We yu dɔktɔ tɛl yu se yu gɛt Tayp 2 Dayabitis, bɔku we dɛn de fɔ kɔntrol am. Tin dɛn lɛk fɔ it gud it ɛn fɔ du ɛksɛsayz ɔltɛm kin go fa. Bɔt sɔntɛnde, yu go nid fɔ yuz insulin ɛn ɔda mɛrɛsin dɛn fɔ kɔntrol di shuga we de na yu blɔd fayn fayn wan. So, tu men we dɛn de fɔ tek insulin. Wan na bolus insulin, ɛn di ɔda wan na basal insulin, we wi de tɔk bɔt tide.
So, wetin na basal insulin?
Fɔ tɔk am simpul wan, dɛn kin kɔl dis bak "bakgrɔn insulin." Imajin, di pankrias we de na pɔsin we gɛt wɛlbɔdi in bɔdi de mek insulin smɔl smɔl ɔl di de, 24 awa ɛvride. Ivin we wi nɔ de it, dis kayn insulin de nid fɔ du impɔtant tin dɛn na wi bɔdi. Dis na wetin wi kin kɔl basal insulin.
Dis natura l prכsεs nɔr kin apin fayn fayn wan na pɔrsin wae gɛt tayp 2 dayabitis in bɔdi. Na da tɛm de yu dɔktɔ go se yu fɔ tek wan ɛksternal ``Basal Insulin.'' We dɛn injɛkt dis insulin, i kin absɔb kwik kwik wan insay di bɔdi ɛn i kin ɛp fɔ mek yu blɔd shuga lɛvɛl stebul ɔl di de.
Tipikli, if yu de stat insulin fɔ dayabitis, yu dɔktɔ go stat yu pan dis ‘basal insulin’. Yu kin bigin wit wan injɛkshɔn insay wan de. If dat nɔ go du fɔ yu, yu dɔktɔ go se yu fɔ ad wan fast-akt bolus insulin we yu fɔ tek bifo ɔ afta yu it.
Us kayn basal insulin de?
כltεm dεn kin injεkt basal insulin insay di fεt layεr כnda di skin. Yu kin yuz sirinj ɛn nidul fɔ dis. I gɛt bak pen dɛn we dɛn dɔn ful-ɔp wit dispɔzabl ɛn we rili izi fɔ yuz fɔ sɔm pipul dɛn.
Tri men kayn basal insulin de. dis dεm difrεn pan aw kwik dεn kin bigin fכ wok na di bכdi (dεn kin bigin), we dεn kin rich dεn mak (pik), εn aw lכng dεn kin las na di bכdi (di tεm we dεn kin tek). Yu dɔktɔ go pik di kayn we we go fayn fɔ yu bay tin dɛn lɛk di shuga we yu gɛt na yu blɔd ɛn di we aw yu de liv yu layf.
| Di kayn insulin we dɛn kin yuz | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Intɛrmɛdiet-aktin | Dɛn wan ya kin bigin fɔ wok insay wan ɔ tu awa, dɛn kin rich bitwin 4-12 awa, ɛn kin las fɔ lɛk 24 awa so. Eks: NPH (Humulin N, Novolin N) . |
| I de du tin fɔ lɔng tɛm | Dɛn tin ya kin tek lɛk 2 awa fɔ go insay di blɔd. Bɔt dɛn kin kɔntinyu fɔ du sɔntin fɔ lɛk 24 awa so. dis kayn dεm nכ gεt big "pik", dat na, dεn nכ gεt chans fכ rich dεn maksimכm wan tεm. So, dɛn kin mek insulin bay dɛnsɛf ɛn dɛn kin du di sem tin. Ɛks: Dɛmir (Lɛvɛmir), Glarjin (Basaglar, Lantɔs) |
| Ultra-lɔng-akt we de akt | Dɛn tin ya kin tek bitwin 1-6 awa fɔ bigin wok, bɔt dɛn kin las fɔ 36 awa ɔ mɔ. dis kayn dεm tu nכ gεt "pik," so di effektivnes de stil di sem. Eks: Degludec (Tresiba), Glarjin u-300 (Toujeo) ɛn di ɔda wan dɛn. |
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz basal insulin?
Wan pan di big bɛnifit dɛm fɔ dis na dat yu jɔs nid fɔ injɛkt wan ɔ tu tɛm insay di de, we na big tin we yu kɔmpia am wit bolus insulin we yu de tek wit it.
Dɔn bak, yu kin gɛt bɔku fridɔm ɛn yu kin ebul fɔ chenj chenj . Yu nɔ nid fɔ stik to di tɛm fɔ it ɛn gi yusɛf injɛkshɔn. Yu kin muv smɔl fɔ it, du yu wok, ɔ ivin travul.
