1

,d;Rypid

gad;gLj;JtJ

,d;Rypd; tiffs;

NtW gy tif ,d;Rypd;

fpilf;fpwJ. cq;fSf;F Njitahd

Neuq;fspYk; fhyq;fspYk; ,sf;fk;

jUtJld;, cq;fs; ,yf;f ,uj;j

FSf;Nfh]; msTfis guhkwpf;f

Rygkhf;FfpwJ. cq;fs; ,uj;j

FSf;Nfh]; msTfis NkYk;

ed;whf eph;tfpf;f ehnyhd;Wf;F

xd;Nwh mjw;F NkNyh Crp

Njitg;glyhk;.

mit Ntiyg;gLk; fhyk;;, vt;tsT rPf;fpuk; Ntiy nra;a

njhlq;Fk; kw;Wk; vg;nghOJ cr;r

Ntiyahw;Wk; Nghd;wtw;iw

nghWj;J ,d;Rypd;fs;

NtWgLfpd;wd. cq;fs; ,d;Rypd;

vg;gb Ntiy nra;fpd;wJ vd;W

Ghpe;Jnfhz;lhy;;, cq;fs; czT

Ntis, nehWf;Fj;jPzp kw;Wk;

nray;ghLfspd; msTfis

mjw;Nfw;g kzpf;Fwpf;fyhk;.

,d;Rypd; vd;gJ vd;d?

,uj;jj;jpy; cs;s FSf;Nfh]; (rh;f;fiu) msit

fl;Lg;gLj;j fizaRug;gpahy; cw;gj;jp nra;ag;gLk;

`hh;Nkhd; ,d;Rypd;; MFk; ilagpB]; cs;sth;fSf;F

fizak; mwNt my;yJ Nghjpa ,d;Rypd; jahhpf;f

Kbahik> my;yJ jahhpf;Fk; ,d;Rypd; nray;

jpwDld; cgNahfpf;fKbahik fhzg;gLfpwJ. mjd;

tpisthf ,uj;j Xl;lj;jpy; FSf;Nfh];

Nrh;e;J Nghtjhy; ghh;itapd;ik> ,ja Neha;> rpWePuf

Neha;, cly;cWg;G ePf;fy,; euk;G Nrjk; kw;Wk; Mz;

tpiug;G gpur;ridfs; Nghd;w jptpu cly;ey rpf;fy;fs;

Vw;gl rhj;jpakhfyhk;.

,d;RypDk; ilg; 1 ilagpB]_k; (type 1 diabetes)

ilg; 1 ilagpB]; cs;sth;fs; ,aw;ifahfNt

,d;Rypd; jahhpg;gjpy;iy. mjdhy; mth;fs; jpdKk;

,d;Rypd; vLj;jhfNtz;Lk;.

,d;RypDk; ilg; 2 ilagpB]_k; (type 2 diabetes)

MNuhf;fpakhd cz;Zjy;, cly;hPjpahd nray;ghL

kw;Wk; ilagpB]_f;fhd kUe;njLj;jy; %yk; ilg; 2

ilagpB]; cs;sth;fs; jq;fs; ,uj;j FSf;Nfh];

msTfis ,yf;F tPr;Rf;Fs; itj;jpUf;fyhk;.

2

Mdhy; ilg; 2 ilagpB]; cs;sth;fs; jq;fs; ,uj;j

FSf;Nfh]; msTfis rhptu ftdpf;f xU fl;lj;jpy;

,d;Rypd; gad;gLj;jNtz;bapUf;Fk;. kpf

Kf;fpakhdJ cq;fs; ilagpBi] fl;Lg;gLj;jp

rpf;fy;fis jLg;gjhFk;. ey;y nra;jp vd;dntd;why;

,d;Rypd; Ngdh Nghd;w etpd Crp cghaq;fs;

gad;gLj;j vspjhfTk; fpl;lj;jl;l typNa ,y;yhkYk;

cs;sd.

Ntiy nra;a ,d;Rypd;

NjhYf;F fPNo

Crp Nghl Ntz;lhk;

Neuhf ,uj;jj;jpy; my;yJ

cq;fs; clypd;

ntt;NtW cWg;Gfs;

ntt;NtW tpfpjj;jpy;

,d;Rypid cwpQ;RfpwJ

ePq;fs; Nkw;nfhs;Sk;

cly;hPjpahd

nray;ghLfis

nghUj;Jk;

ghjpf;fg;glyhk;.

ntt;NtW Crp

cghaq;fSf;F Fwpg;gpl;l

Crp NghLk; ,lk;

Njitg;glyhk;. cq;fs;

CrpfSf;fhd ghq;if

gw;wp cq;fs; FLk;g

cly;ey ftdpg;gspg;gth;

my;yJ ilagpB];

fw;gpg;ghshplk; NgRq;fs;.

