He aha ka Insulin Glargine: Nā Hoʻohana, Ka Leka, Nā Hopena ʻAoʻao a me nā mea hou aku

ʻO ka insulin glargine he insulin lōʻihi e kōkua ana i ka poʻe me ka maʻi diabetes e mālama i ko lākou pae kōpaʻa koko i ka lā a me ka pō. He mana synthetic ia o ka insulin kanaka i hoʻolālā kūikawā ʻia e hana mālie a paʻa i loko o kou kino a hiki i 24 mau hola.

Hoʻohālike kēia lāʻau i ka insulin hope e hana maʻamau ai ka pancreas olakino. E noʻonoʻo iā ia ma ke ʻano he hoa paʻa o kou kino, e hana mālie ana ma hope o nā hiʻohiʻona e mālama i kou kōpaʻa koko i ke kūpaʻa ma waena o nā meaʻai a me ka wā e hiamoe ai ʻoe.

He aha ka Insulin Glargine?

ʻO ka insulin glargine he insulin i hana ʻia e ke kanaka e like loa me ka insulin e hana maoli ai kou kino. No ka pūʻulu i kapa ʻia he insulin lōʻihi a i ʻole basal, ʻo ia hoʻi e hāʻawi ana i ka hoʻokuʻu paʻa a mau o ka insulin i nā hola he nui.

ʻO ka ʻāpana

He mea kōkua nui kēia lāʻau lapaʻau no ka poʻe i loaʻa i nā kiʻekiʻe o ke kō koko i ke kakahiaka a i ʻole ka poʻe e pono ai ke kāohi mau i ke kō koko i ka lā a pau. Hiki ke hoʻohana ʻia i ka wā hāpai ke lilo ka mālama ʻana i ke kō koko i mea paʻakikī.

Pehea e hana ai ka Insulin Glargine?

Hana ʻo Insulin glargine ma ka hoʻokuʻu mālie ʻana i ka insulin i loko o kou kahe koko ma kahi o 24 mau hola. Ke hoʻokomo ʻia ma lalo o kou ʻili, hana ia i nā waihona liʻiliʻi e hoʻoheheʻe mālie, e hāʻawi ana i kahi kahawai paʻa o ka insulin.

Kōkua kēia insulin i nā cell o kou kino e komo i ka glucose mai kou koko, a lākou e hoʻohana ai no ka ikehu. Hōʻailona pū ia i kou ate e hooki i ka hana ʻana i ka glucose nui, e kōkua ana i ka mālama ʻana i kou pae kō koko i ke olakino.

Ua manaʻo ʻia ka lāʻau lapaʻau he insulin ikaika waena e hāʻawi ana i nā hopena hilinaʻi a hiki ke wānana. Ua hoʻolālā ʻia e hana me ka ʻole o ka hoʻoulu ʻana i nā piʻi nui a i ʻole nā ​​hōʻemi i nā pae insulin, e maʻalahi ai i kou kino ke mālama i ka mana o ke kō koko.

Pehea wau e lawe ai i ka Insulin Glargine?

Hāʻawi ʻia ʻo Insulin glargine ma ke ʻano he subcutaneous injection, ʻo ia hoʻi, ua hoʻokomo ʻia ma lalo o ka ʻili me ka hoʻohana ʻana i kahi nila liʻiliʻi. Hoʻokomo ka hapa nui o nā kānaka i hoʻokahi manawa i ka lā i ka manawa like i kēlā me kēia lā, akā pono paha kekahi i ʻelua manawa i ka lā e pili ana i ka ʻōlelo a ke kauka.

Hiki iā ʻoe ke hoʻokomo i ka insulin glargine i kēlā me kēia manawa o ka lā, akā he mea nui ka hoʻomau. E koho i kahi manawa e hana me kāu papa hana a paʻa iā ia. Nui ka poʻe i ʻike i ka manawa moe he mea kūpono, a ʻo nā mea ʻē aʻe e makemake i nā injections kakahiaka.

Hiki ke hāʻawi ʻia ka injection i nā wahi like ʻole o kou kino, me kou ʻūhā, ka lima luna, a i ʻole ka ʻōpū. He mea nui e hoʻololi i nā wahi injection e pale ai i nā pilikia o ka ʻili a hōʻoia i ka komo pono ʻana o ka insulin.

