Pofuna kumvetsetsa udindo wa basal ndi bolus insulini, nkofunika kumvetsetsa poyamba momwe thupi limagwiritsira ntchito shuga ndi insulini.
Pamene chakudya chidyedwa, chimadulidwa ndikusandulika kukhala shuga (shuga) kotero amatha kugwiritsa ntchito mphamvu. Pafupifupi selo iliyonse m'thupi, kuphatikizapo ubongo wanu, imafuna shuga kuti igwire bwino. Mahomoni a insulin amafunika kunyamula shuga kuti ikhale maselo m'magulu onse a thupi kuti agwiritsidwe ntchito mphamvu.
Zina mwa shugazi zimasungidwa m'chiwindi ngati mafuta otchedwa glycogen omwe amasulidwa pamene shuga sichipezeka kudzera mwa chakudya. Choncho, pakati pa shuga yomwe imagwiritsidwa ntchito kudzera mu zakudya komanso zomwe zimatuluka pachiwindi, thupi limakhala ndi shuga nthawi zonse. Izi zikutanthawuza kuti pakufunika kukhala ndi insulini nthawi zonse mu thupi kuti muyambe kuchuluka kwa shuga.
Popeza kuti shuga ambiri amapangidwa pambuyo pa kudya, mphukira imabweretsa insulini yambiri. Pamene kuchuluka kwa shuga kumakhala kochepa, monga pakati pa chakudya kapena usiku, pali insulini yosafunika - koma nthawi zonse imakhala ndi insulini yochepa m'thupi nthawi zonse.
Kutanthauzira Basal ndi Bolus Insulini
Kutsegula kwa insulini kumayambitsa matenda a insulin omwe amapezeka ndi mphukira ndipo amakhalapo maola 24 pa tsiku, kaya munthuyo amadya kapena ayi. Insulini ya Bolus imatanthawuza insulini yowonjezera kuti ziphuphu zikhoza kupanga moyenera chifukwa cha shuga yomwe imatengedwa kudzera mu chakudya.
Kuchuluka kwa bolus insulini yopangidwa kumadalira kukula kwa chakudya.
Mwa munthu yemwe ali ndi matenda a shuga a mtundu wa 1 , kapangidwe kameneka sikangopanganso insulini mosasamala kanthu koyambitsa shuga. Maselo a beta omwe amachititsa kuti insulini ikhale yotseka kwambiri. Zotsatira zonse za insulini, ndi insulini, kapena kutuluka kwa insulini mwamsanga pa nthawi ya chakudya, ziyenera kuperekedwa kudzera mu jekeseni kapena pampopu ya insulini kuti athe kupanga shuga lonse kudzera mu chakudya kapena kutulutsidwa ndi chiwindi .
Mitundu ya insalini ya Basal ndi Bolus
Ma insulini otenga nthawi yayitali, monga NPH, Levemir, ndi Lantus, ayamba kugwira ntchito maola 1-2 koma amamasulidwa pang'onopang'ono kotero kuti akhoza kutha kwa maola 24, kutulutsa insulini yomwe imakhala yofunika nthawi yonse .
Mavitamini amphamvu otchedwa insusin, monga NovoLog, Apidra, Humalog, ndi Kawirikawiri, amayamba kugwira ntchito mkati mwa mphindi khumi ndi zisanu. Chokhachokha ndichizolowezi, chomwe chimayambira pafupifupi 30 minutes. Mmodzi wa awa insulin amadzipangidwira kuti asadye chakudya ndipo amakhala ndi maola asanu a NovoLog, Apidra, ndi Humalog, ndi maola asanu ndi awiri.
Izi zikutanthauza kuti munthu yemwe ali ndi matenda a shuga a mtundu wa 1 ayenera kutenga majekeshoni ambiri a insulini ya bolus tsiku lililonse kuti aphimbe chakudya chawo ndi zakudya zopseketsa, komanso mlingo woyenera kuti asungunuke.
Basal ndi Bolus Insulini Ndi Mapupa a Insulini
Munthu amene amagwiritsa ntchito mpweya wa insulini amatha kulandira mlingo wochepa wa insulin yomwe imakhala ngati insulin. Asanayambe kudya, woperekera pape angapereke mlingo wochuluka wa insulini yogwira mwamsanga kuti adye chakudya choyenera kudya. Izi zimakhutiritsa zonsezi komanso zofunikira zomwe zimagwiritsa ntchito insulin yofulumira.
Kaya jekeseni ndi syringe kapena kugwiritsa ntchito insulini mpweya, mankhwala enieni a insulini (s) omwe amagwiritsidwa ntchito adzadziwitsidwa ndi katswiri wa zamankhwala.
Zotsatira
- Insulini. Association of American Diabetes Association. "Bukhu la Okhuta 2011." Matenda a shuga , January 2011, Vol, 64, No. 1.
- Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Mitundu ya insulini." Kudziletsa Kwambiri , 2009.
- Newton, C, MD. "Chifukwa Chake Chithandizo cha Basal-Bolus Chithandizo Chokhala ndi Insulini Chikhoza Kukhala Chosankha Chachikulu cha mtundu wa shuga 2." Matenda a shuga , November 27, 2007.