disclaimer: The information in this document is not a substitute for clinical judgment in the care of a particular patient. CADTH is not liable for any damages
More informationJanuary 7, 5:00 p.m. EST
Study 3-151 Phase 2 Trial: Preliminary Results BIOD-531, a Concentrated Ultra-Rapid-Acting Prandial/Basal Insulin, Demonstrates Superior Post-Meal Glucose Control Compared to Marketed Prandial/Basal Insulins
More informationPHARMACISTS INTERACTIVE EDUCATION CASE STUDIES
PHARMACISTS INTERACTIVE EDUCATION CASE STUDIES Disclaimer: The information in this document is not a substitute for clinical judgment in the care of a particular patient. CADTH is not liable for any damages
More informationInsulin Management. By Susan Henry Diabetes Specialist Nurse
Insulin Management By Susan Henry Diabetes Specialist Nurse The Discovery of Insulin - 1921 - Banting & Best University Of Toronto Discovered hormone insulin in pancreatic extract of dog - Marjorie the
More informationBeyond Basal Insulin: Intensification of Therapy Jennifer D Souza, PharmD, CDE, BC-ADM
Beyond Basal Insulin: Intensification of Therapy Jennifer D Souza, PharmD, CDE, BC-ADM Disclosures Jennifer D Souza has no conflicts of interest to disclose. 2 When Basal Insulin Is Not Enough Learning
More informationThe design and evaluation of a self-management algorithm for people with type 1 diabetes performing moderate intensity exercise
The design and evaluation of a self-management algorithm for people with type 1 diabetes performing moderate intensity exercise Jacqui Charlton MRes, BSc, PgCTLHE, RGN, Lecturer and Specialist Nurse in
More informationExercise in the recreational and competitive athlete with type 1 diabetes- the benefits, the risks and management strategies
Exercise in the recreational and competitive athlete with type 1 diabetes- the benefits, the risks and management strategies Craig E. Taplin, MD Division of Endocrinology and Diabetes Seattle Children
More informationStroke Hyperglycemia Insulin Network Effort (SHINE) Trial Treatment Protocols. Askiel Bruno, MD, MS Protocol PI
Stroke Hyperglycemia Insulin Network Effort (SHINE) Trial Treatment Protocols Askiel Bruno, MD, MS Protocol PI SHINE Synopsis Acute ischemic stroke
More informationThe principles of insulin adjustment guidance
The principles of insulin adjustment guidance Tips for insulin titration Blood glucose (BG) monitoring is needed to help identify the efficacy of treatment in diabetes. Monitor blood glucose according
More informationMANAGEMENT OF DIABETES IN PREGNANCY
MANAGEMENT OF DIABETES IN PREGNANCY Ministry of Health Malaysia Malaysian Endocrine & Metabolic Society Perinatal Society of Malaysia Family Medicine Specialists Association of Malaysia Academy of Medicine
More informationComprehensive Diabetes Treatment
Comprehensive Diabetes Treatment Joshua L. Cohen, M.D., F.A.C.P. Professor of Medicine Interim Director, Division of Endocrinology & Metabolism The George Washington University School of Medicine Diabetes
More informationStarting Insulin in General Practice
Starting Insulin in General Practice Timothy Kenealy GP & Assoc Prof of Integrated Care, University of Auckland Auckland DHB / my version + Counties DHB version Starting Insulin surprisingly simple, safe
More informationTo test your basal rates it will be important that you keep the same schedule on the days you are testing. Do not do basal rate testing if you:
Basal Rate Testing: Your provider has recommended that you complete one or more basal rate tests. These worksheets will help you in testing your pump settings and making small changes to make sure your
More informationPoll Question 2. Special Boot Camp Workshop Beverly Dyck Thomassian, RN, MPH, BC ADM, CDE President, Diabetes Education Services.
