Nā ʻano Insulin Basal, nā pono, ka ʻikepili hana, a me nā hopena ʻaoʻao

Anter

• Nā ʻano
• ʻO ka insulin hana waena, NPH
• Insulina hana lōʻihi
• Insulina hana lōʻihi
• Na noonoo
• Nā Pōmaikaʻi
• ʻIkepili hana
• Lawe i ka NPH i ka wā moe, i ke kakahiaka, a i ʻole ʻelua
• Lawe i ka detemir, glargine, a i ʻole degludec i ka wā hiamoe
• Ke hoʻohana nei i kahi pauma insulin
• Nā hopena ʻaoʻao
• Laina lalo

ʻO ka hana mua o ka basal insulina ka mālama ʻana i ke kiʻekiʻe o ke kō glucose ma loko o nā wā o ka hoʻokē ʻai, e like me ka wā e hiamoe ana. ʻOiai e hoʻokē ʻai nei, hūnā mau kou ake i ka glucose i ke kahe o ke koko. Mālama ka insulin basal i kēia mau pae glucose ma lalo o ka kaohi.

Me ka ʻole o kēia insulin, e piʻi aʻe kāu kiʻekiʻe o ka glucose i kahi helu weliweli. Mālama ka insulin basal i ka hānai ʻia ʻana o kāu mau hunaola me ke kahe mau o ka glucose e puhi no ka ikehu i ka lā holoʻokoʻa.

Eia ka mea e pono ai ʻoe e ʻike e pili ana i ka lāʻau insulin basal a no ke aha he mea nui ia no ka mālama ʻana i ka maʻi kō.

Nā ʻano

ʻEkolu ʻano nui o ka insulin basal.

ʻO ka insulin hana waena, NPH

ʻO nā mana inoa inoa me Humulin a me Novolin. Hoʻokele ʻia kēia insulin i hoʻokahi a i ʻole ʻelua mau lā i kēlā me kēia lā. Hoʻohui mau ʻia me ka insulin manawa mealtime i ke kakahiaka, ma mua o kāu ʻaina ahiahi, a i ʻole ʻelua paha. Hana ʻoi loa ka hana i ka 4 a i ka 8 mau hola ma hope o ka hoʻopili ʻana, a hoʻomaka ka hopena o ka hopena ma hope o 16 mau hola.

Insulina hana lōʻihi

ʻElua ʻano o kēia insulin i kēia manawa ma ka mākeke ʻo detemir (Levemir) a me glargine (Toujeo, Lantus, a me Basaglar). Hoʻomaka kēia basal insulina e hana i 90 mau minuke i 4 mau hola ma hope o ka hoʻopili ʻana a noho mau i kou kahe o ke koko a hiki i 24 mau hola. Hoʻomaka paha ia e hoʻonāwaliwali i kekahi mau hola ma mua no kekahi poʻe a i ʻole kekahi mau hola i lōʻihi no kekahi poʻe ʻē aʻe. ʻAʻole kahi manawa kiʻekiʻe no kēia ʻano insulin. Ke hana nei ia ma kahi helu paʻa i ka lā holoʻokoʻa.

Insulina hana lōʻihi

I Ianuali 2016, ua hoʻokuʻu ʻia kahi insulina basal i kapa ʻia degludec (Tresiba). Hoʻomaka kēia basal insulina e hana ma waena o 30 a 90 mau minuke a noho i kou kahawai a hiki i 42 mau hola. E like me ka lōʻihi insulins insemir a me ka glargine, ʻaʻohe manawa kiʻekiʻe no kēia insulin. Ke hana nei ia ma kahi helu paʻa i ka lā holoʻokoʻa.

Loaʻa ka insulin degludec i nā ikaika ʻelua, 100 U / mL a me 200 U / mL, no laila pono ʻoe e heluhelu pono i ka lepili a hāhai pono i nā ʻōlelo aʻo. ʻAʻole like ia me ka detemir a me ka glargine, e hui ʻia paha me nā insulina wikiwiki e hiki koke i ka mākeke.

Na noonoo

Ke hoʻoholo nei ma waena o nā insulins basal waena a hana lōʻihi, nui nā mea e noʻonoʻo ai. Hoʻopili kēia i kou nohona a me kou makemake e hoʻopili.

