Insulin yayitali: kuwerengetsa kwa mlingo

Mwa munthu yemwe ali ndi vuto la insulin lokwanira, cholinga cha mankhwalawa ndikuwonetsetsa kuti chinsinsi chizigwira bwino ntchito monga momwe mungathere, zonse zoyambira komanso zolimbikitsidwa. Munkhaniyi ndikukuwuzani kusankha momwe mungasankhire insulin yoyenera. Pakati pathu odwala matenda ashuga, mawu akuti "sungani maziko" amagwiritsidwa ntchito, ndipo chifukwa cha ichi payenera kukhala ndi mlingo wokwanira wa insulin.

Wochedwa insulin

Chifukwa chake lero tikulankhula zakumbuyo ndi zoyambira za basal, ndipo m'nkhani yotsatira ndikuuzani momwe mungasankhire mlingo wa chakudya, ndiko kuti, kuphimba kufunika kwa kutetezedwa. Osaphonya ndikulembetsa ku zosintha za blog.

Pofuna kutsata secretion ya basal, insulin ya nthawi yayitali imagwiritsidwa ntchito. Munthu akapezeka ndi matenda ashuga, amatha kupeza mawu oti "insulin", "insulin yayitali", "insulin yayitali", "basal", ndi zina zambiri. Izi zikutanthauza kuti insulin yomwe imagwira ntchito kwa nthawi yayitali imagwiritsidwa ntchito.

Pakadali pano, mitundu iwiri ya ma insulin omwe amagwira ntchito nthawi yayitali amagwiritsidwa ntchito: nthawi yayitali, yomwe imakhala mpaka maola 16, komanso yayitali kwambiri, yomwe imakhala kuposa maola 16. Munkhani yakuti "Momwe mungathanirane ndi matenda a shuga kwa ana ndi akulu?" Ndalemba kale za izi.

Lachiwiri limaphatikizapo:

• Lantus
• Levemire
• Tresiba (Chatsopano)

Lantus ndi Levemir amasiyana ndi ena osati pakutanthauza kuti amakhala ndi nthawi yosiyana, komanso kuti amawonekera kwathunthu, pomwe ma insulini a gulu loyambalo ali ndi khungu loyera, ndipo asanagwiritse ntchito amafunika kuti adulidwe pakati pa manja kuti vutolo lithe ndi mitambo. Kusiyanaku kukugona m'njira zosiyanasiyana zopanga insulini, yomwe ndimalankhula nthawi ina m'nkhani yoperekedwa kwa iwo ngati mankhwala osokoneza bongo.

Ma insulini okhala ndi nthawi yayitali kwambiri, i.e., machitidwe awo amatha kutsata, osatchulika kuti ndi achifwamba omwe amangokhala osakwanitsa, komabe osakwanitsa. Pomwe ma insulin ochokera ku gulu lachiwiri amawonedwa ngati opanda ntchito. Ndi gawo ili lomwe limafunikira kuganizira posankha mtundu wa basal insulin. Koma malamulo onse amakhalabe chimodzimodzi kwa insulini zonse.

Chifukwa chake, mlingo wa insulin wa nthawi yayitali uyenera kusankhidwa kuti shuga ya magazi ikhale pakati pa chakudya. Kusintha kusinthasintha pamlingo wa 1-1.5 mmol / L ndikololedwa. Ndiye kuti, ndi mlingo wosankhidwa bwino, shuga wa magazi sayenera kuchuluka kapena kuchepa m'malo mwake. Zizindikiro zosalekeza ziyenera kukhala tsiku lonse.

Ndikufunanso kuwonjezera kuti insulini yokhala ndi nthawi yayitali imagwiridwa m'tchafu kapena pamphumi, koma osati m'mimba kapena mkono, chifukwa mumafunikira kuyamwa pang'onopang'ono komanso kosalala, komwe kungapezeke pokhapokha pobayira. Insulin yomwe imagwira ntchito mwachidule imalowetsedwa m'mimba kapena mkono kuti ikwaniritse bwino, yomwe iyenera kukhala pachimake pakulowetsedwa kwa chakudya.

Yaitali usiku usiku insulin

Ndikulimbikitsidwa kuti muyambe kusankha mtundu wa insulin yayitali usiku. Ngati simunachite izi, onani momwe glucose wamagazi amakhalira usiku. Tengani miyeso kuyamba maola atatu aliwonse - 21:00, 00:00, 03:00, 06:00. Ngati panthawi inayake mumakhala ndi kusinthasintha kwakukulu kwa zomwe zimapangitsa kuti magazi aziwoneka kuti akuchepa kapena, mosiyana, kukulira, ndiye kuti izi zikutanthauza kuti mlingo wa insulin sunasankhidwe bwino.

Pankhaniyi, muyenera kuwona gawo ili mwatsatanetsatane. Mwachitsanzo, mumapita usiku ndi shuga 6 mmol / L, nthawi ya 00:00 - 6.5 mmol / L, ndipo 3:00 imadzuka mwadzidzidzi kufika pa 8.5 mmol / L, ndipo m'mawa mumabwera ndi shuga wambiri. Zinthu zili motere kuti insulini ya usiku sinali yokwanira ndipo ikufunika kuwonjezeka pang'onopang'ono. Koma pali mfundo imodzi. Ngati pali kuwonjezeka koteroko komanso kukwera kwambiri usiku, ndiye kuti sizitanthauza kusowa kwa insulin nthawi zonse. Nthawi zina, imatha kukhala hypoglycemia yotsika, yomwe idapereka koyamba - kuwonjezeka kwa shuga m'magazi.

Kuti mumvetsetse kuti chifukwa chiyani shuga amatuluka usiku, muyenera kuyang'ana nthawi imeneyi ola lililonse. Pazomwe tafotokozazi, muyenera kuyang'ana shuga nthawi ya 00:00, 01:00, 02:00 ndi 03:00 a.m. Ngati kuchepa kwa glucose pakadali pano, ndiye kuti mwina panali "kubisa" kobisika ndi kubwezeretsanso. Ngati ndi choncho, ndiye kuti mlingo wa insulin yoyambira uyenera kuchepetsedwa.

Kuphatikiza apo, mudzavomera ndi ine kuti chakudya chomwe mumadya chimakhudza kuwunika kwa insulin yoyamba. Chifukwa chake, kuti tiwunikire moyenera ntchito ya basal insulin, sipayenera kukhala insulin yocheperako komanso glucose yomwe imabwera ndi chakudya m'magazi. Chifukwa chake, musanayang'anize insulin yausiku, ndikofunikira kuti tidumphire chakudya chamadzulo kapena kudya chakudya chamadzulo m'mbuyomu kuti chakudya ndi insulin yochepa yopangidwira isafotokozere bwino.

Chifukwa chake, tikulimbikitsidwa kuti tidye chakudya chamadzulo chokhacho, kupatula mapuloteni ndi mafuta. Popeza zinthuzi zimaphatikizidwa pang'onopang'ono ndipo pamlingo wina wake zitha kukulitsa shuga, zomwe zingathenso kusokoneza kuyesa koyenera kwa kugwira ntchito kwa insulin usiku.

Yaitali tsiku ndi tsiku insulin mlingo

Momwe mungayang'anire "basal" masana? Ndiwosavuta. Ndikofunikira kupatula chakudya. Zoyenera, muyenera kukhala ndi njala masana ndikumwa shuga m'magazi ola lililonse. Izi zikuwonetsani komwe kuchuluka kuli ndi komwe kuchepa kuli. Koma nthawi zambiri izi sizingatheke, makamaka kwa ana aang'ono. Poterepa, onani momwe insulin yoyamba imagwirira ntchito nthawi. Mwachitsanzo, idumphani chakudya cham'mawa choyamba ndikuyesa ola lililonse kuyambira nthawi yomwe mwadzuka kapena jakisoni wa insulin ya tsiku ndi tsiku (ngati muli ndi imodzi), mpaka chakudya chamasana, mutatha kudya chakudya chamasana, kenako ndikudya chakudya chamadzulo.

