Types of insulins
What types of insulin that best suits me and my diabetes
Together with your doctor he will prescribe the type of insulin that will be beneficial to you. Many factors will influence this and they include:
- The bodies reaction to what type of insulin you take. It varies from person to person exactly how long it takes to get absorbed into the body.
- The life you lead. So whether you exersise often, the kind of food you eat, how much alcohol you consume. These are some of the factors that affect the processing of insulin by your body.
- Depending on the amount of injections you willing to give yourself per day.
- How often you check your blood sugar level.
- How old are you.
- What is your blood sugar target
The FAD have a approved inhaled insulin tha is rapid acting for use before eating that is for type 1 and type 2 diabetes. The drug reaches its peak in the blood after 15 to 20 minutes of being administered and clears the body after 3 hours. It is called Afrezza and should be used in conjuction with longer acting insulin with people of type 1 diabetes.
|Type of Insulin||Name||Time lap
insulin most effective)
|0.8 – 4 hours||Minimal peak||Up to 24 hours|
|Short-acting||Regular (R)||30 minutes – 1 hour||2 – 5 hours||Up to 12 hours|
|NPH (N)||1.5 – 4 hours||4 – 12 hours||Up to 24 hours|
|10 – 30 minutes||30 minutes – 3 hours||3 – 5 hours|
Chronic heart failure
Heart failure (HF), often used to mean chronic heart failure (CHF)
This occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the needs of the body. The terms congestive heart failure (CHF) or congestive cardiac failure (CCF) are often used interchangeably with chronic heart failure. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, when lying down, and at night while sleeping. There is often a limitation on the amount of exercise people can perform, even when well treated.
Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, and cardiomyopathy. These cause heart failure by changing either the structure or the functioning of the heart.There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart’s ability to relax. The severity of disease is usually graded by how much the ability to exercise is decreased. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include: obesity, kidney problems, liver problems, anemia and thyroid disease among others.
The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic disease already in a stable situation, treatment commonly consists of lifestyle measures such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors and beta blockers are recommended. For those with severe disease, aldosterone antagonists, an angiotensin receptor blocker or hydralazine with a nitrate may be used. If there is a normal ejection fraction, associated health problems should be treated. Diuretics are useful for preventing fluid retention and thus recommended.Sometimes, depending on the cause, an implanted device such as a pacemaker or implantable cardiac defibrillator may be useful. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.
Heart failure is a common, costly, and potentially fatal condition.
In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 6–10%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.
Stress reduction techniques and tips
At times it may seem stress is out of your control and life’s grinds seem of a higher priority. This could not be further from the truth. You do have a say and acknowledging this is a vital step in the foundation of stress management. Its about being in control of emotions, thoughts, time management and your problem dealing techniques.
Finding the roots of stress
This is where you need to start, and although sounding easy, they not always obvious, and often we overlook some of the culprits. An example is that you may stress about work deadlines but the cause of it is your procrastination as opposed to work demands.
You need to take a closer look at the roots of stress like your habits, attitude and excuses, these include:
- Thinking that stress is a huge part of your work and can be excused.
- Maybe you think its only temporary despite not remembering the last break you had.
- You blame stress on others people or events or even view it as normal and everyone has it attitude. You need to own the responsibility for how you create it.
Starting a journal monitoring your stress.
This is a great way to identify the culprits and how you react to them. Inevitably you will see a pattern and usual scenarios.
- What was the cause of your stress
- How you emotionally or physically felt
- What was your response
- How did you make yourself feel better
How you deal with stress
Are the ways you dealing with stress healthy or unhealthy? Think seriously about it. Is it constructive or destructive? Careful that the way you deal with it is not making matters worse.
Destructive ways of dealing with stress include:
- Overindulging with food
- Drinking too much
- Too much TV or computer time
- Becoming introverted
- Doing no activities like sports or socializing
- Too much sleep time
- Use of drugs to relax
- Putting off tasks
- Overbooking yourself with tasks to avoid problems
- Lashing out at others
There are more constructive ways to manage stress
Remember this, you either change the situation or change the way you react. You always have a option. Mainly concentrate on what calms you and puts you back in control.
1 – Move away from unnecessary stress
Sometimes stress should not be avoided and should be dealt with. Many of them can be eliminated.
Learn to say “NO” – Knowing your limits facilitates this. Never take on more than you can handle.
Stay clear of people that invoke stress in you. If there is nothing you can do about this relationship then limit time spent around this person. Even eliminating them completely from your life.
