Mukabayira kukonzekera kwa Tujeo, monga mtundu wina uliwonse wa insulin, muyenera kutsatira zakudya.

Anthu ambiri odwala matenda ashuga omwe amaba jakisoni amaoneka kuti sangathe kupewa matenda a hypoglycemia. M'malo mwake, izi siziri choncho. Mutha 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 mudzilimbitse nokha motsutsana ndi hypoglycemia yoopsa. Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi. Phunzirani momwe mungasinthire zakudya zopatsa thanzi komanso mulingo wa insulin.

Izi ndi zina zowonjezera zothandiza kwa anthu omwe ali ndi matenda a shuga a mtundu woyamba 1.

Kodi Tujeo Solostar ndi insulin yayitali kapena yochepa?

Tujeo ndi insulin yayitali, osati yochepa. Lero salinso lalitali kwambiri. Chifukwa mankhwalawa Tresib adawonekera, jekeseni iliyonse yomwe imatenga maola 42. Samalani ndi insulin yatsopanoyi, yomwe imatchulidwa kuti superlong. Ganizirani kusinthira kwa icho.

Solostar - dzina la syringe zolembera momwe makatiriji ndi mankhwala amakhazikitsidwa. Ma cartridge a Tujeo a insulin amayenera kugwiritsidwa ntchito ndi zolembera zoyambirira za Solostar syringe. Mukamayesa kugwiritsa ntchito njira zina zamatsogoleri, mutha kulakwitsa ndikuyika jakisoni wa shuga katatu kuposa momwe mungafunikire. Izi ndi zakupha.

Kodi pali kusiyana kotani pakati pa Tujeo ndi insulin Lantus? Ndi mankhwala ati omwe amaposa?

Lantus ndi insulin glargine pamsasa wa 100 PIECES / ml, kumene aliyense amazolowera zaka zambiri. Tujeo ndi mankhwala atsopano omwe ali ndi zinthu zomwezo pakanthawi 3 kuphatikizika kwa 300 PIECES / ml. Insulin yolumikizidwa imabweretsa mavuto ambiri kuposa Lantus wakale wakale. Pokhapokha chifukwa nthawi zambiri imalira ndipo imatchinga singano ya cholembera. Palinso chiopsezo cholakwitsa ndikubaya jakisoni katatu kuposa momwe muyenera. Ndemanga za mankhwala Tujeo ambiri amakhala osalimbikitsa. Odwala limodzi adamuzunza iye osati kunyumba, komanso m'mabizinesi a shuga a Chingerezi.

Dr. Bernstein amakhulupirira kuti mankhwala Lantus amawonjezera chiopsezo cha khansa. Insulin ya Tujeo ilinso ndi vuto lomweli chifukwa imakhala ndi zomwe imagwira - glargine. 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.

Ngati mukuvomereza kuti chiwopsezo cha khansa chikuchulukirachulukira, ndibwino kusinthana ndi Levemir. Ndipo ngakhale ndibwino - pa mankhwala atsopano a Tresib, omwe ali abwino kwambiri pamikhalidwe.

Kodi mungasinthe bwanji kuchoka ku Lantus kupita ku Tujeo? Kodi mankhwalawa amasinthidwa bwanji?

Ngati ndi kotheka, pitilizani kugwiritsa ntchito Lantus, osasinthira ku Tujeo. Odwala ambiri omwe asinthana ndi mankhwalawa amagawana zomwe akumana nazo pamavuto a matenda ashuga. Kusinthaku ndikofunikira pokhapokha ngati Lantus sanathenso kwaulere. Ganizirani zosinthira ku Tuemo m'malo mwa Levemire, komanso bwino, kupita ku Tresiba insulin yatsopano.

Malangizo a boma akuti kuchuluka kwa insulin glargine sikuyenera kusintha. Katatu kokha kuchuluka kwa jekeseni wamadzi komwe kumachepa. Tujeo Solostar Syringe pen idzathana ndi izi zokha. Komabe, pochita, Mlingo wa insulin yowonjezera ndi kusintha kwa kusintha kwa Tujeo. Kuphatikiza apo, ndizosatheka kuneneratu zamtsogolo zomwe adzasinthe. Muyenera kukhala ndi masiku angapo kapena milungu ingapo kuti musankhenso mlingo woyenera. Monga Lantus, simuyenera kukhala aulesi kubaya Tujeo kawiri pa tsiku. Osangokhala ndi jakisoni kamodzi patsiku.

Kodi ndingamwe ma jakisoni a mankhwalawa kawiri patsiku?

Osati zomwe mungathe, koma zofunika! Mlingo watsiku ndi tsiku wa Tujeo amayenera kugawidwa ma jakisoni awiri: m'mawa ndi madzulo. Muyenera kuchita izi ndi mtundu wina uliwonse wa insulin yowonjezera. Amawombera m'mawa atadzuka, ndipo amawombera usiku asanagone, mochedwa momwe zingathere. Kukhazikika kamodzi kwa insulin nthawi yayitali kumabweretsa zotsatira zoyipa.

Kodi Tujeo angathe kubayidwa ndi matenda ashuga a nephropathy?

Chifukwa chiyani? Insulin Tujeo ndiye Lantus yemweyo, kokha katatu. Palibe umboni kuti mankhwalawa amavulaza odwala matenda ashuga omwe ali ndi vuto la impso. Kumbukirani kuti impso zimagwira ntchito kwambiri, ndikuchepetsa insulin. Mlingo wambiri ungayambitse hypoglycemia. Werengani komanso nkhani yokhudza matenda a matenda ashuga. Ndi m'manja mwanu choletsa kulephera kwa aimpso. Phunzirani momwe mungachitire.

