Ukuze uqonde indima ye-basal kanye ne-bolus insulin, kubalulekile ukuthi uqale uqonde ukuthi umzimba usebenzisa kanjani i-glucose ne-insulin.
Uma ukudla kudliwa, kuguzwa bese kuguqulwa ibe yi-glucose (ushukela) ngakho kungasetshenziselwa amandla. Cishe wonke amaseli emzimbeni, kuhlanganise nobuchopho bakho, adinga ukuthi i-glucose isebenze kahle. I-hormone insulin iyadingeka ukuba ithwale lelo glucose ibe ngamaseli kuzo zonke izingxenye zomzimba ukuze lisetshenziswe amandla.
Ezinye ze-glucose zigcinwe esibindi njengephethiloli yokugcina (ebizwa ngokuthi i-glycogen) ekhishwa lapho i-glucose ingatholakali ngokudla. Ngakho-ke, phakathi kwe-glucose esidla ngokudla nokuthi yini ekhishwa kancane kancane esibindi, umzimba uthola i-glucose njalo. Lokhu kusho nokuthi kudingeka ukuthi kube njalo i-insulin emzimbeni ukugcina inani le-glucose lilinganiselwe.
Njengoba i-glucose eyengeziwe ikhiqizwa ngemva kokudla, i- pancreas ifihla i-insulin engaphezulu. Uma inani le-glucose liphansi, njengokungathi phakathi kokudla noma ebusuku, kune-insulin encane edingekayo - kepha njalo njalo kukhona inani elincane le-insulin elitholakala emzimbeni ngaso sonke isikhathi.
Ukuchaza i-Basal ne-Bolus Insulin
I-basal insulin yi-insulin yangemuva evame ukuhlinzekwa yi-pancreas futhi ikhona amahora angu-24 ngosuku, noma ngabe umuntu uyadla noma cha. I-Bolus insulin ibhekisela emanini engeziwe e-insulin ama-pancreas ayengayenza ngokwemvelo ekuphenduleni i-glucose ethathwe ngokudla.
Inani le-bolus insulini elikhiqizwa lixhomeke kubukhulu besidlo.
Kumuntu onesifo sikashukela sohlobo 1 , ama-pancreas asenzi ngokuzenzakalelayo enza i-insulin kungakhathaliseki ukudla kwe-glucose. Amaseli e-beta akhiqiza i-insulin avulekile kakhulu. Kokubili i-basal, noma i-insulin yangasese yesikhathi eside, kanye ne-bolus, noma ukuqhuma okusheshayo kwe-insulin okudingekayo ngesikhathi sokudla, kufanele kutholakale ngokusebenzisa amajova noma ipompo ye-insulin ukuze kusetshenziswe yonke i-glucose ethathwe ngokudla noma ikhishwe isibindi .
Izinhlobo ze-Basal ne-Bolus Insulins
Ama-insulin e-long-acting acal, njenge-NPH, Levemir, ne-Lantus, aqala ukusebenza emahoreni angu-1-2 kodwa akhululwa kancane ukuze angapheli amahora angaba ngu-24, ehlinzeka ngaleyo insulini yangemuva edingekayo ngehora .
Ama-insulin e-fast-acting acus, afana noNovoLog, i-Apidra, i-Humalog, futhi evame ukuqala ukusebenza phakathi nemizuzu engu-15. Okuhlukile Kuvamile, okuqala cishe imizuzu engaba ngu-30. Ngayinye yalezi insulini ze-bolus zenzelwe ukuthi zithathwe ngaphambi kokudla futhi zibe nokufika kwamahora amahlanu we-NovoLog, i-Apidra, ne-Humalog, namahora angu-7 Okuvamile.
Lokhu kusho ukuthi umuntu onesifo sikashukela sohlobo 1 kufanele athathe imijovo eminingi ye-bolus insulin usuku ngalunye ukumboza ukudla nokudla okulula, kanye nesilinganiso esincane sokugcina i-insulin yangemuva isheke.
I-basal ne-Bolus insulini enePumulin amaphampu
Umuntu osebenzisa i-insulin pump ngokuvamile uzothola umthamo ophansi oqhubekayo wokushisa i-insulin okusheshayo ozokwenza njenge-basal background insulin. Ngaphambi kokudla, umsebenzisi wepompo anganika umthamo omkhulu we-insulin esheshayo ukumboza ukudla okumelwe kudliwe. Lokhu kugcwalisa kokubili i-basal ne-bolus idinga ukusebenzisa i-insulin efanayo yokusebenza ngokushesha.
Kungakhathaliseki ukuthi ukujova nge-syringe noma ukusebenzisa i-insulin ipompo, ukuguqulwa kwangempela kanye nohlobo lwe-insulini (ama) asetshenzisiwe kuyolungulwa ngumsebenzi wezempilo.
Imithombo
- I-insulini. Association of American Diabetes Association. Umhlahlandlela womthengi 2011. " Isifo Sikashukela Esibikezelwe , January 2011, Vol, 64, No. 1.
- Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Izinhlobo ze-insulini." Isifo Sokuziphathisa Isifo Sikashukela , 2009.
- I-Newton, C, MD. "Kungani Ukwelashwa Kwe-Basal-Bolus I-Insulin Kungase Kube Okuhle Kokukhetha Uhlobo Lwe-2 Lokushukela." Health Diabetes , Novemba 27, 2007.