Page 126 - BUKU JILID 2 ENGLISH FOR PROFESSIONAL NURSE FIX

Reading 1

a
Study the following text, and decide if the sentences are TRUE, FALSE OR NOT GIVEN.

INSULIN TERAPHY

Most people who are newly diagnosed with type 2
If the value is consistently higher than your fasting
diabetes begin initial treatment with a combination
blood sugar goal, and you do not have episodes of
of diet, exercise, and an oral (pill) medication. Over
low blood sugar (especially overnight), your
time, some people will need to add insulin because
provider may recommend increasing your insulin
their blood sugar levels are not well controlled.
dose. If the initial insulin regimen is still not
When insulin is started for type 2 diabetes, health
adequately controlling
care providers usually
your blood sugar levels,
recommend "basal"
your health care
insulin; this means
provider might
taking intermediate-
recommend giving
acting and/or long-
yourself two injections a
acting forms of insulin to
day, depending on the
keep blood sugar
type of insulin you use.
controlled throughout
Being diagnosed with a
the day. You will likely
new medical problem or
need to take basal
requiring a new
insulin once per day,
medication can also
either in the morning or at bedtime.
change the body's needs for insulin, sometimes
If you are using a combination of treatments (ie, an
requiring a change in diabetes treatment. For
oral medication plus insulin), it generally means
example, when a person with type 2 diabetes takes
that you can take a lower dose of insulin compared
steroids (eg, prednisone) for an asthma attack or
with people who take insulin only. Since insulin can
other reasons, the blood sugar levels increase. This
cause weight gain, combination therapy may
usually requires temporarily increasing the dose of
reduce your risk of weight gain. Your health care
insulin.
provider will work with you to monitor your body's

response and adjust the dose over time. Type 2 diabetes typically progresses over time,
causing the body to produce less insulin. Some
To determine how and when to adjust your once-
people will need a more complex insulin regimen.
daily insulin dose, you will need to measure your
In this situation, a pre-meal (prandial) dose of rapid-
blood sugar level every morning before eating.
acting or short-acting insulin is added to the once-

122