28 ndemanga pa Tujeo

Kodi malingaliro oti "Mimba ndi yoyamwitsa" ndikuyesa kuchita bwanji popanda insulin konse?! Mwa kusinthira ku chakudya chopatsa thanzi. Ndinu openga? Mtundu wa 1 kapena wa 2 wa shuga m'mimba sangachite popanda insulini! Ngakhale mtundu 2 umamasulira insulin! Upangiri wamtundu wanji wa charlatan?! Popanda insulini pathupi - ndili ndi mantha kulingalira zotsatira! Ngati simukudziwa zomwe mukukambirana, ndibwino kuti musalembe kalikonse!

Upangiri wamtundu wanji wa charlatan?!

Ndinu aulesi kuti muthawiremo, ndikulemba ndemanga zakwiya.

Odwala a shuga amtundu wa 1 amadziwa bwino kuti amafunika kubaya insulin. Komabe, milandu yambiri ndi matenda osokoneza bongo, omwe amapezeka pokhapokha pakati. Zakudya zama carb ochepa zimachepetsa shuga wamagazi. Oposa theka la odwala, amafikira 4.0-5,5 mmol / L. Ndi zizindikiro zotere, insulin siyenera kubayidwa. Kapena pali zotsutsa?

Komabe, zakudya zamafuta ochepa zimayambitsa ma ketones (acetone) m'magazi ndi mkodzo. Madokotala amakonda kuwawopsa amayi apakati kuti ndi owopsa. Ziwerengero zopitilira muyeso, zomwe zikuwonetsa kuti zolakwika Mwa 2014-2016, azimayi ambiri aku America adanyamula ndi kubereka ana athanzi, osadya 30 g wamafuta tsiku lililonse, kuchokera kuzinthu zovomerezeka - http://endocrin-patient.com/chto-mozhno-est-pri-diabete/. Amakhala ndi shuga wabwinobwino wamwazi, komanso chiopsezo chocheperako cha edema ndi preeclampsia. Acetone mu mkodzo sizidavulaza amayi kapena ana. Chifukwa chake, kusintha kwa zakudya zamafuta ochepa panthawi yoyembekezera kumapereka mpata weniweni wochita popanda insulini. Ngakhale sindinanene kuti odwala onse 100% omwe ali ndi matenda osokoneza bongo amapambana.

Zaka 46 zaka, kutalika 172 cm, kulemera makilogalamu 68, ndakhala ndikudwala matenda ashuga kwa zaka 19. Tsopano anakakamizidwa kuti achoke ku Lantus kupita ku Tujdeo. Ndipo mwanjira ina kusintha kumeneku nkovuta. Kwa sabata limodzi pano sindinawone zisonyezo za shuga zosakwana 10. Mlingo ku Lantus anali magawo 26 patsiku, tsopano Tujeo amakanika ali ndi zaka 36, ​​koma kuchuluka kwa glucose kumapitilira kukula. Momwemo, mlingo wa insulin yofulumira unachuluka, koma sunagwiritsidwe ntchito kwenikweni. Vuto ndilakuti Lantus sadzaperekanso phindu. Chifukwa chake, tiyenera kuphunzira kukhala ndi Tujeo.

Tsopano anakakamizidwa kuti achoke ku Lantus kupita ku Tujdeo. Ndipo mwanjira ina kusintha kumeneku nkovuta.

Simunawonetse chinthu chachikulu - kutsatira zakudya zama carb otsika kapena ayi

Mlingo ku Lantus anali magawo 26 patsiku, tsopano Tujeo amakanika ali ndi zaka 36, ​​koma kuchuluka kwa glucose kumapitilira kukula.

Kusinthana ndi zakudya zama carb otsika - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - ndiyo njira yokhayo yoyambira kuzungulira ndi insulin yaying'ono ndikusunga shuga moyenera, popanda kudumpha. Mlingo wa insulin yothamanga komanso yayitali umachepetsedwa ndi 2-8 nthawi. Nthawi zambiri osachepera 4-5 nthawi. Izi zili choncho ngakhale kuti mukuyenera kubayira insulin pamapuloteni omwe adya, osangophatikiza ndi michere yokha.

Chongani ngati cholembera chatsekedwa ndi makhosi a insulin. Tujeo imakhala yolunjika katatu kuposa Lantus. Chifukwa chake, chiopsezo chachikulu cha mapangidwe a kristalo.

Ndili ndi zaka 19, kutalika 182 cm, 90 makilogalamu, ndakhala ndikuvutika ndi matenda ashuga amtundu 1 kwa zaka 12. Ndimayika Tujeo usiku, komanso masana Humalog katatu pa tsiku chakudya, magawo 1-1.5 pa 1 XE. Mlingo wa insulin wa tsiku lililonse ndi pafupifupi 80 mayunitsi. Pazifukwa zina, shuga wanga amadzuka madzulo. Usiku, umakhala wokwera, ndipo m'mawa umachepa. Kodi mungasinthe bwanji jakisoni wa insulin kuti muimitse?

Pazifukwa zina, shuga wanga amadzuka madzulo

Muyenera kuwonjezera mosamala mlingo wa insulin musanadye, ndipo osati mankhwala owonjezera omwe mumamwetsa usiku.

Komanso phunzirani malamulo osungira insulin - http://endocrin-patient.com/hranenie-insulina/ - ndipo onetsetsani kuti mankhwalawa sawonongedwa.

