Cov xov xwm zoo: kev txhaj tshuaj insulin tuaj yeem ua tiav tsis mob kiag li. Nws tsuas yog tsim nyog los tswj qhov tseeb txheej txheem ntawm subcutaneous tswj hwm. Koj tuaj yeem kho ntshav qab zib nrog cov tshuaj insulin tau ntau xyoo, thiab txhua zaus koj tau txhaj tshuaj, nws mob. Yog li, qhov no tsuas yog vim qhov tseeb tias koj txhaj tsis raug. Kawm seb dab tsi yog sau rau hauv qab no, tom qab ntawd xyaum - thiab koj yuav tsis txhawj txog kev txhaj tshuaj insulin.
Cov neeg mob uas muaj ntshav qab zib hom 2 uas tseem tsis tau raug txhaj tshuaj insulin yuav siv sijhawm ntau xyoo ntshai tsam lawv yuav dhau los ua insulin thiab muaj mob los ntawm kev txhaj tshuaj. Ntau tus neeg mob ntshav qab zib yuav tsis pw thaum hmo ntuj vim tias qhov no. Siv cov txheej txheem ntawm kev tswj hwm tsis muaj kev mob ntawm cov tshuaj insulin thiab paub tseeb tias muaj dab tsi tiag txhawj txog.
Vim li cas txhua tus neeg mob ntshav qab zib hom 2 yuav tsum kawm paub txhaj tshuaj insulin
Kawm paub txhaj cov tshuaj insulin yog qhov tseem ceeb heev rau txhua tus neeg mob ntshav qab zib hom 2. Koj yuav tsum ua qhov no txawm hais tias koj tau ua zoo tswj koj cov ntshav qab zib tsis muaj insulin, nrog rau kev noj zaub mov kom tsawg, ua kom tawm dag zog, thiab tshuaj noj. Txawm li cas los xij, nws yuav muaj txiaj ntsig zoo rau koj los kawm cov ntawv no thiab xyaum ua ntej, ua cov tshuaj txhaj rau cov tshuaj muaj ntsev tsis haum rau koj tus kheej nrog cov tshuaj insulin.
Qhov no yog dab tsi rau? Vim tias thaum koj muaj tus mob kis - mob khaub thuas, mob hniav, mob hauv ob lub raum lossis pob qij txha - ces cov ntshav qab zib cov ntshav nce siab, thiab koj tsis tuaj yeem ua yam tsis muaj insulin. Cov kab mob kis tau zoo heev cov tshuaj tiv thaiv insulin, i.e., txo qhov rhiab ntawm cov hlwb rau insulin. Hauv qhov xwm txheej tshwm sim, tus neeg mob uas muaj ntshav qab zib hom 2 yuav muaj insulin txaus, uas tsim los ntawm nws cov txiav, los tswj cov ntshav qab zib kom ib txwm muaj. Tab sis thaum lub caij mob, koj tus kheej cov insulin rau lub hom phiaj no yuav tsis txaus.
Raws li koj paub, insulin yog tsim tawm los ntawm pancreatic beta hlwb. Mob ntshav qab zib pib vim feem ntau ntawm cov beta hlwb tuag vim ntau yam. Muaj ntshav qab zib hom 2, peb sim ua kom txo tau cov xwm txheej ntawm lawv thiab yog li ua kom cov naj npawb siab kawg ntawm lawv muaj sia nyob. Ob qho teeb meem tshwm sim ntawm kev tuag ntawm beta hlwb yog ntau dhau kev thauj khoom, nrog rau cov piam thaj hauv kev siab, uas yog, lawv raug tua los ntawm kev nce ntxiv hauv cov piam thaj hauv cov ntshav.
Thaum lub caij sib kis, cov kab mob tiv thaiv insulin kho tau zoo dua. Raws li qhov tshwm sim ntawm qhov no, beta cov hlwb yuav tsum tau tsim cov tshuaj insulin ntau dua. Peb nco ntsoov tias nrog tus mob ntshav qab zib hom 2, lawv twb pib tsis muaj zog txaus thiab txawm tias muaj xwm txheej ib txwm ua haujlwm rau qhov txwv ntawm lawv lub peev xwm. Tawm tsam tom qab ntawm kev tawm tsam tawm tsam kev kis kab mob, cov load ntawm beta hlwb ua kev txwv. Tsis tas li, ntshav qab zib nce siab, thiab cov piam thaj hauv thaj ua rau muaj kev cuam tshuam rau lawv. Feem coob ntawm cov qe ntshav muaj peev xwm tuag vim kev kis mob, thiab cov ntshav qab zib hom 2 yuav loj zuj zus. Hauv kev tshwm sim phem tshaj plaws, hom ntshav qab zib hom 2 yuav hloov mus ua hom ntshav qab zib 1.
