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 1-11
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Booster rate - basal rate


However, it is not enough simply to inject insulin at the booster rate for each of the main meals.

This needs an explanation.

Before each main meal, someone who does not have diabetes, with a healthy metabolism, releases into the blood just enough insulin to keep the blood sugar within narrow limits (60 mg/dl - 110 mg/dl [3.3 mmol/l - 6.1 mmol/l]).

This is called the booster rate.

In addition, and quite independently of food intake, small amounts of insulin are continously and unceasingly released by the pancreas, throughout the day and night.

This is called the basal rate.

One simple way of considering this is by comparing the pancreas with a car. A car with its engine running gets away from the traffic lights much faster than a car which has to be started up every time the lights turn green. The pancreas works with its engine continuously ticking over so that if there is a sudden rise in blood sugar it can immediately release insulin.




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