Special Boot Camp Workshop Beverly Dyck Thomassian, RN, MPH, BC ADM, CDE President, Diabetes Education Services Poll Question 1 Mary takes 6 units lispro (Humalog) before dinner. Which BG result reflects
More informationInterpretation and management of fasting hyperglycaemia in adults with Type 1 diabetes using MDI insulin regimen
Interpretation and management of fasting hyperglycaemia in adults with Type 1 diabetes using MDI insulin regimen For many years it was believed that high blood glucose (BG) levels first thing in the morning
More informationInsulin Basics. Bryan Primary Care Conference May 21, 2016 Shannon Wakeley MD Complete Endocrinology
Insulin Basics Bryan Primary Care Conference May 21, 2016 Shannon Wakeley MD Complete Endocrinology Disclosures Speakers Bureau for Sanofi, Astra Zeneca, Janssen, Boehringer-Ingelheim Objectives Discuss
More informationCANDY Camp Application
CANDY Camp Application Please complete the following form and submit it by June 15, 2016. Please mail form to Bonnie Kruse, Diabetes Program Coordinator, HSHS St. Anthony s Memorial Hospital, 503 North
More informationInsulin Initiation, titration & Insulin switch in the Primary Care-KISS
Insulin Initiation, titration & Insulin switch in the Primary Care-KISS Rotorua GP CME 9 June 2012 Dr Kingsley Nirmalaraj FRACP Endocrinologist, BOPDHB & Suite 9, Promed House, Tenth Ave, Tauranga Linda
More informationType 2 Diabetes Mellitus Insulin Therapy 2012
Type 2 Diabetes Mellitus Therapy 2012 Michael T. McDermott MD Director, Endocrinology and Diabetes Practice University of Colorado Hospital Michael.mcdermott@ucdenver.edu Preparations Onset Peak Duration
More informationMixed Insulins Pick Me
Mixed Insulins Pick Me Alvin Goo, PharmD Clinical Associate Professor University of Washington School of Pharmacy and Department of Family Medicine Objectives Critically evaluate the evidence comparing
More informationMANAGEMENT OF TYPE 1 DIABETES MELLITUS
MANAGEMENT OF TYPE 1 DIABETES MELLITUS INVESTIGATIONS AND TREATMENT MANSI NAIK VII SEMESTER INVESTIGATIONS FASTING BLOOD SUGAR PLASMA GLUCOSE HEMOGLOBIN A 1c SYMPTOMS OF TYPE 1 DIABETES MELLITUS Polyuria
More informationFor youngsters and their families
For youngsters and their families Dr Alistair Lumb, Diabetologist Dr Taffy Makaya, Paediatric Consultant in Diabetes Anne Marie Frohock RD, Advanced Paediatric Dietitian. How much exercise should we be
More informationDiabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond)
Diabetes II Insulin pumps; Continuous glucose monitoring system (CGMS) Ernest Asamoah, MD FACE FACP FRCP (Lond) 9501366-011 20110401 Objectives Understand the need for insulin pumps and CGMS in managing
More informationIndividualising Insulin Regimens: Premixed or basal plus/bolus?
Individualising Insulin Regimens: Premixed or basal plus/bolus? Dr. Ted Wu Director, Diabetes Centre, Hospital Sydney, Australia Turkey, April 2015 Centre of Health Professional Education Optimising insulin
More informationCan laboratory based research regarding type 1 diabetes and exercise be applied into the real-life environment?
Can laboratory based research regarding type 1 diabetes and exercise be applied into the real-life environment? Jacqui Charlton MRes, BSc, PgCTLHE, RGN, Lecturer and Specialist Nurse in Diabetes, Metabolic
More informationTips and Tricks for Starting and Adjusting Insulin. MC MacSween The Moncton Hospital
Tips and Tricks for Starting and Adjusting Insulin MC MacSween The Moncton Hospital Progression of type 2 diabetes Beta cell apoptosis Natural History of Type 2 Diabetes The Burden of Treatment Failure
More informationPre admission & surgery Pre-admission Nurses Association SIG Catherine Prochilo Credentialled Diabetes Nurse Educator Sat 23 March 2013
Pre admission & surgery Pre-admission Nurses Association SIG Catherine Prochilo Credentialled Diabetes Nurse Educator Sat 23 March 2013 www.diabetesvic.org.au Plan/ overview Issue/ presenting problems
More informationDiabetes, Type 2 Management
CLINICAL GUIDELINE Diabetes, Type 2 Management A guideline is intended to assist healthcare professionals in the choice of disease-specific treatments. Clinical judgement should be exercised on the applicability
More informationUniversity Hospitals of Leicester NHS Trust. Carbohydrates. A guide to carbohydrate containing foods for people with diabetes
University Hospitals of Leicester NHS Trust Carbohydrates A guide to carbohydrate containing foods for people with diabetes A Healthy Diet This information is designed to help you to understand how carbohydrates
More informationMaking the Most of Continuous Glucose Monitoring
Making the Most of Continuous Glucose Monitoring Gary Scheiner MS, CDE Owner & Clinical Director Integrated Diabetes Services LLC Wynnewood, PA AADE 2014 Diabetes Educator of the Year gary@integrateddiabetes.com
More informationManaging Diabetes when you are having a colonoscopy
Managing Diabetes when you are having a colonoscopy Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified health-care provider.
