I doctor-in Type 2 Diabetes Mellitus i vei thu a hrilh che chuan insulin ei turin an ti mai thei. Mahse a takah chuan Type 2 Diabetes vei zawng zawng hian insulin an mamawh vek lo. Mahse insulin i ei a ngai a nih chuan i hriselna atan a dose dik tak hriat a pawimawh hle. A châng chuan i nunphung a inthlak danglam angin he dose hi nangmah ngeiin i siamrem a ngai mai thei. Chuvangin, he thu hi awlsam takin han sawi ila.
Engtin nge insulin enkawl hi ruahman a nih?
Hetah hian a pawimawh ber chu i thisen sugar level chu him taka dah hi a ni. Hei hian insulin chi khat emaw pahnih emaw hman a ngai mai thei. Doctor-te chuan type pakhat hmangin an tan hmasa tlangpui.
1. Insulin rei tak thawk thei
Hei hi a hming dang chu basal insulin a ni . A awlsam zawngin, vawi khat i inject chuan i taksaah darkar 24 vel a thawk a, a chang chuan a rei zawk bawk. Background-a i thisen sugar level control ang mai a ni. Ni khatah vawi khat ei a ni tlangpui a, mahse nitin a hun khata ei a pawimawh.
Engtin nge a dose hi i hriat theih ang?
Hetiang insulin hi chi hrang hrang a awm a, pakhat zel dose pawh a inang lo thei.
- Typical starting dose: Mi tam zawk chuan ni khatah unit 10 vel atanga tan thin.
- Weight-based dosing: A chang chuan i doctor chuan i taksa rih zawng a zirin dose tur a rel thin. Entirnan, i taksa rih zawng hi kilogram 1 (pound 2.2) khatah insulin unit 0.2 anga chhut theih a ni.
Initial dose hi i mamawh aia hniam pawh a ni thei a, mahse bul tanna tha tak a ni. Tichuan, i doctor chuan i chaw nghei thisen sugar chu i target level (a tlangpuiin 80-130 mg/dL inkar) a nih thlengin ni thum danah unit hnih atanga ni li velin a tipung zauh zauh ang . I tana insulin chi dik thlan chu thil tam takah a innghat ang a, chung zingah chuan i rihna, thisen sugar level, damdawi dang i neih leh neih loh, insulin man leh i duh zawng te pawh a tel ang.
2. Chaw ei tur atana hman tur insulin (Short- or Rapid-acting Insulin) .
I doctor chuan hei hi bolus insulin emaw prandial insulin emaw a ti thei bawk . Hengte hi chaw ei ber hmain i taksain i ei tur a carbohydrates awm zat a control theih nan pek thin a ni. Hetiang insulin chi hi a chunga kan sawi tak nitin insulin a tlem chuan a dah belh thin.
Engtin nge a dose hi i hriat theih ang?
Dose hi thil engemaw zatah a innghat a, chungte chu: i target blood sugar level, i ei tur a carbohydrates awm zat, leh i activity level te.
- Fixed dose chu:A tlangpuiin unit 4-6 atang hian i tan thei a, ni 3 danah unit 2-3 in i tipung thei a, i sugar level a control theih hma loh chuan.
- Carb Counting: Hei hi a hmasawn deuh deuh a ni. Hetah hian insulin dose chu carbohydrates i ei zat a zirin i chhut thin.
- Accident- a overdose lak a nih chuan .
- Insulin chi hrang hrang short-acting leh long-acting te inzawmkhawm .
- Carbohydrate tlem chaw ei leh chu mi atan chuan insulin tam zawk ei.
- Insulin ei hnua ei theihnghilh .
- Exercise tih dan pangngai aia tam leh compensate turin insulin dose tihtlem loh.
- Insulin chi leh dose hi i tan bik a ni. Doctor thupek zawm fo ang che. I dose hi midang dose nen khaikhin suh.
- Insulin hun rei tak thawk thei leh thawk rei lote inthlauhna hrethiam rawh.
- Thisen thlum hniam (hypoglycemia) natna lan chhuah dan fimkhur hle ang che. Hlauthawng suh la, chutiang dinhmunah chuan eng nge i tih tur tih chiang takin hre rawh.
- Insulin dose chhiar nan phone application (apps) pawm loh, rintlak lohah innghat suh.
- I thisen sugar level enfiah fo thin ang che. I doctor nen inthlauhna leh ngaihtuahna i neih apiang chu zalen takin sawipui rawh.
Hetiang hian han ngaihtuah teh: Pizza slice khat i ei a, chutah chuan carbohydrates gram 60 a awm a. A tlangpuiin, rapid-acting insulin unit 1 hian carbohydrates gram 10-15 vel a "khuh" thin. Gram 10 ti ila. Tichuan chu pizza slice atan chuan insulin unit 6 vel i mamawh a ni.
He insulin-to-carb ratio hi mi hrang hrangah a inang lo. Ni khat chhunga hun hrang hrangah pawh a danglam thei. Chuvang chuan doctor nen inbia a, i tana tha tur formula zawn chhuah a pawimawh.
Insulin dose tihpun a nih chuan eng nge thleng ang?
Insulin i ei tam lutuk chuan i thisen sugar level chu hlauhawm takin a tlahniam nghal thei a ni. Hei hi hypoglycemia an ti a . Hei hi natna khirh tak, nunna atana hlauhawm tak a ni.
Eng thilin nge insulin tihpun chhan?
| Thisen thlum tlahniam (Hypoglycemia) natna lan chhuah dan tlangpui . | |
|---|---|
| Hlauhthawnna | Lu na |
| Luak chhuak thei | Luhai |
| Thinlung thawk chak tak | Shakiness a ni |
| Vun thawmhnaw emaw, vun hring emaw | Riltam lutuk |
A pawimawh ber chu heng symptoms te hi mi hrang hrangah a inang lo thei a, chuvangin i taksa rilru put hmang hi ngaihven rawh.
I thisen sugar a tlahniam a nih chuan eng nge tih nghal tur
I sugar a hniam leh tlem tih chiang taka hriat theihna awmchhun chu glucometer hmanga i sugar level teh nghal mai hi a ni.
1. I thisen sugar level 70 mg/dL hnuai lam a nih chuan a rang thei ang bera sugary thil ei thin ang che. Entirnan, glucose tablet emaw, sugar tel lo thei tui glass chanve emaw, khawizu tablespoon khat emaw ei thin ang che. Hei hian fast-acting carbohydrates gram 15 vel a pe dawn a ni.
2. Minute 15 vel nghak rawh.
3. I thisen sugar level enfiah leh rawh.
4. A la hniam (70 mg/dL aia sang) a nih chuan thil thlum ei leh rawh . I sugar level a normal leh chuan snack tlemte (e.g., chhangphut slice) ei a tha ber.
Hei hi a thleng fo a nih chuan, a nih loh leh a nasat lutuk chuan i hriatna a hloh a nih chuan, mi pakhatin Emergency Treatment Unit (ETU) hnai ber ah hruai nghal rawh.
He hna atan hian apps hman theih a ni em?
Apps tam tak chuan insulin-to-carb ratio hriat theihna tur emaw, insulin dose chhiarna tur emaw a pui thei tih an sawi. Mahse kum 2015-a zirchianna pakhatah chuan heng zinga a tam zawk hian hna an thawk tha lo hle tih hmuhchhuah a ni. A hlauhawm hle mai. Dose dik lo pek i nih chuan nunna atana hlauhawm pawh a ni thei.
Chuvangin app i hman a ngai a nih chuan i doctor emaw diabetes clinic emaw recommend app rintlak chauh hmang ang che.
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