Ndikufuna kunena kuti pafupifupi ma insulin onse owonjezera amayenera kubayidwa katatu patsiku, kupatula Lantus, yomwe imachitika kamodzi. Musaiwale kuti onse omwe ali pamwambapa, kupatula Lantus ndi Levemir, ali ndi chidziwitso chapadera kwambiri. Monga lamulo, nsonga imapezeka pa maola 6-8 a mankhwala ogwiritsidwa ntchito. Chifukwa chake, panthawi ngati izi, pakhoza kukhala kuchepa kwa glucose, womwe umayenera kuthandizidwa ndi XE yaying'ono.

Ndikufunanso kunena kuti mukasintha mlingo wa insal insulin, muyenera kubwereza izi zonse kangapo. Ndikuganiza kuti masiku atatu ndiokwanira kuti zitsimikizire kuti zotsatira zake zachitika mbali iliyonse. Ndipo kutengera zotsatira zake, chitani zotsatirazi.

Mukamayesa insulin ya tsiku ndi tsiku kuchokera ku chakudya cham'mbuyomu, pafupifupi maola 4 ayenera kudutsa, makamaka maola 5. Kwa iwo omwe amagwiritsa ntchito ma insulin afupiafupi (Actrapid, Humulin R, Gensulin R, etc.), osati ultrashort (Novorapid, Apidra, Humalog), nthawiyo iyenera kukhala yayitali - maola 6-8, chifukwa izi zimachitika chifukwa cha zovuta zina zomwe zikuchitika. za insulin izi, zomwe ndikambirana m'nkhani yotsatira.

Ndikukhulupirira kuti ndinafotokozera momveka bwino komanso mosavuta momwe mungapangire Mlingo wa insulin yayitali. Ngati muli ndi mafunso, omasuka kufunsa. Mukasankha bwino kuchuluka kwa insulin yomwe imatenga nthawi yayitali, mutha kusankha mtundu wa insulin yochepa. Ndipo kusangalalako kumayamba, koma koposa pamenepo m'nkhani yotsatira. Pakadali pano - bye!

Kodi kubaya insulin? Malo ati?

Nthawi zambiri, insulin yowonjezera imalowetsedwa mu ntchafu, phewa, kapena m'mimba. Kuthiridwa kwa mankhwalawa m'magazi kumadalira malo a jekeseni. Werengani zambiri mu nkhani "Makulidwe a insulini: kuti ndi momwe angayikidwire". Phunzirani momwe mungabayire jakisoni wa insulini kapena cholembera chindende.

Mukabayidwa insulin yayitali, muyenera kutsatira zakudya.

Momwe mungasankhire mlingo wa insulin yayitali ya matenda 1 a shuga?

Njira zosankhira Mlingo wa insulin yowonjezera usiku ndi m'mawa akufotokozedwa mwatsatanetsatane patsamba lino. Ndiwofunika kwa akuluakulu ndi ana omwe ali ndi matenda amtundu wa 1, komanso odwala omwe ali ndi matenda a shuga a 2. Musakhale aulesi kuyeza shuga wamagazi anu, onetsetsani momwe mukudziwonera ndikusanthula zomwe zimasonkhana. Kusankha ndi kukonza mameseji owonjezera a insulin, mungafunike kuyesa kufa ndi njala.

Kodi insulin yabwino kwambiri yayitali ndi iti?

Tsopano insulin yayitali kwambiri ndi Tresiba. Awa ndi mankhwala atsopano kwambiri, jakisoni aliyense amene amakhala mpaka maola 42. Kukhazikitsa kwa Treshiba insulin usiku kumakupatsani mwayi wokhala ndi vuto lodzuka m'mawa, kudzuka m'mawa wotsatira ndi shuga wabwinobwino wamagazi.

Mankhwala achikulire Lantus ndi Levemir, ndipo koposa pamenepo, Protafan, amawongolera shuga m'mawa ndi m'mawa kwambiri odwala matenda ashuga. Tsoka ilo, mtengo wokwera wa Tresib insulin ndi cholepheretsa kugwiritsa ntchito kwake kwakukulu.

Dr. Bernstein amakhulupirira kuti mankhwalawa Lantus ndi Tujeo amawonjezera chiwopsezo cha khansa, ndikwabwino kusinthana ndi Levemir kapena Tresiba kuti mupewe izi. Onani vidiyoyi kuti mumve zambiri. Nthawi yomweyo, phunzirani kusungira bwino insulini kuti isawonongeke. Mvetsetsani chifukwa chake muyenera kudula m'mawa ndi madzulo, ndipo jakisoni imodzi patsiku sikokwanira.

Insulin yayitali: kuwerengera kwa usiku

Jakisoni wa insulin yotalika usiku imachitika makamaka kuti tsiku lotsatira m'mimba mulibe shuga. Kwa odwala matenda ashuga ambiri, m'mamawa kwambiri, chiwindi pazifukwa zina zimakonda kutenga insulin m'magazi ndikuyiwononga. Zotsatira zake, timadzi timeneti timayamba kuphonya kuti tisungidwe bwino. Vutoli limatchedwa chodabwitsa cha m'bandakucha. Chifukwa cha ichi, kuphatikiza shuga m'mimba yopanda kanthu kumakhala kovuta kuposa nthawi ina iliyonse masana.

Tiyerekeze kuti mwasankha kubaya jakisoni pang'ono madzulo, kuti ndikwanira m'maola. Komabe, ngati mukulongetsa, mwina ndi shuga wochepa kwambiri pakati pausiku. Zimayambitsa zolakwika, zotupa, thukuta. Chifukwa chake, kuwerengetsa kuchuluka kwa insulin yayitali usiku sichinthu chophweka, chosavuta.

Choyamba, muyenera kukhala ndi chakudya cham'mawa kwambiri kuti mukhale ndi shuga wathanzi m'mawa wotsatira pamimba yopanda kanthu. Chakudya chamadzulo chabwino maola 5 asanagone. Mwachitsanzo, nthawi ya 18:00, khalani ndi chakudya chamadzulo, nthawi ya 23:00, jekeseni adakulitsa usiku ndikupita kukagona. Dziikireni chikumbutso pafoni yanu theka la ola musanadye, "ndipo dziko lonse lapansi lidikire."

Ngati mutadya chakudya chamadzulo, mudzakhalanso ndi shuga m'mawa wotsatira pamimba yopanda kanthu. Komanso, jekeseni wa mlingo waukulu wa mankhwala Levemir, Lantus, Tujeo, Protafan kapena Tresiba usiku sizithandiza. Mchere wambiri pakati pausiku ndi m'mawa umavulaza, chifukwa nthawi ya kugona imakhala ndi zovuta za shuga.

Zofunika! Kukonzekera konse kwa insulin kumakhala kosalimba, kuwonongeka mosavuta. Phunzirani kusunga malamulo ndikuwatsata mosamala.

Ambiri odwala matenda ashuga omwe amathandizidwa ndi insulin amakhulupirira kuti zochitika za shuga wochepa sizingapeweke. Amaganiza kuti kuukira kwa hypoglycemia ndi njira imodzi yosapeweka. M'malo mwake, imatha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune. Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti muthe kutsutsana ndi hypoglycemia yoopsa.

Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi ndi bambo wa mwana yemwe ali ndi matenda a shuga 1. Phunzirani momwe mungasinthire zakudya zopatsa thanzi komanso mulingo wa insulin.

