Tib neeg lub cev luv luv pib ua 30-45 feeb tom qab txhaj tshuaj, thiab qhov tseeb tshaj plaws hom insulin Humalog, NovoRapid thiab Apidra - txawm tias nrawm dua, tom qab 10-15 feeb. Humalog, NovoRapid thiab Apidra tsis yog tib neeg cov insulin, tab sis analogues, uas yog, tau hloov kho, ua kom zoo dua piv rau "insulin" tib neeg. Ua tsaug rau lawv cov mis hloov pauv, lawv pib txo cov ntshav qab zib kom nrawm dua tom qab lawv nkag rau hauv lub cev.
Ultrashort insulin analogs tau tsim kho sai sai txwv cov ntshav qab zib kom ntog uas muaj tshwm sim thaum uas mob ntshav qab zib xav noj cov khoom noj sai sai. Hmoov tsis zoo, cov tswv yim no tsis ua haujlwm hauv kev xyaum, vim tias cov piam thaj dhia ntawm cov khoom txwv tsis pub zoo li vwm. Nrog rau lub sijhawm pib ntawm Humalog, NovoRapid thiab Apidra, peb tseem tseem ua raws li cov zaub mov uas tsis muaj cov carbohydrate tsawg. Peb siv ultrashort analogues ntawm cov kua dej kom sai sai cov piam thaj kom ib txwm muaj yog nws dhia dhia, thiab qee zaus hauv cov xwm txheej tshwj xeeb ua ntej noj mov, thaum nws tsis xis nyob tos 40-45 feeb ua ntej noj mov.
Kev hno ntshav ntawm luv luv lossis ultrashort insulin ua ntej noj mov yog xav tau rau cov neeg mob ntshav qab zib hom 1 lossis hom 2, uas muaj ntshav qab zib cov ntshav tom qab noj mov. Nws xav tias koj twb tau noj cov zaub mov uas tsis muaj carbohydrate tsawg thiab tseem tau sim tshuaj hom 2 ntshav qab zib, tab sis txhua yam kev ntsuas no tsuas pab qee yam xwb. Kawm txog ntshav qab zib hom 2 thiab ntshav qab zib hom 1. Cov neeg mob uas muaj ntshav qab zib hom 2, raws li txoj cai, nws ua rau kev nkag siab tau sim ua ntej kho tsuas yog siv tshuaj insulin txuas ntxiv, raws li tau piav nyob rau hauv tsab xov xwm “Txuas Ntxiv insulin Lantus thiab Glargin. Nruab Nrab NPH-Insulin Protafan. " Tej zaum koj lub txiav los ntawm insulin ntev ntev yuav so kom zoo thiab perk li nws tuaj yeem tua nws tus kheej hauv cov ntshav qab zib tom qab noj mov, tsis tas yuav ntxiv cov tshuaj insulin ua ntej noj mov.
Txawm li cas los xij, kev txiav txim siab zaum kawg uas cov tshuaj insulin los saib xyuas, thaum lub sijhawm teev thiab ntsuas dab tsi nws tau txhaj, yog tsuas yog los ntawm kev soj ntsuam xyuas tus kheej tag nrho cov ntshav qab zib tsawg kawg yog 7 hnub. Ib txoj kev tswj tau zoo ntawm kev siv tshuaj insulin tuaj yeem yog tus kheej nkaus xwb. Los sau nws, tus kws kho mob thiab tus neeg mob nws tus kheej yuav tsum tau sim ntau dua yog tias txhua tus neeg mob ntshav qab zib sau tib cov tshuaj rau 1-2 txhaj tshuaj ntawm cov tshuaj tiv thaiv ib zaug ib hnub. Peb xav kom koj nyeem kab lus “Cov tshuaj insulin los txhaj, lub sijhawm thiab sijhawm twg. Tus qauv rau ntshav qab zib hom 1 thiab ntshav qab zib hom 2. "
Yuav kho cov ntshav qab zib li cas nrog cov insulin luv luv lossis ultra luv
Ultrashort insulin pib ua ua ntej lub cev muaj sijhawm los nqus cov protein thiab tig qee qhov ua qabzib. Yog li, yog tias koj tab tom noj cov zaub mov uas tsis muaj carbohydrate, cov tshuaj insulin luv luv yuav zoo dua ua ntej noj mov dua li Humalog, NovoRapid lossis Apidra. Cov tshuaj insulin luv luv yuav tsum tau siv sijhawm li 45 feeb ua ntej noj mov. Nov yog lub sijhawm kwv yees, thiab txhua tus neeg mob ntshav qab zib yuav tsum qhia meej nws tus kheej rau nws tus kheej. Yuav ua li cas thiaj ua tau nws, nyeem ntawm no. Qhov kev txiav txim siab ntawm hom insulin ceev kav ntev li 5 teev. Nov yog lub sijhawm uas tib neeg ib txwm yuav tsum tau zom cov pluas mov uas lawv tau noj.