,d;Rypid gad;gLj;JtJ

3

cq;fs; ,uj;j FSf;Nfh];

msTfis fz;fhzpg;gjpd;

mtrpak;

cq;fs; ,uj;j FSf;Nfh];

msTfis Kiwahf

fz;fhzpAq;fs;.

cq;fs; ,uj;j FSf;Nfh]; msTfs;

,yf;F tPr;rpy; ,Ug;gij mwpa

cfe;j top Kiwahd

fz;fhzpg;ghFk;. Kiwahd

ghprPypidfs; cq;fs; ,uj;j

FSf;Nfh]; msTfis xU ehspy;

vg;gb khWgLfpd;wJ. vj;jid

,d;Rypd; cq;fSf;F Njit

kw;Wk; cq;fs; ilagpBi]

fl;Lg;gLj;j ePq;fs; rhpahd

ghijapy; cs;sPh;fsh vd Kf;fpa

jftiy mspf;fpd;wJ.

ve;j ,d;Rypd; jpl;lk; cq;fSf;F cfe;jJ?

xU ,d;Rypd; jpl;lj;ij Fwpg;gjw;F Kd; cq;fs; FLk;g

cly;ey ftdpg;gspg;gth; cq;fs; rpfpr;ir Fwpf;Nfhs;fs;>

taJ> tho;f;if ghzp> czTj;jpl;lk;> nghJ

MNuhf;fpak;> jho;e;j ,uj;j FSf;Nfh]pd;

(i`Nghffp;is]Pkpah) (hypoglycemia) mghak; kw;Wk; mwpT

kw;wk; ce;Jjy; cs;slq;fpa gy fhuzq;fis

fUJthh;. r%f kw;Wk; epjp epiyikiaAk; fUjyhk;.

“xU msT vy;NyhUf;Fk; nghWe;Jk;” jpl;lk; VJk; ,y;iy.

cq;fs; Njitf;F cfe;j ,d;Rypd; jpl;lj;ij gw;wp

cq;fs; cly;ey ftdpg;gspf;Fk; FO cq;fSld; NgRk;.

cq;fs; ,d;Rypd; Nfhl;ghl;il eph;dapf;f NeunkLf;Fk;

vd;gij epidT $Wq;fs;. fhyg;Nghf;fpy; tho;f;if

epfo;Tfs; (nghpa Neha;tha;g;gLj;jy; Nghd;w) kw;Wk;

tho;f;if ghzp khw;wq;fshYk; (Gjpa

clw;gapw;rpj;jpl;lk; Nghd;W) ,it khwyhk;.

cq;fs; FLk;g cly;ey ftpdpg;gspg;gthplk; my;yJ

ilagpB]; fw;gpg;gthplk; cq;fs; ,d;Rypd;

ml;ltiziag; gw;wp Nfs;tpfs; my;yJ ftiyfs>;

my;yJ rpy #o;epiyfis vg;gb rkhspg;gJ> mjhtJ

gadk; nra;Ak;nghOJ ,d;Rypid khw;wpaikg;gJ>

Nghd;wtw;iw gw;wp NgRq;fs;.

ehd; ,d;Rypid vg;gb gad;gLj;JtJ?

cq;fs; nrhe;j tpUg;gj;Jf;F Vw;g ,d;Rypid kUe;Jhrp>

Ngdh my;yJ gk;g; %yk; mspf;fyhk;.

• ,d;Rypd; Ngdhf;fs; xNu a+dpl;by; kpf nky;ypa CrpiaAk; ,d;Rypd; fhh;l;hpl;iIAk; mlf;fp gy

kUe;Jhrpfisf; nfhLf;f vspjhf;FfpwJ. xU tiff;F

Nkyhd ,d;Rypid xU ehspd; ntt;NtW ghfq;fspy;

vLg;gjhdhy; rpyh; ,uz;L my;yJ Nkyhd Ngdhf;fis

ifapy; itj;jpUg;ghh;fs;. xNu Ntisapy; cq;fSf;F

,uz;L tpj ,d;Rypd; cgNahfpf;f Njitg;gl;lhy;

cq;fSf;F ,uz;L jdpj;jdpahd Ngdhf;fs; Njit

kw;Wk; ,uz;L Crpfs; Nghl;Lf;nfhs;s Ntz;Lk;.

,d;Rypd; Ngdhf;fspd; xU nghpa gad; mtw;iw

vspNj Jhf;fpr; nry;yyhk;.

,d;Rypid gad;gLj;JtJ

4

• ,g;nghOnjy;yhk; rphpQ;Rfs; ,d;Dk; rpwpajhfTk;>

rpwg;G Nfhl;bq; Nghl;l kpf nky;ypa CrpfSlDk;

,Ug;gjhy; f\;lNk ,y;iy. ,U tif ,d;Rypid

xNu Neuj;jpy; vLf;fNtz;Lk; vd;why; mtw;iw fye;J

ePq;fs; xNu Crp Nghl;Lf; nfhs;syhk; my;yJ fye;J

,d;Rypid cq;fSf;F Fwpf;fyhk;.

