{"id":6098,"date":"2016-12-12T13:20:37","date_gmt":"2016-12-12T10:20:37","guid":{"rendered":"http:\/\/prodiab.md\/?p=6098"},"modified":"2016-12-12T13:20:37","modified_gmt":"2016-12-12T10:20:37","slug":"diabetul-zaharat-cind-e-nevoie-de-terapia-cu-insulina","status":"publish","type":"post","link":"http:\/\/prodiab.md\/ro\/diabetul-zaharat-cind-e-nevoie-de-terapia-cu-insulina\/","title":{"rendered":"Diabetul zaharat: c\u00eend e nevoie de terapia cu insulin\u0103?"},"content":{"rendered":"

<\/p>\n

Dac\u0103 \u00een diabetul de tip 2, secre\u021bia sc\u0103zut\u0103 de insulin\u0103 poate fi stimulat\u0103 prin medicamente orale sau prin regim, \u00een cazul celui de tip 1, pancreasul nu secret\u0103 suficient\u0103 insulin\u0103 \u0219i este nevoie de tratament cu acest hormon.<\/p>\n

Atunci c\u00e2nd \u00een decurs de 10 ani sau chiar mai pu\u021bin valorile glicemiei dep\u0103\u0219esc 200 mg\/dl, iar medica\u021bia antidiabetic\u0103 oral\u0103 nu mai d\u0103 rezultate, cu at\u00e2t mai pu\u021bin un regim de sc\u0103dere a glucozei din s\u00e2nge, medicul diabetolog recomand\u0103 insulinoterapia cu diverse tipuri de insulin\u0103, \u00een func\u021bie de boal\u0103, de orarul meselor \u0219i de activitatea diabeticului. Tot el va stabili intervalul dintre injec\u021bie \u0219i orarul meselor \u00een func\u021bie de nivelul glicemiei, locul injec\u021biei, activitatea din orele urm\u0103toare.<\/p>\n

Tratamentul presupune adaptarea dozei de insulin\u0103 la diet\u0103 \u0219i nu invers. De aceea, medicul trebuie s\u0103 ia \u00een calcul cantitatea de glucide care vor fi consumate pe parcursul unei zile.<\/p>\n

\u00a0Insulina este de mai multe tipuri:<\/strong><\/em><\/p>\n

Un tip de insulin\u0103 este cel cu ac\u021biune rapid\u0103, care reduce riscul sc\u0103derii glicemiei \u00eenainte de mese. Se aplic\u0103 \u00eenaintea mesei sau imediat dup\u0103. Ac\u021bioneaz\u0103 \u00eentr-un sfert de or\u0103 de la administrare, are ac\u021biune maxim\u0103 la 1-4 ore dup\u0103 aceea \u0219i r\u0103m\u00e2ne activ\u0103 p\u00e2n\u0103 la 8 ore. Din p\u0103cate, nu are efect \u0219i \u00een cazul \u00een care sunt consumate glucide la gust\u0103ri sau dac\u0103 se face efort fizic urmat de sc\u0103derea glicemiei. \u00cen aceste cazuri, este nevoie de o doz\u0103 de insulin\u0103 bazal\u0103, cu ac\u021biune prelungit\u0103, de p\u00e2n\u0103 la 24 de ore.<\/p>\n

Tipul de insulin\u0103 cu ac\u021biune rapid\u0103 este util la \u00eenceputul tratamentului, pentru a stabili care este cantitatea de hormon necesar\u0103 zilnic. Mai pot fi indicate insulin\u0103 intermediar\u0103, care intr\u0103 \u00een ac\u021biune dup\u0103 2 ore \u0219i ac\u021bioneaz\u0103 pe parcursul a circa 24 de ore, sau insulina ultralent\u0103 cu o durat\u0103 de p\u00e2n\u0103 la 28 de ore.<\/p>\n

\u00a0\u015etia\u0163i c\u0103…<\/strong><\/em><\/p>\n

\u00a0…\u00een cazul femeilor care sufer\u0103 de diabet, pe parcursul unei sarcini, \u00een locul medicamentelor orale, contraindicate \u00een aceast\u0103 perioad\u0103, se poate apela, temporar, la insulin\u0103? \u00cen mod obi\u0219nuit, se folose\u0219te insulina rapid\u0103 cu cea bazal\u0103, \u00eens\u0103 trebuie stabilit cu diabetologul insulinele aprobate \u00een graviditate.<\/p>\n

\u00a0Fiecare tip de insulin\u0103 are seringa proprie<\/strong><\/em><\/p>\n

Insulina se p\u0103streaz\u0103 \u00eentotdeauna la rece, la 2-8 grade Celsius, \u00een partea de jos a u\u0219ii frigiderului sau \u00een cuvele pentru fructe. Pentru a nu provoca dureri sau irita\u021bii, e bine s\u0103 nu fie rece, de aceea e bine s\u0103 fie l\u0103sat\u0103 la temperatura camerei cu pu\u021bin timp \u00eenainte de administrare, dar la loc ferit de razele soarelui. \u00cen privin\u021ba administr\u0103rii, se pot folosi seringa, un dispozitiv tip stilou, pomp\u0103 sau jet-injector.<\/p>\n

