Ukulawula isifo sakho seswekile: Isicwangciso sakho se-Basal-Bolus Insulin

Umxholo

• I-Bolus insulin
• I-insulin esisiseko
• Izibonelelo zesicwangciso se-basal-bolus

Ukugcina amanqanaba eglucose egazini lakho kujongwa kwisicwangciso sakho se-basal-bolus insulin. Esi sicwangciso siqulathe ukusebenzisa i-insulin emfutshane esebenza ukuthintela ukunyuka kweglucose yegazi emva kokutya kunye ne-insulin esebenza ixesha elide ukugcina iswekile yegazi izinzile ngamaxesha okuzila, njengaxa ulele.

Esi sicwangciso sinokufuna inaliti ezininzi ngalo lonke usuku ukuze ulingise indlela umzimba womntu ongadibani nesifo seswekile ofumana ngayo i-insulin, ngaphandle kokuba ukwipompo yonyango okanye usebenzisa i-insulin esebenza phakathi endaweni ye-insulin esebenza ixesha elide.

I-Bolus insulin

Zimbini iintlobo ze-bolus insulin: i-insulin esebenza ngokukhawuleza kwaye i-insulin emfutshane.

I-insulin esebenza ngokukhawuleza ithathwa ngamaxesha okutya kwaye iqala ukusebenza kwimizuzu eli-15 okanye ngaphantsi. Iphakama kwimizuzu engama-30 ukuya kwiiyure ezi-3, kwaye ihleli kwigazi ukuya kuthi ga kwiiyure ezi-3 ukuya kwezi-5. Ukwenza into emfutshane okanye i-insulin rhoqo nayo iyathathwa ngamaxesha okutya, kodwa iqala ukusebenza malunga nemizuzu engama-30 emva kwenaliti, iincopho ngeyure ezi-2 ukuya kwezi-5 kwaye ihlala egazini ukuya kuthi ga kwiiyure ezili-12.

Kunye nezi ntlobo zimbini ze-bolus insulin, ukuba ukwishedyuli ye-insulin eguqukayo, kuya kufuneka ubale ukuba yimalini na i-bolus insulin oyifunayo. Uya kudinga i-insulin yokugubungela ukutya kwe-carbohydrate kunye ne-insulin ukuze "ulungise" iswekile yegazi lakho.

Abantu abakwishedyuli yedosi eguquguqukayo basebenzisa ukubala kwe-carbohydrate ukumisela ukuba ingakanani na i-insulin abayidingayo yokugubungela umxholo wekhabohayidrethi kwizidlo zabo. Oku kuthetha ukuba ungathatha inani elithile leeyunithi ze-insulin ngenani elithile le-carbohydrate. Umzekelo, ukuba ufuna iyunithi enye ye-insulin yokugubungela iigrama ezili-15 ze-carbohydrate, uya kuthatha iiyunithi ezi-3 ze-insulin xa usitya iigram ezingama-45 zecarbohydrate.

Kunye nale insulin, kusenokufuneka wongeze okanye uthabathe "isixa sokulungisa." Ukuba inqanaba lakho le-glucose lixabiso elithile liphezulu okanye liphantsi kune-glucose ekujolise kuyo xa uqala ukutya, ungathatha ngaphezulu okanye ngaphantsi kwe-bolus insulin ukukunceda ukulungisa oku. Umzekelo, ukuba iswekile yegazi lakho ingu-100 mg / dL ngaphezulu komqobo obekiweyo, kwaye into yakho yokulungisa iyunithi e-1 nge-50 mg / dL, unokongeza iiyunithi ezi-2 ze-bolus insulin yakho kwidosi yakho yexesha lokutya. Ugqirha okanye i-endocrinologist inokukunceda uthathe isigqibo ngeyona insulin-to-carbohydrate ratio kunye nokulungiswa kwezinto.

I-insulin esisiseko

I-insulin esisiseko ithathwa kanye okanye kabini ngemini, ihlala idla ngokutya okanye ngexesha lokulala. Zimbini iintlobo ze-basal insulin: ephakathi (umzekelo, iHumulin N), eqala ukusebenza imizuzu engama-90 ukuya kwiiyure ezi-4 emva kwenaliti, incopho ngeeyure ezingama-4 ukuya ku-12, kwaye isebenza ukuya kuthi ga kwiiyure ezingama-24 emva kwenaliti, kunye nokusebenza ixesha elide (umzekelo , Toujeo), eqala ukusebenza kungaphelanga nemizuzu engama-45 ukuya kwiiyure ezi-4, kwaye ayisebenzi, kwaye isebenza ukuya kuthi ga kwiiyure ezingama-24 emva kwenaliti.

