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Sugar is present in several food products and sometimes food can be unappetizing if it’s not present. It is added to products like breads, dairy-based foods, salad dressings, and sauces. The sugar is added not just to impart sweetness. It’s also used to extend shelf life and adjust attributes like the texture, body, color, and browning capability | [
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You need to understand key sources of sugar if you are trying to reduce consumption. | [
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(Sugar) sweetened beverages. Beverages are a common high sugar source and may include any of the following: regular soda, juice drinks, like fruit punch and juice “cocktails” (but not whole fruit and vegetable juices), energy drinks, sports drinks, sweet tea, sweetened coffee drinks. | [
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It’s important not to confuse sugar-sweetened juice drinks with whole fruit juices. Processed beverages like orange juice, fruit juices punch contain a fair amount of added sugar— at times to counter the naturally sour taste of some fruits. This is an example of a fruit drink that is also a sugar-sweetened beverage, and therefore a source of added | [
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is also a sugar-sweetened beverage, and therefore a source of added sugar. Whole (100% fruit) juices contain only the sugars in the juice extracted from the fruit or vegetable. However, it’s a good idea to limit even whole juices in your diet. | [
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Sugar-sweetened drinks can pump a large amount of added sugar into your body, and quickly. These beverages are not as filling as sweet whole foods like fruit, so it’s easier to consume a lot of them. | [
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Sweets and desserts. Brownies, cakes, cookies, doughnuts, ice cream, and pastries, and are just some of the processed foods widely understood to contain substantial amounts of added sugar. | [
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Honey and syrups. Sugars naturally present in honey and syrups, including maple syrup, are also considered added sugars. Although honey and syrup are sold as freestanding products, you don’t eat them by themselves. They are added into hot drinks, drizzled on pancakes and waffles, or added during baking or making sweets. | [
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Condiments. Condiments are defined as spices, sauces, or other preparations that you add to food to enhance its flavor. Tomato ketchup, relish, barbecue sauce, salad dressings, and salsa are condiments, and they can contain considerable amounts of sugar per serving. | [
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Prepared foods. A vast variety of prepared foods contain additional sweeteners. Breakfast cereals contain added sugar, but so do ready-to-eat meals, breads, soups, tomato sauces, snacks, and cured meats. | [
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Among the many processed and prepared foods with added sugar are sugar-sweetened yogurts. Plain unsweetened yogurt contains naturally occurring milk sugars, but added sugar can double or triple the total amount of sugar. | [
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Rheumatoid arthritis (RA) and diabetes are two chronic conditions that can significantly impact an individual’s quality of life. The coexistence of these conditions presents a unique challenge, as they can influence each other’s progression and management. Rheumatoid arthritis, an autoimmune disorder affecting the joints, and diabetes, a metabolic | [
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autoimmune disorder affecting the joints, and diabetes, a metabolic disorder affecting blood sugar control, require careful attention and proactive management. We will explore the connection between rheumatoid arthritis and diabetes, understand the challenges they pose, and discuss strategies for effectively managing these conditions | [
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and discuss strategies for effectively managing these conditions simultaneously. | [
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Inflammation and TNF: As rheumatoid arthritis and Type 1 diabetes are both autoimmune disorders, in which the immune system mistakenly attack the insulin producing cells. A person living with one autoimmune disorder has an increase chance of developing the second one also. The connection between Type 2 diabetes and rheumatoid arthritis involves | [
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connection between Type 2 diabetes and rheumatoid arthritis involves inflammation and cytokines buildup, which know as Tumor Necrosis Factor (TNF). The TNF plays a necessary role in wound healing by causing an inflammatory effect. It can be harmful, when too much of TNF is circulating in the body. In rheumatoid arthritis, the immune system’s | [
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circulating in the body. In rheumatoid arthritis, the immune system’s attack on the joints causes buildup of TNF. In type 2 diabetes, fat cell produces TNF, which can cause the body to develop the insulin resistance over the time. This means that, it is possible that the inflammation and TNF associated with RA could increase the risk of developing | [
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and TNF associated with RA could increase the risk of developing type 2 diabetes. | [
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Medication Interactions: Some medications used to manage rheumatoid arthritis, such as corticosteroids, can impact blood sugar levels and insulin sensitivity, posing challenges for individuals with diabetes. Balancing the management of both conditions may require close monitoring and adjustments to medications in collaboration with healthcare | [
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and adjustments to medications in collaboration with healthcare providers. | [
