Fully plagiarized from
Then modified to apply for Diabetes
I'll let you in on a little secret on how to become an expert....
Experts know how to research!
There's simply just too much knowledge out there for any one person to know it all in a particular subject.
Personally, I would hire someone who could research extremely well over a person with a high IQ any day of the week!
I don't claim to know all the answers, but 9 times out of 10 I will be able to come up with some sort of answer for you,
That is extremely valuable in today's marketplace.
So take some time to acquaint yourself with a great friend of mine: Google!
Google by far is the best search engine I have used over the years in terms of getting me to articles and resources that answer my questions.
But there is a strategy that I have developed when it comes to searching via Google I would like to share with you.
Before you begin typing in your query,
try to determine the keywords that may trigger more accurate results.
I always start my searches by using Google Books then Google Scholar
this will make it more reliable and you will not get fluff from the internet which say eat "Gurmar " from Santhals and cure Diabetes.
The next word (or phrase) I type in, is the broadest word I can think of that would encompass my question. Some examples of my second word or phrase could be:
- Diabetes
- Type 2
- Insulin
- Lantus
- Dosage
- Adjusting
you can get much useful information just from reading the results summary even before going in and opening the particular book.
such as for the above query I got this info from 1 page
"Insulin Glargine (Lantus) Subcut (Adults and Children 6 yr): Type 1 diabetes (insulin naıve)—1/3 of the total daily insulin dose given once daily, then adjust on the basis of patient's needs (remainder of insulin dose should be given as a short-acting insulin) (
Davis's Canadian Drug Guide for Nurses - Page 695
When transferring from basal insulin (Lantus, NPH) in type 1 0r 2 DM, change 0n a than NPHinsulin. PEDS - Diabetes: maintenance: total insulin 0.5–1 unit/kg/d SC, but doses vary. Generally, 50–70% of insulin requirements are provided by rapid-acting insulin and the remainder from intermediate- or long-acting insulin. Age 6–15 yo (Lantus): Start 10 units SC daily (same time everyday) in insulin naive patients, adjust to the usual dose of 2–100 units/d.
Pharmacopoeia 2009 - Page 130
Adjust insulin dosing to achieve glycemic control. See table “diabetes ... ADULTS – Type 2DM: Start 15 to 30 mg PO daily, may adjust dose after 3 months to max 45 mg/day. ... (Novolin N, Humulin N, Lantus, Levemir) LK ♀B/C + $$$$ ADULTS – Doses vary, but typically total insulin 0.3 to 0.5 unit/kg/day SC in divided doses (Type 1), and 1 to 1.5 unit/kg/day SC in divided doses (Type 2)
In head to head comparisons with NPH insulin, glargine insulin had a lower incidence of nocturnal hypoglycemia in both type-1 and type-2 diabetics than NPH (31 vs. ... or 0.15 units/kg at same time daily On once daily insulin: give total daily dose at same time daily On twice daily or multiple daily doses: give 2/3 total daily dose at same time daily Suggested titration schedule Adjust dose weekly to achieve fasting glucose <100 mg/dl FBG Increaseglargine dose (units/ day) 100
PEDS — Diabetes, age older than 4 yo (Apidra), older than 3 yo (Humalog) or older than 2 yo (NovoLog): Doses vary, but typically total insulin maintenance dose 0.5 to 1 unit/kg/day SC in divided doses. Generally, 50 to 70% of insulin requirements are ... When transferring from twice-daily NPH, the initial Lantus dose should be reduced by about 20% from the previous total daily NPH dose, then adjust dose based on patient response. Levemir, Type 2 DM: Start 10 units or 0.1 to 0.2
The bedtime insulin injection is the most difficult dose to adjust. Although we do not eat during the night, our bodies need a continuous low level of insulin to prevent the liver releasing glucose freely into the bloodstream. The most common bedtime insulin with multiple injection treatment used to be intermediate-acting insulin of NPH type. Insulin with longer effect (Lantus or Levemir) is now used widely instead
Self blood-glucose monitoring during insulin therapy is crucial because patients will need to adjust their dose to avoid hypoglycemia and to adequately control hyperglycemia. ... Insulin. Therapy. for. Type. 2. Diabetes A recent Cochrane review has summarized the evidence of 20 randomized trials related to insulin therapy in type 2 diabetes (40). The following conclusions can be made from this review: • Slightly better glucose control and reduced weight gain occur if oral metformin, ..
First, try with ALL books, then filter
Knowing the terminology can save you tons of time while searching
I have had scenarios where I search Google for the proper name of a feature before ,I perform my original search.
Don't Be That Guy! I can't begin to count how many times I've seen a question asked in a forum and if the person would have taken 5 seconds to do a quick online search they would have found at least 10 different articles providing them with a step by step solution.
Step 2: Ask A Friend Or Peer
Step 3: Post In A Forum
Step 4: Buy A Reference Book
Now Go Ask Your Question
Well, there you have it,
you now know all my tips and tricks
to solving any problem you may come across.
When you get really efficient,
you will be able to answer your patient' questions within minutes and take credit for it.
Having the ability to research and find solutions will get you well on your way to being known as a guru
I really hope this resource is useful to you and please leave any feedback or tips of your own in the comments section below.
Good luck!
No comments:
Post a Comment