Iziguli zohlobo lwesibili sikashukela azidingi imijovo ye-insulin isikhathi eside, futhi iningi lazo lingakhokhelwa ngokusebenzisa amaphilisi anciphisa ushukela kuphela. I-Diabeteson MV 60 mg ngenye yezindlela ezinjalo, umphumela wayo usekelwe ekuvuseleleni kokukhiqizwa kwawo kwe-insulin. Ngaphezu kokuthinta i-carbohydrate metabolism, i-Diabeteson inethonya lokuvikela nokubuyisela emithanjeni yegazi, ithuthukisa ukuqina kwezindonga zazo, futhi ivimbele i-atherossteosis.
Umuthi kulula ukusithatha futhi sinobuncane be-contraindication, ngenxa yokuthi isetshenziswa kabanzi ekwelapheni isifo sikashukela. Ngaphandle kokuphepha okusobala, awukwazi ukuyiphuza ngaphandle kwemvume kadokotela noma ukwedlula umthamo. Imfuneko yokuqokwa kukaDiabeteson ukuntuleka okutholakele kokushibilika kwe-insulin yayo. Ngenkathi i-pancreas isebenza kahle, ukukhetha kufanele kunikezwe abanye abahlinzeki be-hypoglycemic.
Ngabe umuthi usebenza kanjani?
I-Diabeteson inethonya lokwelapha emzimbeni kushukela likashukela ngenxa yokuba khona kwe-gliclazide ekwakhiweni kwalo. Zonke ezinye izakhi zalo muthi ziyinsizakalo, ngenxa yazo ukwakheka kwethebhulethi nokufakelwa kwayo ngesikhathi kuyaqinisekiswa. IGliclazide ingeyeqembu le-sulfonylureas. Kufaka izinto eziningana ezinezakhiwo ezifanayo; eRussia, ngaphezu kwe-gliclazide, glibenclamide, glimeperide ne-glycvidone kuvamile.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Izici zokunciphisa ushukela zale mishanguzo zincike emiphumeleni yazo kumaseli we-beta. Lezi yizakhiwo kumanyikwe ahlanganisa insulin. Ngemuva kokuthatha iDiabeteson, ukukhishwa kwe-insulin egazini kuyanda, kuyilapho ushukela kuncishiswa.
Isifo sikashukela siyasebenza kuphela uma amaseli e-beta ephila futhi eqhubeka nokwenza imisebenzi yawo. Ngakho-ke umuthi ayisetshenziselwa uhlobo 1 sikashukela. Inhloso yayo ayithandeki okokuqala emva kokudalwa kwesifo sohlobo 2. Lolu hlobo lwesifo sikashukela lubonakala ngokukhiqizwa okuphezulu kwe-insulin ekuqaleni kokuphazamiseka kwe-carbohydrate, bese kuthi ukubola okucashile kancane kancane emva kweminyaka embalwa.
Ushukela omkhulu ekuqaleni wabangelwa ikakhulu yi-insulin ukumelana, isb., Ukubonwa kwezicubu okungekuhle kwe-insulin ekhona. Isibonakaliso esiyinhloko sokumelana ne-insulin sikhuluphele esigulini. Ngakho-ke, uma ukukhuluphala kubhekwa, iDiabeteson ayinqunyelwe. Ngalesi sikhathi, izidakamizwa ezinciphisa ukumelana, njengeMetformin (umthamo osuka ku-850 mg), ziyadingeka. Isifo sikashukela sifakwa ohlelweni lokwelashwa lapho kumiswa ukonakala ekusebenzeni kwamaseli we-beta. Kungatholwa kusetshenziswa ukuhlaziywa kwe-c-peptide. Uma umphumela ungaphansi kuka-0,26 mmol / L, ukuqokwa kukaDiabeteson kufanelekile.
Ngenxa yaleli thuluzi, ukukhiqizwa kwe-insulin kushukela kusondelene ngokomzimba: inani eliphakeme lokukhuphuka libuyela ekuphenduleni glucose ongena egazini kusuka ekudleni kwe-carbohydrate, ukukhiqizwa kwe-hormone esigabeni 2 kuyathuthuka.
