Kedu ụdị insulin? Mmetụta dị a insaa ka insulin nwere?

A na-achọta ndị na-anabata insulin ọkachasị na imeju, akwara na anụ ahụ adipose. Ihe ndị mejupụtara ha bụ α-2 nke abụọ dị outside dị na mpụga sel nke bụ akụkụ dị na ya, yana mpaghara ihe dị iche-iche nke 2 β na-agbanye mkpụrụ ndụ ma na-enwe ọrụ tyrosine kinase. Insulin na-ejikọ aka na α-subunits, na-amụba ọrụ nke tyrosine kinase nke β-subunits, nke na-eduga na phosphorylation nke protein n'ime sel: protein ndị na-ebuga glucose, protein ndị na-ebuga potassium na phosphate ion na mkpụrụ ndụ, hexokinase, glycogen synthetase na ndị ọzọ, nke na-eduga na mgbanwe nke usoro metabolic. Mgbe ahụ mgbagwoju anya nke insulin na onye na-anabata ya na-abanye na sel, ebe ọ na-agbasa. Onye na-anabata ihe na-abanyekọta na akpụkpọ ahụ, insulin na-akwalitekwa nnabata nke amino acid site na mkpụrụ ndụ, na-eme ka ọrụ nke protein ribosomal pụta, mgbe ahụ, lysosomes na-agbari.

(onye na - ebugharị glucose, usoro nhazi glucose dị mfe).

Nri uto nke uto na-abawanye

Mmetụta ahụike insulin.

Mmetụta hypoglycemic: na-abawanye njem glucose gafere membranes, na-eme ka glucose phosphorylation, na-abawanye njikọ glycogen, na-egbochi glycogenolysis na gluconeogenesis.

Mmetụta na abụba metabolism:na - eme ka usoro triglycerides rụọ ọrụ, na - egbochi ntụgharị nke abụba abụba na keto acid, belata lipolysis, na - egbochi lipase intracellular.

Mmetụta na protein metabolism:na - eme ka njikọ nke protein si na amino acid, na - egbochi ntụgharị nke amino acid ka keto asịd.

Maka ọgwụgwọ shuga.

Childrenmụaka na-etolite ụdị ọrịa shuga mellitus nke 1, nke mbibi nke mkpụrụ ndụ panc-pancreatic na ụkọ insulin zuru oke (autoimmune, idiopathic).

Usoro insulin:dabere na ọkwa glucose dị n'ọbara, glucosuria, acetonuria. Otu 1 nke insulin na-eji 2,5-5 g shuga eme ihe. Kachasị anya: 1 nkeji insulin na -ebelata glycemia site na 2.2 mmol / l (glucose na-ebu ọnụ nkịtị = 3.3-5.5 mmol / l) ma ọ bụ 0.3 - 0.8 nkeji / n'arọ nke oke ahụ kwa ụbọchị.

Nke mbu, a na-ewere ọnụ ọgụgụ kachasị, mgbe ahụ, a na-ahọrọ dose ahụ n'otu n'otu. N'oge nhọrọ nke insulin, a na-atụle ọkwa glucose dị n'ọbara ruo ugboro asaa asaa kwa ụbọchị. Mmetụta ụmụaka nwere insulin dị elu karịa nke ndị okenye.

Usoro maka ojiji nke insulin.

- ọdịnala: a na - enye insulin obere oge iji subcutaneously ma ọ bụ intramuscularly 4-5 ugboro n'ụbọchị 30 nkeji tupu nri.

- ndabere-bolus (siri ike): insulin na-eme ihe dị mkpirikpi nkeji iri atọ tupu nri + nke dị ogologo ma na-arụ ọrụ insulin dị ala, ha na-ewepụta insulin ọkwa, ma ewepughị postprandial hyperglycemia, nke insulins na-adị mkpụmkpụ na-ewepụ (kachasị kachasị, humalogue).

Insulins na-etinyekwa n'ọrụ

- iwelie agụụ nwere uru aru,

- dịka akụkụ ịgwọ ọrịa ịla n'iyi.

- na ụdị ọrịa shuga 2,

- na schizophrenia (mmiri ọgwụ coma).

Hypoglycemia(anagidere karịa hyperglycemia):

Tachycardia, ọsụsọ, ịma jijiji, ọgbụgbọ, agụụ, ọnụnọ nke usoro ụjọ ahụ (ọgba aghara, ihe ijuanya), encephalopathy, ihe ọdịdọ, coma.