Timapita molunjika ku algorithm yowerengera kuchuluka kwa insulin yayitali usiku. Munthu wodwala matenda ashuga okhazikika amadya chakudya cham'mawa kwambiri, kenako amayeza shuga usiku ndi m'mawa atadzuka. Muyenera kukhala ndi chidwi pakusiyana kwamitengo usiku ndi m'mawa. Mwambiri, m'mawa mulingo wa glucose m'magazi udzakhala wapamwamba kuposa usiku. Sungani ziwerengero m'masiku 3-5. Sankhani masiku omwe munadya mochedwa kuposa momwe muyenera kukhalira.

Pezani kusiyana kochepa m'mawa ndi m'mawa wa shuga m'masiku apitawa. Mukumenya Levemir, Lantus, Tujeo, Protafan kapena Tresiba usiku kuti muchotse kusiyana uku. Masiku osachepera angapo amagwiritsidwa ntchito kuti achepetse vuto la nocturnal hypoglycemia chifukwa cha bongo.

Kuti mupeze mlingo woyambira, muyenera kudziwa kuchuluka kwa momwe 1 unit imachepetsera shuga wamagazi. Izi zimatchedwa insulin sensitivity factor (PSI). Gwiritsani ntchito mfundo zotsatirazi zomwe Dr. Bernstein amapereka. Wodwala wodwala matenda a shuga a 2, wokhala ndi thupi lolemera makilogalamu 63, gawo limodzi la insulin Lantus, Tujeo, Levemir, Tresiba amachepetsa shuga ndi pafupifupi 4.4 mmol / L.

Kuwerengera poyambira kuchuluka kwa insulin Protafan, Humulin NPH, Insuman Bazal, Biosulin N ndi Rinsulin NPH, gwiritsani ntchito chiwerengero chomwecho.

Munthu akayamba kulemera, mphamvu zake za insulin zimachepa. Muyenera kupanga gawo molingana ndi kulemera kwanu.

Kutalika kwa Insulin Sensitivity Factor

Mtengo womwe wapezeka wa kuzindikira kwa insulin yayitali ungagwiritsidwe ntchito kuwerengetsa poyambira (DM) yomwe mudzailowetsa madzulo.

kapena zonse zofanana mu kachitidwe kamodzi

Insulin yayitali: kuyamba kumwa usiku

Gubitsani mtengo wotsatira kwa magawo 0,5 ndikugwiritsa ntchito. Mlingo woyambira wa insulin yayitali usiku, womwe mudzawerenge kugwiritsa ntchito njirayi, ungakhale wotsika kuposa momwe umafunikira. Ngati zikhala zopanda pake - mayunitsi 1 kapena 0,5 - izi ndizabwinobwino. M'masiku otsatirawo musintha - kuwonjezeka kapena kuchepa kwa shuga m'mawa. Izi siziyenera kuchitika kamodzi pakapita masiku atatu aliwonse, pakukwera kwa 0,5-1 ED, mpaka m'mawa m'mimba yopanda kanthu pakubwera zabwinobwino.

Kumbukirani kuti shuga wambiri mumayetsero amadzulo alibe chochita ndi mlingo wa insulin yayitali usiku.

Mlingo womwe mumaba jakisoni usiku suyenera kupitirira eyiti. Ngati mlingo wapamwamba ukufunika, ndiye kuti china chake chalakwika ndi zakudya. Kupatula kumatenga matenda mthupi, komanso achinyamata akamakula. Izi zimawonjezera kufunika kwa insulin.

Chifukwa chiyani ndiyenera kumwa mankhwala a insulin nthawi yayitali ola limodzi ndisanakagone?

Mlingo wamadzulo wa insulin yowonjezera sayenera kukhazikitsidwa osatsala ola limodzi asanagone, koma asanagone. Yesani kumwa jakisoniyo mochedwa momwe angathere mpaka kuti m'mawa. Mwanjira ina, pitani mukagone mukangolowa jakisoni wamadzulo.

Munthawi yoyambirira ya mankhwala a insulin, zingakhale zothandiza kukhazikitsa alamu pakati pausiku. Dzukani pamawu ake, onetsetsani kuchuluka kwa shuga, lembani zotsatirazo, kenako mugone mpaka m'mawa. Jakisoni wamadzulo wokhala ndi mlingo waukulu kwambiri wa insulin ingayambitse hypoglycemia yausiku. Izi ndizosasangalatsa komanso zowopsa. Kupenda kwa magazi ma inshuwaransi usiku.

Bwerezani kachiwiri. Kuti muwerenge kuchuluka kwa insulin yayitali usiku, mumagwiritsa ntchito kusiyana kochepa kwam'mawa m'mimba yopanda kanthu komanso usiku watha, wopezeka masiku angapo apitawa. Akuyerekeza kuti shuga m'magazi amakhala okwera m'mawa kuposa usiku. Ngati ili yotsika, simuyenera kubaya insulin yayitali usiku. Simungagwiritse ntchito kusiyana pakati pa kuchuluka kwa glucose omwe amayeza usiku ndi chizolowezi.

Ngati chizindikiritso cha mita chikwera kwambiri pamadzulo, muyenera kuwonjezera jekeseni wa mankhwala osokoneza bongo a insulin - yochepa kapena ya ultrashort. Jakisoni wa Levemir, Lantus, Tujeo, Protafan kapena Tresiba usiku ndikofunikira kuti shuga isachulukenso kupitilira pamene mukugona, makamaka m'mawa. Ndi iyo, simungathe kutsitsa shuga, yomwe imakwezedwa kale.

Zodabwitsa zam'mawa zam'mawa: momwe mungathetsere vutoli

Tsoka ilo, odwala matenda ashuga ambiri, jakisoni wa insulin, Lantus, Tujeo, ndi Levemir sagwira ntchito bwino usiku kutulutsa matenda a shuga m'mimba yopanda kanthu. Mankhwala apamwamba a Protafan, Humulin NPH, Insuman Bazal, Biosulin N, Rinsulin NPH ndiwoipa kwambiri pankhaniyi.

Cholinga chake ndikuti zochita za timadzi timene timachepetsa shuga zimafooka m'mawa. Sikokwanira kulipirira zomwe zachitika m'mawa. Kuyesera kuwonjezera Mlingo wamadzulo wa insulin yayitali osachepera shuga mkati mwa usiku.Izi zimatha kuyambitsa zosasangalatsa (zolota), kapenanso kuwononga ubongo.

Kuti muthane ndi zodabwitsa m'mawa, mpaka posachedwa, adalimbikitsidwa kuwonjezera jekeseni wa insulin pang'ono pakati pausiku. Mwachitsanzo, jakisoni wa mayunitsi 1-2 a Levemir kapena Lantus pafupifupi 2 a.m. Kapena jakisoni wa 0,5-1 IU wa insulin yofulumira pafupifupi 4 m'mawa. Muyenera kuphika chilichonse madzulo, kuyimba njira yothetsera syringe ndikukhazikitsa wotchi yoyendera. Poyitanitsa wotchi ya alamu, jekesani mwachangu ndi kugona. Komabe, iyi ndi njira yovuta kwambiri. Ndi anthu ochepa odwala matenda ashuga omwe anali ndi mwayi wokhoza kuchita izi.

Zinthu zinasintha atayamba Tresib insulin. Imagwira nthawi yayitali komanso yosalala kuposa Levemir ndi Lantus, ndipo makamaka, Protafan. Malinga ndi anthu ambiri odwala matenda ashuga, jakisoni wamadzulo wa mankhwalawa ndi wokwanira kusunga shuga wabwinobwino m'mawa wopanda kanthu. Masiku ano, Tresiba ndi yokwera katatu kuposa Levemir ndi Lantus. Komabe, ngati pali mwayi wazachuma, ndikoyenera kuyigwiritsa ntchito.

