By K.P. Yohannan

Have in mind the good outdated days on your ministry? This e-book offers a biblical foundation to retaining that vibrancy and dedication that accompany any new flow of God.

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22. Van den Berghe G, Wouters P, Weekers F, et al: Intensive insulin therapy in the surgical intensive care unit. N Engl J Med 342:1301–1308, 2000. 23. Vinik AI, Mehrabyan A: Diagnosis and management of diabetic autonomic neuropathy. Compr Ther 29:130–145, 2003. Elizabeth A. Stephens and Terri Ryan CHAPTER 3 INTENSIVE INSULIN THERAPY 1. What is intensive insulin therapy? Intensive insulin therapy (IIT), or basal-bolus therapy, is the use of an insulin pump or multiple daily injections (MDIs) of insulin (both long- and rapid-acting formulations) in an effort to mimic normal pancreatic insulin secretion.

If the last rapid-acting insulin dose was 1 to 3 hours earlier, 15 g dextrose should be taken. & If the last rapid-acting insulin dose was more than 4 hours earlier, only 5 to 10 g dextrose may be required. & After 15 to 20 minutes, the patients should wash their hands and test their BG again. & If the repeat BG is less than 70 mg/dL, additional dextrose should be taken. 42. Why does rebound hyperglycemia occur after hypoglycemia? & Overtreatment with an inappropriate amount of carbohydrate may occur.

Diabetes Care 27(Suppl 1):S94–S102, 2004. 3. American Diabetes Association: Hypertension management in adults with diabetes. Diabetes Care 27(Suppl 1): S65–S67, 2004. 4. American Diabetes Association: Nephropathy in diabetes. Diabetes Care 27(Suppl 1):S79–S83, 2004. 5. American Diabetes Association: Retinopathy in diabetes. Diabetes Care 27(Suppl 1):S84–S87, 2004. 6. CDC Cost-effectiveness Group: Cost-effectiveness of intensive glycemic control, intensified hypertension control, and serum cholesterol level reduction from type 2 diabetes.

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