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Lifestyle Factors: Rheumatoid arthritis can limit mobility and physical activity, potentially contributing to weight gain or sedentary behavior. This can increase the risk of developing or worsening diabetes. Conversely, diabetes management may require a focus on regular exercise, which can be challenging for individuals with joint pain and | [
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Managing Rheumatoid Arthritis and Diabetes: | [
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Comprehensive Healthcare Team: Build a collaborative healthcare team that includes rheumatologists, endocrinologists, and other specialists experienced in managing both rheumatoid arthritis and diabetes. This team-based approach ensures holistic care and personalized treatment plans. | [
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Medication Management: Discuss medication options with your healthcare providers, considering the potential interactions and impact on both conditions. Adhere to prescribed medications and communicate any changes in symptoms or side effects promptly. | [
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Blood Sugar Control: Achieving and maintaining optimal blood sugar control is crucial for individuals with diabetes and rheumatoid arthritis. Regularly monitor blood glucose levels, follow a diabetes management plan, and work closely with your healthcare team to adjust medication or insulin regimens as needed. | [
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Physical Activity: Engage in regular physical activity tailored to your abilities and preferences. Consult with a physical therapist or exercise specialist to develop an exercise program that accommodates joint limitations and diabetes management goals. | [
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Joint Care: Implement strategies to manage joint pain and inflammation associated with rheumatoid arthritis. This may include the use of heat or cold therapy, joint protection techniques, assistive devices, and modifications to daily activities to reduce joint stress. | [
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Nutritional Considerations: Follow a balanced diet that supports both diabetes management and joint health. Incorporate anti-inflammatory foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats. Consult with a registered dietitian for personalized dietary recommendations. | [
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Stress Management: Stress can exacerbate symptoms of both rheumatoid arthritis and diabetes. Practice stress management techniques such as deep breathing exercises, meditation, yoga, or engaging in hobbies and activities that promote relaxation and well-being. | [
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Self-Care: Prioritize self-care activities to support your physical and emotional well-being. This may include adequate sleep, practicing good hygiene, seeking social support, and engaging in activities that bring joy and fulfillment. | [
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Regular Check-ups: Maintain regular check-ups with your healthcare providers to monitor disease activity, manage medications, and address any emerging concerns or complications. | [
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Living with rheumatoid arthritis and diabetes simultaneously requires a comprehensive approach to disease management. By prioritizing a collaborative healthcare team, effective medication management, blood sugar control, physical activity, joint care, and self-care, individuals can navigate the challenges posed by these conditions. Remember, open | [
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can navigate the challenges posed by these conditions. Remember, open communication with healthcare providers, adherence to treatment plans, and proactive self-management are essential for achieving the best possible outcomes when facing the double challenge of rheumatoid arthritis and diabetes. | [
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Diabetes mellitus, also called diabetes, is a term for several conditions involving how your body turns food into energy. When you eat a carbohydrate, your body turns it into a sugar called glucose and sends that to your bloodstream. Your pancreas releases insulin, a hormone that helps move glucose from your blood into your cells, which use it for | [
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helps move glucose from your blood into your cells, which use it for energy. When you have diabetes and don’t get treatment, your body doesn’t use insulin like it should. Too much glucose stays in your blood, a condition usually called high blood sugar. This can cause health problems that may be serious or even life-threatening. | [
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Diabetes comes in different forms, depending on the cause- Prediabetes, Type 1 Diabetes, Type 2 Diabetes, Gestational Diabetes | [
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Prediabetes is when your blood sugar is higher than it should be but not high enough for your doctor to diagnose diabetes. More than a third of people in the United States have it, but most of them don’t know it. Prediabetes can make you more likely to get type 2 diabetes and heart disease. Exercising more and losing extra pounds, even as little | [
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disease. Exercising more and losing extra pounds, even as little as 5% to 7% of your body weight, can lower those risks. | [
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Type 1 Diabetes: Type 1 diabetes is also called insulin-dependent diabetes. It used to be called juvenile-onset diabetes, because it often begins in childhood. Type 1 diabetes is an autoimmune condition. It happens when your body attacks your pancreas with antibodies. The organ is damaged and doesn't make insulin. Your genes might cause this type | [
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is damaged and doesn't make insulin. Your genes might cause this type of diabetes. It could also happen because of problems with cells in your pancreas that make insulin. | [