Ndili ndi zaka 18, kutalika kwa 170 masentimita, kulemera 60 makilogalamu, kudwala zaka 5 sd1. Adayambitsa lantus yamaunitsi 24 nthawi ya 22:00. Ndinapita kukalandira insulin - iwo adapereka tujeo. Kodi ndikofunikira kuyika mayunitsi ambiri ngati Lantus? Kapena ndizosiyana?

anapatsidwa tujeo. Kodi ndikofunikira kuyika mayunitsi ambiri ngati Lantus? Kapena ndizosiyana?

Yesani kuyamba ndi kumwa yemweyo, ndikusintha patatha masiku angapo. Palibe malonjezo olondola. Izi ndizothandiza kwa aliyense wodwala matenda ashuga.

Masana abwino, sindikumvetsetsa kuwerengera kwa mlingo wa Tujeo molondola. Tsopano ndikuyika mayunitsi a Levemir 40. Kodi zikuchitika kuti Tujeo yafupika kukhala magawo 13? Ndiuzeni chonde. Mawa tiyenera kusinthana. Mtundu woyamba wa shuga.

Kodi zikuchitika kuti Tujeo yafupika kukhala magawo 13?

Ayi, osati monga choncho. Mlingo wa insulin umakhalabe womwewo kapena umasintha pang'ono. Kuchuluka kwa madzimadzi omwe udzabayidwe kumachepetsedwa katatu. Komabe, cholembera cha Tujeo chokha chidzapanga izi zokha, popanda kutenga nawo mbali. Ingoikani mlingo woyenera.

Palibe momwe mungagwiritsire Tujeo ndi china chilichonse kupatula cholembera chanu chokha!

Mwa asanu ndi mmodzi mwa odwala matenda ashuga odziwika, kuphatikiza inenso, m'modzi yekha ndi amene adasinthira ku Tujeo. Aliyense wina wokhala ndi zipsinjo amayenera kupita ku Tresiba. Mankhwalawa ndi okwera mtengo pafupifupi 50%, ndichifukwa chake mabungwe onse azaumoyo safuna kwenikweni kupereka. Ndipo chakuti zili bwino komanso zotetezeka zimangoyambitsa odwala okha.

Mwa asanu ndi mmodzi mwa odwala matenda ashuga odziwika, kuphatikiza inenso, m'modzi yekha ndi amene adasinthira ku Tujeo

Kusinthana ndi zakudya zama carb otsika - http://endocrin-patient.com/dieta-pri-saharnom-diabete/ - zimapangitsa kuti muchepetse kuchepetsa insulin ndi nthawi 2-7. Pochepetsa mlingo, mavuto ochepa ndi insulin. Izi zimagwiranso ntchito kwa mankhwala Tujeo.

Tresiba. Mankhwalawa ndi okwera mtengo pafupifupi 50%.

Ndinkayerekezera mitengo ya pharmacy - osati ngati 50%, koma katatu.

Ndili ndi zaka 42, kale ndili ndi zaka 33 ndakhala ndikudwala matenda ashuga amtundu 1, zaka 5 za hemodialysis. Iwo adapereka Tujeo, Lantus asanakhale. Ndili ndi funso linalake: kodi ndibwino kuti mutenge Levemir? Chifukwa chiyani ndikufuna chiopsezo chowonjezera? Inde, ndikumvetsa kuti wopanga ayenera kulimbikitsa mankhwalawo. Koma sindine woti ndidziyesere ndekha! Ndipo komabe, kodi Treshiba amapatsa odwala matenda ashuga? Kapena kodi simuyenera kunjenjemera? Zikomo

Ndikukumbutsani kuti ngati mwachedwa kwambiri kusinthana ndi zakudya zamafuta ochepa, imathandizira kumwalira.

Owerenga ena onse ali ndi phunziro: gwiritsani ntchito malingaliro anu nthawi mpaka impso zitafa.

O, kukakhala kufuna kwanga - ndingapatse anthu odwala matenda ashuga posachedwa kumalo opangira dialysis.

Ndili ndi funso linalake: kodi ndibwino kuti mutenge Levemir?

Sindikudziwa. Tsoka ilo, zonena zanu sizabwino. Sindikuganiza kuti kulowetsa insulin ya Tujeo ndi Levemir kumukhudza, chifukwa palibe pena pake. Mwina m'malo mwanu mutha kuyesa Tujeo, ngati iperekedwa kwaulere, osawononga ndalama ku Levemir. Koma sindimamva kuti ndingathe kulangizidwa moyenera.

Kodi Tresib amapereka phindu kwa anthu odwala matenda ashuga?

Sindikudziwa. Funsani m'malo mwanu.

Wazaka 27, kutalika 175 cm, kulemera 90 kg.
Type 1 shuga mellitus kuyambira 2004. Kugwiritsidwa ntchito ngati mankhwala a insulin a Lantus nthawi yayitali 30 nthawi imodzi patsiku. Posachedwa kuchipatala adapereka Tujeo. Ndimagwiritsa ntchito sabata limodzi.Ndi kumwa womwewo, shuga m'mawa adayamba kuchuluka. Amakonda kugwira kuyambira 3,5 mpaka 5.5 m'mawa. Pambuyo posintha ku shuga wa Tujeo m'mawa 9-10. Masana amakhala wabwinobwino. Ndimayika Tujeo, monga Lantus, nthawi ya 10 koloko asanagone. Ndazindikira kuti mu cholembera cha Lantus Solostar cholembera chogwiritsidwa ntchito ndi 3 ml, ndipo ku Tujeo - 1.5 ml. Momwe ndikanakhala ndi zolembera za Lantus kwa masiku 10 enieni, Tujeo iyenera kukhala yokwanira masiku 5. Komatu mlingo wa Tujeo udzakhala magawo 90 patsiku, ndipo awa ndi ziwonetsero zoopsa))) Kodi ndikulakwitsa kuti?