More informationManaging blood glucose and exercise in young people with Type 1 Diabetes. Dr Alistair Lumb Dr Taffy Makaya Anne Marie Frohock RD
Managing blood glucose and exercise in young people with Type 1 Diabetes Dr Alistair Lumb Dr Taffy Makaya Anne Marie Frohock RD May 2018 www.ouh.nhs.uk/childrens-diabetes Plan Why might exercise be a challenge
More informationDiabetes Skills. Tips to help you keep your Blood Glucose in range. Food. Hypos. Data and Targets. Exercise
Diabetes Skills Tips to help you keep your Blood Glucose in range Food Hypos Exercise Data and Targets Targets: HbA1c NICE (2015) recommendation 48mmol/mol ( 6.5%) As close to this target as is possible
More informationStarting and Helping People with Type 2 Diabetes on Insulin
Starting and Helping People with Type 2 Diabetes on Insulin Elaine Cooke, BSc(Pharm), RPh, CDE Pharmacist and Certified Diabetes Educator Maple Ridge, BC Objectives After attending this session, participants
More informationClinicalTrials.gov Identifier: sanofi-aventis. Sponsor/company:
These results are supplied for informational purposes only. Prescribing decisions should be made based on the approved package insert in the country of prescription Sponsor/company: sanofi-aventis ClinicalTrials.gov
More informationNewer Insulins. Boca Raton Regional Hospital 15th Annual Internal Medicine Conference
Newer Insulins Boca Raton Regional Hospital 15th Annual Internal Medicine Conference Luigi F. Meneghini, MD, MBA Professor of Internal Medicine, UT Southwestern Medical Center Executive Director, Global
More informationAgenda. Indications Different insulin preparations Insulin initiation Insulin intensification
Insulin Therapy F. Hosseinpanah Obesity Research Center Research Institute for Endocrine sciences Shahid Beheshti University of Medical Sciences November 11, 2017 Agenda Indications Different insulin preparations
More informationInpatient Diabetes and Hyperglycaemia. Philip Dyer Heart of England NHS Foundation Trust Birmingham
Inpatient Diabetes and Hyperglycaemia Philip Dyer Heart of England NHS Foundation Trust Birmingham Outline of the Talk Definitions and the burden The impact and the cost A case The effects of hyperglycaemia
More informationInsulin Therapy Management. Insulin Therapy
Insulin Therapy Management Insulin Therapy Contents Insulin and its effect on glycemic control Physiology of insulin secretion Insulin pharmacokinetics and regimens Insulin dose adjustment for pregnancy
More informationHow they work and when to take them. Diabetes Medications
How they work and when to take them Diabetes Medications BIGUANIDES Metformin Actions Slows down the release of glucose from the liver. Helps the bodies cells become more sensitive to insulin. Pros Weight
More informationEAST OF ENGLAND CHILDREN AND YOUNG PEOPLE S DIABETES NETWORK. Optimising Glycaemic Control for Children and Young People with Diabetes
EAST OF ENGLAND CHILDREN AND YOUNG PEOPLE S DIABETES NETWORK Optimising Glycaemic Control for Children and Young People with Diabetes Local diabetes teams need to take on the responsibility of ensuring
More informationInjectable Therapies in Diabetes
Injectable Therapies in Diabetes Diabetes Specialist Nurse Linda Burns Learning Outcomes Understand the place of injectible therapies in diabetes Understand when patients may require insulin therapy Consider
More informationIn-hospital management of diabetes
Dr. Tom Elliott MBBS, FRCPC Medical Director 400-210 W Broadway phone: 604.683.3734 Vancouver, BC fax: 604.628.3821 V5Y 3W2 Canada email: moa@bcdiabetes.ca In-hospital management of diabetes General Management
More informationPeri-operative management of the surgical patient with diabetes GL059
DT Peri-operative management of the surgical patient with diabetes GL059 Approval Approval Group Job Title, Chair of Committee Date Anaesthetics Clinical Governance Chair Anaesthetic governance Nov 2016
More informationAPPENDIX American Diabetes Association. Published online at
