Doctor insights on:
Insulin Pump Vs Artificial Pancreas
Depends on you: Taking Insulin by injection or by pump are both good options. There are very many well-controlled people with diabetes who do each. The primary question is which of the two ways of delivering Insulin will work best for you. People like using Insulin pumps because it simplifies the math associated with accurate testing and because it offers more flexibility in hour by hour and day by day dosing. People like injections because they are simpler and do not require being tethered to a device all the time. ...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
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
Patch pump: Hi. Omnipod is a "patch pump", meaning the pump attaches directly to your skin every 3 days, and there is no tubing attaching the pump to the infusion site like there is in traditional insulin pumps. There are plusses and minuses to both types of pumps, and neither type does anything for control you can't do with multiple daily injections using analog basal and bolus insulins. CGM is more vital. ...Read more
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 moreSee 1 more doctor answer
Does metformin regulate glucose made by liver? What's best way to treat diabetics, control liver glucose production or pancreatic insulin production?
Yes but there's more: One of metformin's actions is reducing liver glucose production. It also helps improve the body's use of insulin, aka Insulin sensitivity. This is key to long term health with diabetes. Eating smart, exercise, and keeping to a good weight also help. Metformin is our usual first choice & meds that increase pancreatic Insulin production are not , but you & your doc must pick what's best for you. ...Read more
Insulin dependent diabetes: is there any other treatment to reactivate pancreas to generate insulin?
Both biosynthetic : Novolog and Novolin R are both meal time insulins. Novolog can injected before or immediately after meals, while Novolin R must be at least 30 minutes before meals.Novolin n is as basal insulin. Novolog has a quickest onset, shortest duration of action, least absorption variability, and reduces chances of low blood sugar( hypoglycemia) if used right compared to Novolin R and n respectively. ...Read more
Type 1 diabetic actively exercising & healthy eating looking for right lantus (insulin glargine) dose.
Lantus (insulin glargine) dose: Hi. I applaud you for your healthy lifestyle and dedication to tight diabetes control. Finding the right Lantus (insulin glargine) dose can be trickier than people think, especially for an active type 1. I was on Lantus (insulin glargine) for about 6 years before going on CGM in 2006. CGM is THE perfect way to find the right Lantus (insulin glargine) dose, but not everyone uses CGM yet. Do you? My guess is no, or you'd have dialed in the right Lant dose ...Read moreSee 1 more doctor answer
Hi, diabetic, hypertens, on lantus (insulin glargine) and amaryl 2x3 glucophage5oox4, novonorm2x3 , A1c 9.7 cannot do more excercise due to arthralgia and oa chages ?
WEIGHT LOSS CRUCIAL: WEIGHT LOSS IS CRUCIAL : I recommend a gluten free diet &WHOLEAPPROACH.COM/GUTBLISS.COM. If you have any sleep issues I would recommend as sleep study, there is a high overlap of sleep apnea and diabetes. Also I use Topamax (topiramate) in the evening for my diabetic patients it help with sleep/weight loss & improves insulin receptor sensitivity. ...Read moreSee 2 more doctor answers
Insulin: If you have type 1 diabetes, you need insulin, which can be from injections or the pump that is placed inside you. Type 2 diabetes is from Insulin resistance and can be treated with oral medication and as that fails, you will need diabetes. The pump is an option, pancreatic transplants in certain candidates is another option. ...Read moreSee 1 more doctor answer
Seldom: Required? Can't think of any situation where a pump is required. A pump may help someone achieve tighter glucose control, including pregnant women, people who need very small doses, people whose activities and schedule changes day-to-day, or people whose basal Insulin requirement varies through the day. Willingness to learn carb counting and to check frequently are key to getting better results. ...Read moreSee 1 more doctor answer
Basal insulin: 40% of the Insulin a pancreas makes is done constantly and the other 60% is done to respond to your carbohydrate ingestion(when you eat). Lantus (insulin glargine) is the first Insulin that was design to take care of that 40% because it is designed to work over 24 hrs without any peak in action minimizing low blood sugar reactions. ...Read more
Is it real that januvia (sitagliptin) 100mg made pancreas cells produce more insulin ( made beta cells more active )?
Incretin: Januvia (sitagliptin) is an incretin which inhibits the breakdown of an enzyme called dpp-4. Dpp-4 breaks down glp-1. Glp-1 stimulates Insulin and inhibits glucagon (which raises glucose). Inhibition of glp-1 breakdown means it can stimulate more Insulin and inhibit more glucagon. ...Read more
Yes: Igf-1 is a potent glucose lowering agent , in fact the new Insulin analogs Humalog (insulin lispro) and NovoLog have alterations in one of the Insulin components that were derived from the observation that when igf-i was injected through the skin it lowered the sugar faster than regular insulin. ...Read more
Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more