Kusamalira Matenda A Shuga Anu: Dongosolo Lanu la Basal-Bolus Insulin
Zamkati
Kusunga kuchuluka kwa magazi m'magazi kumayambira ndi pulani yanu ya basal-bolus insulin. Ndondomekoyi imakhala ndi kugwiritsa ntchito insulini yaying'ono kuti muchepetse kuchuluka kwa magazi m'magazi mukatha kudya komanso insulin yotenga nthawi yayitali kuti shuga wamagazi azikhala okhazikika panthawi yakusala kudya, monga nthawi yomwe mukugona.
Ndondomekoyi ingafune jakisoni angapo tsiku lonse kuti utsanzire momwe thupi la munthu wosadwala matenda ashuga limalandirira insulini, pokhapokha mutalandira mankhwala opopera kapena kugwiritsa ntchito insulin yapakatikati m'malo mwa insulin yayitali.
Bolus insulini
Pali mitundu iwiri ya bolus insulin: insulin yogwira ntchito mwachangu ndipo insulini yochepa.
Insulini yomwe imagwira ntchito mwachangu imamwedwa nthawi yakudya ndipo imayamba kugwira ntchito mphindi 15 kapena zochepa. Imafika pakadutsa mphindi 30 mpaka 3, ndipo imakhala m'magazi mpaka maola atatu kapena asanu. Insulini yochita kanthawi kochepa kapena nthawi zonse imatengedwa nthawi yachakudya, koma imayamba kugwira ntchito patatha mphindi 30 kuchokera mu jakisoni, imafika maola 2 mpaka 5 ndikukhala m'magazi mpaka maola 12.
Pamodzi ndi mitundu iwiri iyi ya bolus insulini, ngati muli ndi pulogalamu yokhazikika ya insulin, muyenera kuwerengera bolus insulini yomwe mukufuna. Mufunika insulini kuti muphimbe chakudya chama carbohydrate komanso insulini kuti "mukonze" shuga wanu wamagazi.
Anthu omwe ali ndi dosing yosinthasintha amagwiritsira ntchito kuchuluka kwa mavitamini kuti adziwe kuchuluka kwa insulini komwe amafunikira kuti azidya zomwe zimadya. Izi zikutanthauza kuti mutha kumwa mayunitsi angapo a insulin pamlingo winawake wama carbohydrate. Mwachitsanzo, ngati mukufuna 1 unit of insulin kuti muphimbe magalamu 15 a zimam'patsa mphamvu, ndiye kuti mutha kutenga magawo atatu a insulini mukamadya magalamu a 45 a carbohydrate.
Pamodzi ndi insulin iyi, mungafunikire kuwonjezera kapena kuchotsa "ndalama zowongolera". Ngati mulingo wanu wa glucose ndiwokwera kwambiri kapena kutsikirapo kuposa glucose yomwe mumafuna mukayamba kudya, mutha kutenga bolus insulin yocheperako kuti muthandize kukonza izi. Mwachitsanzo, ngati shuga lanu lamagazi ndi 100 mg / dL pamalire anu, ndikuwongolera gawo limodzi pa 50 mg / dL, mutha kuwonjezera magawo awiri a bolus insulini yanu pa nthawi yanu yakudya. Dokotala kapena endocrinologist atha kukuthandizani kusankha kuchuluka kwa insulini-mpaka-carbohydrate komanso kukonza chinthu.
Insulini yoyamba
Insulin woyambira amatengedwa kamodzi kapena kawiri patsiku, nthawi zambiri nthawi yamadzulo kapena nthawi yogona. Pali mitundu iwiri ya basal insulini: yapakatikati (mwachitsanzo, Humulin N), yomwe imayamba kugwira ntchito mphindi 90 mpaka maola 4 mutabaya jakisoni, imakwera kwambiri maola 4-12, ndipo imagwira ntchito mpaka maola 24 mutabayidwa, ndikuchita nthawi yayitali (mwachitsanzo , Toujeo), yomwe imayamba kugwira ntchito mkati mwa mphindi 45 mpaka maola 4, siyimilira, ndipo imagwira ntchito mpaka maola 24 mutabayidwa.
