We yu dɔktɔ tɛl yu se yu gɛt Tayp 2 Dayabitis, dɛn kin tɛl yu fɔ tek insulin. Bɔt fɔ tru, nɔto ɔlman we gɛt Tayp 2 Dayabitis nid insulin. Bɔt if yu fɔ tek insulin, i rili impɔtant fɔ mek yu wɛlbɔdi no di rayt doz. Sɔmtɛm yu kin gɛt fɔ ajɔst dis doz yusɛf as yu layf de chenj. So, lɛ wi tɔk bɔt dis simpul wan.
Aw dɛn plan fɔ trit insulin?
Di men tin ya na fɔ kip yu blɔd shuga lɛvɛl insay wan say we sef. Dis kin mek yu nid fɔ yuz wan ɔ tu kayn insulin. Bɔku tɛm, dɔktɔ dɛn kin bigin wit wan kayn fɔs.
1. Insulin we de wok fɔ lɔng tɛm
Wan ɔda nem fɔ dis na basal insulin . Fɔ tɔk am simpul wan, we yu dɔn injɛkt am, i kin wok na yu bɔdi fɔ lɛk 24 awa so, ɛn sɔntɛnde i kin wok fɔ lɔng tɛm pas dat. I tan lɛk se yu de kɔntrol di shuga we yu gɛt na yu blɔd na di bakgrɔn. Dɛn kin tek am wan tɛm insay di de, bɔt i impɔtant fɔ tek am di sem tɛm ɛvride.
Aw yu kin no di doz?
Bɔku kayn insulin de, ɛn di doz fɔ ɛni wan pan dɛn kin difrɛn.
- Tipik stat doz: Bɔrku pipul dɛn kin stat wit lɛk 10 yunit fɔ wan de.
- Di we aw yu fɔ tek yu wet: Sɔntɛnde, yu dɔktɔ go disayd di doz bay di wet we yu bɔdi gɛt. fכ egzampl, dεn kin kכl yu bכdi wet 0.2 yunit insulin fכ 1 kilogram (2.2 paund).
Di fɔs doz kin smɔl pas aw yu nid, bɔt na fayn fɔ bigin. Dɔn, yu dɔktɔ go inkrisayz yu doz smɔl smɔl bay tu to 4 yunit ɛvri tri dez te yu fasting blɔd shuga de na yu target lɛvɛl (bɔku tɛm bitwin 80-130 mg/dL ). Fɔ pik di rayt kayn insulin fɔ yu go dipen pan bɔku tin dɛn, lɛk yu wet, di shuga we yu gɛt na yu blɔd, if yu gɛt ɔda mɛrɛsin, di kɔst fɔ insulin, ɛn wetin yu lɛk.
2. Insulin we de fɔ it (Short- ɔ Rapid-acting Insulin) .
Yu dɔktɔ kin kɔl dis bak bolus insulin ɔ prandial insulin . Dɛn kin gi dɛn tin ya bifo yu it men it fɔ ɛp yu bɔdi fɔ kɔntrol di bɔku bɔku kabɔhaydrɛt dɛn we de na di it we yu de it. Dɛn kin ad dis kayn insulin we di insulin we wi dɔn tɔk bɔt fɔ ɔl di de nɔ inof.
Aw yu kin no di doz?
Di doz de dipen pan sɔm tin dɛm: yu target blɔd shuga lɛvɛl, di amount ɔf kabɔhaydrɛt na di it we yu de it, ɛn di lɛvɛl we yu de du.
- Fiks doz: .Tipikli, yu kin stat wit 4-6 yunit dεm εn inkrεs bay 2-3 yunit εvri 3 de te yu shuga lεvεl dεn kכntrכl.
- Carb Counting: Dis na wan we we dɔn go bifo smɔl. Na ya, yu kin kɔl di insulin doz bay di kayn kabɔhaydrɛt we yu de it.
- Aksidɛntli tek wan ɔvados .
- Miks di kayn insulin we de wok fɔ shɔt tɛm ɛn we de wok fɔ lɔng tɛm.
- Fɔ it it we nɔ gɛt bɔku kabɔhaydrɛt ɛn tek mɔ insulin fɔ am.
- Fɔgɛt fɔ it afta yu dɔn tek insulin.
- Fɔ du ɛksɛsayz pas aw yu kin du am ɛn nɔ fɔ ridyus yu insulin doz fɔ kɔmpɛns.