Nyere aka: nri uto, uto. Me coma iv, ogwu ngwugwa 40%.

LipodystrophyN'ebe nlekọta insulin - mwepu ma ọ bụ mmụba na nkwenye nke abụba subcutaneous. Ọ na-etolite n'ihi ntinye nke insulins adịghị ọcha, na-emebi usoro nchịkwa nke ọgwụ (oyi, nchịkwa kachasị (ga-abụrịrị subcutaneous)), iwebata otu ebe. Ọsọ ọsọ, kpamkpam, a na-enweta insulin site na anụ ahụ dị n'okpuru ala nke akụkụ ahụ dị warara nwayo, na-ada nwayọ site na ubu, n'ihu apata ụkwụ ma jiri nwayọ nwayọ site na mpaghara na mpaghara ala. Achọpụtaghị ihe karịrị 16 IU nke insulin n'otu ebe, otu ugboro kwa ụbọchị 60.

Mmeghachi omume nfụkasị ahụ (itching, ihe ngbu, ujo anafilas). Nke a bụ nsonaazụ insulin, adịghị ọcha, na insulin anụmanụ. Ọ dị mkpa ịnyefe onye ọrịa na ọgwụ immunogenic dị ala (insulin mmadụ), iji nye ọgwụ antihistamines, HA.

Ọkpụkpụ nke ụbụrụ, akpa ume, akụkụ ahụ dị n’ime.

Ikike ibu (oke ibu).

Ro-cell atrophy, nguzogide insulin(na-etolite mgbe insulin choro ihe karia 2 PIECES / n'arọ nke oke ahụ, na ntinye karịa 60 PIECES kwa ụbọchị).

Electrolyte na - agbanwe, nsogbu nke metabolic, nke mwepu, inhibition reflexes, anuria, hemodynamic aghara.

Kpa dị iche dị mgbagwoju anya: iv 40% glucose solution.

Shortnweta insulin na-adị mkpụmkpụ mkpụmkpụ (10-20 IU) + glucose dị ka achọrọ.

Ọzọkwa, subcutaneously ma ọ bụ m / m 5-10 IU nke insulin maka nchịkwa glucose.

Ọgwụ infusion - usoro isotonic nke sodium chloride, potassium chloride.

N'ebe pH dị n'ọbara na-erughị 7.0 w / w sodium bicarbonate ngwọta.

Cocarboxylase iji belata ọkwa ketone.

2dị shuga abụọ nke ọrịa mellitus

Edere ihe ndị na - eme ọgwụ hypoglycemic ọgwụ na - ejighị ọgwụ ụmụaka.

Ndị nnọchianya na-arịa ọrịa hypoglycemic

Omume ọgwụ

Insulin nke dị n'ime ọbara anyị bụ homonụ nke na-edozi metabolism, na-ebelata shuga ọbara, ma na-enyere aka inweta glucose.

Ọ dị mmadụ mkpa ịnata insulin site na mpụta n'ọnọdụ ndị ahụ mgbe ọnya ahụ kwụsịrị imepụta ya buru ibu ma ọ bụ mepụta oke. Ọkwa insulin n'ọbara nke ahụ ike bụ 3-20 mkU / ml. Ebe ọ dị ụkọ, ọrịa shuga 1dị nke 1 na-enwe obere obere, ụdị shuga nke 2 na-amalitekwa ịmụba insulin.

A na - ejikwa insulin wuru nwa mere maka ahụike sitere na gland nke pancreas, ehi, na inyocha mkpụrụ ndụ ihe eji eme ihe.

Ihe ngosi maka iji insulin eme ihe

Ihe kachasị eji ọgwụ ahụ eme ihe bụ ọgwụgwọ nke ụdị ọrịa shuga mellitus 1. N'ọnọdụ ụfọdụ, a na-eji ya maka ụdị ọrịa shuga 2.

Ejiri obere insulin (5-10ED) mee ihe iji gwọọ ọrịa ịba ọcha n'anya, ọrịa nrịanrịa na mbido mbụ, nke nwere ike ọgwụgwụ, furunculosis, acidosis, nri na-adịghị mma, thyrotoxicosis.

Enwere ike iji ọgwụ ahụ mebie usoro ụjọ ahụ, iji gwọọ ahoụrụma, ụdị ụfọdụ nke schizophrenia.