APPENDIX 1 INPATIENT MANAGEMENT OF TYPE 2 DIABETES No algorithm applies to all patients with diabetes. These guidelines apply to patients with type 2 diabetes who are not on glucocorticoids, have no
More informationProviding Stability to an Unstable Disease
Basal Insulin Therapy Providing Stability to an Unstable Disease Thomas A. Hughes, M.D. Professor of Medicine - Retired Division of Endocrinology, Metabolism, and Diabetes University of Tennessee Health
More informationSponsor / Company: Sanofi Drug substance(s): Insulin Glargine (HOE901) Insulin Glulisine (HMR1964)
These results are supplied for informational purposes only. Prescribing decisions should be made based on the approved package insert in the country of prescription. Sponsor / Company: Sanofi Drug substance(s):
More informationLearning Objectives. Are you ready for more insulin formulations?
Are you ready for more insulin formulations? Shara Elrod, PharmD, BCACP, BCGP Learning Objectives Review pharmacology and dosing of new insulin formulations Compare and contrast new insulin formulations
More informationHypoglycemia a barrier to normoglycemia Are long acting analogues and pumps the answer to the barrier??
Hypoglycemia a barrier to normoglycemia Are long acting analogues and pumps the answer to the barrier?? Moshe Phillip Institute of Endocrinology and Diabetes National Center of Childhood Diabetes Schneider
More informationInitiation and Adjustment of Insulin Regimens for Type 2 Diabetes
Types of Insulin Rapid-acting insulin: lispro (Humalog), aspart (NovoRapid), glulisine (Apidra) Regular short-acting insulin: Humulin R, Novolin ge Toronto, Hypurin Regular Basal insulin: NPH (Humulin
More informationThis certificate-level program is non-sponsored.
Program Name: Diabetes Education : A Comprehensive Review Module 5 Intensive Insulin Therapy Planning Committee: Michael Boivin, B. Pharm. Johanne Fortier, BSc.Sc, BPh.LPh, CDE Carlene Oleksyn, B.S.P.
More informationGuide to Starting and Adjusting Insulin for Type 2 Diabetes*
Guide to Starting and Adjusting Insulin for Type 2 Diabetes* www.cadth.ca * Adapted from Guide to Starting and Adjusting Insulin for Type 2 Diabetes, 2008 International Diabetes Center, Minneapolis, MN.
More informationBasal Bolus Insulin Therapy Frequently Asked Questions
1. What is Basal Bolus Insulin Therapy (BBIT)? 2. What evidence supports the use of subcutaneous Basal Bolus Insulin Therapy? 3. Does Basal Bolus Insulin Therapy apply to all patients? 4. What s wrong
More informationCounting the Carbs, Fat and Protein in Type 1 Diabetes Translating the Research into Clinical Practice
Welcome to Allied Health Telehealth Virtual Education Counting the Carbs, Fats and Protein in Type 1 Diabetes Translating the Research into Clinical Practice Dr Carmel Smart, PhD Senior Specialist Paediatric
More informationInformation for all patients taking insulin who are admitted to hospital on day of surgery
Information for all patients taking insulin who are admitted to hospital on day of surgery Exceptional healthcare, personally delivered Introduction Many patients are now admitted to hospital on the day
More informationTimely!Insulinization In!Type!2! Diabetes,!When!and!How
Timely!Insulinization In!Type!2! Diabetes,!When!and!How, FACP, FACE, CDE Professor of Internal Medicine UT Southwestern Medical Center Dallas, Texas Current Control and Targets 1 Treatment Guidelines for
More informationTools for Life Introduction to patterns
Tools for Life Introduction to patterns Insulin Food Activity Tools for Life. Questions? 1-800-227-8862 OneTouch.com 2011 LifeScan, Inc. Milpitas, CA 95035 11/11 AW 3085039B 3 YOU + Congratulations for
More informationPERIOPERATIVE DIABETES GUIDELINE
PERIOPERATIVE DIABETES GUIDELINE This Guideline does not replace the need for the application of clinical judgment in respect to each individual patient. Background Diabetes mellitus is estimated to affect
More informationSubjects are requested to perform self-monitoring of blood glucose (SMBG) 4 times per
