Doctor insights on:
Insulin coma: A little piece of history here. Many years ago (pre-ect) Insulin coma ("ict") was a form of treatment for people who were psychotically depressed, schizophrenic, etc. This was done on special units in psychiatric hospitals, and level and length of coma were strictly regulated so that people did not die. Much safer, more effective treatments exist today. http://tinyurl.com/n6cloku. ...Read moreSee 2 more doctor answers
A condition characterized by having too much insulin in the blood. This can lead to having too little glucose (sugar) and if the blood sugar falls too low, the body no longer has enough fuel to carry out its regular functions. In insulin shock, the body becomes so starved for fuel that it ...Read more
Insulin and shock: If you mean can hypovolemia be caused by low Insulin levels, the answer is "yes". Patients with low Insulin levels can have a large urine output that, if not corrected by giving enough insulin, can dehydrate a patient. This is what happens to those diabetics who go into ketoacidosis, type1, and those that go in a hyperosmolar state, type 2. Fluids and Insulin administration are required to treat. ...Read more
Could reducing dose of non-selective beta blocker cause insulin surge while still blocking compensatory sugar control and induce hypoglycemic shock?
Hypovolemic shock: Hard to answer your question. In diabetic ketoacidosis, Insulin is absent/low, glucagon high, and you can have hypovolemic shock (along with high blood glu, ketones, acidosis, etc). If you have hypovolemic shock from something else (eg. Sepsis), many hormones react to the situation. A minor "imbalance" in insulin/glucagon may alter blood glucose but does not cause shock. ...Read more
Can someone explain to me how come patients with septic shock be treated with insulin and corticosteroids?
To improve survival: Steroids may be used in septic shock that persists despite max support. The adrenal may suffer during shock and glucose metabolism is off , necessitating Insulin especially when giving steroids. The steroids are in low to intermediate dose. High dose steroids in septic shock are associated with higer mortality. ...Read moreSee 1 more doctor answer
Insulin resistance: Many people are Insulin resistant. That means you have to make more Insulin to keep blood glucose normal. The most common cause is obesity/overweight and sedentary lifestyle. Genetic predisposition. Medications and medical conditions can contribute. So the solution is to fix the problem: diet and exercise. I actually do not measure insulin, since it will not change what i would do anyway. ...Read more
Insulin resistant: If you are taking insulin and your blood sugar is high, you are not insulin resistant but you are not taking enough insulin. There are two ways around this: 1: Increase your insulin bit by bit for a while. 2: Make changes to your diet. See "Nuval" on line. 3: Exercise as regularly as you can. 4: Work your way to needing less insulin. ...Read more
Samples, pharmacy: If you have a primary care doctor, the office may have some samples of the Insulin you take. Many states do not require a prescription for purchasing Insulin from a pharmacy. One source i just checked says most counties in fl do not require a rx. If you're purchasing it without a prescription, be sure you're getting the form of Insulin you need. The pharmacist can help. ...Read more
A doctor is required: This is really the role of a physician or diabetes educator for although there are general formulas that guide estimates, there are many variables that must be taken into account. For example, the usual total dose (tdd) varies from 0.5 to 1 unit per kg of body weight. In choosing which dose to start with lies a medical judgment. ...Read moreSee 1 more doctor answer
Stop insulin?: That is a very troubling question! If you have diabetes and have been prescribed insulin you could be in big trouble if you suddenly stop. Please work towards getting rid of insulin by taking proper food - go online to "NuVal" - and exercising regularly. A visit to a dietitian would help as would a visit to a trainer. ...Read more
Who knows?..: I think the more urgent question is why are you concerned about ways of dying? If you have homicidal or suicidal urges you should not act on them and seek emergent psychiatric help. Only someone who has experienced a death from hypoglycemic coma can answer your question - a rather unlikely source of information in this life.. ...Read more
