Kugadzirisa Diabetes Rako: Yako Basal-Bolus Insulin Chirongwa

Zvemukati

• Bolus insulin
• Basal insulin
• Iwo mabhenefiti eiyo basal-bolus chirongwa

Kuchengeta yako eropa glucose mazinga mukutarisa kunotanga neako basal-bolus insulin chirongwa. Urongwa uhwu hunosanganisira kushandisa pfupi-inoshanda insulin kudzivirira kukwira kweropa glucose mushure mekudya uye insulin inoshanda kwenguva yakareba kuchengetedza glucose yeropa yakadzikama panguva dzekutsanya, senge paunenge wakarara.

Urongwa uhwu hunogona kuda majekiseni anoverengeka zuva rese kuitira kutevedzera nzira iyo mutumbi wemunhu asiri cheshuga unogamuchira insulin, kunze kwekunge uri pakurapa kwepombi kana kushandisa insulini yepakati-inoshanda pane insulin inoshanda kwenguva refu.

Bolus insulin

Kune mhando mbiri dze bolus insulin: kukurumidza-kuita insulin uye pfupi-inoshanda insulin.

Rapid-acting insulin inotorwa panguva dzekudya uye inotanga kushanda mumaminetsi gumi nemashanu kana zvishoma. Inokwira mumaminetsi makumi matatu kusvika kumaawa matatu, uye inoramba iri muropa kwerinosvika maawa matatu kusvika mashanu. Pfupi-inoshanda kana yakajairwa insulin inotorwawo panguva yekudya, asi inotanga kushanda ingangoita maminetsi makumi matatu mushure mejekiseni, inokwira mumaawa maviri kusvika mashanu uye inogara muropa kwerinosvika maawa gumi nemaviri.

Pamwe chete nemhando mbiri idzi dze bolus insulin, kana iwe uri pane inoshanduka insulin chirongwa, iwe unofanirwa kuverenga kuti yakawanda sei bolus insulin yaunoda. Iwe uchazoda insulin kuvhara macarhydrate kutora pamwe ne insulin kuti "gadzirisa" yako shuga yeropa.

Vanhu pane inochinja dosing purogiramu vanoshandisa makabhohaidhiretsi kuverenga kuti vaone kuti insulini yakawanda sei yavanoda kufukidza iyo makabhohaidhiretsi ezvinyorwa zvavo. Izvi zvinoreva kuti iwe waizotora imwe nhamba ye insulin mayuniti pane imwe huwandu hwehydrohydrate. Semuenzaniso, kana iwe uchida 1 unit ye ​​insulini kuvhara 15 magiramu ehydrohydrate, ipapo iwe waizotora matatu mayuniti e insulini kana uchidya 45 gramu ehydrohydrate.

Pamwe chete neiyi insulin, ungangoda kuwedzera kana kubvisa "chiyero chekururamisa." Kana yako glucose level iri imwe huwandu hwakakwira kana kudzika pane yako tarisiro glucose paunotanga kudya, unogona kutora yakawanda kana shoma bolus insulin kuti ubatsire kugadzirisa izvi. Semuenzaniso, kana shuga yako yeropa iri 100 mg / dL pamusoro pechikumbaridzo chako, uye yako yekugadzirisa chinhu chikamu chimwechete pa50 mg / dL, iwe unowedzera mauniti maviri ebolus insulin yako kune yako nguva yekudya. Chiremba kana endocrinologist anogona kukubatsira kusarudza yakanakisa insulin-kune-makabhohaidhireti chiyero uye kugadzirisa chinhu.

Basal insulin

Basal insulin inotorwa kamwe kana kaviri pazuva, kazhinji panenge panguva yekudya kana nguva yekurara. Kune maviri marudzi ebasal insulin: yepakati (semuenzaniso, Humulin N), iyo inotanga kushanda maminetsi makumi mapfumbamwe kusvika kumaawa mana mushure mejekiseni, inokwira mumaawa 4-12, uye inoshanda kusvika maawa makumi maviri nemana mushure mejekiseni, nekuita kwenguva refu (semuenzaniso , Toujeo), iyo inotanga kushanda mukati memaminitsi makumi mana kusvika kumaawa mana, haina kukwirisa, uye inoshanda kusvika maawa makumi maviri nemana mushure mekubaiwa jekiseni.

