Zunthlum tan Insulin Glargine i hmang em? Hemi chungchang hi awlsam takin han sawi ila.

I zunthlum control nan insulin i ei em? Chutiang a nih chuan i doctor chuan Insulin Glargine tih injection a pe che a ni mai thei. A hming hi a buaithlak deuhin a lang thei a, mahse lungngai suh. Vawiin hian he damdawi chungchang te, a hnathawh dan te, a hman dan tur dik tak te, leh i hriat reng tur te chu awlsam tak leh hriatthiam awlsam takin kan sawi dawn a ni.

A awlsam zawngin, Insulin Glargine chu eng nge ni?

Insulin glargine hi zunthlum enkawlna atana hman tur insulin chi khat bik a ni. Kan taksaa insulin hormone awm ang bawkin hna a thawk a ni. A danglam bikna chu "long-acting" insulin a nih vang a ni. Chumi awmzia chu i inject hnuah vawi khatah a thawk vek lo tihna a ni. Chu ai chuan darkar 24 vel chhungin insulin chu zawi zawiin leh a rate ang bawkin a tichhuak zawk a ni. Kan pancreas hian a pianphungah nitin insulin tlemte a chhuah thin ang bawkin. Hei hi basal insulin an ti bawk .

Hei hian a hlawkna ber chu nitin i thisen sugar level (blood glucose) control-na atan a pui a ni. A tlangpuiin doctor chuan he damdawi nen hian i ei leh in thlak danglam tur leh exercise la turin a fuih ang che. Heng zawng zawng hi in tih dun hian result tha ber i hmu thei a ni.

He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur pawimawh ber berte chu:

Insulin glargine i ei tan hmain i hriselna dinhmun kimchang tak doctor hnenah hrilh hmasak a pawimawh hle a, he information hian a dose leh instruction pek tur che a hril dawn a ni.

A hnuaia condition te hi i neih chuan i doctor hnenah hriattir ngei ang che.

Engtin chiah nge he damdawi hi ka hman ang?

A pawimawh ber chu insulin inject dik hi a ni. I doctor emaw nurse emaw chuan hetiang tih dan tur a kawhhmuh ang che. Chu thupekte chu dik takin zawm rawh.

Step 1: Insulin enfiah tur

Insulin vial hi inject hmain en hmasa phawt ang che. Insulin glargine hi tui thianghlim, rawng nei lo, tui ang mai a ni . Chhum a awm a, a zing a, a rawng a danglam a nih chuan hmang ngai suh . Tin, vial-a hming leh expiry date pawh en fo ang che.

Step 2: Vaccine pekna tur hmun thlan dan

He vaccine hi subcutaneous tissue, vun hnuaia thau layer-ah pek a ni. A tan hmun tha ber berte chu:

• Belly button vel (belly button hnuai inches 2 vel) .
• A hnunglam chunglam chu
• Thigh chunglam leh a sir lam

Pawimawh: Hliam, hliam, hliam, hnim hring, vun thim awmna hmunah inject suh.

Step 3: Site Rotation tih dan tur

Hei hi a pawimawh hle. Nitin hmun khatah inject suh . Chutianga i tih chuan vun hnuaia thau layer chu a thim thei a, lumps a siam thei bawk. Hei hi `(Lipodystrophy)` an ti a. Chutiang a nih chuan chu hmuna insulin inject chu a absorb tha lo ang. Chuvangin, notebook te tak te dah la, i injectna hmunte chu chhinchhiah rawh, entirnan, tun kar chhung hian i pum dinglamah i inject a nih chuan a tuk lamah veilam lamah inject rawh. Tichuan thigh lam pan rawh. A hmun khata awm pawh ni se, a hmaa i injectna hmun atanga inch khat vel zeta hlaah inject la.

Step 4: Needle leh syringe hman tawhte paih chhuah

Needle leh syringe hman tawhte chu bawlhhlawh bawmah paih ngai suh. Midang tan hlauhawm tak an ni thei. Chungte tan chuan plastic bawm bik (`sharps container`) a awm a. Engtin nge i hmuh theih ang tih i doctor zawt rawh.

He damdawi hi a chang chuan naupang kum 6 chunglam hnenah pek thin a ni a, mahse hei hi naupang enkawltu doctor-in a rel thin.

Damdawi dose i ei loh chuan engtin nge i tih ang?

