He aha te Insulin Degludec: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Insulin degludec he insulin roa e āwhina ana i te hunga mate huka ki te whakahaere i ō rātou taumata huka toto i te ao me te pō. E mahi ana tēnei insulin waihanga mō te 42 haora i muri i te werohanga, e waiho ana hei kōwhiringa insulin roa rawa atu. I hangaia hei whakarato i te mana huka toto tūmau, rite tonu me te iti ake o ngā tihi me ngā raorao i ngā insulin poto.

He aha te Insulin Degludec?

Ko te Insulin degludec he putanga hanga-a-tangata o te insulin e hangaia ana e tō tinana. No roto i te kāwai rongoā e kīia ana ko ngā insulin roa-roa, ko te tikanga ka tukuna mā te pōturi me te tūmau ki roto i ō toto i roto i ngā hāora maha. Kāore i rite ki te insulin auau e hangaia ana e tō pūkahukahu i te ao, e whakarato ana tēnei rongoā i te taumata tūmau o te insulin ka taea e tō tinana te whakawhirinaki.

Ka tae mai te rongoā hei otinga mārama, kāore he tae e werohia ana i raro i tō kiri mā te whakamahi i te pūwero. Kia werohia, ka hanga ngā pūhui iti i raro i tō kiri e tuku pōturi ana i te insulin ki roto i ō toto. E āwhina ana tēnei hoahoa ahurei ki te whakatikatika i ngā rereketanga o te huka toto me te whakaiti i te tūponotanga o ngā wāhanga huka toto iti mōrearea, inā koa i te pō.

He aha te Insulin Degludec e whakamahia ana mō?

E rongoā ana te Insulin degludec i te momo 1 me te momo 2 mate huka i roto i ngā pakeke me ngā tamariki neke atu i te kotahi tau te pakeke. Mō te hunga mate huka momo 1, he insulin tōmua e whakakapi ana i te mea kāore anō e taea e ō rātou pūkahukahu te hanga. Ko te hunga mate huka momo 2 e whakamahi ana i tēnei ina kāore e hangaia e tō rātou tinana te nui o te insulin, i te wā rānei kāore ētahi atu rongoā mate huka e whakahaere ana i ō rātou huka toto.

Ka tohua pea tēnei rongoā e tō tākuta mēnā kei te pā koe i ngā wā maha o te huka toto iti me ētahi atu momo rongoā insulin roa. He tino whai hua mō te hunga he hōtaka koretake, e uaua ana rānei ki te whai i ngā wā kai rite tonu. Ko te ngāwari o te rongoā ka taea te rerekē i te wā o te werohanga i te wā e mau tonu ana te mana o te huka toto.

E whakamahi ana ētahi tāngata i te insulin degludec hei wāhanga o te rongoā whakakotahi me ngā insulin tere mō ngā kai, ētahi atu rongoā mate huka rānei. Mā tēnei huarahi e āwhina ki te uhi i ngā hiahia insulin taketake o tō tinana me te insulin anō e hiahiatia ana i te wā e kai ana koe.

Me pēhea te mahi a te Insulin Degludec?

Ka mahi te insulin degludec mā te whai i te mahi o te hanga insulin taketake o tō tinana. I te wā e werohia ana e koe, ka hanga e te rongoā ngā mekameka pūmau i raro i tō kiri, ka pakaru haere, ka tuku i te insulin i te roanga o te wā. Mā tēnei tukanga e hanga he taumata insulin maeneene, e kitea ana i roto i tō toto, e roa ana te roa atu i ētahi atu momo insulin.

E kiia ana ko te rongoā he kōwhiringa insulin kaha, pono hoki. Ka āwhina i ō pūtau ki te tango i te glucose mai i tō toto, ka tohu i tō ate ki te whakaiti i te hanga glucose. Kāore i rite ki ngā insulin tere e mahi ana i te tere, e ngaro ana i te tere, ka whakarato te degludec i te uhi insulin pūmau, kāore e piki nui.

