27 June, 2013

RIP PIOGLITAZONE - YOUR SERVICES WILL BE REMEMBERED!

THREE DRUGS TO FACE THE GUILLOTINE TODAY

1) PIOGLITAZONE
2)ANALGIN
3) DEANXIT..

I personally feel pioglitazone deserves a chance. every drug has side effects. To suggest it with caution is the Doctor's responsibility. Newer drugs are hard to come by these days.The ones that come are pretty costly. How will a middle class patient survive? Hopefully government reconsiders this decision.

22 June, 2013

INSULIN TIMINGS!


Many of our Patients are on insulin. The most common reason why insulin does not control blood sugar is that we do not understand the dynamics of insulin. Here I have put a concise format so that everybody can understand which insulins has to be taken when....


Insulin preparation
Generic name
Onset
Peak
Duration
Rapid-acting
Insulin Aspart
5-10 minutes
1-3 hrs
3-5 hrs

Insulin Lispro
< 15 minutes
½-1½ hrs
2-4 hrs

Insulin Glulisine
< 15 minutes
½-1½ hrs
1-2½ hrs
Short-acting
Regular
½-1 hr
2-3 hrs
3-6 hrs
Intermediate- acting
NPH
2-4 hrs
4-10 hrs
10-16 hrs
Long-acting
Insulin Glargine
1 hr
No peak
24 hrs

Detemir
1-2 hrs
No peak
6-23 hrs, depending on dose
Combinations
70% NPH +30% Regular
½-1 hr
There are2 peaks: 2-3 hrs &4-10 hrs
10-16 hrs

70% Aspart Protamine +30% Aspart
5-10 minutes
There are2 peaks: 1-3 hrs &4-10 hrs
10-16 hrs

50% Lispro Protamine +50% Lispro
< 15 minutes
There are2 peaks: ½-1½ hrs &4-10 hrs
10-16 hrs

75% Lispro Protamine +25% Lispro
< 15 minutes
There are2 peaks: ½-1½ hrs &4-10 hrs
10-16 hrs
Feel free to tell me if this helps!!

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