Well controlled blood sugar is one of the most important parts in the treatment of Diabetes Mellitus patients. Uncontrolled or uncontrolled blood sugar increases the risk of patients experiencing both acute and chronic complications.
Except in certain patients, diet and exercise modification is the first approach to controlling the blood sugar of patients with type 2 diabetes. If this approach fails, the desired blood sugar is not reached, new drugs are used, And, if this also fails, Insulin is usually only used. However, as the disease progresses, within a few years, lifestyle modification, medication, often do not produce the desired outcomes, blood sugar can not be controlled according to target, insulin from the outside is required.
And, even according to recent developments, the sooner Insulin is used, the sooner and easier the blood sugar is controlled and certainly the chances of a dreaded Diabetes Mellitus complication are reduced
Unfortunately, giving Insulin is not easy, full of challenges both from patients and from their families. Many reasons for the patient to reject it, ranging from fear, pain, nothing will inject, assume that Insulin causes dependence, fear of complications - many patients think that Insulin can cause dialysis, amputated legs, heart attacks, strokes and so on-- - to the belief that Insulin is the end of everything.
As an illustration of the fear of using this Insulin, I yesterday afternoon just received a patient Diabetes Mellitus type-2. The patient, a 48-year-old woman, has just been diagnosed with Diabetes while being treated a few days ago because of a urinary tract infection. High blood sugar, urinary tract infections with symptoms of severe enough patients get insulin injections to control their blood sugar. After the infection improves, the blood sugar is also controlled the patient is allowed to go home
Well, when the patient controls after this hospitalization, blood sugar back high once.
Rather surprised, I asked, how much blood sugar mother high again, what insulinnya not used?
Yes, doctor, the last few days I did not inject again.
Why? Question I do not believe.
Scared the doctor, his insulin, there's nothing later. My Neighbor, using Insulin, is now physician's doctor. There are also my friends who also suffer from Diabetes, get insulin therapy had a heart attack and even then amputated.
Yes, bu, this fear is often delivered by the patient. But, actually not because Insulin that causes neighbors Mother must undergo dialysis. But possibly because of other factors, it could be blood sugar that has not been controlled, there are already complications before, then get Insulin.
The purpose of insulin is to ensure that optimal blood sugar can be achieved before complications occur. Most patients are so, after the blood sugar is not controlled with various attempts before, has many related complaints caused by complications that have occurred. Like patients who then undergo dialysis it, most likely before getting insulin therapy, there has been a disruption of kidney function. If you do not get Insulin may have been a long time your neighbor's mother was doing dialysis, I tried to answer simply
As I mentioned above, insulin therapy is not easy. Psychological burden of the patient is quite heavy. Fear of stigma against insulin also can not be rejected, fear of pain when injected, worrying side effects, will disrupt the daily activities of patients, in some cases can not be rejected. It's just the fear, the worry is not as the patient imagined. Pain may be present, especially when the needle is dulled, or the formation of scar tissue, a very deep injection of muscle.
Please note that the tool for Insulin injections now is not like it used to be, good packaging, easy to carry, used, fine needle also burlapis slicone, so it does not cause pain when injected. Because of the simple packaging, such as an existing pen ready-made needle, Insulin, and its dose, and where, anytime can be used, even blind people can use it. Therefore, concerns that will interfere with daily activities and the difficulty of using them should not be necessary.
Then, like the patient above, many more patients are afraid or unwilling to be given Insulin because they think that if the patient has been treated Insulin therapy means the disease is severe, Insulin is the beginning of the end. Patients feel convicted, the disease is very heavy, no hope anymore. The patient is afraid, does not accept such circumstances and arises rejection reactions.
I am afraid of doctors Insulin dependence, says a newly pregnant mother who is known to have diabetes mellitus, known as gestational debates. Insulin therapy in gestational diabetes is the best choice to control blood sugar sufferers. But unfortunately many reject it because of such mistaken assumptions. In fact, when the patient has given birth most of her blood sugar will be controlled without insulin
Thus, many reasons diabetics refuse insulin therapy, ranging from the fear of injection, pain, can not use, interfere with daily activities, the fear of dependence, diseases that have no hope anymore, even to the annex that Insulin as the cause of complications diabetes mellitus. All of the above reasons are unnecessary myths.