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If all of the above possible causes are excluded, then instruct only the guard sister to administer insulin. If all these measures do not improve the results of esomeprazole treatment, then we can assume that the patient has a true immune insulin resistance. It usually disappears within a year, rarely 5 years, without any treatment.
It is desirable to confirm the diagnosis of immune insulin resistance by testing for insulin antibodies, which, unfortunately, is not routine. Treatment begins with a change in the type of insulin - from human to an analogue of nexium insulin or vice versa, depending on what treatment the patient was on.
However, it is rather difficult to prove this biological insulin resistance in T2DM patients by a clinically acceptable method. As mentioned above, insulin resistance is measured today by its requirement per 1 kg of body weight.
From a therapeutic point of view, the question of the diagnostic criteria for insulin resistance in patients with type 2 diabetes is irrelevant until they are suspected to have immune insulin resistance to an insulin preparation.
There are no upcoming events.
It should be noted that the criterion of insulin resistance of 200 units/day was introduced as a result of erroneous reasoning. In early experimental studies on dogs, it was found that their daily secretion of insulin does not exceed 60 units.