Choyamba, dziikeni insulini yayitali kamodzi patsiku, osati awiri.

Malangizo a Dr. Bernstein siwachabe patsamba lino. Amapereka zotsatira zomwe anthu omwe amadwala matenda ashuga omwe amathandizidwa malinga ndi zomwe amaganiza sanazikwaniritse.

mu cholembera cha syantinge ya Lantus Solostar, chinthu chogwira ntchito ndi 3 ml, ndipo ku Tujeo - 1.5 ml. Momwe ndikanakhala ndi zolembera za Lantus kwa masiku 10 enieni, Tujeo iyenera kukhala yokwanira masiku 5.

Insulin ya Tujeo imakhala yolimbikitsidwa katatu kuposa Lantus. Cholembera chimodzi chokha chizikhala nthawi yayitali 1.5. Mumakhazikitsa muyeso mumagawo. Ndipo amatsimikiza kuchuluka kwa madzimadzi omwe amafunikira kuwonetsedwa.

Masana abwino
Kukakamizidwa kusinthira ku Tujeo, chifukwa palibe insulin yopatsa Lantus.
Ndikudwala matenda ashuga kwa zaka 22.
Lantus analowetsa mayunitsi 22 usiku, kuyambira ndi Tujeo ndi kumwa. Zakudya zam'mawa m'masiku oyambilira zinali zowawa - zimafikira 25, koma masana sizinaphuke zoposa 10. Kwa sabata yatha ku Tujeo. Kwa masiku awiri, shuga wambiri amasunga, pansi pa 15 sizichitika.
Kodi zingakhale bwanji Mlingo wabwino kwambiri ndi uti?
Ndikugwiritsa ntchito Lantus, kunalibe zoopsa ngati izi.

Kodi zingakhale bwanji Mlingo wabwino kwambiri ndi uti?

Odwala omwe ali ndi matenda ashuga okwanira akusinthana ndi zakudya zamafuta ochepa omwe afotokozedwa patsamba lino. Chifukwa cha zomwe Mlingo wawo wa insulin umagwa kangapo, chizindikiro cha shuga chimakhazikika. Ndili ndi odwala angapo omwe amakhala bwino atasamukira ku Tujeo.

Komanso, onetsetsani kuti malonda anu sanawonongedwe. Onani nkhani yathu pamalamulo osungira insulin - http://endocrin-patient.com/hranenie-insulina/.

Zaka 71 zakubadwa, kutalika 172 masentimita, kulemera kwama 55 kg, ndadwala matenda ashuga amtundu 1 kwa zaka 61. Ndimayendetsa shuga m'magazi 6 pa tsiku. Tsopano ndikusintha mawonekedwe a pafupifupi 25-27 mayunitsi (5 jakisoni) ndipo m'mawa 2 magawo a lantus. Shuga wamagazi masana amasiyanasiyana pakati pa 6-11. Pali kusintha ku Tujeo, chifukwa Lantus sikupangidwanso. Ndikufuna kulandira malingaliro anu pa kuchuluka kwa jakisoni ndi Mlingo wa tujeo.

Ndikufuna kulandira malingaliro anu pa kuchuluka kwa jakisoni ndi Mlingo

Choyamba, muyenera kusinthira ku chakudya chamafuta ochepa ndikuchepetsa mlingo wa Humalog kuti muchepetse matalikidwe a shuga. Ndipo kuthana ndi kusintha kwa insulin yatsopano yowonjezera.

Moni Ndili ndi zaka 32. Kutalika kwa 160 masentimita, kulemera kwa 54 kg. Ndikudwala matenda ashuga amtundu woyamba kwa miyezi isanu ndi umodzi. Dokotala wanga adandisamutsa kuchoka ku Levemir kupita ku Tujeo. Amatinso ndizatsopano komanso zabwinobwino pazifukwa zina. Levemir adabaya 14 m'mawa ndi 10 usiku. Kodi ndimangodya Tujeo m'mawa zochuluka motani komanso usiku? Ndasintha kale zakudya zamafuta ochepa.

adotolo adandichotsa ku Levemir kupita ku Tujeo. Amatinso ndizatsopano komanso zabwinobwino pazifukwa zina.

Ili ndi lingaliro loipa. Mpaka Levemir atasiya kutulutsa, ndibwino kupitilizabe. Ndikadakhala kuti muli inu, ndikadayesa kusintha adotolo.

Kodi ndimangodya Tujeo m'mawa zochuluka motani komanso usiku?

Yambani ndi kumwa womwewo ndi ndandanda ya jakisoni, ndipo mudzawona.

Ndili ndi zaka 49, masentimita 165 kutalika, masentimita 120 kale, T2DM, ndimaika timabowo 2 kapena katatu pa tsiku kwa magawo 15, komanso tujeo 30 m'mawa komanso kuchuluka komweko madzulo. Shuga amadumpha kuyambira 7 mpaka 15-23. Ndipo masiku awiri apitawa, a endocrinologist adanena kuti simungathe kuchita izi kawiri patsiku, koma muyenera 45 madzulo. Tsopano ine ndikumvera ndani? Yayamba ndi insulin levemir, ndiye lantus, tsopano tujeo.