Ngaphezu kwamaseli we-beta avuselelayo, i-Diabeteson namanye amaphilisi asuselwa ku-gliclazide anomthelela omkhulu esilinganisweni sokuthuthukiswa kwezinguquko ze-atherosclerotic emithanjeni yegazi:
- Sebenza njenge-antioxidant. Isifo sikashukela sibonakaliswa ukukhiqizwa okwandayo kwama-radicals mahhala kanye nokwenza buthaka ekuvikelweni kwamaseli emiphumeleni yawo. Ngenxa yokuba khona kweqembu le-aminoazobicyclooctane ku-molecule ye-gliclazide, ama-free radicals ayingozi awathathwanga ngokwengxenye. Umphumela we-antioxidant ubonakala ikakhulukazi kuma-capillaries amancane, ngakho-ke uma uthatha isifo sikashukela, izimpawu ziyasulwa ezigulini ezine-retinopathy neph ne-nephropathy.
- Buyisela izakhiwo ze-endothelium yemithambo. Lokhu kungenxa yokwanda kokuhlanganiswa kwe-nitric oxide ezindongeni zabo.
- Yehlisa ubungozi be-thrombosis, njengoba behlisa ikhono lamapuleti ukunamathela komunye nomunye.
Ukusebenza kahle kwesifo sikashukela kuqinisekiswa ngocwaningo. Lapho uyisebenzisa ngethamo lika-120 mg, kwehla imvamisa yezinkinga zesifo sikashukela nge-10%. Umuthi ukhombise imiphumela emihle kakhulu kumthelela ovikela izinso, ubungozi bokuthuthuka kwe-nephropathy kwehle ngo-21%, proteinuria - ngama-30%.
Kudala bekukholelwa ukuthi i-sulfonylurea derivatives isheshisa ukubhujiswa kwamaseli we-beta, yingakho-ke ukuqhubeka kwesifo sikashukela. Kumanje sekutholakele ukuthi lokhu akunjalo. Uma uqala ukuthatha i-Diabeteson MV 60 mg, ukwenyuka kokuqunjelwa kwe-insulin ngokwesilinganiso sama-30% kuyabonakala, khona-ke unyaka nonyaka le nkomba incipha ngo-5%. Ezigulini ezilawula ushukela kuphela ngokudla noma ngokudla nange-metformin, iminyaka yokuqala emi-2 yokwehla kokuhlanganiswa ayibhekwa, khona-ke cishe i-4% ngonyaka.
Imiyalo yokusebenzisa Diabeteson MV
Izinhlamvu i-MV egameni lomuthi zikhombisa ukuthi yi-ejenti ekhishwe modified (i-English version ye-MR - ukukhishwa okuguquliwe). Kwithebhulethi, into esebenzayo ibekwa phakathi kwemicu ye-hypromellose, ekugayweni kokudla yakha ijeli. Ngenxa yalesi sakhiwo, umuthi ukhishwa isikhathi eside, isenzo sawo sanele usuku. I-Diabeteson MV iyatholakala ngesimo samathebulethi; lapho ithebhulethi ihlukaniswe izingxenye, umuthi ulahlekelwa ngumphumela wesikhathi eside.
Imithamo engama-30 no-60 mg iyathengiswa. Thatha kanye ngosuku, ibhulakufesi. Ithebhulethi ingaphulwa ngesigamu ukwehlisa umthamo, kepha ayikwazi ukuhlafunwa noma ukudilizwa.
Okujwayelekile, hhayi i-MV, i-Diabeteson iyatholakala ngomthamo owenyukayo we-gliclazide - 80 mg, bayiphuza kabili ngosuku. Okwamanje, kuthathwa njengokuphele futhi akusetshenziswanga, ngoba ukulungiswa isikhathi eside kunika umphumela okhululwayo futhi ohlala njalo.
Isifo sikashukela sihamba kahle namanye ama-hypoglycemic agents. Imvamisa, kubekwa ngokuhlanganiswa neMetformin. Uma ukuvuselela ukukhiqizwa kwe-insulin akwanele, ngesifo sikashukela sohlobo 2, amaphilisi angasetshenziswa ngemijovo ye-insulin.
Umthamo wokuqala we-Diabeteson, kungakhathalekile ubudala kanye nesigaba sikashukela esigulini, ngu-30 mg. Kulesi isilinganiso, umuthi kuzodingeka uphuze yonke inyanga yokuqala yokuphatha. Uma i-30 mg inganele ukulawulwa okujwayelekile kwe-glycemia, umthamo unyuswa waba ngu-60, emva kwenye inyanga - kuze kufike ku-90, bese - kuze kufike ku-120. Amathebulethi amabili, noma i-120 mg - umthamo omkhulu, kwenqatshelwe ukusebenzisa okuningi ngosuku. Uma u-Diabeteson ehlangana nezinye izidakamizwa ezinciphisa ushukela engeke akwazi ukunikeza ushukela ojwayelekile wesifo sikashukela sohlobo 2, i-insulin inqunyelwe isiguli.