Dab tsi yog tau piav qhia hauv kab lus dhau los tshwm sim ntau zaus. Yog tias ntshav qab zib hom 2 hloov mus ua hom mob ntshav qab zib hom 1, tom qab ntawv koj yuav tsum tau noj tsawg kawg 5 koob tshuaj insulin ib hnub rau ib sim neej. Tsis txhob hais txog qhov tseeb hais tias kev pheej hmoo ntawm kev tsis taus uas yog los ntawm cov kev mob ntshav qab zib nce ntxiv, thiab lub neej muaj hnub nyoog txo qis. Txhawm rau tiv thaiv cov teeb meem, nws raug nquahu kom txhaj tshuaj insulin ib ntus thaum kis kab mob. Txhawm rau ua qhov no, koj yuav tsum paub qhov txheej txheem ntawm cov tshuaj pleev xim tsis muaj dab tsi ua ntej, xyaum thiab npaj siv nws thaum tsim nyog.
Yuav ua li cas thiaj txhaj tshuaj kom tsis txhob mob
Koj yuav tsum tau qhia hauv cov txheej txheem ntawm kev siv tshuaj tua kab mob tsis txaus siab ntawm insulin los ntawm kev txhaj tshuaj ntawm cov tshuaj ntsev tsis muaj kab mob rau koj tus kheej nrog cov tshuaj insulin. Yog tias tus kws kho mob paub tus txheej txheem rau qhov tsis muaj kev txhaj tshuaj uas tsis muaj kev phom sij, ces nws yuav muaj peev xwm qhia rau koj. Yog tsis tau, tom qab ntawv koj tuaj yeem kawm koj tus kheej. Cov tshuaj insulin feem ntau muab tshuaj subcutaneously, i.e., mus rau hauv txheej txheej ntawm cov nqaij rog nyob hauv qab daim tawv nqaij. Cov chaw ntawm tib neeg lub cev uas muaj cov roj ntau tshaj ua ke tau qhia hauv daim duab hauv qab no.
Tam sim no xyaum rau hauv koj tus kheej daim tawv nqaij hauv cov chaw no kom quav daim tawv nqaij nrog tus ntiv tes xoo thiab forefinger ntawm ob txhais tes.
Ntawm caj npab thiab ceg ntawm tib neeg, rog ua rog yog feem ntau tsis txaus. Yog tias kev txhaj tshuaj ntawm cov tshuaj insulin tiav nyob rau ntawd, lawv tau txais tsis subcutaneously, tab sis intramuscularly. Raws li qhov no, insulin ua ntau nrawm dua thiab tsis paub tseeb. Tsis tas li, txhaj tshuaj intramuscular yog qhov mob heev. Yog li, nws tsis nquahu kom txhaj cov tshuaj insulin rau hauv caj npab thiab txhais ceg.
Yog tias tus kws tshaj lij kho mob qhia koj cov txheej txheem ntawm kev siv tshuaj tua kab mob ntawm cov tshuaj insulin, tom qab ntawd thawj zaug nws yuav qhia rau nws tus kheej tias nws yooj yim npaum li cas thiaj li txhaj tshuaj, thiab tias tsis muaj mob. Tom qab ntawd nws yuav hais kom koj xyaum. Txhawm rau ua qhov no, koj tuaj yeem siv cov tshuaj insulin uas muaj npliag los yog muaj cov dej qab ntsev nrog txog li 5 units.
Nrog ib sab koj yuav muab txhaj. Thiab nrog koj sab tes tam sim no koj yuav tsum coj daim tawv nqaij kom tawv tawv nyob rau thaj chaw uas koj yuav pleev. Siv koj cov ntiv tes mus rub tsuas yog nqaij subcutaneous raws li qhia.
Hauv qhov no, koj tsis tas yuav tso ntau dhau thiab ua rau koj tus kheej doog ntshav. Koj yuav tsum xis nyob tuav daim tawv nqaij. Yog tias koj muaj txheej txheej ntawm cov rog nyob ib ncig ntawm lub duav - mus rau ntawd thiab nkaug. Yog tias tsis yog, siv kab ntawv sib txawv los ntawm cov uas qhia hauv daim duab saum toj no.