Sankhani nokha. Mukuwona zomwe kutsatira malingaliro a mankhwala ovomerezeka kudatsogolera.

Ndili ndi zaka 55, kutalika kwa 160 cm, kulemera kwa 52 kg. Ndili kudwala matenda ashuga amtundu woyamba kuyambira zaka 10, ndiye kuti, kwa zaka 45. Pali zovuta zina zonse, makamaka DAPA ndi gawo loyambirira la dialysis la kulephera kwa impso. Glycated hemoglobin womaliza 5.6%. Pafupipafupi hypoglycemia, sindikuwazindikira. Ngakhale ndimakhala ndi nkhawa zambiri chaka chatha, ndimatha shuga pakati pa zisanu ndi zinayi. Ndakhala pa insulin lantus ndi humalog kwa zaka 20. Wochirayo adati dzulo kuti sipadzakhalanso anthu ena, koma tujeo kwa aliyense. Ndipo ndasintha kale motero. Ndimachita Lantus usiku wa 00, ndiye kuti, nthawi imodzi patsiku, 8-9 IU, kutengera mkhalidwe (ARVI, kuvulala kwina). Zingati kuti mulowe tujo? Mlingo womwewo kapena wocheperako? Popeza CRF yanga.

Zingati kuti mulowe tujo? Mlingo womwewo kapena wocheperako?

Yambani ndi mlingo womwewo, kenako muwona.

Glycated hemoglobin womaliza 5.6%

Sindingathe kulingalira momwe inu omwe anali ndi matenda okhudzana ndi matenda ashuga amenewa munatha kuperewera kwa impso komanso gulu la zovuta zina.

Mwina ndachedwa kwambiri kuti musinthe zakudya zamafuta ochepa.

Ndili ndi zaka 55, kutalika 164 cm, kulemera 75 kg. Ndimayika 34 lantus usiku, ndimatembenukira ku tujeo. Funso: kuchuluka kuyika mayunitsi? Short insulin apidra masana 40 mayunitsi. Type 2 shuga, wazaka 20 zakubadwa.

Ndimayika 34 lantus usiku, ndimatembenukira ku tujeo. Short insulin apidra masana 40 mayunitsi.

Awa ndi mankhwala a insulin. Ngati mupita kudya zakudya zamafuta ochepa, mutha kuwachepetsa kangapo.

Funso: Zingati kuyika chakudya cha Tujeo?

Mutha kuyamba ndi 90-100% ya mlingo wanu wakale wa Lantus, kenako ndikusintha malinga ndi zotsatira zake.

Kusiyana kwa Lantus kuchokera ku Tujeo

Lantus kapena Tujeo amagwiritsidwa ntchito pochiza matenda amtundu wa 1 komanso mtundu wa 2 wodwala matenda a shuga. Mankhwala onse awiriwa amathandiza kuti shuga azikhala ndi magazi nthawi zonse, popanda kusintha kwadzidzidzi ndi kudumpha.

Lantus kapena Tujeo amagwiritsidwa ntchito pochiza matenda amtundu wa 1 komanso mtundu wa 2 wodwala matenda a shuga.

Makhalidwe a Lantus

Mawonekedwe a mankhwalawa ndi yankho la jakisoni. Chomwe chimagwira ndi insulin glargine. Mu cartridge 1, ndalamazo ndi 100 PIECES, mu botolo imodzi - 10 ml, malinga ndi - 1000 PIECES.

Njira yogwiritsira ntchito ndikuti insulin glargine imasungunuka kwathunthu kumalo ac acid omwe njira yothetsera jakisoni ilili. Mankhwalawo atayambitsidwa pansi pa khungu, asidi amathandizidwa ndipo microprecipitates imapangidwa, yomwe imatulutsa insulin mosalekeza. Chifukwa cha izi, ndizotheka kupewa kudumpha kwake ndikupereka nthawi yayitali yogwira ntchito mankhwalawa.

Zizindikiro ntchito - insulin-wodwala matenda a shuga 2 ndi 1. Mankhwalawa amangogwiritsidwa ntchito ndi odwala azaka 18 zokha. Contraindication - kusalolera kwa munthu payekha pazinthu zothandizira za mankhwalawa.

Mlingo ndi jakisoni imodzi patsiku, yomwe imayenera kuperekedwa nthawi yomweyo tsiku lililonse. Zotsatira zoyipa:

• kawirikawiri - kukula kwa thupi lawo siligwirizana pakhungu.
• kuchepa kowoneka bwino,
• cholhypertrophy,
• minofu edema pa jekeseni wa insulin.

Kuwonongeka kwa zovuta kuchokera kugwiritsidwa ntchito kwa Lantus kumakhala kotsika kwambiri ndipo kumakhudzana nthawi zambiri ndi wodwala yemwe ali ndi contraindication kapena kugwiritsa ntchito mosayenera mankhwalawa ndi kuwonjezeka mwadongosolo.

Kuopsa kwa zovuta kuchokera kugwiritsidwa ntchito kwa Lantus ndizochepa kwambiri ndipo kumakhudzana nthawi zambiri ndi kukhalapo kwa contraindication wodwala.

Khalidwe la Tujeo

Kutulutsa mawonekedwe - yankho la jakisoni. Gawo lalikulu la mankhwalawo ndi insulin glargine. Mankhwalawa adapangira kuti athandize odwala matenda a shuga a 1 ndi 2 amtundu wodalira insulin. Chosakaniza chophatikizika ndi chinthu chomwe chili pafupi ndi insulin ya anthu. Pambuyo pa subcutaneous makonzedwe, insulini imasungunuka pamalo acidic, mankhwalawa amapereka njira yopitilira kutulutsira insulin pang'ono, zomwe zimalepheretsa kudumpha kwake kuzungulira thupi.