Uma isiguli sisebenzisa i-Diabeteson 80 mg, futhi sifuna ukushintshela kumuthi wesimanje, umthamo ubalwa kanjena: Ithebhulethi eli-1 lowomuthi wakudala lithathelwa indawo yi-30 mg kaDiabeteson MV. Ngemuva kokushintsha isikhathi esingaphezu kwesonto, i-glycemia kufanele ilawulwe kaningi kunokujwayelekile.
Ukukhulelwa nokukhulelwa
Umphumela ongaba khona wezidakamizwa ku-fetus ngesikhathi sokukhulelwa uphenywa nakanjani. Ukunquma izinga lobungozi, ukwahlukaniswa kwe-FDA kuvame ukusetshenziswa. Kuyo, izinto ezisebenzayo zihlelwe zaba izigaba ngokuya ngezinga lokutholwa kombungu. Cishe wonke amalungiselelo e-sulfonylurea ayisigaba C. Izifundo zezilwane zikhombisile ukuthi ziholela ekukhuleni okungalungile kwengane noma imiphumela enobuthi kuye. Kodwa-ke, izinguquko eziningi ziphinde ziphenduke kabusha, ukuvela kokubi ngokuzenzakalelayo akuzange kwenzeke. Ngenxa yengozi ephezulu, azikho izifundo zabantu eziye zenziwa.
I-Diabeteson MB nganoma yisiphi isilinganiso ngesikhathi sokukhulelwa kwenqatshelwe, njengoba kunjalo neminye imithi yesifo sikashukela somlomo. Esikhundleni salokho, amalungiselelo e-insulin anqunyelwe. Ukushintshwa kwe-insulin kwenziwa kahle ngesikhathi sokuhlela. Uma ukukhulelwa sekwenzekile ngenkathi kuthathwa i-Diabeteson, amaphilisi kumele akhanselwe ngokushesha.
Ucwaningo ngokungena kwe-gliclazide lube ubisi lwebele futhi lolo lufake emzimbeni wengane akukaze kwenziwe, ngakho-ke, ngesikhathi sokuncelisa ibele, iDiabetes ayinqunyelwe.
Contraindication
Uhlu lwe-contraindication lokuthatha i-Diabeteson nezimpawu zayo:
- Ukusilela ngokuphelele kwe-insulin ngenxa yomonakalo kumaseli we-beta kuhlobo 1 sikashukela noma uhlobo olunzima lwesigaba 2.
- Iminyaka yezingane. Uhlobo lwesibili sikashukela ezinganeni luyisifo esingajwayelekile, ngakho-ke umphumela we-gliclazide entweni ekhulayo awuzange ufundwe.
- Ukuba khona kokuphendula kwesikhumba ngenxa ye-hypersensitivity kuya kumathebulethi: ukugquma, ukulunywa
- Ukuphendula komuntu ngamunye ngendlela ye-proteinuria nobuhlungu obuhlangene.
- Ukuzwela okuphansi kulo muthi, okungabukwa kokubili kusukela ekuqaleni kokuphatha, nangemva kwesikhashana. Ukunqoba umkhawulo wokuzwela, ungazama ukwandisa umthamo wayo.
- Izinkinga ezinkulu zesifo sikashukela: iketoacidosis enzima ne-ketoacidotic coma. Okwamanje, kudingeka ukuthi ushintshele ku-insulin. Ngemuva kokwelashwa, uDiabetes uyaphinda futhi.
- Isifo sikashukela sidilikile esibindini, ngakho-ke ngokwehluleka kwesibindi awukwazi ukukuphuza.
- Ngemuva kokuqhekeka, umuthi uvulwa kakhulu yizinso, ngakho-ke awusetshenziselwa i-nephropathy eyinkimbinkimbi ngokuhluleka kwezinso. Ukusetshenziswa kwesifo sikashukela kuvunyelwe uma i-GFR ingehli ngaphansi kwama-30.
- Utshwala obuhambisana neDiabetesone bukhulisa ubungozi be-hypoglycemic coma, ngenxa yalokho utshwala nezidakamizwa ezine-ethanol zenqatshelwe.
