Iyo umuganga wawe akubwiye ko urwaye Diyabete yo mu bwoko bwa 2, ushobora kubwirwa gufata insuline. Ariko mu by'ukuri, si abantu bose barwaye Diyabete yo mu bwoko bwa 2 bakeneye insuline. Ariko niba ugomba gufata insuline, ni ngombwa cyane ko ubuzima bwawe bugena dose ikwiye. Hari igihe ushobora guhindura iyi dose ubwawe uko ubuzima bwawe buhinduka. Reka tubiganireho mu buryo bworoshye.
Uburyo bwo kuvura insuline buteganijwe gute?
Icy'ingenzi hano ni ugukomeza urugero rw'isukari mu maraso yawe mu rugero rwiza. Ibi bishobora kugusaba gukoresha ubwoko bumwe cyangwa bubiri bwa insuline. Ubusanzwe abaganga babanza n'ubwoko bumwe.
1. Insulini ikora igihe kirekire
Irindi zina ry'ibi ni insuline y'ibanze . Mu magambo make, iyo uyiteye, ikora mu mubiri wawe amasaha agera kuri 24, rimwe na rimwe ikarenza. Ni nko kugenzura urugero rw'isukari mu maraso yawe inyuma. Akenshi ifatwa rimwe ku munsi, ariko ni ngombwa kuyifata icyarimwe buri munsi.
Ni gute umenya igipimo cy'umuti?
Hari ubwoko butandukanye bw'ubu bwoko bwa insuline, kandi ingano ya buri bwoko ishobora gutandukana.
- Igipimo gisanzwe cyo gutangira: Abantu benshi batangirana n'ibice bigera ku 10 ku munsi.
- Igipimo gishingiye ku buremere: Hari igihe muganga wawe azagufatira urugero akurikije uburemere bw'umubiri wawe. Urugero, uburemere bw'umubiri wawe bushobora kubarwa nk'ibice 0.2 bya insuline kuri kilo 1 (ibiro 2.2).
Igipimo cya mbere gishobora kuba kiri hasi ugereranyije n'icyo ukeneye, ariko ni intangiriro nziza. Hanyuma, muganga wawe azongera buhoro buhoro igipimo cyawe ho ibice bibiri kugeza kuri bine buri minsi itatu kugeza igihe isukari yawe yo mu maraso igeze ku rwego wifuza (ubusanzwe hagati ya 80-130 mg / dL ). Guhitamo ubwoko bwiza bwa insuline kuri wewe bizaterwa n'ibintu byinshi, harimo ibiro byawe, urugero rw'isukari mu maraso, niba ufite izindi ndwara, ikiguzi cya insuline, n'ibyo ukunda.
2. Insulini ikoreshwa mu buryo bwihariye mu ifunguro (Insulini ikora vuba cyangwa ikora vuba)
Muganga wawe ashobora kandi kuyita insuline ya bolus cyangwa insuline ya prandial . Izi zitangwa mbere y'ifunguro nyamukuru kugira ngo zifashe umubiri wawe kugenzura ingano ya karubohidrati mu biryo urya. Ubu bwoko bwa insuline bwongerwamo iyo insuline y'umunsi wose yavuzwe haruguru idahagije.
Ni gute umenya igipimo cy'umuti?
Igipimo giterwa n'ibintu byinshi: urugero rw'isukari mu maraso wifuza, ingano ya karubohidrati mu ifunguro urya, n'urwego rw'ibikorwa byawe.
- Igipimo gihoraho:Ubusanzwe, ushobora gutangirana n'ibice 4-6 hanyuma ukiyongeraho ibice 2-3 buri minsi 3 kugeza igihe igipimo cy'isukari yawe kizaba cyagabanutse.
- Kubara Karubone: Ubu buryo ni ubugezweho gato. Aha, ubara igipimo cya insuline ukurikije ingano ya karubone urya.
- Kunywa ibiyobyabwenge birenze urugero ku bw'impanuka.
- Kuvanga ubwoko bwa insuline bukora igihe gito n'ubukora igihe kirekire.
- Kurya ifunguro ridafite karubohidrati nyinshi no gufata insuline nyinshi .
- Kwibagirwa kurya nyuma yo gufata insuline.
- Gukora siporo cyane kuruta uko bisanzwe kandi ntugabanye ingano ya insuline yawe kugira ngo wishyure.