Kusinthira ku Tresiba insulin yayitali sikuchotsa kufunika kopewa kudya mochedwa. Mankhwalawa akukhulupirira kuti ali ndi nsonga yaying'ono ya maola 11 atabayidwa. Ngati izi ndi zoona, ndiye kuti kuwabaya ndikwabwino osati nthawi yogona, koma pa 18.00-20.00.

Kusankhidwa kwa kuchuluka kwa insulin tsiku lililonse

Jekeseni wa insulin yayitali amachitidwa kuti shuga abwinobwino m'mimba yopanda kanthu. Mankhwalawa Lantus, Tujeo, Levemir ndi Tresiba sanapangidwe kuti azilipira kuchuluka kwa shuga wamagazi atatha kudya. Komanso, musayese kuthamangitsa shuga wapamwamba ndi thandizo lawo. Mitundu yapakatikati ya insulin Protafan, Humulin NPH, Insuman Bazal, Biosulin N, Rinsulin NPH iyenso sangathandize kuthetsa mavuto awa. Mukufunika kubaya mankhwala mwachangu - Actrapid, Humalog, Apidra kapena NovoRapid.

Kodi mukufuniranji jakisoni wautali wa m'mawa? Amathandizira kapamba, kuchepetsa katundu pamenepo. Chifukwa cha izi, odwala matenda ashuga ena, kapamba payekha amasintha shuga atatha kudya. Komabe, musadalire izi pasadakhale. Ndizotheka kuti mudzafunika jakisoni wa insulin yachangu musanadye kuwonjezera pa jakisoni wa insulin yowonjezera m'mawa.

Kuti muwerenge mlingo woyenera wa insulin yayitali ya jakisoni wam'mawa, muyenera kufa ndi njala pang'onopang'ono. Tsoka ilo, izi sizingagawidwe. Komanso mudzamvetsetsa chifukwa chake. Mwachidziwikire, kusala kudya ndikwabwino patsiku lopumira.

Patsiku la kuyesayesa, muyenera kudumpha chakudya cham'mawa komanso nkhomaliro, koma mutha kudya chakudya chamadzulo. Ngati mukumvera metformin, pitilizani izi, palibe kupuma komwe kumafunikira. Kwa odwala matenda ashuga omwe sanatayebe kumwa mankhwala owononga, ndi nthawi yoti achite. Muziwonjezera shuga mukangodzuka, kenanso pambuyo pa ola limodzi komanso katatu pakadutsa maola 3.5-4. Nthawi yotsiriza yomwe muyeza mulingo wama glucose ndi maola 11.5-13 mutadzuka m'mawa. Tsopano mutha kudya chakudya chamadzulo ngati mukufunitsitsadi, koma muzigona ndikupitilirabe mpaka m'mawa.

Miyeso ya tsiku ndi tsiku imapereka kumvetsetsa momwe shuga yanu imasinthira m'mimba yopanda kanthu. Imwani madzi kapena tiyi yazitsamba, osafulumira kuuma. Pofika nthawi yomwe mumayeza shuga m'magazi 1 ola limodzi mutadzuka, zovuta zam'mawa zimatha. Mumakondwera ndi kuchuluka kwa shuga patsiku. Mudzailowetsa Levemir, Lantus kapena Tresiba mwanjira yoti muchotse kusiyana pakati pa mtengo wocheperako ndi 5.0 mmol / L.

Kodi mungawonetsere kuwerengera kwa mameseji a insulin yayitali?

Otsatirawa ndi chitsanzo chenicheni. Wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri wocheperako amadya chakudya chamadzulo Loweruka, ndipo Lamlungu adayesa "anjala".

Wodwalayo wachepetsa kale shuga, chifukwa masiku angapo apitawo adasinthira kudya zakudya zama carb ochepa. Tsopano ndi nthawi yoti mubwezeretse pobwera ndi jakisoni wochepa wa insulin. Chithandizo cha mankhwalawa chimayamba ndi kuwerengera mulingo woyenera wa mankhwala Levemir, Lantus, Tujeo kapena Tresiba.

Madokotala omwe ali ndi matenda a shuga a 2 amakonda kuperekera mankhwala kuchokera ku chiyambi cha 10-20 IU chowonjezera cha insulin patsiku, osapita m'magulu awo. Kugwiritsa ntchito njirayi kumakhumudwitsidwa kwambiri. Chifukwa odwala matenda ashuga omwe amatsata zakudya zama carb ochepa, mlingo waukulu wa 10 PIERES wa insulin yayitali amatha kuyambitsa hypoglycemia.

Ziwerengero zoyezera, zomwe zimatengedwa 8 koloko m'mawa, zimatha kugwiritsidwa ntchito kusankha kapena kusintha mlingo wa insulin yowonjezera usiku. Ngati munthu wodwala matenda ashuga amadya dzulo, tsikuli sayenera kuphatikizidwa ndi ziwerengero.

Pofika 9 koloko mphamvu ya m'bandakucha chodabwitsa chidatsala pang'ono kutha, ndipo shuga mwachilengedwe amachepa. Masana masana m'mimba yopanda kanthu, kuchepa kwake kunali 5.9 mmol / L. Gawo la chandamale ndi 4.0-5.5 mmol / L. Kuwerengera mulingo woyenera wa insulin yayitali, tikulimbikitsidwa kugwiritsa ntchito malire a 5.0 mmol / L. Kusiyanitsa: 5.9 mmol / L - 5.0 mmol / L = 0,9 mmol / L.

Chotsatira, muyenera kuwerengera chomwe chimapangitsa chidwi ndi insulin (PSI), poganizira kulemera kwa thupi la wodwalayo. Momwe mungachitire izi akufotokozedwa pamwambapa pa kusankha kwa usiku. Kuti mupeze mlingo woyambira m'mawa, 0,9 mmol / L uyenera kugawidwa mu PSI.

Kodi pali kusiyana kotani pakubwera jakisoni wa jakisoni wa insulin ya usiku ndi m'mawa?

Kuwerengera mlingo woyambira usiku, kusiyanitsa kochepa kwamasamba m'mawa pamimba yopanda kanthu ndipo usiku wam'mbuyo umagwiritsidwa ntchito. Malinga ngati shuga m'magazi amakhala okwera kwambiri kuposa madzulo. Kupanda kutero, jakisoni wa insulin wa nthawi yayitali usiku sichifunika konse.

Kuti mupeze muyeso wa insulin yayitali m'mawa, kusiyana kocheperako pakati pa shuga masana m'mimba yopanda kanthu (panthawi yosala kudya) ndi malire ochepa a chizolowezi ndi 5.0 mmol / l. Ngati patsiku lanjala, glucose amatha kutsika kamodzi m'munsimu 5.0 mmol / L - simukufunika kupaka jekeseni wowonjezera m'mawa.

Zomwe zimapangitsa insulin kudziwa zam'mimba zimawerengedwa chimodzimodzi kwa jakisoni wamadzulo ndi m'mawa.

Mwina kuyesa kukuwonetsa kuti simukufuna jakisoni wa mankhwala a Lantus, Tujeo, Levemir kapena Tresiba usiku ndi / kapena m'mawa. Komabe, insulin yochepa kapena ya ultrashort ingafunike musanadye.

Mwambiri, mlingo wa insulin yayitali wa jakisoni wam'mawa uzikhala wotsikirapo kuposa usiku. Mtundu wachiwiri wa matenda ashuga, wofatsa, siwofunikira konse. Posala kudya, shuga masana amatha kukhala ocheperako ngakhale opanda chithandizo cham'mawa cha insulin. Osadalira izi, koma yesani ndikupeza zotsimikiza.