Ko te mea motuhake o tēnei insulin ko tōna kōtaha mahi rite tonu. Ahakoa he piki me te heke o te whai huatanga o ētahi atu insulin roa, ka mau tonu te degludec i te taumata insulin pāpaku. Mā tēnei pūmautanga e āwhina ki te whakaiti i ngā rerekētanga o te huka toto, ā, ka māmā ake te whakahaere i te mate huka mō te nuinga o te tāngata.

Me pēhea taku tango i te Insulin Degludec?

Me werohia te insulin degludec kotahi i te rā i raro i te kiri o tō huha, tō ringa o runga, tō puku rānei. Me haere te werohanga ki roto i te kiko ngako i raro tonu i tō kiri, kaua ki roto i te uaua. Hurihia ō wāhi werohanga i roto i te wāhi whānui kotahi hei ārai i ngā raruraru kiri me te whakarite i te ngongo rite tonu.

Tangohia tēnei rongoā i te wā kotahi i ia rā ka taea, ahakoa he nui ake te ngawari atu i ētahi atu insulin. Ka taea e koe te werohia me te kore kai rānei, nā te mea kāore i hangaia hei uhi i ngā kai. Ki te hiahia koe ki te huri i tō wā werohanga i ētahi wā, ka taea e koe te mahi i tērā i te mea he 8 haora te iti rawa i waenga i ngā horopeta.

I mua i te werohanga, waiho te rongoā kia tae ki te pāmahana rūma mēnā kua whakamātaohia. Ka taea e te insulin makariri te kore e pai, ā, kāore pea e ngongo pai. Whakamahia tonu he ngira hou mō ia werohanga, ka whakakore i ngā ngira kua whakamahia i roto i te ipu koi.

Ka tīmata tō tākuta i a koe i runga i te horopeta motuhake i runga i ō hiahia insulin o nāianei me ngā tauira huka toto. Kaua rawa e whakatika i tō horopeta me te kore tohutohu hauora, nā te mea ka pā kaha ngā huringa insulin ki ō taumata huka toto. Kia mau ki te aroturuki i ō wā werohanga me ngā pānui glucose toto hei āwhina i tō rōpū hauora ki te mahi i ngā whakatikatika e tika ana.

Kia Pēhea te Roa e Tango ai au i te Insulin Degludec?

Ko te nuinga o te hunga mate huka e hiahia ana ki te tango i te insulin degludec mō te kore mutunga hei wāhanga o tā rātou mahere whakahaere mate huka wā roa. I te mea he āhuatanga mau tonu te mate huka, ko te hiahia o tō tinana mō te tautoko insulin te tikanga ka haere tonu puta noa i tō oranga. Heoi, ko tō roa motuhake o te maimoatanga e whakawhirinaki ana ki tō momo mate huka me te pai o te urupare a tō tinana ki te rongoā.

Mō te hunga e mate huka momo 1, ko te insulin degludec te tikanga ka noho hei wāhanga tūturu o ā rātou tikanga rongoā. He iti, he kore rānei te insulin e hangaia ana e te rātou puku, nō reira me whakakapi tonu te insulin kia noho ora ai rātou. Ko te whakamutu i tēnei rongoā me te kore he tirotiro hauora tika ka puta he raruraru kino.

Ko te hunga e mate huka momo 2 he rerekē pea ngā wā e hiahiatia ana i runga i te ahunga whakamua o tō rātou āhua. Ko ētahi tāngata ka hiahia i tēnei rongoā mō te wā poto i te wā e whakarereke ana i te oranga, ā, ko ētahi atu ka hiahia mō te wā roa i te wā e piki ana te mate huka. Ka arotakehia e tō tākuta i ngā wā katoa mēnā kei te noho tonu tēnei rongoā hei kōwhiringa pai mō ō hiahia e tipu ana.