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Many of the health problems that can come with type 1 happen because of damage to tiny blood vessels in your eyes (called diabetic retinopathy), nerves (diabetic neuropathy), and kidneys (diabetic nephropathy). People with type 1 also have a higher risk of heart disease and stroke. | [
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Treatment for type 1 diabetes involves injecting insulin into the fatty tissue just under your skin. You might use: Syringes, Insulin pens that use prefilled cartridges and a thin needle, Jet injectors that use high-pressure air to send a spray of insulin through your skin, Pumps that send insulin through a tube to a catheter under the skin of | [
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that send insulin through a tube to a catheter under the skin of your belly | [
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A test called the A1C blood test estimates your blood sugar levels over the previous three months. Your doctor uses it to see how well your blood sugar is controlled. That helps them know your risk of complications. | [
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If you have type 1 diabetes, you’ll need to make changes including: Frequent testing of your blood sugar levels, Careful meal planning, Daily exercise\nTaking insulin and other medications as needed. | [
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Type 2 Diabetes: Type 2 diabetes used to be called non-insulin-dependent or adult-onset diabetes. But it’s become more common in children and teens over the past 20 years, largely because more young people are overweight or obese. About 90% of people with diabetes have type 2. | [
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When you have type 2 diabetes, your pancreas usually creates some insulin. But either it’s not enough or your body doesn’t use it like it should. Insulin resistance, when your cells don’t respond to insulin, usually happens in fat, liver, and muscle cells. | [
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Type 2 diabetes is often milder than type 1. But it can still cause major health complications, especially in the tiny blood vessels in your kidneys, nerves, and eyes. Type 2 also raises your risk of heart disease and stroke. | [
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People who are obese - more than 20% over their target body weight for their height -- have an especially high risk of type 2 diabetes and the health problems that can follow. Obesity often causes insulin resistance, so your pancreas has to work harder to make more insulin. But it’s still not enough to keep your blood sugar levels where they | [
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But it’s still not enough to keep your blood sugar levels where they should be. | [
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Treatment for type 2 diabetes involves keeping a healthy weight, eating right, and exercising. Some people need medication, too. Your doctor might do an A1C test a few times a year to see how well you’ve been controlling your blood sugar. | [
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Gestational Diabetes: Pregnancy usually causes some form of insulin resistance. If this becomes diabetes, it’s called gestational. Doctors often spot it in middle or late pregnancy. Because a woman’s blood sugars travel through their placenta to the baby, it’s important to control gestational diabetes to protect the baby's growth and development. | [
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gestational diabetes to protect the baby's growth and development. Doctors report gestational diabetes in 2% to 10% of pregnancies. It usually goes away after birth. But up to 10% of women who have gestational diabetes get type 2, weeks or even years later. | [
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Gestational diabetes is more of a risk for the baby than the mother. A baby might have unusual weight gain before birth, trouble breathing at birth, or a higher risk of obesity and diabetes later in life. The mother might need a cesarean section because of an overly large baby, or they might have damage to their heart, kidney, nerves, and eyes. | [
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Gestational diabetes treatment involves: Careful meal planning to make sure you get enough nutrients without too much fat and calories, Daily exercise, Keeping weight gain under control, Taking insulin to control your blood sugar levels, if needed | [
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Other Forms of Diabetes: In 1% to 5% of people who have diabetes, other conditions might be the cause. These include diseases of the pancreas, certain surgeries and medications, and infections. In these cases, your doctor might want to keep an eye on your blood sugar levels. | [
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What Is Insulin Therapy? Insulin is a hormone that your pancreas makes to allow cells to use glucose. When your body isn't making or using insulin the way it should, you can take manufactured insulin to help control your blood sugar. Most people take insulin by injecting it into the skin, though there’s also a version that you inhale. If you have | [
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the skin, though there’s also a version that you inhale. If you have type 1 diabetes, you need insulin because your pancreas no longer makes the hormone. If you have type 2 diabetes, you may need insulin, though many people with this form of the disease can control their blood sugar without it. | [
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What Are the Different Types of Insulin? Many forms of insulin treat diabetes. They're grouped by how fast they start to work and how long their effects last. The types of insulin include Rapid-acting, Short-acting, Intermediate-acting, Long-acting, Premixed. | [
