Managing type 1 diabetes without insulin: Insulin is a hormone

managing type 1 diabetes without insulin

So,

Managing type 1 diabetes without insulin is a condition where the body can no longer produce Insulin. 

Insulin is a hormone that controls the level of glucose within the blood. 

 it's really important that that level stays within a normal range as much of the time as possible.

Because if not, 

then over time that can lead to some of the complications associated with having Diabetes. 
Now, 

in managing type 1 diabetes without insulin, 

the body cannot produce Insulin 

so it has to be given by injection. 

In any case,

 the measure of Insulin you give will rely upon the nourishment that you eat. 

 so, 

it really isn't the case that you can just eat whatever you like if you have

managing type 1 diabetes without insulin regardless of knowing what it is, because while in theory, 

you can eat all sorts of different things, 

what's really important is you need to know how much sugar is in every supper that you're eating. 

Because that will determine how much insulin you need to inject. 

that's really important because if you inject too much Insulin, 

there's a risk that your blood glucose level will go too low. 

 anyone with Type1 Diabetes will know that low blood glucose or hypo is really quite unpleasant.

Then again,

 in the event that you don't infuse enough Insulin,

 at that point,

 your blood glucose level will go excessively high. 

 as a result of what you've eaten not being covered by the Insulin injected. 

So, 

first and foremost it's really important you know how many carbohydrates are in what you're eating. 

 that means that each person with.

managing type 1 diabetes without insulin needs to understand, 

needs to learn how to assess the carbohydrates in each meal.

In each and every meal.

Because every single meal will have an effect.

Now, 

some people will choose to have some meals without any carbohydrates. 

 that's fine. 

But of course, 

in order to do that you need to know the foods that don't have carbohydrates and that all in is encompassed in what we call the dietary management of Type 1 Diabetes.

 So if you have Type 1 Diabetes I really do think that restricting your carbohydrate intake is a very good idea. 

The reason for saying that is that it's the carbohydrates in the food that make the blood glucose level go up. 

that's what we want to avoid.

Now, 

of course, 

you treat that-- you treat
managing type 1 diabetes without insulin with Insulin and you take Insulin with each meal to cover the carbohydrates. 

 in fact,

 there was a vogue some years ago to say that if you've got Type 1 Diabetes with the modern Insulin that we have available now, 

you can basically eat what you like as long as you give the perfect measure of Insulin. 

Now, 

over the years since then, 

I've really come to believe that that just doesn't seem to make sense.

 And why is that?

 Well,

 firstly if you're having a meal with a large number of carbohydrates, 

you have to inject a large amount of Insulin. 

That's obvious. 

That isn't necessarily such a good idea. 

If you have too much in your Insulin in your system then there is,

 of course,

 a greater risk of having a hypo which someone with.

managing type 1 diabetes without insulin we'll know can be an extremely disagreeable encounter, no doubt. 

Secondly,

a meal that has a large number of carbohydrates can raise the blood glucose level for sometimes many hours. 

that may not correlate with the length of time that the Insulin is acting particularly the shorter-acting Insulin that we tend to use nowadays. 

again,

if there's a large amount of Insulin in the system,

there is an increased risk of Insulinworking at a time when the carbohydrate is-- there's a mismatch if you like.

So Type 1 Diabetes requires treatment with Insulin and there are lots of different Insulin available.

These days,

 I truly feel that somebody with sort I Diabetes ought to be treated with what is known as a basal-bolus routine. 

That means having two different types of Insulin.

The first is basal Insulin there's some long-acting Insulin which is usually given once or twice a day depending on the type of Insulin and how long it lasts. 

 there is a number now that are available on the market. 

The ones that we tend to favor are those that are called long-acting analogs. 

That means that actually, they've been if you like,

 modified 

so that their effect on the glucose level is sustained and is stable over a long period of time.

Also, 

that has tremendous advantages contrasted and the more established longer-acting Insulin were starting with one

infusion then onto the next you truly couldn't anticipate whether the pinnacle impact would happen two hours

after infusion or four hours after the infusion. 

then the bolus element of the basal-bolus regimen is the boluses of Insulin that are given with meals. 

usually, 

now we use what are called fast-acting analogs that have,

again, 

have been modified

so that they can be absorbed really quickly from when they're injected

so that they can start to function as you're eating your supper. 

again, 

there are a number of those that are available now. 

To be honest,

I don't think there are significant differences between them and any one of the newer fast-acting analogs should work well for most people. 

Presently, 

one thing that I do suggest is that in infusing your supper time Insulin it's

so essential to infuse before you eat.

There was a vogue a few years ago when these incidents came out to say that actually, 

they work so quickly you can even eat and then inject.

The issue there is that occasionally individuals would simply neglect to infuse, 

yet more usually when you complete your dinner your blood glucose level could generally as of now be really quite high.

Thus instead of continually playing get up to speed,

it makes sense to infuse before you eat. 

 

Insulin siphon treatment is something that can be extremely useful to various individuals with.

Type 1 Diabetes.

So essentially what this means is that instead of injecting Insulin through the skin several times a day, 

the user of an Insulin pump has a pump that is connected to a little cannula that sits beneath the skin and delivers, 

pumps a very low flow rate of Insulin continuously throughout the day and throughout the night. 

Presently, 

the extraordinary bit of leeway of Insulin siphon treatment is that the measure of Insulin that is mixed can be shifted naturally;

it can be pre-customized to convey more Insulin during certain hours of the day and less at other times of the day.

This is particularly useful for people who find that they are a risk of having hypos or their blood glucose level going low overnight.

It's also useful people for people whose activity levels vary quite a lot. 

the great thing about an Insulin pump is unlike an injection where once you've injected it's working and you can't take it out again,

with a pump, you can switch it off. 

so,

if you find that your blood glucose levels going too low or suddenly you're having to be more active which risks it going too low, 

you can simply suspend the infusion which means that it will allow your blood glucose level to rise without having a hypo and without having to take extra carbohydrate,

for example,

to keep the level up. 

Now some people are under the impression that if you have an Insulin pump it does all the work for you. 

Well, we're not quite there yet. 

You still need to monitor your blood glucose and you still need to give the boluses of Insulin before each meal.

Presently the Insulin is in the siphon

so you don't have to infuse however what you do need to do is figure the portion you requirement for every dinner

based on the carbohydrate intake and then tell the pump by means of burning up and pressing a few buttons to give just that amount of Insulin for you. 

In many people,

it can be transformational using an Insulin pump and it's something that I recommend for a number of people were

using injections just don't quite lead to the level of control that they aspire to.