- Di kayn ɛn di doz fɔ insulin na fɔ yu nɔmɔ. Ɔltɛm fala wetin yu dɔktɔ tɛl yu fɔ du. Nɔ kɔmpia yu doz to ɔda pipul dɛn yon.
- Ɔndastand di difrɛns bitwin insulin we de wok fɔ lɔng tɛm ɛn we de wok fɔ shɔt tɛm.
- Yu fɔ no di sayn dɛm we de sho se yu blɔd shuga nɔ bɔku (haypoglycemia). Nɔ panik ɛn no gud gud wan wetin fɔ du we dis kayn tin apin.
- Nɔ abop pan fon aplikeshɔn (ap) dɛn we dɛn nɔ gri fɔ ɛn we yu nɔ trɔst fɔ kɔl di insulin doz.
- Chek yu blɔd shuga lɛvɛl ɔltɛm. Tɔk to yu dɔktɔ opin wan bɔt ɛni chenj ɛn ɛnitin we de mɔna yu.
Tink bɔt dis we: Yu it wan slais pizza, ɛn i gɛt 60 gram kabɔhaydrɛt. tipikli, 1 yunit insulin we de akt kwik kwik wan de "kכva" bכt 10-15 gram kכbaidret dεm. Mek wi se 10 gram. Dɔn yu nid lɛk 6 yunit insulin fɔ da slais pizza de.
Dis insulin-to-carb ratio de difrɛn frɔm wan pɔsin to ɔda pɔsin. I kin ivin chenj difrɛn tɛm dɛn insay di de. So, i impɔtant fɔ tɔk to yu dɔktɔ fɔ fɛn di fɔmula we go fayn fɔ yu.
Wetin kin apin if dɛn ad di insulin doz?
If yu tek bɔku insulin, yu blɔd shuga kin go dɔŋ wantɛm wantɛm ɛn i kin denja. Dɛn kɔl dis haypoglycemia . Dis na siriɔs sik we kin mek pɔsin in layf de pan denja.
Wetin kin mek insulin bɔku?
| Di kɔmɔn sayn dɛm fɔ lɛ yu blɔd shuga nɔ bɔku (Hypoglycemia) . | |
|---|---|
| Wɔri | Ed de at |
| Diziz we pɔsin kin gɛt | Vɔmit |
| Fast at bit | Shakiness we pɔsin kin shek |
| Skin we swet ɔ we gɛt klem | Angri we pasmak |
De impɔtant tin na dat, dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, so pe atɛnshɔn to aw yu bɔdi de fil.
Wetin fɔ du wantɛm wantɛm if yu blɔd shuga go dɔŋ
Di wangren we fɔ no fɔ tru if yu shuga smɔl na fɔ mɛzhɔ yu shuga lɛvɛl wantɛm wantɛm wit glukomita.
1. If yu blɔd shuga lɛvɛl de dɔŋ 70 mg/dL , it sɔntin we gɛt shuga kwik kwik wan. Fɔ ɛgzampul, it wan tablɛt we gɛt glukɔs, af glas frut jus we nɔ gɛt shuga, ɔ wan tebul spɔnj ɔni. Dis go gi yu lɛk 15 gram kabɔhaydrɛt we de wok kwik kwik wan.
2. Wet fɔ 15 minit.
3. Chek yu blɔd shuga lɛvɛl bak.
4. If i stil smɔl (we pas 70 mg/dL), it sɔntin we gɛt shuga bak . we yu shuga lεvεl kam bak to nכmal, i bεst fכ it sכm snek (e.g., wan slais fכ bred).
If dis kin apin bɔku tɛm, ɔ if i kin so bad dat yu nɔ kin no natin, mek sɔmbɔdi kɛr yu go na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu wantɛm wantɛm .
Yu tink se dɛn kin yuz ap fɔ dis wok?
Bɔku ap dɛn de we dɛn kin se dɛn kin ɛp yu fɔ no yu insulin-to-carb ratio ɔ fɔ kɔl yu insulin doz. Bɔt wan stɔdi we dɛn bin du insay 2015 sho se bɔku pan dɛn tin ya nɔ de wok fayn. I rili denja. If dɛn gi yu di rɔng doz, i kin ivin mek yu layf de pan denja.
So, if yu fɔ yuz wan ap, na wan ap nɔmɔ we yu kin abop pan we yu dɔktɔ ɔ di klinik we gɛt dayabitis dɔn tɛl yu fɔ du.
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