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

ʻO ka insulin glargine he insulin hana 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. Hana mālie a paʻa kēia insulin synthetic i loko o kou kino, e hāʻawi ana i kahi kumu paʻa o ka insulin a hiki i 24 mau hola ma hope o ka injection.

E noʻonoʻo i ka insulin glargine ma ke ʻano he kākoʻo insulin o kou kino. ʻOiai e hoʻokuʻu maʻamau ana kou pancreas i ka insulin i nā manawa a pau, pono ka poʻe me ka maʻi diabetes i kēia lāʻau e hoʻopiha i kēlā āpau a mālama i ke kōpaʻa koko i waena o nā meaʻai a me ka wā e hiamoe ai.

He aha ka Insulin Glargine?

ʻO ka insulin glargine he mana hana kanaka o ka insulin kanaka i hoʻololi ʻia e hana lōʻihi i loko o kou kino. Ua kapa ʻia ʻo ia he

No nā kānaka me ka maʻi diabetes Type 1, he kumu koʻikoʻi ka insulin glargine i kā lākou lapaʻau insulin. No ka mea ʻaʻole hana ko lākou pancreas i ka insulin a i ʻole he liʻiliʻi wale nō, pono lākou i kēia insulin hana lōʻihi e uhi i kā lākou pono metabolic maʻamau i ka lā.

Hiki i nā kānaka me ka maʻi diabetes Type 2 ke hoʻohana i ka insulin glargine ke ʻaʻole e mālama nā lāʻau lapaʻau ʻē aʻe e like me ka metformin a i ʻole sulfonylureas i ko lākou kōpaʻa koko i kahi pae olakino. ʻO ia ka insulin mua i kauoha ʻia no ka mea e hāʻawi ʻia hoʻokahi a ʻelua paha manawa i ka lā a he haʻahaʻa ka pilikia o ka hoʻohaʻahaʻa ʻana i ke kōpaʻa koko i hoʻohālikelike ʻia me kekahi mau insulin ʻē aʻe.

Hiki nō hoʻi i kāu kauka ke kauoha i ka insulin glargine inā loaʻa iā ʻoe ka maʻi diabetes gestational ʻaʻole hiki ke mālama ʻia me ka ʻai a me ka hoʻoikaika kino wale nō. Eia naʻe, ʻaʻole maʻamau kēia a pono e nānā pono i ka wā o ka hāpai ʻana.

Pehea e Hana ai ka Insulin Glargine?

Hana ka insulin glargine ma ka hoʻohālike ʻana i ka hana insulin maoli o kou kino. Ke hoʻokomo ʻoe iā ia ma lalo o kou ʻili, hana ia i nā kristal liʻiliʻi e hoʻoheheʻe mālie a hoʻokuʻu i ka insulin me ka paʻa i loko o 20-24 mau hola.

Ua manaʻo ʻia kēia lāʻau he insulin ikaika a maikaʻi e hāʻawi ana i ka mana kōpaʻa koko hilinaʻi. ʻO ka hoʻokuʻu mālie a paʻa e kōkua i kāu mau cell e komo i ka glucose mai kou kahe koko i ka lā, e pale ana i nā piʻi kōpaʻa koko weliweli.

ʻAʻole like me kāu pancreas, e hoʻoponopono ana i ka hana insulin e pili ana i kāu pono koke, hāʻawi ka insulin glargine i kahi pae paʻa o ka insulin. ʻO ia ke kumu e pono ai ʻoe i ka insulin hana wikiwiki me nā meaʻai inā ʻoe e hoʻohana ana i ka insulin glargine ma ke ʻano he insulin basal.

Hana ka lāʻau lapaʻau ma ka hoʻopaʻa ʻana i nā mea hoʻokipa insulin ma kāu mau cell, e wehe ana iā lākou i hiki ke komo ka glucose a hoʻohana ʻia no ka ikehu. Me ka lawa ʻole o ka insulin, kūkulu ka glucose i loko o kou koko, e alakaʻi ana i nā hōʻailona a me nā pilikia o ka maʻi diabetes.