Peb siv cov tshuaj insulin nyob rau hauv “xwm txheej kub ceev” txhawm rau kom txo qis cov ntshav qab zib kom nws li qub yog tias nws dhia sai. Teeb meem ntawm ntshav qab zib muaj tshwm sim thaum uas cov ntshav qab zib kom nws nyob hauv siab. Yog li no, peb sim ua kom nws qis dua qub kom sai li sai tau, thiab rau cov kab mob ultra-luv luv no zoo dua li luv. Yog tias koj muaj ntshav qab zib hom 2 me me, uas yog, nce cov piam thaj sai sai rau nws tus kheej, tom qab ntawd koj tsis tas yuav hno cov tshuaj insulin ntxiv kom tsawg. Tsuas yog tswj xyuas cov piam thaj hauv ob peb hnub sib law nkaus xwb pab kom nkag siab txog seb cov piam thaj hauv ntshav coj li cas rau tus neeg mob ntshav qab zib.
Ultra-luv hom insulin - ua sai dua txhua tus
Ultrashort hom insulin yog Humalog (Lizpro), NovoRapid (Aspart) thiab Apidra (Glulizin). Lawv tau tsim los ntawm peb lub tuam txhab tshuaj sib txawv uas cov neeg sib tw nrog ib leeg. Cov tshuaj insulin luv luv yog tib neeg, thiab ultrashort - cov no yog cov analogues, i.e., hloov pauv, txhim kho, piv nrog insulin tib neeg tiag. Qhov kev txhim kho yog qhov tseeb uas lawv pib txo cov ntshav qab zib kom nrawm dua li cov luv luv ib txwm - 5-15 feeb tom qab txhaj.
Ultrashort insulin analogues tau tsim kom qeeb cov piam thaj hauv ntshav thaum muaj ntshav qab zib xav noj cov khoom noj sai sai. Hmoov tsis zoo, lub tswv yim no tsis ua haujlwm rau hauv kev xyaum. Carbohydrates, uas tam sim ntawd nqus, tseem nce ntshav qab zib sai dua txawm tias qhov tseeb tshaj tawm luv luv insulin tswj kom nws tsawg dua. Nrog kev pib ua cov insulin tshiab no ntawm kev ua lag luam, tsis muaj leej twg tau tso tseg qhov kev xav tau los ua raws li cov zaub mov tsis muaj roj ntau ntau thiab ua raws li cov txheej txheem ntawm cov khoom me. Yog lawm, koj yuav tsum tau ua raws li kev tswj hwm tsuas yog koj xav kom tswj tau ntshav qab zib kom zoo thiab zam nws cov teeb meem.
