Insulin is one of the most common types of diabetes treatment - it can be injected with a syringe, insulin pen, or insulin pump. Even so, not all diabetics immediately need insulin when they are sentenced to diabetes. So, when do you have to use insulin to control blood sugar?
Who needs to use insulin?
Use insulin to keep blood sugar levels stable, especially if you have type 1 diabetes. Type 1 diabetes causes the immune system to destroy cells in the pancreas which are responsible for producing natural insulin, so that the body does not produce insulin. Therefore, they need immediate insulin injections since they were first diagnosed for the rest of their lives.
People with type 2 diabetes don't all need insulin. Your body can still produce its own insulin, but the amount is not enough. So, people who have type 2 diabetes can still control their blood sugar by taking oral medication and implementing a healthier lifestyle. However, some others may need lifelong insulin injections to replace the function of the pancreas that has stopped producing insulin. Usually this happens when your diabetes is out of control due to a poor lifestyle. In this case, using oral medication alone will no longer be able to control your disease.
When should I use insulin?
As explained above, the use of insulin for people who have type 1 diabetes should begin as soon as possible after receiving an official diagnosis. While people with type 2 diabetes do not need to use insulin directly if they can still control their blood sugar with oral drugs and a healthy lifestyle.
If you have diabetes and have been given blood sugar control drugs for 3-6 months, however, blood sugar levels during routine checks are still above 200 mm /dL (either checking fasting blood sugar or after eating), this can indicate You experience resistance or failed medication so you need to use insulin.
"In the initial stages, doctors usually will give oral medicines. But after 6 years, around 50 percent of patients with diabetes (type 2) need insulin so that their blood sugar levels are normal, "said Dr. Agung Pranoto, reported by Kompas. However, the doctor's decision to prescribe insulin does not only see the results of checking your blood sugar. The doctor will also consider the results of the HbA1C examination and how high the risk of your complications is.
Richard Hellman, MD, former president of the American Association of Clinical Endocrinologists states that generally if your HbA1C test results are higher than the standard that should be and haven't used insulin, doctors will usually recommend insulin therapy. As a note, the normal range of HbA1C levels is around 6.5-7 percent.
If you are at a high risk of complications, your doctor may also prescribe injections of insulin immediately. Having certain infections can make blood sugar levels increase, so doctors can give you insulin therapy. But indeed, not all infectious diseases will be recommended like this.
Insulin therapy itself varies with everyone. Some people only need one insulin shot a day, while others need three or four injections a day. So, consult your doctor to determine the appropriate time to use insulin for your condition.
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