- Ukusetshenziswa kwe-miconazole, i-ejenti ye-antifungal, kwandisa kakhulu ukukhiqizwa kwe-insulin futhi kunomthelela ekuthuthukisweni kwe-hypoglycemia enzima. IMiconazole ayikwazi ukuphuzwa ezibhebheni, ezilawulwa ngaphakathi futhi isebenzise ijeli le-mucosa yomlomo. Ama-shampoos we-Miconazole nama-isikhumba okhilimu avunyelwe. Uma kuzosetshenziswa i-miconazole, umthamo we-Diabeteson kufanele uncishiswe okwesikhashana.
Imiphumela emibi yesidakamizwa
Umphumela omubi kakhulu we-Diabeteson emzimbeni yi-hypoglycemia, obangelwa ukungabi nama-carbohydrate noma umthamo onqunywe ngokungeyikho nomuthi. Lesi yisimo lapho ushukela uwe ngaphansi kwezinga eliphephile. I-Hypoglycemia ihambisana nezimpawu: ukuthuthumela kwangaphakathi, ikhanda, indlala. Uma ushukela lungavuswa ngesikhathi, uhlelo lwezinzwa lwesiguli lungathinteka. Ingozi ye-hypoglycemia ngemuva kokuthatha umuthi ihlukaniswa njengemvamisa futhi ingaphansi kuka-5%. Ngenxa yomphumela wemvelo omkhulu weDiabeteson ku-insulin synthesis, amathuba okunciphisa ushukela aphansi kunawezinye izidakamizwa ezivela eqenjini. Uma weqa umthamo omkhulu we-120 mg, i-hypoglycemia enzima ingaqhamuka, kuze kufinyelele ku-coma nokufa.
Isiguli esikulesi simo sidinga ukulaliswa esibhedlela esiphuthumayo kanye ne-glucose ye-intravenous.
Imiphumela emibi engandile:
| Umphumela | Imvamisa | Ibanga lezinombolo |
| Allergy | kuyaqabukela | ngaphansi kuka-0,1% |
| Kukhulisa ukuzwela kwesikhumba elangeni | kuyaqabukela | ngaphansi kuka-0,1% |
| Izinguquko ekwakhekeni kwegazi | kuyaqabukela zinyamalale ngokwazo ngemuva kokuma | ngaphansi kuka-0,1% |
| Ukuphazamiseka kwesisu (izimpawu - isicanucanu, ukushisa kwenhliziyo, izinhlungu esiswini) kususwa ngokuthatha umuthi kanyekanye nokudla | kuyaqabukela | ngaphansi kuka-0,01% |
| Jaundice | akuvamile | imiyalezo eyodwa |
Uma isifo sikashukela sesibe noshukela omude isikhathi eside, ukuphazamiseka okubukwayo okwesikhashana kungabonakala ngemuva kokuqala kwesifo sikashukela. Imvamisa, iziguli zikhononda ngeveli phambi kwamehlo noma i-turbidity. Umphumela ofanayo uvamile ngokujwayezwa okusheshayo kwe-glycemia futhi akuxhomekeki kuhlobo lwezibhebhe. Ngemuva kwamasonto ambalwa, amehlo azozivumelanisa nezimo ezintsha, futhi umbono uzobuya. Ukunciphisa ukwehla embonweni, umthamo wesidakamizwa kumele ukhuphuke kancane, kuqala ngobuncane.
Ezinye izidakamizwa ezihambisana neDiabeteson zingathuthukisa umphumela wazo:
- zonke izidakamizwa ezilwa nokuvuvukala, ikakhulukazi i-phenylbutazone;
- i-fluconazole, isidakamizwa i-antifungal eqenjini elifanayo ne-miconazole;
- Ama-inhibitors e-ACE - izidakamizwa zokunciphisa umfutho wegazi, ovame ukubekelwa ushukela (Enalapril, Kapoten, Captopril, njll);
- kusho ukunciphisa i-acidity emgodini wesisu - i-Famotidine, i-nizatidine nabanye ekugcineni - i-thidine;
- i-streptocide, i-ejenti elwa namagciwane
- i-clarithromycin, i-antibiotic;
- ama-antidepressants ahlobene nama-inhibitors e-monoamine oxidase - moclobemide, selegiline.
Kuyelulekwa ukufaka lezi zidakamizwa nabanye ngemiphumela efanayo. Uma kungenzeki okunye esikhundleni sokuphatha ngokuhlanganyela, udinga ukunciphisa isilinganiso seDiabetes futhi ulinganise ushukela kaningi.