Metabolic syndrome: Insulin resistance or metabolic syndrome is a clinical diagnosis made by having at least 3 of the following 5 problems: waist size (at level of belly button) >40 in. In men, >35 in women, fasting triglycerides >150, HDL chol <40 in men, <50 in women, BP >130/85, and fasting glucose >100. A high Insulin level is not part of the criteria, but often is seen as a high fasting c-peptide level. ...Read more
Pancreas: If you have insulin deficiency or insulin resistance you will need proper care as prescribed by your doctor. No you cannot get improvement without drugs for diabetes! If you have type 2 diabetes you can carefully decrease your need for insulin drugs by careful food intake and exercise. That won't happen overnight but keep it up and you might no longer have diabetes. ...Read moreSee 1 more doctor answer
Depends: Hi. The simple answer is NO. You need to discuss a goal blood glucose range with your doctor. The right insulin dose for you is what best keeps you in that range and avoids hypoglycemia. BTW, giving a diabetic a range of 80-120 is very unrealistic; normals can't stay in the range of 80-120. Be realistic and in goal range, and shoot for A1c as low in the 6's as you can safely achieve. Good luck! ...Read more
"It"???: Hi. Hmm... What do you mean by "it"? Is "it" your pancreas? I hate to guess, but I'm forced to. Type 1's don't make insulin, and type 2's don't make enough insulin to keep them from being diabetic. Type 1's MUST take insulin. Type 2's have many options including insulin. Treatment choice depends on many factors in type 2. Good luck! ...Read more
Maybe not: We often worry about transmission of diseases such as HIV or hepatitis with needle sticks , but if u know your sister does not have these then testing is useless. Beyond that, a simple needle/lancet prick would not cause you harm--your sister does that every day. If you are still concerned, consult doc. Good luck. ...Read more
See your doctor!: Hi. There is absolutely NO WAY we docs out here in internet-land can have any inkling of how much insulin you should take! Are you on N & R, N only, or pre-mixed 70/30? What is your BG goal range? How many times/day do you test your sugar? You need to go over all this with your doc. If anyone on here gives you a dose to take without knowing your case, please ignore & wait until you see your doc! ...Read more
Call your doctor : If your requirements exceed the allotment in your prescription call your doctor's office to change the amount of Insulin you get at a time. Running out of Insulin is a potential emergency. In some states you don't need a prescription to get insulin. Check with your local pharmacy. Though, without one you may have to pay out of pocket. ...Read more
No absolue way: Hi. There is no simple test for this. Type 2's are classically thought of as insulin resistant, although I have plenty of type 1's who are insulin resistant (obese, sedentary, glucose toxicity, etc). Type 2's usually require at least 1 unit/kg/24 hours (and often more). There is an equation called the homeostatic model assessment (HOMA) which can assess insulin resistance. Bottom line is, CONTROL! ...Read more
What to do if i know that it has to do with too much insulin in the body, but what are some symptoms?
If you're not : Injecting insulin, then you don't have too much Insulin in your body. Hypoglycemia is a myth, except with cancer, liver or kidney failure, GI surgery etc. What you're experiencing is a return to normal glucose in a body that is overweight and Insulin resistance, and on the road to developing diabetes later in life unless they learn to change their lifestyle and lose weight. ...Read more
I was 48kgs 4 months back and suddenly gained 9 kgs within 4-5 weeks due to increased levels of insulin and pco syndrome.
I am SEVERELY insulin resistant. On human 500...30-60 u a day. Still not controlled. Have tried many meds...insulins...options?
Severe ins resistanc: Severe Insulin resistance (IR) requiring U500 Insulin is more and more common. There are genetic forms of IR (eg. Insulin receptor defects, lipodystrophy), but these are rare. Talk to your endocrinologist. Is there something causing IR (eg. steroids, infection, inflammation). Diet/weight loss is probably the most important factor now. ...Read more
Not a problem: Insulin is safe in pregnancy, in fact it is definitely first line therapy for a lot of women who have diabetes in pregnancy. The most important thing to remember in pregnancy, is that your blood sugars can fluctuate more widely when you have diabetes in pregnancy, thus frequent monitoring is essential. Also meeting with nutritionist to make sure you're on a diabetic diet is essential as well. ...Read more