December 3, 2013

Heart Health with Regular or Fast Acting Insulin


heartInsulin isn’t winning a blue ribbon for being much of a helper in preventing heart complications. Researchers wanted to design a head-to-head comparison of the heart-related events in people using  different types of insulin and calculating the events experienced during that time. The findings of this study are published in PLoS One.

The long-term heart health outcome in diabetes is constantly under the microscope. In this study, researchers wanted to know if the difference in heart heath varies depending on the type of insulin used. In this study, the two types analyzed were regular and rapid acting.

Of the participants, 40% were on regular insulin and  60% were on rapid-acting insulin analogues. During the follow-up, 31% of heart events occurred in the regular insulin group and 17% occurred in the rapid-acting insulin analogue group.

For metabolic complications, the occurrence of such in the rapid-acting insulin group was lower than the regular insulin group. But the incidence of microvascular complications in the two groups was not significantly different.

At the end of the day, how well you are able to control your blood sugar is reflected on the reaction time of a combination of both, you and the  insulin you choose to use. The reality of the micro, macro, and  metabolic complications is all the opportunity cost you are willing to pay for the level of diabetes control you wish to have in your life.

There is no right or wrong answer here. It’s all a matter of preference.

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