Insulin has three basic forms, each with a speed and duration of different work.
1. Rapid acting insulin
An example is regular insulin, which works the fastest and most briefly. Insulin was started lower blood glucose within 20 minutes, reaching a peak within 24 hours, and work for 6-8 hours.
Rapid acting insulin is often used by the patients who underwent multiple injections each day and injected 15-20 minutes before eating.
2. Acting insulin was
An example is insulin zinc suspension or suspension of insulin isofan. Begin work within 1-3 hours, reaches a maximum peak within 60-10 hours and work for 18-26 hours. Insulin can be injected in the morning to meet the needs for a day and can be injected at night to meet the needs throughout the night.
3. Acting insulin long
An example is insulin zinc suspension has been developed. The effect emerging after six hours and work for 28-36 hours.
Insulin supplies stable at room temperature for months so that you can take them everywhere.
Selection of insulin to be used depends on:
- The desire to control diabetes sufferers
- The desire to monitor the patients blood sugar and adjust the dose
- Daily Activities patient
- The ability of patients to understand and study the disease
- Kedtabilan blood sugar levels throughout the day
Most are easy to use once-daily injections of insulin are working, but this provides control of blood sugar at a minimum.
Tighter control can be obtained by combining two types of insulin, which is fast acting insulin and the insulin is working. The second injection is given at the dinner table or when going to sleep tonight. The most stringent control is obtained by injecting rapid acting insulin and insulin is working in the morning and evening along with an additional fast acting insulin injections during the day.
Some adult patients require the same dose of insulin every day. Other patients need to adjust the dose of insulin depending on the food, sports and the pattern of blood sugar levels. Insulin needs vary with changes in diet and exercise.
Some sufferers experience for insulin resistance. Insulin is not entirely the same as the insulin produced by the body. Because the body can form antibodies to insulin replacement. These antibodies affect the activity of insulin, so patients with insulin resistance should increase the dose.
Injecting insulin can affect the skin and underlying tissues at the injection site. Sometimes the allergic reaction that causes pain and burning sensation, redness, itching and swelling around the injection site for several hours. Inject often cause damage to precipitate fat or fat.
These complications can be avoided by replacing the injection site and replace the type of insulin. On the use of synthetic human insulin resistance and allergies are rare.