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"The life is doing what it can: health and disease are only two forms of this effort to live ... Who is the very life" Andre COUNTY-SPONVILLE

Q & R

Q & R
Questions des internautes sur le diabète et réponse du pharmacien...

Issues of internet users on the diabetes and answer of the pharmacist…

Issues of internet users on the diabetes and answer of the pharmacist

In this topic questions and answers, I will share with you some questions that have been put to me by mail, and based on the principle that there are no questions beasts, I have made it my goal to keep the anonymity of persons who have contacted me…

Signed, the pharmacist

Question about the penfill pen.

Question of the internet user:

Hello,

My son is age of 04 years, it is diabetic since 02 years, it is under actrapide insulin and NPH,

As he the age of the pen or not? Because it does not accept the bite…

Response of the pharmacist: 

Hello Madam,

I have just read your message and I am very glad that you have to ask me this question…

Yes it is quite possible, but I'd like for you to know one thing; if you go opt for the pen, it asked for more monitoring and vigilance on your part…

I explained to me, assuming that you will decide to go directly to the insulin Penfil (pen), this means that you will deal with a short-acting insulin (example: Novo-fast that is faster than the actrapide) and insulin has a slow action or delay (example: The Levemir or the Lantus) while knowing that the NPH does not exist in the countries of the Maghreb in the form of a pen (that said, if you are a resident of one of these countries).

Therefore the passage to these two types of insulin is very interesting for the treatment of your child, that is what is called the basal-bolus insulin therapy or the functional, which i you the once again reiterates, request a increased vigilance on the part of parents (father and mother).

In effect for the injections with the old syringes of 1cc or 1ml, currently, they are completely outdated; I confess that this is not an easy thing to be stung by such syringes…

There is of very fine needles which are in the order of 5 mm and even of 4 mm, they are ultra-thin and painless, in fact it is that what I used for my daughter (may be that they are not marketed in the Maghreb countries, but one thing is certain, they are available in France and in Europe).

My best advice is to discuss with the doctor dealing with your child on the possibility of the passage to the pens Penfil (for the rapid insulin and the insulin slow), it will respond to your expectations.

In last place, I invite you to visit my blogHTTP://Www.diabete-enfant.com/And leave me your questions on the contact section or simply to leave me your questions in the space of a comment…

In fact, i you queue a small trick to practice of the injections without pain: Prior to making an insulin injection (at the level of the arm, abdomen, thigh or buttocks), I suggest you rub vigorously with a piece of ice cube by performing the movements of "comes and goes" on the part of the body or you will be practicing the injection, which will considerably reduce the pain and the trauma of needles - try it and you'll see!

I think I have answered honorably to your question; I hope you read soon and don't hesitate to ask me any more questions about the diabetes of your child. Think that you are not alone in this struggle, we are here to help each other…A very soon!

Signed, The Pharmacist

Question about the treatment of diabetes and the action of insulin

Question of the internet user:

Hello,

I am suffering from diabetes mellitus type 1since the age of fifteen-years ago, I lived in Morocco, i wonder in speaking to you for information, about for a final solution for the diabetes mellitus, type of operation etc…

And then, I also have a second question concerning the type of insulin the more effective that could keep me my glucose homeostasis in my blood???

THANK YOU.

 Response of the pharmacist:

Hello,

First question

Your question I was completely disoriented and has laid bare my knowledge in the area of diabetes, I feel very strongly what you feel or perhaps more…

I know what is a diabetes and i know what having diabetes; these two concepts are completely different for me, as a health care professional and parent of a diabetic daughter who has contracted this disease at the age of 4 years…

At the beginning, the word diabetes means to me a disease such as all the other diseases and who said diabetes, said automatically sugar! It is two words are completely linked, they are inseparable…

Fate has decreed that this disease is my companion and not that of my daughter, why?

Because for her, it (diabetes) was so great that she could not bear its weight, it was very small for his age, she knew nothing; she was an angel, it was a pretty little flower, it was so innocent, that she did not understand what it was; it was just a small child who just open its eyes on this world…

The pain that was me who cashed, and it was me the victim at the end of the account… but thank God! 

"No one can bypass the course of their destiny," says the adage goes, I think that the destiny was not wrong on the road… It is there and it must be done with, it is obliged to accept… there is no choice! 

You are going to tell me what is the best treatment for type 1 diabetes currently? 

My answer is a daily treatment with insulin for life!

It is a truth very bitter to swallow, but if we will have to choose between the cancer and diabetes, we will choose the least worst, that is to say, the diabetes, it is what it is ! 

Now, the main objective is to return the sugar in the cells of our body and the control of blood glucose levels.

For this are to be distinguished:

· The conventional insulin therapy: Two to three injections under the skin (under the skin) per day.

· The functional insulin therapy: Or the attempts to imitate the natural secretion of insulin (four or five injections under skin by day or we will opt for the installation of an insulin pump).

There are different insulins depending on their duration of action.

