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Broken down further, this includes nearly 19 million diagnosed and 7 million who do not yet know they have the disease. Another 79 million people are suffering from pre-diabetes, which means your blood sugar levels are higher than normal but not yet high enough to be diagnosed as diabetes (if left untreated, the majority of pre-diabetes cases will progress to type 2 diabetes within 10 years).These are numbers of epidemic proportions, signaling a health care emergency that is unnecessarily robbing quality years from millions of Americans’ lives.When you have type 2 diabetes, first your cells become resistant to insulin, which prompts your body to produce increasingly higher levels of this hormone. This is a health risk in and of itself, as high insulin levels can lead to weight gain and high blood pressure while increasing your risk of developing heart disease and cancer.It can even make your insulin resistance worse. Further, eventually your pancreas can lose its ability to produce insulin altogether, putting you at dangerous risk of high blood sugar levels and their associated complications.So type 2 diabetes is a dangerous disease, not one to be ignored or taken lightly. As the CDC reported in their most recent 2011 Fact Sheet, diabetes is:The leading cause of kidney failure, nontraumatic lower-limb amputations, and new cases of blindness among adults.
Short-acting insulin (also called regular insulin) has an average onset of 30 minutes to an hour, peak of 2 to 4 hours, and duration of 4 to 8 hours, depending on if it’s injected or used in an insulin pump. It’s taken 30 minutes to an hour before a meal, and may be combined with long-acting insulin.Intermediate-acting insulin (also called NPH insulin or lente insulin) has an average onset of 2 to 4 hours, a peak of 4 to 10 hours, and duration of 10 to 18 hours. It’s often used in combination with rapid or short-acting insulin.The effects of long-acting insulin (sometimes called background insulin or basal insulin) typically cover a full day. There are two types of long-acting insulin: insulin glargine (Lantus) and insulin detemir (Levemir). Typical onset for Lantus is within 4 to 6 hours. Lantus is delivered steadily and so does not peak, and has an average duration of 24 hours. Typical onset for Levemir insulin is between 2 to 3 hours. Levemir peaks slightly between 8 to 10 hours, and the duration is dose-dependent, between 6 to 23 hours. Long-acting insulin is often used in combination with rapid or short-acting insulin, or an oral diabetes medication in the case of type 2 diabetics.