Intensive insulin therapy: Restricted blood sugar command

Intensive insulin therapy can assistance stop prolonged-term diabetes issues. Contemplate the rewards — and fully grasp the determination.

By Mayo Clinic Employees

If you have type one diabetes — and in some cases if you have type 2 diabetes — intensive insulin therapy might enhance your prolonged-term well being.

Insulin therapy can consider some work, but the rewards are true. Perform with your well being treatment workforce to understand if intensive insulin therapy may be the finest technique for you.

What is intensive insulin therapy?

Intensive insulin therapy is a treatment method technique intended to maintain your blood sugar levels closer to the levels of an individual who isn’t going to have diabetes. This treatment method involves near checking of blood sugar levels and various doses of insulin.

Newer approaches of blood sugar checking and insulin shipping might make it much easier and safer to manage much more usual blood sugar levels. A person these types of approach is named a sensor-augmented insulin pump. This program brings together continual blood sugar checking, insulin pump shipping and a personal computer algorithm that controls some of the insulin shipping.

Location a blood sugar goal

The American Diabetes Association (ADA) encourages individualized blood sugar aims. But the ADA implies that most grown ups purpose for a hemoglobin A1C of considerably less than 7%. Hemoglobin A1C is an indicator of your blood sugar command for the earlier number of months.

If you would like to maintain your blood sugar levels lessen, work with your physician to established a goal based mostly on your age, in general well being and other unique variables. Your physician can advise you what your excellent every day blood sugar array is, as nicely as how to alter your insulin dosing to satisfy that goal.

What are the rewards of aiming for a lessen blood sugar?

When you continually work on trying to keep your blood sugar levels closer to usual, you might stop or gradual the progression of prolonged-term diabetes issues.

Striving for a hemoglobin A1C of considerably less than 7% can decrease your chance of:

  • Eye destruction from diabetes
  • Diabetes-relevant nerve destruction
  • Kidney ailment from diabetes
  • Diabetes-relevant coronary heart ailment and stroke
  • Skin ulcers from diabetes

What is the determination?

For restricted blood sugar management on insulin therapy, you can expect to need to:

  • Just take various every day doses of insulin. You might need an injection of shorter-acting insulin right before just about every meal and an injection of intermediate or prolonged-acting insulin as soon as or twice every day, generally just right before bedtime. Or you might select to use an insulin pump, which releases insulin into your overall body by means of a plastic tube put under the skin on your stomach.
  • Examine your blood sugar typically. You are going to need to check out your blood sugar at least 4 times a day, right before meals and bedtime. Your physician might check with you to compose down the results of just about every blood sugar exam.
  • Track how meals and physical exercise impacts your blood sugar. What you try to eat has a direct effect on your blood sugar. When you are on insulin therapy, you can expect to need to depend the carbohydrates in your meals to make sure that you get the good dose of insulin for meals and snacks. Physical action also influences blood sugar.

Are there threats to trying to keep my blood sugar levels lessen?

Intensive insulin therapy might lead to:

  • Low blood sugar. When you have restricted blood sugar levels, any modify in your every day plan — these types of as doing exercises much more than regular or not having adequate — might trigger reduced blood sugar (hypoglycemia).

    Be informed of early symptoms and symptoms of reduced blood sugar, these types of as shaking, irritability, starvation and confusion, and respond immediately. Always have glucose tablets with you to handle reduced blood sugar. Or if available, consume a glass of orange or apple juice or have a number of pieces of challenging candy.

  • Weight attain. Sometimes, the use of insulin prospects to excess weight attain. To restrict excess weight attain, closely comply with your physical exercise and meal ideas.

Is intensive insulin therapy right for you?

Intensive insulin therapy is recommended for most men and women who have type one diabetes and for some men and women who have type 2 diabetes — but it is not right for all people.

Intensive insulin therapy might not be for you if:

  • You battle with recurrent or severe bouts of reduced blood sugar
  • You never experience the effects of reduced blood sugar (hypoglycemia unawareness)
  • You are an more mature grownup
  • You have memory difficulties
  • You have prolonged-standing type 2 diabetes
  • You have coronary heart ailment, blood vessel ailment or severe diabetes issues
  • You usually are not willing or ready to keep track of blood sugars and inject insulin a number of times a day

You and your well being treatment workforce can weigh the potential threats and rewards of intensive insulin therapy to make a decision if it’s right for you.