Do all people with diabetes need to take insulin?
Question: What is insulin and why do some diabetics need to take it? Answer: Insulin is a hormone. First of all, in type 1 diabetes, insulin is always necessary because the beta cells in the pancreas are not making any insulin. So, people with type 1 or juvenile onset diabetes always need insulin injections.
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|Type of Insulin & Brand Names||Onset||Duration|
|Lispro (Humalog)||15-30 min.||3-5 hours|
|Aspart (Novolog)||10-20 min.||3-5 hours|
|Glulisine (Apidra)||20-30 min.||1-2 1/2 hours|
- In this example, the doctor has asked you to mix 10 units of regular, clear, insulin with 15 units of NPH cloudy insulin, to a total combined dose of 25 units. Always, draw “clear before cloudy” insulin into the syringe. This is to prevent cloudy insulin from entering the clear insulin bottle.
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Type of Insulin & Brand Names Onset Duration Rapid-Acting Lispro (Humalog) 15-30 min. 3-5 hours Aspart (Novolog) 10-20 min. 3-5 hours Glulisine (Apidra) 20-30 min. 1-2 1/2 hours
- If you take Regular insulin or a longer-acting insulin, you should generally take it 15 to 30 minutes before a meal. If you take insulin lispro (brand name: Humalog), which works very quickly, you should generally take it less than 15 minutes before you eat.
Once this occurs, insulin can be stopped. Many obese individuals with diabetes who require insulin can reduce their dose or control their diabetes by taking oral medicines if they lose weight. However, the choice of insulin to manage diabetes does not always come after exhausting all oral or non-insulin options.
- Unlike people with type 1 diabetes, who need insulin to survive, people with type 2 diabetes use insulin as just one more tool to control blood sugar. You may be able to go off insulin if you can get your blood sugar under control using diet and exercise.
- The answer, perhaps, mostly lies in how long the person has had type 1 diabetes. For someone like yourself, who indicated that you have had diabetes for more than 10 years, you MIGHT be able to live for 7 to 10 or so days without insulin.
- Type 2 diabetes can be understood as a potentially reversible metabolic state precipitated by the single cause of chronic excess intraorgan fat. Type 2 diabetes has long been known to progress despite glucose-lowering treatment, with 50% of individuals requiring insulin therapy within 10 years (1).
Updated: 12th November 2019