Pehea wau e lawe ai i ka Insulin Glargine?

Hāʻawi ʻia ka insulin glargine ma ke ʻano he injection subcutaneous, ʻo ia hoʻi, e hoʻokomo ʻoe iā ia i loko o ka ʻiʻo momona ma lalo pono o kou ʻili. 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 nā ʻōlelo aʻoaʻo a kā lākou kauka.

Hiki iā ʻoe ke hoʻokomo i ka insulin glargine i kēlā me kēia manawa o ka lā, akā he mea nui ka kūlike. ʻIke ka nui o nā kānaka i ka manawa moe he mea kūpono no ka mea hana ka lāʻau i ka pō e pale ai i ka piʻi ʻana o ke kō i ke kakahiaka. E koho i kahi manawa e hana ana me kāu papa hana a paʻa iā ia.

ʻO nā wahi injection maʻamau loa ʻo kou ʻūhā, ka lima luna, a i ʻole ka ʻōpū. E hoʻololi ma waena o nā wahi like ʻole e pale ai i ka ulu ʻana o nā puʻupuʻu a i ʻole nā ​​hoʻololi ʻili. E hōʻike kāu mea mālama ola iā ʻoe i ke ʻano o ka injection kūpono a kōkua iā ʻoe e koho i nā wahi maikaʻi loa no kou kino.

Hiki iā ʻoe ke lawe i ka insulin glargine me ka ʻole o ka meaʻai no ka mea ua hoʻolālā ʻia e hana kūʻokoʻa i nā meaʻai. Eia naʻe, ʻaʻole pono ʻoe e hui pū me nā insulins ʻē aʻe i loko o ka syringe hoʻokahi, no ka mea hiki i kēia ke hoʻololi i ke ʻano o kāna hana.

E mālama i ka insulin glargine i wehe ʻole ʻia i loko o ka pahu hau, akā ke hoʻomaka ʻoe e hoʻohana i kahi vial a i ʻole peni, hiki iā ʻoe ke mālama iā ia i ka lumi wela no ka 28 mau lā. Mai hoʻokuʻu i ka insulin a i ʻole e waiho i loko o nā kaʻa wela, no ka mea, hiki i nā wela nui ke hoʻemi i ka maikaʻi.

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

Pono ka hapa nui o ka poʻe me ka maʻi diabetes e lawe i ka insulin glargine no ke koena o ko lākou ola, no ka mea, ke mālama nei ia i kahi maʻi maʻi ʻaʻole e hele. Eia naʻe, pili ka lōʻihi pololei i kāu ʻano maʻi diabetes a me ke kūlana olakino holoʻokoʻa.

Inā loaʻa iā ʻoe ka maʻi diabetes Type 1, pono paha ʻoe i ka insulin glargine no ka manawa pau ʻole no ka mea ʻaʻole hiki i kāu pancreas ke hana i ka insulin. Lilo kēia lāʻau i ʻāpana o kāu hana maʻamau i kēlā me kēia lā, e like me ka palaki ʻana i kou mau niho a i ʻole ka lawe ʻana i nā huaora.

No ke ʻano maʻi kō 2, hiki ke loli ka manawa. Pono paha kekahi poʻe i ka manawa no ka wā o ke kaumaha, ka maʻi, a i ʻole ke hana ʻole nā lāʻau lapaʻau ʻē aʻe. Pono paha kekahi poʻe i ka wā lōʻihi i ka wā e holomua ai ko lākou maʻi i ka manawa.

E nānā mau kāu kauka i nā pae kō i loko o kou koko a me ke olakino holoʻokoʻa e hoʻoholo ai inā ʻo ka insulin glargine ke koho kūpono iā ʻoe. I kekahi manawa, hiki iā lākou ke hoʻoponopono i kāu mahele a i ʻole e hoʻololi i kahi insulin ʻē aʻe ma muli o ka maikaʻi o kou pane ʻana i ka lāʻau lapaʻau.