Yini engavalwa
I-Diabeteson yikulungiswa kwasekuqaleni kwe-gliclazide, amalungelo igama lokuhweba angawenkampani yaseFrance uServier. Kwamanye amazwe, ithengiswa ngaphansi kwegama elithi Diamicron MR. UDiabeteson uhanjiswa ngqo eRussia evela eFrance noma akhiqizwa enkampanini ephethwe uServier (kulokhu, umakhi weSerdix LLC uyakhonjiswa kwiphakheji, amaphilisi anjalo nawo awangempela).
Ezinye izidakamizwa ezinento efanayo esebenzayo kanye nomthamo ofanayo zingama-generics. IGenerikhi kukholakala ukuthi ayihlali isebenza ngempumelelo njengasekuqaleni. Ngaphandle kwalokhu, imikhiqizo yasekhaya ene-gliclazide inezibuyekezo ezinhle zeziguli futhi isetshenziswa kabanzi ekwelapheni isifo sikashukela. Ngokusho kwencwadi kadokotela, iziguli zivame ukuthola izidakamizwa ezikhiqizwa eRussia.
Analogs of Diabeteson MV:
| Iqembu lezidakamizwa | Igama lokuhweba | Umkhiqizi | Umthamo mg | Intengo emaphakathi yephakethe ngalinye, irabha. |
| Ama-ejenti asebenza isikhathi eside, ama-analogues aphelele weDiabeteson MV | IGliclazide MV | E-Atoll, eRussia | 30 | 120 |
| UGlidiab MV | I-Akrikhin, eRussia | 30 | 130 | |
| Diabetesalong | I-Synthesis, iRussia | 30 | 130 | |
| I-Diabefarm MV | I-Farmakor, eRussia | 30 | 120 | |
| I-Gliklada | I-Krka, eSlovenia | 30 | 250 | |
| Izidakamizwa ezijwayelekile ezinesithako esifanayo esisebenzayo | UGlidiab | I-Akrikhin, eRussia | 80 | 120 |
| I-Diabefarm | I-Farmakor, eRussia | 80 | 120 | |
| I-Glyclazide Acos | I-Synthesis, iRussia | 80 | 130 |
Yini iziguli eziyibuzayo
Umbuzo: Ngiqale ukuthatha i-Diabeteson eminyakeni engu-5 eyedlule, kancane kancane umthamo osuka ku-60 mg ukhuphukele ku-120. Ezinyangeni ezimbili zokugcina, ushukela ngemuva kokudla esikhundleni se-evamile ye-7-8 mmol / l igcina cishe i-10, kwesinye isikhathi iphakeme kakhulu. Siyini isizathu somphumela ongemuhle wesidakamizwa? Ungabuyisela kanjani ushukela kokujwayelekile?
Impendulo ithi: I-Hyperglycemia lapho uthatha iDiabeteson ingabangelwa izizathu eziningana. Okokuqala, ukuzwela kwalesi sidakamizwa kungancipha. Kulokhu, ungazama ezinye izidakamizwa kuleli qembu noma unqunyelwe kwabanye abenzeli be-hypoglycemic. Okwesibili, ngomlando omude wesifo sikashukela, amangqamuzana akhiqiza i-insulin ayafa. Kulokhu, ukuphela kwendlela yokwelapha yi-insulin. Okwesithathu, udinga ukubukeza okudlayo. Mhlawumbe inani lama-carbohydrate akulo landa kancane kancane.
Umbuzo: Ezinyangeni ezimbili ezedlule, kwatholakala ukuthi nginesifo sikashukela sohlobo 2. IGlucofage 850 inqunywe ekuseni ngethebhulethi eyi-1, awukho umphumela. Ngemuva kwenyanga, i-glibenclamide engu-2,5 mg ingeziwe, ushukela ucishe unganciphisi. Ngisaya kudokotela kungekudala. Ngabe kufanele ngibuze ukungibhalela isifo sikashukela?
Impendulo ithi: Mhlawumbe umthamo obekiwe awanele. I-Glucophage ngosuku idinga i-1500-2000 mg, izikhathi ezingama-2-3 ngosuku. IGlibenclamide ingakhushulwa ngokuphepha ibe ngu-5 mg. Kunezinsolo zokuthi ukhonjwe ngokungafanele ngohlobo lwesifo sikashukela. Kuyadingeka ukuthi kwenziwe uhlolo olwengeziwe futhi uthole ukuthi ukutholakala kwe-insulin yakho ikhona futhi kufinyelela ezingeni elingakanani. Uma kungenjalo, kuzofanela ufake umjovo we-insulin.
