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Using Insulin: Everything You Need for Success with Insulin Paperback – January 1, 2003
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The book discusses at length two insulins: Lente and Ultralente, that were discontinued about 8 years ago. It gives scant coverage to Detemir as not yet being formally approved. This is known today as Levemir, and is a mainstay basal insulin.
Much coverage is given to NPH and Regular insulins, which are being challenged for usefulness by the true basal/bolus insulins. Insulin mixes, much discussed in this book are also becoming obsolescent.
Dated nutritional advice, such as recommendation for a high-carbohydrate, low-fat diet, can easily mislead the insulin-using novice, as can the recommended reliance on the glycemic index, which can lead to blood glucose control issues.
I was glad I did.
The Good Points:
For some reason, there is never any shortage of diabetes guidebooks that seem to be made up of opinion, oversimplifications, mythology, and just plain incorrect or misleading information. This is not one of them.
The material is reasonably well organized, adequately referenced, and presented in a clear, concise and understandable manner
The book touches on the actual mechanics of how insulin works in the body, how different types of insulin work, and the mechanics and constraints of taking insulin.
The Bad Points:
This is not a mass-market book. It takes a little bit of work to read and understand it. While not a medical textbook, it is also not a Readers Digest 300-word article. Be prepared to spend some time reading and mastering the material.
This is a great book to understand how the body uses insulin, and how to mimic the body's own control mechanisms to control blood glucose. By the time you are done with this book, you should expect to be able to design a program of insulin injections that will keep your glucose in control no matter your lifestyle or diet.
You would certainly want to do that under the supervision of your medical provider, but don't be surprised if your grasp of the subject is as good or better than your doctor-at least for how insulin relates to your specific situation.
I'd recommend this book to anyone diabetic, or anyone living with a diabetic.
A few problems:
Data is 10 years old and somewhat out of date. Levemir wasn't even FDA approved at that time. Needles for injection were longer than we use today. No mention of problems that can occur with short needles, and when one mm in length can make a world of difference, especially with pen needles.
I really don't want to read 344 pages. I'm an insulin resistant, T2, fat, 60 something diabetic who wants a book that is written for me, so write a section of the book for someone like me who could care less about changing my lifestyle, make the program fit me. Too often, I was reading something that didn't apply to me. This could be confusing for some.
There are a world of T2 insulin resistant diabetics out there, the tables in the book stop at 100 units TDD. I mean, how much harder would it be to take the tables to 200 units?
I read the Bios on the four authors and guess what? None of them are diabetic. This shows in the text. There were times where I was thinking that the writer knows not of what he speaks. I would rather see CDE T2 MDI behind the author's name than all those other letters.
Please don't let anything above put you off purchasing this book. The data in it is invaluable, especially if you want ultimate control of your diabetes. The data and worksheets are in there. The formulas are pretty simple.