Inflammation may help explain depression, diabetes link

REUTERS

PublishedJun 9, 2014, 5:04 pm IST

UpdatedJan 10, 2016, 8:38 am IST

Depressed, diabetic patients have higher markers of inflammation in their blood

New York: People with both depression and diabetes have higher markers of inflammation in their blood than those with diabetes alone, a new study suggests.

Researchers have known that people with diabetes have a higher rate of depression than those without the blood sugar disorder. And people with both conditions tend to do worse over the long run than people with diabetes but no depression.

Inflammation is a sign of the body responding to disease, trauma or other stressors. The new study suggests higher inflammation levels may help explain the link between diabetes, depression and worse overall health, researchers said. But it’s still not clear how, exactly.

“We asked, why is depression so bad for diabetes? The study suggests that we have a possible biological explanation,” Dr. Khalida Ismail told Reuters Health.

“Inflammation may be driving a number of different long-term conditions. That’s quite a new way of thinking of the mind and the body,” she said.

Ismail worked on the study at the Institute of Psychiatry at King’s College London in the UK.

She and her colleagues examined 1,227 people with newly diagnosed type 2 diabetes.

Those who reported symptoms of depression tended to be younger and heavier. They also had higher rates of heart and circulation problems and higher concentrations of established markers of inflammation in their blood, according to results published in Diabetes Care.

After the researchers took into account other potential differences between study participants, such as their age, sex, amount of body fat and use of certain medications, six of the 12 inflammatory markers they measured were still linked to depression.

More than one in 20 Americans reported depression in 2005-2006, and about one in 12 has diabetes, a major cause of heart disease and stroke, according to the Centers for Disease Control and Prevention.

Death rates are up to twice as high among people with depression and diabetes as those with diabetes alone, Ismail said.

“The conventional wisdom is that this is a consequence of the psychological burden of having diabetes,” she said. “If that’s the case, if you treat the depression, the diabetes control should improve.”

But it does not, Ismail said. So she began to wonder if inflammation, often seen in people with diabetes, could help explain both conditions and the worse outcomes.

“It’s a bit like an engine,” Ismail said. “You’re running a bit higher. So there’s this constant low-grade inflammation and that’s causing damage to your brain, your pancreas and to your vascular system.”

Dr. Anne Peters said she often sees patients with diabetes, depression and elevated markers for inflammation. But there are still many questions about how they are related.

“The development of depression could in part be triggered by inflammation, but we don’t know what comes first,” she told Reuters Health. “This paper can’t prove causality. The interplay is so complicated.”

Peters directs the University of Southern California Clinical Diabetes Program in Beverly Hills and was not involved in the current study.

“To me, it’s as much a part of diabetes care as looking at blood sugars to screen for and treat depression,” she said.

She believes the best way to begin to combat both depression and diabetes is to eat well and exercise. Her own study found that depression scores among people with diabetes dropped when they were physically active.

“If you exercise, you feel better, your inflammatory markers improve. It’s all about lifestyle interplaying with your health. We’re just living lives we were not made to live. We sit still too much at work. We’re caged up in a way,” she said.

Peters cited a 2012 study that found that people taking antidepressants were at higher risk for diabetes than non-antidepressant users, even after taking their weight into account. The current study did not examine antidepressant use

Genetic test aims to improve diabetes diagnosis

REUTERS

PublishedMar 25, 2016, 9:07 pm IST

UpdatedMar 25, 2016, 9:05 pm IST

Type 1 diabetes occurs when the body's immune system destroys the cells that release insulin.

Radiographer Paul Martin was wrongly diagnosed with type 2 diabetes in April 2013. After months of taking two medications that failed to improve his condition, Martin visited a consultant who subsequently diagnosed him correctly with type 1.

"They put me on tablets - metformin and glycoside - and then I was able to just continue taking those for months until I saw a consultant who then said that my diabetes had got worse. So I was actually diagnosed as type 1 then and introduced to insulin," he explained.

Martin is one of a number of patients diagnosed with the wrong type of diabetes, which differ markedly in causation and treatment. Type 1 diabetes, which accounts for less than ten percent of patients, occurs when the body's immune system destroys the cells that release insulin. Without insulin, patients' bodies cannot absorb sugar. Most type 1 diabetics are diagnosed young.

Type 2 diabetes is often linked with obesity and can be developed at any age. In those cases patients' bodies are unable to use insulin correctly and can suffer damage to their pancreas, although the condition can sometimes be managed through improved diet and weight loss.

Correctly diagnosing which type a patient has is crucial, and in a small minority of cases the wrong diagnosis can be fatal. But in an age of growing obesity in the western world, diagnosis is becoming increasingly difficult for doctors.

According to diabetes expert Dr Richard Oram, from the University of Exeter Medical School, clinical diagnosis is currently based almost entirely on age at diagnosis and whether a patient is obese.

So Oram has come up with a new, relatively inexpensive, genetic test for the disease, which he thinks will help doctors.

"This is a genetic test which essentially means that it measures genetic risk factors for type 1 diabetes and it measures very simply and cheaply in a way that's easy to do, and it means that when a patient presents with diabetes we could measure that genetic risk and if the genetic risk is higher for type 1 diabetes it means they're very likely to have autoimmune type-1 diabetes, and if the genetic risk is low for type 1 diabetes then they're much more likely to have type 2 diabetes, the kind of diabetes associated with obesity," he told Reuters.

Oram's team devised a test which measures 30 genetic variants in DNA and combines all the risks associated with them in a single score, acting as a summary of genetic risk for type 1 diabetes. If a person's score is high they are likely to have type 1 diabetes. If the score is low they may have type 2. A further commonly used test which measures anti-bodies would then be undertaken to complete individual diagnosis.

Oram says early diagnosis is crucial. "If you get this wrong, if you label someone who actually has type 2 diabetes as type 1 they'll be left on insulin for the rest of their life when they don't need it. Even worse, if someone with type 1 diabetes is mislabelled as having type 2 diabetes then they may not be treated with the insulin they need and they may suffer life threatening complications," he said.

A National Institute for Health Research Clinical Lecturer and specialist in Diabetes and Nephrology, Oram says his test will also benefit patients' understanding and attitude towards their condition.

In the short term the University of Exeter Medical School, a leading centre in genome-wide association studies, could test genetic samples sent by patients from hospitals across the UK. Oram's team is also working to develop a bench-side test that any clinical laboratory could run cheaply and quickly.

"If someone could have a blood sample taken it would be sent to our lab here and have the genetic risk score tested," Oram said. "What we think is better for people with diabetes both in the UK and around the rest of the world is if their local hospital could do this test on a bench-side machine."

The research was supported by the UK's National Institute for Health Research (NIHR) and the Wellcome Trust, an independent, global charitable foundation dedicated to improving health. It's also been backed by research charity Diabetes UK.

The latter's regional manager Claire Gordon called the research "excellent." She added: "They're looking at making it a very cheap process, so people can literally have a phone app that will help them determine whether it's type 1 or type 2, and it will be cheap enough that you can do it universally, so one of the problems with lots of research is that things cost a lot of money. This is really great because it identifies what the risk of type 1 and type 2 are and means you're much more likely to get the right diagnosis quickly."

Paul Martin agrees, and says his health has improved markedly since his correct diagnosis two years ago. "Basically my blood sugars have come right down. I don't seem to be as tired as I used to be," he said.

Oram's team published its research in peer-reviewed journal Diabetes Care last November.

1 person dies of diabetes every seven seconds

DC CORRESPONDENT

PublishedApr 19, 2015, 11:22 am IST

UpdatedJan 10, 2016, 8:38 am IST

In India, one in every 10 is diagnosed with diabetes

Chennai: We usually see the doctors saying diabetes is not a disease and the person with diabetes can lead a more healthy life than a normal person, if sugar levels are kept in control. Yes, it is true that diabetes is not a disease and just a metabolic syndrome. But, the latest diabetes numbers released by International Diabetes Federation in the year 2014 observe that a patient is dying every 7 seconds due to diabetes complication.

Delivering a lecture on “Health and Environment” at State-level conference held at Madras Medical Mission (MMM) college of Health Sciences on Saturday, Dr. Nagaraj Manickam, scientist at Madras Diabetes Research Foundation (MDRF), said, quoting sixth edition IDF world diabetes atlas, that the burden of diabetes is increasing globally at an alarming pace. By 2035, there will be around 592 million people with diabetes from current 387 million, which is a steep increase of 53 percent. 

In India, one in every 10 is diagnosed with diabetes and half of people with diabetes in South-East Asia are undiagnosed.What will happen if a person is having diabetes? The scientist said its impact on economy is enormous. Diabetes caused at least $612 billion dollars in health expenditure in 2014 – 11% of total spending on adults.  

Due to last of awareness, more than 79,000 children developed type 1 diabetes in 2013. 

More than 21 million live births were affected by diabetes during pregnancy in 2013 and 77 percent of people with diabetes live in low-and-middle income countries. Diabetes caused 4.9 million deaths in 2014. Dr. Manickam said inadequate knowledge on food content, high calorie intake, sedentary lifestyle have increased the risk of Type 2 

diabetes. 

“It is everyone’s responsibility to have good healthy foods to reduce the burden of diabetes and diabetic related complications”.On the research front, the scientist said recently, novel polymorphisms or genetic variants at six different loci associated with Type 2 diabetes were identified in South Asian people.  These discoveries will give additional insight into the mechanism of the disease.  However, it is really a big task to control Type 2 diabetes by gene  therapy. 

Diabetes may shorten healthy years of life

REUTERS

PublishedApr 20, 2016, 8:50 am IST

UpdatedApr 20, 2016, 8:50 am IST

Managing blood sugar, blood pressure and lipids should be reasonable steps to maximize healthy years of life, experts advise.

 Diabetes shortens life expectancy through the development of diabetes complications such as retinopathy, kidney disease, and cardiovascular disease. (Photo: Pixabay)

Men and women with diabetes generally have shorter life expectancy and fewer years without disability than people without diabetes, according to a new study from Australia.

“Most individuals with diabetes are familiar with the classical complications affecting eyes, kidneys, feet and cardiovascular system, but this study highlights another impact, especially about the number of disability free years which were lost,” said senior author Dianna J. Magliano of Baker IDI Heart and Diabetes Institute and Monash University in Melbourne.

Based on Australian diabetes studies, disability surveys and the national death index, the researchers estimated that 50-year old men and women with diabetes had a life expectancy of 30 years and almost 34 years, respectively – or about three years less than for men and women without diabetes.

“Disability” meant having at least one of 17 limitations or impairments, for at least six months, that restricts everyday activities like bathing or getting into or out of bed. Fifty-year-olds with diabetes could expect an average of about 13 years of disability-free life, eight or nine years less than men and women without diabetes, as reported in Diabetologia.

Women age 50 with diabetes would spend more of their remaining years living with disability than men with diabetes, the researchers estimated. “The differential impact of diabetes by sex on life expectancy difference can be explained largely by the fact that women with diabetes had longer life expectancy and significantly higher prevalence of disability, which is consistent with previously reported data for women in general,” Magliano said.

Although people with diabetes are living longer now than in the past, diabetes still carries a large risk of other health problems, said Dr. Ed Gregg of the Division of Diabetes Translation at the Centers for Disease Control and Prevention, who was not part of the new study.

But, he said, there are wide variations among individuals. “Many people develop diabetes and manage it really successfully, have a life expectancy as long as anyone, based on how well they are able to manage it and work with their health system,” Gregg told Reuters Health by phone.

“Diabetes shortens life expectancy through the development of diabetes complications such as retinopathy, kidney disease, and cardiovascular disease,” Magliano told Reuters Health by email. “We believe the development of these complications may also influence the development of disability, although the mechanisms are not so clear yet.”

Managing blood sugar, blood pressure and lipids should be reasonable steps to maximize healthy years of life, she said. “Another important intervention is physical activity, which is of proven value in slowing the decline of physical function, and should be strongly recommended in older people with diabetes, even if obesity and poor glycemic control are not a problem,” Magliano said.

Helping individuals with diabetes meet recommended preventive care guidelines and maintain an active lifestyle should reduce years lived with disability, Gregg said. “The other thing that we can do in clinical settings is try to identify people at high risk for diabetes and help them make lifestyle changes,” since type 2 diabetes is largely preventable in the first place, he said.

Tendon pain linked to type 2 diabetes

REUTERS

PublishedJan 30, 2016, 10:52 am IST

UpdatedJan 30, 2016, 10:53 am IST

Having injured tendons may make it difficult to stick with exercise programs, which are essential for management of diabetes.

 Tendinopathy refers to injuries and inflammation of the tendons, the soft tissues that connect muscles to bones, usually due to overuse or repetitive movements.

Exercise is important to managing type 2 diabetes, but the condition may also make a person prone to tendon pain, which can interfere with exercise, researchers say.

Based on an analysis of past studies, researchers found that people with type 2 diabetes are more than three times as likely as those without the disease to have tendon pain, known as tendinopathy. And people with diagnosed tendinopathy have 30 percent higher odds of having diabetes.

The findings may indicate a problem healthcare providers need to be aware of, the study’s senior author said. “People with diabetes are more likely to develop tendinopathy, but the opposite is also true - people with tendinopathy are more likely to have undiagnozed diabetes,” Jamie Gaida told Reuters Health in an email.

“Tendinopathy is a problem for two key reasons,” he said. “First, feeling pain during movements that load the tendon is unpleasant, and second, having a painful tendon stops you being physically active.”

