Doctor insights on:
Insulin Pump Accessories For Adults
Is a diabetic insulin pump with the new attachable 24-7 glucose monitor more convenient than traditional insulin pumps?
Yes, and better: The continuous glucose monitoring systems represent a tremendous advance in the ability for Insulin controlled diabetics. Although they still need to check a few times a day to calibrate the meter, the continuous monitoring allows the system to anticipate trends, such as falling glucose levels and adjust the pump rate accordingly. With attention to diet and good training, the system is much safer. ...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
For working moms who pump at work how many times a 2,5 old baby must suck breastmilk in order to maintain milk supply ?
Not clear: One of the few problems with breastfeeding is that there is no dial on the breast which tells you how much the child has eaten. You can just say he sucked 25 minutes or so but that doesn't answer the question as to how much he has sucked from you. If at the end he is smiling he has probably gotten enough. There are meds which can stim milk production. Metoclopramide x 5 d freq works. ...Read more
I'm trying to find out which insulin may be better for me. Apidra (insulin glulisine) or novalog. My insurance doesn't consider apidra (insulin glulisine) to be a preferred brand anymore..
Yes: But lancet might be too big, don't test your baby unless given doctors orders to do so. ...Read more
Insulin pump: It is a good insulin pump, and many users like it. However, an insulin pump often does not solve your blood sugar issues. It requires a lot of care, and you still need to check your glu many times per day. If you are thinking about a pump, you should be talking to an endocrinologist who uses a lot of pumps and who can guide you through this. ...Read more
Are novolin (insulin) 30r the same with novolin (insulin) 70/30 ? My mom use novolin (insulin) 30r(novonordisk) in china, she will come usa to see me, i only find novolin (insulin) 70/30 here
Is it recommended for people who suffer from congestive heart failure to take special precautions with their dental care?
CHF: Congestive heart failure patients usually have structural abnormalities of the heart muscle and can have rhythm abnormalities so yes. Dental care both in the office and at home is important. A the dentist some office procedures and drugs could be problematic. Poor dental hygiene at home could result in infections which could cause valve problems. So dental care is important. ...Read moreSee 2 more doctor answers
Depends: The most common drug that we use for Insulin resistance is metformin. For various reasons that is often held during hospitalizations. If one is on acots prior to going into the hospital that might be continued depending on the clinical scenario. Other aspects of the Insulin resistance syndrome like elevated blood pressure or lipid problems will be addressed as separate problems. ...Read more
Wearable defibrillat: The defibrillator vest is an option for bridging an extensive mi patient over the 90 day post mi period before the patient might become a candidate for implanted icd. Because ef often improves over post mi 90 days, we wait that period before deciding a patient with immediate post mi ef of 30% or less is an icd candidate. ...Read more
13yr old with type 1 dm and proteinuria will these conditions make her eligible to apply for disability?
Maybe: Most people with type 1 dm lead relatively normal lives and become teachers, doctors, factoey workers and the like. Proteinuria varies in its importance from orthostatic (benign) to those with major kidney damage and progressive kidney failure. It is a bit early to write off a 13 year old as disabled with such a variable illness. With motivation & proper care the kid could do wonderful things. ...Read more
Less than a week: It is time for a talk with the patient or family on advanced directives. Iv fluids will not sustain life and she probably would pull out tubes. We cannot chemically or physically restraint her so the family needs to look at quality of life and make a decision. ...Read moreSee 1 more doctor answer
When is the optimal time for exercise for iddm using 100 units daily of both humalog (insulin lispro) and lantis?
Basal or Adj insulin: Best time is when only your basal Insulin is on board, to reduce risk of lows. If that doesn't fit ur schedule, u may have to take a negative correction for the dose of Humalog (insulin lispro) that precedes your exercise, ex. Cut down lunch Humalog (insulin lispro) if exercise at 1:30pm. The amt to reduce varies bet'n ppl; exercise, chk before and after so u know ur bg response, and can better guess how much Humalog (insulin lispro) to subtract. ...Read moreSee 1 more doctor answer
A 65 years old diabetic who takes insulin as treatment, can a person take any oral medication instead of insulin to control the disease?
Last resort: Insulin is often considered a last resort, given the potential complications and difficulties taking it. And often we try one of several classes of oral meds first. However, sometimes when a person's sugars are really high, it is easy to assume that it is beyond the ability of the oral meds, and we will go straight to insulin. ...Read more
Several: Deciding to use a pump with or without cgm is a personal decision. Some reasons it may not be right might include increased cost, complexity, not wanting to be dependent on a machine, very active lifestyle, self-consciousness, or not wanting to test as often as expected with a pump or cgm. It's a great choice for many patients, but not for everyone. ...Read moreSee 1 more doctor answer
Depends: There are different periods of sudden cardiac death risk, that don't yet, require an implantable defibrillator. These periods can be shorter, or occasionally longer, than 90 days, but may provide protection with a wearable defibrillator, until either a permanent implantable one can be placed or the risk of sudden death is low enough to not need the extra protection. ...Read more
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