Director, Book Publishing, Robert Anthony; Managing Editor, Book Publishing, Abe Ogden; Editor, Greg Guthrie; Production Manager, Melissa Sprott; Composition, Circle Graphics; Cover Design, VC Graphics; Printer, United Graphics Inc.
©2007 by the American Diabetes Association, Inc. All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.
Printed in the United States of America
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The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Association—its officers, directors, employees, volunteers, and members—assumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.
ADA titles may be purchased for business or promotional use or for special sales. To purchase more than 50 copies of this book at a discount, or for custom editions of this book with your logo, contact Lee Romano Sequeira, Special Sales & Promotions, at the address below, or at [email protected] or 703-299-2046.
For all other inquiries, please call 1-800-DIABETES.
American Diabetes Association
1701 North Beauregard Street
Alexandria, Virginia 22311
Library of Congress Cataloging-in-Publication Data
McCarren, Marie.
American Diabetes Association guide to insulin and type 2 diabetes / Marie McCarren.
p. cm.
Includes index.
ISBN 978-1-58040-284-2 (alk. paper)
eISBN 978-1-58040-413-6
1. Non-insulin-dependent diabetes—Popular works. 2. Insulin—Popular works. I. American Diabetes Association. II. Title.
RC662.18.M365 2007
616.4'62—dc22
2007021814
Contents
1 It’s Time for Insulin. And It’s Not Your Fault.
4 Starting Insulin: What’s the Best Way?
7 Sliding Scales and Pattern Management
8 The “Lows”: Prevention and Treatment
10 Special Circumstances: Traveling, Pregnancy, and Religious Fasting
11 How To: From Buying to Injecting
We are indebted to the members of the American Diabetes Association message boards for their contributions to this book and to the diabetes community at large.
Sincere thanks also to Jack Leahy, MD; Geralyn Spollett, MSN, CDE, ANP; and Russell White, MD, for their insight and guidance and to Jason Iltz, PharmD, CDM; M. Sue Kirkman, MD; and David Schade, MD, for their expert reviews.
Should you buy this book? Take this quiz to help you decide:
My doctor told me I need to go on insulin, and I’m freaked out.
My blood sugars are always too high. My doctor just keeps saying, “Eat less. Exercise more. Take your pills. See you in six months.” I think we should be trying something else.
I have crummy health insurance. I see a different doctor every time, and the appointments are always rush, rush, rush. They gave me a prescription for insulin, but I don’t know what I’m doing, so I haven’t had it filled yet.
I’m not the kind of person who just takes the prescription, no questions asked. I want to know: Why do I need insulin? Why am I being prescribed this type of insulin? Would another work better for me?
My diabetes educator suggested I go to a diabetes support group. It would be nice to hear from people who have done this, but I can’t find the time.
If you see yourself in any of these questions, this book can help you.
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