Diabetes practices and regimens can vary between countries, hospitals / clinics, & specialists.  Therefore what may be encouraged in one setting may not be so recommended in another.  This insulin tutorial is not meant to provide a didactic (regimented / fixed) plan for using insulin.  Rather the tutorial intends to show some ways of doing things, and provide some explanations as to why things may be done in a certain way.  Furthermore it is hoped that this tutorial may encourage people to think a bit more about what insulin regimens are possible, & how they might be improved and / or tailored for an individual.  In all this remember that people's mileage may vary - so what works for one person may not be appropriate for someone else.  Therefore, as with all medical information on the Web, it is important that you consult your doctor or diabetes specialist before considering acting on any of the information discussed in this tutorial.


Insulin Tutorial 1-4
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Conventional insulin therapy
& Intensive conventional insulin therapy
We have now learnt something very important. We can consider two main modes of insulin therapy:


1. Conventional insulin therapy
In conventional therapy I use injections of long-acting insulin.

In conventional therapy I adjust my food intake to fit in with the effects of the long-acting insulin.

In conventional therapy I use little or no regular insulin.

In conventional therapy I have to take 6 or 7 calculated or estimated meals.

In conventional therapy I have to inject insulin twice a day.

There are various modes of conventional therapy which we will discuss in detail later on.



When treating a patient with newly discovered diabetes, doctors nearly always start with conventional therapy, because insulin requirements during the remission phase ('Honeymoon period') are low and the patient can manage very well with two injections a day or even only one.


2. Intensive conventional insulin therapy
In intensive conventional therapy I use injections of regular insulin almost exclusively.

In intensive coventional therapy I adjust the effect of regular insulin to fit in with my food intake.

In intensive conventional therapy I use little or no long-acting insulin.

In intensive conventional therapy I can take three main meals a day.

In intensive conventional therapy I have to give four insulin injections a day.

Intensive conventional therapy imitates the natural physiological conditions existing in the body. The injections of regular insulin given before the three main meals are called booster rate injections and the injections of long-acting insulin are called basal rate injections.

Intensive conventional therapy is often employed when the diabetes has been in existence for a while, when insulin requirements are high and when you have already learnt a fair amount about your diabetes.

First of all let's study conventional insulin therapy.

Diabetes Insulin Tutorial
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The information presented at this site is for general use only and is not intended to provide personal medical advice or substitute for the advice of your doctor or diabetes specialist. If you have any questions about any of the information presented here, concerns about individual health matters or the management of your diabetes, please consult your doctor or diabetes specialist
The material in this on-line Diabetes / Insulin Tutorial has been drawn from a number of different sources.
However the original Web-based version can be found at the AIDA Website at: http://www.2aida.org/tutorial.

AIDA diabetes software simulator program of glucose-insulin interaction