Insulin Therapy Center

Ricardo, a 35-year-old man, newly diagnosed with type 1 diabetes, was hospitalized for diabetic ketoacidosis (DKA).  Once he was stabilized, he wanted to go home. He refused to learn how to self-administer insulin. However, he was told he would not be discharged until he self-administered insulin, at least one time....

by Sheri Colberg, Ph.D., FACSM
Addressing how to balance blood glucose levels during (and after) exercise with type 1 diabetes is not new. In fact, it is likely the KEY topic to address to be successful at being physically active if you take exogenous insulin and want to prevent hypoglycemia or hyperglycemia during exercise. Strategies include changing in insulin doses and/or supplementing with food, either of which can be done in myriad ways depending on the activity, timing and more.

Research into a new insulin analog with similar safety and efficacy as current long-acting insulins may help overcome clinical inertia. 

In an inpatient setting, a type 1 diabetes patient was scheduled for surgery the next morning. The patient was to be NPO after midnight and so the RN on duty withheld the patient's Lantus. The patient's glucose crept up, but this was not communicated....

American Diabetes Association® Secures Insulin Price Reductions for Seniors Through New CMS Senior Savings Model – New Program Will Cap Medicare Monthly Co-Pays at $35  ARLINGTON, Va. (May 26, 2020) – Today, the American Diabetes Association (ADA) joined the Centers for Medicare and Medicaid Services (CMS) for a White House event to announce the …

The majority of patients with type 2 diabetes fail to maintain glycemic goals over time after initial success with standard interventions. 

A middle-aged woman, with mild obesity and type 2 diabetes, was hospitalized in the ICU, and the order on her chart was documented "Lispro 90 units at HS," then the "9" was crossed off and a "6" written above it....

Insulin has changed the game in managing people with diabetes but has the potential to cause unwanted severe adverse effects in women 65 years of age and older.  

A patient who had had diabetes for over a year visited the office complaining that her A1c was high. Still, when she checks her blood sugars, they are low almost every day; she’s had many hypoglycemic reactions and doesn't understand how that could happen.... 

Do meals with high fat or high protein content allow for the prescribed insulin dose to balance a patient with type 1 diabetes’s glucose levels?