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