ʻAʻole like me kekahi mau lāʻau lapaʻau, ʻaʻole pono e lawe ʻia ka insulin glargine me ka meaʻai. Eia naʻe, ʻo ka mālama ʻana i nā manawa ʻai maʻamau e kōkua i kāu hoʻolālā hoʻokele maʻi maʻi maʻi e hana ʻoi aku ka maikaʻi.

Pehea ka lōʻihi e lawe ai au i ka Insulin Glargine?

Pono ka hapa nui o nā kānaka me ka maʻi diabetes type 1 i ka insulin glargine no ke ola, no ka mea, ʻaʻole hiki i ko lākou kino ke hana i ka insulin maoli. ʻAʻole kēia he mea e hopohopo ai – ke pani wale nei ia i ka mea e pono ai kou kino e hana pono.

No ka poʻe me ka maʻi diabetes type 2, ʻokoʻa ka lōʻihi e pili ana i nā kūlana pilikino. Pono paha kekahi i ka manawa pōkole i ka wā maʻi a i ʻole ke kaumaha, aʻo nā mea ʻē aʻe e pono paha i ka wā lōʻihi i ka wā e holomua ai ko lākou maʻi.

E nānā mau kāu kauka i kou pae kōpaʻa koko a me ke olakino holoʻokoʻa e hoʻoholo inā he koho kūpono ka insulin glargine iā ʻoe. Hiki i nā loli i ke kaumaha, ke ʻano o ke ola, a i ʻole nā ​​maʻi olakino ʻē aʻe ke hoʻopilikia i ka lōʻihi o kou pono i kēia lāʻau.

Mai hooki koke i ka lawe ʻana i ka insulin glargine me ka ʻole e kūkākūkā me kāu mea mālama ola. ʻO ka hooki ʻana i ka hikiwawe hiki ke alakaʻi i nā pae kōpaʻa koko kiʻekiʻe loa e pono ai ka lāʻau lapaʻau koke.

He aha nā hopena ʻaoʻao o ka Insulin Glargine?

E like me nā lāʻau lapaʻau a pau, hiki i ka insulin glargine ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe i ʻike i nā pilikia liʻiliʻi a ʻaʻole paha. ʻO ka hoʻomaopopo ʻana i ka mea e nānā ai e kōkua iā ʻoe e hoʻohana i kēia lāʻau lapaʻau me ka palekana a me ka maikaʻi.

ʻO ka hopena ʻaoʻao maʻamau he haʻahaʻa ke kōpaʻa koko (hypoglycemia), hiki ke hoʻoluliluli, hou, huikau, a i ʻole pōloli ʻole. Hana maʻamau kēia i ka wā ʻaʻole i kūlike nā pae insulin me kāu ʻai ʻana a i ʻole ka pae hana.

Nā hopena ʻaoʻao maʻamau

He maʻalahi kēia mau hopena ʻaoʻao a pinepine e hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino i ka lāʻau:

• Nā hopena ʻili maʻalahi ma nā wahi injection, e like me ka ʻulaʻula, ka pehu, a i ʻole ka ʻū
• Ka loaʻa ʻana o ke kaumaha, he mea maʻamau me ka hapa nui o nā lāʻau lapaʻau insulin
• Nā poʻo, ʻoi loa i ka hoʻomaka ʻana i ka lāʻau lapaʻau
• Nā maʻi o ka ʻōpū hanu luna e like me nā hōʻailona anu maʻalahi
• Nā loli manawa i ka ʻike i ka wā e paʻa ai nā pae kōpaʻa koko

ʻO ka hapa nui o nā hopena ma kahi o ka puka ʻana o ka lāʻau, he mea manawa wale nō a e pau ana i loko o kekahi mau lā. ʻO ka hoʻololi ʻana i nā wahi e puka ai ka lāʻau a me ka hoʻohana ʻana i nā ʻenehana kūpono e kōkua i ka hōʻemi ʻana i kēia mau pilikia.

