Ukuphatha Isifo Sikashukela Sakho: Uhlelo lwakho lwe-Basal-Bolus Insulin

-Delile

• I-Bolus insulin
• I-insulin eyisisekelo
• Izinzuzo zohlelo lwe-basal-bolus

Ukugcina amazinga eglucose egazini lakho eqala ngohlelo lwakho lwe-basal-bolus insulin. Lolu hlelo luqukethe ukusebenzisa i-insulin esebenza okwesikhashana ukuvimbela ukwanda kweshukela egazini ngemuva kokudla kanye ne-insulin esebenza isikhathi eside ukugcina ushukela wegazi uzinzile ngesikhathi sokuzila, njengalapho ulele.

Lolu hlelo lungadinga imijovo eminingi usuku lonke ukuze ulingise indlela umzimba womuntu ongasifo sikashukela othola ngayo i-insulin, ngaphandle kwalapho ukwelashwa kwepompo noma usebenzisa i-insulin esebenza phakathi nendawo kune-insulin esebenza isikhathi eside.

I-Bolus insulin

Kunezinhlobo ezimbili ze-bolus insulin: i-insulin esebenza ngokushesha futhi i-insulin esebenza okwesikhashana.

I-insulin esebenza ngokushesha ithathwa ngezikhathi zokudla bese iqala ukusebenza ngemizuzu engu-15 noma ngaphansi. Iphakama emizuzwini engu-30 kuye emahoreni ama-3, futhi ihlala egazini kuze kube ngamahora amathathu kuya kwamahlanu. I-insulin esebenza okwesikhashana noma ejwayelekile nayo iyathathwa ngezikhathi zokudla, kepha iqala ukusebenza cishe imizuzu engama-30 ngemuva kokujova, iphakama emahoreni amabili kuya kwama-5 futhi ihlala egazini kuze kube ngamahora ayi-12.

Kanye nalezi zinhlobo ezimbili ze-bolus insulin, uma usohlelweni lwe-insulin oluguquguqukayo, udinga ukubala ukuthi udinga malini i-bolus insulin. Uzodinga i-insulin ukumboza ukudla kwe-carbohydrate kanye ne-insulin ukuze "ulungise" ushukela wegazi lakho.

Abantu abanohlelo lokushintsha kokushintsha kwemithamo basebenzisa ukubalwa kwe-carbohydrate ukuthola ukuthi ingakanani i-insulin abayidingayo ukumboza okuqukethwe yi-carbohydrate ekudleni kwabo. Lokhu kusho ukuthi uzothatha inani elithile lamayunithi e-insulin ngenani elithile le-carbohydrate. Isibonelo, uma udinga i-unit eyodwa ye-insulin ukumboza amagremu ayi-15 we-carbohydrate, uzothatha amayunithi ama-3 e-insulin lapho udla ama-gramu angama-45 we-carbohydrate.

Kanye nale insulin, kungadingeka ukuthi ungeze noma ususe “inani lokulungisa.” Uma izinga lakho le-glucose linani elithile liphakeme noma liphansi kune-glucose yakho lapho uhlose ukudla, ungathatha i-bolus insulin engaphezulu noma encane ukusiza ukulungisa lokhu. Isibonelo, uma ushukela wegazi lakho ungu-100 mg / dL ngaphezulu komkhawulo wakho osethiwe, futhi into oyilungisa iyunithi elilodwa nge-50 mg / dL, ungangeza amayunithi ama-2 we-bolus insulin yakho kumthamo wakho wesikhathi sokudla. Udokotela noma i-endocrinologist angakusiza unqume isilinganiso esihle kakhulu se-insulin-to-carbohydrate nesici sokulungisa.

I-insulin eyisisekelo

I-insulin eyisisekelo ithathwa kanye noma kabili ngosuku, imvamisa ngesikhathi sedina noma sokulala. Kunezinhlobo ezimbili ze-basal insulin: okuphakathi (ngokwesibonelo, i-Humulin N), eqala ukusebenza imizuzu engama-90 kuya emahoreni ama-4 ngemuva kokujova, iphakama ngamahora angu-4-12, futhi isebenza kuze kube ngamahora angama-24 ngemuva kokujova, nokwenza isikhathi eside (ngokwesibonelo , Toujeo), eqala ukusebenza kungakapheli imizuzu engama-45 kuya emahoreni ama-4, ayiqedi, futhi isebenza kuze kube ngamahora angama-24 ngemuva kokujova.