Ndikofunika kubwereza kuyeserako nthawi ina ndi theka kwa sabata limodzi kuti mumvetse bwino za mankhwalawa m'mawa Lantus, Tujeo, Levemir kapena Tresiba. Poyeserera mobwerezabwereza m'mawa, mlingo womwe unasankhidwa komaliza umaperekedwa. Kenako amadumphira chakudya cham'mawa komanso nkhomaliro ndikuwona momwe shuga a magazi amasala kudya. Zitha kutheka kuti mlingo wa m'mawa wa insulin yowonjezera uyenera kuchuluka pang'ono,, kapena, kuchepetsedwa.

Tresiba yotsogola yatsopano, makamaka, imatha kubayidwa kamodzi patsiku, ndipo izi zidzakwanira. Komabe, Dr. Bernstein akuti ndibwino kugawa muyeso wa mankhwalawa pobayira ziwiri patsiku. Koma kutengera momwe mungadzipatulire - palibe zidziwitso zenizeni.

Lantus, Tujeo ndi Levemir ayenera kulalikidwa m'mawa ndi madzulo. Kwa mitundu iyi ya insulin, jakisoni imodzi patsiku sikokwanira, ngakhale atanena kuti ndi mankhwala ati. Protulin ya insulini yapakatikati siyikulimbikitsidwa, ngakhale itaperekedwa kwaulere. Zomwezi zimagwiranso ntchito kumafananidwe ake - Humulin NPH, Insuman Bazal, Biosulin N, Rinsulin NPH

Osayesa kupondereza kuchuluka kwa glucose mutatha kudya ndi insulin yayitali. Kwa izi, kukonzekera kwakanthawi kapena kwa ultrashort kumapangidwira - Humalog, NovoRapid, Apidra ndi ena. Zingwe za insulin yayitali m'mawa sizingagwiritsidwe ntchito kukonza shuga m'mawa pamimba yopanda kanthu.

Ndiyenera kudya nditatha jakisoni wa insulin yayitali?

Mawu otero a funsoli akutanthauza kuti wodwala matenda ashuga ali ndi chidziwitso chochepa mosavomerezeka chamankhwala a insulin. Chonde werenganinso zomwe zili patsamba lino musanayambe kupereka jakisoni. Mvetsetsani chifukwa chake amaika insulin yayitali usiku komanso m'mawa, momwe majekeseniwa amaphatikizidwira ndi zakudya. Ngati ndinu aulesi kuti mufungiremo, kulandira chithandizo mosayenera kungayambitse matenda oopsa kapena osagwira ntchito.

Momwe mungachepetse thupi ngati mukuyenera kudzipeza nokha ndi insulin yowonjezera yolimbana ndi matenda a shuga?

Zowonadi, insulini ndi mahomoni omwe amachititsa kuti mafuta azikhala mthupi komanso amachepetsa kunenepa. Komabe, zotsatira za jakisoni zimatengera mlingo wa mankhwalawo. Sinthani ku chakudya chamafuta ochepa ndikuchitsatira mosamala. Izi zimachepetsa mlingo wa insulin yofulumira komanso yolimba nthawi 2-7, nthawi zambiri 4-5. Mwayi wanu woonda thupi udzakulitsidwa kwambiri.

Zakudya zama carb otsika ndi jakisoni ochepa, osankhidwa mosamala a insulin ndi njira yokhayo yochizira matenda ashuga. Mkulu wanu wama glucose abwereranso mwakale, ngakhale ngati simungathe kuchepetsa thupi kwambiri. Mutha kutsimikizira kuti mutha kuwongolera bwino matenda anu a shuga ngati mutsatira malangizowo mosamala. Tsoka ilo, zokhudzana ndi kuchepa thupi zimatsimikizira kuti sizingaperekedwe.

Odwala ena amachepetsa Mlingo wa Insulin kuti achepetse thupi, ngakhale ali ndi shuga wambiri. Makamaka izi ndi machimo a akazi achichepere. Mutha kuchita izi pokhapokha ngati muli okonzeka kudziwa zovuta za matenda a shuga mu impso, miyendo, komanso kupenya kwamaso. Komanso kugunda kwamtima koyambirira kapena matenda opha ziwalo kungakhale ulendo wosaiwalika.

Momwe mungabayitsire insulin yayitali mukamawona acetone mu mkodzo?

Mwa odwala matenda ashuga omwe amatsata zakudya zama carb otsika, ma acetone (ma ketones) amapezeka mumkodzo. Izi sizowopsa kwa akuluakulu, kwa ana bola ngati shuga wawo sakhala wamkulu kuposa 8-9 mmol / l. M'pofunika kumadulira insulin yowonjezera molingana ndi chizindikiro cha shuga m'magazi. Kuzindikiritsa kwa acetone mu mkodzo sikuyenera kukhala chifukwa chowonjezera mlingo wa insulin ngati shuga akukhalabe wabwinobwino.

Acetone sayenera kuopedwa. Sizowopsa komanso zowopsa mpaka kuchuluka kwa glucose m'magazi kumatsika. M'malo mwake, ndi mafuta ku ubongo. Simungayang'ane konse. M'malo mongoyang'ana mkodzo wa acetone, yang'anani kuchuluka kwa shuga m'magazi anu. Osapatsa chakudya cha anthu odwala matenda ashuga kuti muchotse acetone! Pewani izi mukamayesa kuchita ndi madotolo kapena abale.

Chifukwa chiyani osavomerezeka kuti agwiritse ntchito insulin protafan?

Mu insulin Protafan, komanso m'mawu ake Humulin NPH, Insuman Bazal, Biosulin N ndi Rinsulin NPH, omwe amatchedwa kuti protamine Hagedorn amawonjezera. Ichi ndiye mapuloteni amanyama omwe amagwiritsidwa ntchito pang'onopang'ono kuchitira mankhwala. Amayambitsa ziwopsezo pafupipafupi kuposa momwe timafunira. Anthu ambiri odwala matenda ashuga ayenera kukayezetsa X-ray ndikumayambitsidwa kwa madzimadzi osiyanitsa pakati pa opaleshoni yamatumbo yomwe imadyetsa mtima kapena ubongo. Odwala omwe adagwiritsa ntchito Protafan, pakuwunikira awa, chiwopsezo cha kugwidwa ndi matupi awo chifukwa chakutha kudziwa komanso ngakhale kufa chimawonjezeka.

Mitundu yatsopano ya insulin yowonjezereka sigwiritsa ntchito mankhwala osokoneza bongo a Hagedorn ndipo samayambitsa mavuto omwe amakhalapo nawo. Anthu omwe amadwala matenda ashuga omwe amatsata zakudya zama carb ochepa amafuna mphamvu zochepa za mahomoni omwe amachepetsa shuga. Mlingo wotere, protafan imakhala yovomerezeka kwa maola osaposa 7-8. Sikokwanira kuti usiku wonse mukhale shuga wabwinobwino m'mawa wopanda kanthu. Iyeneranso kumenyedwa kawiri masana.

Pazifukwa izi, mitundu yapakati ya insulin Protafan, Humulin NPH, Insuman Bazal, Biosulin N ndi Rinsulin NPH ndiosavomerezeka ndipo satetezeka kwambiri. Ndikwabwino kuchoka kwa iwo kupita ku Levemir, Lantus kapena Tujeo. Ndipo ngati ndalama zilola, ndiye kuti inshuwaransi yatsopano kwambiri yotchedwa Tresiba.