Nā hopena ʻino loa

ʻOiai ʻaʻole maʻamau, pono kēia mau hopena ʻino i ka mālama olakino koke:

• Ka haʻahaʻa nui o ke kō i loko o ke koko e hoʻopilikia ai, nā ʻāʻī, a i ʻole ka nalowale o ka ʻike
• Nā hopena maʻi maʻi nui me ka pilikia o ka hanu ʻana, ka pehu ʻana, a i ʻole ka ʻōpala nui
• Ka pehu nui ʻana i nā lima, nā wāwae, a i ʻole nā kuʻekuʻe wāwae
• Nā loli mau i ka ʻili a i ʻole nā puʻupuʻu ma nā wahi e puka ai ka lāʻau
• ʻO ka ʻeha ʻiʻo a i ʻole ka nāwaliwali

Inā loaʻa iā ʻoe kekahi o kēia mau hopena ʻino loa, e hoʻokaʻaʻike koke i kāu mea mālama ola a i ʻole e ʻimi i ka mālama olakino pilikia.

Nā hopena ʻino ʻole

Hiki i kekahi poʻe ke loaʻa nā hopena maʻamau ʻole e pono ke ʻike ʻia:

• Lipodystrophy – nā loli i ka ʻiʻo momona ma lalo o ka ʻili ma nā wahi e puka ai ka lāʻau
• Ka pale ʻana i ka insulin nui e koi ana i nā mea nui loa
• Nā loli i manaʻo ʻole ʻia i nā pae potassium koko
• ʻO ka luhi a i ʻole ka nāwaliwali ʻole e pili ana i nā pae kō i loko o ke koko
• ʻO ka nausea mau a i ʻole nā pilikia digestive

ʻAʻole hiki kēia mau hopena ʻino ʻole i ka hapa nui o nā kānaka, akā he mea nui e kūkākūkā i nā hōʻailona maʻamau ʻole me kāu mea mālama ola.

ʻO wai ka mea pono ʻole e lawe i ka Insulin Glargine?

He palekana ka insulin glargine no ka hapa nui o nā kānaka me ka maʻi diabetes, akā hiki i kekahi mau kūlana a i ʻole nā kūlana ke hana i mea kūpono ʻole a i ʻole e koi i nā hana kūikawā.

ʻAʻole pono ʻoe e hoʻohana i ka insulin glargine inā loaʻa iā ʻoe ka haʻahaʻa o ke kō i loko o ke koko a i ʻole inā loaʻa iā ʻoe kahi maʻi i ʻike ʻia i ka insulin glargine a i ʻole kekahi o kāna meaʻai. E kōkua kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau no kāu kūlana.

Nā Kūlana Lapaʻau e koi ana i ka akahele

ʻAʻole pono kēia mau maʻi e pale iā ʻoe mai ka hoʻohana ʻana i ka insulin glargine, akā pono lākou i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka lāʻau:

• Maʻi kīkī, hiki ke hoʻopilikia i ke ʻano o kou kino e hana ai i ka insulin
• Maʻi ate, no ka mea, he kuleana nui ka ate i ka metabolism glucose
• Maʻi puʻuwai, ʻoi aku ka nui inā pilikia ʻoe i ka wai
• Nā maʻi thyroid, hiki ke hoʻopilikia i ka mana o ke kō koko
• Nā maʻi ʻai, hiki ke paʻakikī i ka mālama ʻana i ke kō koko

E hana pū kāu mea mālama ola me ʻoe e mālama pono i kēia mau maʻi i ka wā e hoʻohana ana i ka insulin glargine.

Nā heluna kanaka kūikawā

Pono kekahi mau pūʻulu o nā kānaka i ka noʻonoʻo hou aʻe i ka wā e hoʻohana ai i ka insulin glargine:

• Pono nā wahine hāpai e kūkākūkā i nā koho insulin me kā lākou mea mālama ola
• Pono paha nā mākua ʻelemakule i ka hoʻoponopono ʻana i ka lāʻau ma muli o nā loli i ka hana kīkī
• Pono nā keiki i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka lāʻau kūpono i ka makahiki
• Pono paha nā kānaka me nā hanana pinepine o ke kō koko haʻahaʻa i nā lāʻau lapaʻau ʻē aʻe

ʻAʻole ia manaʻo e hiki ʻole iā ʻoe ke hoʻohana i ka insulin glargine, akā pono lākou i ke alakaʻi lapaʻau kūikawā e hōʻoia i ka palekana a me ka mālama pono ʻana.