Ngenkathi silala futhi sishesha phakathi kokudla, isibindi ngokuqhubekayo sikhipha ushukela egazini. Uma unesifo sikashukela futhi amanyikwe akho akhiqiza i-insulin encane, i-basal insulin ibalulekile ekugcineni la mazinga eglucose egazini elawulwa nokuvumela amangqamuzana egazi ukuthi asebenzise i-glucose ngamandla.

Izinzuzo zohlelo lwe-basal-bolus

Uhlelo lwe-basal-bolus olusebenzisa i-insulin esebenza ngokushesha futhi esebenza isikhathi eside ukuphatha isifo sikashukela luhamba ibanga elide ekugcineni i-glucose yegazi lakho ibanga elijwayelekile. Lolu hlelo luzovumela indlela yokuphila eguquguqukayo, ikakhulukazi ngoba ungathola ibhalansi phakathi kwesikhathi sokudla nenani lokudla okudliwayo.

Le regimen nayo ingaba wusizo kulezi zimo:

• Uma unenkinga ngamazinga eglucose aphansi ebusuku.
• Uma uhlela ukuhamba ngezindawo zesikhathi.
• Uma usebenza amashifu angavamile noma amahora womsebenzi wakho.
• Uma ukujabulela ukulala noma ungenalo uhlelo lokulala olujwayelekile.

Ukuze uthole izinzuzo eziningi kusuka kulolu hlelo oluthile lwe-basal-bolus, kufanele uqaphele ngokulandela izinyathelo ezidingekayo, kufaka phakathi:

• Ukuhlola ushukela wegazi lakho okungenani izikhathi ezine kuya kweziyisithupha ngosuku.
• Usebenzisa i-insulin yakho esebenza isikhashana njalo ekudleni. Lokhu kwesinye isikhathi kungasho ukuthatha imijovo efinyelela kwayisithupha ngosuku.
• Ukugcina iphephabhuku noma ilogi lokudla kwakho okudliwayo kanye nokufundwa kweglucose egazini, kanye namanani omthamo wakho we-insulin. Lokhu kungasiza kakhulu wena nodokotela wakho uma ngabe ube nesikhathi esinzima sokugcina amazinga akho kubanga elijwayelekile.
• Ukubonisana nomfundisi wesifo sikashukela noma isazi sokudla uma unenkinga enzima yokuthuthukisa uhlelo lokudla olunempilo.
• Ukuqonda ukuthi ungabala kanjani ama-carbohydrate. Kunezincwadi eziningi namawebhusayithi atholakalayo afaka phakathi okuqukethwe kwe-carbohydrate ekudleni okuvamile nasekudleni okusheshayo. Gcina ikhophi esikhwameni sakho semoto nakulezo zikhathi lapho udla khona ngaphandle futhi ungaqiniseki ngoku-oda kwakho.
• Ukufunda ukuthi ungayilungisa kanjani i-insulin yakho ukumelana nanoma yiziphi izinguquko ezingeni lomsebenzi wakho.
• Ukugcina imithombo kashukela njalo kuwe, njengamaswidi ahlafunwayo noma amaphilisi kashukela, ukwelapha ushukela wegazi ophansi uma kungenzeka. I-Hypoglycemia ivame kakhulu ngohlelo lokwelashwa lwe-basal-bolus.

Uma uzizwa sengathi uhlobo lwakho lwe-basal-bolus alusebenzeli wena, xhumana nodokotela wakho noma i-endocrinologist. Xoxa ngesheduli yakho, imikhuba yansuku zonke, nanoma yini engasiza ekunqumeni ukuthi iluphi uhlobo lwe-insulin olulungele izidingo zakho.

Ngenkathi indlela ye-basal-bolus ingahle ifake umsebenzi othe xaxa engxenyeni yakho, ikhwalithi yempilo nenkululeko etholakala kuyo, ngezindlela eziningi, iwufanele umzamo owengeziwe.