Taking Control of Your Diabetes: Education, Motivation, Self-Advocacy by Steven V. Edelman, MD and Friends
Equidyne Systems makes a new affordable needleless injector that is small, convenient to use, and does not require a battery or CO2 cartridge as the older, larger, and more expensive injectors required (Figure 10-5). The Injex needle-free injector is spring-loaded and shoots the insulin down a long narrow tunnel so fast that it goes painlessly through the skin. It will allow you to reach alternative sites for insulin delivery that you could not previously reach. For more information, see the Injex website (www.injex.com).
The Role of Home Glucose Monitoring
It is important to emphasize that there is no way to achieve glycemic control without the proper use of home glucose monitoring, no matter what type of insulin regimen you are using. Home glucose monitoring is essential to determine how much Regular or fast-acting insulin to give yourself before each meal, and how long to wait between the injection of insulin and consumption of the meal, and if you gave yourself too much or too little insulin 1 to 2 hours after meals. Home glucose monitoring will also help with avoiding hypoglycemia, planning exercise, and making long-term adjustments in your insulin regimen (Table 10-4).
Smoked Sausage Cheese Spread Coconut Chicken Caribe Roasted Beets with Orange Vinaigrette Fillet of Sole with Barley and Asparagus Spinach Salad with Pears and Cheddar Creamy Rice Pudding Rosemary Crusted Steak Carne Adovada Seltzer Citrus Splash Veggie Wrap
Many people say that depression is a side effect or complication of diabetes. Without discounting the association of the psychological condition with the physical one, I'm not convinced that our high and/or unstable glucose levels are directly responsible for that change in our mental state. My belief is that the unrelenting need for self-care, for following the sort of care schedules that can drive licensed, professional caregivers crazy, is what overwhelms us...