Ofzọ nke ngwa

N'ụzọ bụ isi, a na-etinye ọgwụ ahụ n'ime akwara ma ọ bụ n'okpuru akpụkpọ ahụ, n'ọnọdụ ndị dị njọ na ọrịa shuga ọ na-enye ya n'ọbara.

A na-ekpebi oke ọgwụ a chọrọ n'otu n'otu dabere na nyocha nke nyocha ahụ, gụnyere. data maka ọkwa shuga, insulin n'ọbara, yabụ ị nwere ike inye naanị ogo ngagide iwu.

Ọbara insulin chọrọ ya maka ọrịa mellitus sitere na 10-40 ED kwa ụbọchị.

Site na coma na-arịa ọrịa mamịrị kwa ụbọchị, ọ nweghị ihe karịrị 100 IU ga-achịkwa subcutaneously, yana na nchịkwa ọgbụgba, enweghị ihe karịrị 50 IU kwa ụbọchị.

Maka ihe ndị ọzọ, a na-enye ọgwụ ọgwụ na obere onunu - 6-10ED / ụbọchị.

Maka inje insulin, a na-eji sirinji pụrụ iche, ya na agịga ejiri, nke a na-enye maka iwebata ihe niile dị n’ime ya n’enweghị nsị, nke na-enye gị ohere ịgbaso usoro ị doụ ọgwụ ahụ dị.

Tupu ịnakọta insulin n'ụdị nkwusioru na sirinji, ihe ndị dị na vial ahụ kwesịrị ịma jijiji iji mepụta otu nkwusioru otu.

N’ezie, a na-eme ka a na-eme kwa ụbọchị ka a na-enye ya ọgwụ abụọ ruo atọ. A na-eme ọgwụ mgbochi ọkara ọkara awa, otu awa tupu nri. Ihe insulin na-eme, otu ngaji ya, na-amalite mgbe ọkara elekere gachara, otu elekere wee dị awa 4-8.

Emega insulin n'ime intravenally na-amalite mgbe nkeji 20-30 gachara., Ọkwa shuga na-agbadata na ọkwa mbụ mgbe otu elekere abụọ gachara.

Nsonaazụ

Mgbe a na-eji ọgwụ subcutaneously, ọgwụ lipodystrophy nwere ike ịmalite. Ọzọkwa, ọgwụ nwere ike ibute allergies.

Ebuli insulin dị elu n'ihi ịdoụbiga ya ókè nwere ike ibute ụkọ hypoglycemic. Ihe mgbaàmà: ịba ụba nke salivation, ịsụsọ, adịghị ike, mkpụmkpụ ume, nkụchi, ahụ ike, adịkarịghị - coma, cramps, delirium, ọnwụ nke mmụọ.

Insulin: ọnụ ahịa dị na ahịa ọgwụ dị n'ịntanetị

Syringe sfm insulin 3x comp 1ml n20 (u40 ​​/ u100 26g 0.45x12)

Syringe bd insulin micro fin + 0.5ml n10 (u100 g29 0.33x12.7)

Syringe bd insulin micro fin + 1ml n10 (u40 ​​30g 0.3x8)

Syringe bd insulin micro-fine + 1ml n10 (u100 g30 0.3x8)

Syringe bd insulin micro fin + demi 0.3ml n10 (u100 g30 0.3x8)

Insulin Protafan NM kwụsịtụrụ. d / gbanye 100ME / ml 10ml

Ngwọta insulin Actrapid NM maka ịgba ntụtụ 100ME / ml 10ml

Syringe sfm insulin 3x comp 1ml n100 (u100 29g 0.33x12.7)

Syringe sfm insulin 3x comp 1ml n100 (u40 ​​29g 0.33x12.7 ind pack)

Ngwọta insulin Actrapid NM Penfill maka ịgba ntụtụ kaadị 100 IU / ml 3ml Nke 5

Insulin Protafan NM Penfill Susp. kaadị d / inject100ME / ml 3ml N5

Insulin Humulin M3 Susp. d / igba 100 IU / ml kaadị. 3ml №5

Nlekọta insulin Humulin oge nile kaadị R / d 100 IU / ml kaadị. 3ml №5

Insulin Humalog rr d / gbara kaadị 100ME / ml. 3ml №5

Ngwọta insulin Apidra Solostar maka injection 100ME / ml 3ml Nke 5 spr-pen.