Patinenge takarara nekutsanya pakati pekudya, chiropa chinoramba chichivanza glucose muropa. Kana iwe uine chirwere cheshuga uye pancreas yako inogadzira zvishoma kusvika kune insulini, basal insulin yakakosha pakuchengeta aya mazinga eruglucose pasi pekutonga nekubvumira masero eropa kuti ashandise iyo glucose simba.

Iwo mabhenefiti eiyo basal-bolus chirongwa

Chirongwa chebasal-bolus uchishandisa inokurumidza-kuita uye refu-inoshanda insulin yekugadzirisa chirwere cheshuga inoenda nenzira refu mukuchengeta rako reropa glucose mukati meyakajairika renji. Urongwa uhu hunobvumidza kune yakasarudzika mararamiro, kunyanya sezvo iwe uchigona kuwana chiyero pakati penguva yekudya uye huwandu hwechikafu chinodyiwa.

Iyi regimen inogona zvakare kubatsira mune aya mamiriro:

• Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinetseka neakaderera eropa glucose mazinga panguva yehusiku.
• Kana iwe uri kuronga kufamba munzvimbo dzenguva.
• Kana iwe ukashanda zvisinganzwisisike mashifiti kana maawa ebasa rako.
• Kana iwe uchinakidzwa nekurara mukati kana usina tsika yekurara yakajairwa.

Kuti uwane mabhenefiti mazhinji kubva kuiyi chaiyo basal-bolus chirongwa, unofanirwa kuve wakangwarira nekutevera matanho anodiwa, anosanganisira:

• Kuongorora shuga yako yeropa kanokwana kana katanhatu pazuva.
• Uchishandisa yako pfupi-inoshanda insulin nekudya kwese. Izvi zvinogona dzimwe nguva kureva kutora majekiseni anosvika matanhatu pazuva.
• Kuchengeta bhuku kana danda rekudya kwako kudya uye kuwedzerwa kweropa glucose, pamwe neyako insulini muyero wezviyero. Izvi zvinogona kunyanya kubatsira iwe nachiremba wako kana wanga uchinge uine nguva yakaoma yekuchengeta ako mazinga mune akajairwa renji.
• Kutaurirana nemudzidzisi weshuga kana chiremba wezvekudya kana iwe uchinge uchinge uchinge uchinetseka kutanga chirongwa chekudya chine hutano.
• Kunzwisisa maitiro ekuverenga makabhohaidhiretsi. Kune akawanda mabhuku nemawebhusaiti anowanikwa ayo anosanganisira iyo makabhohaidhiretsi ezvinyorwa mune zvakajairwa zvekudya uye nekukurumidza chikafu. Chengeta kopi muchikwama chako uye nemota yenguva idzo iwe paunodya kunze uye usina chokwadi chekuhodha.
• Kudzidza maitiro ekugadzirisa yako insulin kurwisa chero shanduko mune yako chiitiko chikamu.
• Kugara uchichengeta mashuga pauri, senge macandi anotsemuka kana mapiritsi eglucose, kurapa shuga yakaderera muropa kana zvikaitika. Hypoglycemia inowanzoitika nebasal-bolus chirongwa chekurapa.

Kana iwe uchinzwa kunge yako basal-bolus regimen isiri kukushandira iwe, saka bata chiremba wako kana endocrinologist. Kurukurai nezvehurongwa hwenyu, zvezuva nezuva zvetsika, uye chero chinhu chingangobatsira mukufunga kuti ndeipi insulin kurapwa iri nani pane zvaunoda.

Nepo nzira yebasal-bolus ingangosanganisira basa rakati wandei pachikamu chako, hupenyu hwehupenyu nerusununguko rwunowanikwa mairi, munzira dzakawanda, rwunofanirwa nekuwedzera kuedza.