People with diabetes “should absolutely be physically active, as it is one of the most effective treatments for diabetes,” said Gaida, an assistant professor and physiotherapist at the University of Canberra in Australia.

Tendinopathy refers to injuries and inflammation of the tendons, the soft tissues that connect muscles to bones, usually due to overuse or repetitive movements. Having injured tendons may make it difficult to stick with exercise programs, which are essential for management of diabetes.

One past research review has also linked diabetes and increased risk of tendinopathies, the authors of the new study note in the British Journal of Sports Medicine.

To examine the relationship further, Gaida and colleagues reviewed 31 previous studies. Twenty-six of them focused on people with type 2 diabetes while five focused on people with diagnosed tendinopathy.

When they combined and reanalyzed the data in all the studies, Gaita’s team found that people with type 2 diabetes were 3.67 times more likely to develop tendinopathy compared to control participants without diabetes. People with tendinopathy were 1.3 times more likely than controls to have diabetes.

The study team also found that people with diabetes were more likely to have thickened tendons, which is often seen in tendinopathy. And people with both tendinopathy and diabetes typically had been diagnosed diabetic for longer than those with diabetes but no tendon problems.

“The risk of tendinopathy increases with the number of years that you’ve had diabetes,” Gaida said.

Physical activity is one of the most effective treatments for diabetes and tendinopathy can be one of the worst things for diabetes management as it stops physical activity, he said, adding that people who develop tendon pain should seek medical advice early for the speediest recovery.

“Physiotherapists/Physical Therapists are uniquely skilled to help you recover from tendinopathy and return to your chosen activity,” Gaida said.

People with diabetes shouldn’t see this study as a reason to stop exercising, stressed Dr. I. Martin Levy, director of the orthopedic surgery residency program at Montefiore Medical Center in New York.

Levy said that people with diabetes should take a measured approach to any type of exercise or activity. “I think whatever exercise program that you are going to take, use common sense, and start off slowly.”

People sometimes “launch themselves too aggressively into exercise programs and hurt themselves,” he said. “Any exercise that you take on, you should do it in a progressive manner. Start off gently and then increase in a rational way, and constantly observing results of your exercise to determine if in fact you are having any problems from the exercise program that you are on.”

Gaida said the risk of tendinopathy for anyone can be minimized by gradually increasing activity levels and the rate of progression should be slower for someone with diabetes.

Gaida also noted that good control of blood sugar levels can minimize the increased risk of tendinopathy in people with type 2 diabetes.

Youth diabetes is on the rise, study suggests

REUTERS

PublishedMay 6, 2014, 2:38 pm IST

UpdatedJan 10, 2016, 8:38 am IST

Researchers can’t say why exactly rates continue to go up, but it is important to monitor them

 New York: Both type 1 and type 2 diabetes became increasingly common among kids and teens in the U.S. between 2001 and 2009, according to a new study.

Though researchers can’t say why exactly these rates continue to go up, it is important to monitor them, Dr. Dana Dabelea told Reuters Health.

Dabelea worked on the study at the Colorado School of Public Health in Aurora.

“This should draw attention to the seriousness of pediatric diabetes especially for the clinical and public health community,” she said. “At the individual level, every new case of diabetes at a young age means a lifelong burden of difficult, expensive treatment and a high risk of complications.”

Dabelea and her team analyzed data from health plans in California, Colorado, Ohio, South Carolina and Washington state, as well as from American Indian reservations in the Southwest, including more than 3 million patients under age 19.

In 2001, about 14.8 kids in every 10,000 were diagnosed with type 1 diabetes, formerly known as 'juvenile diabetes,' in which the body’s own immune system destroys insulin-producing cells in the pancreas. Insulin is needed to remove sugar from the bloodstream so it can be used for energy.

By 2009, that rate had risen to 19.3 kids in every 10,000, a 21 percent increase, the authors found. Type 1 diabetes was most common among white children.

In type 2 diabetes, which is much more common but not usually diagnosed until adulthood, the body still makes insulin but can’t use it effectively. For the current study, the authors looked at type 2 diabetes among kids ages 10 and up.

Among that group in 2001, 3.4 kids in every 10,000 were diagnosed with type 2 diabetes, which increased to 4.6 per 10,000 in 2009, a 31 percent increase. This type of diabetes was most common among American Indian and black youth.

The results were published online Saturday in the Journal of the American Medical Association, to coincide with a presentation at the annual meeting of the Academic Pediatric Societies, held this year in Vancouver, Canada.

Though the study covered a large number of kids, it only included data from two years. So it’s hard to say there was a steady increase in diabetes among kids throughout the country over the same time period, the authors say.

Still, the increase they saw was larger than expected, according to Dabelea, especially given that other recent studies have found obesity rates in the U.S. have finally started to plateau.

Obesity, along with diet and lifestyle, is closely linked with type 2 diabetes.

“The obesity rates in the U.S. have been relatively stable since 2003-04 with a decline in rates recently, mainly in younger children rather than in older children, so I am not too surprised in the continued rise in type 2 (diabetes) in youth from 2001 to 2009, but I am hopeful that the rate of type 2 in youth will level off over the next five years,” Dr. Georgeanna J. Klingensmith told Reuters Health in an email.

Klingensmith, from the Barbara Davis Center for Childhood Diabetes at the University of Colorado School of Medicine in Aurora, was not part of the new study.

“I do think that we are better at diagnosing type 2 diabetes in youth today than we were 10-15 years ago, so part of the increase in type 2 diabetes may be related to improved detection of diabetes due to screening children at high risk,” she said.

The increase in type 2 diabetes seemed mostly to be driven by increases among minority populations, Dabelea said.

“Since minorities typically have less optimal (blood sugar) control, less access to care and more obesity, these are strong risk factors for type 2 diabetes,” she said.

Type 1 diabetes is not caused by obesity, so it could become more common regardless of U.S. obesity rates, Klingensmith said.

It’s still unclear what exactly causes type 1 diabetes, but it has been steadily increasing in European countries as well, Dabelea said.

“For type 1 we can’t really advise families to do anything differently,” she said.

“For type 2 diabetes on the other hand, since that’s so closely related to obesity it’s likely that implementing programs for kids and families being careful of certain things from very early in life is going to be important.”

To protect against type 2 diabetes, parents should help their children avoid excessive weight gain, eat less fried food and more fresh vegetables and get 30 to 60 minutes of exercise per day, Klingensmith said.

The lazy killer

PublishedApr 7, 2016, 2:16 am IST

UpdatedApr 7, 2016, 2:16 am IST

Diabetes kills more people around the world every year than terrorism.

 Diabetes is a silent killer, while terrorism is a loud one. (Representational image)

Do you have diabetes? You better find out. You live in the world’s diabetes hotspot. And if you live in a city, have a sedentary lifestyle and an unhealthy diet — especially lots of fried food and sugary drinks — you really better find out, fast. Not only should you find out for your own sake and act now, even the Prime Minister wants you to defeat diabetes. During his Mann ki Baat radio session last month, Narendra Modi spoke about diabetes. He said working to prevent, detect and treat diabetes is critical to the country’s development and asked fellow Indians to adopt a healthy lifestyle to beat the disease: “Please defeat diabetes this time. India was home to around 6.5 crore diabetics in 2014. The disease brings many other problems with it and it was responsible for more than three per cent deaths in our country.”

It was a timely reference. Beating diabetes is the theme of this year’s World Health Day, April 7. But let us be honest. Healthy lifestyle sounds like a great idea, everyone nods wisely, but far too many of us do not follow it. Many do not even quite understand what it means. Not everyone has the same ideas of how one goes about adopting a healthy lifestyle. If his radio address is any indicator, Mr Modi’s idea of a healthy lifestyle to beat diabetes is lots of yoga and exercise. That takes care of part of the problem. But why leave out unhealthy diet? Aren’t fizzy drinks, fast food, sugary snacks and so on equally responsible for diabetes and a host of other lifestyle related ailments?

Given the alarming rise in the prevalence of diabetes and other lifestyle diseases in this country, why doesn’t the political class talk more about Indians’ eating habits. Perspective. Diabetes kills more people around the world every year than terrorism. Diabetes and related symptoms kill more than three million people each year. According to the Economist, terrorist attacks claimed 32,700 lives last year. So why is this not big news? The only explanation — diabetes is a silent killer while terrorism is a loud one.

Terrorism leaves behind powerful images. It is hard to forget the terrifying pictures of the 2008 terror attacks in Mumbai — the billowing plumes of smoke from the top of the landmark Taj Hotel, the injured security men at Chhatrapati Shivaji Terminal railway station. And there have been so many more, before and after. Most Americans don’t just remember where they were on September 11, 2001, they remember the feel of being frightened. The anger, the memories linger. But diabetes? There are masses of statistics. Everyone knows someone who suffers from complications arising from diabetes. But chances are that it still comes across as a distant threat, not a killer.

To change your mind, consider these:

India has some 6.5 crore diabetics, as Mr Modi pointed out. This is second only to China. Most diabetes cases in our country are of Type 2. According to the World Health Organisation, in India 75,900 men and 51,700 women between 30 and 69 years died of diabetes last year. This may not seem to be a massive number in a country of 131 crore, but the real worry, as health professionals point out, is that a very large number of those with diabetes don’t even know that they have it. Even when they know it, far too often they do not take it seriously. Diabetes can lead to lots of complications, before death. It may cause blindness, kidney failure, loss of limbs...

Diabetes also digs a massive hole in one’s pocket due to the huge cost of treatment as well as reduced ability to work once the disease has advanced. Projections suggest that over 10 crore Indians between 20 and 79 years will be living with diabetes by 2030. The economic impact of this will be devastating, especially in a country where most people have to pay for their own medical treatment. According to the health ministry, out-of-pocket health expenses due to just lifestyle diseases, including diabetes, by individual households shot up from 31.6 per cent in 1995-96 to 47.3 per cent in 2004. Over half of what people spend out of their pockets goes on diagnostic tests, medicines and buying medical appliances. This can fell families.

Can we do something about this?

The good news is that we can. We know why there are more cases of diabetes and other lifestyle diseases than before — rapid urbanisation, sedentary lifestyle, unhealthy diet, and last but not the least, the very fact that we are living longer than before. Sedentary lifestyle and unhealthy diet are preventable at the individual level. Such prevention will also keep heart diseases — the other big killer — in check. At the policy level, urban planners have to take such lifestyle diseases into account and provide facilities for exercise.

Regular and adequate physical exercise is critical to arresting the spread of diabetes and other lifestyle diseases. Equally important is tackling unhealthy diet. But behaviour does not change easily. It changes only after sustained public awareness campaigns and a supportive policy environment. What we are seeing is the opposite. Since 1998, the consumption of sugary beverages has been increasing by 13 per cent every year. There is an urgent need to do something about this. A January 2014 study said that given the current sales of sugar-sweetened drinks in India, a 20 per cent increase in taxes will reduce diabetes by 1.6 per cent (4 lakh) between 2014 and 2023.

Why do we not seriously consider introducing additional taxes on sugar-laden drinks, alongside encouraging more physical activity? Without public awareness, a sin tax will not change things dramatically, but it will help. Diabetes can derail India’s emerging economy. It is not someone else’s problem; it is ours. We have to check its spread among the young generation. Health ministry officials are happy to share their laundry list of things that need to be done to beat diabetes and other lifestyle diseases. These include subsidy for healthy foods, steep prices of unhealthy food, control of salt and sugar content in processed foods, with labels indicating contents, replacement of trans-fats and saturated fats with polyunsaturated fats, provision of facilities and promotion of physical activity especially for the young, a firm policy for tobacco and alcohol, controlling air pollution and public awareness about healthy lifestyle.

It is a do-able list. But will it be done? What is the cost of ignoring the threat of diabetes and other lifestyle diseases? Quoting a 2013 Harvard study, the health ministry puts the cumulative economic cost associated with heart diseases, diabetes, chronic respiratory diseases and mental health between 2012 and 2030 at a mind-boggling Rs 38,302,200 crore at the 2010 value of the rupee. If that’s not a killer, what is?

The writer focuses on development issues in India and emerging economies. She can be reached at patralekha.chatterjee@gmail.com

 India sees alarming rise in diabetic population

DECCAN CHRONICLE. | TEENA THACKER

PublishedApr 7, 2016, 9:05 am IST

UpdatedApr 7, 2016, 2:28 pm IST

Moreover, the prevalence of diabetes has more than doubled for men in India and China.

 Keeping in view the dramatic rise in the number of diabetic cases, experts say that the probability of meeting the UN global target of 2025 is “virtually non-existent”. (Photo: AFP)

China, India and USA are among the top three countries with a high diabetic population. According to the recent Lancet study, the numbers climbed from 20.4 million in China in 1980 to 102.9 million in 2014 and in India from 11.9 million in 1980 to 64.5 million.

Ironically, the prevalence of diabetes has more than doubled for men in India and China (3.7 per cent to 9.1 per cent in India and 3.5 per cent to 9.9 per cent in China). It has also increased by 50 per cent among women in China (5.0 per cent to 7.6 per cent) and 80 per cent among women in India (4.6 per cent to 8.3 per cent). Worryingly, no other country saw a significant decrease in diabetes prevalence, claims the Lancet.

Ahead of World Health Day (April 7), the Lancet study disclosed that there has been a fourfold rise in the number of diabetics – from 108 million in 1980 to 422 million in 2014 with half of them living in India, China, USA, Brazil and Indonesia. The fastest increase has been seen in low and middle income countries. The prevalence of overweight people too jumped in China to 35.4 per cent and 21.4 in India. As per the data 7.3 per cent people in China are obese and 4.7 in India.

