Ukuze uqonde indima ye-basal kunye ne-bolus insulin, kubalulekile ukuba uqale uqonde indlela umzimba osebenzisa ngayo i-glucose kunye ne-insulin.
Xa ukutya kudliwa, kugqitywa kwaye kuguqulwa ibe yi-glucose (ushukela) ukuze isetyenziswe amandla. Cishe zonke iiseli zomzimba, kubandakanya ubuchopho bakho, kufuneka i-glucose isebenze ngokufanelekileyo. I-hormone insulin iyadingeka ukuba ithwale i-glucose kwiiseli kuzo zonke iindawo zomzimba ukuze isetyenziswe amandla.
Ezinye ze-glucose zigcinwe kwisibindi njengendawo yokugcina igesi (ebizwa ngokuba yi-glycogen) ekhutshwayo xa i-glucose ingatholakali ngokutya. Ngoko ke, phakathi kwe-glucose edla ngokutya kunye noko kukhishwa kancane kwimbindi, umzimba uhlala ufumana i-glucose. Oku kuthetha ukuba kukho imfuneko yokuhlala i-insulin emzimbeni ukugcina inani le-glucose lilingana.
Ekubeni i-glucose ephezulu iveliswa emva kokutya, i- pancreas ifihla i-insulin. Xa inani le-glucose linciphile, njengento phakathi kokutya okanye ebusuku, kukho i-insulin encinane efunekayo-kodwa kukho njalo ubuncinci inani le-insulin ekhona emzimbeni ngamaxesha onke.
Ukuchaza iBasal neBolus Insulin
I-basal insulin yi-insulin yangasese edlalwa ngama-pancreas kwaye ikhona iiyure ezingama-24 ngosuku, nokuba umntu angadli okanye akunjalo. I-bolus insulin ibhekisela kwixabiso elongezelelweyo le-insulin i-pancreas iya kuyenza ngokwenza i-glucose ethathwe ngokutya.
Umlinganiselo we-bolus insulin eveliswe kuxhomekeke kubukhulu besidlo.
Kumntu onesifo sikashukela se-1 , i-pancreas ayisenzi ngokuzenzekelayo yenza i-insulin kungakhathaliseki ukuthathwa kwe-glucose. Iiseli ze-beta ezivelisa i-insulin ziye zavalwa. Zomibini i-basal, okanye i-insulin yangasemva kwexesha elide, kunye ne-bolus, okanye ukuqhuma okukhawulezayo kwe-insulin efunekayo ngexesha lokudla, kufuneka kufumaneke nge-injections okanye ipompo ye-insulin ukuze kusebenze yonke i-glucose ethathwe ngokutya okanye ikhutshwe sisibindi .
Iintlobo zeBasal neBolus Insulins
Ama-insulin ase-long-acting ase-basal, afana ne-NPH, Levemir, kunye neLantus, aqala ukusebenza kwiiyure eziyi-1-2 kodwa akhululwa ngokukhawuleza ukuze ahlale kwiiyure ezingama-24, enikezela ukuba imvelaphi ye-insulin efunekayo ngekhefu .
I-insulin e-fast-acting bolus, efana neNovoLog, i-Apidra, i-Humalog, kunye neNqila, ngokubanzi iqalisa ukusebenza kwiminyaka emi-15. Ukwahlukana rhoqo, oluqala malunga nemizuzu engama-30. Ngayinye yalezi insulini ze-bolus zenzelwe ukuthathwa ngaphambi kokutya kwaye zibe neeyure ezingama-5 zeNovoLog, i-Apidra, ne-Humalog, kunye neeyure ezisixhenxe zoNyaka.
Oku kuthetha ukuba umntu onesifo sikashukela se-1 kufuneka athathe ii-injus ezininzi ze-insulin ye-bolus imihla ngemihla ukugubungela ukutya kunye nokutya, kunye ne-doal dose ukugcina imvelaphi ye-insulin.
I-Basal neBolus Insulin Iipompo ze-Insulin
Umntu osebenzisa ipompo ye-insulin uya kufumana iqondo eliphantsi elihlala liphantsi lokusebenzisa i-insulin ekwenzeni ngokukhawuleza okuza kubakho njenge-basal background insulin. Ngaphambi kokutya, umsebenzisi wepom uza kunika umthamo omkhulu we-insulin esebenza ngokukhawuleza ukugubha isidlo malunga nokudliwa. Oku kuyazanelisa zombini i-basal ne-bolus ifuna ukusebenzisa i-insulin efanayo yokusebenza ngokukhawuleza.
Ingaba ukujova ngesirinji okanye ukusebenzisa ipompo ye-insulin, i-dosing yangempela kunye nohlobo lwe-insulin (esetyenziswayo) luya kuthathwa ngumqeqeshi wezempilo.
Imithombo
- Insulin. Umbutho weSwekile waseMelika. Isikhokelo sikaThengi 2011. " Isifo sikashukela seSandulela , ngoJanuwari 2011, Vol, 64, No. 1.
- Hieronymus, LMSEd., APRN, BC-ADM, CDE, Geil, PMS, RD, CDE "Iintlobo ze-insulini." I-Diabetes Self-Management , 2009.
- Newton, C, MD. "Kutheni i-Basal-Bolus Therapy ye-Insulin ingaba yinto ekhethekileyo yohlobo lwe-2 lweswekile." Impilo yeSwekile , uNovemba 27, 2007.