Ke hoʻomalu nei i kāu maʻi diabetes: ʻO kāu Plan Insulin Basal-Bolus

Anter

• Insulus Bolus
• Basal insulina
• Nā pōmaikaʻi o kahi hoʻolālā basal-bolus

Hoʻomaka ka mālama ʻana i kāu pae glucose koko i ka hōʻoia me kāu hoʻolālā insulin basal-bolus. Aia kēia papahana i ka hoʻohana ʻana i ka insulin hana pōkole e pale ai i ka piʻi ʻana o ke kō glucose ma hope o ka ʻai ʻana i ka meaʻai a me kahi insulin lōʻihi e mālama pono ai i ka glucose koko i nā wā o ka hoʻokē ʻai, e like me ka wā e hiamoe ana ʻoe.

Pono paha kēia hoʻolālā i kekahi o nā injection i loko o ka lā i mea e mimic ai i ke ala o ke kino o ka mea maʻi ʻole diabetic i loaʻa ai ka insulin, ke ʻole ʻoe ma ka pump therapy a hoʻohana ʻana paha i ka insulin waena ma kahi o ka insulin lōʻihi.

Insulus Bolus

Aia ʻelua ʻano o ka bolus insulin: ʻoi loa ka hana ʻana o ka insulin a insulina hana pōkole.

Lawe ʻia ka insulin wikiwiki i nā manawa ʻai a hoʻomaka i ka hana ʻana ma 15 mau minuke a ʻoi iki paha. Piʻi ia i loko o 30 mau minuke i 3 mau hola, a noho i ke kahe o ke koko a hiki i 3 a 5 mau hola. Lawe ʻia ka insulin wā pōkole a maʻamau paha i nā manawa pāʻina, akā hoʻomaka ia e hana ma kahi o 30 mau minuke ma hope o ke kuʻi ʻana, piko ma 2 a 5 mau hola a noho i ke kahe o ke koko a hiki i 12 mau hola.

Me kēia mau ʻano ʻelua o ka bolus insulin, inā ʻoe ma kahi papa hana insulin maʻalahi, pono ʻoe e helu i ka nui o ka bolus insulin āu e pono ai. E pono ʻoe i ka insulin e uhi i ka lawe ʻana o ka carbohydrate a ʻo ka insulin hoʻi e "hoʻoponopono" i kāu kō kō.

Hoʻohana ka poʻe ma kahi papa hana hikiwawe i ka helu ʻana i ka waiʻāpā e hoʻoholo ai i ka nui o ka insulin a lākou e pono ai e uhi i ka ʻike kolokohō o kā lākou meaʻai. Kuhi kēia e lawe ʻoe i kekahi helu o nā pūnaewele insulina no kēlā me kēia nui o ka wai ʻona. ʻO kahi laʻana, inā ʻoe e pono i kahi anakahi 1 o ka insulin e uhi i 15 mau kolamu o ka waiʻopa, a laila e lawe ʻoe i 3 mau pūnaewele o ka insulin ke ʻai ʻoe i ka 45 gram o ka pākeke.

Me kēia insulin, pono paha ʻoe e hoʻohui a unuhi paha i kahi "nui hoʻoponopono." Inā ʻoi aku ka nui o kāu glucose ma mua o ka haʻahaʻa ma mua o kāu pahu hopu glucose i ka wā e hoʻomaka ai ʻoe i kahi papaʻaina, lawe paha ʻoe i ka nui a ʻoi paha o ka bolus insulin e kōkua ai e hoʻoponopono i kēia. ʻO kahi laʻana, inā he 100 mg / dL kāu kō kōpaʻa ma luna o kāu paepae i hoʻonoho ʻia, a ʻo kāu mea hoʻoponopono i 1 anakahi ma 50 mg / dL, e hoʻohui ʻoe i nā anakahi 2 o kāu bolus insulina i kāu manawa ʻai. Hiki i ke kauka a i ʻole endocrinologist ke kōkua iā ʻoe e hoʻoholo i ka lakio insulin-to-carbohydrate maikaʻi loa a me ka mea hoʻoponopono.

Basal insulina

Lawe ʻia ka basal insulina i hoʻokahi a ʻelua paha manawa i ka lā, ma kahi o ka manawa ʻaina awakea a i ʻole ka hiamoe. ʻElua ʻano o ka basal insulina: waena (ʻo kahi laʻana, Humulin N), e hoʻomaka ana i ka hana 90 mau minuke i 4 mau hola ma hope o ke kuʻi ʻana, nā piko ma 4-12 mau hola, a ke hana nei a 24 mau hola ma hope o ka hoʻopili ʻana, a me ka hana lōʻihi (e laʻa me , Toujeo), hoʻomaka e hana ma waena o 45 mau minuke a 4 mau hola, ʻaʻole piko, a hana a 24 mau hola ma hope o ka hoʻopili ʻana.