Ndemanga 29 pa "Insulin Yaitali: Kuwerengera Dose"

Moni Zaka 33 zaka, kutalika 169 cm, kulemera 67 kg. Matenda a shuga a Type 1 adayamba miyezi 7 yapitayo. Palibenso zovuta zina, kupatula hypothyroidism, yomwe ndakhala ndikuvutika kwa zaka 13. Dokotala anakhazikitsa insulin yowonjezera m'mawa nthawi ya maola 07 ma 12 mayunitsi ndipo madzulo 19 maola 8 magawo 8, akuti adye mokwanira. Ndinkakhala munthawi imeneyi kwa miyezi 6, kenako ndidapeza tsamba lanu ndikusinthira kuzakudya zamafuta ochepa. Komabe, hypoglycemia imapitilirabe. Zidachitika mpaka 2.1 mmol / l usiku komanso masana. Tsiku latha dzulo, insulini yowonjezera idachepetsedwa kukhala gawo lowerengeka la 2 magawo m'mawa ndi madzulo. Lero m'mawa panali shuga 4.2 pamimba yopanda kanthu, mutatha kadzutsa pambuyo maola 2 - 3.3 yokha. Ndinkadya masamba omwe amaloledwa, komabe, maola awiri asanadye, shuga 3.2. Kodi ndikulakwitsa chiyani? Ndimadya tsiku - mapuloteni 350 g, zakudya 30 g, zonse kuchokera kuzinthu zovomerezeka.

Mwambiri, munali aulesi kwambiri kuti muphunzire nkhani yonena za hypoglycemia - http://endocrin-patient.com/nizkiy-sahar-v-krovi/ - pezani momwe mukhitsire shuga kuti azikhala ndi mapiritsi a shuga

Matenda anu a shuga adayamba patatha zaka 30. Matendawa ndi osavuta. Pancreas imatulutsa insulin yake yambiri. Mufunika Mlingo wochepa kwambiri wa jakisoni. Ndikadakhala kuti ndine inu, ndikadatembenuza mosamala ma mayunitsi a 1-2 ndikuwonjezera ngati pakufunika. M'malo mochepetsa pang'onopang'ono ndikugwira zigawo za hypoglycemia.

Mulimonsemo, muli pa njira yoyenera.

Moni. Ndakhala ndikudwala matenda ashuga amtundu 1 kwa chaka chimodzi ndi theka. Monga adokotala adalembera, ndidayika insulin Mikstard 30 NM. Ndimapereka jakisoni 2 kawiri pa tsiku - m'mawa 16 PISCES komanso madzulo 14 PIERES. Mwazi wamwazi umatha pafupifupi 14, samagwera pansi. Nthawi yomweyo ndimamvanso bwino. Kodi ndizotheka kuwonjezera mlingo? Ngati ndi choncho, zingati? Kodi padzakhala zovuta? Mwina mankhwala a Mikstard 30 NM siali oyenera kwa ine? Zikomo patsogolo.

Mwina mankhwala a Mikstard 30 NM siali oyenera kwa ine?

Mitundu yosakanikirana ya insulin, potero, singaperekenso chiwongola dzanja cha magazi, motero sizikukambidwa pano.

Ngati mukufuna kukhala ndi moyo wabwinobwino, werengani nkhaniyi pamankhwala a matenda amtundu 1 shuga - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - ndikutsatira malangizowo.

Mwanayo ali ndi zaka 14, kulemera kwa makilogalamu 51.6, levemir nthawi ya 12, nthawi yausiku 7, komanso Novorapid m'mawa 6, nkhomaliro 5, chakudya chamagulu 5.
Momwe mungawerengere kuchuluka kwa insulin? Iwo anali m'chipatala pa Ogasiti 2.

Momwe mungawerengere kuchuluka kwa insulin?

Muyenera kuphunzira mosamala zolemba patsamba lino ndikuchita zomwe zalembedwamo.

Insulin ndi "machiritso anzeru." Zimatenga masiku angapo kuti mudziwe momwe mungazigwiritsire ntchito molondola.

Ndikukukumbutsani kuti njira zonse za mankhwala a insulin zomwe zafotokozedwa patsamba lino ndizoyenera kwa odwala matenda ashuga omwe amatsata zakudya zama carb otsika.

Mitundu yambiri yokhudza kuwonongeka kwa kagayidwe kazakudya kwa ana - http://endocrin-patient.com/diabet-detey/

Masana abwino Ndili ndi zaka 49, mtundu wa matenda ashuga pafupifupi chaka chimodzi. Dokotala adalimbikitsa mapiritsi atsopano a Januvius. Potengera komwe adamwa, shuga adachepa - samakwera pamwamba 10 mayunitsi patsiku. Koma ndimabaya insulin ya Tujeo yamtundu 20. Sindikubaya sabata yatha - ndili ndi mantha kuti shuga ithe! Kapena kusiya mlingo wa pafupifupi magawo 10? Zikomo

shuga yachepa - sikukwera pamwamba 10 magawo patsiku.

Onaninso nkhani yokhudza zovuta za matenda ashuga - http://endocrin-patient.com/oslozhneniya-diabeta/ - kuti muthe kukhala ndi chidwi chodzichitira nokha mosamala

Kapena kusiya mlingo wa pafupifupi magawo 10?

Muyenera kuphunzira mosamala nkhani yomwe mudalemba ndemanga, komanso zida zina zokhudzana ndi insulin. Wunikirani mphamvu za shuga. Ndipo pangani chisankho pogwiritsa ntchito izi.

Palibe njira zachangu komanso zosavuta kugwiritsa ntchito insulin. Ichi ndi chida chanzeru.

Masana abwino Ndakhala ndikudwala matenda ashuga kwa zaka zoposa 15. Zaka - zaka 54, kulemera kwa makilogalamu 108 ndi kutalika kwa masentimita 198. Kuchipatala, chipatala adapereka nthawi yoyamba insulin Protafan - 14 m'mawa + 12 madzulo. Amandisiyanso piritsi la shuga. Insuman Bazal idaperekedwa ku mankhwalawa chifukwa alibe protafan. Ali ndi nthawi yosiyananso ndi kumwa. Ndilinso ndi piritsi la shuga la 60 mg. Chilichonse chiri bwino apa, ndichitenji? Kodi imayikidwa nthawi yanji? Amati ndibwino m'mimba, sichoncho?

Muyenera kuphunzira nkhaniyi - http://endocrin-patient.com/lechenie-diabeta-2-tipa/ - kenako ndikuthandizidwa, monga momwe amanenera.

Mutha kuwerenga apa - http://endocrin-patient.com/oslozhneniya-diabeta/ - zomwe zikuyembekezerani ngati ndinu aulesi.

Kodi imayikidwa nthawi yanji? Amati ndibwino m'mimba, sichoncho?

Moni.Ndili ndi zaka 33, ndadwala ndi SD1 kwa zaka 7. Base - Levemir m'mawa ndi madzulo kwa mayunitsi 12. Chakudya cham'mawa, nkhomaliro ndi chakudya chamadzulo - Apidra ya 6 chakudya musanadye. Zonsezi ndizomwe dokotala wakulembera kuchipatala. Koma shuga ndi tsoka lathunthu - amakhala akungodumphadumpha. Kwa masiku atatu motsatira ndayamba kale kuchita 6 koloko m'mawa mpaka 2,5. Komanso hypoglycemia patatha maola atatu atatha kudya chakudya cham'mawa. Chepetsani mlingo wa m'munsi ku magawo 10 m'mawa, koma shuga wambiri 2 mawola atatha kudya. Ili ndi vuto losalekeza. Zinthu zosazolowereka masana zikadali nkhawa - ngati mukutha zenizeni, ngakhale pakadali pano shuga ndichabwinobwino. Kodi zoterezi zingachitike kuchokera ku mankhwala osokoneza bongo omwe amakhala ndi mankhwala osokoneza bongo? Mwina m'magazi anga pali zochuluka za izo komanso ngakhale ndimankhwala osakhalitsa nthawi imodzi?

Nguluwe ndi tsoka lathunthu - nthawi zonse limadumphadumpha.