Keeping in view the dramatic rise in the number of cases, experts say that the probability of meeting the UN global target of 2025 is “virtually non-existent”. “Rates of diabetes are rising quickly in China, India, and many other low and middle income countries, and if current trends continue, the probability of meeting the 2025 UN global target is virtually non-existent,” said Professor Majid Ezzati, senior author from Imperial College London, London, UK.

The study includes data from 751 studies totalling 4.4 million adults in different world regions. According to the study, between 1980 and 2014, diabetes has become more common among men than women. In fact, the global age-adjusted prevalence of diabetes doubled among men (4.3% to 9.0%) and increased by two-thirds among women (5.0% to 7.9%).

Although there was an increase in overall rates (crude prevalence) of diabetes in many countries in Western Europe, age-adjusted rates were relatively stable suggesting that most of the rise in diabetes in Western Europe between 1980 and 2014 was due to the ageing population. In contrast, rates of diabetes increased significantly in many low and middle income countries – including China, India, Indonesia, Pakistan, Egypt and Mexico.

The study did not differentiate between type 1 and type 2 diabetes, but most (85-95%) of cases of adult diabetes are type 2 so the observed rise is likely to be due to increases in type 2 diabetes.

Major takeaways from the Lancet study:

*Half of adults worldwide with diabetes in 2014 lived in five countries: China, India, USA, Brazil and Indonesia. In the US, age-adjusted prevalence of diabetes in women increased by 50% (4.3% to 6.4%), and 80% in men (4.7% to 8.2%).

*In the UK, 4.9% of women had diabetes in 2014 (compared to 4.0% in 1980). Prevalence has increased more among men, from 4.8% in 1980 to 6.6% in 2014.

*Northwestern Europe has the lowest rates of diabetes among women and men, with age-adjusted prevalence lower than 4% among women and at 5-6% among men in Switzerland, Austria, Denmark, Belgium and the Netherlands.  Prevalence of diabetes was highest in Polynesia and Micronesia (age-adjusted prevalence is over 20% in men and women). In American Samoa, nearly one third of the adult population have diabetes.

*The greatest increases in diabetes prevalence were in Pacific island nations, followed by the Middle East and North Africa, in countries like Egypt, Jordan and Saudi Arabia.

*Pakistan, Mexico, Egypt and Indonesia are all now in the top 10 countries with the largest number of adults with diabetes. Age-adjusted prevalence of diabetes doubled in Pakistan (4.9 to 12.6% for men and 5.9 to 12.1% for women), Mexico (6.5 to 10.9% for men and 6.5 to11.5% for women), and Indonesia (3.2 to 7.4% for men and 4.1 to 8.0% for women) and nearly tripled in Egypt (6.5 to 16.0% for men and 8.0% to 19.8% for women).

HOW TO STORE AND HANDLE INSULIN ఇన్సులిన్ నిలువ చేయడానికి మరియు ఉపయోగించడానికి సలహాలు भंडारण और इंसुलिन के उपयोग के लिए सलाह

HOW TO STORE AND HANDLE INSULIN

Always read the instructions that come with your insulin. Bottles of insulin, either open or unopened, generally last for one month when stored at room temperature (59 to 86°F). A bottle is considered open if its seal has been punctured. If you remove the cap but don't puncture the seal, the bottle is still considered unopened.

If stored in a refrigerator, unopened bottles are good until the expiration date printed on the bottle. Opened bottles that are stored in a refrigerator should be used within one month of being opened. Many people store their unopened bottles in the refrigerator and keep open bottles at room temperature because they find it uncomfortable to inject cold insulin.

Don't use bottled insulin past the expiration date printed on the label. And no matter what the expiration date is, throw away a bottle one month after you open it. To help you keep track, write the date that you opened the bottle on the bottle's label.

With insulin pens and their cartridges, storage life ranges from seven days to one month. Check the chart below for shelf life details on popular brands.

Insulin cartridges		1.5 mL		Humalog (28 days) Novolin R (30 days) Novolin N (7 days) Novolin 70/30 (7 days)
		3 mL		Novolin R (28 days) Novolin N (14 days) Novolin 70/30 (10 days) Novolog (28 days) Lantus (28 days) Levemir (42 days)
Prefilled pens				Humalog (28 days) Novolin R (28 days) Novolin N (14 days) Novolin 70/30 (10 days) Novolog (28 days)

Troubleshooting

There are two ways to tell when insulin is no longer good: poor performance and unusual appearance.

If your blood sugar stays high even though you're following your treatment plan, your insulin may have lost its effectiveness. Poor performance could be due to two things:

• Your insulin bottle has been open for more than 28 days.
• You have a lot of punctures in the rubber stopper because you take very small doses of insulin and you're getting close to the end of the bottle.

If your insulin has an unusual appearance, it's probably no longer effective. Here are some warning signs:

• Your insulin is cloudy when it is supposed to be clear.
• Your insulin is supposed to be cloudy but it has clumps, even after rolling it between your palms.
• Your insulin looks stringy.
• Your insulin has changed in color.

If you think your insulin has gone bad, don't take any chances: throw the bottle away immediately and open a new one.

Smart Tips for Insulin Storage

• Protect your insulin (bottles, pens, and cartridges) from extremes of hot and cold.
• Keep insulin out of direct sunlight (for example, don't store it on a sunny window sill).
• Never store your insulin in the freezer - once insulin is frozen, it loses its potency.
• Don't store your insulin near radiators, heat vents, ovens, air conditioners, etc.
• Don't leave your insulin in a closed car during very warm or cold months.
• If you're going to be outdoors for a while in hot or cold weather, store your insulin in an insulated case.  Read tips on injecting insulin away from home.

  ఇన్సులిన్ నిలువ చేయడానికి  మరియు ఉపయోగించడానికి సలహాలు 

ఎల్లప్పుడూ మీ ఇన్సులిన్ తో వచ్చిన సూచనలను చదవండి. గది ఉష్ణోగ్రత (59 86 ° F) వద్ద నిల్వ చేసేటప్పుడు ఓపెన్ లేదా తెరచిన  ఇ న్సులిన్ సీసాలు, సాధారణంగా ఒక నెల దాకా. బాగా పనిచేస్తాయి  సీల్ తీసిన సీసా తెరిచినదిగా భావిస్తారు. మీరుమూత తీసినా   పంక్చర్ లేకపోతే, సీసా ఇప్పటికీ తెరవకుండా ఉన్నదిగా  భావిస్తారు.

ఒక రిఫ్రిజిరేటర్ నిల్వ ఉంటే, తెరవకుండా ఉన్న  సీసాలు సీసా మీద ముద్రించిన గడువు తేదీ వరకు బాగుంటాయి . ఒక రిఫ్రిజిరేటర్ లో నిల్వ చేయబడి ఉంటె   సీసాలు తెరువబడిన  నెలలోపే వాడాలి. చాలా మంది రిఫ్రిజిరేటర్ లో వారి తెరవకుండా ఉన్న సీసాలు నిల్వ చేస్తే వారు అసౌకర్యంగా చల్లని ఇన్సులిన్ ఇంజెక్ట్ చేసుకోవాల్సిఉంటుంది అందుకని  గది ఉష్ణోగ్రత వద్ద ఓపెన్ సీసాలు ఉంచండి.

లేబుల్ ముద్రించిన గడువు తేదీ అయిన తర్వాత  సీసా ఇన్సులిన్ వాడకండి. ఒక సీసా తెరిచాక  ఒక నెల  తర్వాత మిగిలిఉన్న  దాని  సుత్తబుట్టలో వేయండి వాడకండి
 మీరు సీసా యొక్క లేబుల్ మీద సీసా ప్రారంభమైన తేదీ వ్రాసి, ట్రాక్ చేయ్యండి 

ఇన్సులిన్ పెన్నులు మరియు వారి గుళికలు తో, నిల్వ జీవితం ఏడు రోజుల నుండి ఒక నెల వరకు ఉంటుంది. ప్రముఖ బ్రాండ్లు నిల్వ జీవితం వివరాల కోసం ఈ క్రింది పట్టికలో తనిఖీ.చేయ్యండి 

ఇన్సులిన్ కార్ట్ రిడ్జెస్ 1.5 మిలీ

Humalog (28 రోజులు)

Novolin ఆర్ (30 రోజులు)

Novolin N (7 రోజులు)

Novolin 70/30 (7 రోజులు)

 ఇన్సులిన్ కార్ట్ రిడ్జెస్3 మిలీ

Novolin R  (28 రోజులు)

Novolin N (14 రోజులు)

Novolin 70/30 (10 రోజులు)

Novolog (28 రోజులు)

Lantus (28 రోజులు)

Levemir (42 రోజులు)

Prefilled పెన్నులు Humalog (28 రోజులు)

Novolin ఆర్ (28 రోజులు)

Novolin N (14 రోజులు)

Novolin 70/30 (10 రోజులు)

Novolog (28 రోజులు)

సమస్యలు  పరిష్కరించడం 

పేలవమైన ప్రదర్శన మరియు అసాధారణ ప్రదర్శన: ఇన్సులిన్ ఇకపై మంచి ఉన్నప్పుడు చెప్పడం రెండు మార్గాలు ఉన్నాయి.

మీ బ్లడ్ షుగర్ మీరు మీ చికిత్స ప్రణాళికను అనుసరిస్తున్నారు అయినప్పటికీ అధిక చూడటంలో ఉంటే, మీ ఇన్సులిన్ దాని ప్రభావం కోల్పోయింది ఉండవచ్చు. పేలవమైన పనితీరుకు  రెండు విషయాలు కారణం కావచ్చు:

మీ ఇన్సులిన్ సీసా  28 రోజులకంటే ఎక్కువ  తెరిచి ఉండవచ్చు

మీరు ఇన్సులిన్ చాలా చిన్న మోతాదులో తీసుకొని మీరు సీసా ముగింపు దగ్గరగా చేస్తున్నారు ఎందుకంటే మీరు రబ్బరు స్టాపర్ లో పెట్టడం చాలా ఉన్నాయి.

మీ ఇన్సులిన్ ఒక అసాధారణ ప్రదర్శన కలిగి ఉంటే, అది సమర్థవంతమైన ఇకపై బహుశా. ఇక్కడ కొన్ని హెచ్చరిక చిహ్నాలు:

స్పష్టం భావించబడేది ఉన్నప్పుడు మీ ఇన్సులిన్ మబ్బులు.

మీ ఇన్సులిన్ క్లౌడి గా  భావించబడేది కానీ అది కూడా మీ అరచేతులు మధ్య అది రోలింగ్ చేసిన తర్వాత, పిసురు పిసురుగా ఉంటె  అది పాడైనట్టు లెక్క 

మీ ఇన్సులిన్ ధారాలుగా  కనిపిస్తోంది అది పాడైనట్టు లెక్క 

మీ ఇన్సులిన్ రంగు మారిపోయింది.అది పాడైనట్టు లెక్క 

మీరు మీ ఇన్సులిన్ చెడి  పోయింది భావిస్తే, ఏ మాత్రం చాన్సు తీసుకోవద్దు  దూరంగా వెంటనే సీసా త్రో  చేసి మరియు ఒక కొత్తది  తెరవండి.

ఇన్సులిన్ నిల్వ కోసం స్మార్ట్ చిట్కాలు

వేడి మరియు చల్లని ఉస్నోగ్రతల  విపరీతాల నుండి మీ ఇన్సులిన్ (సీసాలు, పెన్నులు, మరియు కార్ట్ రిడ్జెస్) రక్షించండి.

 ప్రత్యక్ష సూర్యకాంతి నుండి ఇన్సులిన్  దూరంగా ఉంచండి.

(ఉదాహరణకుఒక ఎండ పడుతున్న విండో లేదా  గుమ్మము మీద నిల్వ చేయ్యొద్దు  

ఫ్రీజర్ లో మీ ఇన్సులిన్ నిల్వ ఎప్పుడూ చేయ్యొద్దు  - ఒకసారి ఇన్సులిన్ ఘనీభవించితే  అది దాని శక్తి కోల్పోతుంది .

రేడియేటర్లలో, వేడి గాలి,, ఓవెన్లు, గాలి కండిషనర్లు, మొదలైనవాటి  సమీపంలో మీ ఇన్సులిన్ ఉంచకండి

చాలా వెచ్చని లేదా చల్లని నెలలలో ఒక క్లోజ్డ్ కారులో  మీ ఇన్సులిన్ ఉంచవద్దు.