Ko ngā hui whai-ā-roto i ngā wā katoa ka āwhina i te whakatau mēnā me haere tonu, me whakatika, me huri rānei i tō rongoā insulin. Ka aroturukihia e tō kaiwhakarato hauora tō mana huka toto, te hauora whānui, me ētahi pānga taha kia whakatau tika mō te roa o tō rongoā.

He aha ngā Pānga Taha o te Insulin Degludec?

Pērā i ngā rongoā katoa, ka taea e te insulin degludec te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Ko te pānga taha tino noa me te mōrearea ko te huka toto iti (hypoglycemia), ka puta tēnei ki te tango koe i te nui rawa o te insulin, ki te karo i ngā kai, ki te whakakori tinana rānei i te nui atu i te tikanga me te kore e whakatika i tō horopeta.

Koinei ngā pānga taha e pūrongohia ana i te nuinga o te wā ka pā ki a koe:

• Ngā tohu o te huka toto iti pērā i te wiri, te werawera, te rangirua, te tere o te ngākau rānei
• Ngā tauhohenga i te wāhi werohanga pērā i te whero, te pūpū, te mānukanuka rānei
• Te pikinga o te taumaha, he mea noa tēnei i te nuinga o ngā rongoā insulin
• Ngā mamae o te upoko, ina koa i te tīmatanga o te rongoā
• Ngā mate o te ara rāhaua o runga pērā i ngā tohu makariri
• Te pūpū i ō ringa, waewae, rekereke rānei

Ko ēnei pānga taha noa ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Heoi, me kōrero koe i ētahi tohu e mau tonu ana, e whakararuraru ana rānei ki tō kaiwhakarato hauora.

Ko ngā pānga taha e kore e kitea noa engari he nui ake te mōrearea, me whai wawe tonu te āwhina hauora. Ko te iti rawa o te huka toto ka puta he ngāwhā, te ngaro o te mahara, te kōma rānei ki te kore e rongoatia. Ko ngā tauhohenga pānga, ahakoa he onge, ka uru pea ki te uaua ki te hā, te pupuhi o tō mata, o tō korokoro rānei, te pāpānga rānei.

Ka whanake pea te lipodystrophy i ētahi tāngata, e huri ana i ngā kiko ngako i ngā wāhi weronga. Ka puta pea tēnei hei puku, he pōka, he kiri matotoru rānei i te wāhi e werohia ana e koe. Ko te huri i ngā wāhi weronga ka ārai i tēnei raruraru, ā, ko ngā wāhi e pā ana ka pai ake i te wā roa me te huri tika i te wāhi.

Ko wai e kore e tango i te Insulin Degludec?

Kāore te Insulin degludec e tika ana mō te katoa e mate huka ana. Kaua koe e whakamahi i tēnei rongoā mēnā he pānga tō ki te insulin degludec, ki ētahi o ōna kai rānei. Ko ngā tāngata e pā ana ki te ketoacidosis mate huka, he raruraru nui e whakaputa ana te tinana i ngā waikawa mōrearea, me whai rongoā rerekē, kaua hoki e whakamahi i ngā insulin roa i ēnei wā.

Ka āta arotake tō tākuta mēnā he haumaru tēnei rongoā mōu mēnā he ōrite ō hauora. Ko ngā tāngata e mate ana i te pūkahukahu, i te ate rānei, me whakatika pea te horopeta, me whai rongoā rerekē rānei. Ko te hunga he hītori o ngā wāhanga iti rawa, auau o te huka toto, me nui ake te aroturuki, me ngā kōwhiringa insulin rerekē rānei.

Ka taea e ngā wāhine hapū me te whāngai ū te whakamahi i te insulin degludec, engari me tino āta tirotiro hauora. He maha ngā wā ka huri te hapū i ngā hiahia insulin, ā, me whakatika pea tō tākuta i tō horopeta, me huri rongoā rānei. Kāore ngā tamariki kei raro i te kotahi tau te pakeke e whakamahi i tēnei rongoā, nā te mea kāore anō i whakapūmautia te haumaru me te whai huatanga mō tēnei rōpū tau.

