I doctor-in Type 2 Diabetes i vei tih a hrilh che chuan control dan kawng hrang hrang a awm a. Ei leh in tha leh exercise neih fo ang chi thilte hian kawng thui tak a zawh thei a ni. Mahse a chang chuan, i thisen sugar level dik taka control turin insulin leh damdawi dang i hman a ngai mai thei. Chuvangin, insulin ei dan tlangpui pahnih a awm. Pakhat chu bolus insulin a ni a, pakhat chu basal insulin a ni a, tunlaia kan sawi tur hi a ni.
Chuti a nih chuan, basal insulin chu eng nge ni?
A awlsam zawngin hei hi "background insulin" an ti bawk. Ngaihtuah teh, mi hrisel taksaa pancreas hian nitin, darkar 24 chhungin insulin a siam chhuak tlem a. Kan ei loh lai pawhin he insulin hi kan taksaa thil pawimawh tak takte tan a mamawh a ni. Hei hi basal insulin kan tih chu a ni.
Hetiang natural process hi type 2 diabetes vei taksaah hian a thleng dik lo. Chutih hunah chuan i doctor chuan pawn lam ``Basal Insulin'' ei turin a rawt ang che.He insulin hi inject a nih chuan taksaah a lut rang hle a, nitin i thisen sugar level a nghet reng theih nan a pui thin.
A tlangpuiin zunthlum tan insulin i tan tirh chuan i doctor chuan he ‘basal insulin’ hi a tan tir ang che. Ni khatah injection vawi khat hmangin i tan thei. Chu chu a tawk lo a nih chuan i doctor chuan chaw ei hma emaw, ei zawh hnu emawa ei tur fast-acting bolus insulin dah belh turin a rawt thei ang.
Basal insulin hi eng chi nge awm?
Basal insulin hi vun hnuaia thau layer-ah an inject fo thin. Hei atan hian syringe leh needle i hmang thei bawk. Mi thenkhat tan chuan hman awlsam tak, prefilled disposable pen pawh a awm bawk.
Basal insulin hi chi thum a awm a. Chungte chu taksaa hna an thawh tan dan (onset), engtikah nge an peak (peak) an thlen, leh taksaa an awm rei (duration) ah te a inang lo. I doctor chuan i thisen sugar level leh nunphung te a zirin i tana tha ber chi a thlang ang.
| Insulin chi hrang hrang | Sawifiahna leh entirnan |
|---|---|
| Intermediate-a thiltih a ni | Hengte hian darkar khat emaw darkar hnih emaw chhungin hna an thawk tan a, darkar 4-12 inkarah an peak a, darkar 24 vel an daih. Ex: NPH (Humulin N, Novolin N) te chu a rawn lang leh ta. |
| Hun rei tak chhunga che thei | Hengte hi thisenah hian darkar 2 vel an lut thin. Mahse darkar 24 vel an active reng thung. Heng chi hrang hrangte hian "peak" lian tak an nei lo va, chu chu vawi khatah an maximum thlen theihna hun an nei lo tihna a ni. Chuvangin natural takin insulin an siam chhuak a, effect inang an nei bawk. Ex: Detemir (Levemir), Glargine (Basaglar, Lantus) te chuan an rawn ti a. |
| Ultra-long-a tih theih a ni | Hengte hi hna thawh tan nan darkar 1-6 inkar a ngai a, mahse darkar 36 emaw a aia rei emaw a daih thei. Heng chi hrang hrangte hian "peak" an nei lo bawk a, chuvangin a hlawhtlinna chu a inang reng a ni. Ex: Degludec (Tresiba), Glargine u-300 (Toujeo) te chuan an khelh danah an khel tha hle. |
Basal insulin hman hian eng hlawkna nge a neih?
Hei hi a thatna lian ber pakhat chu ni khatah vawi khat emaw vawi hnih emaw chauh inject a ngai a, hei hi chaw ei ruala bolus insulin ei nen khaikhin chuan a awlsam hle.
Tin, zalenna leh inthlak danglamna tam tak i hmu bawk . Chaw ei hun zawm a, injection i pek a ngai lo. Chaw ei tur te, hna thawk tur te, zin tur te pawhin tlem tal i inher kual thei bawk.