Dɛn insulin ya we de wok fɔ lɔng tɛm kin rili ɛp fɔ mek yu nɔ gɛt bɔku bɔku blɔd shuga (haypoglycemia), mɔ we yu de fast fɔ wan nɛt.
Hypoglycemia na sɔntin we wi nid fɔ rili tek tɛm wit we wi de yuz insulin tritmɛnt. Dis sik kin mek yu gɛt at prɔblɛm, ɛn sɔm tɛm dɛn kin ivin day. fכ dat, fכ ridyus dis risk na big advantej fכ `Basal Insulin`.
So, yu nɔ tink se ɛni bad tin de? Lɛ wi lan bak bɔt di bad tin dɛn we kin apin to wi.
Insulin na rili wan mɛrɛsin we rili sef, bɔt sɔntɛnde, smɔl smɔl sayd ɛfɛkt dɛn kin apin.
Di fɔs tin na di prayz . Sɔm insulin dɛn we de wok fɔ lɔng tɛm kin dia smɔl pas ɔda kayn insulin dɛn we de wok fɔ shɔt tɛm. So dat na sɔntin we wi nid fɔ tink bɔt.
Men sayd ɛfɛkt dɛn
- Di blɔd shuga lɛvɛl smɔl (Hypoglycemia):Di men rizin fɔ dis na bikɔs di bɔdi kin gɛt mɔ insulin pas di shuga we de na di bɔdi da tɛm de. We dis kin apin, yu kin gɛt sɔm sayn dɛn lɛk fɔ fil wik, shek shek, vɛks, swet, ɛn yu at nɔ de bit ɔltɛm . If yu gɛt ɛnitin lɛk dis, it sɔntin we gɛt smɔl shuga kwik kwik wan (e.g. swit drink, tɔfi) ɛn tɛl yu dɔktɔ.
- We yu de gɛt bɔku bɔku bɔdi: Dis na prɔblɛm bak fɔ bɔku pipul dɛn. Insulin de ɛp di sɛl dɛn fɔ yuz di shuga we de insay di it we wi de it izi wan fɔ gɛt ɛnaji. Bɔt if wi it mɔ kalori pas wetin wi bɔdi nid, da ɛkstra shuga de kin de as fat insay di sɛl dɛn ɛn mek wi gɛt mɔ wet. Dis na di rizin we mek i impɔtant fɔ it gud it ɛn ɛksesaiz .
- Alɛji na di say we dɛn injɛkshɔn: Sɔntɛnde, di say we dɛn injɛkshɔn kin rɛd, swel, ɔ i kin it. dis kin ridyus bay we yu de rɔta di say we yu injεkt pas fɔ injεkt na di sem say.
Aw a go no di doz fɔ insulin we a nid?
Dis na kwɛstyɔn we rili impɔtant. Mɛmba se na yu dɔktɔ nɔmɔ go disayd di doz fɔ insulin we yu nid. Nɔ ɛva chenj yu insulin doz bay aw yu de fil ɔ wetin ɔda pɔsin tɛl yu.
Yu dɔktɔ go ɔltɛm stat yu pan wan stat doz bay yu wet . Dɔn, dɛn go de wach yu blɔd shuga lɛvɛl fɔ sɔm dez ɛn ajɔst di doz smɔl smɔl (e.g., bay 2-4 yunit) fɔ fɛn di rayt doz fɔ yu. Dis tan lɛk we yu de tray fɔ wɛr klos. I go tek sɔm tɛm fɔ fɛn di rayt doz fɔ yu. So peshɛnt ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan .
Mɛsej we dɛn kin kɛr go na os
- Basal insulin na tritmεnt we de falamakata di "bakgrכn" insulin we wi bכdi nכmal wan de prodyuz כl di de.
- We yu de yuz dis, yu gɛt bɔku fridɔm bikɔs di nɔmba fɔ injɛkshɔn fɔ wan de de ridyus ɛn i nɔ tay to it.
- Di men bɛnifit na fɔ kɔntrol di blɔd shuga we nɔ de chenj ɛn i nɔ go gɛt bɔku blɔd shuga, mɔ na nɛt.
- Na yu dɔktɔ nɔmɔ fɔ disayd ɛn chenj yu insulin doz . Nɔ ɛva tray fɔ chenj am yusɛf.
- Yu fɔ no bɔt di bad tin dɛn we kin apin lɛk we yu blɔd shuga nɔ bɔku ɛn we yu gɛt bɔku bɔku wet. If yu gɛt ɛnitin we de mɔna yu, tɔk to yu dɔktɔ bɔt am.
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