Mēnā kei te tango koe i ētahi rongoā ka pā ki te huka toto, ka kōwhiri pea tō tākuta i ngā kōwhiringa insulin rerekē, ka aroturuki rānei i a koe. Whakamōhio tonu ki tō kaiwhakarato hauora mō ngā rongoā katoa, ngā tāpiringa, me ngā āhuatanga hauora i mua i te tīmatanga o te insulin degludec.

Ingoa Waitohu o te Insulin Degludec

Ka hokona te insulin degludec i raro i te ingoa waitohu Tresiba i te nuinga o nga whenua, tae atu ki Amerika. Ka tae mai a Tresiba i roto i nga taputapu pene kua whakakiia i mua i te wa, e ngawari ake ai te werohanga, he pai ake hoki i nga ipu me nga syringe tuku iho. E rua nga kukume o te rongoa e wātea ana: Tresiba U-100 me Tresiba U-200.

Kei roto i te hanganga U-100 e 100 wae o te insulin mo ia mira rita, i te mea kei roto i te U-200 e 200 wae mo ia mira rita. Ma te whiringa kukume teitei ake ka taea e nga tangata e hiahia ana ki nga horopeta nui o te insulin te werohia nga rōrahi iti ake. He rite tonu te mahi o nga hanganga e rua i roto i to tinana, engari he paku rereke nga tatauranga horopeta.

Ka mau pea to whare rongoa i nga putanga generic o te insulin degludec, ahakoa he iti ake enei i nga whiringa ingoa waitohu. Me tino mohio tonu ki to kaipatu rongoa kei te whiwhi koe i te hanganga tika me te kukume i tohua e to taakuta.

Nga Whakataunga o te Insulin Degludec

He maha atu ano nga insulin roa-mahi ka taea te mahi hei whakataunga mo te insulin degludec mena karekau e tika ana mo koe. Ko te insulin glargine (Lantus, Basaglar) tetahi o nga insulin roa-mahi e tino tohua ana e whakarato ana i te 24-haora te kapinga. Kua roa ke atu i te degludec, a tera pea ka nui ake te utu mo etahi tangata.

Ko te insulin detemir (Levemir) tetahi atu whiringa roa-mahi e mau ana i te 12-24 haora. Ko etahi tangata e hiahia ana kia rua nga werohanga ia ra me te detemir, kaore i rite ki te horopeta kotahi-ia-ra o te degludec. Heoi, tera pea ka iti ake te taumaha o te detemir i era atu insulin roa-mahi.

Anei etahi atu whiringa ka whakaarohia e to taakuta:

• Insulin glargine U-300 (Toujeo) - he momo kaha ake, roa ake hoki o te glargine auau
• Insulin NPH (Humulin N, Novolin N) - he insulin tawhito, waenga-waenganui e iti ake te utu engari e hiahia ana kia nui ake te horopeta
• Rongoā papu insulin - ka tukuna te insulin tere-mahi i nga wa katoa o te ra
• Nga rongoā whakakotahi kei roto nga insulin roa-mahi me te tere-mahi

Ma to kaiwhakarato hauora koe e awhina ki te whiriwhiri i te huarahi pai rawa atu i runga i to oranga, nga tauira huka toto, te inihua, me nga hiahia whaiaro. He painga me nga whakaaro motuhake kei ia whiringa e pa ana ki te pai o te mahi mo to ahuatanga motuhake.

He pai ake te Insulin Degludec i te Insulin Glargine?

He insulin roa-mahi pai te Insulin degludec me te insulin glargine, engari he rereketanga nui kei a raua. Ko te tikanga ka nui ake te mana whakahaere o te huka toto a Degludec me te iti ake o nga wahanga huka toto iti, ina koa i te po. Ka nui ake ano te ngawari o te wa werohanga, he mea whai hua mo nga tangata he raruraru o ratou waarangi.