ʻOiai mākou e hiamoe a wikiwiki i waena o nā meaʻai, hoʻomau ke ake o ke ake i ka glucose i ke kahe o ke koko. Inā loaʻa ʻoe i ka maʻi diabetes a hana ʻole kāu pancreas i kahi insulin liʻiliʻi, nui ka nui o ka insulin basal no ka mālama ʻana i kēia pae glucose koko ma lalo o ka kaohi a ʻae ʻana i nā hunaola koko e hoʻohana i ka glucose no ka ikehu.

Nā pōmaikaʻi o kahi hoʻolālā basal-bolus

ʻO kahi papa basal-bolus e hoʻohana ana i ka insulin wikiwiki a me ka hana lōʻihi no ka mālama ʻana i ka maʻi diabetes hele lōʻihi loa i ka mālama ʻana i kāu glucose glucose i loko o kahi pae maʻamau. E ʻae kēia hoʻolālā i kahi nohona maʻalahi ʻoi aku ka maikaʻi, no ka mea hiki iā ʻoe ke ʻike i kahi kaulike ma waena o ka manawa o ka ʻai a me ka nui o nā meaʻai i ʻai ʻia.

Hiki ke hoʻohana pono ʻia kēia regimen i kēia mau hanana:

• Inā loaʻa ʻoe i ka pilikia me nā pae glucose koko haʻahaʻa i ka pō.
• Inā ʻoe e hoʻolālā e huakaʻi ma nā wahi o ka manawa.
• Inā ʻoe e hana i nā loli a i ʻole mau hola no kāu hana.
• Inā hauʻoli ʻoe i ka hiamoe ʻana a i ʻole ʻaʻohe o ka papa hana hiamoe maʻamau.

I mea e loaʻa ai nā keu pono loa mai kēia hoʻolālā basal-bolus kikoʻī, pono ʻoe e makaʻala e pili ana i ka hahai ʻana i nā kaina e pono ai, e like me:

• Ke nānā nei i kāu kō kō i ka ʻehā a ʻeono mau manawa i kēlā me kēia lā.
• Ke hoʻohana nei i kāu insulin hana pōkole me kēlā me kēia pāʻina. Hiki i kēia ke manaʻo i ka lawe ʻana i ʻeono injection i ka lā.
• Ke mālama nei i kahi puke pai a i ʻole kahi lola o kāu lawe ʻana i ka meaʻai a me nā heluhelu ʻana o ka glucose i ke koko, a me kāu nui o ka lāʻau insulin. Hiki ke kōkua nui kēia iā ʻoe a me kāu kauka inā loaʻa iā ʻoe kahi manawa paʻakikī e mālama i kāu mau pae i ka pae maʻamau.
• Ke kūkākūkā nei me kahi mea aʻo diabetes a i ʻole dietitian inā paʻakikī ʻoe i ka hoʻomohala ʻana i kahi hoʻolālā ʻai olakino.
• Ka hoʻomaopopo ʻana pehea e helu ai i nā haʻalako. Nui a hewahewa nā puke a me nā pūnaewele i loaʻa i ka ʻākoʻako ʻia i ka meaʻai maʻamau a me nā meaʻai wikiwiki. E mālama i kahi kope i loko o kāu pēke a me ke kaʻa no kēlā mau manawa ke ʻai ʻoe i waho a maopopo ʻole i ka mea e kauoha ai.
• Ke aʻo ʻana pehea e hoʻoponopono ai i kāu insulin e pale i nā loli i kāu pae hana.
• Ke mālama mau nei i nā kumuwaiwai o ke kō iā ʻoe, e like me nā candies chewable a i ʻole nā ​​papa glucose, e mālama ai i ke kō kō liʻiliʻi inā kū ʻia. ʻOi aku ka maʻamau o ka hypoglycemia me kahi papa hana basal-bolus.

Inā manaʻo ʻoe ʻaʻole e hana ana kāu regal-bolus regimen nāu, a laila e launa me kāu kauka a i ʻole endocrinologist. Kūkākūkā i kāu papa kuhikuhi, nā hana maʻamau o kēlā me kēia lā, a me nā mea āpau e hiki ke kōkua i ka koho ʻana i kahi o ka insulin therapy ʻoi aku ka maikaʻi no kāu pono.

ʻOiai ke hoʻokokoke nei kahi hana basal-bolus i kahi hana hou aʻe ma kāu ʻaoʻao, ʻo ke ʻano o ke ola a me ke kūʻokoʻa i loaʻa mai iā ia, ma nā ʻano he nui, pono i ka hoʻāʻo hou.