Dac\u0103 este aleas\u0103 prima metod\u0103, trebuie acordat\u0103 o aten\u021bie sporit\u0103 seringilor \u0219i acelor, \u00eentruc\u00e2t difer\u0103 ca dimensiune \u00een func\u021bie de tipul de insulin\u0103. Dac\u0103 acul s-a deteriorat sau grada\u021biile s-au \u0219ters, trebuie \u00eenlocuite, pentru a calcula corect doza. \u00cen cazul \u00een care au fost recomandate 2 tipuri de insulin\u0103, fiecare va avea seringa proprie. Pentru a face injectarea mai simpl\u0103, dar \u0219i pentru o administrare corect\u0103, se pot folosi penuri, iar cei care au team\u0103 de ace, pot utiliza jetul-injector.<\/p>\n

\u00a0Este indicat\u0103 schimbarea locului inject\u0103rii<\/strong><\/em><\/p>\n

\u00a0\u00cen privin\u021ba administr\u0103rii, insulina se injecteaz\u0103 sub piele, \u00een coapse, abdomen, fese, bra\u021be. \u00cen general, abdomenul este regiunea potrivit\u0103 pentru insulina rapid\u0103. Dac\u0103 este folosit mereu acela\u0219i loc pentru injectare, exist\u0103 riscul topirii \u021besutului de gr\u0103sime de sub piele sau depunerea de gr\u0103sime \u00een exces \u00een acel loc. Insulina se va absorbi mai repede dac\u0103 este injectat\u0103 \u00een abdomen, bra\u021be \u0219i coapse. Aten\u021bie! Trebuie evitat\u0103 administrarea dac\u0103 sunt observate modific\u0103ri de aspect, precum tulburarea, la insulinele cu ac\u021biune rapid\u0103, limpezi \u00een mod obi\u0219nuit.<\/p>\n

\u00a0\u201eZona subcutanat\u0103 abdominal\u0103 are cea mai rapid\u0103 rat\u0103 de absorb\u021bie, urmat\u0103 de bra\u021be, coapse \u0219i zona fesier\u0103. Exerci\u021biul fizic cre\u0219te rata de absorb\u021bie de la locurile de injec\u021bie prin cre\u0219terea fluxului sangvin \u00een zon\u0103. Administrarea insulinei dup\u0103 o expunere la c\u0103ldur\u0103 (baie, plaj\u0103, masarea zonelor respective) favorizeaz\u0103 absorb\u021bia mai rapid\u0103 a acesteia. Expunerea mai \u00eendelungat\u0103 la frig urmat\u0103 de injec\u021bia cu insulin\u0103 va \u00eent\u00e2rzia absorb\u021bia acesteia din cauza contrac\u021biei vasculare.<\/p>\n

\u00a0<\/em><\/strong>Pentru a reduce durerea la injectare sunt indicate:<\/em><\/strong><\/p>\n

– folosirea insulinei la temperatura camerei;<\/p>\n

– relaxarea musculaturii;<\/p>\n

– tamponarea cu alcool \u0219i uscarea zonei;<\/p>\n

– introducerea rapid\u0103 a acului;<\/p>\n

– p\u0103strearea direc\u021biei acului p\u00e2n\u0103 dup\u0103 retragerea acului.<\/div>\n
<\/div>\n
Sursa:\u00a0www.monitorulbt.ro<\/div>\n
<\/div>\n

<\/p>","protected":false},"excerpt":{"rendered":"

Dac\u0103 \u00een diabetul de tip 2, secre\u021bia sc\u0103zut\u0103 de insulin\u0103 poate fi stimulat\u0103 prin medicamente orale sau prin regim, \u00een cazul celui de tip 1, pancreasul nu secret\u0103 suficient\u0103 insulin\u0103 \u0219i este nevoie de tratament cu acest hormon. Atunci c\u00e2nd \u00een decurs de 10 ani sau chiar mai pu\u021bin valorile glicemiei dep\u0103\u0219esc 200 mg\/dl, iar…<\/p>\n","protected":false},"author":3,"featured_media":6099,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[5],"tags":[],"yoast_head":"\nDiabetul zaharat: c\u00eend e nevoie de terapia cu insulin\u0103? - PRODIAB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/prodiab.md\/ro\/diabetul-zaharat-cind-e-nevoie-de-terapia-cu-insulina\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diabetul zaharat: c\u00eend e nevoie de terapia cu insulin\u0103? - PRODIAB\" \/>\n<meta property=\"og:description\" content=\"Dac\u0103 \u00een diabetul de tip 2, secre\u021bia sc\u0103zut\u0103 de insulin\u0103 poate fi stimulat\u0103 prin medicamente orale sau prin regim, \u00een cazul celui de tip 1, pancreasul nu secret\u0103 suficient\u0103 insulin\u0103 \u0219i este nevoie de tratament cu acest hormon. 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