మీరు వేడి లేదా చల్లని వాతావరణంలో కాసేపు ఆరుబయట ఉండాల్సి ఉంటే, ఇంటి నుండి దూరంగా  వెళ్లాల్సి వస్తే 
ఒక  ప్రత్యేక  ఫ్లాస్క్ లో  తీసుకెళ్లండి 

भंडारण और इंसुलिन के उपयोग के लिए सलाह

हमेशा निर्देश है कि आपके इंसुलिन के साथ आ पढ़ें। कमरे के तापमान (59 86 ° F) जब खुला या खुले ई nsulin बोतलों में संग्रहीत है, आमतौर पर एक महीने के लिए। Tericinadiga बोतल सील बहुत अच्छी तरह से लिया माना जाता है। mirumuta पंचर खींच हैं, तो बोतल अभी भी उद्घाटन देखता है।

अगर एक रेफ्रिजरेटर में संग्रहीत, बोतल पर छपी समाप्ति की तारीख से इसे खोलने, बोतलें बेहतर हैं। बोतलों एक फ्रिज में जमा हो जाती है तो एक महीने के भीतर किया जाना चाहिए, अपने दरवाजे खोले। कई लोग हैं जो फ्रिज में उनकी बोतलों खोल रहे हैं इंसुलिन इंजेक्शन cesukovalsiuntundi ठंड और असहज स्टोर करने के लिए है, इसलिए वे कमरे के तापमान पर खुले में बोतलें डाल दिया।

बोतल के लेबल पर मुद्रित समाप्ति तिथि के बाद इंसुलिन का प्रयोग न करें। एक बार एक बोतल खोली जाती है, एक महीने में यह suttabuttalo का प्रयोग न करें बनाने के लिए शेष
 नीचे तारीख आप बोतल के लेबल पर बोतल खोली लिखें, ट्रैक ceyyandi

इंसुलिन पेन और उनके कारतूस, एक महीने के लिए सात दिन के भंडारण के जीवन के साथ। निम्न तालिका tanikhiceyyandi में अग्रणी ब्रांडों के भंडारण के जीवन पर जानकारी के लिए


1.5 एमएल इंसुलिन गाड़ी लकीरें
Humalog (28 दिन)
Novolin आर (30 दिन)
Novolin एन (7 दिन)
Novolin 70/30 (7 दिन)

 3 एमएल इंसुलिन गाड़ी लकीरें
Novolin आर (28 दिन)
Novolin एन (14 दिन)
Novolin 70/30 (10 दिन)
Novolog (28 दिन)
Lantus (28 दिन)
Levemir (42 दिन)

प्रीफिल्ड कलम Humalog (28 दिन)
Novolin आर (28 दिन)
Novolin एन (14 दिन)
Novolin 70/30 (10 दिन)
Novolog (28 दिन)

समस्याओं को हल करने के लिए
खराब प्रदर्शन और असामान्य उपस्थिति: बताने के लिए जब इंसुलिन नहीं रह अच्छा है दो तरीके हैं।

आपका रक्त शर्करा के उच्च रहता है, हालांकि, अगर आप अपने उपचार योजना का पालन करें, अपने इंसुलिन अपने प्रभाव को खो सकते हैं। दो चीजों के खराब प्रदर्शन का कारण हो सकते हैं:
बोतल 28 से अधिक दिनों के लिए खुला हो सकता है, अपने इंसुलिन

आप इंसुलिन की एक बहुत छोटी खुराक ले रही है क्योंकि तुम इतनी बोतल के अंत के करीब हैं, आप रबर डाट में खुलने के एक बहुत है।
आप अपने इंसुलिन की एक असामान्य रूप है, यह शायद अब कोई प्रभावी हो गया है। यहाँ कुछ चेतावनी संकेत मिल रहे हैं:
बारिश अपने इंसुलिन स्पष्ट करने के लिए माना जाता है।

बादल अपने इंसुलिन माना जाता है, लेकिन यह भी अपनी हथेलियों को बीच यह रोलिंग है, pisuru pisuruga गणना दूषित हो सकता है कि

गिनती और यह अपने इंसुलिन के प्रवाह की तरह लग रहा है

यदि आपके इंसुलिन maripoyindiadi के रंग के खाते
आप अपने इंसुलिन Chedi खो दिया है, Chauncey के किसी भी नहीं लेते दूर बोतल फेंक और एक नया खुला।

इंसुलिन के भंडारण के लिए स्मार्ट टिप्स
इंसुलिन (बोतलें, कलम, और गाड़ी लकीरें) की एक व्यापक स्पेक्ट्रम से गर्मी और सर्दी के चरम को सुरक्षित रखें।

 इंसुलिन प्रत्यक्ष सूर्य के प्रकाश से दूर रखें।
(Udaharanakuoka धूप खिड़की दासा या एक भंडारण ceyyoddu पर था
कभी फ्रीजर ceyyoddu में इंसुलिन की दुकान - इंसुलिन solidifies एक बार इसे अपनी शक्ति खो देता है।

रेडिएटर, गर्म हवा ,, ओवन, एयर कंडीशनर, आदि आसपास के क्षेत्र में अपने इंसुलिन की दुकान नहीं है

बहुत गर्म या बहुत ठंड के महीनों में एक बंद गाड़ी में अपने इंसुलिन नहीं रखा है।

आप गर्म या ठंडे मौसम में थोड़ी देर के लिए बाहर होना है, तो जब वह घर से दूर जाना होगा
एक अलग फ्लास्क में ले लो
ಸಂಗ್ರಹ ಮತ್ತು ಇನ್ಸುಲಿನ್ ಬಳಕೆಗೆ ಸಲಹೆ

ಯಾವಾಗಲೂ ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಬರುತ್ತದೆ ಸೂಚನೆಗಳನ್ನು ಓದಿ. ಕೊಠಡಿ ತಾಪಮಾನದಲ್ಲಿ (59 86 ° ಎಫ್) ಸಾಮಾನ್ಯವಾಗಿ ಒಂದು ತಿಂಗಳ, ಮುಕ್ತ ಅಥವಾ ಮುಕ್ತ e nsulin ಬಾಟಲಿಗಳು ನಲ್ಲಿ ಸಂಗ್ರಹಿಸಿಡುವುದರಿಂದ. Tericinadiga ಬಾಟಲ್ ಸೀಲ್ ಚೆನ್ನಾಗಿ ತೆಗೆದುಕೊಂಡು ಪರಿಗಣಿಸಲಾಗುತ್ತದೆ. mirumuta ತೂತು ಪುಲ್, ಬಾಟಲ್ ಇನ್ನೂ ಆರಂಭಿಕ ನೋಡುತ್ತಾನೆ.

, ರೆಫ್ರಿಜಿರೇಟರ್ ಸಂಗ್ರಹಿಸಲಾಗಿದೆ ಬಾಟಲ್ ಮುದ್ರಿಸಲಾಗುತ್ತದೆ ಮುಕ್ತಾಯ ದಿನಾಂಕ ಅದನ್ನು ತೆರೆಯುವ ವೇಳೆ, ಬಾಟಲಿಗಳು ಉತ್ತಮ. ಬಾಟಲಿಗಳು ಮಾಡಬೇಕು ಒಂದು ತಿಂಗಳೊಳಗೆ ಬಳಸಬಹುದು ರೆಫ್ರಿಜಿರೇಟರ್ ಸಂಗ್ರಹಿಸಲಾಗಿದೆ ವೇಳೆ, ತನ್ನ ಬಾಗಿಲು ತೆರೆಯಿತು. ರೆಫ್ರಿಜರೇಟರ್ನಲ್ಲಿ ತಮ್ಮ ಬಾಟಲಿಗಳು ತೆರೆಯುವ ಅನೇಕ ಜನರು ಇನ್ಸುಲಿನ್ ಇಂಜೆಕ್ಷನ್ cesukovalsiuntundi ಶೀತ ಮತ್ತು ಅಹಿತಕರ ಶೇಖರಿಸಿಡಲು, ಆದ್ದರಿಂದ ಅವರು ಕೊಠಡಿ ತಾಪಮಾನದಲ್ಲಿ ಮುಕ್ತ ಬಾಟಲಿಗಳು ಪುಟ್.

ಬಾಟಲಿಯ ಪಟ್ಟಿಯ ಮೇಲೆ ಮುದ್ರಿಸಲಾದ ಕಾಲಾವಧಿಯ ನಂತರ ಇನ್ಸುಲಿನ್ ಬಳಸಬೇಡಿ. ಒಮ್ಮೆ ಒಂದು ಬಾಟಲ್ ತೆರೆಯಿತು, ಒಂದು ತಿಂಗಳು ಇದು suttabuttalo ಬಳಸಬೇಡಿ ಮಾಡಲು ಉಳಿದ
 ನೀವು ಬಾಟಲಿಯ ಲೇಬಲ್ ಮೇಲೆ ಬಾಟಲ್ ತೆರೆದಾಗ ದಿನಾಂಕ ಬರೆಯಲು, ಟ್ರ್ಯಾಕ್ ceyyandi

ಇನ್ಸುಲಿನ್ ಲೇಖನಿಗಳು ಮತ್ತು ಅವರ ಕಾರ್ಟ್ರಿಜ್ಗಳು ಏಳು ಒಂದು ತಿಂಗಳ ದಿನಗಳ ಶೇಖರಣಾ ಜೀವನ. ಕೆಳಗಿನ ಕೋಷ್ಟಕವು tanikhiceyyandi ಮುಂಚೂಣಿಯಲ್ಲಿರುವ ಬ್ರಾಂಡ್ ಸಂಗ್ರಹಣಾ ಅವಧಿಯನ್ನು ವಿವರಗಳಿಗಾಗಿ


1.5 ಮಿಲಿ ಇನ್ಸುಲಿನ್ ಕಾರ್ಟ್ ಸಾಲುಗಳು
Humalog (28 ದಿನಗಳು)
Novolin ಆರ್ (30 ದಿನಗಳು)
Novolin ಎನ್ (7 ದಿನಗಳು)
Novolin 70/30 (7 ದಿನಗಳು)

 3 ಮಿಲಿ ಇನ್ಸುಲಿನ್ ಕಾರ್ಟ್ ಸಾಲುಗಳು
Novolin ಆರ್ (28 ದಿನಗಳು)
Novolin ಎನ್ (14 ದಿನಗಳು)
Novolin 70/30 (10 ದಿನಗಳು)
Novolog (28 ದಿನಗಳು)
Lantus (28 ದಿನಗಳು)
Levemir (42 ದಿನಗಳು)

ಮೊದಲೆ ತುಂಬಿಸಲಾಗಿರುತ್ತದೆ ಪೆನ್ನುಗಳು Humalog (28 ದಿನಗಳು)
Novolin ಆರ್ (28 ದಿನಗಳು)
Novolin ಎನ್ (14 ದಿನಗಳು)
Novolin 70/30 (10 ದಿನಗಳು)
Novolog (28 ದಿನಗಳು)

ಸಮಸ್ಯೆಗಳನ್ನು ಪರಿಹರಿಸಲು
ಅಭಿನಯ ಮತ್ತು ಅಸಾಮಾನ್ಯ ನೋಟವನ್ನು: ಇನ್ಸುಲಿನ್ ಇನ್ನು ಮುಂದೆ ಒಳ್ಳೆಯದು ಹೇಳಲು ಎರಡು ಮಾರ್ಗಗಳಿವೆ.

ನಿಮ್ಮ ರಕ್ತದ ಸಕ್ಕರೆ, ಆದಾಗ್ಯೂ, ಹೆಚ್ಚಿನ ಆಗಿರುತ್ತದೆ ನಿಮ್ಮ ಚಿಕಿತ್ಸೆ ಯೋಜನೆ ಅನುಸರಿಸಿದರೆ, ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ತನ್ನ ಪರಿಣಾಮಕಾರಿತ್ವವನ್ನು ಕಳೆದುಕೊಂಡಿರಬಹುದು. ಎರಡು ವಿಷಯಗಳನ್ನು ಅಭಿನಯ ಕಾರಣ ಇರಬಹುದು:
ಬಾಟಲಿಯನ್ನು ಮುಕ್ತ ಹೆಚ್ಚು 28 ದಿನಗಳ, ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಇದ್ದಿರಬಹುದು

ನೀವು ಬಾಟಲಿಯ ಕೊನೆಯಲ್ಲಿ ಹತ್ತಿರ ಏಕೆಂದರೆ ನೀವು ಇನ್ಸುಲಿನ್ ಒಂದು ಸಣ್ಣ ಪ್ರಮಾಣದ ತೆಗೆದುಕೊಳ್ಳುವ, ನೀವು ರಬ್ಬರ್ ಕೂರಿಗೆ ರಂಧ್ರಗಳ ಸಾಕಷ್ಟು ಹೊಂದಿವೆ.
ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಅಸಾಮಾನ್ಯ ಕಾಣುವಂತಹ, ಅದು ಬಹುಶಃ ಇನ್ನು ಮುಂದೆ ಪರಿಣಾಮಕಾರಿ ಆಗಿದೆ. ಇಲ್ಲಿ ಕೆಲವು ಎಚ್ಚರಿಕೆ ಲಕ್ಷಣಗಳೆಂದರೆ:
ಮಳೆ ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ತೆರವುಗೊಳಿಸಲು ಆಗಿರಬೇಕು ಮಾಡಿದಾಗ.

ಮೋಡ ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಆಗಿರಬೇಕು, ಆದರೆ ಇದು ನಿಮ್ಮ ಅಂಗೈ ನಡುವೆ ರೋಲಿಂಗ್ ವಿಶೇಷವೇನು, ಭ್ರಷ್ಟ ಇರಬಹುದು pisuru pisuruga ಲೆಕ್ಕ ಎಂದು

ಎಣಿಕೆ ಮತ್ತು ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಚಲನೆಯನ್ನು ಮಾಡುತ್ತಿರುವಂತೆ ಕಾಣುತ್ತದೆ ವೇಳೆ

ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ maripoyindiadi ಬಣ್ಣದ ಖಾತೆಯನ್ನು
ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಚೇದಿ ಸೋತರೆ, ಬಾಟಲ್ ಎಸೆದು ಚಾನ್ಸಿ ಯಾವುದೇ ತೆಗೆದುಕೊಂಡು ಹೊಸ ತೆರೆದುಕೊಳ್ಳುವುದಿಲ್ಲ.