Tikagona ndi kusala kudya pakati pa chakudya, chiwindi chimatulutsirabe shuga m'magazi. Ngati muli ndi matenda ashuga ndipo kapamba wanu samatulutsa insulin, insulin yoyambira ndiyofunika kwambiri kuti magazi azisungika m'magazi ndikulola ma cell amwazi kuti azigwiritsa ntchito glucose yamphamvu.
Ubwino wa pulani ya basal-bolus
Ndondomeko ya basal-bolus yogwiritsa ntchito insulini mwachangu komanso yothamanga kwa nthawi yayitali yothana ndi matenda ashuga imathandizira kwambiri kuti magazi azisungika m'magulu oyenera. Dongosololi lipatsa mwayi wokhala ndi moyo wosintha, makamaka popeza mutha kupeza malire pakati pa nthawi yakudya ndi kuchuluka kwa chakudya chomwe mwadya.
Malamulowa amathanso kukhala othandiza munthawi izi:
- Ngati mukukumana ndi vuto la kuchuluka kwa shuga m'magazi usiku.
- Ngati mukukonzekera kuyenda maulendo azanthawi.
- Ngati mukugwira ntchito zosintha kapena maola ogwirira ntchito yanu.
- Ngati mumakonda kugona kapena mulibe ndandanda yanthawi zonse yogona.
Kuti mupindule kwambiri ndi pulani iyi ya basal-bolus, muyenera kukhala tcheru kutsatira izi, kuphatikiza:
- Kuyang'ana shuga m'magazi anu kanayi mpaka kasanu ndi kamodzi tsiku lililonse.
- Kugwiritsa ntchito insulin yomwe mumachita kwakanthawi kochepa ndi chakudya chilichonse. Izi nthawi zina zimatanthauza kutenga jakisoni sikisi patsiku.
- Kusunga zolemba kapena zolemba zomwe mumadya komanso kuwerengetsa kwa magazi, komanso kuchuluka kwa insulin. Izi zitha kukhala zothandiza makamaka kwa inu ndi dokotala wanu ngati mwakhala mukukumana ndi zovuta kusunga magawo anu munthawi yoyenera.
- Kufunsira kwa wophunzitsa za matenda a shuga kapena wazakudya ngati mukuvutika kupanga dongosolo labwino la kudya.
- Kumvetsetsa momwe mungawerengere chakudya. Pali mabuku ndi mawebusayiti ambiri omwe amapezeka ndi zomwe zimapezeka ndi zakudya zam'madzi ndi zakudya zachangu. Sungani chikwama chanu m'galimoto ndi nthawi yanu mukamadya kulesitanti ndipo simukudziwa chomwe mungakonze.
- Kuphunzira momwe mungasinthire insulini yanu kuti muthane ndi kusintha kulikonse pantchito yanu.
- Nthawi zonse kusunga magwero a shuga pa inu, monga maswiti osungunuka kapena mapiritsi a shuga, kuti muchepetse shuga wotsika magazi zikachitika. Hypoglycemia imafala kwambiri ndi dongosolo loyambira la basal-bolus.
Ngati mukumva kuti njira yanu ya basal-bolus sikukuthandizani, ndiye muziyankhulana ndi dokotala kapena katswiri wazamagetsi. Kambiranani ndandanda yanu, zizolowezi za tsiku ndi tsiku, ndi chilichonse chomwe chingakhale chothandiza posankha mankhwala a insulin omwe angakuthandizeni.
Ngakhale njira ya basal-bolus ingaphatikizepo ntchito yochulukirapo, gawo la moyo ndi ufulu womwe mumapeza, m'njira zambiri, ndizofunika kuyesetsa.