Mai hooki koke i ka lawe ʻana i ka insulin glargine me ka ʻole e kamaʻilio mua me kāu mea mālama ola. Hiki i ka hooki koke ʻana ke hoʻoulu i nā pae kō i loko o ke koko kiʻekiʻe loa e hiki ke alakaʻi i nā pilikia koʻikoʻi.

He aha nā hopena ʻaoʻao o ka Insulin Glargine?

ʻO ka hopena ʻaoʻao maʻamau o ka insulin glargine he haʻahaʻa ke kō i loko o ke koko (hypoglycemia), hiki ke hana inā ʻoe e lawe i ka insulin nui loa, e lele i nā meaʻai, a i ʻole e hoʻoikaika kino ma mua o ka maʻamau. ʻO nā hōʻailona e pili ana i ka haʻalulu, ka hou, ka huikau, a me ka puʻuwai wikiwiki.

Nui ka poʻe e ʻike i nā hopena maʻalahi ma nā wahi injection, a maʻa mau lākou e hoʻomaikaʻi me ka manawa e hoʻoponopono ai kou kino i ka lāʻau.

• ʻUlaʻula, pehu, a i ʻole ka ʻūhā kahi āu e hoʻokomo ai
• Nā puʻupuʻu liʻiliʻi ma lalo o ka ʻili (lipodystrophy)
• ʻO ka ʻeha a i ʻole ka palupalu ma nā wahi injection
• ʻO ka loaʻa ʻana o ke kaumaha liʻiliʻi i ka wā e hoʻomaka ai kou kino e hoʻohana i ka glucose me ka maikaʻi

ʻAʻole pilikia kēia mau hopena kūloko a pinepine e mae i loko o kekahi mau pule o ka hoʻomaka ʻana i ka lāʻau.

Hiki ke hana i nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, ʻoiai he mea maʻamau lākou ke hoʻohana pono ʻia ka insulin glargine.

• Nā hopena maʻi maʻi koʻikoʻi me ka ʻūhū, ka pilikia o ka hanu ʻana, a i ʻole ka pehu
• Ka loaʻa ʻana o ke kaumaha nui a i ʻole ka paʻa wai
• Nā loli ʻike, ʻoiai ke hoʻomaka ʻana i ka lāʻau
• ʻO ka nāwaliwali o ka ʻiʻo a i ʻole ka luhi ʻaʻole e hoʻomaikaʻi

Inā loaʻa iā ʻoe kekahi o kēia mau hopena koʻikoʻi, e kelepona koke i kāu mea mālama ola.

Hopohopo kekahi poʻe e pili ana i nā hopena lōʻihi, akā ua hoʻohana palekana ʻia ka insulin glargine no nā makahiki he nui. ʻOi aku ka maikaʻi o ka mālama ʻana i ke kō koko ma mua o nā pilikia o nā hopena ʻaoʻao no ka hapa nui o ka poʻe me ka maʻi diabetes.

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

He kakaikahi loa ka poʻe hiki ʻole ke lawe i ka insulin glargine, akā pono kekahi mau kūlana i ka mālama nui a i ʻole nā hoʻoponopono dosage. E loiloi pono kāu kauka inā kūpono kēia lāʻau lapaʻau no kou olakino.

Pono paha ka poʻe me ka maʻi kīkī a i ʻole ka maʻi ate i nā ʻano like ʻole no ka mea e kōkua kēia mau ʻōkana i ka hana ʻana i ka insulin. E nānā pono kāu mea mālama ola iā ʻoe a hiki ke hoʻomaka me nā mea haʻahaʻa e ʻike pehea e pane ai kou kino.

Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, hiki ke hoʻohana ʻia ka insulin glargine, akā makemake kāu kauka e nānā pono iā ʻoe. Hoʻololi ka hāpai ʻana i ke ʻano o kou kino e hoʻohana ai i ka insulin, no laila pono paha kāu dosage i nā hoʻoponopono pinepine.