ಇನ್ಸುಲಿನ್ ಸಂಗ್ರಹಿಸಲು ಸ್ಮಾರ್ಟ್ ಸಲಹೆಗಳು
ಇನ್ಸುಲಿನ್ (ಬಾಟಲಿಗಳು, ಪೆನ್ನುಗಳು, ಮತ್ತು ಕಾರ್ಟ್ ಸಾಲುಗಳು) ವಿಶಾಲ ರೋಹಿತ ಶಾಖವನ್ನು ಮತ್ತು ಶೀತ ವಿಪರೀತ ರಕ್ಷಿಸಿ.

 ದೂರ ಸೂರ್ಯನ ನೇರ ಇನ್ಸುಲಿನ್ ಕೀಪ್.
(Udaharanakuoka ಬಿಸಿಲು ವಿಂಡೋ ಕಟ್ಟು ಅಥವಾ ಶೇಖರಣಾ ceyyoddu ಮೇಲೆ
ಫ್ರೀಜರ್ ceyyoddu ಇನ್ಸುಲಿನ್ ನೆವರ್ ಸಂಗ್ರಹಿಸಲು - ಇದು ತನ್ನ ಶಕ್ತಿಯನ್ನು ಕಳೆದುಕೊಳ್ಳುತ್ತದೆ ಒಮ್ಮೆ ಇನ್ಸುಲಿನ್ ಗಟ್ಟಿಯಾದಹಾಗೆ.

ರೇಡಿಯೇಟರ್, ಬಿಸಿ ಗಾಳಿಯ ,, ಓವನ್ಸ್, ವಾತಾನುಕೂಲಿ, ಇತ್ಯಾದಿ ಸಮೀಪದ ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಸಂಗ್ರಹಿಸಲು ಮಾಡಬೇಡಿ

ತುಂಬಾ ಬಿಸಿಯಾದ ಅಥವಾ ತುಂಬಾ ತಣ್ಣನೆಯ ತಿಂಗಳ ಮುಚ್ಚಿದ ಕಾರಿನಲ್ಲಿ ನಿಮ್ಮ ಇನ್ಸುಲಿನ್ ಇರಿಸಬೇಡಿ.

ನೀವು ಬಿಸಿ ತಂಪಾದ ವಾತಾವರಣದಲ್ಲಿ ಆ ಹೊರಾಂಗಣದಲ್ಲಿ ಎಂದು ಇದ್ದರೆ, ಅದು ಮನೆಯಿಂದ ಹೋಗುತ್ತಾರೆ

ಪ್ರತ್ಯೇಕ ಫ್ಲಾಸ್ಕ್ ಟೇಕ್
ഇൻസുലിൻ സംഭരണം, ഉപയോഗത്തിന് ഉപദേശം

നിങ്ങളുടെ ഇൻസുലിൻ കൊണ്ട് വരുന്ന നിർദ്ദേശങ്ങൾ എല്ലായ്പ്പോഴും വായിക്കുക. ഊഷ്മാവിൽ (59 86 ° F) ൽ സാധാരണയായി ഒരു മാസം വരെ കയറി, തുറന്ന തുറന്ന ഇ nsulin കുപ്പികൾ സൂക്ഷിച്ചിരിക്കുന്ന വരുമ്പോൾ. Tericinadiga കുപ്പി മുദ്ര വളരെ നന്നായി എടുത്ത കണക്കാക്കുന്നു. mirumuta ദാരം pull എങ്കിൽ കുപ്പി ഇപ്പോഴും ഉദ്ഘാടന കാണുന്നു.

ഫ്രിഡ്ജ് സംഭരിച്ചിരിക്കുന്ന എങ്കിൽ, കുപ്പി പ്രിന്റ് കാലഹരണ തീയതി ആരംഭിച്ചുകൊണ്ട്വൊളണ്ടറി, കുപ്പികൾ പ്രയോജനകരമാകും. ഒരു മാസത്തിനുള്ളിൽ ഉപയോഗിക്കാവൂ കുപ്പികൾ ഒരു ഫ്രിഡ്ജ് സൂക്ഷിക്കുന്നു, അതിന്റെ വാതിലുകൾ തുറന്നു. തണുത്ത അസുഖകരമായ ഇൻസുലിൻ ഇഞ്ചക്ഷൻ cesukovalsiuntundi സംഭരിക്കാൻ കനി അവരുടെ കുപ്പികൾ തുറക്കുന്ന പലരും, അങ്ങനെ അവർ ഊഷ്മാവിൽ തുറന്ന കുപ്പികൾ വെച്ചു.

കുപ്പി എന്ന ലേബലിൽ അച്ചടിച്ച കാലാവധി തീയതിക്ക് ശേഷം ഇൻസുലിൻ ഉപയോഗിക്കരുത്. ഒരു കുപ്പി തുറന്നു ഒരിക്കൽ ഒരു മാസം അതു ചെയ്യാൻ suttabuttalo ഉപയോഗിക്കരുത് വരുത്തുവാൻ ശേഷിക്കുന്നു
 നിങ്ങൾ കുപ്പി എന്ന ലേബലിൽ കുപ്പി തുറന്ന തീയതിയും, ട്രാക്ക് ceyyandi രേഖപ്പെടുത്തുക

ഇൻസുലിൻ പേനയോ അവരുടെ വെടിയുണ്ടകൾ, വരെ ഏഴു ദിവസം സംഭരണ ​​ലൈഫും ഒരു മാസം. താഴെ മേശ tanikhiceyyandi പ്രമുഖ ബ്രാൻഡുകളുടെ സ്റ്റോറേജ് ജീവൻ വിശദാംശങ്ങൾക്ക്


1.5 മില്ലി ഇൻസുലിൻ കാർട്ട് വരമ്പുകൾ
Humalog (28 ദിവസം)
Novolin ആർ (30 ദിവസം)
Novolin വ (7 ദിവസം)
Novolin 70/30 (7 ദിവസം)

 3 മില്ലി ഇൻസുലിൻ കാർട്ട് വരമ്പുകൾ
Novolin ആർ (28 ദിവസം)
Novolin വ (14 ദിവസം)
Novolin 70/30 (10 ദിവസം)
Novolog (28 ദിവസം)
Lantus (28 ദിവസം)
Levemir (42 ദിവസം)

റക വളച്ച് Humalog (28 ദിവസം)
Novolin ആർ (28 ദിവസം)
Novolin വ (14 ദിവസം)
Novolin 70/30 (10 ദിവസം)
Novolog (28 ദിവസം)

പ്രശ്നങ്ങൾ പരിഹരിക്കാനുള്ള
മോശം പ്രകടനം അസാധാരണവുമായ രൂപഭാവം: ഇൻസുലിൻ ഇനി നന്നായിരിക്കുമ്പോൾ പറയാൻ രണ്ട് വഴികളുണ്ട്.

നിങ്ങളുടെ രക്തത്തിലെ പഞ്ചസാരയുടെ, ഉയർന്ന താമസിക്കുന്നതിനു എന്നിരുന്നാലും നിങ്ങളുടെ ചികിത്സ പ്ലാൻ പിന്തുടരുന്ന എങ്കിൽ നിങ്ങളുടെ ഇൻസുലിൻ അതിന്റെ ഫലപ്രാപ്തി നഷ്ടപ്പെട്ടേക്കാം. രണ്ടു കാര്യങ്ങൾ പാവപ്പെട്ട പ്രകടനത്തിന് കാരണം കഴിയും:
തുരുത്തി നിങ്ങളുടെ ഇൻസുലിൻ തുറന്നിരുന്ന 28 ദിവസത്തിൽ കൂടുതൽ ചെയ്തിരിക്കാം

നിങ്ങൾ കുപ്പി അവസാനം അതിനാല് കഴിഞ്ഞതിനാൽ നിങ്ങൾക്ക് ഇൻസുലിൻ വളരെ ചെറിയ ഡോസ് കണക്കിലെടുത്തും, നിങ്ങൾ റബ്ബർ അടപ്പ് തുറസ്സുകളിലും ധാരാളം ഉണ്ട്.
നിങ്ങളുടെ ഇൻസുലിൻ അസാധാരണമായ ഭാവം ഉണ്ടെങ്കിൽ, അത് ഫലപ്രദമാണ് ഇനി ആവാം. ഇവിടെ ചില മുന്നറിയിപ്പ് ദൃഷ്ടാന്തങ്ങളുണ്ട്:
മഴ നിങ്ങളുടെ ഇൻസുലിൻ ക്ലിയർ കുറിക്കും.

തെളിഞ്ഞ നിങ്ങളുടെ ഇൻസുലിൻ ആയിരിക്കും കുറിക്കും, അത് നിങ്ങളുടെ തെങ്ങുകൾ മദ്ധ്യേ ഉരുളുന്നു പറ്റി, കേടായി ആകേണ്ടതിന്നു pisuru pisuruga കണക്കുകൂട്ടൽ

എണ്ണം അതു നിങ്ങളുടെ ഇൻസുലിൻ ഒഴുക്ക് പോലെ കാണപ്പെടുന്നു എങ്കിൽ

നിങ്ങളുടെ ഇൻസുലിൻ നിറം അക്കൗണ്ട് എങ്കിൽ maripoyindiadi
നിങ്ങളുടെ ഇൻസുലിൻ ചേദി നഷ്ടപ്പെട്ടു എങ്കിൽ മെറ്റഫിസിക്കൽ ഏതെങ്കിലും കുപ്പി എറിഞ്ഞു പുതിയതൊന്ന് തുറക്കാൻ സ്വീകരിക്കരുത്.

ഇൻസുലിൻ സംഭരിക്കുന്നതിന് സ്മാർട്ട് നുറുങ്ങുകൾ
ഇൻസുലിൻ (കുപ്പികൾ, പേനകൾ, വണ്ടിക്കു വരമ്പുകൾ) ഉളള സ്പെക്ട്രം ചൂടും തണുപ്പും കൈവന്നേക്കാം പരിരക്ഷിക്കുക.

 അകലെ സൂര്യപ്രകാശം നേരിട്ട് ഇൻസുലിൻ സൂക്ഷിക്കുക.
(Udaharanakuoka സണ്ണി വിൻഡോ സിൽ ആയിരുന്നു അല്ലെങ്കിൽ ഒരു സ്റ്റോറേജ് ceyyoddu ന്
ഫ്രീസർ ceyyoddu ഇൻസുലിൻറെ സംഭരിക്കാൻ ഒരിക്കലും - അതു അതിന്റെ ശക്തി നഷ്ടപ്പെടുകയും ഒരിക്കൽ ഇൻസുലിൻ ഖരാവസ്ഥയിലേക്ക്.

Radiators, ചൂട് വായൂ ,, പണിശാലകൾ, എയർ കണ്ടീഷൻ മുതലായവ സമീപത്ത് നിങ്ങളുടെ ഇൻസുലിൻ സംഭരിക്കരുത്

വളരെ ചൂട് അല്ലെങ്കിൽ വളരെ തണുത്ത മാസം അടച്ച കാറിൽ നിങ്ങളുടെ ഇൻസുലിൻ ഇടരുത്.

നിങ്ങൾ ഹോട്ട് തണുത്ത കാലാവസ്ഥ കുറച്ചുകാലത്തേക്ക് അതിഗംഭീരം ആകുവാൻ ഉണ്ടെങ്കിൽ, അത് വീട്ടിൽ നിന്ന് പോകുമോ

ഒരു പ്രത്യേക തുരുത്തി എടുത്തു
स्टोरेज आणि मधुमेहावरील रामबाण उपाय च्या वापरासाठी सल्ला

नेहमी आपल्या मधुमेहावरील रामबाण उपाय आहे की सूचना वाचा. खोलीच्या तापमानाला (59 86 ° F) सहसा एक महिना पर्यंत, खुल्या किंवा ओपन ई nsulin बाटल्या संग्रहित तेव्हा. Tericinadiga बाटली सील फार चांगले घेतले जाते. mirumuta छिद्र पाडणे खेचणे, तर बाटली अजूनही उघडणे पाहतो.

बाटली छापलेले कालावधी समाप्ती तारीख ते अप उघडणे, एक रेफ्रिजरेटर मध्ये साठवल्यास, बाटल्या चांगले आहेत. बाटल्या एक महिन्याच्या आत वापरले पाहिजे एक रेफ्रिजरेटर मध्ये संग्रहित आहेत, तर, दरवाजे उघडले. रेफ्रिजरेटर मध्ये त्यांच्या बाटल्या उघडणे अनेक लोक मधुमेहावरील रामबाण उपाय इंजेक्शन cesukovalsiuntundi थंड आणि अस्वस्थ संचयित, म्हणून ते तपमानावर उघडा बाटल्या ठेवले.

बाटली लेबल छापलेल्या कालावधी समाप्ती तारीख नंतर मधुमेहावरील रामबाण उपाय वापर करू नका. एक बाटली उघडली आहे एकदा एक महिना ते suttabuttalo वापरू नका करण्यासाठी उर्वरित
 आपण बाटली लेबल वर बाटली उघडली तारीख लिहून ट्रॅक ceyyandi

मधुमेहावरील रामबाण उपाय भिंतींच्या बाजूने लावता येतो आणि त्यांच्या काडतुसे, एक महिना पर्यंत ते सात दिवस संग्रह जीवनावर. खालील तक्ता tanikhiceyyandi अग्रगण्य ब्रँड संग्रह जीवन तपशीलासाठी


1.5 मिली मधुमेहावरील रामबाण उपाय गाडी ridges
Humalog (28 दिवस)
Novolin आर (30 दिवस)
Novolin एन (7 दिवस)
Novolin 70/30 (7 दिवस)

 3 मिली मधुमेहावरील रामबाण उपाय गाडी ridges
Novolin आर (28 दिवस)
Novolin नत्र (14 दिवस)
Novolin 70/30 (10 दिवस)
Novolog (28 दिवस)
Lantus (28 दिवस)
Levemir (42 दिवस)

प्रिफिल Humalog भिंतींच्या बाजूने लावता येतो (28 दिवस)
Novolin आर (28 दिवस)
Novolin नत्र (14 दिवस)
Novolin 70/30 (10 दिवस)
Novolog (28 दिवस)

समस्या सोडवण्यासाठी
कामगिरी आणि असामान्य देखावा तेथे मधुमेहावरील रामबाण उपाय यापुढे चांगले आहेत सांगण्यासाठी दोन मार्ग आहेत.