Sizoletsedwa kubaya jakisoni wa Tujeo ngati pali vuto lililonse pazinthu zina. Osamagwiritsa ntchito anthu osakwana zaka 18, monga Palibe chidziwitso cha mankhwalawa pa thupi la ana. Zotsatira zoyipa:

1. Thupi lawo siligwirizana pakhungu, kuphatikizapo pamalo opangira jekeseni.
2. Hypoglycemia, makamaka, imakhala chiopsezo chowonjezereka cha hypoglycemia yausiku.
3. Kuchulukitsa kutopa, kugona.
4. Kusokonezeka kwa dongosolo logaya chakudya - mseru komanso kusanza.
5. Kuchepetsa maonedwe owoneka.
6. Kutunda kwa miyendo.
7. Kusintha kwa psychoemotional state - mawonekedwe a nkhawa yowonjezereka, kusakhazikika.

Kupaka Tujeo ndikofunikira nthawi imodzi patsiku, makamaka nthawi imodzi. Nthawi zambiri, jakisoni amaperekedwa madzulo, asanagone.

Kuyerekeza kwa Lantus ndi Tujeo

Mankhwalawa ali ndi zikhalidwe zambiri, motero zimakhala zovuta kuti munthu wodwala matenda ashuga asankhe imodzi yamankhwala.

Nthawi ya jekeseni wa Tujeo ndi madzulo mutadya, theka la ola musanagone.

Zina mwa mankhwalawa ndi monga:

1. Fomu yotulutsira ndi yankho la subcutaneous management.
2. Kuletsedwa kwa / koyambitsa.
3. The zikuchokera muli yemweyo yogwira thunthu - insulin glargine.
4. Zisonyezero zogwiritsidwa ntchito: kuyikidwa kwa odwala matenda ashuga omwe ali ndi mtundu wa 1 ndi 2 wa insulin.
5. Ndi zoletsedwa pamaso pa tsankho pazamankhwala omwe ndi othandizira.
6. Makina ogwiritsa ntchito cholembera-syringe.
7. Kukhazikitsidwa kumachitika pokhapokha ngati masentimita a subcutaneous minofu.
8. Nthawi ya jakisoni ndimadzulo, mutatha kudya, theka la ola musanagone. Chifukwa chakuti zochitika za thupi usiku ndizochepera, kuthekera kwa kuchepa kwambiri kwa ndende ya glucose kumachepetsedwa. Nthawi yomweyo, mankhwala amadzulo amathandizira kupewa kutulutsa shuga m'mawa.
9. Osavomerezeka panthawi yapakati.

Kodi pali kusiyana kotani?

Kukonzekera kumakhala ndi zosiyana zingapo:

1. Tujeo ali ndi mtundu wocheperako; alibe mphamvu zochepetsera shuga.
2. Tujeo sakhala ndi zotsatira zoyipa, chifukwa chake chimawoneka kuti ndichopulumutsa thupi.
3. Kutalika kwa chochita. Tujeo, monga Lantus, amathandizidwa kamodzi patsiku, koma amakhalabe m'madzi a m'magazi kwa nthawi yayitali, zomwe zikutanthauza kuti kupanga insulini kumatenga nthawi yayitali, kuchepetsa mwayi wa hypoglycemia, makamaka usiku.
4. Kuchuluka kwa insulin kumakhala kokwanira ku Tujeo, motero kutenga Lantus kumafunikira mlingo waukulu.
5. Tujeo amapangidwira odwala okhawo okalamba. Lantus ikhoza kutumizidwa kwa ana azaka 6.
6. Kapangidwe ndi kagwiridwe ka cholembera kwa mankhwala ndi kosiyana.
7. Kubweretsa Tujeo kumayambira ndi mulingo wocheperako, womwe ukuwonjezeka pang'onopang'ono tsiku lililonse, chifukwa chake cholembera ndimakina omwe ali ndi kuthekera kosintha Mlingo wa insulin.
8. Tujeo ilibe vuto.

Kodi ndizotheka kusintha mankhwalawa ndi wina?

Ngakhale Tujeo ali ndi insulin yambiri, pomwe imalowetsedwa ndi Lantus, mlingo, malinga ndi malangizo, amakhalabe gawo limodzi. Koma pochita, Mlingo uyenera kusinthidwa, ndipo komwe mbali (yayikulu kapena yaying'ono) ikhoza kumvetsedwa kokha ndi njira yosankhira. Gwirizanani kuti musinthe muyezo wa insulin yayitali ndikofunikira ndi dokotala wanu kuti muchepetse mwayi wokhala ndi vuto losafunikira.

Ngakhale kuti Lantus atha kulowezedwa ndi Tujeo, tikulimbikitsidwa kusintha kuchokera ku mankhwala amtundu wina kupita ku wina kokha muzovuta kwambiri. Kusintha kuchoka ku Lantus kupita ku Tujeo ndi mosemphanitsa kumayendera limodzi ndi kuwonongeka.

Ndibwino - Lantus kapena Tujeo?

Zotsatira zabwino zogwiritsidwa ntchito ndi chida china chake zimatengera mawonekedwe amunthu. Odwala ambiri amavomereza kuti Tujeo ndiwofunika, amakhalanso nthawi yayitali, ali ndi chiopsezo chochepa chazizindikiro zoyipa. Koma zomwe zimabweza ndi kuletsa zaka, pomwe Lantus imatha kutumizidwa kwa ana azaka 6 zakubadwa.

