Guide to Starting Humulin I - LillyPro

PROGRAM AND BUSINESS DOCKETCONTENTSInformation 2Greetings from Sharon Watkins,General Minister and President 2Mission Imperative of the Christian Church(Disciples of Christ) 4The 2020 Vision of the Christian Church(Disciples of Christ) 5Officers of the Christian Church (Disciples of Christ) 5Local Arrangements Committee 6General Assembly Planning Teams,Volunteers & Staff 7Identity Initiative: Who do we say that we are? 11Schedule at a Glance 12Floor Plans 14Orange County Convention Center Map 14Plenary Voter Seating 15Assembly Information 16Assembly Services 16Voter and Business Information 17Committee on Reference and Counsel 18Communications and Media 18Assembly Programs 20Pre-school and Grade School Programs 20Youth at the Assembly 21Young Adult Activities 24Mission and Volunteering Opportunities 25Schedule 26Daily Schedule 26Meal Events 32General Assembly Speakers 35Worship, Business and LearningTracks Speaker Bios 35Worship and Celebrations 37Greeting the Day Morning Worship Order 37Worship Order 39Learning Opportunities 79Sunday School Classes 79Learning Tracks 81Exhibitors 87Business 91Order of Business 91Life of a Resolution 93Resolutions 94GA-1318GA-1319Celebrate & Reaffirm Commitmentto New Church 95Report from the General AssemblyCommittee of the General Board 99GA-1320 Time & Place Committee Report 104GA-1321 Open Meetings Policy 105GA-1322 Hearing Accessibility for Participants 109GA-1323 Incarceration, Justice andRestoration in the United States 2 112GA-1324 Reflection on Christian Theologyand Polity, the Christian Doctrineof Discovery, and the IndigenousVoice 114GA-1325 Change in Regional BoundariesS-ID OR CRM 117GA-1326 Resolution Concerning Wage Theft 120GA-1327 Becoming a People of Graceand Welcome to All 123GA-1328 The Removal of Any Racist Languagein the Governing Documents Of TheChristian Church (Disciples of Christ)in the United States and Canada 126GA-1329 Supporting A Treaty for thePrevention of Torture 128GA-1330 Change in Regional BoundariesGRR TN 131GA-1331 Resolution Condemning Drone Warfare 133GA-1332 Encouraging a Fuller Experienceof the Holy Land 136GA-1333 Regarding Parental Leave 138GA-1334 Report of the GeneralNominating Committee 140GA-1335 Disciples Center for Public Witnessas Recognized Organization 144GA-1336 2013 Amendments to the Designfor CC (DOC) 146Reports 152GA-1301 General Assembly of the ChristianChurch, including the Office ofGeneral Minister and President 153GA-1302 Central Pastoral Office ofHispanic Ministries 200GA-1303 CBP/Chalice Press 203GA-1304 Christian Church Foundation 206GA-1305 Church Extension Financial &Missional Resources 225GA-1306 Council of Colleges & Universities 232GA-1307 Council on Christian Unity 235GA-1308 Council on Theological Education 238GA-1309 Disciples of Christ Historical Society 239GA-1310 Disciples Home Missions 244GA-1311 Disciples Women 265GA-1312 Division of Overseas Ministries 268GA-1313 Higher Education & LeadershipMinistries 289GA-1314 National Benevolent Association 300GA-1315 National Convocation 313GA-1316 North American Pacific/AsianDisciples Ministries 316GA-1317 Pension Fund 324INFORMATIONLORD TEACH US TO PRAY 3

What is Humulin I andhow does it work?Humulin I is an intermediate acting insulin.Humulin I reduces your blood glucose levels.This is how Humulin I works over a 24 hour period.24 hour action profileInsulin ActivityThis profile may vary with factors such as size of dose, site of injection,temperature and physical activity.5

Who decides how much insulinI will need?Your insulin dose will be adjusted by you and/or yourhealthcare professional according to the results ofblood glucose tests you do.Do not worry if it takes a while before you reachyour target blood glucose levels and you need moreinsulin. Each person is different and what is importantis that it is the right amount for you.Why do I need to test my blood glucose levels?It is important that you are aware of your own bloodglucose levels in order for you to take the appropriateaction, for example, adjusting your insulin dose.There are a number of reasons why you may need toadjust your insulin dose, including:• High blood glucose levels (hyperglycaemia)• Low blood glucose levels (hypoglycaemia)• Stress/illness7

Instructions for self-adjustmentof my insulinWhen testing your blood glucose, if you haveconsistently high readings for more than three daysat any testing point, then you will need to adjust yourinsulin.Your healthcare professional will explain to you how toadjust your insulin and will complete the following tablefor your needs.Night-time Humulin IAdjust units of insulinNight-time Humulin I onlyFasting (before breakfast) mmol/Labove ............. below .............MorningHumulin IMorning Humulin I onlyFasting (before breakfast)mmol/LabovebelowBefore evening mealmmol/Labovebelow....................................................Adjust unitsof insulin9

Twice dailyHumulin ITwice daily Humulin IFasting (before breakfast)mmol/LabovebelowBefore evening mealmmol/Labovebelow....................................................Adjust unitsof insulinadjust evening doseadjust morning doseDose reduction is recommended if any results areconsistently less than 4 mmol/L (hypo) at any time.10