A na-emejupụta ozi gbasara ọgwụ a, enyere ya aka maka ihe ọmuma ma ọ doghị ntuziaka ndị isi. Medication medicationụ onwe gị ọgwụ dị ize ndụ nye ahụ ike!

Imirikiti ụmụ nwanyị na-enwe ike inweta obi ụtọ karịa ịtụgharị uche n'ahụ ha nke ọma n'enyo karịa inwe mmekọahụ. Yabụ, ụmụ nwanyị, gbaa mbọ maka nkwekọrịta.

Onye na-a antụ ọgwụ mgbochi n’oge ikpe ga-enwetakwa ịda mbà n’obi ọzọ. Ọ bụrụ na mmadụ anagide nkụda mmụọ na aka ya, ọ nwere ohere ọ bụla ichefu ọnọdụ a ruo mgbe ebighi ebi.

Ọ na-emebu ikuku ahụ na-eme ka ahụ nwee ikuku oxygen. Kaosiladị, echiche a gbagọrọ agbagọ. Ndị sayensị achọpụtala na mgbagharị, mmadụ na-eme ka ụbụrụ dị jụụ ma na-eme ka arụmọrụ ya ka mma.

Ọtụtụ nde nje na-amụ, na-ebi ma na-anwụ na anyị gootu. Enwere ike ịhụ ha naanị na nnukwu ịdị elu, ma ọ bụrụ na ha gbakọtara ọnụ, ha ga-adaba na iko kọfị mgbe niile.

Mpekere chọkọleti anọ gbara ọchịchịrị nwere ihe dị ka calorie narị abụọ. Yabụ ọ bụrụ na ịchọghị ịka mma, ọ ka mma ịghara iri karịa lobules abụọ kwa ụbọchị.

Iji kwuo ọbụna okwu kachasị mkpụmkpụ ma dị mfe, anyị na-eji akwara iri abụọ na asaa.

N'ime pasent 5 nke ndị ọrịa, Clomipramine antidepressant na-akpata mkpali.

Ọ bụrụ na imeju gị kwụsịrị ịrụ ọrụ, ọnwụ ga-apụta n'ime otu ụbọchị.

Ọbara mmadụ "na-agabiga" n'ime arịa ndị nọ n'okpuru nrụgide dị ukwuu, ọ bụrụ na e mebiri iguzosi ike n'ezi ihe ya, ọ nwere ike gbaa 10 mita.

Imeju bụ akwara kacha anyị n’ahụ. Ogo ya di 1.5 n'arọ.

Ọrịa kacha egbu egbu bụ ọrịa Kuru. Naanị ndị nnọchi anya ebo ebo dị na New Guinea na-arịa ọrịa. Ọ na-achị ọchị chịa onye ọrịa. Ekwenyere na ihe kpatara ọrịa ahụ na-eri ụbụrụ mmadụ.

E bugara ọtụtụ ọgwụ ka ọ bụrụ ọgwụ. Dịka ọmụmaatụ, azara ahịa Heroin na mbụ ka ọ bụrụ ọgwụ ụkwara. A na-atụkwa ọgwụ cocaine ka ọgwụ na-eme ka ọgwụ na-egbu egbu ma bụrụkwa ụzọ iji nwekwuo ntachi obi.

N’inye nlele mgbe niile n’elu akwa anụ ahụ, ohere i nwere ibute ọrịa anụ ahụ na-abawanye site na 60%.

N'oge ndụ, nkezi onye na-amịpụta obere mmiri mmiri abụọ.

Akụrụ anyị nwere ike sachapụ lita atọ nke ọbara n'otu nkeji.

Ọnụ ọgụgụ ndị ọrụ na-arụ ọrụ n'ọfịs amụbawo nke ukwuu. Omume a bụ njimara nke obodo ukwu. Ọrụ ụlọ ọrụ na-adọta ụmụ nwoke na ụmụ nwanyị.

Ọgwụ nke ọgwụ

N ’ọgwụ, ọgwụ dị iche iche a ka amaara:

• mkpụmkpụ
• ultrashort
• nkezi oge nke ikpughe
• oge mkpughe.

Ojiji nke otu insulin ozo dabere na njirimara onye ọrịa na ọgwụgwọ nke ọrịa shuga. Typesdị insulin dịgasị iche n’etiti onwe ha na usoro njikọta na nhazi. Maka ụdị ọgwụ ọ bụla, a na-emepụta ntuziaka maka ojiji dị ka atụmatụ ndị a si dị.