आपल्या रक्तातील साखर उच्च राहतो, तथापि, आपण आपले उपचार योजना अनुसरण करत असल्यास, आपल्या मधुमेहावरील रामबाण उपाय त्याच्या प्रभावी गमावले असेल. दोन गोष्टी कामगिरी कारण असू शकते:
बाटली 28 पेक्षा जास्त दिवस उघडा केले असावे, आपल्या मधुमेहावरील रामबाण उपाय

आपण बाटली शेवटी अगदी जवळ आहोत कारण मधुमेहावरील रामबाण उपाय अतिशय लहान डोस घेऊन आपण रबर बुच मध्ये संबंधी च्या भरपूर आहेत.
आपण आपल्या मधुमेहावरील रामबाण उपाय एक असामान्य देखावा आहे तर, तो कदाचित यापुढे प्रभावी असल्याचे आहे. येथे काही लक्षणे आहेत:
पाऊस आपल्या मधुमेहावरील रामबाण उपाय साफ करण्यासाठी नवं पुस्तक घेऊन येतो तेव्हा.

आपल्या मधुमेहावरील रामबाण उपाय ढगाळ असणे अपेक्षित आहे, पण ते देखील हाताचे तळवे अप दरम्यान तो रोलिंग आहे, pisuru pisuruga गणना दूषित होऊ शकते, असे

संख्या आणि तो आपल्या मधुमेहावरील रामबाण उपाय प्रवाह दिसते तर

तर आपल्या मधुमेहावरील रामबाण उपाय maripoyindiadi रंग खाते
आपण आपल्या मधुमेहावरील रामबाण उपाय Chedi गमावला तर, Chauncey घेऊ बाटली फेकून आणि एक नवीन उघडू नका.

मधुमेहावरील रामबाण उपाय साठवण्यासाठी स्मार्ट टिपा
मधुमेहावरील रामबाण उपाय (बाटल्या, भिंतींच्या बाजूने लावता येतो, आणि गाडी ridges) विस्तृत स्पेक्ट्रम पासून उष्णता आणि थंड या कमाल संरक्षण.

 मधुमेहावरील रामबाण उपाय दूर थेट सूर्यप्रकाश पासून ठेवा.
(Udaharanakuoka सनी विंडो खिडकीच्या चौकटीचा खालचा आडवा किंवा स्टोरेज ceyyoddu होता
फ्रीज ceyyoddu मधुमेहावरील रामबाण उपाय संग्रहित करू नका - मधुमेहावरील रामबाण उपाय, solidifies तो त्याच्या शक्ती हरले एकदा.

फरक, हॉट एअर ,, ओव्हन्स, एअर कंडिशनर्स, इ परिसरातील आपल्या मधुमेहावरील रामबाण उपाय संचयित करू नका

खूप गरम किंवा अति थंड महिने बंद कार मध्ये आपल्या मधुमेहावरील रामबाण उपाय ठेवू नका.

गरम किंवा थंड हवामान काही काळ घराबाहेर होईल असल्यास, तो घरापासून दूर जा होईल तेव्हा

स्वतंत्र चंबू घ्या

भण्डारण र इन्सुलिन को प्रयोगको लागि सल्लाह

सधैं आफ्नो इन्सुलिन संग आउन निर्देशनहरू पढ्नुहोस्। कोठा तापमान (59 86 ° फा) सामान्यतया एक महिना सम्म, खुला वा खुला ई nsulin बोतल मा जब भण्डारण। Tericinadiga बोतल छाप धेरै राम्रो तरिकाले लिएको मानिन्छ। mirumuta प्वाल पार्ने काम पुल भने, बोतल अझै पनि उद्घाटन देख्नुहुन्छ।

, एक फ्रिज भण्डार छ यदि बोतल मुद्रण म्याद समाप्त हुने मिति गर्न यसलाई खोल्ने, को बोतल राम्रो हो। को बोतल एक महिना भित्र प्रयोग गर्नुपर्छ एक फ्रिज भण्डार छ भने, यसको ढोका खुलेको छ। रेफ्रिजरेटर मा आफ्नो बोतल खोलेर छन् जो धेरै मानिसहरू इन्सुलिन सुई cesukovalsiuntundi चिसो र असहज भण्डारण गर्न, त्यसैले तिनीहरू कोठा तापमान मा खुला मा बोतल राखे।

बोतल को लेबल मुद्रण म्याद समाप्त हुने मिति पछि इन्सुलिन प्रयोग नगर्नुहोस्। एक बोतल खुलेको छ एक पटक, एक महिना यो suttabuttalo प्रयोग नगर्नुहोस् बनाउन बाँकी
 तपाईं बोतल को लेबल मा बोतल खोलेको मिति लेख्न, ट्र्याकको ceyyandi

इन्सुलिन कलम र आफ्नो कारतूस, अप सात महिना दिन को भण्डारण जीवनको। निम्न तालिका tanikhiceyyandi मा अग्रणी ब्रान्डहरु को भण्डारण जीवन मा विवरण को लागि


1.5 एमएल इन्सुलिन गाडी ridges
Humalog (28 दिन)
Novolin आर (30 दिन)
Novolin एन (7 दिन)
Novolin 70/30 (7 दिन)

 3 एमएल इन्सुलिन गाडी ridges
Novolin आर (28 दिन)
Novolin एन (14 दिन)
Novolin 70/30 (10 दिन)
Novolog (28 दिन)
Lantus (28 दिन)
Levemir (42 दिन)

Prefilled कलम Humalog (28 दिन)
Novolin आर (28 दिन)
Novolin एन (14 दिन)
Novolin 70/30 (10 दिन)
Novolog (28 दिन)

समस्या समाधान गर्न
गरिब प्रदर्शन र असामान्य रूप: त्यहाँ बताउन इन्सुलिन अब राम्रो छ जब दुई तरिकाहरू छन्।

तपाईंको रक्त शर्करा तपाईं आफ्नो उपचार योजना पालना भने, तपाईंको इन्सुलिन यसको प्रभावकारिता गुमाएको हुनसक्छ, तर, उच्च रहन्छ। दुई कुराको खराब प्रदर्शन को कारण हुन सक्छ:
बोतल खुला 28 दिन भन्दा हुन सक्छ, तपाईंको इन्सुलिन

तपाईं बोतल को अन्त त नजिक हुनुहुन्छ किनभने तपाईं इन्सुलिन को एक धेरै सानो खुराक लिएर, तपाईं रबर डाट मा खुलने को धेरै छ।
तपाईं आफ्नो इन्सुलिन को एक असामान्य रूप छ भने, यो शायद अब प्रभावकारी हुन छ। यहाँ केही चेतावनी संकेत हो:
जब वर्षा आफ्नो इन्सुलिन खाली मानिन्छ छ।

बादल आफ्नो इन्सुलिन हुन मानिन्छ छ, तर यो पनि तपाईंको Palms अप बीच यो रोलिङ गर्नुपर्छ, pisuru pisuruga गणना भ्रष्ट हुन सक्छ कि

गणना र आफ्नो इन्सुलिन प्रवाह जस्तो देखिन्छ भने

यदि तपाईंको इन्सुलिन maripoyindiadi को रंग को खाता
तपाईं आफ्नो इन्सुलिन Chedi गुमाए भने, Chauncey को कुनै पनि लिन फेंक दूर बोतल र एउटा नयाँ खोल्न गर्छन्।

इन्सुलिन भण्डारण लागि स्मार्ट सुझाव
इन्सुलिन (बोतल, कलम, र गाडी ridges) को एक विस्तृत स्पेक्ट्रम देखि गर्मी र चिसो अचाक्ली सुरक्षित।

 प्रत्यक्ष सूर्यका टाढा इन्सुलिन राख्नुहोस्।
(Udaharanakuoka घाम विन्डो देहली वा भण्डारण ceyyoddu थियो
कहिल्यै फ्रीजर ceyyoddu मा इन्सुलिन भण्डारण - इन्सुलिन solidifies एक पल्ट यो आफ्नो शक्ति भनेन।

Radiators, तातो हावा ,, भट्टामा, एयर कंडीशनर, आदि वरपर आफ्नो इन्सुलिन भण्डारण नगर्नुहोस्

धेरै तातो वा धेरै चिसो महिना एक बन्द कार मा आफ्नो इन्सुलिन राख्न गर्छन्।

तपाईं हट वा चिसो मौसम मा एक समय को लागि बाहिर हुन छ भने, यो घर देखि टाढा हुँदा जाने

छुट्टै फ्लास्क लिन

ਸਟੋਰੇਜ਼ ਅਤੇ ਇਨਸੁਲਿਨ ਦੇ ਵਰਤਣ ਲਈ ਸਲਾਹ

ਹਮੇਸ਼ਾ ਨਿਰਦੇਸ਼ ਹੈ, ਜੋ ਕਿ ਆਪਣੇ ਇਨਸੁਲਿਨ ਨਾਲ ਆ ਪੜ੍ਹਿਆ. ਕਮਰੇ ਦੇ ਤਾਪਮਾਨ '(59 86 ° F), ਜਦ ਓਪਨ ਜ ਖੁੱਲ੍ਹੇ ਈ nsulin ਬੋਤ' ਤੇ ਸੰਭਾਲਿਆ ਹੈ, ਆਮ ਤੌਰ 'ਤੇ ਇੱਕ ਮਹੀਨੇ ਤੱਕ ਦਾ. Tericinadiga ਬੋਤਲ ਮੋਹਰ ਬਹੁਤ ਹੀ ਚੰਗੀ ਲਿਆ ਹੈ. mirumuta ਪੰਕਚਰ ਕੱਢਣ, ਜੇ, ਬੋਤਲ ਨੂੰ ਅਜੇ ਵੀ ਪਹਿਲੇ ਨੂੰ ਵੇਖਦਾ ਹੈ.

ਜੇਕਰ ਇੱਕ ਫਰਿੱਜ ਵਿੱਚ ਸਟੋਰ, ਬੋਤਲ 'ਤੇ ਛਾਪੇ ਪੁੱਗਣ ਦੀ ਤਾਰੀਖ ਨੂੰ ਇਸ ਨੂੰ ਖੋਲ੍ਹਣ, ਬੋਤ ਬਿਹਤਰ ਹਨ. ਬੋਤ ਨੂੰ ਇੱਕ ਫਰਿੱਜ ਵਿੱਚ ਸਟੋਰ ਕਰ ਰਹੇ ਹੋ ਇਕ ਮਹੀਨੇ ਦੇ ਅੰਦਰ-ਅੰਦਰ ਵਰਤਿਆ ਜਾਣਾ ਚਾਹੀਦਾ ਹੈ, ਇਸ ਦੇ ਸਾਰੇ ਦਰਵਾਜ਼ੇ ਖੋਲ੍ਹ. ਬਹੁਤ ਸਾਰੇ ਲੋਕ ਹਨ ਜੋ ਫਰਿੱਜ ਵਿੱਚ ਆਪਣੇ ਬੋਤ ਖੋਲ੍ਹਣ ਰਹੇ ਹਨ ਇਨਸੁਲਿਨ ਟੀਕਾ cesukovalsiuntundi ਠੰਡੇ ਅਤੇ ਬੇਚੈਨ ਨੂੰ ਸਟੋਰ ਕਰਨ ਲਈ ਹੈ, ਇਸ ਲਈ ਉਹ ਕਮਰੇ ਦੇ ਤਾਪਮਾਨ 'ਤੇ ਖੁੱਲ੍ਹੇ ਵਿਚ ਬੋਤ ਪਾ ਦਿੱਤਾ.