Umbuzo: Nginesifo sikashukela sohlobo 2, njengoba sikhuluphele, ngidinga ukunciphisa okungenani i-15 kg. Ingabe i-Diabeteson neReduxin kuvame ukuhlanganiswa? Ngabe ngizodinga ukwehlisa umthamo we-Diabeteson ngemuva kokulahlekelwa isisindo?
Impendulo ithi: Akukho okubangisana ekusebenziseni kanyekanye kwalezi zidakamizwa. Kepha uReduxin kungenzeka angaphephile. Leli khambi livinjelwe izifo zenhliziyo kanye nomfutho wegazi ophakeme. Uma unesifo sokukhuluphala kanye nesifo sikashukela esibalulekile, ngokuqinisekile, le mibiko ingabakhona noma ilindelwe esikhathini esizayo esiseduze. Indlela engcono kakhulu yokunciphisa isisindo kuleli cala kukudla okune-carb ephansi okunomkhawulo wekhalori (kepha hhayi ukusika!).Kanye nokulahleka kwamakhilogremu, ukumelana ne-insulin kuzoncipha, umthamo we-Diabeteson ungancishiswa.
Umbuzo: Sekuphele iminyaka engu-2 ngiphuza i-Diabeteson, ukushukela kwe-glucose ejwayelekile kujwayelekile. Muva nje ngiphawule ukuthi lapho ngihlala isikhathi eside, izinyawo zami ziyehluleka. Kwamukelwa udokotela oyi-neurologist, kwehla ukuthothisa kwemizwa. Udokotela wathi lesi sibonakaliso sibonisa ukuqala kwe-neuropathy. Bengihlala ngikholelwa ukuthi izingqinamba zivela kuphela ngoshukela ophezulu. Yini inkinga? Ungakugwema kanjani i-neuropathy?
Impendulo ithi: Imbangela enkulu yezinkinga i-hyperglycemia ngempela. Ngaso leso sikhathi, i-glucose engazili kuphela ilimaza izinzwa, kodwa futhi noma yikuphi ukwanda phakathi nosuku. Ukuthola manje ukuthi ushukela wakho unxephezelwe ngokwanele yini, udinga ukunikela ngegazi le-hemoglobin ye-glycated. Uma umphumela ungaphezulu kokujwayelekile, kufanele ubonane nodokotela wakho ukuze ulungise umthamo we-Diabeteson noma unikeze ezinye izidakamizwa. Esikhathini esizayo, ushukela akufanele ulinganiswe hhayi ekuseni kuphela, kodwa futhi nosuku, kungcono amahora ama-2 ngemuva kokudla ngakunye.
Umbuzo: Ugogo wami uneminyaka engama-78, unesifo sikashukela iminyaka engaphezu kweyishumi, uphuza uManinil noSiofor. Isikhathi eside, ushukela ugcine usondele kokujwayelekile, okungenani ezinkingeni. Kancane kancane, amaphilisi aqala ukusiza kakhulu, andisa umthamo, ushukela wawungaphezu kwe-10. Okokugcina - kufika ku-15 mm mm / l, ugogo wami waba nezimpawu eziningi ezimbi, ulala isigamu sosuku, wehlise isisindo ngosayizi. Ngabe kuzoba nengqondo uma iManinil ithathelwa indawo nguDiabeteson? Ngezwa ukuthi lesi sidakamizwa singcono.
Impendulo ithi: Uma kunokuhla komphumela wamaphilisi okunciphisa ushukela ngasikhathi sinye nokuncipha kwesisindo, khona-ke i-insulin yakho ayanele. Isikhathi sokulashwa kwe-insulin. Abantu abadala abangakwazi ukubhekana nokuphatha umuthi banqunywa uhlelo lwendabuko - imijovo kabili ngosuku.
Ukubuyekezwa kwesifo sikashukela
Izintengo ezisondele
Akunandaba nendawo yokukhiqiza nomthamo, inani lentengo lokupakisha amaphilisi e-Diabeteson MV yasekuqaleni lingama-ruble angama-310. ngentengo ephansi, amaphilisi angathengwa emakhemisi online, kodwa iningi lazo kuzodingeka likhokhele ukulethwa.
| Izidakamizwa | Dose mg | Izindlwana iphakethe ngalinye | Inani eliphakeme, irabha. | Inani elincane, hlikihla. |
| I-Diabeteson MV | 30 | 60 | 355 | 263 |
| 60 | 30 | 332 | 300 |
Ngaphambi kokusebenzisa umuthi, qiniseka ukubonana nochwepheshe.
