Managing Type 1 Diabetes: Your Complete Medication Guide

Understanding Your Treatment Options and Insulin Management

Endocrinology

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Last updated: Mar 24, 2025

Understanding Insulin Therapy

Types of Insulin

Rapid-Acting Insulin

  • Examples: Insulin aspart, insulin lispro, insulin glulisine
  • Onset: 15 minutes
  • Peak: 1-2 hours
  • Duration: 2-4 hours
  • Usage: Taken with meals

Short-Acting Insulin

  • Examples: Regular insulin
  • Onset: 30 minutes
  • Peak: 2-3 hours
  • Duration: 3-6 hours
  • Usage: Taken 30 minutes before meals

Intermediate-Acting Insulin

  • Examples: NPH insulin
  • Onset: 2-4 hours
  • Peak: 4-12 hours
  • Duration: 12-18 hours
  • Usage: Often used as background insulin

Long-Acting Insulin

  • Examples: Insulin glargine, insulin detemir
  • Onset: 2 hours
  • Peak: No pronounced peak
  • Duration: Up to 24 hours
  • Usage: Provides baseline insulin coverage

Administration Methods

Insulin Delivery Devices

  1. Insulin Pens
  2. Traditional Syringes
  3. Insulin Pumps
  4. Smart Insulin Pens

Additional Medications

Complementary Treatments

  • Pramlintide for post-meal glucose control
  • GLP-1 receptor agonists (in specific cases)
  • Metformin (in cases of insulin resistance)

Storage and Safety

Proper Storage

  • Store unopened insulin in refrigerator (36-46°F)
  • Keep opened insulin at room temperature
  • Protect from extreme temperatures
  • Check expiration dates regularly

Safety Considerations

  • Rotate injection sites
  • Monitor for hypoglycemia
  • Keep glucose tablets or fast-acting sugar available
  • Wear medical identification

Emergency Preparedness

Essential Supplies

  • Extra insulin
  • Backup delivery devices
  • Testing supplies
  • Emergency glucagon kit

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