Nā inoa inoa o ka Insulin Glargine

Loaʻa ka insulin glargine ma lalo o nā inoa inoa like ʻole, me kēlā me kēia e hāʻawi ana i ka mea hana like akā ʻokoʻa paha nā mea hana hoʻouna a i ʻole nā ​​mea hoʻohui.

ʻO nā inoa inoa maʻamau ʻo Lantus, Basaglar, Toujeo, a me Semglee. Hiki i kēlā me kēia brand ke hele mai i nā mea hana peni like ʻole a i ʻole nā ​​ʻano vial, akā loaʻa iā lākou nā ʻano insulin lōʻihi like.

ʻO Toujeo kahi mana ʻoi aku ka nui o ka insulin glargine, aia i loko o 300 mau ʻāpana no ka milliliter i hoʻohālikelike ʻia me ka maʻamau 100 mau ʻāpana no ka milliliter i nā ʻano ʻē aʻe. Hiki i kēia ʻano kiʻekiʻe ke kōkua i nā kānaka e pono ai i nā lāʻau insulin nui.

Hiki i kāu lāʻau lapaʻau ke pani i kekahi inoa no kekahi mea ʻē aʻe ke ʻole e kuhikuhi kāu kauka i kekahi mea ʻē aʻe. ʻOiai he like ka insulin, ʻokoʻa paha nā mea hana hoʻouna, no laila e hōʻoia ʻoe e ʻike pehea e hoʻohana ai i kāu peni a i ʻole ʻōnaehana injection.

Nā koho ʻē aʻe o Insulin Glargine

Nui nā insulin hana lōʻihi ʻē aʻe e hiki ke lilo i koho ʻē aʻe i ka insulin glargine, me nā ʻano like ʻole a me nā pōmaikaʻi. Hiki i kāu kauka ke kōkua iā ʻoe e koho i ke koho maikaʻi loa e pili ana i kāu pono a me kou nohona.

ʻO Insulin detemir (Levemir) kekahi insulin hana lōʻihi e mau ana ma waena o 12-24 mau hola. Manaʻo kekahi poʻe e hoʻonui liʻiliʻi ke kaumaha ma mua o ka insulin glargine, akā pono paha e hoʻokomo ʻia i ʻelua manawa i ka lā.

ʻO Insulin degludec (Tresiba) kahi insulin hana lōʻihi loa e hiki ke mau a hiki i 42 mau hola. Hāʻawi kēia lōʻihi i ka maʻalahi i ka manawa injection, a ʻike kekahi poʻe he ʻoi aku ka maʻalahi.

No ka poʻe me ka maʻi diabetes type 2, ʻo nā koho ʻē aʻe ʻaʻole insulin e komo pū ana i nā mea hoʻokipa GLP-1, nā mea hoʻopaʻa SGLT-2, a i ʻole nā lāʻau lapaʻau waha ʻē aʻe. Hana ʻokoʻa kēia mau koho ma mua o ka insulin akā hiki ke maikaʻi no ka mālama ʻana i ke kō koko i kekahi mau kūlana.

ʻOi aku ka maikaʻi o ka Insulin Glargine ma mua o ka Insulin NPH?

Hāʻawi ka insulin glargine i nā mea maikaʻi he nui ma luna o ka insulin NPH, kahi insulin hana lōʻihi kahiko i hoʻohana ʻia i kēia lā. Pili nā ʻokoʻa nui i ka maopopo a me ka maʻalahi o ka hana ʻana o kēlā me kēia insulin i kou kino.

Hāʻawi ka insulin glargine i kahi hoʻokuʻu paʻa a paʻa o ka insulin me ka ʻole o nā piko i ʻōlelo ʻia e hiki ke loaʻa i ka insulin NPH. ʻO kēia hana maʻalahi e hopena pinepine i ka mālama ʻana i ke kō koko a me nā hanana liʻiliʻi o ke kō koko haʻahaʻa, ʻoiai i ka pō.