Yuav luag txhua tus neeg nyob ntawm lub pob tw muaj cov rog subcutaneous txaus kom tuaj yeem tso cov tshuaj insulin muaj yam tsis tas yuav ua daim tawv nqaij. Tsuas hnov cov rog hauv qab daim tawv nqaij thiab laim nws.
Tuav cov koob txhaj tshuaj zoo li lub darts board dart nrog koj tus ntiv tes xoo thiab ob lossis peb lwm tus ntiv tes. Tam sim no qhov tseem ceeb tshaj plaws. Txhawm rau txhaj tshuaj insulin kom tsis txhob mob, nws yuav tsum nrawm heev. Kawm yuav txhaj, zoo li ntuav darts thaum ua si darts. Nov yog txheej txheem ntawm kev tswj hwm tsis muaj kev phom sij. Thaum koj siv nws, koj yuav tsis hnov txhua txoj kev koob ntawm cov koob txhaj tshuaj insulin nkag mus rau ntawm daim tawv nqaij.
Kov daim tawv nqaij nrog rab koob ntawm ntsis koob tawm thiab tom qab ntawd nyem nws yog txheej txheem yuam kev uas ua rau tsis hnov mob. Tsis txhob txhaj tshuaj insulin rau hauv txoj kev no, txawm tias koj tau qhia nws hauv tsev kawm ntshav qab zib. Ua ib daim tawv nqaij quav thiab muab txhaj raws li qhov ntev ntawm rab koob ntawm koob txhaj tshuaj, raws li muaj nyob hauv daim duab. Pom tseeb, cov koob txhaj luv luv-luv luv koob yog qhov yooj yim tshaj plaws.
Txhawm rau kom tshem tawm cov koob txhaj tshuaj, koj yuav tsum pib li 10 cm rau lub hom phiaj kom nws muaj sijhawm kom nce nrawm thiab koob tau sai nkag rau hauv qab daim tawv nqaij. Qhov kev txhaj tshuaj rau qhov tseeb yog zoo li ntuav tawm thaum ua cov darts, tab sis tsuas yog tsis txhob cia tus koob txhaj tshuaj ntawm koj tus ntiv tes, tsis txhob cia nws ya mus. Koj muab cov koob txhaj tshuaj dua los ntawm kev txav mus rau koj txhais tes tag nrho, suav nrog koj sab caj npab. Thiab tsuas yog thaum kawg ntawm lub dab teg kuj txav, ncaj qha qhov taub ntawm cov koob txhaj tshuaj precisely rau ib qho chaw ntawm daim tawv nqaij. Thaum rab koob nkag rau ntawm daim tawv nqaij, thawb lub piston txhua txoj kev txhawm rau txhaws kua. Tsis txhob tshem tawm rab koob tam sim ntawd. Tos 5 seconds thiab tom qab ntawd tshem nws nrog lub suab nrawm.
Tsis tas yuav tsum tau xyaum txhaj tshuaj ntawm cov txiv kab ntxwv lossis lwm yam txiv ntoo. Koj tuaj yeem xub xyaum koj tus kheej kom "pov tseg" cov koob txhaj tshuaj mus rau qhov chaw txhaj tshuaj, zoo li lub dart ntawm qhov phiaj, nrog lub mom ntawm rab koob. Thaum kawg, qhov tseem ceeb tshaj plaws yog txhawm rau txhaj tshuaj insulin thawj zaug siv cov txheej txheem yog. Koj yuav xav tias kev txhaj tshuaj tsis ua tiav kiag li, thiab yog li ntawd koj qhov nrawm. Tom qab ntawv txhaj tshuaj koj tuaj yeem ua thaum pib. Ua li no, koj tsuas yog xav tau tus tswv cov txheej txheem, thiab kev ua siab loj tsis muaj ib yam dab tsi uas ua rau nws.
Yuav ua li cas sau cov koob txhaj tshuaj
Ua ntej nyeem yuav ua li cas sau cov kua ntswg nrog insulin, nws raug nquahu kom kawm kab lus "Insulin koob txhaj tshuaj, koob txhaj tshuaj thiab koob rau lawv".