Insulin injection chu a hun ruatah i ei theihnghilh a nih chuan hlauthawng suh. Dose hloh tawh chu tihpun nan double dose ei ngai suh tih hre reng ang che. Chutianga tih chuan i thisen sugar a tlahniam lutuk thei a, chu chu a hlauhawm thei hle. Dose i miss a nih chuan doctor call la, thurawn la rawh. A hnua i tih tur chu a hrilh ang che.

He damdawi ei huna fimkhur tur thilte

Insulin treatment i ei dawnin i nunphung pawh i fimkhur hle a ngai bawk.

• I thisen thlum zat enfiah fo rawh: In lama thisen thlum tehna hmang la, doctor-in a tih angin i thisen thlum zat enfiah fo bawk ang che. I thisen sugar level kha record la.
• Hypoglycemia chungchangah fimkhur rawh: Hei hi thisen sugar level a tlahniam lutuk a ni. Hei hi insulin ei thin tan chuan a hlauhawm ber a ni.A lan chhuah dan chu thawk hah , khur, riltam lutuk, thinlung thawk chak, lungkham, luak chhuak, leh buaina te a ni.
• Thil thlum tak tak i hnenah dah reng ang che: Thisen sugar tlahniam chhinchhiahna i hriat veleh ei tur thil thlum tak tak, glucose toffee, sugar packet, sugary drink emaw, thei tui emaw te chu i bulah dah fo ang che. Thisen thlum hniam vanga hriatna i hloh chuan i ka chhungah engmah dah suh. Damdawi inah kal nghal rawh.
• Hyperglycemia chungchangah fimkhur rawh: Hei hi thisen sugar level sang a ni. A lan chhuah dan chu tuihal lutuk , zun tam lutuk, hah lutuk, leh mit hmuh lohna te a ni . Heng symptoms te hi i neih chuan doctor hnenah hrilh rawh.
• Natna ni-ah fimkhur rawh: Khawsik, khawsik, ril\am ang chi natna i neih chuan i taksaa hormone inthlak danglam vangin i thisen sugar level a sang thei a ni. Chutiang ni-ah chuan insulin dose i siamrem a ngai em tih doctor zawt rawh.
• Chaw ei khap suh: Insulin i ei a, chaw i skip chuan i thisen sugar a hniam lutuk thei. Chaw ei chu a hun takah ei thin ang che.
• Medical ID vuah: Zunthlum tan insulin i ei tih ziakna bracelet emaw card emaw keng fo ang che. Emergency-ah i nunna a chhanhim thei a ni.
• HbA1C test: I doctor chuan thla 3 danah vawi khat vel thisen test ``(HbA1C)`` tih chu a ti ang che. Hei hian thla 2-3 kalta chhunga i thisen sugar control zatve (average blood sugar control) a awm dan a hriat theih nan a pui thei che a ni.

Damdawi dangah harsatna a awm thei em? (Inbiakpawhna) .

Ni e, damdawi thenkhat hian insulin nen an inzawm thei a, i thisen sugar level a nghawng thei bawk. Damdawi thenkhat chuan i thisen sugar level a tisang a, thenkhat erawh chuan a tihhniam thung. Tin, thisen sugar tlahniam (hypoglycemia) chhinchhiahna titawp thei damdawi thenkhat pawh a awm bawk. Chuvangin thisen sugar hniam angin i inhriat lo mai thei.

Chuvangin, damdawi dang i ei tur (vitamin, hnam damdawi, leh supplement te pawh tel) chu i doctor hnenah hrilh rawh .

Side effect a awm em?

Damdawi dang ang bawkin insulin glargine hian mi thenkhatah side effect a thlen thei a ni. A tam zawkah chuan hengte hi a pawi lo hle a, mahse kan hriat tur thenkhat a awm.

Damdawi hi engtin nge dik taka kan dahkhawm ang?

Insulin hi damdawi a ni a, a dah that loh chuan a chhe nghal vat thin.

• Bottle hawn loh: Hengte hi fridge kawngkaah dah la. Freezer-ah dah ngai suh. Insulin a vawt a nih chuan hmang suh.
• Opened/In-use bottles: Tuna i hman mek bottle chu room temperature (30 degree Celsius hnuai lam)-ah i dah thei ang. Mahse ni 28 chhungin i hmang tur a ni. Ni 28 hnua a la awm chuan paih mai tur a ni.
• Ni êng direct leh lum lutuk lakah venhim.

Heng tips te hi i tan a tangkai ngei ka beisei. Diabetes hi uluk taka enkawl ngai a ni tih hre reng ang che. A pawimawh ber chu i doctor thupek dik taka zawm a, zawhna leh ngaihtuahna i neih apiang a bula sawipui hi a ni.