Ingabe i-Basal Insulin Ingifanele? Umhlahlandlela Wezingxoxo Zodokotela

-Delile

• Yini i-basal insulin futhi isetshenziswa kanjani?
• Ingabe i-basal insulin ingifanele?
• Ngabe i-basal insulin dose yami izoshintsha?
• Ingabe ikhona imiphumela emibi ene-basal insulin?

Uma unesifo sikashukela, uyazi ukuthi ukubhekana nokugeleza okuqhubekayo kolwazi olusha ku-insulin, ukuhlolwa kweglucose yegazi, nezincomo zokudla kungaba nzima kwesinye isikhathi.

Uma usanda kutholakala, noma uma ungumsebenzisi onolwazi onganeme ngokwelashwa kwakho kwamanje kwe-insulin, mhlawumbe sekuyisikhathi sokubuza udokotela wakho noma i-endocrinologist mayelana ne-basal insulin.

Nayi eminye imibuzo ongafuna ukuyicabangela ukuyibuza ngesikhathi sokuqokwa kwakho okulandelayo.

Yini i-basal insulin futhi isetshenziswa kanjani?

“Basal” kusho isizinda. Lokhu kunengqondo ngoba umsebenzi we-basal insulin ukusebenza ngemuva kwezigcawu ngesikhathi sokuzila noma sokulala.

I-basal insulin iza ngezindlela ezimbili: ukwenza okuphakathi futhi esebenza isikhathi eside. Zombili zenzelwe ukugcina amazinga eglucose egazi ejwayelekile ngenkathi uzila ukudla. Kepha ziyehluka ngokwesilinganiso nobude besenzo. I-insulin eyisisekelo nayo ingalethwa ngepompo, kusetshenziswa i-insulin esebenza ngokushesha.

I-insulin esebenza isikhathi eside, eyaziwa nangokuthi i-insulin glargine (Toujeo, Lantus, neBasaglar) ne-insulin detemir (Levemir), ithathwa kanye noma kabili ngosuku, imvamisa ngesikhathi sedina noma ngesikhathi sokulala, futhi ihlala amahora angama-24.

I-insulin esebenza phakathi, ebizwa nangokuthi i-NPH (Humulin neNovolin), isetshenziswa kanye noma kabili ngosuku futhi ihlala amahora ayisishiyagalombili kuya kwayi-12.

Ingabe i-basal insulin ingifanele?

Njengoba wonke umuntu ehlukile, udokotela wakho kuphela ongakutshela ukuthi yiluphi uhlobo lokwelashwa kwe-insulin olulungele izidingo zakho.

Ngaphambi kokuncoma i-basal insulin, bazocubungula imiphumela yakho yakamuva yokuqapha ushukela wegazi, indlela odla ngayo, izinga lomsebenzi, imiphumela yokuhlolwa kwe-A1C yakamuva, nokuthi ingabe amanyikwe akho asazenzela i-insulin yini.

Ngabe i-basal insulin dose yami izoshintsha?

Udokotela wakho angacabanga ngokushintsha isilinganiso sakho se-basal insulin ngezizathu eziningana.

Uma izinombolo zakho zokuzila ukudla noma zangaphambi kwegazi zikhuphuke ngokungaguquguquki kunezinga lakho okubhekiswe kulo, umthamo wakho we-insulin oyisisekelo ungadinga ukwandiswa. Uma izinombolo zakho zivame ukuba ngaphansi kunalokho obekuhlosiwe futhi uhlangabezana noshukela wegazi ophansi njalo (i-hypoglycemia), ikakhulukazi ubusuku bonke noma phakathi kokudla, umthamo wakho ungadinga ukwehla.

Uma kukhona ukukhuphuka okukhulu ezingeni lomsebenzi wakho, lapho-ke ungadinga ukwehliswa kwe-basal insulin yakho.

Uma ukhathazeka njalo noma ucindezelekile, ushukela wegazi lakho ungaphakama, futhi udokotela wakho anganquma ukuguqula isilinganiso sakho. Ukucindezeleka kunganciphisa ukuzwela kwe-insulin, okusho ukuthi i-insulin ayisebenzi kahle nasemzimbeni wakho. Kulokhu, ungadinga i-insulin eyengeziwe ukugcina ushukela wegazi lakho ubheke.

Uma ugula, ungadinga ukwanda kwesikhashana kwe-basal insulin ukusiza ukwehlisa izinombolo ze-glucose ephezulu yegazi ebangelwa ukutheleleka, yize lokhu kungadingeka kuphela ekuguleni okuhlala isikhathi eside. Ngokuya nge-ADA, ukugula kudala inqwaba yengcindezi emzimbeni emzimbeni.

Ngokwengeziwe, iMayo Clinic icaphuna ukuthi ukuya esikhathini kungathinta amazinga eglucose yegazi lowesifazane. Lokhu kungenxa yokuthi izinguquko ku-estrogen ne-progesterone zingadala ukumelana okwesikhashana ne-insulin. Lokhu kungadinga ukulungiswa kwezidingo zomthamo, futhi kungashintsha inyanga nenyanga kuye ngomjikelezo wokuya esikhathini. Amazinga eglucose yegazi kufanele ahlolwe kaningi ngesikhathi sokuya esikhathini. Bika noma yiziphi izinguquko kudokotela wakho.

Ingabe ikhona imiphumela emibi ene-basal insulin?

Njengezinhlobo eziningi ze-insulin, ushukela wegazi ophansi noma i-hypoglycemia ngumphumela ohlangothini ovame kakhulu ohlotshaniswa nokusetshenziswa kwe-basal insulin. Uma uqala ukukhombisa izehlakalo eziningi kakhulu zoshukela wegazi usuku lonke, isilinganiso sakho sizodinga ukuguqulwa.

Ezinye izinkinga ezingaba khona ze-basal insulin zifaka: ukuzuza kwesisindo (yize kuncane kunezinye izinhlobo ze-insulin), ukungezwani komzimba, kanye ne-peripheral edema. Ngokubonisana nodokotela wakho, ungaqoqa imininingwane eminingi ngale miphumela emibi nokuthi ungaba sengozini noma cha.

Uma kukhulunywa nge-basal insulin nezinye izinhlobo zokwelashwa kwe-insulin, udokotela wakho, i-endocrinologist, kanye nothisha wesifo sikashukela bangakusiza ukukuqondisa ekwelashweni okulungele izidingo zakho nendlela ophila ngayo.