Pono ka insulin NPH i nā injections ʻelua i ka lā a pono e hui ʻia ma mua o kēlā me kēia hoʻohana, ʻoiai e hāʻawi ʻia ka insulin glargine i hoʻokahi manawa i ka lā a mākaukau e hoʻohana. Hiki i kēia maʻalahi ke maʻalahi ke pili i kāu hoʻolālā lapaʻau.

Akā, ʻoi aku ka liʻiliʻi o ka insulin NPH ma mua o ka insulin glargine, he mea nui paha ia no kekahi poʻe. Hiki i kāu mea mālama ola ke kōkua iā ʻoe e loiloi i nā pōmaikaʻi a me nā kumukūʻai e hoʻoholo ai i ka koho maikaʻi loa no kou kūlana.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i ka Insulin Glargine

He palekana anei ka Insulin Glargine no ka maʻi kīkī?

Hiki ke hoʻohana palekana ʻia ka insulin glargine i ka poʻe me ka maʻi kīkī, akā pono ia i ka nānā pono ʻana a me ka hoʻoponopono ʻana i ka dosage. Kōkua kou mau kīkī i ka wehe ʻana i ka insulin mai kou kino, no laila ke hana ʻole lākou, hiki i ka insulin ke noho lōʻihi i loko o kāu ʻōnaehana.

Pono paha ka poʻe me ka maʻi kīkī i nā haʻahaʻa haʻahaʻa o ka insulin glargine e pale ai i ke kō koko haʻahaʻa. E nānā kāu kauka i kāu hana kīkī a me nā pae kō koko e ʻike ai i ka dosage kūpono no ʻoe.

Inā loaʻa iā ʻoe ka maʻi kīkī, he mea nui loa e nānā i kou kō koko i kēlā me kēia manawa a nānā i nā hōʻailona o ke kō koko haʻahaʻa. E hāʻawi kāu hui mālama ola i ke alakaʻi kikoʻī e pili ana i ke kahua o kāu maʻi kīkī.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Insulin Glargine?

Inā ʻoe e hoʻokomo hewa i ka nui o ka insulin glargine, ʻo ka hopohopo nui ʻo ke kō koko haʻahaʻa, hiki ke ulu i nā hola he nui mai ka mea he insulin lōʻihi kēia. Mai hopohopo – aia nā ʻanuʻu hiki iā ʻoe ke hana e noho palekana.

ʻO ka mea mua, e nānā i kou kō koko i kēia manawa a i kēlā me kēia 15-30 mau minuke no nā hola e hiki mai ana. E ʻai i kekahi mea i loaʻa nā carbohydrates i kēia manawa, ʻoiai inā maʻamau kou kō koko, no ka mea e hoʻomau ka hana ʻana o ka insulin keu.

E hoʻokaʻaʻike i kāu mea mālama ola a i ʻole ka mea hoʻonaʻauao maʻi diabetes i kēia manawa e haʻi iā lākou i ka mea i hana ʻia. Hiki iā lākou ke hāʻawi i ke alakaʻi kikoʻī e pili ana i ka nui o ka insulin keu āu i lawe ai a me kou pae kō koko i kēia manawa.

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o ke kōpaʻa koko haʻahaʻa e like me ka huikau, nā hopu ʻana, a i ʻole ka nalowale o ka ʻike, pono e kāhea kekahi i nā lawelawe pilikia koke. E mālama i ka glucagon inā ua kauoha kāu kauka iā ia no nā pilikia.

He aha kaʻu e hana ai inā ua hala wau i kahi mahele o ka Insulin Glargine?

Inā ua hala ʻoe i kāu mahele insulin glargine, e lawe koke iā ia ke hoʻomanaʻo ʻoe, akā mai pāpālua i ka mahele. Aia ke ʻano o ka manawa i ka manawa āu e lawe ai i kāu insulin a me ka lōʻihi o ka hala ʻana.

