s the z day rule for insulin? Vishwa i MEDICAL COACHING [iE WHLTSLPP GROUP:-+-919990 788855 banan RL EW KDH)BR OS, NG, DMS HE DATs We recommend that you adjust your insulin using the 's day’ rule. The 'z day’ rule can help you to regulate your blood sugar levels. If your blood sugar levels are above or below target levels for three days in a row, then adjust your TaRSSUL IT)MEDICAL COACHING PMIRBS, BAMS, BUDS REG BATCHES Insulin therapy will often need to be started if the initial fasting plasma glucose is greater than 250 or the HbAic owel-y=1c-) mTnany units of insulin is normal? | ee, | Vishwa § BS MEDICAL COACHING | ‘WHITSAP? GROUP:-+91993078855 JDADAR & NERUL (NEW HUM) BR, MBBS. BANS, BHIMS REG BATCHES How much insulin to take per carb? The average person will take about 1 unit of fast acting insulin for every 2 to 1% grams of carbohydrates consumed. There is some variation to this, depending on factors such as how sensitive you are to insulin.out medicine? Exercise DAUAR& xe EW OBR MBBS, BAMS, BHNS REG BATCHES Consistent exercise can lower blood glucose and improve your AxC. It also lowers your risk for heart disease, stroke, and other serious diseases for which diabetics are susceptible. Aim for zo minutes of exercise at least five days Y= =1-) @>. DUE TO DRUGS.. ! Vishwa TIER MEDICAL COACHING fm Any drug which causes Tee can potentially lower the HbAic by reducing erythrocyte lifespan, thereby increasing the proportion of younger cells in the blood. Dapsone, ribavirin and antiretroviral drugs have been reported to reduce the HbAvc in this manner.Can insulin be stopped once started? Vishwa MEDICAL COACHING can be used for several days or weeks to reduce glucose and help the pancreas to revert back to its usual level of functioning - a level that can control glucose supported by oral medicines. Once this occurs, insulin can be stopped.ibAvc between 7 to s normal? = Vishwa my MEDICAL COACHING Jae ‘WHATSIPP GROUP:-+919930783955, |DADAR & NERUL (NEW MOM) BR. MEDS, BAMS, BIMS REG BATCHES Therefore in an evidence-based guidance statement ACP has suggested that HbAic between 7z & sz was okay for most Ta DM patients. This implies that most patients with type 2 diabetes should be treated to achieve an A:C between 7 percent and s per cent rather than 6.5 percent to 7 percent published today.CER CLT ETT eM ol een lara feed MEDICAL COACHING vos oN SIS HATES When should | take insulin? If you take Regular insulin or a longer-acting insulin, you should generally take it 15 to zo minutes before a meal. If you take insulin lispro (brand name: Humalog), which works very quickly, you should generally take it less than « minutes before you eat.jar still high after Sop PADAR & NEROL (NEW MUM) BR. IMBBS, BAMS, BHMS REG BATCHES Insulin isn't delivered consistently when you inject into an area of fatty lumps, which means that insulin can take longer to be absorbed leading to insulin? higher blood glucose levels, or it can be absorbed too quickly, leading to low blood glucose levels. To prevent this, make sure you rotate your injection sites.What does 10,000 steps look like? Ten thousand steps equates to about eight kilometres, or an hour and 40 minutes walking, depending on your stride length and walking speed. But that doesn't mean you have to do it all in one walk.What is normal HbAic by age? MEDICAL COACHING ‘MATAR GHAH-+919.07 RS For people aged 20-a9 years, the authors propose an upper reference limit for HbA«c of 6.0%, compared with 6.% for people 40-69 years, and 6.6% for people who are 60 years or older.NEDICAL COACHING [iil Your HbAsc aN not A) ee aT because the red blood cells in your circulation last for around 3-4 months. Any increases and decreases in your HbAxc will happen over a period of at least 6 weeks. HbAnc is recorded as mmol/mol, and sometimes as a percentage, while blood glucose is recorded in mmol/L.Increased HbAcc: hyperbilirubinaemia, carbamylated haemoglobin, alcoholism, large doses of aspirin, chronic opiate use.‘WHATSAPP GHOUP:-+919930788055, IDADAR & HERUL . JMS, BANS, BEMS REG BATCHES Ahigh hemoglobin Axc. or A:C, shows your body has difficulty regulating glucose levels. An A:C of 6.6% or higher indicates diabetes. Dangerous levels of AvC are 9% and higher. An AxC above 9z increases the risk of long-term diabetes complications like blindness, nerve damage, and kidney failure.le eh ever Since then, | many ae en implemented to measure it. Levels above 207 are rarely seen. The author reports a case of a 6s-year-old fe- male with type 2 diabetes who presented with the highest ever recorded HbAxc of 615%. This report will briefly discuss pitfalls in HbAic measurement.How can | control my diabetes without Te ag Vishwa MEDICAL COACHING WATS GROIP:+919930788955, To help manage your blood sugar levels, try to: eat a well-balanced diet. get at least zo minutes of aerobic exercise per day, five days per week. complete at least two sessions of muscle-strengthening activities per A N(eI-) get enough sleep.Tae MAR & eee EW KIND BR. hte nie HENS ETERS rae i When to Take Insulin L ap Di What is the time Insulin shots are most effective when you take them so that insulin goes to work when glucose from your food starts to enter your blood. For example, regular insulin works