Tujeo ilinso ndi vuto lina: chifukwa choti insulini ili m'magazi ambiri, imalira kwambiri komanso mwachangu, zomwe zikutanthauza kuti mdziko muno sizingagwiritsidwe ntchito. Musanalowe pansi pa khungu, muyenera kuwonetsetsa mosamala kuti dontho lamankhwala limapezeka kumapeto kwa singano.

Ndikosavuta kudziwa kuti ndi mankhwala ati omwe angakhale othandiza kwambiri, chifukwa momwe mankhwala omwewa amathandizira odwala angapo akhoza kukhala osiyana. Ndikofunika kumvetsetsa kuti mankhwalawa aliwonse angakupatseni zotsatira zabwino za matenda ashuga, ngati muphatikiza kuyambitsa kwa insulin ndi zakudya zoyenera komanso moyo wathanzi.

Kusiyana pakati pa Tujeo ndi Lantus

Kafukufuku awonetsa kuti Toujeo akuwonetsa kuyendetsa bwino glycemic mu mtundu 1 ndi mtundu wa 2 odwala matenda ashuga. Kutsika kwa glycated hemoglobin mu insulin glargine 300 IU sikunasiyana ndi Lantus.

Chiwerengero cha anthu omwe adakwanitsa kufika pa HbA1c anali omwewo, kuwongolera kwa ma insulin awiriwo kunali kofanana. Poyerekeza ndi Lantus, Tujeo ali ndi kutulutsidwa pang'onopang'ono kwa insulin kuchokera ku mpweya wotentha, motero mwayi waukulu wa Toujeo SoloStar ndi mwayi wochepetsedwa wokhala ndi hypoglycemia yayikulu (makamaka usiku).

Achire zotsatira za mankhwala

Chochita chofunikira kwambiri cha Apidra ndiko kuyamwa kwa kagayidwe kazigazi m'magazi, insulin imatha kutsitsa shuga, potero imapangitsa kuyamwa kwake ndi zotumphukira:

Insulin imalepheretsa kupanga shuga mu chiwindi cha wodwala, adipocyte lipolysis, proteinol, ndikuwonjezera kupanga mapuloteni.

M'maphunziro omwe amachitika pa anthu athanzi komanso odwala matenda a shuga, zidapezeka kuti kupindika kwa glulisin kumathandizira msanga, koma kwakanthawi kochepa, poyerekeza ndi insulin yaumunthu.

Ndi subcutaneous makonzedwe a mankhwala, mphamvu ya hypoglycemic idzachitika pakangodutsa mphindi 10 mpaka 20, ndi jekeseni wothandizirana ndi mankhwalawa ndi wolingana ndi mphamvu ya insulin ya anthu. Chipinda cha Apidra chimadziwika ndi ntchito ya hypoglycemic, yomwe imafanana ndi gawo la insulin ya anthu osungunuka.

Apidra insulin imayendetsedwa kwa mphindi 2 chakudya chisanachitike, chomwe chimapangitsa kuti pakhale vuto la postprandial glycemic, lofanana ndi insulin yaumunthu, yomwe imaperekedwa kwa mphindi 30 asanadye. Tiyenera kudziwa kuti kuwongolera kotereku ndiko kwabwino koposa.

Ngati glulisin imayikidwa pakatha mphindi 15 itatha kudya, imatha kukhala ndi kayendetsedwe ka magazi a shuga, omwe amafanana ndi insulin ya anthu omwe amapatsidwa mphindi ziwiri asanadye.

Insulin imakhala m'magazi kwa mphindi 98.

Zizindikiro ndi contraindication

Zisonyezero zogwiritsidwa ntchito:

• Type 1 shuga limodzi ndi insulin yochepa,
• T2DM ngati monotherapy kapena mankhwala apakamwa.

Tujeo osavomerezeka kuti agwiritsidwe ntchito zotsatirazi: hypersensitivity to the mahomoni kapena zigawo zina za mankhwalawo, osakwana zaka 18, chifukwa chosowa chitetezo.

Gulu lotsatira la odwala liyenera kuthandizidwa mosamala kwambiri:

• pamaso pa matenda a endocrine,
• okalamba omwe ali ndi matenda a impso,
• pamaso pa chiwindi kukanika.

M'magulu awa aanthu, kufunikira kwa mahomoni kumatha kutsika chifukwa kagayidwe kake kamakhala kofooka.

Ndemanga za madotolo zokhudza Lantus ndi Tujeo

Svetlana, wazaka 51, woweruza zakuthambo, ku Moscow: "Kusiyana pakati pa Lantus ndi Tujeo ndi chifukwa chakuti mankhwala oyamba amapezeka pamsika kalekale, ndipo Tujeo ndi mankhwala atsopano, mutha kunena kuti, asinthidwa, ali ndi insulin yambiri, yomwe ili yophatikiza komanso yolakwika . Ndi mankhwala ati omwe mungasankhe ndi funso laumwini, kutengera zinthu zambiri. Ngati wodwalayo poyamba adatenga Lantus, kusinthira ku Tujeo ndikosaloledwa, ndipo mosavomerezeka. ”

Oksana, wazaka 36, ​​wazachipatala, Samara: "Tujeo ndi mankhwala atsopano a insulin, omwe odwala ambiri amakonda chifukwa cha kuchuluka kwa insulini, zomwe zikutanthauza kuti amafunikira kuthandizidwa pang'ono. Koma aliyense payekhapayekha. Ngati palibe zoyipa pazinthu zothandizira, onse mankhwalawa azigwira ntchito limodzi, ndikofunikira kusankha mlingo woyenera. "