- Ubwoko n'ingano ya insuline ni ibyawe bwite. Buri gihe kurikiza amabwiriza ya muganga wawe. Ntukagereranye ingano yawe n'iy'abandi bantu.
- Sobanukirwa itandukaniro riri hagati ya insuline ikora igihe kirekire n'ikora igihe gito.
- Menya ibimenyetso by'isukari nke mu maraso (hypoglycemia). Ntugatinye kandi umenye neza icyo wakora mu gihe nk'iki.
- Ntukishingikirize ku porogaramu za telefoni zitemewe kandi zitizewe (porogaramu) kugira ngo ubare ingano ya insuline.
- Suzuma urugero rw'isukari mu maraso yawe buri gihe. Vugana na muganga wawe nta guhisha ku mpinduka iyo ari yo yose n'impungenge ushobora kuba ufite.
Tekereza kuri ubu buryo: Urya agace gato ka pizza, kandi karimo garama 60 za karubohidrati. Ubusanzwe, igice kimwe cya insuline ikora vuba "gitwikira" garama 10-15 za karubohidrati. Reka tuvuge garama 10. Hanyuma ukeneye unite 6 za insuline kuri icyo gice cya pizza.
Iki gipimo cya insuline na karubohidrati kiratandukanye bitewe n'umuntu ku wundi. Gishobora no guhinduka mu bihe bitandukanye by'umunsi. Kubwibyo, ni ngombwa kuvugana na muganga wawe kugira ngo aguhe formula ikubereye.
Bigenda bite iyo ingano ya insuline yiyongereye?
Iyo ufashe insuline nyinshi, urugero rw'isukari mu maraso yawe rushobora kugabanuka mu buryo butunguranye ku buryo buteye ubwoba. Ibi byitwa hypoglycemia . Iyi ni indwara ikomeye ishobora gushyira ubuzima mu kaga.
Ni iki gitera kwiyongera kwa insuline?
| Ibimenyetso bisanzwe by'isukari nke mu maraso (Hypoglycemia) | |
|---|---|
| Guhangayika | Umutwe |
| Kuzungera | Isesemi |
| Umutima wihuta cyane | Guhinda umushyitsi |
| Uruhu rushyushye cyangwa rumeze nk'urubura | Inzara ikabije |
Icy'ingenzi ni uko ibi bimenyetso bishobora gutandukana bitewe n'umuntu ku wundi, bityo rero witondere uko umubiri wawe wiyumva.
Icyo wakora ako kanya niba isukari mu maraso yawe igabanutse
Uburyo bwonyine bwo kumenya neza niba isukari yawe iri hasi ni ugupima urwego rw'isukari yawe ako kanya ukoresheje glucometer.
1. Niba igipimo cy'isukari mu maraso yawe kiri munsi ya 70 mg/dL , fungura ikintu gifite isukari vuba bishoboka. Urugero, fungura ikinini cya glucose, kimwe cya kabiri cy'ikirahure cy'umutobe w'imbuto udafite isukari, cyangwa ikiyiko kimwe cy'ubuki. Ibi bizaguha garama 15 za karubohidrati zikora vuba.
2. Tegereza iminota 15.
3. Ongera usuzume urugero rw'isukari mu maraso yawe.
4. Niba ikiri hasi (irenga 70 mg/dL), ongera urye ikintu gifite isukari. Iyo isukari yawe imaze kugaruka ku rugero rwayo, ni byiza kurya utuntu duto (urugero: agace k'umugati).
Niba ibi bikunze kubaho, cyangwa bikagira ingaruka zikomeye ku buryo utakaza ubwenge, hita usaba umuntu kukujyana mu cyumba cy’ubuvuzi bwihutirwa (ETU) kiri hafi yawe.
Ese porogaramu zishobora gukoreshwa muri iki gikorwa?
Hari porogaramu nyinshi zivuga ko zigufasha kumenya igipimo cya insuline yawe kuri karubohidrati cyangwa kubara igipimo cya insuline yawe. Ariko ubushakashatsi bwakozwe mu 2015 bwagaragaje ko inyinshi muri zo zidakora neza. Ni akaga cyane. Iyo wahawe igipimo kitari cyo, bishobora no gushyira ubuzima mu kaga.
Kubwibyo, niba ugomba gukoresha porogaramu, koresha gusa porogaramu yizewe yatanzwe na muganga wawe cyangwa ivuriro ry’indwara ya diyabete.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.