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Rapid-acting: This type of insulin starts to work in about 15 minutes and lasts for 1 to 5 hours, depending on which type you use. You take rapid-acting insulin before a meal and it’s usually paired with a longer-acting form of insulin. | [
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] |
Short-acting: Also called regular insulin, this form takes about 30 minutes to work fully and lasts 3 to 8 hours. You should take short-acting insulin 30 to 60 minutes before a meal. | [
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Intermediate-acting: Often combined with rapid- or short-acting insulin, intermediate-acting insulin covers your insulin needs for about half a day. Some people use it overnight. Intermediate-acting insulin starts working in an hour or two, and takes 2 to 4 hours to reach peak effect. | [
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Long-acting: This form provides a full day of insulin coverage. You will probably use a shorter-acting type of insulin with it. | [
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] |
Premixed: There are several forms of premixed insulin, including Humulin, Novolog, and others. These varieties combine short-acting and intermediate-acting insulins in one bottle or insulin pen, which some people find easier to administer. | [
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What is glargine insulin used for? Glargine insulin is a type of long-acting insulin, which lasts for about 1 day. \n\nHow to Take Types of Insulin- There are several options for taking insulin. Each method for administering insulin has its own technique. Your doctor can help you choose the one that works best for you. | [
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The major options for taking insulin include Syringes, Pens, Pumps, Inhalers. | [
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Syringes: Most people who use insulin administer it with a syringe, which is a tube attached to a needle that can be used to inject medicine into the body. To prepare the syringe, place the needle into a bottle of insulin and withdraw the right dose. Then you or your caregiver insert the needle into your body and inject the insulin. | [
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Pens: Similar to a syringe, an insulin pen uses a needle to inject the medicine into your body. But pens are prefilled with insulin, so you don’t need to fill them from a bottle. Some insulin pens are disposable, while others can be reused by inserting a new cartridge of insulin. Pens are more convenient than syringes but more expensive to use. | [
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Pumps: An insulin pump is a small computer that you wear on your body. It has a container full of insulin and a hose with a needle on the end, which you insert into your body. You can instruct the computer to provide a low, steady stream of insulin all day or deliver a “bolus” of insulin after you eat a meal to control your blood sugar. | [
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Inhalers: If you use rapid-acting insulin, you have the option to inhale it instead of injecting. To use Afrezza, which has been available in the United States since 2015, you place an oral inhaler to your mouth and breathe the medicine into your lungs. | [
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Best insulin injection sites: The place on the body where you give yourself the shot may matter. You'll absorb insulin the most evenly when you inject it into your belly. The next best places to inject it are your arms, thighs, and buttocks. Make it a habit to inject insulin at the same general area of your body, but change up the exact injection | [
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the same general area of your body, but change up the exact injection spot. Some doctors recommend spacing out injection sites by at least the width of one finger or slightly more if you use an insulin pump. This helps lessen scarring under the skin. If you develop hard lumps in your injection site, you may have scarring and need to use a | [
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lumps in your injection site, you may have scarring and need to use a different injection site. | [
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Which is the least painful spot to inject insulin? One small study found that people with diabetes considered insulin injections in the belly to be less painful than injections in the upper arm or thigh. However, these patients also said that they didn’t think insulin injections were very painful to begin with. The belly is also the best place to | [
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] |
were very painful to begin with. The belly is also the best place to inject insulin, since you absorb the medicine more evenly. Be sure to insert the needle at least a few inches from your belly button. | [
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What Type of Insulin Is Best for My Diabetes? Your doctor will work with you to prescribe the type of insulin that's best for you and your diabetes. Making that choice will depend on many things, including body response, age, frequency of blood sugar measurment, goals, Lifestyle choices. | [
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How you respond to insulin. How long it takes the body to absorb it and how long it remains active varies from person to person.\nLifestyle choices. The type of food you eat, how much alcohol you drink, or how much exercise you get will all affect how your body uses insulin.\nYour willingness to give yourself multiple injections per day | [
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Your doctor may prescribe more than one type. You might need to take insulin more than once daily, to space your doses throughout the day, or to add other medicines. | [
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When to Take Insulin: Follow your doctor's guidelines on when to take your insulin. The time span between your shot and meals may vary depending on the type you use. In general, though, you should coordinate your injection with a meal. You want to time your shot so that the glucose from your food gets into your system at about the same time that | [