Inā hoʻomanaʻo ʻoe i loko o kekahi mau hola o kou manawa maʻamau, e lawe i ka mahele i hala a hoʻomau me kāu papa manawa maʻamau i ka lā aʻe. Inā ua hala ma mua o 12 mau hola, e hoʻokaʻaʻike i kāu mea mālama ola no ke alakaʻi.

Hiki i ka hala ʻana i kahi mahele ke hoʻonui i kou kōpaʻa koko, no laila e nānā pinepine i kāu pae a nānā i nā hōʻailona e like me ka makewai nui, ka mimi pinepine, a i ʻole ka luhi. Hiki i kāu kauka ke ʻōlelo e nānā i nā ketones inā kiʻekiʻe loa kou kōpaʻa koko.

No ka pale ʻana i ka hala ʻana i nā mahele, e hoʻāʻo e hoʻonohonoho i kahi alarm i kēlā me kēia lā a i ʻole e hoʻohana i kahi polokalamu hoʻomanaʻo lāʻau. ʻO ka mālama ʻana i kāu insulin ma kahi i ʻike ʻia hiki ke kōkua iā ʻoe e hoʻomanaʻo i kāu injection i kēlā me kēia lā.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Insulin Glargine?

Aia ka hoʻoholo e hooki i ka insulin glargine i kāu ʻano maʻi diabetes a me nā kūlana pilikino. Pono ka poʻe me ka maʻi diabetes type 1 i ka insulin no ke ola, no ka mea, ʻaʻole hiki i ko lākou kino ke hana i ka insulin maoli.

No ka poʻe me ka maʻi diabetes type 2, hiki ke hooki i ka insulin glargine inā hoʻomaikaʻi ka mana o ke kōpaʻa koko ma o ka lilo ʻana o ke kaumaha, nā loli ʻai, ka hoʻonui ʻana i ka hana kino, a i ʻole nā lāʻau lapaʻau ʻē aʻe. Eia naʻe, pono e hana mau ʻia kēia hoʻoholo me kāu mea mālama ola.

Pono paha kekahi poʻe e hooki i ka insulin glargine no ka manawa i ka wā maʻi, ke ʻoki, a i ʻole nā kaʻina hana lapaʻau ʻē aʻe. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī no kēia mau kūlana a kōkua iā ʻoe e hoʻomaka hou me ka palekana ke kūpono.

Mai hooki i ka lawe ʻana i ka insulin glargine ma kou iho, ʻoiai inā manaʻo ʻoe ua maikaʻi a i ʻole he mea maikaʻi ke kōpaʻa koko. Hiki i ka hooki ʻana i ka lāʻau lapaʻau ke alakaʻi i nā pae kōpaʻa koko kiʻekiʻe loa e pono ai ka mālama olakino koke.

Hiki iaʻu ke hele me ka Insulin Glargine?

ʻAe, hiki iā ʻoe ke hele me ka insulin glargine, akā pono e hoʻolālā e hōʻoia i ka maikaʻi o kāu lāʻau lapaʻau a loaʻa iā ʻoe ka lako kūpono no kāu huakaʻi. ʻAʻole pono e waiho ʻia ka insulin i nā wela nui a i ʻole nā ukana i nānā ʻia.

E lawe mau i kāu insulin i loko o kāu ʻeke lawe lima i ka wā e lele ana, me kahi palapala kauoha a i ʻole ka memo a ke kauka e wehewehe ana i kou pono no ka lāʻau lapaʻau a me nā lako. E lawe mai i ka insulin keu inā loaʻa nā lohi a i ʻole nā ukana i nalowale.

E mālama i ka insulin i ka wela o ka lumi i ka wā e hele ai a pale i ka waiho ʻana i nā kaʻa wela a i ʻole ka lā pololei. Inā ʻoe e hele ana ma nā ʻāpana manawa, e hana pū me kāu mea mālama ola e hoʻoponopono i kāu papa hana injection.

E noʻonoʻo e kiʻi i kahi leka mai kāu kauka e wehewehe ana i kou kūlana a me nā pono lāʻau lapaʻau. Hiki ke kōkua kēia i ka wā e hele ai i ka palekana a i ʻole inā pono ʻoe i ka mālama olakino i ka wā e hele ai.