Ga mutumin da ke da cikakken rashi na insulin na hormone, makasudin magani shine mafi kusancin yiwuwar maimaita sirrin yanayi, duka asali da kuma motsawa. Wannan labarin zai gaya muku game da zaɓi na daidai na adadin insulin basal.
Tsakanin masu ciwon sukari, kalmar "ci gaba har ma da bango" ya shahara, saboda wannan ana buƙatar isasshen ƙwayar insulin da za a dade ana amfani da shi.
Inganta insulin
Don su iya kwaikwayon sirrin basal, suna amfani da insulin-mai aiki. A cikin jerin masu ciwon sikari da ke fama da cutar siga, akwai wasu jumloli:
- "dogon insulin"
- asalin insulin
- "basal"
- mika insulin
- "dogon insulin."
Duk waɗannan sharuɗɗan suna nufin - insulin aiki na tsawon lokaci. A yau, ana amfani da nau'ikan insulins guda biyu.
Insulin-matsakaici na tsawon lokaci - illarsa har zuwa awanni 16:
- Gensulin N.
- Biosulin N.
- Insuman Bazal.
- Protafan NM.
- Humulin NPH.
Hasken insulin da ya dade yana aiki - yana aiki sama da awanni 16:
- Tresiba NEW.
- Levemir.
- Lantus.
Levemir da Lantus sun bambanta da sauran insulins ba kawai a cikin yanayin aikinsu daban ba, har ma a cikin tabbataccen bayyaninsu na waje, yayin da rukunin farko na kwayoyi suna da fararen launi, kuma kafin gudanar da mulki suna buƙatar yin birgima a cikin tafin hannu, to mafita ta zama girgije gaba ɗaya.
Wannan bambanci shine saboda hanyoyi daban-daban na samar da shirye-shiryen insulin, amma ƙari akan hakan daga baya. Magungunan matsakaiciyar tsawon lokacin aiki ana ɗaukar su ne mafi girma, wato, a cikin tsarin aikinsu, hanyar da ba a bayyana sosai ba bayyane ba, amma ga insulin gajere, amma har yanzu akwai ganiya.
Ultra-dogon aiki-insulins ana ɗaukar peakless. Lokacin zabar wani kashi na basal magani, wannan fasalin dole ne a la'akari. Koyaya, ƙa'idoji na duk abubuwan insulins sun kasance iri ɗaya ne.
Mahimmanci! Ya kamata a zaba adadin insulin da ya dade yana aiki ta hanyar da za'a kiyaye yawan glucose a cikin jini tsakanin abinci na yau da kullun. An yarda da ƙananan yaduwa a cikin kewayon 1-1.5 mmol / l.
A takaice dai, tare da gwargwadon matakin da ya dace, glucose a cikin jini bai kamata ya ragu ba, kuma, a takaice, yana ƙaruwa. Manunin ya kamata ya zama barga yayin rana.
Wajibi ne a fayyace cewa allurar insulin aiki tsawon lokaci ana yi ne a cinya ko a gindi, amma ba cikin ciki da hannu ba. Wannan ita ce kawai hanyar da za a tabbatar da wadatar sha. 'Insulin' gajeren aiki da aka allura cikin hannu ko ciki don cimma matsakaicin ganiya, wanda ya dace da lokacin cin abinci.
Dogon insulin - kashi da daddare
Zaɓin wani kashi na tsawon insulin ana bada shawara don fara tare da kashi na dare. Mai haƙuri da ciwon sukari ya kamata ya lura da halayen glucose a cikin jini da dare. Don yin wannan, kowane awanni 3 ya zama dole don auna matakan sukari, fara daga 21 na sa'a kuma ya ƙare da 6th na safe na gobe.
Idan a cikin ɗayan jinkirin akwai mahimmancin canzawa a cikin tattarawar glucose zuwa sama ko, a gefe guda, wannan yana nuna cewa kashi ba daidai bane.
A cikin irin wannan yanayi, ana buƙatar duba wannan sashin a cikin dalla-dalla. Misali, mara lafiya yana hutu tare da glucose na 6 mmol / L. A 24:00 mai nuna alamar ya tashi zuwa 6.5 mmol / L, kuma a 03:00 ba zato ba tsammani ya tashi zuwa 8.5 mmol / L. Mutum yana haɗuwa da safe tare da yawan sukari mai yawa.