E whakaatu ana nga rangahau ka whakaiti pea a degludec i te tupono o te hypoglycemia nui ma te 40% pea ka whakatauritea ki te glargine. He mea nui tenei whakapainga i nga haora o te po ka nui ake te tupono ka kore e kitea nga wahanga huka toto iti kino. Ko te roa-roa o te degludec te tikanga he nui ake te pumau o nga taumata insulin puta noa i te ra.

Heoi, kua roa ke te wa e waatea ana a glargine, a he iti ake pea te utu na te mea he whiringa whanui. Ka tutuki i etahi tangata te mana whakahaere huka toto pai me te glargine, a kaore e hiahia ki te huri i nga rongoā. He rereke ano te inihua, a tera pea ka pai ake to mahere i tetahi whiringa i tetahi atu.

Ka whai whakaaro tō tākuta ki ō hiahia motuhake, ngā tauira huka toto, te noho, me te hītori rongoā i te wā e whiriwhiri ana i waenga i ēnei rongoā. Kāore tētahi i te pai ake i tētahi, i te mea ka whakawhirinaki te kōwhiringa pai ki te āhua o te urupare o tō tinana me te aha e pai ana mō tō rā.

Ngā Pātai e Pānga ana ki te Insulin Degludec

He Haumaru te Insulin Degludec mō te Mate Whatukura?

He haumaru pea te insulin degludec mō ngā tāngata e mate whatukura ana, engari me mātakitaki mā te āta, me te whakatikatika i te horopeta. Ka āwhina ō whatukura ki te tukatuka me te whakakore i te insulin i tō tinana, nō reira ka pā te mahi whatukura ki te roa o te noho o te rongoā i tō pūnaha. Mā tēnei pea e whakanui te tūponotanga o ngā wāhanga huka toto iti.

Ka tīmata pea tō tākuta ki te horopeta iti ake, me te mātakitaki i tō huka toto i te wā tonu mēnā he raruraru whatukura ōna. Ka tūtohu pea rātou i ngā pōti whai-ake i te wā tonu kia mōhio ai kei te mahi haumaru te rongoā. Ko ngā tāngata e mate whatukura ana, e haere ana rānei i te dialysis, me mātakitaki mā te āta i te wā e whakamahi ana i te insulin.

Me aha au mēnā ka whakamahi au i te nui rawa o te Insulin Degludec?

Mēnā ka werohia e koe te nui rawa o te insulin degludec, mātakitaki i tō huka toto, me te rite ki te rongoā i ngā tohumate huka toto iti. Kai, inu rānei i tētahi mea kei roto te huka tonu, pērā i ngā papa glucose, te wai hua, te houra rānei. Kaua e tatari kia puta ngā tohumate, i te mea he haumaru ake te ārai i te rongoā.

Whakapā atu ki tō kaiwhakarato hauora, waea atu rānei ki te pūtau whakahaere paitini mō te aratohu mō te whakahaere i te horopeta nui. Ka tūtohu pea rātou i ngā kai motuhake hei kai, te auau o te tirotiro i tō huka toto, te hiahia rānei ki te āwhina rongoā. Kia tata tonu ngā papa glucose, ētahi atu warowaihā rānei e tere ana te mahi i te wā e werohia ana te insulin.

Mō te nui rawa o te horopeta, ki te kore rānei koe e mohio, me waea tonu tetahi ki ngā ratonga ohorere. Ko te whai i tētahi kete ohorere glucagon ka taea te whakaora i te ora i roto i ēnei āhuatanga, ina koa ki te noho koe i te taha kotahi, he hītori rānei tō koe mō ngā wāhanga huka toto iti.

Me aha au ki te ngaro i te horopeta o te Insulin Degludec?

Ki te ngaro i tō horopeta insulin degludec, tangohia i te wā ka mahara koe, i te mea he 8 haora te iti rawa i mua i tō horopeta e whai ake nei. Ki te tata te wā mō tō horopeta e whai ake nei, waiho te horopeta i ngaro, ka haere tonu ki tō hōtaka auau. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro.