The route of the treatment of diabetes requires a therapeutic education involving the learning of the treatment, learning the techniques of injection, a balanced diet, the everything is of well adapt to your way of life… 

Now, I have to come back to your first question, I will be sincere and honest with you son, the expression "final solution" that you use is a little hasty in your hand, but I assure you that in the 5 or 10 years to come (as they say, incha-llah), a much more flexible treatment will be the day and would be less binding than that of today (the search is on the right track,we are talking about the artificial pancreas that could revolutionize the lives of diabetics) 

Be aware that it is at a very advanced stage of the research…

Please consult the following sites:

Http://w1p.fr/55827

Http://w1p.fr/55826

Http://w1p.fr/55830

Http://w1p.fr/55831

Http://w1p.fr/55832

Trying to watch these two videos:

Http://w1p.fr/55834

Http://w1p.fr/55833 

Here is a very interesting article on the treatment of diabetes mellitus

Article that I have taken of the net


The diabetes mellitus (DM) is one of the hormonal diseases prevalent. It is often called a "non-infectious epidemic of the 21st century". 200 million people have diabetes in the world, and their number is increasing. In 2025, the number of people suffering from diabetes mellitus is expected to increase by 50 %. The diabetes mellitus is characterized by a rate of high blood sugar (glucose) level resulting from the insufficient production of insulin, either in the body (diabetes type I) or the cells of the body of inappropriate response to the insulin produced (of type II diabetes). Learn more about the diabetes…

The treatment of diabetes with stem cells

We have developed a cell strain method based on fetal transplantation (with the exception of the pancreatic beta cells) in the treatment of diabetes. This method has been proven to be effective for the types of diabetes I and II of treatment and is protected by patents in many countries. Rod cell treatment results in the diabetes blood glucose lowering effect pronounced, namely, the decrease of the level of sugar in the blood, to reduce the dose of exogenous insulin in 50 % -70 %. The treatment of diabetes with fetal stem cells induced in the long term clinical remission in more than half the cases.

Effects of the treatment of diabetes with fetal stem cells

The treatment on the stem cells of diabetes leads to a significant improvement in the condition of the patient. In some cases, during the early stages of the disease, the result may be, even in the complete restoration. After the therapy by stem cells, the diabetes mellitus patients report standardization of immunological and hematological indices, reduces the manifestations of unrest micro-and macrovascular disease and trophic, the restoration of the manoeuvrability. In the case of treatment of the progression of the disease is hampered, and the periods of remission become 2-3 times longer.Severity and the frequency of complications of diabetes decrease. Quality of life and increase the average life expectancy, the main effects of diabetes mellitus of treatment with stem cells are listed Below.

Decrease of the blood glucose in patients with diabetes mellitus of new insulin-dependent in the 2-3 months after the treatment of stem cells, in 100% of cases, the dose of insulin administered digressive. With the initial dose of insulin on average to 0.76 ± 0.06 units/kg/day, a reduction of the maximum dose is 20-100% (41% on average), with a duration of 14 to 90 days (59.0 ± 4.3 days on average). In 65% of the cases, the treatment of diabetes has resulted in a clinical remission with the dose of exogenous insulin falling to less than 0.4 units/kg/day, or the insulin therapy completely ceased. Remission lasted from 5 to 14 months.

The syndrome of the early years post-transplantation improvements the syndrome of early years post-transplantation decrease improvements includes weakness, the restoration of capaсity work, of the appetite and sleep. The syndrome is observed in 63% of cases.

Improvement of the psycho-physiological state the syndrome of the psycho-physiological changes includes the improvement of the mind and the mental capacity, inburst of energy, the disappearance of anxiety, depression decrease, etc The syndrome was noted in cases of 48 %.

Immunity of reconstruction of treatment of diabetes with fetal stem cells led to the restoration of immunological parameters. cell count, the T lymphocytes and sub-populations of T lymphocytes normalize. B-lymphocytes count decreased by 30-60 %. The effect immunocorrecting lasts from 3 to 8 months.

Replenishment of the hematopoiesis in 1-1.5 months after the treatment on the stem cells of patients with diabetic glomerulosclerose complicated by a chronic renal failure (I, II and III degrees) and a syndrome anemic, and the restoration of the hematopoiesis, the normalization of erythrocyte count and hemoglobin have been observed; this effect is maintained up to 12 months.

Improvement of dystrophic disorders and disorders of trophic after transplantation of fetal stem cells, trophic ulcers disappear, the splanchnic area is improving, and skin lesions and infectious dermatitis of fungus, lychenisation cutaneous lesions and lipoatrophique decline.

Reference: Site: http://www.emcell.com/fr/affections/diabetes_treatment.htm

End of the article

For the second question


There is no better insulins for a perfect balance…

There are two types of insulin for your case: the rapid or the ordinary during the day and the slow during the night (that which is during the night).

I will take one example:

For your case, what is the schema of injections the best suited? 2 - 3 or 4 injections per day?

The diagram that best suited is the one that allows you to obtain the best possible balance, without the constraint of the injections is too important for you.

If you are ready to make a treatment with injections of 3 or 4 times a day, you will need to achieve this balance more easily than with 2 injections… But on the condition of eating well-balanced and to respect well these portions…

The balance is being played between the number of units of insulin and the portions of food that you eat in more of a regular physical activity; therefore it is up to you to find the right balance (the next time, I will speak with you this balance…)

The ultimate aim of the treatment of type 1 diabetes is to arrive at a stabilisation of the rate of the blood glucose levels with 4 or 5 injections per day… 

Note: Now, there are needles of 4mm and are completely painless, that is to say without pain …

I hope I have responded to your two questions, I ask you to receive my sincere friendships… 

Moi ? A little tip: Always keep the morale of the beautiful well fixed and hold the balance of your diabetes, with the practice of regular physical activity; you'll be in good health throughout your life, and have a life expectancy exceeding 100 years, as they say Incha-llah!

The diabetes has never killed anyone, is its negligence which is the consequence of all the complications related to diabetes ...

It is a matter of will! We need to conquer diabetes, don't be defeated!Se tordre de rire

Cordially, signed, The Pharmacist


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3 Comments

  1. The information that you published on your blog are absolutely essential to my point of view and I absolutely love consult your topics. The text is generally pleasant and exciting. It is elementary to follow and well-built.I think that you have made a good exercise and I congratulate you.A when the following?

  2. Even being diabetic, a patient can live harmoniously in next to the letter of the requirements of his treating physician. In addition, this pathology is very well supported by the different health organizations

  3. Being personally affected by diabetes, I thank you for this space of floor dedicated to the disease.

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