Muyenera kusinthira ku chakudya chamafuta ochepa, kenako sinthani insulin yanu pachakudya chatsopano. Momwe mungachitire izi akufotokozedwa mwatsatanetsatane patsamba. Mlingo wa insulin nthawi zambiri umachepetsedwa ndi 2-7 times. Kutsika kwake kumakhala kokhazikika, momwe mulingo wama glu m'magazi.

Komanso pa njira yathu ya YouTube - https://www.youtube.com/channel/UCVrmYJR-Vjb8y62rY3Vl_cw - pali kanema "Momwe mungaletsere kusewera kwa magazi"

shuga wochepa 2 patatha chakudya. Ili ndi vuto losalekeza.

Hypoglycemia ndi kudumpha mumagulu a glucose alidi amodzi ndi vuto limodzimodzilo. Amasankha kusintha kwa zakudya zamafuta ochepa komanso kusankha kuchuluka kwa insulin.

Zonsezi ndizomwe dokotala wakulembera kuchipatala.

Ngati mukufuna kukhala ndi moyo, muyenera kuganizira ndi mutu wanu, osadalira madokotala kuti azichiza matenda ashuga komanso matenda ena osachiritsika.

zinthu zachilendo masana - ngati kuti mukukumana ndi zenizeni

Ikuwoneka ngati ngozi yam'madzi

Moni Sergey! Ndili ndi zaka 33, kulemera kwa 62 kg, kutalika 167 cm. Heredity ndiyabwino - amayi ndi agogo ali ndi matenda a shuga 2, agogo ena ali ndi matenda ashuga 1. Munthawi yachiwiri yapakati mu 2010, adapeza shuga wokwera ndipo adapezeka ndi matenda osokoneza bongo. Amamuwongolera pazakudya, insulini sanapweteke. Ana onse (kuyambira kubadwa koyambirira, nawonso) anabadwa wamkulu - 4.5 kg. Kuyambira pamenepo ndakhala ndikucheza ndi glucometer. Ndipo mu 2013, C-peptide sinataye mtima, koma insulini inali m'munsi mozama, hemoglobin anali 6.15% ndipo pang'onopang'ono idakula m'zaka. Amayambitsa matenda a shuga a 2, omwe adalembedwa ndi Januvia. Sindinamwe, ndidayesetsa kutsatira zakudya, monga nthawi yomwe ndili ndi pakati. Mu 2017, hemoglobin ya glycated idakwera mpaka 7.8%, C-peptide ndi insulin - malire apansi ndi abwinobwino. Anazindikira matenda a shuga a pang'onopang'ono omwe amapita patsogolo. Pezani tsamba lanu, lasinthidwa kukhala chakudya chama carb ochepa kuyambira October 2017. Mu Disembala, glycated hemoglobin anali 5.7%, mu Januware - 5.8%. Patsamba lanu lakale, popanga matenda a Lada, panali lingaliro kuti mutangoyamba jakisoni wambiri mu inshuwaransi yaying'ono. Apa ndikuyesera kuti ndimvetsetse zomwe ndikufuna? Usiku, shuga wanga amachepetsa ndi 0,5-0.3 mmol - zomwe zikutanthauza kuti sikufunika usiku. Ndipo masanawa, ndikakhala ndi njala, ndiye kuti shuga imatha kutsika madzulowa mpaka 3.5-4.5! Kodi ndiwonjezere jekeseni? Nthawi yomweyo, maola awiri mutatha kudya shuga, nthawi zambiri 5.8-6.2, osachepera. Ndipo m'mawa mutatha kudya, shuga amabwerera mwakale pang'ono kuposa chakudya chamasana komanso chakudya cham'mawa. Tithokoze yankho.

Dziwa ndi matenda a shuga a pang'onopang'ono omwe amapita pang'onopang'ono

Wotsogola kwambiri wa endocrinologist! Chonde muwonetse malowa nthawi zina.

popanga matenda, Lada nthawi yomweyo adayamba jekeseni wa insulin yayitali. Apa ndikuyesera kuti ndimvetsetse zomwe ndikufuna?

Mutha kuyamba ndi kukhazikitsa 1 unit ya insulin yayitali kenako ndikukulitsa mlingo ndi magawo a 0,5-1 pakufunika. Kusankha dongosolo la jakisoni ndi vuto lalikulu lomwe likufunika yankho laokha.

Ndipo masanawa, ndikakhala ndi njala, ndiye kuti shuga imatha kutsika madzulowa mpaka 3.5-4.5!

Kuyesa kwachangu kumayenera kuchitika kokha kwa odwala omwe ali ndi matenda amtundu woyamba wa 1, omwe amagwiritsa ntchito mankhwala awiri nthawi yomweyo ndikujanso insulin mwachangu musanadye. Awa sindiwo mlandu wanu. Matenda anu ndi ofatsa.

Monga ndimamvetsetsa, shuga amawuka makamaka atatha kudya. M'malo mwake, insulin yofulumira iyenera kuperekedwa. Komabe, matenda ashuga ndiwofatsa. Chifukwa chake, jakisoni wa mankhwala owonjezera amatha kupereka mphamvu popanda zovuta zosafunikira.

Sonkhanitsani zambiri, pangani mafayilo tsiku ndi tsiku kuti musankhe dongosolo la jakisoni.

Moni.
Dziwa matenda a shuga. Zaka makumi atatu ndi zitatu, pakati pa masabata 28-29. Palibe odwala matenda ashuga m'banjamo. Ndidasintha zakudya zamafuta ochepa. Poyamba, shuga m'masiku oyamba m'mawa pamimba yopanda kanthu adatsikira ku 5.3, koma kenako adadzakhala mkati 6.2. Patatha ola limodzi nditadya, sindinadzuke pamwamba pa 7.2. Anapereka kwa nthawi yayitali insulin Levemir 2 magawo m'mawa ndi madzulo. Chakudya changa chomaliza chinali cha 18,00. Ndidayika jakisoni pa 23.00. M`mawa pa chopanda kanthu m'mimba shuga 6.6, mutadya kadzutsa mu ola limodzi kufika 9,3. Kodi izi zingalumikizane ndi chiyani? Ndimasamalira zakudya, monga zikuwonekera patsamba lino.

mutatha kadzutsa m'mawa umodzi ukufika 9,3. Kodi izi zingalumikizane ndi chiyani?

Tsoka ilo, jakisoni wamadzulo a Levemir sanakwanitse usiku wonse, sangathe kulipirira vuto lam'mawa.

Ndikofunika kusintha kusinthira ku Tresiba insulin kapena kupanga jakisoni yowonjezera pakati pausiku, pafupifupi maola 3-4 m'mawa.

Masana abwino Ndili ndi zaka 53. Miyezi iwiri yapitayo kuchipatala adapezeka ndi matenda a shuga 1. Anamulembera insulin Tujeo wautali wa magawo 8 pa 22.00 + yochepa Novorapid ndi kuchuluka kwa chakudya chamafuta. Ndinaphunzira kudziwerengera ndekha mkate. Ku chipatala, adatiuza zonse izi m'masiku 1. Ndimatsatira zakudya zamafuta ochepa. Panali maphokoso a hypoglycemia. Mlingo wa insulin yowonjezera unayenera kuchepetsedwa m'magawo asanu. Madzulo shuga - 6.5-8.0. Tsopano shuga m'mawa ndi 6,6,5. Koma masana 4.1-5.2. Chifukwa chiyani shuga wotsika tsiku lonse? Zochita zolimbitsa thupi?

masana 4.1-5.2. Chifukwa chiyani shuga wotsika tsiku lonse?