Aroturukihia tō huka toto i te nuinga o te wā i muri i te ngaronga i te horopeta, kei te tiketike ake pea ō taumata i te tikanga. Me whakatika pea koe i ō kai, i te taumata rānei o te mahi hei utu mō te insulin i ngaro. Whakapā atu ki tō kaiwhakarato hauora ki te noho tiketike tonu tō huka toto, ki te kore rānei koe e mōhio me pēhea te whakahaere i te āhuatanga.

Hei aukati i ngā horopeta i ngaro, whakaarohia te whakatakoto i ngā pūoho waea, te whakamahi rānei i tētahi kaiwhakarite pire me ngā āhuatanga whakamahara. E kitea ana e ētahi tāngata he āwhina ki te werohia ā rātou insulin i te wā kotahi me tētahi atu mahi o ia rā, pēnei i te parai i ō rātou niho, i te kai parakuihi rānei.

Āhea ka taea e au te mutu te tango i te Insulin Degludec?

Me mutu anake te tango i te insulin degludec i raro i te tirotiro tika a tō tākuta. Mō ngā tāngata e mate huka momo 1, ko te mutu i te insulin ka mōrearea te ora, ka arahi ki te ketoacidosis mate huka i roto i ngā hāora, i ngā rā rānei. Ko te hunga e mate huka momo 2 ka taea pea te whakamutu i te insulin ki te pai ake te whakahaere i te huka toto mā ētahi atu tikanga.

Ka whakaaro pea tō tākuta ki te whakamutu, ki te whakaiti rānei i tō insulin degludec ki te ngaro koe i te taumaha nui, ki te whakanui i tō mahi tinana, ki te tīmata rānei i ētahi atu rongoā mate huka e pai ake ai te tairongo o tō tinana ki te insulin. Heoi, ko ēnei huringa e hiahia ana ki te aroturuki tupato me ngā whakatikatika haere, kaua ki te whakamutu ohorere.

Ko ētahi tāngata e mate huka momo 2 ka taea te whakamutu i te werohanga insulin mō tētahi wā, engari he tokomaha ka hiahia ki te tīmata anō i te mea e haere tonu ana tō rātou āhua. Mā te whai i te rongoā i ngā wā katoa ka āwhina i te whakatau i te huarahi pai mō te wā roa mō tō āhuatanga me ō whāinga hauora.

Ka taea e au te haere ki waho me te Insulin Degludec?

Āe, ka taea e koe te haere ki waho me te insulin degludec, engari me whakarite me te whakarite. Me mau tonu tō insulin ki tō pēke ringa ina rere ana koe, nā te mea ka taea e ngā wāhi utanga te whakatio me te whakangaro i te rongoā. Me mau mai he reta mai i tō tākuta e whakamārama ana i tō hiahia mō te insulin me ngā taputapu werohanga hei āwhina i te haumarutanga o te rererangi.

Whakakīa te insulin me ngā taputapu hei take mō te pōrearea, te ngaro rānei o ngā pēke. Whakaarohia te mau mai i tētahi pouaka whakamātao iti, i tētahi pūtake rānei hei tiaki i tō rongoā mai i ngā pāmahana nui. Ka taea te rongoā i te insulin degludec i te pāmahana rūma mō te 8 wiki i muri i te whakatuwheratanga, e pai ake ai te haere i ētahi atu momo insulin.

Rangahaua te rohe wā o tō haerenga me te whakamahere me pēhea te whakatika i tō hōtaka werohanga ki te hiahiatia. Mō ngā haerenga roa atu i te rā torutoru, tērā pea ka hiahia koe ki te neke haere i tō wā werohanga kia rite ki tō hōtaka hou. Ka taea e tō kaiwhakarato hauora te āwhina i a koe ki te waihanga i tētahi mahere haerenga e mau tonu ana te mana whakahaere huka toto pai i te wā o tō haerenga.