Pono ʻoe e pale i ka insulin glargine inā loaʻa iā ʻoe ka diabetic ketoacidosis (DKA), kahi pilikia koʻikoʻi kahi e lilo ai kou koko i mea acidic loa. Pono kēia kūlana i ka lāʻau lapaʻau koke me ka insulin wikiwiki, ʻaʻole ka insulin lōʻihi e like me ka glargine.

E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, no ka mea, hiki i kekahi ke launa pū me ka insulin glargine. Hiki i nā lāʻau lapaʻau koko, nā steroids, a me kekahi mau antidepressants ke hoʻopilikia i ke ʻano o ka hana ʻana o ka insulin i kou kino.

Nā inoa inoa o ka Insulin Glargine

Loaʻa ka insulin glargine ma lalo o nā inoa inoa he nui, ʻo Lantus ka mea i ʻike nui ʻia. Loaʻa i kēlā me kēia brand ka mea hana like akā loaʻa paha nā mea hana ʻole a i ʻole nā mea hoʻouna like ʻole.

ʻO Lantus ka insulin glargine mua i ʻae ʻia a loaʻa i nā hue a me nā peni i hoʻopiha mua ʻia. Nui ka poʻe e hoʻomaka me Lantus no ka mea ʻo ia ka moʻolelo lōʻihi loa o ka palekana a me ka pono.

ʻO Basaglar kahi mana

Ua ʻoi aku ka maikaʻi o ka Insulin Glargine ma mua o ka Insulin NPH?

Nui nā pōmaikaʻi o ka insulin glargine ma mua o ka insulin NPH, ʻoiai ma ke ʻano o ka maʻalahi a me ke kūpaʻa o ke kō koko. Eia naʻe, pili ka koho "ʻoi aku ka maikaʻi" i kāu mau pono a me nā kūlana.

Pono ka insulin NPH i nā injections ʻelua i ka lā a he piko nui o ka hana 4-6 mau hola ma hope o ka injection. Hiki i kēia piko ke hoʻohaʻahaʻa i ke kō koko inā ʻaʻole ʻoe e ʻai i nā manawa kūpono a i ʻole inā loli kāu pae hana.

Hāʻawi ka insulin glargine i ka mana o ke kō koko koko maʻamau no ka mea ʻaʻohe ona piko nui a pono e hoʻokomo ʻia i hoʻokahi manawa i ka lā. Hiki i kēia ke manaʻo i nā hanana liʻiliʻi o ke kō koko haʻahaʻa a me nā pae glucose hiki ke wānana ʻia i ka lā.

Nui ka poʻe i ʻike he maʻalahi ka hoʻohana ʻana i ka insulin glargine no ka mea ʻaʻole pono lākou e hoʻonohonoho i kā lākou ʻai e like me nā manawa injection. ʻO ka hana paʻa ʻana ke manaʻo he nui kou maʻalahi i kāu hana i kēlā me kēia lā.

Eia naʻe, ʻoi aku ka liʻiliʻi o ke kumukūʻai o ka insulin NPH ma mua o ka insulin glargine, he mea nui kēia inā ʻoe e uku ana mai kāu ʻeke a i ʻole he palena kāu ʻinikua. Hana maikaʻi kekahi poʻe i ka insulin NPH a ʻaʻole pono e hoʻololi.

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

He palekana anei ka Insulin Glargine no ka maʻi puʻuwai?

ʻAe, palekana ka insulin glargine no ka poʻe me ka maʻi puʻuwai a hiki ke kōkua i ka pale ʻana i kou puʻuwai ma ka mālama ʻana i nā pae kō koko koko. Hiki i ke kō koko kiʻekiʻe ke hōʻino i nā kīʻaha koko a hoʻonui i ka pilikia o ka maʻi puʻuwai i ka manawa.

