Management Basis

I've been a newly-diagnosed diabetic several years ago by now, but I haven't forgotten how disoriented I was at that time. So, I've decided to write an article which could explain to "fresh" diabetics fellows some basis of our disease's management in a simple and brief way.

First of all, let's talk about insulin, the hormon which our body doesn't produce anymore and which we have to introduce by our own in order to control our glycaemia. In case of a multi-injective therapy (which is the one I've sticked to since my diagnosis, as I find it as effective as an insulin pump but way less subject to mechanical issues), you will have to make use of two distinct types of insulin: rapid-acting one, as, in my case, Novorapid, which will lower your blood glucose levels in a relatively bried amount of time, and basal one, such as, in my case, Toujeo, which will prevent your BG from rising in case rapid insulin is not on board: basal only has to be injected once a day. Instead, in case of a pump, things are way more authomatised: all you have to do is to select how many insulin you want to take for your meals, and, alongside this, the device will authomatically inject you tiny doses of that very same rapid insulin throughout the day, working exactly as a basal one.

Having talkd about the agent which lowers our glycaemia, let's now focus on the one which makes it rise: food. The macronutrient which has the most powerful impact on our blood glucose level are carbohydrates, respondible most of the times for a rapid rise in BG. Fats and proteins also have an impact on glycaemia, but since it is way less evident and could not be significant in the early stages of the disease, we will discuss about them in a more specific article. Generally talking, you have to inject insulin before your meals to prevent your blood glucose from rising too much. How, how much and when will be the subject of further articles.

There are countless further factors which can influence our glycaemia, but since the aim of this article is to provide a basic guideline, I will only name one, which is without doubt the most evident and relevant: exercise. Physical activity generally lowers our blood glucose levels: aerobic one in the short term, anaerobic one in the long. Also in this case, further details will be provided in more specific articles.

Since you now know the basis of our disease's management, you are ready for the next step: keep reading my website in order to discover all the subtleties of my method!