Shortarancin insulin ɗan adam ya fara aiki da mintuna 30-45 bayan allura, kuma sabbin nau'ikan insulin na insulin Humalog, NovoRapid da Apidra - har ma da sauri, bayan mintuna 10-15. Humalog, NovoRapid da Apidra ba insulin na ɗan adam bane, amma analogues, shine, an inganta, an inganta idan aka kwatanta da insulin na ainihi. Godiya ga ingantaccen tsari, suna fara rage sukarin jini cikin sauri bayan sun shiga jiki.
Ana haɓaka analogs na insulin na Ultrashort don hanzarta dakatar da sukarin jini wanda ke faruwa lokacin da mai ciwon sukari yake son cin abinci mai sauri. Abin takaici, wannan ra'ayin ba ya aiki a aikace, saboda sukari ya fado daga kayayyakin da aka haramta kamar hauka. Tare da ƙaddamar da Humalog, NovoRapid da Apidra, har yanzu muna ci gaba da bin abincin da ke cike da ƙwayar carbohydrate. Muna amfani da alamun insulin ultrashort don hanzarta saukar da sukari zuwa al'ada idan ta yi tsalle ba zato ba tsammani, kuma lokaci-lokaci a cikin yanayi na musamman kafin cin abinci, lokacin da ba a jin daɗi don jira minti 40-45 kafin cin abinci.
Abubuwan da ake buƙata na cikin gajere ko ultrashort insulin kafin abinci suna buƙatar marasa lafiya da ke da nau'in 1 ko nau'in ciwon sukari na 2, waɗanda ke da sukari jini bayan cin abinci. Ana tsammanin kun riga kun bi rage yawan carbohydrate, sannan kuma kun gwada magungunan maganin cututtukan type 2, amma duk waɗannan matakan sun taimaka ne kawai. Koyi game da nau'in ciwon sukari na 2 da nau'in 1 na ciwon sukari. Marasa lafiya da ke fama da ciwon sukari na 2, a matsayin mai mulkin, yana da ma'ana da farko a gwada cewa za a bi da su tare da insulin, kamar yadda aka bayyana a cikin labarin “Karin insulin Lantus da Glargin. Matsakaici NPH-Insulin Protafan. ” Wataƙila ƙwaƙwalwar ƙwayarka daga tsawan insulin zai huta sosai kuma zai zama ruwan dare wanda zai iya kashe kansa cikin jini bayan yaci abinci, ba tare da ƙarin allurar insulin kafin abinci ba.
A kowane hali, yanke shawara ta ƙarshe game da wane insulin don gudanarwa, a waɗanne sa'o'i kuma a cikin abin da aka allura, ana ɗaukar shi ne kawai sakamakon gwajin kai na yawan sukari na jini aƙalla kwanaki 7. Wani ingantaccen tsari na maganin insulin zai iya zama mutum ɗaya. Don ƙirƙirar shi, likita da mai haƙuri da kansa suna buƙatar gwada abubuwa da yawa fiye da rubuta duk masu ciwon sukari iri ɗaya nada 1-2 injections na ajali allurai na insulin kowace rana. Muna ba da shawarar ku karanta labarin “Wani nau'in insulin don sakawa, a wane lokaci kuma a cikin me allurai. Tsarin kamuwa da ciwon sukari na 1 da cutar siga 2. ”
Yadda za a kula da ciwon sukari tare da insulin gajere ko matattara
Ultrashort insulin ya fara aiki kafin jiki ya sami lokaci don ɗaukar sunadarai kuma ya juya wasu daga cikinsu su zama glucose. Sabili da haka, idan kun kasance a kan rage cin abinci na carbohydrate, gajeren insulin ya fi kyau kafin cin abinci fiye da Humalog, NovoRapid ko Apidra. Ya kamata a gudanar da insulin gajeren minti 45 kafin abinci. Wannan lokaci ne na kusan, kuma kowane haƙuri tare da ciwon sukari yana buƙatar bayyana shi daban-daban don kansa. Yadda za a yi, karanta a nan. Ayyukan insulin masu saurin zuwa kimanin 5 hours ne. Wannan shi ne daidai lokacin da mutane yawanci ke buƙatar cikakken narke abincin da suke ci.
