Avoidance
In theory, avoidance is simply a matter of preventing hyperinsulinism. In practice, the difficulty for a diabetic person to aggressively dose insulin to keep blood sugars levels close to normal and at the same time constantly adjust the insulin regimen to the dynamic demands of exercise, stress, and wellness can practically assure occasional hyperinsulinism. The pharmacokinetic imperfections of all insulin replacement regimens is a severe limitation.
Some practical behaviors which are useful in avoiding chronic Somogyi rebound are:
- frequent blood glucose monitoring (8–10 times daily);
- continuous blood glucose monitoring;
- logging and review of blood glucose values, searching for patterns of low blood sugar values;
- conservative increases in insulin delivery;
- awareness to the signs of hypoglycemia;
- awareness to hyperglycemia in response to increased delivery of insulin;
- use of appropriate types of insulin (long-acting, short-acting, etc.) in appropriate amounts.
Read more about this topic: Chronic Somogyi Rebound
Famous quotes containing the word avoidance:
“Real good breeding, as the people have it here, is one of the finest things now going in the world. The careful avoidance of all discussion, the swift hopping from topic to topic, does not agree with me; but the graceful style they do it with is beyond that of minuets!”
—Thomas Carlyle (1795–1881)
“Tax avoidance means that you hire a $250,000-fee lawyer, and he changes the word ‘evasion’ into the word ‘avoidance.’”
—Franklin D. Roosevelt (1882–1945)
“The American Dream, the idea of the happy ending, is an avoidance of responsibility and commitment.”
—Jill Robinson (b. 1936)