Ngelixa silele kwaye sikhawuleza phakathi kokutya, isibindi siqhubeka nokufihla iglucose egazini. Ukuba unesifo seswekile kwaye iipancreas zivelisa i-insulin encinci, i-basal insulin ibalulekile ekugcineni amanqanaba eglucose ephantsi kolawulo kunye nokuvumela iiseli zegazi ukuba zisebenzise iswekile yamandla.

Izibonelelo zesicwangciso se-basal-bolus

Isicwangciso se-basal-bolus usebenzisa i-insulin esebenza ngokukhawuleza kunye nokulawula ixesha elide ekulawuleni isifo seswekile sihamba ixesha elide ekugcineni iswekile yegazi lakho kuluhlu oluqhelekileyo. Esi sicwangciso siza kuvumela indlela yokuphila eguqukayo ngakumbi, ngakumbi kuba unokufumana ibhalansi phakathi kwexesha lokutya kunye nenani lokutya okutyiweyo.

Le rejimeni inokuba luncedo kwezi meko:

• Ukuba unengxaki ngamanqanaba asezantsi eswekile yegazi ebusuku.
• Ukuba ucwangcisa ukuhamba kwimimandla yexesha.
• Ukuba usebenza iishifti ezingaqhelekanga okanye iiyure zomsebenzi wakho.
• Ukuba uyakonwabela ukulala okanye awunaso ishedyuli yokulala yesiqhelo.

Ukuze ufumane izibonelelo ezivela kwesi sicwangciso-siseko se-basal-bolus, kufuneka uqaphele malunga nokulandela amanyathelo afanelekileyo, kubandakanya:

• Ukujonga iswekile yakho yegazi ubuncinci amaxesha amane ukuya kwisithandathu ngosuku.
• Sebenzisa i-insulin yakho emfutshane esebenza ngayo xa usitya. Oku ngamanye amaxesha kunokuthetha ukuthatha inaliti ezithandathu ngosuku.
• Ukugcina ijenali okanye ilog yokutya okutyayo kunye nokufundwa kweglucose yegazi, kunye nexabiso le-insulin yakho. Oku kunokuba luncedo ngakumbi kuwe nakugqirha wakho ukuba ubunobunzima bokugcina amanqanaba akho kuluhlu oluqhelekileyo.
• Ukubonisana nomfundisi-ntsapho wesifo sikashukela okanye i-dietitian ukuba unzima ukuphuhlisa isicwangciso sokutya esinempilo.
• Ukuqonda indlela yokubala iikhabhohayidrethi. Zininzi iincwadi kunye neewebhusayithi ezikhoyo ezibandakanya umxholo we-carbohydrate kukutya okuqhelekileyo kunye nokutya okukhawulezayo. Gcina ikopi kwisipaji sakho kunye nemoto kula maxesha apho utya khona kwaye ungaqinisekanga ngento omawuyithenge.
• Ukufunda ukuba ungayitshintsha njani i-insulin yakho ukuze ulwe naluphi na utshintsho kwinqanaba lomsebenzi wakho.
• Soloko ugcina imithombo yeswekile kuwe, ezinje ngeepipi ezihlafunwayo okanye iipilisi zeswekile, ukunyanga iswekile esezantsi yegazi ukuba kufanelekile. I-Hypoglycemia ixhaphake kakhulu kwisicwangciso sonyango lwe-basal-bolus.

Ukuba uziva ngathi irejimeni yakho ye-basal-bolus ayisebenzi kuwe, emva koko nxibelelana nogqirha okanye i-endocrinologist. Xoxa ngeshedyuli yakho, imikhwa yemihla ngemihla, nayo nayiphi na into enokuba luncedo ekuthatheni isigqibo sokuba loluphi unyango lwe-insulin olulungele iimfuno zakho.

Ngelixa indlela ye-basal-bolus inokubandakanya umsebenzi omninzi kwinxalenye yakho, umgangatho wobomi kunye nenkululeko efunyenwe kuyo, ngeendlela ezininzi, ifanele umzamo owongezelelweyo.