APPENDIX 1 Insulin Titration Algorithm Subjects are requested to perform self-monitoring of blood glucose (SMBG) 4 times per day. All subjects will be contacted weekly to review hypoglycemia and adverse
More informationINSULIN 101: When, How and What
INSULIN 101: When, How and What Alice YY Cheng @AliceYYCheng Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted in any form
More informationTYPE 1 DIABETES MELLITIS CARE OF WOMEN IN BIRTHING SUITE
TYPE 1 DIABETES MELLITIS CARE OF WOMEN IN BIRTHING SUITE DEFINITION Type 1 Diabetes: described as a total lack of insulin produced by the pancreas for the requirements of the tissues. If left untreated,
More informationINSULIN IN THE OBESE PATIENT JACQUELINE THOMPSON RN, MAS, CDE SYSTEM DIRECTOR, DIABETES SERVICE LINE SHARP HEALTHCARE
INSULIN IN THE OBESE PATIENT JACQUELINE THOMPSON RN, MAS, CDE SYSTEM DIRECTOR, DIABETES SERVICE LINE SHARP HEALTHCARE OBJECTIVES DESCRIBE INSULIN, INCLUDING WHERE IT COMES FROM AND WHAT IT DOES STATE THAT
More informationUNCOVERING THE BENEFITS OF THE ACCU- CHEK BOLUS ADVISOR MICHAEL PORTER CDE
UNCOVERING THE BENEFITS OF THE ACCU- CHEK BOLUS ADVISOR MICHAEL PORTER CDE 1 LEARNING OBJECTIVES By the end of this session participants should be able to understand: The benefits of bolus advisors The
More informationOpinion 18 December 2013
The legally binding text is the original French version TRANSPARENCY COMMITTEE Opinion 18 December 2013 LANTUS 100 units/ml, solution for injection in a vial B/1 vial of 10 ml (CIP: 34009 359 464 9 2)
More informationDiabetes Medical Management Plan
of Plan: School year: Diabetes Medical Management Plan This plan should be completed by the student s personal health care team and parents/guardian. It should be reviewed with relevant school staff and
More informationInsulin and Post Prandial
Insulin and Post Prandial Pr Luc Martinez PCDE Meeting Barcelona 2016 Conflicts of interest disclosure Advis consultant f Amgen Inc.; AstraZeneca Pharmaceuticals LP; GlaxoSmithKline; Ipsen; Lilly; Mayoly
More informationUpdate on Insulin-based Agents for T2D
Update on Insulin-based Agents for T2D Injectable Therapies for Type 2 Diabetes Mellitus (T2DM) and Obesity This presentation will: Describe established and newly available insulin therapies for treatment
More informationImportant Stuff. Basal Bolus What Adjustments? Pt weighs 80kg
Diabetes Boot Camp Class 4 Beverly Dyck Thomassian, RN, MPH, BC ADM, CDE President, Diabetes Education Services Special Insulin and Pattern Management Diabetes Education Services 1998-2015. All rights
More informationThe York Diabetes Care Model
This Session The York Diabetes Care Model The annual review what s it for and how to do it How to make the diagnosis of diabetes and who to test Categorisation of diabetes at diagnosis Basics of Insulin
More informationType 1 Diabetes. Dr. Tom Elliott MBBS, FRCPC Medical Director
Dr. Tom Elliott MBBS, FRCPC Medical Director 4102 2775 Laurel St. phone: 604.675.2491 Vancouver, BC fax: 604.875.5931 V5Z 1M9 Canada email: info@bcdiabetes.ca Type 1 Diabetes Type 1 diabetes (previously
More informationInjectable Therapies in Diabetes
Injectable Therapies in Diabetes Diabetes Specialist Nurse Joyce Robson Learning Outcomes Think about the place of injectible therapies in diabetes Think about when / why patients require insulin therapy
More informationType 1 Diabetes & Continuous Glucose Monitoring. Dr Sheila Cook Director of Diabetes & Endocrinology Toowoomba Hospital
Type 1 Diabetes & Continuous Glucose Monitoring Dr Sheila Cook Director of Diabetes & Endocrinology Toowoomba Hospital Let s consider the traditional diabetes clinic The Diabetes Clinic Whenever I check
More informationCycling for people with type 1 diabetes
Ian W Gallen Consultant Physician and Endocrinologist, Diabetes Centre, Wycombe Hospital, High Wycombe, UK Correspondence to: Ian W Gallen, Consultant Physician and Endocrinologist, Diabetes Centre, Wycombe
More informationAbstract. Mike Grady, Ph.D., 1 Denise Campbell, B.Sc., 1 Kirsty MacLeod, B.Sc., 1 and Aparna Srinivasan, Ph.D. 2 ORIGINAL ARTICLE.
