Ngaba i-insulini ye-basal ilungile kum? Isikhokelo seNgxoxo ngoGqirha

Umxholo

• Yintoni i-basal insulin kwaye isetyenziswa njani?
• Ngaba i-basal insulin ilungile kum?
• Ngaba i-basal insulin yedosi yam iya kutshintsha?
• Ngaba zikhona iziphumo ebezingalindelekanga nge-basal insulin?

Ukuba unesifo seswekile, uyazi ukuba ukujongana nokuqhubeka kokuhamba kolwazi olutsha kwi-insulin, uvavanyo lweglucose yegazi, kunye neengcebiso zokutya kunokuba nzima ngamanye amaxesha.

Ukuba ufunyaniswe kutshanje, okanye ukuba ungumsebenzisi onamava ongonwabanga ngonyango lwakho lwangoku lwe-insulin, mhlawumbi lixesha lokuba ubuze ugqirha wakho okanye i-endocrinologist malunga ne-basal insulin.

Nayi eminye imibuzo onokufuna ukuyithatha uyibuze ngexesha lokuqeshwa kwakho okulandelayo.

Yintoni i-basal insulin kwaye isetyenziswa njani?

"Isiseko" sithetha imvelaphi. Oku kunengqiqo kuba umsebenzi we-basal insulin kukusebenza emva kwezigcawu ngexesha lokuzila ukutya okanye ukulala iiyure.

I-insulin esisiseko iza ngeendlela ezimbini: Ukusebenza phakathi kwaye esebenza ixesha elide. Zombini ziyilelwe ukugcina amanqanaba eglucose egazini eqhelekileyo ngelixa uzila ukutya. Kodwa zahlukile ngokwedosi kunye nexesha lesenzo. I-insulin esisiseko nayo inokuhanjiswa ngempompo, kusetyenziswa i-insulin esebenza ngokukhawuleza.

I-insulin esebenza ixesha elide, ekwabizwa ngokuba yi-insulin glargine (Toujeo, Lantus, kunye neBasaglar) kunye ne-insulin detemir (Levemir), ithathwa kube kanye okanye kabini ngemini, ihlala idla isidlo sangokuhlwa okanye ilala, kwaye ihlala ukuya kuthi ga kwiiyure ezingama-24.

I-insulin esebenza ngokuphakathi, ekwabizwa ngokuba yi-NPH (Humulin kunye neNovolin), isetyenziswa kube kanye okanye kabini yonke imihla kwaye ihlala iiyure ezisi-8 ukuya kwezi-12.

Ngaba i-basal insulin ilungile kum?

Kuba wonke umntu wahlukile, ngugqirha wakho kuphela onokukuxelela ukuba loluphi uhlobo lonyango lwe-insulin olulungele iimfuno zakho.

Ngaphambi kokucebisa i-insulin esisiseko, baya kuthathela ingqalelo iziphumo zakho zokujonga eswekile yegazi, ukutya, inqanaba lomsebenzi, uninzi lweziphumo zovavanyo ze-A1C zamva nje, nokuba ingaba iipancreas zakho zisazivelisa ngokwazo i-insulin.

Ngaba i-basal insulin yedosi yam iya kutshintsha?

Ugqirha wakho unokucinga ngokutshintsha i-basal insulin dosage ngezizathu ezininzi.

Ukuba ukuzila kwakho okanye iinombolo zeswekile yegazi egazini zihlala ziphezulu kunenqanaba ojolise kulo, idosi ye-insulin yakho isenokufuna ukonyuka. Ukuba iinombolo zakho zihlala zisezantsi kunethagethi yakho kwaye ufumana iswekile esezantsi yegazi (i-hypoglycemia), ngakumbi ubusuku bonke okanye phakathi kokutya, idosi yakho inokufuna ukwehliswa.

Ukuba kukho ukunyuka okukhulu kwinqanaba lomsebenzi wakho, unokufuna ukuncitshiswa kwi-basal insulin yakho.

Ukuba uhlala uxhalabile okanye uxinezelekile, iishukela zakho zegazi zinokuphakama, kwaye ugqirha wakho unokuthatha isigqibo sokutshintsha idosi yakho. Uxinzelelo lunokunciphisa ubuntununtunu be-insulin, oko kuthetha ukuba i-insulin ayisebenzi kakuhle emzimbeni wakho. Kule meko, unokufuna i-insulin engaphezulu ukuze ugcine iswekile yegazi lakho ijongiwe.

Ukuba uyagula, unokufuna ukonyuka okwethutyana kwi-basal insulin ukunceda ukuthoba amanani eglucose ephezulu ebangelwa lusulelo, nangona oku kuya kuba yimfuneko kuphela kwisifo sexesha elide. Ngokuka-ADA, ukugula kudala isixa esikhulu soxinzelelo emzimbeni emzimbeni.

Ukongeza, ikliniki yaseMayo icacisa ukuba ukuya exesheni kunokuchaphazela amanqanaba eglucose egazini labasetyhini. Kungenxa yokuba utshintsho kwi-estrogen kunye neprogesterone kunokubangela ukumelana okwethutyana kwi-insulin. Oku kunokufuna uhlengahlengiso kwiimfuno zedosi, kwaye kunokutshintsha inyanga nenyanga kuxhomekeke kumjikelo wokuya exesheni. Amanqanaba eswekile yegazi kufuneka ahlolwe rhoqo xa usexesheni. Xela naluphi na utshintsho kugqirha wakho.

Ngaba zikhona iziphumo ebezingalindelekanga nge-basal insulin?

Njengazo zonke iintlobo ze-insulin, iswekile esezantsi yegazi okanye i-hypoglycemia sesona sisiphumo secala siqhelekileyo sinxulunyaniswa nokusetyenziswa kwe-basal insulin. Ukuba uqala ukubonisa iziganeko zeswekile esezantsi yegazi yonke imihla, idosi yakho iya kufuna ukutshintsha.

Ezinye iingxaki ezinokubakho kwi-basal insulin zibandakanya: ukutyeba (nangona kungaphantsi kwezinye iintlobo ze-insulin), i-allergies, kunye ne-peripheral edema. Ngokubonisana nogqirha wakho, unokuqokelela ulwazi oluthe kratya kwezi ziphumo bezingalindelekanga nokuba unokuba semngciphekweni okanye hayi.

Xa kuziwa kwi-basal insulin kunye nezinye iintlobo zonyango lwe-insulin, ugqirha wakho, ugqirha we-endocrinologist, kunye notitshala wesifo seswekile banokukunceda ekukhokeleni kunyango olulungele iimfuno zakho kunye nendlela ophila ngayo.