ਬੋਤਲ ਦੇ ਲੇਬਲ 'ਤੇ ਛਾਪੇ ਮਿਆਦ ਪੁੱਗਣ ਦੀ ਤਾਰੀਖ ਦੇ ਬਾਅਦ ਇਨਸੁਲਿਨ ਦਾ ਇਸਤੇਮਾਲ ਨਾ ਕਰੋ. ਇੱਕ ਵਾਰ ਇੱਕ ਬੋਤਲ ਖੋਲ੍ਹਿਆ ਹੈ, ਇੱਕ ਮਹੀਨੇ ਇਸ ਨੂੰ suttabuttalo ਨਾ ਵਰਤੋ ਕਰਨ ਲਈ ਬਾਕੀ
 ਥੱਲੇ ਦੀ ਮਿਤੀ ਤੁਹਾਨੂੰ ਬੋਤਲ ਦੇ ਲੇਬਲ 'ਤੇ ਬੋਤਲ ਖੋਲ੍ਹਿਆ ਲਿਖੋ, ਟਰੈਕ ceyyandi

ਇਨਸੁਲਿਨ ਪੈਨ ਅਤੇ ਆਪਣੇ ਕਾਰਤੂਸ, ਇੱਕ ਮਹੀਨੇ ਤੱਕ ਦਾ ਸੱਤ ਦਿਨ ਦੀ ਸਟੋਰੇਜ਼ ਨੂੰ ਜੀਵਨ ਦੇ ਨਾਲ. ਹੇਠਲੀ ਸਾਰਣੀ tanikhiceyyandi ਵਿਚ ਮੋਹਰੀ ਮਾਰਕਾ ਦੀ ਸਟੋਰੇਜ਼ ਨੂੰ ਜੀਵਨ ਬਾਰੇ ਵੇਰਵੇ ਲਈ


1.5 ਮਿ.ਲੀ. ਇਨਸੁਲਿਨ ਕਾਰਟ ਟੀਸੀ
ਹੁਮਾਲੋਗ (28 ਦਿਨ)
Novolin ਆਰ (30 ਦਿਨ)
Novolin ਐਨ (7 ਦਿਨ)
Novolin 70/30 (7 ਦਿਨ)

 3 ਮਿ.ਲੀ. ਇਨਸੁਲਿਨ ਕਾਰਟ ਟੀਸੀ
Novolin ਆਰ (28 ਦਿਨ)
Novolin ਐਨ (14 ਦਿਨ)
Novolin 70/30 (10 ਦਿਨ)
Novolog (28 ਦਿਨ)
Lantus (28 ਦਿਨ)
Levemir (42 ਦਿਨ)

Prefilled ਪੈਨ ਹੁਮਾਲੋਗ (28 ਦਿਨ)
Novolin ਆਰ (28 ਦਿਨ)
Novolin ਐਨ (14 ਦਿਨ)
Novolin 70/30 (10 ਦਿਨ)
Novolog (28 ਦਿਨ)

ਸਮੱਸਿਆ ਨੂੰ ਹੱਲ ਕਰਨ ਲਈ
ਗਰੀਬ ਦੀ ਕਾਰਗੁਜ਼ਾਰੀ ਅਤੇ ਅਸਾਧਾਰਨ ਦਿੱਖ: ਦੱਸਣ ਲਈ ਜਦ ਇਨਸੁਲਿਨ ਕੋਈ ਵੀ ਹੁਣ ਚੰਗਾ ਹੈ ਦੇ ਦੋ ਤਰੀਕੇ ਹਨ.

ਤੁਹਾਡਾ ਬਲੱਡ ਸ਼ੂਗਰ ਹਾਈ ਰਹਿੰਦਾ ਹੈ, ਪਰ, ਜੇ ਤੁਹਾਨੂੰ ਆਪਣੇ ਇਲਾਜ ਯੋਜਨਾ ਦੀ ਪਾਲਣਾ, ਆਪਣੇ ਇਨਸੁਲਿਨ ਇਸ ਦੇ ਪ੍ਰਭਾਵ ਨੂੰ ਖਤਮ ਹੋ ਗਿਆ ਹੋ ਸਕਦਾ ਹੈ. ਦੋ ਕੁਝ ਦੇ ਖਰਾਬ ਪ੍ਰਦਰਸ਼ਨ ਦੇ ਕਾਰਨ ਵੀ ਹੋ ਸਕਦਾ ਹੈ:
ਬੋਤਲ ਵੱਧ 28 ਦਿਨ ਖੁੱਲ੍ਹਾ ਕੀਤਾ ਗਿਆ ਹੈ ਹੋ ਸਕਦਾ ਹੈ, ਤੁਹਾਡੇ ਇਨਸੁਲਿਨ

ਤੁਹਾਨੂੰ ਇਨਸੁਲਿਨ ਦੀ ਇੱਕ ਬਹੁਤ ਹੀ ਛੋਟੇ ਖ਼ੁਰਾਕ ਨੂੰ ਲੈ ਕੇ ਹੈ, ਕਿਉਕਿ ਤੁਹਾਨੂੰ ਇਸ ਲਈ ਬੋਤਲ ਦੇ ਅੰਤ ਦੇ ਨੇੜੇ ਹੋ, ਤੁਹਾਨੂੰ ਰਬੜ ਜਾਫੀ ਵਿੱਚ ਮੌਕੇ ਦੇ ਇੱਕ ਬਹੁਤ ਹੈ.
ਤੁਹਾਨੂੰ ਆਪਣੇ ਇਨਸੁਲਿਨ ਦੀ ਇੱਕ ਅਜੀਬ ਸ਼ਕਲ ਹੈ, ਜੇ, ਇਸ ਨੂੰ ਸੰਭਵ ਹੈ ਕਿ ਕੋਈ ਵੀ ਹੁਣ ਲਾਗੂ ਹੋ ਗਿਆ ਹੈ. ਇੱਥੇ ਕੁਝ ਚੇਤਾਵਨੀ ਦੇ ਚਿੰਨ੍ਹ ਹਨ:
ਬਾਰਿਸ਼ ਆਪਣੇ ਇਨਸੁਲਿਨ ਨੂੰ ਸਾਫ ਕਰਨ ਲਈ ਚਾਹੀਦਾ ਹੈ, ਜਦ.

ਬੱਦਲ ਆਪਣੇ ਇਨਸੁਲਿਨ ਹੋਣਾ ਚਾਹੀਦਾ ਹੈ, ਪਰ ਇਸ ਨੂੰ ਵੀ ਆਪਣੇ ਹੱਥ ਹੋਵੋ ਵਿਚਕਾਰ ਇਸ ਨੂੰ ਘੁੰਮ ਹੈ, pisuru pisuruga ਕੈਲਕੂਲੇਸ਼ਨ ਖਰਾਬ ਕੀਤਾ ਜਾ ਸਕਦਾ ਹੈ, ਜੋ ਕਿ

ਗਿਣਤੀ ਹੈ ਅਤੇ ਇਸ ਨੂੰ ਆਪਣੇ ਇਨਸੁਲਿਨ ਵਹਾਅ ਵਰਗਾ ਦਿਸਦਾ ਹੈ, ਜੇ

ਜੇ ਤੁਹਾਡੇ ਇਨਸੁਲਿਨ maripoyindiadi ਦੇ ਰੰਗ ਦੀ ਖਾਤੇ
ਤੁਹਾਨੂੰ ਆਪਣੇ ਇਨਸੁਲਿਨ Chedi ਗੁੰਮ ਹੋ ਜੇ, Chauncey ਦੇ ਕਿਸੇ ਵੀ ਲੈ ਨਾ ਦੂਰ ਬੋਤਲ ਸੁੱਟ ਅਤੇ ਇੱਕ ਨਵ ਇੱਕ ਨੂੰ ਖੋਲ੍ਹਣ.

ਇਨਸੁਲਿਨ ਨੂੰ ਸੰਭਾਲਣ ਲਈ ਸਮਾਰਟ ਸੁਝਾਅ
ਇਨਸੁਲਿਨ (ਬੋਤ, ਪੈਨ, ਅਤੇ ਕਾਰਟ ਟੀਸੀ) ਦੀ ਇੱਕ ਵਿਆਪਕ ਸਪੈਕਟ੍ਰਮ ਤੱਕ ਗਰਮੀ ਅਤੇ ਠੰਡੇ ਦੀ ਅਤਿ ਦੀ ਰੱਖਿਆ ਕਰੋ.

 ਇਨਸੁਲਿਨ ਸਿੱਧੀ ਧੁੱਪ ਤੱਕ ਦੂਰ ਰੱਖੋ.
(Udaharanakuoka ਧੁੱਪ ਵਿੰਡੋ ਦਿ ਸਿਲ ਜ ਇੱਕ ਸਟੋਰੇਜ਼ ceyyoddu 'ਤੇ ਸੀ
ਕਦੇ ਫ਼੍ਰੀਜ਼ਰ ceyyoddu ਵਿਚ ਇਨਸੁਲਿਨ ਸੰਭਾਲਣ - ਇਨਸੁਲਿਨ solidifies ਇਕ ਵਾਰ ਇਸ ਨੂੰ ਇਸ ਦੇ ਬਿਜਲੀ ਦੀ ਹਾਰਦਾ ਹੈ.

Radiators, ਗਰਮ ਹਵਾ ,, ਓਵਨ, ਏਅਰ ਕੰਡਿਸ਼ਨ, ਆਦਿ ਨੇੜੇ ਆਪਣੇ ਇਨਸੁਲਿਨ ਨੂੰ ਸਟੋਰ ਨਾ ਕਰੋ

ਬਹੁਤ ਗਰਮ ਜ ਵੀ ਬਹੁਤ ਠੰਡੇ ਮਹੀਨੇ ਇੱਕ ਬੰਦ ਕਾਰ 'ਚ ਆਪਣੇ ਇਨਸੁਲਿਨ ਪਾ ਨਾ ਕਰੋ.

ਤੁਹਾਨੂੰ ਗਰਮ ਜ ਠੰਡੇ ਮੌਸਮ ਵਿੱਚ ਇੱਕ ਦੇਰ ਲਈ ਬਾਹਰ ਹੋਣ ਦੀ ਹੈ, ਜੇ, ਇਸ ਨੂੰ ਘਰ ਤੱਕ ਦੂਰ ਜਾਣ ਦੀ ਸੀ

ਇੱਕ ਵੱਖਰੀ ਸ਼ੀਸ਼ੀ ਵਿੱਚ ਲਵੋ

انسولين جي اسٽوريج ۽ استعمال لاء صلاح

هميشه جي هدايتن ته توهان انسولين سان اچي پڙهيو. ڪمري ۾ گرمي پد (59 86 ° ف) جڏھن کليل يا کليل اي nsulin bottles تي رکي ڇڏيو، عام طور تي هڪ مهيني لاء. Tericinadiga بوتل مھر تمام چڱي ورتو سمجهيو ويندو آهي. mirumuta puncture پل ته، سنڌ جي بوتل اڃا ڦاڙي ڏسندڙ آھي.

جيڪڏهن هڪ فرج ۾ رکي ڇڏيو، ان جي بوتل تي طباعت جي ختم ٿيڻ جي تاريخ کي ان جي مٿي ڦاڙي، جي bottles بهتر آهي. جي bottles هڪ ريفريجيريٽر ۾ محفوظ آهن ته هڪ مهيني اندر استعمال ڪيو وڃي ٿو، ان جا دروازا کليا. ڪيترن ئي ماڻهن جو ريفريجيريٽر ۾ سندن bottles ڦاڙي آهن انسولين وجھڻ cesukovalsiuntundi ٿڌو ۽ مضطرب ذخيرو ڪرڻ لاء، پوء اھي ڪمري ۾ گرمي پد تي کليل ۾ bottles ڪر.

جي بوتل جي ليبل تي طباعت جي ختم ٿيڻ جي تاريخ کان پوء انسولين استعمال نه ڪريو. هڪ دفعو هڪ بوتل لياري ۾ آهي، هڪ مهيني ۾ ان suttabuttalo استعمال نه ڪرڻ باقي
 نازل جي تاريخ اوھان جي بوتل جي ليبل تي بوتل پيدا ٿيا، جي ڪچي ceyyandi لکو

انسولين قلم ٿين ۽ سندن cartridges، مٿي کي ست ڏينهن جي رکڻ جي حياتي سان هڪ مهيني لاء. هيٺ ڏنل جدول tanikhiceyyandi ۾ ڇوڙ brands جي رکڻ جي زندگي تي تفصيل لاء


1.5 mL انسولين گاڏو ٽڪرين
Humalog (28 ڏينهن)
Novolin ر (30 ڏينهن)
Novolin ن (7 ڏينهن ۾)
Novolin 70/30 (7 ڏينهن ۾)

 3 mL انسولين گاڏو ٽڪرين
Novolin ر (28 ڏينهن)
Novolin ن (14 ڏينهن)
Novolin 70/30 (10 ڏينهن)
Novolog (28 ڏينهن)
Lantus (28 ڏينهن)
Levemir (42 ڏينهن)

Prefilled قلم Humalog (28 ڏينهن)
Novolin ر (28 ڏينهن)
Novolin ن (14 ڏينهن)
Novolin 70/30 (10 ڏينهن)
Novolog (28 ڏينهن)

مسئلا حل ڪرڻ
جڏهن ته فقير صاحب جي ڪارڪردگي ۽ غير معمولي ظاهر ڪري: نه ٻڌايو کي جڏهن انسولين هاڻي ڪو به سٺو آهي ٻن طريقن سان آهي.

توهان جي رت کنڊ اعلي رهي ٿو، تنهن هوندي به، جيڪڏهن توهان پنهنجي علاج رٿ جي تابعداري ڪريو، توهان جي انسولين ان effectiveness گم ٿي ويا هوندا. ٻن شين جي غريب جي ڪارڪردگي جو سبب ٿي سگهي ٿو:
سنڌ جي بوتل کان وڌيڪ 28 ڏينهن کلي ويا آهن سگهي ٿو، پنهنجي انسولين

انسولين جي هڪ تمام ننڍڙو dose وٺڻ اوھان کي ھن سببان اوھان پوء جي بوتل جي آخر تائين بند آهيو، توهان جي رٻڙ stopper ۾ openings جو تمام گهڻو آهي.
اوھان کي اوھان جي انسولين جي هڪ ڪنڊ ۾ ظاهر ڪيو آهي ته، ان کي شايد هاڻي ڪو به اثر انداز ٿي آهي. هتي ڪجهه قوم ڊيڄاريندڙن کي نشانيون آھن:
جڏهن ته مينهن پنهنجي انسولين کي صاف ڪرڻ لاء وٺي ويندو آهي.