ʻO kahi laʻana, hiki iā ʻoe ke kāwili i ka NPH me ka insulin mealtime, ʻoiai e hoʻokomo ʻokoʻa ʻia ka insulina basal hana lōʻihi. Hiki i nā mea i hiki ke hoʻopili i kāu ana o ka insulin me ka nui o kou kino, nā pae hormonone, kaʻai, a me ka nui o ka insulin i loko e hana ai kāu pancreas, inā loaʻa.

Nā Pōmaikaʻi

Nui nā poʻe me ka maʻi diabetes e like me ka insulin basal no ka mea kōkua ia iā lākou e hoʻokele maikaʻi i nā pae kō kō ma waena o nā meaʻai, a ʻae ia i kahi nohona maʻalahi.

ʻO kahi laʻana, inā ʻoe e hoʻohana i kahi insulin lōʻihi, ʻaʻole pono ʻoe e hopohopo e pili ana i nā manawa kiʻekiʻe o ka hana insulin. ʻO kēia ka hiki ke maʻalahi i ka manawa ʻai. Hiki iā ia ke hōʻemi i kou makaʻu i nā pae kō kō haʻahaʻa.

Inā paʻakikī ʻoe e mālama i kāu pae kō kō i loko o ke kakahiaka, ke hoʻohui nei i ka insulin basal i kāu papa ʻaina awakea a i ʻole ka manawa moe e kōkua ai i ka hoʻoponopono ʻana i kēia pilikia.

ʻIkepili hana

Me ka insulin basal, ʻekolu ou koho koho. Loaʻa nā koho a me nā cons i kēlā me kēia koho. ʻOkoʻa ka makemake o ka basal a pau i ka insulin, no laila hiki i kāu kauka a i ʻole endocrinologist ke kōkua iā ʻoe e hoʻoholo i nā mea kūpono kūpono iā ʻoe.

Lawe i ka NPH i ka wā moe, i ke kakahiaka, a i ʻole ʻelua

Hiki ke waiwai kēia ala no ka mea piʻi ka insulin i ka wanaʻao a me nā hola o ke awakea, ke makemake nui ʻia. Akā hiki ʻole ke piko i kēlā piko e pili ana i kāu ʻai, ka manawa ʻai, a me ka pae o ka hana. Hiki paha i kēia ke hopena i nā pae kō kō haʻahaʻa i kou wā e hiamoe ana a i ʻole haʻahaʻa a kiʻekiʻe paha i nā kūmole glucose i nā hola o ke ao.

Lawe i ka detemir, glargine, a i ʻole degludec i ka wā hiamoe

ʻO ke kahe mau o kēia mau insulins hana lōʻihi kekahi o kā lākou keu pono nui. Akā, ʻike kekahi poʻe e pau ka detemir a me ka glargine insulin ma mua o 24 mau hola ma hope o ka hoʻopili ʻana. Hiki i kēia ke kumu o ke kiʻekiʻe o nā kō glucose i ke kūmole i hoʻonohonoho ʻia aʻe. Pono ka Degludec a hiki i kāu hoʻopili ʻana aʻe.

Ke hoʻohana nei i kahi pauma insulin

Me kahi pauma insulin, hiki iā ʻoe ke hoʻoponopono i ka helu o ka basal insulin e kūlike me kāu hana ate. Hoʻokahi drawback i ka pump therapy ka makaʻu o ka diabetic ketoacidosis ma muli o ka pauma hewa. Hiki i kekahi pilikia mechanical me ka pauma ke hopena iā ʻoe i ka loaʻa ʻole o ka nui o ka insulin.

Nā hopena ʻaoʻao

ʻO kekahi mau hopena ʻē aʻe e pili ana i ka insulin basal me hypoglycemia a me ka loaʻa ʻana o ke kaumaha, ʻoiai i kahi kekelē liʻiliʻi i hoʻohālikelike ʻia me nā ʻano insulin.

ʻO kekahi mau lāʻau, me beta-blockers, diuretics, clonidine, a me nā paʻakai lithium, hiki ke hoʻonāwaliwali i nā hopena o ka basal insulin. E kamaʻilio me kāu kauka a me ka endocrinologist e pili ana i nā lāʻau āu e lawe ai i kēia manawa a me nā launa lāʻau weliweli.

Laina lalo

ʻO ka insulin basal kahi mea koʻikoʻi i kāu mālama maʻi diabetes. E hana pū me kāu kauka a i ʻole endocrinologist e hoʻoholo i ke ʻano kūpono no ʻoe a me kāu mau pono.