Tag Archives: Insulin

Why insulin requirement decreases in diabetes patients with long term kidney disease?

Those people who are suffering from diabetes and taking insulin probably become happy when their doctor decreases their dose of insulin or stops insulin.

But if a person is suffering from chronic kidney disease along with diabetes, decrease in insulin doses may not be something to be happy.

When chronic kidney disease deteriorates i.e. progresses to advanced stages, the requirement of insulin falls in diabetics.

Now the question is:

Why insulin requirement falls in advanced stages of chronic kidney disease?

Answer:

  • In advanced stages of chronic renal failure, the kidneys excretion capacity of insulin molecules decrease, therefore more of the insulin remains in blood. Unless the insulin gets excreted normally the further requirement of insulin is less. In such scenario your doctor might decrease your insulin doses.

Ask you doctor today to be sure why your insulin dose was decreased.

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Why insulin is needed for our body?

Insulin is a hormone produced by our pancreas (an organ found in our abdomen). Insulin stores the sugar, fat and protein that we take through our diet.

When the body is lacking insulin or insulin in not able to work efficiently, as in case of diabetes, sugar can’t be stored in our body anymore and hence the level of the sugar in blood increases.

At certain times the fat level in blood can rise due to deficiency of insulin, causing a condition called ketoacidosis (since free fatty acids break down to ketone bodies and makes our body acidic).

Therefore, for our body to function properly insulin is required. Insulin can be taken in injectable forms, beneath our skin, when needed.

For all your health concerns be guided your health care provider and not this blog.

Tests to diagnose diabetes

Diagnosing diabetes-

Blood sugar levels which refers an individual as diabetic are as following (although one such reading might not be sufficient and other clinical features might be included in making a diagnosis)-

  • Fasting >126mg/dl
  • Random >200mg/dl
  • HbA1C (glycated hemoglobin) >6.5
  • For diagnosis of gestational diabetes your doctor may need another test called glucose tolerance test in which you will be given certain amount of glucose drink and then checking your blood sugar levels after certain intervals.

Cross check the levels from other sources too.