Yog tias koj ua raws li cov zaub mov uas tsis muaj carbohydrate tsawg rau cov ntshav qab zib hom 1 lossis hom 2, tom qab ntawd cov tshuaj insulin luv luv yog qhov zoo dua rau kev txhaj tshuaj ua ntej noj mov dua li ultra-short counterparts. Vim hais tias nyob rau hauv cov neeg mob ntshav qab zib uas haus me ntsis carbohydrates, lub cev thawj zaug zom cov protein, thiab tom qab ntawd hloov qee qhov ntawm nws mus rau hauv qabzib. Qhov no yog tus txheej txheem qeeb, thiab insulin ultrashort pib ua haujlwm sai dhau. Luv luv hom insulin - txoj cai. Lawv feem ntau yuav tsum tau hlais 40-45 feeb ua ntej cov zaub mov muaj cov zaub mov tsis muaj rog.
Txawm li cas los xij, rau cov neeg mob ntshav qab zib uas txwv tsis pub muaj carbohydrates hauv lawv cov pluas noj, cov tshuaj insulin ultrashort tuaj yeem tuaj yeem ua ke. Yog tias koj ntsuas koj qab zib nrog glucometer thiab pom tias nws dhia, tom qab ntawd cov insulin ultra-luv yuav txo qis dua sai dua li luv. Qhov no txhais tau tias cov mob ntshav qab zib yuav muaj sijhawm tsawg los tsim. Koj tuaj yeem tso cov tshuaj insulin rau, yog tias tsis muaj sijhawm tos 45 feeb ua ntej noj mov. Qhov no yog qhov tsim nyog hauv tsev noj mov lossis hauv kev ncig xyuas.
Saib xyuas! Cov tshuaj insulins yog ntau zog dua li cov luv luv. Tshwj xeeb, 1 Chav ntawm Humalog yuav txo qis ntshav qab zib los ntawm kwv yees li 2,5 zaug ntau dua 1 Chav ntawm cov tshuaj insulin luv luv. NovoRapid thiab Apidra yog kwv yees 1.5 zaug zoo dua li cov insulin luv. Qhov no yog kwv yees sib piv, thiab rau txhua tus neeg mob ntshav qab zib yuav tsum tsim nws rau nws tus kheej los ntawm kev sim thiab kev ua yuam kev. Raws li, koob tshuaj ntawm ultrashort insulin analogs yuav tsum muaj ntau dua qhov sib npaug ntawm cov koob tshuaj tiv thaiv luv luv ntawm tib neeg insulin. Kuj, kev sim tau pom tias Humalog pib ua 5 feeb sai dua ntawm NovoRapid thiab Apidra.
Qhov zoo thiab qhov tsis zoo ntawm ultrashort insulin
Piv nrog rau cov hom insulin tib neeg luv, cov tshiab ntawm cov luv luv insulin analogues muaj qhov zoo thiab qhov tsis zoo. Lawv tau ua tiav kawg ntawm kev txiav txim siab, tab sis tom qab ntawd lawv cov ntshav theem qis qis dua yog tias koj txhaj nrog insulin luv luv. Txij thaum cov tshuaj ua kom ntshav muaj kab muaj ntshav ntau, nws yog qhov nyuaj rau kwv yees ntau npaum li cas cov zaub mov carbohydrates koj yuav tsum tau noj thiaj li ua rau cov piam thaj hauv ntshav tau zoo. Cov kev txiav txim siab du ntawm insulin luv luv yog qhov zoo dua rau kev nqus ntawm cov zaub mov los ntawm lub cev, yog tias koj ua raws li cov zaub mov tsis muaj carbohydrate tsawg los tswj ntshav qab zib.
Ntawm qhov tod tes, ib qho kev txhaj tshuaj ntawm cov insulin luv luv yuav tsum tau ua 40-45 feeb ua ntej noj mov. Yog tias koj pib noj zaub mov sai dua, tom qab ntawd cov tshuaj insulin luv luv yuav tsis muaj sijhawm los ua, thiab cov ntshav qab zib yuav dhia. Cov tshuaj tiv thaiv kab mob tshiab tsim tawm sai dua, tsis pub dhau 10-15 feeb tom qab txhaj tshuaj. Qhov no yooj yim heev yog tias koj tsis paub xyov lub sijhawm yuav noj pib noj dab tsi. Piv txwv li, thaum koj nyob hauv tsev noj mov. Yog tias koj ua raws li cov zaub mov tsis muaj carbohydrate, peb xav kom koj siv cov tshuaj insulin ua ntej yuav noj mov nyob rau qee lub sijhawm. Tsis tas li ntawd khaws insulin ultra-luv npaj rau lub sijhawm tshwj xeeb.