Inna Shakirtdinova adalemba pa 16 Feb, 2017: 26

Tujeo amasoka kwa mwezi umodzi. Imakankhidwa kamodzi patsiku. Malangizo amati
Kusintha kwa +/- 3 maola ndikotheka. Koma ndimakonda kubaya nthawi yomweyo.
Muyenera kuyamba, monga momwe malangizowa akunenera, ndi mlingo wa 1: 1. Koma zikuwoneka kuti
Kusintha kwa mankhwalawo kumachitikabe patapita nthawi yochepa.
Mosiyana ndi Lantus, Tujeo amagwira ntchito maola 36. Ngati mukubaya m'mawa, ndiye
gawo lalikulu la mlingo lidzakhala patsiku. Mukabayidwa madzulo
- kwausiku.

Inna Shakirtdinova adalemba pa 16 Feb, 2017: 38

Bronislaw kuyamba ndi 30 mayunitsi. Tsatani SC yanu kwa masiku 3-4.
Kenako zimadziwika kuti muyenera kusintha mlingo kapena ayi.
Kuyala m'mawa kapena madzulo, kachiwiri, muyenera kuyang'ana ku UK. Zikatero
SK ndiyabwino. Ngati jakisoni m'mawa ndi SK pamenepa ndi bwino. zoyenera kuchita m'mawa. Ngati
SC ndibwino kuti jakisoni yamadzulo, kenako ichitireni madzulo.

Bronislav Sychev adalemba 17 Feb, 2017: 110

Pa chiwerengero chomwecho cha mayunitsi. insulin glargine kuchuluka kwa mankhwala a Tujeo Solostar ndi 1/3 ya momwe mothandizidwa ndi insulin Glargin Solostar 100ED / ml Kodi izi zikuyenera kumvedwa bwanji?

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Ndemanga za Odwala

Anna, wazaka 32, Arkhangelsk: "Poyamba ndimagwiritsa ntchito Tujeo, ndinathandiza kwambiri, kunalibe shuga, koma patatha milungu ingapo zovuta zinayamba. Dokotala adasamutsira ku Lantus, matendawo adangokulirakulira, kufikira poti athe kusankha mlingo woyenera. Tsopano Lantus yolekeredwa bwino, siyambitsa zovuta zilizonse. "

Marina, wazaka 42, Odessa: “Ndimakonda Tujeo kuposa Lantus, chifukwa imalimbikitsidwa kwambiri, kotero imafunikira kuperekedwa pang'ono. Mankhwala amatenga nthawi yayitali. Mukaphonya jakisoni kwa maola angapo, vuto lalikulu silichitika, mosiyana ndi Lantus, kuchedwa pang'ono komwe kumayambitsa komwe kunapangitsa kuti zinthu ziwonongeke mwachangu. "

Andrei, wazaka 56, Astrakhan: “Ndinalandira mankhwala onsewa kwaulere, motero ndimawagwiritsa ntchito mosiyanasiyana. Sindikawona kusiyana pakati pawo, zida izi ndi zofanana kwa ine. Panalibe vuto lililonse pakusintha, sindinasinthe mlingo, ngakhale ndinabwereza ndemanga kuti ndikufunika kusintha kuchuluka kwa mankhwalawo. "

Zomwe zimakhala zotsika mtengo

Pambuyo pofufuza mtengo wa mankhwalawa m'magawo osiyanasiyana, mtengo wa Lantus njira yothetsera mabotolo asanu - kuchokera ku ma ruble 3,500, yankho la jekeseni wa subcutaneous mu mawonekedwe a makatiriji mu cholembera - kuchokera ku ma ruble 3,700.

Chida cha Tujeo chogwiritsira ntchito makina oyendetsa ma syringe makatiriji okwana 4 500 kuchokera ku ruble 4 500. Mtengo wa mankhwalawa ungasiyane kutengera gawo logulitsidwa, kuchuluka kwa mabotolo, kuchuluka kwa mankhwalawo.

Zabwino kuposa lantus kapena tujeo

Anthu omwe amapezeka ndi matenda a shuga nthawi zambiri sangasankhe mankhwala oti asankhe. Kusanthula kofananako kwa mankhwalawo kwatchulidwa pamwambapa.

Mankhwala Lantus amafunidwanso katatu, chifukwa kuperekera mankhwala pafupipafupi ndikofunikira. Poyerekeza ndi ndemanga za odwala, pakukhazikitsa mankhwalawa pali zovuta, kuwotcha, kuwawa, koma mankhwala a Tujeo ndi okwera mtengo pafupifupi 15%.

Ndemanga za madotolo zokhudza Lantus ndi Tujeo

Eugene, wazaka 48, endocrinologist. Kusiyana pakati pa mankhwalawa kumachitika chifukwa chakuti imodzi idawonekera kale, ndipo yachiwiri - yatsopano, yosinthika, yokhala ndi insulini yambiri. Kusintha kuchokera ku mankhwala amodzi sikulimbikitsidwa, koma mu 30% ya milandu ndikotheka komanso kothandizadi.

Eugene, wazaka 42, endocrinologist. Tujeo ndi mankhwala atsopano a insulin, omwe amakhala ndi mphamvu yambiri yogwira ntchito, amavomerezedwa bwino ndi thupi, safunikira kukonzedwa pafupipafupi. Koma zonse ndi zokha. Mankhwalawa onse ndi othandiza, koma mulingo woyenera wofanana ndi mlingo woyenera.