Sichotsika, koma zabwinobwino

Ndili ndi matenda ashuga amtundu 1, tsopano ndikuphunzira malowa ndikuyamba kusinthira makina anu. Sizikudziwika kuti ndi insulini komanso kangati panthawi ya masewera olimbitsa thupi? Dotoloyo akuti muyenera kuchepera. Koma m'malo mwake, shuga anga amadzuka ndikatha masewera. Ngakhale kuti ndili kale pachakudya chokhwima cha carb.

Sizikudziwika kuti ndi insulini komanso kangati panthawi ya masewera olimbitsa thupi?

Izi zitha kutsimikizika payekhapayekha, poyesa komanso zolakwika.

Pa dzanja limodzi, zolimbitsa thupi zimawonjezera chidwi cha insulin ndikupangitsa kuti achepetse Mlingo. Komabe, katundu wakuthwa amatsogolera kumasulidwa kwa adrenaline ndi mahomoni ena opsinjika. Amachulukitsa shuga.

Zonse zimatengera masewera omwe mumachita. Sindikulimbikitsa kuchita masewera andewu, ngakhale zabwino zonse zomwe amabwera chifukwa chobwera. Komanso, simuyenera kuyesetsa kukhala omangirira olimbitsa thupi. Popita nthawi, izi zidzaipiraipira pakapita nthawi. Chisankho changa ndikuyenda kuthamanga mtunda wautali, komanso masewera olimbitsa thupi ndimtundu wanu wokha kunyumba. Mutha kuphunzitsa mu masewera olimbitsa thupi. Koma kuti mukhale ndi cholinga chokulitsa kupirira, osatembenuza mozaza. Ndikofunikira kwambiri kwa odwala matenda ashuga omwe amathandizidwa ndi insulin kuti akhale okhwima.

Masana abwino Kodi mwana wazaka 5 angagwiritsidwe ntchito zakudya zamafuta ochepa? Kupatula apo, pali lingaliro kuti thupi la ana liyenera kudya moyenerera, kuti akule. Ndipo kodi pali miyambo ina iliyonse yokhudza kudya kwa tsiku ndi tsiku kwa ana?

Kodi mwana wazaka 5 angagwiritsidwe ntchito zakudya zamafuta ochepa? Ndipo kodi pali miyambo ina iliyonse yokhudza kudya kwa tsiku ndi tsiku kwa ana?

Apa http://endocrin-patient.com/diabet-detey/ - mupeza mayankho a mafunso awa

Kupatula apo, pali lingaliro kuti thupi la ana liyenera kudya moyenerera, kuti akule

Mwana wodwala matenda ashuga akapanda kudya zakudya zamafuta ochepa, zotsatirapo zake zimakhala zovuta kwambiri. Awa si malingaliro, koma chidziwitso cholondola.

Zikomo kwambiri Sergey chifukwa cha ntchito yanu!

Moni Ndadwala matenda ashuga kuyambira March chaka chino. Dziwa ndi mtundu 1. Kukonzekera lantus ndi novorapid. Ndikulemera msanga pa insulin. Ndimayesetsa kutsatira zakudya, ndimayenda makilomita 7 tsiku lililonse. Zochita za Novorapid pansi pa XE - pafupifupi magawo a 2-4 katatu patsiku. Lantus - magawo 10 nthawi ya 22:30. M'mawa shuga 5.5-7.0. Masana zimachitika kuti ndimachita zinthu zachinyengo, ndipo nthawi zina shuga amakhala pamwamba pa 11. Ndimada nkhawa kwambiri ndi kulemera komwe kukukula. Kwa miyezi 5 ndinapeza 5 kg. Kutalika kwa 165 cm, kulemera kwa 70 kg. Ndiuzeni choti ndichite.

Ndimasamala kwambiri za kukula kwamphamvu.

Osasangalatsa chilichonse. Matenda a shuga amtundu 1 komanso kukhala wonenepa kwambiri ndi kuphatikiza komwe kumapha mwachangu.

Werengani tsamba lino mosamala ndikutsatira malangizowo.

Masana abwino Ndili ndi zaka 31, mtundu wa shuga 1 kuyambira zaka 14. Osati kale kwambiri pomwe ndinasinthira ku Tujeo m'malo mwa Lantus. Ndimadya moyo wanga wonse, monga momwe mumawutchulira, zakudya zamafuta ochepa. Glycated hemoglobin 5.5 mmol. Koma mwana atabadwa wazaka 30, zisonyezozo zidayamba kudumpha. Ndipo ndikusintha kupita ku Tujeo masana, kukwera kapena kwabwinobwino mpaka 6.0. Usiku, zimatha kukhala zabwinobwino kapena pafupifupi 9, ndiye kupezeka kwa magawo awiri a 2 ultrashort. Koma m'mawa, ndi zosankha zilizonse, mitengo yokwera, nthawi zina mpaka 15! Sindikumvetsa chifukwa chake. Insulin yochepa-yochepa ndimapanga pafupifupi mayunitsi 8, ndimachepetsa ngati ndidya zochepa kuposa XE, zochokera ku 1 XE 1-2 magawo a insulin. Tujeo, monga Lantus zisanachitike, ndimadya chakudya 17 pa tsiku kamodzi patsiku. Nthawi yomweyo, ndimakhala ndimakhosi pafupipafupi, koma ndikabereka sindimamva ndipo sindingathe kuwaletsa. Mwambiri, ichi ndi usiku hypo, koma sindikutsimikiza, chifukwa ndimagona bwino. Palibe ludzu, kulota maloto, kapena kutopa.

Ndimadya moyo wanga wonse, monga momwe mumawutchulira, zakudya zamafuta ochepa.

Mukudzinamiza nokha ndikuyesera kunama. Koma ndimavumbula mabodza anu mosavuta. Choyamba, mumawerengera chakudya chamagulu mu XE. Ndipo mamembala a "gulu lathu" amawerengera magalamu, osadya kuposa 2-2.5 XE patsiku. Kachiwiri, mumadziyika nokha mtundu wa insulin. Ndikudya chamagulu ochepa a carb, amatha kukhala otsika 2, kapenanso 3-7 nthawi.

Koma m'mawa, ndi zosankha zilizonse, mitengo yokwera, nthawi zina mpaka 15! Sindikumvetsa chifukwa chake.

Tsoka ilo, kuthetsa vutoli kumafuna zovuta zambiri. Muyenera kudzuka pakati pausiku pa koloko ya alamu ndikupanganso jakisoni wowonjezera wa insulin. Insulin yayitali - pakati pausiku. Kapena kusala kudya 4-5 m'mawa. Zomwe zili bwino, mumayika ndi mphamvu.

Mutha kuyesa ndi Tujeo kupita ku Tresib, komwe kumakhala nthawi yayitali madzulo. Koma sizowona kuti ngakhale motere zitha kukhala zopanda nthabwala usiku. Palibe njira zosavuta. Ndipo nkhaniyi iyenera kuthetsedwa. Kupanda kutero, zovuta za matenda ashuga zimati moni pasanathe zaka zingapo pambuyo pake.

Moni. Tidaphunzira malowa kwambiri momwe tingathere. Mwina akanatha kuphonya kena kake. Ndikufuna kufunsa ngati pali malingaliro ena apadera ngati matenda ashuga adawoneka ali ndi zaka 60 chifukwa chakuchotsa kwapa? Komanso ndikuchotsa: ndulu, duodenum, chikhodzodzo, theka la m'mimba, theka la chiwindi, mitsempha ya m'mimba ndi mitolo ina. Tithokoze chifukwa cha yankho lanu.

matenda ashuga adawoneka ali ndi zaka 60 chifukwa chakuchotsedwa kwa kapamba

Palibe chifukwa chokwanira kudya zakudya zamafuta ochepa. Mwinanso, sitimayi yachoka kale. Tsatirani malangizo a madokotala.