best if you take it so minutes before you eat.Can | eat « minutes after insulin? Vishwa y MEDICAL COACHING Ja In a group of ere #0 diabetics, researchers found that blood sugar levels remained steady regardless of whether or not participants left a 20 to zo-minute gap between using insulin and eating a meal. The diabetics overwhelmingly preferred being able to eat right away, too.See MEDICAL COACHING Wun? Geeun. +4190 78HN55 JDADAR & NERUL(HEW MIM) BR. 7o-1%9 Mg/dL — o UNits 40-%0 mg/dL - z units subcut 1-240 mg/dL - 4 units subcut 241-300 mg/dL - 6 units subcut zo1-3s0 mg/dL - 8 units subcut 361-400 mg/dL - » units subcut If blood glucose is greater than 400 mg/dL, administer » units subcut, notify provider, and repeat POC blood sugar check in s hour. LMM) VishwaWhat are « signs your blood sugar is too alten Vishwa MEDICAL COACHING ‘WHATSAPP GiROUP:-+919930788955 IDADAR & NEROL (NEW HON) BB. PANDS, GAHG, BOMS REG BATCUES Symptoms of hyperglycaemia include: increased thirst and a dry mouth. needing to pee frequently. tiredness. blurred vision. unintentional weight loss. recurrent infections, such as thrush, bladder infections (cystitis) and skin infections.How many units of insulin is normal? How much insulin to take per carb? The average person will take about 1 unit of fast acting insulin for every 2 to 1%6 grams of carbohydrates consumed. OAV NM LCL Om Uy depending on factors such as how sensitive you are to insulin.Jow do you know if insulin is 2 ing? By MEDICAL COACHING ha mt HACE ROT A0917855 louin « em ees MON mR, bas, UU, BUMS ATONE isrncan KS different, but the average blood glucose levels for an adult, before a meal, is usually between 70-730 mgvdl, and less than #0 mg/dl one or two hours after a meal. If your tests are consistently falling into these ranges, MLN Rte ol mor) A tar-1 (0)! 1g diabetes medication is working.Which insulin is best? Vishwa fim Basal insulin dong-acting or ultra-long-acting) helps to manage blood glucose between meals. While bolus crapid- or short-acting) insulin helps to manage blood glucose at meals. With a basal-bolus regimen, you may have four or more injections per day. This method may be recommended for people with T:D and abyIncorporating at least zo minutes, or approximately z,.000-4,000 steps, of brisk walking should be emphasized with the promotion of any step-based recommendation, in line with public health guidelines’ focus on time in TWWhich WAA.«r tn ectart j Thi it ew) Which HbAcc to start insulin? Vishwa B MEDICAL COACHING HLT aR BONHOTIRNS une ua ny aeo , NDE REG BATCHES Abstract. The ape and guidelines of the American Association of Clinical Endocrinologists and the American Diabetes Association recommend LUI LMUESLUI nM Le aT Lr Lee) ey wSL Coyne LNG considered for people with type a diabetes cT2D) with HbAxc levels exceeding 9.0% and 10%, respectivelyType-2 diabetes is said to be reversed cin remission) when your HbAsc remains below «6.s% cor <4smmol/mol) for at least six months without the help of anti-diabetic medications. This reversal of diabetes remains possible for at least 1 years after the onset of the Coto) tel a(olayCan | stop insulin once | start? Vishwa | owas & wean. ew HOHO DE. ATCRES MaMACRN EC Eco hel insulin, do} have to take it forever? Not necessarily. If you can lose weight, change your diet, increase your activity level, or change your medications you may be able to reduce or stop insulin therapy.What is a safe amount of insulin? MEDICAL COACHING [i WEATINP GROT:-+S003078955 /DADAR & NEIRUL (NEW MIMD BR. IMBRS. RAMS. BIS RDG BATCHES The right dose depends on your target blood sugar level, how many carbs you're eating, and how active you are. SOCOM Ae gi lem OU CoD QUIN RSMO) | insulin. Your dose may go up two to three units every z days until you reach your blood sugar target.EWU aM re eenelme Tn) healthy ane Rete or no effect on renal hemodynamics, glomerular filtration rate, or permeability to albumin. In patients with noninsulin-dependent diabetes, hyperinsulinemia selectively increases urinary albumin excretion.Vishwa | VipllWd, eer Walking at a brisk pace or moderate intensity is an aerobic exercise. When you do aerobic activities regularly over time, you can see many health benefits: Blood glucose cblood sugan levels go down. Insulin sensitivity goes up.How can | get insulin naturall DDADAR & HERI, EF MUND BR DMMB. BAM. BINS BU ROS STC including those that come from protein, trigger pancreatic cells to produce and release more insulin. While it's good to eat proteins from a variety of sources, some research indicates that plant-based proteins are especially beneficial for increasing natural insulin levels.Which fruit give insulin? Vishwa J MEDICAL COACHING [i ENS are SUC a good for diabetics because they contain anthocyanins, which have been shown to help improve insulin sensitivity. Citrus fruits are also a good choice for diabetics as they contain a type of soluble fiber known as pectin, which can help regulate blood sugar levels.Is insulin available in tablet form Vishwa MEDICAL COACHING ouoan & MUL (HE HUN) BR. he, AM, RIMS BITCHES Unlike many other medicines, though, insulin cannot be easily delivered by swallowing a pill - it needs to be injected under the skin with a syringe or pump.