Na mgbakwunye, enwere ụfọdụ ihe izugbe ga-elele anya mgbe ị na-eme ọgwụ insulin. Ọgwụ insulin ọ bụla nwere ihe ngosipụta maka ojiji yana contraindications.

Gịnị bụ ihe a

Insulin bụ nkwadebe homonụ nke peptide. A na-eji ya dị ka ọgwụ a kapịrị ọnụ na ọgwụgwọ ọrịa shuga. Nke a bụ homonụ na-arụ ọrụ na metabolism metabolism ma na -ebelata mkpụkọ nke glucose n'ọbara. A na-enweta mbelata Carbohydrate site na ịba ụba shuga site na anụ ahụ na-adabere na insulin, nke na-akwalite njikọ nke glycogen site na mkpụrụ ndụ imeju na-egbochi ntụgharị nke amino acid na abụba n'ime carbohydrates.

Mana enwere mmetụta insulin na ahụ.

Ọ bụrụ na ọ na-efu?

Na enweghị ya, a na-achọpụta mmụba nke shuga, nke na-akpasu iwe na ọrịa shuga mellitus na nsogbu ndị ọzọ. Enweghị insulin na-apụta n'ihi mgbanwe na pancreas, nke na-apụta n'ihi nkwụsị na ọrụ nke sistemu endocrine, mgbe mmerụ ahụ ma ọ bụ n'oge nrụgide dị elu nke metụtara ọnọdụ nrụgide.

Emere ọgwụ site na akwara nke pancreas nke anụmanụ.

Usoro ọgwụgwọ maka ọrịa shuga

A na-ele insulin anya dị ka ọgwụ a kapịrị ọnụ na ọgwụgwọ nke ọrịa mellitus, ebe ọ na-ebelata hyperglycemia, na-agbagide ntinye nke glycogen na mkpụrụ ndụ imeju na akwara, na-ebelata nguzo glucose, na-eme ka akpịrị na-arịa ọrịa shuga, mee ka ọ dị mma. A na - enweta insulin maka iji ogwu gwo oria nke ezumike na ehi. Enwere usoro maka mmiri ọgwụ na-emepụta insulin, mana ugbu a anaghị ahụ ya. Egoputala uzo ihe omumu banyere ndu iji meputa insulin n’ime mmadu. Ulinlọ insulin nke enwetara site na mkpụrụ ndụ ihe nketa dabara na insulin amino acid nke insulin mmadụ na-agbaso.

N'ọnọdụ ebe a na-enweta ihe a na gland anụmanụ, a pụrụ ịhụ adịghị ọcha dị iche iche (glucagon, proinsulin, protein, self-statin, polypeptides, wdg) na ngwaahịa n'ihi nsacha ezughi oke. Nri a sachaghi nke oma nwere ike kpasu otutu nsogbu ndi ozo.

Insulin a na-eme ka a mara ihe nke ọma taa. A na-ejikwa insulin nke mmadụ na-eme ihe n'ọtụtụ ebe.

Ọ na-ekpebi ọrụ nke ihe a. Maka otu ọrụ (mba ụwa), a na-ewere ọrụ 0.04082 mg nke insulin.

Tupu anyị atụlee etu insulin si emetụta ahụ na nsonaazụ nke ihe a, anyị ga-achọpụta ebe edepụtara ya.

Ihe ngosi maka oge atọrọ

Ihe ngosiputara maka oge a bu oru diri aru nke aru ndi mmadu na - ejiko insulin. Na obere doses, enwere ike iji ya na ọgwụgwọ nke ọrịa ụfọdụ ọrịa imeju. Ọ bụrụ na ọ dị mkpa, enwere ike iji ọgwụ ndị dị otú ahụ na ọgwụgwọ nke ọrịa uche na akwara ozi.

Insulin nwere ike inwe ihe ngosi ndia maka ojiji:

• ọgwụgwọ na mgbochi nke acidosis,
• igbochi mbelata nke anụ ahụ,
• thyrotoxicosis,
• furunlera,
• ọrịa shuga,
• urticaria, eczema, wdg.

Na ahoụrụma na schizophrenia

Ojiji insulin ji agwọ ị theụ ihe ọ andụ andụ na ụfọdụ ụdị nke schizophrenia egosipụtala ezigbo nsonaazụ. N'oge ọgwụgwọ nke schizophrenia, a na-enye ọgwụgwọ insulinocomatous ọgwụ, nke a na-etinye insulin n'ime ahụ onye ọrịa na-enweghị ike ịkpata hypoglycemic akpata oyi. N'ọnọdụ ụfọdụ, a na-enye ndị ọrịa ọgwụ nnwere onwe n'oge oge enyemaka nke nkụda mmụọ.

