Basal Insulin Yakandinakira Here? Chiremba Nhaurirano Nhungamiro

Zvemukati

• Chii chinonzi basal insulin uye inoshandiswa sei?
• Is basal insulin yakandinakira here?
• Ko yangu basal insulin dose ichachinja?
• Pane here mhedzisiro ine basal insulin?

Kana iwe uine chirwere cheshuga, iwe unoziva kuti kubata nekuenderera kunoyerera kweruzivo rutsva pane insulin, kuyerwa kweropa glucose, uye kurudziro yekudya kunogona kukurisa dzimwe nguva.

Kana iwe uchangobva kuongororwa, kana iwe uri mushandisi ane ruzivo uyo asiri kufara neyako yazvino insulin kurapwa, saka ingangodaro inguva yekubvunza chiremba wako kana endocrinologist nezve basal insulin.

Heano mimwe mibvunzo iwe yaungade kufunga nezvekubvunza panguva yako inotevera musangano.

Chii chinonzi basal insulin uye inoshandiswa sei?

"Basal" zvinoreva kumashure. Izvi zvine musoro sezvo basa re basal insulin iri kushanda kuseri kwezviitiko panguva yekutsanya kana maawa ekurara.

Basal insulin inouya nenzira mbiri: wepakati-kuita uye kuita kwenguva refu. Ose akagadzirirwa kuchengetedza ropa rerukosi mazinga akajairika panguva yekutsanya. Asi ivo vanosiyana zvinoenderana nedosi uye nguva yekuita. Basal insulin inogona zvakare kununurwa nepombi, uchishandisa nekukurumidza-inoshanda insulin.

Yakareba-inoshanda insulin, inozivikanwawo se insulin glargine (Toujeo, Lantus, uye Basaglar) uye insulin detemir (Levemir), inotorwa kamwe chete kana kaviri pazuva, kazhinji pakudya kwemanheru kana panguva yekurara, uye inogara kusvika maawa makumi maviri nemana.

Intermediate-acting insulin, inonziwo NPH (Humulin naNovolin), inoshandiswa kamwe chete kana kaviri pazuva uye inopedza maawa masere kusvika gumi nemaviri.

Is basal insulin yakandinakira here?

Sezvo munhu wese akasiyana, chiremba wako chete ndiye anokwanisa kukuudza kuti ndeupi rudzi rwe insulin kurapwa rwakanyanya kukodzera pane zvaunoda.

Usati wakurudzira basal insulin, ivo vanozofunga yako ichangoburwa yeglucose yekutarisa mhedzisiro, chikafu, chiyero chezviitiko, yakawanda ichangoburwa yeA1C mhedzisiro mhedzisiro, uye kuti kana pancreas yako ichiri kuburitsa insulin pachayo here.

Ko yangu basal insulin dose ichachinja?

Chiremba wako anogona kufunga nezvekuchinja yako basal insulin dosi yezvikonzero zvinoverengeka.

Kana yako yekutsanya kana premeal yeropa glucose manhamba ari akaenzana akakwirira kupfuura ako tarisiro danho, ipapo yako basal insulin dosi inogona kuda kuwedzerwa. Kana nhamba dzako dzichiwanzove dzakaderera pane zvawakananga uye ukasangana neshuga yeropa yakadzika (hypoglycemia), kunyanya husiku kana pakati pekudya, ipapo dosi rako rinogona kuda kudzikiswa.

Kana paine kumuka kwakanyanya mune yako nhanho yechiitiko, ipapo ungangoda kudzikiswa mune yako basal insulin.

Kana iwe uchingogara uchizvidya mwoyo kana kushushikana, rako reropa mashuga rinogona kunge rakakwira, uye chiremba wako anogona kusarudza kuchinja chipimo chemushonga wako. Kushungurudzika kunogona kudzora insulin senzwi, zvinoreva kuti insulin haishande zvakare mumuviri wako. Mune ino kesi, iwe ungangoda yakawanda insulin kuti uchengete shuga yako yeropa mukutarisa.

Kana iwe uchirwara, iwe ungangoda kuwedzera kwechinguva mune basal insulin kuti ubatsire kudzikisa yakakwira eropa glucose manhamba anokonzerwa nehutachiona, kunyangwe izvi zvichizongodiwa chete kurwara kwenguva refu. Sekureva kweADA, kurwara kunogadzira kuwanda kukuru kwekushushikana kwemuviri pamuviri.

Pamusoro pezvo, iyo Mayo Clinic inotaura kuti kuenda kumwedzi kunogona kukanganisa mazinga eglucose emukadzi. Izvi zvinodaro nekuti shanduko muestrogen uye progesterone inogona kukonzera kupokana kwenguva pfupi kune insulin. Izvi zvingangoda kugadziridzwa mune zviyero zvinodiwa, uye zvinogona zvakare kuchinja kubva pamwedzi kusvika pamwedzi zvichienderana nekutevera. Ropa glucose mazinga anofanira kuongororwa kazhinji panguva yekutevera. Rondedzera chero shanduko kuna chiremba wako.

Pane here mhedzisiro ine basal insulin?

Sezvo nemhando zhinji dzeinsulini, shuga shoma yeropa kana hypoglycemia ndiyo inowanzoitika mhedzisiro inosanganisirwa nebasal insulin kushandiswa. Kana iwe ukatanga kuratidza akawandisa akawanda mashuga eropa zviitiko mukati mezuva rese, yako dosage inoda kuchinjwa.

Zvimwe zvinokwanisika kusangana kweiyo basal insulin inosanganisira: kuwedzera uremu (kunyange iri shoma pane nemamwe marudzi einsulini), allergic reaction, uye peripheral edema. Nekutaurirana nachiremba wako, unogona kuunganidza rumwe ruzivo nezve iyi mhedzisiro uye uye kana iwe kana usingave uri panjodzi.

Kana zvasvika kune basal insulin uye mamwe marudzi e insulin kurapwa, chiremba wako, endocrinologist, uye mudzidzisi weshuga anogona kubatsira kukutungamira kune kurapwa kwakakodzera zvakanyanya pane zvaunoda uye mararamiro.