Learn How Diabetic Supplies Have Changed Over The Years

By Thomas Reed


Over the past several decades, many changes in technology have affected diabetes management. There has been a significant change in the kinds of insulin being used, how it is administered, and how folks measure glucose. These changes in diabetic supplies have made a huge improvement in the lives of folks with diabetes. Back in 1977, folks measured glucose by testing urine with tablets and monitoring tapes. At that time dipsticks were just being introduced.

In spite of nonexistent technology, health care practitioners believed diabetes management was state of the art. There were no notable changes in the management of diabetes from 1947 to 1977. Folks monitored glucose in the urine and took one to two doses of insulin at a fixed amount. Today there are personal glucose monitors that test the blood, many different types of insulin, and a variety of options for injection. This disease requires a high level of diligence by the patient.

Checking glucose levels, calculating snacks and meals, and administering insulin, makes this disease require the individuals attention numerous times each day. Diabetics need to pay attention to identify feelings that may point to hypoglycemia. There are not many conditions that require such a high level of attention. This is something that has not changed for diabetes management.

Professionals who do not have the disease do not fully understand the huge burden their patients have. Regardless of the improvements that have changed the way people take insulin and monitor glucose, the day to day burden of managing the disease has not changed. Although the advances have made testing and insulin administering simpler, the individual will still need to be diligent with the attention this condition requires.

Nutrition therapy has also been affected by changes. There are many discussions about the type of food that should or should not be consumed. However, the actual concern seems to be whether insulin should be made to match the food or foods should match the insulin. For years patients were prescribed a diet, met with the dietitian, and given food exchange lists or lists with carbohydrate values. The insulin dosage was set and the foods prescribed.

With Diabetes Type I, the patient measures glucose and based on the level, adjusts the insulin dose. This takes place before the meal. Today, insulin dosage is matched to the food that is eaten. However, this does not give permission for people to consume anything they want. Contrary to traditional dosing, this method gives insulin following a meal.

Administering insulin after eating requires that folks evaluate the meal content, the type of food, and the amount. After assessing the meal, the person will decide the dosage of insulin needed following the meal. Not every person has the ability to perform food analysis. Additionally, not many have the skill to determine the insulin dosage.

In the past, people ate their meal after they took a fixed dose of insulin. Now they have the option to select foods, analyze them, taking glucose level into account, and determine the dose of insulin that is needed following a meal. This method is indicative of a shift in managing diabetes.




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