Ua hōʻike nā haʻawina ʻaʻole hoʻonui ka insulin glargine i ka pilikia o ka puʻuwai a i ʻole nā hahau i hoʻohālikelike ʻia me nā insulins ʻē aʻe. ʻO ka ʻoiaʻiʻo, hiki i ka mana maikaʻi o ka maʻi diabetes me kekahi insulin ke kōkua i ka hōʻemi ʻana i kou pilikia o nā pilikia cardiovascular.

Inā he maʻi puʻuwai kou, hiki i kāu kauka ke nānā pono iā ʻoe ke hoʻomaka ʻoe i ka insulin glargine, ʻoiai inā e lawe pū ana ʻoe i nā lāʻau lapaʻau puʻuwai. Hiki i kekahi mau lāʻau lapaʻau koko ke hūnā i nā hōʻailona o ke kō koko haʻahaʻa, no laila pono ʻoe e mālama nui i ka nānā ʻana i kāu pae glucose.

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, mai hopohopo, akā e hana koke e pale i ke kō koko haʻahaʻa weliweli. ʻO ka mea nui e ʻai i ka glucose a i ʻole ke kō koke e kūʻē i ka insulin keu.

E ʻai a inu paha i kekahi mea me nā carbohydrates wikiwiki, e like me nā papa glucose, soda maʻamau, a i ʻole wai hua. E hahai i kēia me kahi mea ʻai i loaʻa nā carbohydrates a me ka protein, e like me nā crackers me ka pata pī.

E nānā i kou kō koko i nā manawa pinepine ma mua o ka maʻamau no nā hola 24 e hiki mai ana, no ka mea, hana ka insulin glargine no ka manawa lōʻihi. E nānā i kāu glucose i kēlā me kēia 2-4 hola, me ka ʻai ʻana a me ka moe.

E hoʻokaʻaʻike i kāu mea mālama ola a i ʻole ka mea hoʻonaʻauao maʻi diabetes e hōʻike i ka overdose a loaʻa nā alakaʻi kikoʻī. Hiki iā lākou ke ʻōlelo aku e hoʻoponopono i kāu papa hana nānā a i ʻole e hāʻawi i nā ʻōlelo aʻo ʻē aʻe e pili ana i ka nui o ka insulin keu āu i lawe ai.

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi o ke kō koko haʻahaʻa e like me ka huikau, nā hopu ʻana, a i ʻole ka nalowale o ka ʻike, he pilikia olakino kēia. E kāhea kekahi i ka 911 a i ʻole e lawe iā ʻoe i ka lumi pilikia koke.

He aha kaʻu e hana ai inā e hala au i kahi mahele o ka insulin glargine?

Inā e hala ʻoe i kāu mahele insulin glargine, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke ka manawa no kāu mahele i hoʻonohonoho ʻia. Mai pāpālua ma ka lawe ʻana i ʻelua mahele i ka manawa hoʻokahi, no ka mea, hiki i kēia ke kumu i ke kō koko haʻahaʻa weliweli.

Inā hoʻomanaʻo ʻoe i loko o kekahi mau hola o kou manawa injection maʻamau, e hele i mua a lawe i kāu mahele i hala. A laila e hoʻomau i kāu papa hana maʻamau i ka lā aʻe i kou manawa maʻamau.

Inā ua hala ma mua o 12 hola mai kou mahele i hala, e kelepona i kāu mea mālama ola no nā ʻōlelo kikoʻī. Hiki iā lākou ke ʻōlelo e lawe i kahi mahele hapa a i ʻole e hoʻoponopono i kāu papa hana nānā e hōʻoia i ka paʻa ʻana o ke kō i loko o ke koko.

E nānā pinepine i kou kō i loko o ke koko ke hala ʻoe i kahi mahele, no ka mea, ʻoi aku paha kou pae ma mua o ka maʻamau. Pono paha ʻoe e nānā i kāu glucose ma mua o nā meaʻai a me ka wā e moe ai a hiki i kou hoʻi ʻana i kāu papa hana maʻamau.

