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 1 more doctor answer
Insulin resistance is a state in which a given concentration of insulin produces a less-than-expected lowering of blood sugar. This results from obesity and often causes higher blood sugar levels. The early stage of Insulin resistance, known as impaired fasting glucose (IFG) or prediabetes, is potentially reversible with significant weight loss (at least 7 percent). However, without weight loss, Type 2 Diabetes generally results, often causing severe damage to arteries and ...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
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
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
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
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
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
Insulin pumps is a convenient way to give insulin. The Insulin is in a reservoir and gets pumped through a needle into the skin nearby. You can program it to give a variable basal rate, and you tell it how much Insulin to give with meals. However, the pump does not measure glucose. You still need to do this. The Insulin pump is good for type 1 diabetics who are motivated to ...Read more
Anaphylaxis is a severe, whole-body allergic reaction to a chemical that has become an allergen. After being exposed to a substance such as bee sting venom, the person's immune system becomes sensitized to it. When the person is exposed to that allergen again, an allergic reaction may occur. Anaphylaxis happens quickly after the exposure, is severe, and ...Read more