Heng hun rei tak thawk thei insulin te hian thisen sugar hlauhawm taka tlahniam (hypoglycemia) venna kawngah a pui hle a, a bik takin zan khat chaw nghei lai hian a pui hle.
Insulin therapy-ah hian Hypoglycemia hi kan fimkhur hle a ngai a ni. Hetiang dinhmun hian thinlung lam harsatna a thlen thei a, a chang chuan thihna pawh a thlen thei bawk. Chuvangin, he hlauhawmna tihtlem hi `Basal Insulin` hian a thatna lian tak a ni.
Chuvangin, a chhiatna a awm lo em ni? A side effects te pawh i zir ve ang u.
Insulin hi a takah chuan damdawi him tak a ni a, mahse a chang chuan side effect tenau te a awm thei bawk.
A hmasa ber chu man a ni . Insulin rei tak nei thenkhat chu short-acting type dang aiin a man a to deuh thei bawk. Chuvangin chu chu kan ngaihtuah a ngai a ni.
Side effect lian ber ber
- Thisen sugar level hniam (Hypoglycemia): 1.1.A chhan ber chu chutih lai tak chuan taksaa sugar awm zat aiin taksain insulin a dawng tam zawk vang a ni. Chutiang a nih chuan, chak lohna, nghing, thinrim, thawk hah, leh thinlung thawk mumal lo tih ang chi chhinchhiahna i nei thei a ni . Hetiang thil i tawn chuan rang takin sugar tlem te (e.g. sweet drink, toffee) ei la, doctor hnenah hriattir rawh.
- Weight gain: Hei hi mi tam tak tan pawh harsatna a ni. Insulin hian cell te chu awlsam takin kan eitur a sugar awm chu chakna atan a hmang thei a ni. Mahse, kan taksa mamawh aia tam calorie kan ei chuan chu extra sugar chu cell chhungah thau angin a awm thei a, taksa rihna a tipung thei a ni. Hei vang hian ei leh in tha leh exercise tha neih a pawimawh hle .
- Injection site allergy: A châng chuan injection site chu a sen thei a, a hring thei a, a hring thei bawk. Hei hi hmun khata inject ai chuan injection site chu rotate-in a tihziaawm theih a ni.
Engtin nge insulin ka mamawh zat hi ka hriat theih ang?
Hei hi zawhna pawimawh tak a ni. Insulin i mamawh zat tur chu i doctor chauhvin a rel thei tih hre reng ang che. I insulin dose hi i rilru put hmang emaw, midang hrilh che emaw a zirin thlak ngai suh.
I doctor chuan i rih zawng a zirin starting dose hmangin a tan tir tlangpui ang che . Tichuan, ni engemaw zat chhung chu i thisen sugar level chu an enfiah ang a, i tana dose dik tak an hmuh theih nan dose chu zawi zawiin (e.g., unit 2-4-in) an siamrem ang. Hei hi kawr hak tum ang mai a ni. I tana dose dik tak hmuh theih nan hun engemaw chen a la ngai dawn a ni. Chuvângin , dawhthei la, i doctor thupêk chu zawm dik rawh .
Take-Home Thuchah a ni
- Basal insulin hi kan taksain nitin a pianphung anga a siam chhuah "background" insulin ang chi hmanga enkawlna a ni.
- Hei hi i hman hian zalenna nasa tak i nei a, a chhan chu ni khata injection pek zat a tlem a, chaw ei nen a inzawm lo.
- A hlawkna ber chu thisen sugar control nghet leh hypoglycemia hlauhawmna tihtlem a ni a, a bik takin zan lamah.
- Insulin dose tihfel leh tihdanglam chu doctor chauhvin a ti tur a ni . Nangmah ngeiin thlak danglam tum ngai suh.
- Thisen sugar tlahniam leh taksa rihna tihpun ang chi side effects te chu fimkhur rawh. Thil ngaihtuah tur i neih chuan i doctor nen sawiho rawh.











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