I mea e pale ai i ka hala ʻana i nā mahele i ka wā e hiki mai ana, e hoʻāʻo e hoʻonohonoho i nā ʻōhua kelepona, e hoʻohana i kahi mea hoʻonohonoho pila, a i ʻole e hoʻopili i kāu injection i kahi hana i kēlā me kēia lā e like me ka palaki ʻana i kou mau niho.

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

ʻAʻole pono ʻoe e hooki i ka lawe ʻana i ka insulin glargine me ka ʻole o ka ʻae ʻia mai kāu mea mālama ola, no ka mea, hiki i kēia ke alakaʻi i nā pae kō i loko o ke koko. ʻO ka hoʻoholo e hooki i ka insulin e hilinaʻi ana i kāu ʻano maʻi diabetes a me ke kūlana olakino holoʻokoʻa.

ʻO ka poʻe me ka maʻi diabetes Type 1 e pono maʻamau i ka insulin glargine no ke ola, no ka mea, ʻaʻole hiki i ko lākou pancreas ke hana i ka insulin maoli. ʻO ka hooki ʻana i ka insulin hiki ke alakaʻi i ka diabetic ketoacidosis, kahi maʻi e hoʻoweliweli ana i ke ola.

Inā loaʻa iā ʻoe ka maʻi diabetes Type 2, hiki paha iā ʻoe ke hooki i ka insulin glargine inā hoʻomaikaʻi nui kāu mana kō i loko o ke koko ma o ka lilo ʻana o ke kaumaha, nā loli meaʻai, a i ʻole nā lāʻau lapaʻau ʻē aʻe. Eia naʻe, pono e hana ʻia kēia hoʻoholo me ka mālama ʻana me ka mālama olakino.

E noʻonoʻo kāu kauka i nā mea e like me kāu mau pae kō i loko o ke koko, nā hopena A1C, nā loli kaumaha, a me nā kūlana olakino ʻē aʻe ma mua o ka ʻōlelo ʻana i nā loli i kāu lāʻau insulin.

Pono paha kekahi poʻe e hooki i ka insulin glargine no ka manawa pōkole i ka wā maʻi a i ʻole ke ʻoki ʻana, akā pono kēia i ka mālama olakino a pili pinepine i ka hoʻololi ʻana i nā ʻano insulin like ʻole ma mua o ka hooki ʻana i ka insulin.

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 a loaʻa iā ʻoe nā lako lawa. ʻAe ka hapa nui o nā mokulele iā ʻoe e lawe i ka insulin i loko o kāu ʻeke lima me ka ʻole o nā palena.

E hoʻopaʻa mau i ka insulin ʻoi aku ma mua o kou manaʻo e pono ai, ʻoi aku ka nui o ka pālua o ka mea e pono ai kāu huakaʻi i hoʻolālā ʻia. Hiki i nā lohi o ka lele, nā ukana i nalowale, a i ʻole nā ​​hoʻololi i kāu hana maʻamau ke hoʻopilikia i ka nui o ka insulin āu e hoʻohana ai.

E mālama i kāu insulin i loko o kāna ʻeke kumu me ka lepili kauoha i ʻike maopopo ʻia. E noʻonoʻo e kiʻi i kahi leka mai kāu kauka e wehewehe ana i kou pono no ka insulin a me nā lako maʻi diabetes, ʻoi aku hoʻi no ka huakaʻi honua.

Mai hoʻopaʻa i ka insulin i loko o nā ukana i nānā ʻia, no ka mea, hiki i ka wahi ukana ke paʻa, e hōʻino ia i kāu lāʻau. Eia kekahi, e pale i ka waiho ʻana i ka insulin i loko o nā kaʻa wela a i ʻole ka lā pololei i ka wā e hele ai.

Inā ʻoe e hele ana ma nā ʻāpana manawa, e hana pū me kāu mea mālama ola ma mua o kāu huakaʻi e hoʻolālā pehea e hoʻoponopono ai i ka manawa o kāu injection. ʻOi aku ka maikaʻi o nā hoʻoponopono mālie ma mua o nā loli koke i kāu papa manawa.