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from your food gets into your system at about the same time that the insulin starts to work. This will help your body use the glucose and avoid low blood sugar reactions. From the chart above, the "onset" column shows when the insulin will begin to work in your body. You want that to happen at the same time you\'re absorbing food. Good timing will | [
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to happen at the same time you're absorbing food. Good timing will help you avoid low blood sugar levels.Rapid acting insulins: About 15 minutes before mealtime. Short-acting insulins: 30 to 60 minutes before a meal. Intermediate-acting insulins: Up to 1 hour prior to a meal. Premixed insulins: Depending on the product, between 10 minutes or 30 to | [
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insulins: Depending on the product, between 10 minutes or 30 to 45 minutes before mealtime. | [
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] |
Exceptions to Insulin Dosing and Timing- Long-acting insulins aren’t tied to mealtimes. You’ll take detemir (Levemir) once or twice a day no matter when you eat. And you’ll take glargine (Basaglar, Lantus, Toujeo) once a day, always at the same time. Deglutec is taken once a day, and the time of day can be flexible. But some people do have to pair | [
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] |
and the time of day can be flexible. But some people do have to pair a long-acting insulin with a shorter-acting type or another medication that does have to be taken at mealtime. Rapid-acting products can also be taken right after you eat, rather than 15 minutes before mealtime. You can take some of them at bedtime. | [
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] |
For more information about when to take insulin, read the "dosing and administration" section of the insulin product package insert that came with your insulin product, or talk with your doctor. | [
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The major side effects of Insulins include: Low blood sugar, Weight gain when you first start using it, Lumps or scars where you've had too many injections, Rash at the site of injection or, rarely, over your entire body. With inhaled insulin, there's a chance that your lungs could tighten suddenly if you have asthma or the lung disease COPD. | [
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Storing Injectable Insulin- Always have two bottles of each type you use on hand. You don't need to refrigerate vials of insulin that you're using. A good rule of thumb is that if the temperature is comfortable for you, the insulin is safe. You can store the bottle that you're using at room temperature (not higher than 80 F) for 30 days. You don't | [
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at room temperature (not higher than 80 F) for 30 days. You don't want it to get too hot or too cold, and keep it out of direct sunlight. Keep your extra backup bottles in the refrigerator. The night before you're going to start using a new bottle, take it out and let it warm up. Don't let your insulin freeze. | [
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] |
Always look at your insulin inside the bottle before you draw it into the syringe. Rapid-acting, short-acting, and certain long-acting types should be clear. Other forms may look cloudy, but they shouldn't have clumps. | [
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] |
If you carry a bottle with you, be careful not to shake it. That makes air bubbles, which can change the amount of insulin you get when you withdraw it for an injection.\n\nFor insulin pens, check the package insert for storage instructions. | [
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] |
For insulin pens, check the package insert for storage instructions.\n\nStoring Inhaled Insulin- Check the directions on the package. You should keep a sealed package in the refrigerator until you're ready to start using it. If you don't, you must use it within 10 days. | [
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] |
You can refrigerate packages you've opened, but let a cartridge warm up to room temperature for 10 minutes before you use it. | [
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There are many forms of insulin, which differ by how long it takes them to start working, reach their peak effectiveness, and stop working. Your doctor can help you determine which insulin or combination of the different types of insulin is right for you. There are also different ways to take insulin, so you can choose the option that you find | [
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ways to take insulin, so you can choose the option that you find convenient and easiest to use. | [
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Types of Insulin FAQs\nHow many types of human insulin are there? There are five general types of insulin made for treating diabetes. All types of insulin help cells use glucose for energy. The different types of insulin vary according to how rapidly they go to work and last in the body. | [
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The five main types of insulin are: Rapid-acting insulin is usually taken right before a meal and stays active for several hours. \nShort-acting insulin is usually taken before a meal, too, but takes somewhat longer to work. \nIntermediate-acting insulin works for about half a day. \nLong-acting insulin provides about a day’s worth of coverage. | [
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] |
Long-acting insulin provides about a day’s worth of coverage. \nPremixed insulin is a combination of intermediate- and short-acting insulin. | [
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] |
How long does Novolog last? Novolog (the brand name for insulin aspart) lasts 3 to 5 hours. Novolog is a rapid-acting insulin. It begins working in as little as 10 minutes and reaches peak effectiveness in 40 to 50 minutes. | [
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Subsets and Splits