Peb yuav piav txog ib txoj kev txawv me ntsis los sau cov koob txhaj tshuaj. Nws cov kom zoo dua yog tias tsis muaj cua npuas tsim nyob rau hauv cov phwj. Yog hais tias nrog kev txhaj tshuaj ntawm insulin cua npuas tau txais hauv qab daim tawv nqaij, ces qhov no tsis txaus ntshai. Txawm li cas los xij, lawv tuaj yeem cuam tshuam qhov tseeb yog tias cov tshuaj insulin raug txhaj me me.
Cov kauj ruam ib kauj ruam zuj zus cov lus qhia hauv qab no yog qhov haum rau txhua hom ntshiab, pob tshab insulin. Yog tias koj siv cov tshuaj turbid insulin (nrog Hagedorn nruab nrab cov tshuaj tiv thaiv - NPH, nws tseem yog protafan), tom qab ntawd ua raws cov txheej txheem piav qhia hauv qab no hauv seem "Yuav ua li cas sau cov koob txhaj nrog NPH-insulin los ntawm vial". Ntxiv nrog rau NPH, lwm yam tshuaj insulin yuav tsum yog pob tshab. Yog tias cov kua hauv lub raj mis cia li poob nthav, nws txhais tau hais tias koj cov insulin tau piam lawm, tau ploj nws lub peev xwm los txo cov ntshav qab zib, thiab nws yuav tsum tau muab pov tseg.
Tshem lub hau tawm ntawm lub koob txhaj tshuaj. Yog tias muaj lwm lub hau ntawm lub piston, ces muab nws tshem tawm ib yam nkaus. Sau cov pa kom ntau npaum li koj npaj yuav txhaj rau hauv cov phwj. Qhov kawg ntawm cov foob ntawm lub piston ze rau ntawm rab koob yuav tsum txav los ntawm xoom ntawm qhov ntsuas mus rau qhov cim uas phim koj cov tshuaj insulin. Yog tias cov yas foob muaj qhov zoo li conical, tom qab ntawd cov koob tshuaj yuav tsum tau saib xyuas nws qhov dav, thiab tsis yog ntawm lub hau ntse.
Txo cov koob txhaj tshuaj nrog lub taub roj hmab kaw ntawm lub raj mis kwv yees li ntawm nruab nrab. Tso cua ntawm daim ntaub qhwv rau hauv lub khob. Qhov no yog qhov tsim nyog kom lub tshuab nqus tsev tsis ua rau hauv lub raj mis, thiab yog li lwm zaus nws tsuas yog yooj yim los sau cov koob tshuaj ntawm cov tshuaj insulin. Tom qab ntawd, rov qab tso dua lub taub hau thiab lub raj mis thiab tuav lawv raws li qhia hauv daim duab hauv qab no.
Tuav cov koob txhaj tshuaj tiv thaiv koj lub xib teg nrog koj tus ntiv tes me kom lub koob tsis tawm ntawm cov roj hmab ntawm lub raj mis, thiab tom qab ntawd rub cov piston tawm hauv qab. Sau cov tshuaj insulin rau hauv cov koob txhaj tshuaj li 10 units ntau dua qhov tshuaj uas koj npaj yuav txhaj. Txuas ntxiv los tuav lub koob txhaj tshuaj thiab lub vial sawv, maj mam nias lub plunger kom txog thaum cov kua ntau npaum li qhov xav tau tseem nyob hauv cov koob txhaj tshuaj. Thaum hle cov koob txhaj tshuaj ntawm lub thawb, txuas ntxiv tuav tag nrho cov qauv kom ntseg.
Yuav ua li cas sau cov koob txhaj nrog NPH-insulin protafan
Nruab Nrab Sijhawm Insulin (NPH-insulin, tseem hu ua protafan) yog muab rau hauv cov vials uas muaj cov kua ntshiab thiab txig dej nag. Grey hais sai sai mus rau hauv qab thaum koj tawm hauv lub raj mis thiab tsis txhob co nws. Ua ntej txhua qhov koob tshuaj ntawm NPH-insulin, koj yuav tsum tau co lub vial kom cov kua thiab cov ntawv tawm ua ib qho kev txwv tsis pub muaj, uas yog, kom cov qau ntab hauv cov kua hauv qhov tsis sib haum. Txwv tsis pub, qhov kev txiav txim ntawm insulin yuav tsis ruaj khov.