A ga-edowe contraindications na nsonaazụ insulin n'okpuru.

Kedu mgbe a ga - egbochi ọgwụ insulin?

Insulin nwere ụfọdụ ihe mgbochi na contraindications maka ojiji.Ọnọdụ pathological ndị a gụnyere na ndepụta nke contraindications:

• ọria aru
• ịba ọcha n'anya
• jed
• ọnụnọ nke akụrụ na akụrụ na oge iwe nke ọrịa nkume akụrụ.
• Ọrịa obi jọrọ njọ
• ọnya afọ.

Na mgbakwunye na ọrịa ndị dị n'elu, a na-egbochi ọgwụ insulins n'ọnọdụ ndị a:

• ọnụnọ n'ime onye ọrịa na-arịa ọrịa shuga mellitus nke ụdị insulin insulin na-emetụta insulin.
• hypoglycemia ma ọ bụ ihe ga-eme ka ọ bụrụ ihe ọ bụla,

Ndụmọdụ pụrụ iche

Ihe ndị ọzọ na-egbochi iji ọgwụ ndị a bụ ọnụnọ ọrịa oke nwere ozugbo nke ọgwụ ọgwụ insulin dị.

Ọtụtụ ọgwụ ndị nwere insulin anaghị akwado maka ọgwụgwọ nke ọrịa shuga n'oge ime na lactation. N'oge a, a ga-eji ọgwụ ndị a na-eme na ndabere nke insulin sitere na anụmanụ.

Mmetụta insulin na-enwe

Mmetụta ndị na-eme mgbe a na-eji insulin eme ihe na-egosipụta n'ihe banyere ịdoụbiga mmanya ókè n'oge ntụtụ. N'okwu a, enwere ike ịchọpụta mmụba nke ọbara nke ihe. Nke a nwere ike itinye aka na mmepe nke steeti hypoglycemia, nke na-eduga n'ọgba ụbụrụ hypoglycemic.

Nke a bụ isi mmetụta insulin na ahụ mmadụ, mana enwere ndị ọzọ.

Itsbawanye ọkwa ya so na-eme ka ọsụsọ na-abawanye, uju, ịba ụba ọrụ nzuzo nke gvvvvgg na mmepe nke iku ume. Site na ị overụbiga ọgwụ ike ókè ma ọ bụrụ na ị ofụ ọgwụ ma ọ bụ nri riri oge na-egbu ume, ike nke mmụọ nwere ike ime. Ọrịa na-esote na-akpalite akpomkpomamiki hypoglycemic.

Kedu otu esi egbochi nke a?

Iji kpochapụ ihe ngosi nke ịdoụbiga mmanya ókè, ịkwesịrị iri 100 g achịcha ọcha, obere iko shuga ma ọ bụ iko tii dị ụtọ, ị nwere ike iri apụl.

Ọ bụrụ na mgbaàmà dị egwu apụta, onye ọrịa ahụ ga-abanye glucose ọbara. Ọ bụrụ na ọ dị mkpa, enwere ike iji nhazi subcutaneous nke adrenaline mee ihe.

Ọ kwesịrị ịmara onye ọ bụla na-arịa ọrịa shuga nsogbu.

Achọrọ ụfọdụ ịkpachara anya mgbe ị na-eji ọgwụ sịntetị ndị a na-eme ka mmiri ọgwụ mkpụrụ obi mellitus, ọkachasị mgbe ha tolitere enweghi ụkọ yana ọghọm nke mgbasa ụbụrụ. N'ihe banyere iji ụdị insulin na-eme ogologo oge, usoro nyocha nke mmamịrị na ọnọdụ ọbara na mkpebi nke ogo shuga dị na ha chọrọ. Ọmụmụ ihe a ga - enyere gị aka ịghọta oge ga - adị mma maka ịnye ọgwụ iji belata nsonaazụ insulin.

Iji duzie ọgwụ insulin, a na-eji sirinji insulin ma ọ bụ mkpịsị pen pụrụ iche, nke na-adabere n’ụdị insulin ji eme ọgwụ insulin.

Etu esi eji ihe eme ihe iji zere nsogbu ozo nke insulin n’aria oria shuga.