| Practical Aspects Of Insulin Therapy |
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| By Dr. Anil Kapur |
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| Diabetes mellitus has been known since ancient times. The principle of management of diabetes hinges on achieving a healthy balance between food intake, exercise and "insulin effect". |
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| The indications for insulin in the management of diabetes mellitus are generally described as absolute and relative. But in this booklet the terms “Regular” and "Intermittent Use", are used for the simple reason that wherever insulin is indicated, its use is essential and absolute; whether it be on a regular basis or intermittently for short periods to tide over acute problems. |
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| A) Regular use of insulin |
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- IDDM or Type I diabetes
- NIDDM patients with OHA failures
- Malnutrition related diabetes mellitus (MRDM)
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| B) Regular use of insulin |
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- NIDDM patients during
- acute infection
- major surgery
- acute myocardial infarction, stroke, etc.
- acute fever
- acute metabolic emergencies e.g. hyperosmolar coma, lactic acidosis
- pregnancy, labour and delivery
- Gestational diabetes mellitus
The contents discussed in the booklet are:
- Introduction
- Role of insulin in diabetes therapy
- Types of insulins
- Choosing insulins
- Initiating insulin therapy
- Insulin regimens
- Factors affecting insulin therapy
- Complications of insulin therapy
- Practical tips
- References
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