Cloudy پنهنجي انسولين ٿي وٺي ويندو آهي، پر ان کي به ان ڦرنديون جي پنهنجي کجين جي وچ ۾ کنيو، pisuru pisuruga حساب ته خراب ٿي سگهي ٿي

شمار ۽ ان کي پنهنجي انسولين جي وهڪري جيان لڳندي ته

توهان انسولين جي رنگ جو حساب ته maripoyindiadi
اوھان کي اوھان جي انسولين Chedi گم ٿي ته، نه وٺي Chauncey جي ڪنهن جي بوتل پري ڌوڙ ۽ هڪ نئين هڪ ڇڏين ٿا.

انسولين ڪٺي لاء حاضر جوابي طريقه
انسولين (bottles، قلم، ۽ گاڏو ٽڪريون) جي وڏين spectrum کان گرمي ۽ سردي جو غلو جي حفاظت.

 انسولين سڌو sunlight کان پري رکيو.
(Udaharanakuoka گرم دري sill هو يا ڪنهن اسٽوريج ceyyoddu تي
ڪڏهن ته فريزر ceyyoddu ۾ انسولين ذخيرو - انسولين solidifies هڪ ڀيرو ان کي ان جي طاقت وڃائيندو آھي.

Radiators، گرم هوا ،، اوون، هوائي conditioners، وغيره جي بازارن ۾ پنهنجي انسولين محفوظ نه ڪريو

ڏاڍو گرم ٿي يا تمام ٿڌو مهينن کان هڪ بند ڪار ۾ پنهنجي انسولين ڪر نه ڪندا آھن.

اوھان کي گرم يا سرد موسم ۾ ھڪ وقت تائين outdoors ٿي آهي، جڏهن ته ان گهر کان پري وڃڻ ڪري ڇڏي

هڪ الڳ کپي ۾ وٺو

ඉන්සියුලින් ගබඩා කිරීම සහ භාවිතය සඳහා උපදෙස්

සෑම විටම ඔබගේ ඉන්සියුලින් සමග එන උපදෙස් කියවන්න. කාමර උෂ්ණත්වයේ (59 86 ° F) සාමාන්යයෙන් මාසය දක්වා, විවෘත හෝ විවෘත ඊ nsulin බෝතල් ගබඩා විට. Tericinadiga බෝතලයක් මුද්රාව ඉතා හොඳින් ගෙන සැලකේ. mirumuta පන්ච් අදින්න නම්, බෝතලය තවමත් විවෘත දකියි.

ශීතකරණයක් තුළ ගබඩා කර නම්, බෝතලයක් මුද්රණය කල් ඉකුත් දිනය එය විවෘත, බෝතල් වඩා හොඳ වේ. බෝතල් ශීතකරණයක් තුළ ගබඩා වේ නම් එක් මාසයක් ඇතුළත භාවිතා කළ යුතුය, එහි දොරටු විවර කර තිබේ. , සීතල සහ බලවත් අපහසුතාවයට ඉන්සියුලින් එන්නත් cesukovalsiuntundi ගබඩා කිරීම සඳහා ශීතකරණයක් ඔවුන්ගේ බෝතල් විවෘත කරන බොහෝ අය ඒ නිසා ඔවුන් කාමර උෂ්ණත්වයේ දී විවෘත බෝතල් ය.

බෝතලය ලේබලය මුද්රණය කල් ඉකුත් දිනට පසුව ඉන්සියුලින් භාවිතා නොකරන්න. බෝතලයක් විවෘත කළ විට, එක් මාසයක් එය suttabuttalo භාවිතා නොකරන්න කිරීමට ඉතිරි
 ඔබ බෝතලයක් ෙල්බලෙය් බෝතලය විවෘත කරන ලද දිනය, ධාවන ceyyandi ලියන්න

ඉන්සියුලින් පෑන් සහ ඔවුන්ගේ කාට්රිජ, දින දක්වා සත් ගබඩා ජීවිතය මාසය කිරීම. පහත වගුව tanikhiceyyandi ප්රමුඛතම වෙළෙඳ නාම ගබඩා ජීවිතය විස්තර සඳහා


1.5 මිලිලීටර් ඉන්සියුලින් කරත්ත කඳු වැටි
Humalog (දින 28)
Novolin ආර් (දින 30)
Novolin එන් (7 දින)
Novolin 70/30 (7 දින)

 3 මිලිලීටර් ඉන්සියුලින් කරත්ත කඳු වැටි
Novolin ආර් (දින 28)
Novolin එන් (14 දින)
Novolin 70/30 (10 දින)
Novolog (දින 28)
Lantus (දින 28)
Levemir (42 දින)

Prefilled (දින 28) Humalog පෑන්
Novolin ආර් (දින 28)
Novolin එන් (14 දින)
Novolin 70/30 (10 දින)
Novolog (දින 28)

ගැටළු විසඳීම සඳහා
මෙම දුර්වල කාර්ය සාධනය සහ අසාමාන්ය පෙනුම: ඉන්සියුලින් තවදුරටත් හොඳ විට කියන්න ක්රම දෙකක් ඇත.

ඔබගේ රුධිර සීනි ඔබ ඔබේ ප්රතිකාර සැලැස්ම අනුගමනය කරනවා නම්, ඔබගේ ඉන්සියුලින් කාර්යක්ෂමතාව අහිමි වී ඇති විය හැක, කෙසේ වෙතත්, ඉහළ නගී. කරුණු දෙකක් දුප්පත් කාර්ය සාධන හේතුව විය හැක:
බෝතලය විවෘත දින 28 කට වඩා වැඩි, ඔබගේ ඉන්සියුලින් විය හැකියි

ඔබ බෝතලයක් අවසන් කිරීමට අප එතරම් සමීපව ළංව හෙයින් ඉන්සියුලින් ඉතා කුඩා මාත්රාවක් ගැනීම ඔබ, ඔබ රබර් stopper දී විවෘත ගොඩක් ඇති.
ඔබ ඔබේ ඉන්සියුලින් අසාමාන්ය පෙනුමක් ඇති නම්, එය ඵලදායී වීමට තවදුරටත් හැඳින් වේ. මෙන්න සමහර අනතුරු ඇඟවීමේ සංඥා වේ:
වැසි ඔබගේ ඉන්සියුලින් ඉවත් කිරීමට නියමිත ව තිබේ විට.

වළාකුළු පිරි ඔබගේ ඉන්සියුලින් විය කිරීමට නියමිත ව තිබේ, නමුත් එය ද එය ඔබගේ ගස් අතර දක්වා, දූෂිත විය හැකි බව pisuru pisuruga ගණනය එනවා

ගණන් හා එය ඔබගේ ඉන්සියුලින් ප්රවාහය වගේ නම්

ඔබගේ ඉන්සියුලින් වර්ණ ගිණුමක් maripoyindiadi
ඔබ ඔබේ ඉන්සියුලින් Chedi අහිමි නම්, Chauncey ඕනෑම බෝතලය විසි හා අලුත් එකක් විවෘත වන්නේ නැත.

ඉන්සියුලින් ගබඩා කිරීම සඳහා ස්මාට් ඉඟි
ඉන්සියුලින් (බෝතල්, පෑන්, සහ කරත්ත කඳු වැටි) ක පරාසයක් තාපය හා ශීත අන්ත ආරක්ෂා කරන්න.

 ඉන්සියුලින් ඉවතට සෘජු හිරු එළිය සිට තබා ගන්න.
(Udaharanakuoka සනී කවුළුව ප්රතිපත්ති පූජාවන්ට මූලිකත්වය දෙමින් සිටි හෝ ගබඩා ceyyoddu මත
ශීතකරණය ceyyoddu ඉන්සියුලින් ගබඩා කවදාවත් - එය එහි බලය අහිමි වරක් ඉන්සියුලින් solidifies.

රේඩියේටර්, උණුසුම් වායු ,, උදුන්, වායු සමීකරණ යන්ත්ර, ආදිය අවට ඔබගේ ඉන්සියුලින් ගබඩා කරන්න එපා

උණුසුම් හෝ ඉතා සීතල මාස සංවෘත කාර් ඔබගේ ඉන්සියුලින් එහෙම කරන්නේ නෑ.

ඔබ උණුසුම් හෝ ශීත කාලගුණ දී ටික එළිමහනේ විය යුතු නම්, එය නිවසින් යනවා

වෙනම කුලාව ගත
اسٹوریج اور انسولین کے استعمال کے لئے نصیحت

ہمیشہ ہدایات پر آپ انسولین کے ساتھ آئے کہ میں پڑھا. کمرے کے درجہ حرارت (59 86 ° F) عام طور پر ایک ماہ تک، کھلی یا کھلے ای nsulin بوتلوں میں ذخیرہ کیا جاتا ہے جب. Tericinadiga بوتل مہر کو بہت اچھی طرح سے لیا جاتا ہے. mirumuta پنچر ھیںچو تو، بوتل اب بھی افتتاحی دیکھتا.

، ایک ریفریجریٹر میں محفوظ بوتل پر پرنٹ ختم ہونے کی تاریخ اسے کھول تو، بوتلوں میں بہتر ہیں. بوتلیں ایک ماہ کے اندر استعمال کیا جانا چاہئے ایک ریفریجریٹر میں محفوظ کیا جاتا ہے تو، اس کے دروازے کھول دیئے. ریفریجریٹر میں ان کی بوتلیں کھول رہے ہیں جو بہت سے لوگوں کو انسولین انجکشن cesukovalsiuntundi سرد اور بے چینی کو ذخیرہ کرنے، تاکہ وہ کمرے کے درجہ حرارت پر کھلے میں بوتلیں ڈال.

بوتل کے لیبل پر چھپی آخری تاریخ کے بعد انسولین کا استعمال نہ کریں. ایک بوتل کھول دیا جاتا ہے ایک بار، ایک ماہ جو suttabuttalo استعمال نہ کریں کو بنانے کے لئے باقی
 تاریخ آپ بوتل کے لیبل پر بوتل کھولی لکھیں، ٹریک ceyyandi

انسولین قلم اور ان کے کارتوس، ایک ماہ کے لئے سات دن کی سٹوریج کی زندگی کے ساتھ. مندرجہ ذیل ٹیبل tanikhiceyyandi میں معروف برانڈز کی سٹوریج کی زندگی پر تفصیلات کے لئے


1.5 ملی انسولین کی ٹوکری ridges کے
Humalog (28 اور دن)
Novolin R (30 دن)
Novolin N (7 دن)
Novolin 70/30 (7 دن)

 3 یمیل انسولین کی ٹوکری ridges کے
Novolin R (28 اور دن)
Novolin N (14 اور دن)
Novolin 70/30 (10 اور دن)
Novolog (28 اور دن)
Lantus (28 اور دن)
Levemir (42 اور دن)

ہی prefilled Humalog قلم (28 اور دن)
Novolin R (28 اور دن)
Novolin N (14 اور دن)
Novolin 70/30 (10 اور دن)
Novolog (28 اور دن)

مسائل کو حل کرنے کے
ناقص کارکردگی اور غیر معمولی ظہور: انسولین اب کوئی اچھا ہے جب یہ بتانے کے لئے دو طریقے ہیں.

خون میں شوگر، ہائی رہتا ہے تاہم، آپ کو آپ کے علاج کی منصوبہ بندی پر عمل کریں تو، آپ انسولین اس کی تاثیر کھو کر سکتے ہیں. دو چیزوں میں ناقص کارکردگی کی وجہ سے ہو سکتا ہے:
بوتل کے 28 دن سے زیادہ کھلی ہو سکتا ہے، آپ انسولین

انسولین آپ کی ایک بہت چھوٹی سی خوراک لینے بوتل کے اختتام پر اتنے قریب ہیں کیونکہ، آپ کو ربڑ stopper میں سوراخ کا ایک بہت ہے.
آپ کو آپ کے انسولین کی ایک غیر معمولی ظہور ہے، تو یہ شاید اب کوئی موثر ہو جاتا ہے. یہ چند علامات یہ ہیں:
بارش آپ انسولین کو صاف کرنے کے لئے سمجھا جاتا ہے جب.

ابر آلود آپ انسولین ہونا چاہیے ہے، لیکن یہ بھی اپنے کھجوروں کے درمیان یہ رولنگ ہے، pisuru pisuruga حساب کتاب خراب ہو سکتا ہے کہ

شمار اور یہ آپ انسولین کے بہاؤ کی طرح لگتا ہے تو

اگر آپ انسولین maripoyindiadi کے رنگ کے اکاؤنٹ
آپ کو آپ کے انسولین Chedi کھو تو، بوتل پھینک Chauncey میں سے کسی کو لے لو اور ایک نیا نہیں کھولتے.

انسولین محفوظ کرنے کے لئے ہوشیار تجاویز
انسولین (بوتلیں، قلم، اور ٹوکری ridges کے) کی ایک وسیع میدان عمل سے گرمی اور سردی کے غلو کی حفاظت کرو.

 انسولین راست سورج کی روشنی سے دور رکھیں.
(Udaharanakuoka دھوپ ونڈو دہلی یا کسی ذخیرہ ceyyoddu پر تھا
کبھی فریزر ceyyoddu میں انسولین کی دکان - یہ اس کی طاقت کھو دیتا ہے ایک بار انسولین solidifies، اور.

ریڈی ایٹر، گرم ہوا، اوون، ایئر کنڈیشنر، وغیرہ ارد گرد میں آپ انسولین ذخیرہ نہ کریں

بہت گرم یا بہت ٹھنڈا ماہ ایک بند گاڑی میں آپ انسولین نہ ڈالو.

آپ کو گرم یا سرد موسم میں تھوڑی دیر کے لئے باہر ہونا پڑے تو، جب یہ گھر سے دور جانا ہو گا

ایک علیحدہ فلاسک میں لے لو