Muna amfani da insulin ultrashort a cikin yanayi na "gaggawa" domin hanzarta saukar da sukari na jini zuwa al'ada idan ta ba zato ba tsammani. Rikici na ciwon sukari yana haɓaka yayin da ake kiyaye sukarin jini. Sabili da haka, muna ƙoƙarin rage shi zuwa al'ada kamar yadda yake da sauri, kuma don wannan insulin matsanancin-gajere ya fi gajere. Idan kana da cutar sukari mai saurin kamuwa da cuta, wato, sukari mai sauri da sauri yakan zama bisa tsari da kansa, to baka buƙatar allurar ƙarin insulin don rage shi. Kawai iko na sukari na kwanaki da yawa a jere yana taimakawa fahimtar yadda sukarin jini yake nunawa cikin haƙuri ga masu ciwon sukari.
Abubuwan insulin-gajere na gajere - suna aiki da sauri fiye da kowa
Ultrashort nau'ikan insulin sune Humalog (Lizpro), NovoRapid (Aspart) da Apidra (Glulizin). Kamfanin kamfanoni daban-daban guda uku ne suka kera su waɗanda ke yin gasa da juna. Matsakaicin insulin na yau da kullun shine ɗan adam, kuma ultrashort - waɗannan sune analogues, i.e., canza, inganta, idan aka kwatanta da ainihin insulin ɗan adam. Haɓakawa ya ta'allaka ne akan cewa sun fara rage ƙananan sukari na jini har ma da sauri fiye da na ɗan gajeren lokaci - 5-15 mintuna bayan allura.
An kirkiro shi analogues na Ultrashort na analogues don rage jinkirin sukari jini yayin da mai ciwon sukari yake son cin abinci mai sauri a jikin carbohydrates. Abin takaici, wannan ra'ayin ba ya aiki a aikace. Carbohydrates, wanda ake sha nan da nan, har yanzu yana haɓaka sukari na jini da sauri har ma da sabon insulin matsanancin gajeren lokaci yana sarrafa shi. Tare da ƙaddamar da waɗannan sabbin nau'ikan insulin a kasuwa, babu wanda ya soke buƙatar bin abincin da ke cike da ƙwayar carbohydrate kuma ya bi hanyar ƙananan ɗimbin kaya. Tabbas, kuna buƙatar bin tsarin kawai idan kuna so ku kula da ciwon sukari yadda ya kamata kuma ku guji rikice-rikice.
Idan kun bi abinci mai ƙirar carbohydrate na nau'in 1 ko ciwon sukari na 2, to gajeriyar insulin ɗan adam ta fi dacewa don allurar kafin abinci fiye da takwarorinsu na matsanancin-gajere. Domin a cikin marasa lafiya da masu ciwon sukari wadanda ke cin abinci kadan na carbohydrates, da farko jikin ya tozarta sunadaran, sannan ya juyar da wasu daga cikinsu zuwa glucose. Wannan jinkirin tsari ne, kuma insulin ultrashort ya fara aiki da sauri. Gajerun nau'in insulin - daidai ne. Yawancin lokaci suna buƙatar yankakken mintuna 40-45 kafin cin abinci maras ƙwayoyi.
Koyaya, ga masu ciwon sukari da ke hana carbohydrates a cikin abubuwan cin abincin nasu, analogs na insulin na insulin na iya shigowa cikin aiki. Idan kun auna sukarin ku tare da glucometer kuma kuka gano cewa tayi tsalle, to insulin-gajere insulin zai rage shi da sauri fiye da gajere. Wannan yana nufin cewa rikice-rikice na ciwon sukari ba zasu da ɗan lokaci don haɓaka. Hakanan zaka iya yin allurar ultrashort, idan babu lokacin jira minti 45 kafin cin abinci. Wannan ya zama dole a cikin gidan cin abinci ko a kan tafiya.
Hankali! Ultrashort insulins suna da ƙarfi sosai fiye da gajerun na yau da kullun. Musamman, Unayan Rukunin Humalog zai rage sukarin jini da kimanin sau 2,5 fiye da 1 Rukunin insulin gajere. NovoRapid da Apidra kusan sau 1.5 ne suka fi ƙarfin insulin gajere. Wannan kimanin rabo ne, kuma ga kowane mara lafiyar mai ciwon sukari ya kamata ya tsaida shi don kansa ta hanyar gwaji da kuskure. Dangane da haka, allurai ana amfani da insulin insulin na insulin ya kamata su zama ƙasa kaɗan da gwargwadon allurai na gajeriyar insulin. Hakanan, gwaje-gwajen sun nuna cewa Humalog ya fara yin minti 5 sauri fiye da NovoRapid da Apidra.