How do I inject my insulin?Your healthcare professional will explain how toinject your insulin. Injection is usually via approvedpen devices or insulin syringe.Where do I inject?Your insulin can be injected in the places shownbelow. The site of the injection should be rotatedwithin the chosen area to prevent complicationsdeveloping at your injection site and aid insulinabsorption. Check with your healthcare professionalwhich are the most suitable injection sites.11

What if I forget an injection?Forgetting your insulin is rarely an emergencysituation. Seek advice from your diabetes team.The advice will vary depending on when you haverealised you have forgotten to take your insulinWhat if I cannot remember if I had my insulin?If you are in any doubt, do not take your insulin again.In both cases your blood glucose may run a littlehigher after the injection you have forgotten.Do not worry.It is very important that youknow the name of your pen device,your insulin and the nameof your blood glucose meterMy insulin is:My pen is:My blood glucose meter is:12

What is a “hypo” and why does it happen?A blood glucose reading of 4mmol/L and under ishypoglycaemia (a “hypo”). A hypo occurs when bloodglucose falls too low. People feel different thingswhen a hypo is starting, you may also find some ofyour hypos feel different from others.A hypo can happen for a number of reasons:• If you’ve missed a meal or had one later than usual• If you’ve not had enough food or eaten less foodthan normal• If you’ve had more insulin than necessary• If you’ve been more active than usual• If you’ve been drinking alcohol• If you’ve experienced extremes in temperature,either hot or coldIf your diabetes is well controlled occasional hyposare a normal part of life for people with diabetes, butthey shouldn’t take over your life. If you are havingfrequent hypos, speak with your diabetes team.13

Hypos begin quickly, but there are usually warningsigns. Symptoms can vary from person to person,but may include the following:• Sweating• Thumping heart• Looking pale• Weakness or tiredness• Pins and needles sensation• Dizziness/ feeling tipsy, drunk• Disturbed vision• Mild confusion• Slurred speech• Hunger• Aggression or altered behaviour• HeadacheIf hypoglycaemia isn’t corrected it can lead to moreserious conditions such as loss of consciousness.14

How do I deal with hypos?If you experience a hypo, you should deal with it bytaking 15-20g of quick acting carbohydrate such as:• 5 - 7 Dextrosol ® tablets or,• 90-120ml of original Lucozade ® or,• 150-200ml of pure fruit juice such as orange juiceYour healthcare professional may also advise you ofquick acting carbohydrate such as:It is advisable to re-check your blood glucose levelafter taking carbohydrate to ensure your bloodglucose levels are rising.15

If you are not about to eat a meal, ensure you eat10-20 grams of slow acting carbohydrate, to maintainyour blood glucose levels until you next eat.This can be:• half a sandwich• fruit• a small bowl of cereal• biscuits and milkYour healthcare professional may also advise you ofslow acting carbohydrate such as:The exact quantity will vary from person to person.Remember to carry your identity card and glucosetablets with you in case of an emergency.If you have regular hypos consider adjusting yourinsulin and/or contacting your nurse or doctor.16

What should I do if I feel unwell?A number of common illnesses can cause your bloodglucose to rise. When you are unwell you may notwant to eat or take your insulin treatment as normal,but it is important to follow these basic rules:1. Keep on taking your insulinHowever ill you feel and however little food youare eating, according to your blood glucose levelsyou may still need insulin. Sometimes in thesecircumstances you need more than your usual dose.Ask your healthcare professional for specific adviceon what action to take when you are ill.2. Monitor your blood glucoseMonitor your blood glucose. Test at least 4 timesdaily as your blood glucose levels will indicatewhether you require extra insulin doses.3. Take carbohydrates in liquid formTake unsweetened fluids if your blood glucose ishigh. If you still do not feel like eating as your bloodglucose returns to normal then substitute food withsweetened fruit juices or drinks that contain glucose.17

When should my treatment be reviewed?If you have type 2 diabetes then we recommend thatyou contact your healthcare professional when you havereached a total of............. units.This is so your treatment can be discussed with you andyou may also be advised to monitor blood glucose testsat different times of the day or night.You should contact your healthcare professional earlierif you have any questions or are unsure what to do withyour insulin.18

If you have type 2 diabetes it is important to note thatdiabetes is a progressive condition. Over time yourpancreas makes less and less insulin. In the future youmay need mealtime insulin. Mealtime insulin is takenwith food. Your current basal insulin covers your bloodglucose (sugar) levels between meals and at night whilemealtime insulin can help you control the rise in yourlevels when you eat. It requires you to add injections andpossibly increase the number of blood glucose testseach day.Your management plan will be individually developed tomeet your needs and lifestyle.19

Eli Lilly & CompanyPriestley RoadBasingstokeRG24 9NL01256 315 000www.lillydiabetes.co.uk/patientsThis booklet has been developed with the Diabetes Specialist Nurses in Sheffield, Middlesbroughand Salford Royal Foundation Trusts and Diabetes Specialist Nurses from Dumfries & GallowayRoyal Infirmary. The booklet has been reviewed for medical accuracy and printed by lilly.UKHML00004b November 2011