Journal of Diabetes Science and Technology Volume 7, Issue 4, July 2013 Diabetes Technology Society ORIGINAL ARTICLE Evaluation of a Blood Glucose Monitoring System with Automatic High- and Low-Pattern
More informationFine-tuning of The Dose of Insulin Pump
Fine-tuning of The Dose of Insulin Pump The manual does not guarantee specific individual or specific applicability of the environment, there is no express or implied warranties. Contents of this manual
More informationInjectable Therapies in Diabetes
Injectable Therapies in Diabetes Diabetes Specialist Nurse Joyce Robson Learning Outcomes Think about the place of injectible therapies in diabetes Insulin therapy GLP1 antagonists Consider commonly used
More informationDiabetes Head to Toe May 31, 2017
Innovations in Insulin Joanne Reid RN CDE jmreid@gbhs.on.ca Danielle Benedict RPh Outline Setting the stage Insulin as pancreas replacement therapy Commonly used insulins New insulins Case Studies Dosing
More informationNph insulin conversion to lantus
Nph insulin conversion to lantus Search 26-2-2003 RESPONSE FROM AVENTIS. We appreciate the opportunity to respond to Dr. Grajower s request for information regarding Lantus ( insulin glargine [rdna origin.
More informationPhysical Activity. What happens to blood glucose levels during exercise?
Physical Activity Being physically active every day is important for healthy growth and development. Regular exercise can help maintain a healthy weight, reduce blood pressure and improve blood lipid profile,
More informationA review of insulin and insulin regimens in type 2 diabetes
A review of insulin and insulin regimens in type 2 diabetes Joshi S, MBChB, MSc(Pharm) Med, APLS Joshi P*, PhD, FRCP, FRS Med, FICA, MACE Diabetes Care Centre, Louis Pasteur Medical Centre, Pretoria *Emeritus
More informationInsulin Therapies: An Educational Toolkit
University Hospitals of Leicester, Department of Diabetes and Leicester Diabetes Centre: Insulin Therapies: An Educational Toolkit This document is designed for use by those trained and competent in insulin
More informationObjectives 2/13/2013. Figuring out the dose. Sub Optimal Glycemic Control: Moving to the Appropriate Treatment
Sub Optimal Glycemic Control: Moving to the Appropriate Treatment Judy Thomas, MSN, FNP-BC Holt and Walton, Rheumatology and Endocrinology Objectives Upon completion of this session you will be better
More informationInsulin Pumps and Paediatrics
Insulin Pumps and Paediatrics RURAL MATTERS Gippsland Acute Care Symposium Friday 27 th November 2015 Andrea Curtis, BN, Grad Cert Diabetes Education, CDE, CPT I wish (my friends) knew what it felt like
More informationUpdated August /08/2020
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Directorate & Speciality Guideline for the management of adults with diabetes
More informationMellitus undergoing Surgery
Clinical Guideline Care of children Children and young under people with 18 diabetes years mellitus with Diabetes Mellitus undergoing Surgery SETTING FOR STAFF PATIENTS Insert hospital name Medical and
More informationSick Day Guidelines and Ketone Testing
Sick Day Guidelines Sick Day Guidelines and Ketone Testing 6 Steps for Sick Days (All Patients) 1. Prevention: Get influenza vaccination yearly and pnuemococcal vaccination if >65 years old. Eat a healthy
More information