Control you immediate environment. Eliminate all things that give you anxiety in your place, like if the news stresses you out, turn off the TV. If traffic stresses you, try taking a bus.
Avoid sensitive discussions – If a certain topic gets to you avoid it, like religious or political discussions.
Manage your to do list. Not everything is a “must”, some are “should” or even “would be nice”. Prioritize and even scratch a few off the list.
2 – Change the situation
If it cannot be avoided try changing it. Try find a way to change things so it does not happen again in the future. More than often this means changing your communication or operate in your daily life.
-Try expressing your emotions instead of keeping them inside. Try communicate to the person in a respectful way, Sometimes they may simply not know until you say something. The idea is to avoid resentment and let things out of control.
-You may need to compromise. When someone else makes the effort to change you too need to do the same. If both of you change, then you a little closer to finding that compromise.
-Practice assertiveness. Be proactive in your life. Learn to handle problems straight on. Try by anticipating and preventing them before they happen.
– Time management. Have a real idea of how to do this. Remember if tired and behind schedule, it will be hard to stay in control and focused. A little planning ahead may avoid over extending yourself.
3- Change yourself
If you cannot change others, well change yourself. In most case you will find this to be the case. A simple change in expectations and attitude will do the trick.
-Redefine your problems. Viewing things in a different perspective and finding the positives are a good start. Challenge yourself to overlook the negatives and focus on what’s good. For example if you get stuck in traffic, instead of getting upset, see it as an opportunity to phone friends.
– See the bigger picture. Ask your self if it will all matter in the long run. Is it really worth getting upset about? If the answer is no, well then put your energy into something else. At times you need to adjust your standards. By demanding perfection always you may be setting yourself up.
– Step back. Remember the good qualities in things, people and yourself. For example enjoy a quiet walk by yourself.
– Adjust your attitude. Take note of your thoughts. For every negative thought about yourself there will be a reaction of your body as if under tension. Try see the good things about yourself and this will have a positive affect on yourself. Do away with words like , always, should, must and never. These can easily become defeating thoughts.
4- Accept what you cannot change.
Something’s will be out of your control, like natural disasters, death in the family. Its important to accept this as a part of life. This is how life is. Acceptance will be your best option in the long run as opposed to trying to do something about something you don’t have control over.
-Don’t try control people. This is out of your hands. Rather choose how to react to people.
-See the positive. See the opportunities in the adversities. It could be a chance for personal growth and learn something new. Learn from your mistakes and adjust. For example if you were fired, maybe its because there was a minor adjustment you could make in yourself to be better for next time, or even see it as an opportunity for bigger things.
-Talk about it. Find those trusted friends or family or meet a therapist. By simply expressing how you feel can be very healing. Opening up can bring you closer to friends if not abused of course.
-Learn to forgive. This is an imperfect world and we all make mistakes. Let go of resentment and anger. Let go of that negative energy and move on.
5- Time to relax and have fun.
Remember to nurture yourself. Respect and yourself by sometimes giving a little back to yourself.
- Some healthy ways to recharge your batteries
- Nature walks are perfect
- Call a friend
- Do a workout and sweat it out
- Write a journal
- Take a hot bath
- Read a book
- Enjoy a warm beverage like coffee or tea
- Time spent with animals has proven to bring down stress
- Work in your garden
- Get a massage
- Do something kind for someone else. Forget about yourself a bit and focus on the needy.
- Listen to your favorite CD
- Watch a movie that will make you laugh.
A few things that people forget about is that nurturing yourself is not a luxury but a necessity so set time aside for yourself. Remember to socialize, especially with up lifting people. Every day do something you like going for a run or time with your dog. Also what’s import keep a sense of humor. Sometimes even laugh at yourself. Laughing has been shown to help hugely with stress.
6- Try healthy living
-Exercise regularly. De stress by doing physical activities. Try at least 3 times a week to exercise for 30 minutes.
-Diet is paramount. A good diet will prepare you better to handle stress.
– Cut down on coffee and sugar. The highs that you get from coffee and sugar is only followed by a crash in energy and mood. Reduce coffees, soft drinks, candies, and other sugar snacks and you will be more relaxed and will facilitate sleep.
-Avoid smoking, drugs and alcohol. Don’t mask the problem but rather deal with the problem with a clear sound mind.
– Get the sleep your body needs. Tiredness increases stress by thinking irrationally.