Txhawm rau txhawm rau tiv thaiv cov protafan, koj yuav tsum tau co lub raj mis kom zoo ntau zaus. Koj tuaj yeem nyab xeeb lub raj mis nrog NPH-insulin, yuav tsis muaj dab tsi tsis raug, tsis tas yuav tsum tau dov nws ntawm koj lub xib teg. Qhov loj tshaj plaws yog los xyuas kom meej tias cov nplaim ntab tusyees hauv cov kua. Tom qab ntawd, tshem lub hau ntawm cov koob txhaj tshuaj thiab muab huab cua tso rau hauv lub vial, raws li tau piav qhia saum toj no.
Thaum cov koob txhaj tshuaj twb nyob hauv lub raj mis thiab koj yuav khaws nws kom txhua, kom ntseg txhua qhov qauv ob peb zaug ntxiv. Ua 6-10 teeb tsa kom muaj cua daj cua dub tiag tiag rau sab hauv, raws li qhia hauv daim duab hauv qab no.
Tam sim no nrawm rub lub piston rau koj kom sau nws nrog cov kua dej ntau dhau. Qhov tseem ceeb ntawm no yog sau cov koob txhaj tshuaj sai sai, tom qab lawv tau npaj cua daj cua dub rau hauv lub raj mis kom cov grey ntuag tsis muaj sij hawm los khom ntawm cov phab ntsa dua. Tom qab ntawd, txuas ntxiv los tuav tag nrho cov qauv tsa kom ncaj, maj mam tso cov kua dej ntau dhau ntawm cov koob txhaj kom txog rau thaum cov tshuaj koj xav tau nyob hauv nws. Ua tib zoo tshem tawm cov tshuaj hauv qab ntawm lub thauv raws li tau hais tseg rau ntu dhau los.
Txog kev rov siv cov tshuaj insulin
Tus nqi txhua xyoo ntawm cov tshuaj insulin muab pov tseg tuaj yeem yog qhov tseem ceeb heev, tshwj xeeb yog tias koj coj ntau cov tshuaj insulin ib hnub. Yog li, muaj kev ntxias kom siv txhua tus koob txhaj ntau zaus. Nws tsis zoo li tias txoj hauv kev no koj khaws qee yam kev kis kab mob. Tab sis nws muaj peev xwm heev uas yuav ua rau cov tshuaj insulin polymerization vim qhov no. Nyiaj npib ib leeg ntawm cov koob txhaj tshuaj yuav ua rau poob ntau ntawm qhov tseeb tias koj yuav tsum muab cov tshuaj insulin pov tseg, uas yuav ploj zuj zus.
Dr. Bernstein hauv nws phau ntawv piav qhia qhov xwmtxheej hauv qab no. Tus neeg mob hu nws thiab yws tias nws cov piam thaj hauv ntshav tseem siab, thiab tsis muaj txoj hauv kev los tua nws. Hauv kev teb, tus kws kho mob nug yog tias cov tshuaj insulin tseem ua kom pom tseeb thiab meej hauv lub vial. Tus neeg mob teb tias qhov tshuaj insulin yog ib qho thau me ntsis. Qhov no txhais tau hais tias polymerization tau tshwm sim, vim tias cov tshuaj insulin tau poob nws lub peev xwm los txo cov ntshav qab zib. Txhawm rau rov qab tswj ntshav qab zib, maj nrawm xav tau hloov lub raj mis nrog lub tshiab.
Dr. Bernstein hais txog qhov tshuaj polymerisation ntawm cov tshuaj insulin sai los sis tom qab ntawd tshwm sim nrog txhua tus neeg mob uas sim rov qab siv lub koob txhaj tshuaj tsis haum. Qhov no yog vim hais tias nyob hauv qab ntawm huab cua, insulin hloov mus rau hauv lub hnub ci. Cov muaju no nyob sab hauv rab koob. Yog tias thaum qhov kev txhaj tshuaj tom ntej no lawv nkag mus rau hauv lub vial lossis lub taub ntim, qhov no ua rau muaj kev cuam tshuam saw ntawm polymerization. Qhov no tshwm sim nrog ob qho txuas ntxiv thiab ceev hom ntawm insulin.
Yuav ua li cas thiaj txhaj ntau cov tshuaj insulin nyob rau tib lub sijhawm
Feem ntau muaj cov xwm txheej thaum koj xav tau mus txhaj tshuaj ntawm ntau hom tshuaj insulin nyob rau tib lub sijhawm. Piv txwv li, thaum sawv ntxov nyob rau ntawm lub plab khoob koj yuav tsum txhaj ib koob tshuaj txhua hnub ntawm cov tshuaj insulin txuas ntxiv, ntxiv rau cov tshuaj insulin ultra-luv rau kom cov ntshav qab zib kom tsawg, thiab tseem luv luv los npog cov pluas tshais uas muaj cov zaub mov qis. Cov xwm txheej zoo li no tsis yog tsuas yog nyob rau thaum sawv ntxov.