Fa'idodi da rashin amfani na insulin ultrashort
Idan aka kwatanta da gajeren nau'in insulin na ɗan adam, sabbin ƙarancin insulin analogues suna da fa'ida da rashin amfani. Suna da matakin farko a matakin farko, amma daga nan sai matakin jininsu ya ragu kasa da abinda ka saka tare da insulin na yau da kullun. Tun da insulin ultrashort yana da kololuwar ƙima, yana da matukar wahala a iya tantance nawa carbohydrates na abin da ake buƙata ku ci domin yawan jinin da zai zama al'ada. Smootharancin aikin insulin gajeriyar hanya yafi dacewa da ƙoshin abinci ta jiki, idan kun bi abinci mai ƙarancin carb don sarrafa ciwon sukari.
A gefe guda, allurar gajeren insulin ya kamata a yi a minti 40-45 kafin cin abinci. Idan kun fara ɗaukar abinci da sauri, to gajere insulin ba zai da lokacin yin aiki, kuma sukari jini zai yi tsalle. Sabbin nau'ikan insulin ultrashort sun fara aiki da sauri, cikin minti 10-15 bayan allura. Wannan ya dace sosai idan baku san daidai lokacin da zai fara cin abincin ba. Misali, idan kana cikin gidan abinci. Idan kun bi tsarin abinci na low-carbohydrate, muna bada shawara cewa kuyi amfani da insulin ɗan adam kaɗan kafin abinci a yanayi na al'ada. Hakanan a kiyaye insulin-gajere insulin a shirye domin lokuta na musamman.
Aiki ya nuna cewa nau'ikan insulin ultrashort suna shafar sukari na jini wanda bashi da tsayayyiya fiye da gajere. Suna yin ƙasa da tsinkaya, koda kuwa ana allura a cikin ƙananan allurai, kamar yadda masu cutar sukari ke yi, suna bin abinci mai ƙayyadaddun carbohydrate, har ma fiye da haka idan suka allura da manyan allurai. Hakanan a lura cewa nau'ikan insulin ultrashort sun fi karfin yanada gajere. Rukunin Humaloga zai saukar da sukari na jini da misalin sau 2.5 cikin ƙarfi fiye da 1 na guntun insulin. NovoRapid da Apidra kusan sau 1.5 ne suka fi ƙarfin insulin gajere. Dangane da haka, kashi na Humalog ya kamata ya zama kusan allurai 0.4 na gajeran insulin, da kuma maganin NovoRapid ko Apidra - kusan ⅔ kashi. Wannan bayani ne tabbatacce wanda kuke buƙatar bayyanawa kanku ta hanyar gwaji.
Babban burinmu shine mu rage ko kuma hana gaba ɗaya tsalle cikin sukarin jini bayan cin abinci. Don cimma wannan, kuna buƙatar bayar da allura kafin abinci tare da isasshen iyaka na lokaci don insulin ya fara aiki. A gefe guda, muna son insulin ya fara rage sukarin jini kawai lokacin da abincin da ke narkewa ya fara haɓaka shi. A gefe guda, idan kun yi insulin da wuri sosai, sukarin jininka zai sauke da sauri fiye da abinci zai iya ɗaga shi. Aiki ya nuna cewa ya fi dacewa a allurar da insulin ɗan mintuna arba'in da huɗu zuwa arba'in da biyar kafin a fara cin abincin carbohydrates. Ban da haka majinyata ne da suka kamu da ciwon sikila, watau, na jinkirta kwashe ciki bayan sun ci abinci.
Da wuya, amma har yanzu ana samun marasa lafiya masu fama da ciwon sukari, waɗanda a takaice nau'ikan insulin don wasu dalilai ake shiga cikin jini musamman a hankali. Dole ne su yi allurar irin wannan insulin, alal misali, awanni 1.5 kafin cin abinci. Tabbas, wannan bai dace ba. Suna buƙatar amfani da sabbin magungunan insulin ultrashort kafin ana abinci, mafi sauri wanda shine Humalog. Muna sake jaddada cewa irin wannan masu ciwon sukari wani lamari ne mai saurin faruwa.
Ci gaba da labarin da kawai ka karanta shi ne shafin “Yadda za a kirga sashi na insulin kafin abinci. Yadda za a rage sukari zuwa al'ada tare da allurar insulin cikin sauri. "