Kev xyaum qhia pom tias ultrashort hom insulin cuam tshuam rau cov ntshav qab zib kom tsawg dua li cov luv. Lawv ua tsis tau kwv yees, txawm hais tias lawv tau txhaj rau hauv koob tshuaj me, raws li cov neeg mob ntshav qab zib ua, ua raws li cov zaub mov uas tsis muaj carbohydrate, thiab tseem muaj ntau dua yog tias lawv tau txhaj ntau dua. Tseem nco ntsoov tias ultrashort hom insulin muaj hwj chim ntau dua li cov luv. 1 ntu ntawm Humaloga yuav txo cov ntshav qab zib kom tsawg li 2.5 npaug muaj zog dua 1 ntu ntawm luv luv insulin. NovoRapid thiab Apidra yog kwv yees li 1.5 npaug zog dua li cov insulin luv. Raws li, qhov koob tshuaj ntawm Humalog yuav tsum yog kwv yees li 0.4 koob tshuaj insulin luv, thiab qhov tshuaj ntawm NovoRapid lossis Apidra - txog ⅔ koob tshuaj. Nov yog cov lus qhia uas koj xav tau kom meej rau koj tus kheej los ntawm kev sim.
Peb lub hom phiaj tseem ceeb yog txo qis los yog tiv thaiv kom tsis txhob dhia hauv ntshav qab zib tom qab noj mov. Yuav kom ua tiav qhov no, koj yuav tsum tau txhaj tshuaj ua ntej noj mov nrog lub sijhawm txaus rau insulin pib ua yeeb yam. Ntawm ib sab tes, peb xav kom insulin pib txo cov ntshav qab zib thaum lub zom zaub mov pib nce ntxiv. Ntawm qhov tod tes, yog tias koj txhaj tshuaj insulin ntxov dhau, koj cov piam thaj hauv ntshav yuav poob sai dua li cov zaub mov tuaj yeem nqa tau. Kev xyaum qhia tau tias nws yog qhov zoo tshaj rau kev txhaj tshuaj insulin luv luv 40-45 feeb ua ntej pib noj zaub mov kom tsawg. Muaj kev zam tshwj xeeb yog cov neeg mob uas tau tsim muaj ntshav qab zib lub plab zom mov, i.e., ncua sij hawm nchuav ntawm lub plab tom qab noj mov.
Tsis tshua muaj, tab sis tseem tuaj hla cov neeg mob ntshav qab zib, nyob rau hauv uas luv luv cov tshuaj insulin rau qee qhov laj thawj yog nqus mus rau hauv cov hlab ntshav tshwj xeeb tshaj yog qeeb. Lawv yuav tsum txhaj cov insulin ntawd, piv txwv li, 1.5 teev ua ntej noj mov. Yog lawm, qhov no tsis yooj yim heev. Lawv yuav tsum siv cov khoom siv tshiab kawg ntawm kev siv tshuaj tua kab mob ua ntej noj mov, qhov nrawm tshaj plaws uas yog Humalog. Peb taw qhia ib zaug ntxiv tias cov mob ntshav qab zib yog qhov tsis tshua muaj tshwm sim ntau.
Cov ntawv txuas ntxiv ntawm tsab xov xwm uas koj nyuam qhuav nyeem yog phab “Yuav ua li cas los xam qhov ntau npaum li cas ntawm cov tshuaj insulin ua ntej noj mov. Yuav ua li cas yuav txo cov piam thaj kom ib txwm nrog kev txhaj tshuaj ntawm cov tshuaj insulin sai. "
