Archive for the ‘Diabetes’ Category


Thursday, June 2nd, 2011
Most people with insulin-treated diabetes first learn that they have diabetes while they are school-children. Most people with maturity onset diabetes discover their diabetes when they are working or after they have retired. Whether you are sixteen or sixty years old, the news that you have diabetes comes as a shock. It is important to get back to your usual daily routine as quickly as possible and thereafter not to allow your diabetes to get in your way. Being diabetic should not prevent you from achieving what you want from life, whether it is a senior management position, a holiday in the sun, a job as a sales assistant or a college education.
Life at school usually has a regular pattern and times of energy output (whether mental or physical) are predictable. This means that you can adjust your food and insulin pattern to suit your activities with a reasonable amount of accuracy.
It is probably easier to take a constant dose of insulin and alter your food intake according to what you will be doing next. However, if you have a very energetic morning or afternoon on the same day every week, it may be helpful to reduce your insulin on that day. For example, you could reduce short-acting for morning activity and intermediate-acting for the afternoon in addition to eating more.
Tom is fourteen years old and takes twelve units of Actrapid (short-acting insulin) and twenty units of Monotard (long-acting insulin) in the morning before breakfast and eight units of Actrapid before his main evening meal. On Tuesdays he has history and geography before break-time, woodwork until lunch-time and football all afternoon. He has had a couple of mild hypoglycemic episodes during football in the past, so he reduces his Monotard insulin to seventeen units on Tuesday mornings, but still takes twelve units of Actrapid. He has his normal breakfast but eats an extra apple at break-time if he is going to do a lot of sawing in woodwork. At lunch-time he has an extra helping of potato and a double portion of dessert. Half-way through football he has a chocolate bar and an apple. He also has a couple of biscuits or crackers before he changes after the lesson, because he will be riding his bicycle home. On some Tuesdays he checks his blood glucose level several times during the day to see if his dietary and insulin changes are being successful.
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