Yanayin ya nuna cewa yawan insulin da daddare bai isa ba kuma yakamata a kara kashi a hankali. Amma akwai daya “amma”!
Tare da wanzuwar irin wannan ƙaruwa (kuma mafi girma) da dare, ba koyaushe yana iya nufin rashin insulin ba. Wani lokaci hypoglycemia, wanda ke yin wani nau'in "rollback", wanda ke bayyana kanta a matsayin karuwa a cikin glucose a cikin jini, yana ɓoye a ƙarƙashin waɗannan alamun.
Kuna iya la'akari da shawarwari da yawa:
- Don fahimtar tsarin kara sukari da daddare, tazara tsakanin ma'aunin matakin dole ne a rage zuwa awa 1, wato, auna kowace awa tsakanin karfe 24:00 zuwa 03:00 a.
- Idan an lura da raguwar yawan glucose a cikin wannan wuri, zai yuwu ace wannan wani tsari ne mai “tsari na gaba” tare da yin juyi. A wannan yanayin, yawan insulin na asali bai kamata ya karu ba, amma an rage shi.
- Bugu da kari, abincin da ake ci a rana shima yana shafar tasirin insulin na asali.
- Sabili da haka, don kimantawa daidai da tasirin insulin na basal, bai kamata akwai glucose da insulin gajere a cikin jini daga abinci ba.
- Don yin wannan, abincin da ya gabata kimantawa ya kamata ya tsallake ko za'a sake jera shi a farkon lokacin.
Kawai sai abincin da gajeran insulin da aka gabatar a lokaci guda baza suyi tasiri a fili hoton ba. Saboda dalili iri ɗaya, ana bada shawara a ci abinci na carbohydrate kawai don abincin dare, amma ware fats da sunadarai.
Wadannan abubuwan suna da hankali sosai kuma zasu iya haɓaka matakin sukari, wanda ba a buƙaci shi don ƙimar ƙima game da aikin insulin daddare na dare.
Dogon insulin - kashi na yau da kullun
Kallon insulin basal yayin rana shima sauki ne, dan dai dole ne aci gaba da jin yunwa kadan kuma a auna sikelin kowane sa'a. Wannan hanyar zata taimaka tantance a cikin wanne zamani akwai karuwa, kuma a cikin wane - raguwa.
Idan wannan ba zai yiwu ba (alal misali, a cikin yara ƙanana), ya kamata a duba aikin insulin na lokaci-lokaci. Misali, ya kamata ka tsallake karin kumallo da farko sannan ka auna guluk din jininka a kowane sa'a daga lokacin da ka farka, ko daga lokacin da ka yiwa insulin abinci na yau da kullun (idan an wajabta guda) har zuwa abincin rana. Bayan 'yan kwanaki bayan haka, ana maimaita tsarin tare da abincin rana, har ma daga baya tare da abincin dare.
Yawancin insulins da ke aiki tsawon lokaci dole ne a gudanar dasu sau 2 a rana (in ban da Lantus, ana allura sau ɗaya kawai).
Kula! Duk shirye-shiryen insulin da ke sama, ban da Levemir da Lantus, suna da ganiya a ɓoyewa, wanda yawanci yakan faru awanni 6-8 bayan allura.
Sabili da haka, a wannan lokacin, ana iya samun raguwa a cikin matakan glucose, wanda ake buƙatar ƙaramin kashi na "gurasar abinci".
Lokacin canza kashi na insulin basal, duk waɗannan ayyukan ana bada shawarar su maimaita su sau da yawa. Mai yiwuwa kwanaki 3 zasu isa sosai don tabbatar da kuzarin a cikin shugabanci ɗaya. Ana ɗaukar ƙarin matakai daidai da sakamako.
Lokacin da ake tantance insulin yau da kullun, akalla sa'o'i 4 ya kamata ya wuce tsakanin abinci, da dacewa 5. Ga waɗanda suke yin amfani da insulin gajeren lokaci maimakon ultrashort, wannan tazara ya zama mafi tsayi (sa'o'i 6-8). Wannan ya faru ne saboda takamaiman aikin waɗannan insulins.
Idan an zaɓi insulin tsawon lokaci daidai, zaku iya ci gaba tare da zaɓin gajeren insulin.