Ua ntej tshaj plaws, txhaj cov tshuaj insulin sai tshaj, i.e. ultrashort. Qab nws yog luv, thiab tom qab nws twb tau txuas ntxiv. Yog tias koj cov tshuaj insulin ntev ntev yog Lantus (glargine), tom qab ntawd nws kev txhaj tshuaj yuav tsum tau ua nrog ib lub koob txhaj cais. Yog tias txawm tias qhov koob tshuaj me me ntawm lwm cov tshuaj insulin nkag mus rau hauv lub raj mis nrog Lantus, ces cov kua qaub yuav hloov, vim tias Lantus yuav plam qee qhov nws cov haujlwm thiab yuav ua haujlwm tsis tau.
Tsis txhob sib xyaw cov tshuaj insulin sib txawv hauv ib lub raj mis lossis hauv tib lub koob txhaj, thiab tsis txhob txhaj cov khoom tov uas twb tau npaj lawm. Vim tias lawv tau ua yam tsis muaj peev xwm ua tau. Qhov tshwj xeeb tsis tshua muaj pes tsawg yog siv cov tshuaj insulin uas muaj qhov nruab nrab Hagedorn protamine (protafan) kom qeeb qhov kev txiav txim ntawm luv luv insulin ua ntej noj mov. Hom qauv no yog tsim rau cov neeg mob ntshav qab zib gastroparesis. Lawv tau ua kom lub plab sai tom qab noj mov tag - ib qho kev mob nyhav uas cuam tshuam rau kev tswj ntshav qab zib, txawm tias khoom noj muaj haus tsawg.
Yuav ua li cas yog tias muaj qee yam ntawm cov tshuaj insulin los ntawm qhov chaw txhaj tshuaj
Tom qab txhaj tshuaj, muab koj ntiv tes tso rau ntawm qhov chaw txhaj tshuaj, thiab tom qab ntawd hnia nws. Yog tias ib feem ntawm cov tshuaj insulin los ntawm qhov hno, tom qab ntawd koj yuav hnov ntxhiab ntxiv hu ua metacrestol. Thaum zoo li no, koj tsis tas yuav hno cov tshuaj insulin ntxiv! Hauv phau ntawv qhia kev tswj hwm tus kheej, ua ib daim ntawv tseg, lawv hais tias, muaj kev poob. Qhov no yuav qhia tau tias vim li cas koj thiaj li muaj qab zib. Kuaj nws tom qab thaum cov nyhuv ntawm cov tshuaj insulin no dhau los.
Tom qab txhaj tshuaj insulin, cov ntshav yuav nyob ntawm cov khaub ncaws. Tshwj xeeb yog tias koj lam tau chwv cov ntshav capillary hauv qab daim tawv nqaij. Nyeem yuav ua li cas tshem tawm cov ntshav tsuas los ntawm khaub ncaws nrog hydrogen peroxide.
Hauv tsab xov xwm, koj tau kawm paub yuav ua li cas txhaj tshuaj insulin tsis haum yam siv cov txheej txheem txhaj tshuaj nrawm. Txoj kev ntawm kev txhaj tshuaj insulin yuav ua li cas yog tsis muaj txiaj ntsig tsis yog rau cov neeg mob ntshav qab zib hom 1 xwb, tab sis kuj siv rau txhua tus neeg mob ntshav qab zib hom 2. Thaum lub sijhawm kis tus mob ntshav qab zib hom 2, koj tus kheej cov insulin tej zaum yuav tsis txaus, thiab cov ntshav qab zib yuav dhia ntau. Vim li ntawd, qee qhov tseem ceeb ntawm cov qe ntshav yuav tuag, thiab cov ntshav qab zib yuav mob loj dua tuaj. Hauv kev tshwm sim phem tshaj plaws, hom ntshav qab zib hom 2 yuav hloov mus ua hom ntshav qab zib 1. Txhawm rau txhawm rau tiv thaiv koj tus kheej ntawm cov teeb meem, koj yuav tsum paub qhov txheej txheem kom raug rau cov tshuaj insulin ua ntej thiab, kom txog thaum koj rov zoo los ntawm kev kis tus kab mob, ib ntus tswj koj tus txiav.
