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Thursday, May 25, 2006

In the photo is Mr. Z., our diabetic patient for 6 years. Recently he has been on 4-drug theraphy for his diabetes but his blood sugar remained high at 200mg/dl. Dr. Rafael, my husband, convinced him to have regular insulin injections for his diabetes. He used Humapen ergo, an insulin device with a very fine needle, making insulin delivery very convenient and painless. They started on the abdominal area above the umbilicus. He then advised the patient to have his succeeding injections in this area one-finger length from the previous injection. This will be followed by other injection sites like below the umbilicus, both anterior thighs, both posterior thighs, then lastly the arms.

Everytime we eat, the food is broken down into several organic compounds for the body's use. One of these compounds is glucose which is utilized as source of energy. In order for glucose to enter the cells and be utilized as energy source, it needs insulin. Insulin is produced by the beta cells of the pancreas. Individuals with type 1 diabetes produce no insulin hence glucose cannot enter the cells. Insulin is then given regularly to diabetic patients to control their blood sugar levels. It needs to be injected into the fat under the skin so that it can be brought into the bloodstream and be utilized by the body.

Do we need to inject everyday? Yes, in order to control blood sugar levels. Otherwise this condition will lead to complications like heart disease, kidney problems, blindness, nerve damage, etc.
posted by Amelyn R. Rafael,MD @ 3:32 PM  
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About Me

Name: Amelyn R. Rafael,MD
Home: San Fabian, Pangasinan, Philippines
About Me: Family Physician, and Associate Professor (Clinical Anatomy and Medical Physiology)
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Copyright © 2006-2008 Amelyn R. Rafael,MD, All rights reserved.

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