• jPtpukhd ,d;Rypd; rpfpr;ir jUtjw;F xU gaDs;s

ghJfhg;ghd top ,d;Rypd; gk;GfshFk; ,e;j rhjdj;jpy;

xU rpwpa fj;jpl;lh; cs;sJ. mJ NjhYf;F fPo;

nrUfg;gLfpwJ. xU Ng[h; mstpy; cs;s xU gk;g; cs;sJ.

mij ntspNa clk;gpy; mzpe;Jnfhs;syhk;. ,e;j

gk;g;gpy; xU hprh;thah; ,Uf;fpwJ. xU Fwpg;gpl;l fhy

,ilntspapy; mJ ,d;Rypid mDg;Gtjw;F GNuhfpuhk;

nra;Jnfhs;syhk;. $Ljy; Nlh]; ,d;Rypd; vLg;gJ gw;wp

(cjhuzkhf czT Neuj;jpy;) ePq;fs; cq;fSila

lhf;lUk; jPh;khdpf;f Ntz;Lk;. ePq;fs; rhjdj;jpy; cs;s

xU gl;lid mOj;j Ntz;Lk;.

ve;j cghak; cq;fSf;F jFe;jJ vd;W cq;fs; FL;k;g

cly;ey ftdpg;gspg;gth; my;yJ ilagpB];

fw;gpg;gthplk; NgRq;fs;. ,d;Rypid gad;gLj;JtJ

gw;wp Nkyjpf jftYf;F ,e;jf; ifg;ngl;bapy; cs;s

“kUe;njLj;jy;” (“Medication”) vd;w tPbNahitg; ghUq;fs;.

vg;gb ,uz;L tif

,d;Rypd;fis fyg;gJ

my;y Crpg;NghLtJ

cl;gl cq;fs; ,d;Rypd;

gw;wp cq;fSf;F vOk;

VjhtJ Nfs;tpfSf;F

cq;fs; FLk;g cly;ey

ftdpg;gspg;gth; my;yJ

ilagpB]; fw;gpg;gth;

cjTthh;.

5

,d;Rypd; tiffs; (fdlhtpy; gad;gLj;j mq;fPfhpf;fg;gl;lJ)

,d;Rypd; tif

(Njhw;wk;)

eltbf;if th;j;jfg; ngah;fs;

(nghJg;ngah;

g;Nuf;fl;Lf;Fs;)

kUe;njLf;Fk;

fhy ml;ltiz

Nugpl; Mf;bq;

mdyhf;

(njspthdJ)

njhlf;fk;: 10-15 epkplq;fs;

cr;rfl;lk; 60-120 epkplq;fs;

fhy msT: 3-5 kzp

Neuq;fs;

Apidra®(,d;rypd; FSf;Nfh]Pd;)

Humalog® (,d;rypd; yp];g;Nuh)

NovoRapid® (,d;rypd; m];ghh;l;)

czT cz;gjw;F 0-15

epkplq;fSf;F Kd;dhy;

my;yJ mjpf ,uj;j

FSf;Nfh]; msit

Fiwg;gjw;fhf

vLf;fg;gLfpwJ.

\hh;l; Mf;bq;

(njspthdJ)

njhlf;fk;: 30 epkplq;fs;

cr;rk;: 2-3 kzp Neuq;fs;

fhy msT: 6.5 kzp

Neuq;fs;

Humulin®-R

Novolin®ge Toronto

czT cz;gjw;F 30-45

epkplq;fSf;F

Kd;dhy; my;yJ

mjpf ,uj;j

FSf;Nfh];

msit Fiwg;gjw;fhf

vLf;fg;gLfpwJ.

,d;lh;kPbal;

Mf;bq;

(%l;lkhdJ)

njhlf;fk;: 1-3 kzp Neuq;fs;

cr;rk;: 5-8 kzp Neuq;fs;

fhy msT: up to 18 kzp

Neuq;fs;

Humulin®-N

Novolin®ge NPH

mbf;fb gLf;Fk;

Ntisapy;

vLg;gJ my;yJ

,uz;L Ntisfs;

(fhiyAk;

gLf;Fk;NtisAk;)

yhq; Mf;bq;

mdyhf;

(njspthdJ kw;wk;

epwkw;wJ)

njhlf;fk;: 90 epkplq;fs;

cr;rk;: xd;W ,y;iy

fhy msT: 24 kzp

Neuq;fs; tiu

(Lantus 24 kzp Neuq;fs;

Levemir 16-24 kzp Neuq;fs;)

Lantus® (,d;rypd; f;shh;fPd;)

Levemir® (,d;rypd; jPnlkph;)

tof;fkhf ehSf;F

xU KiwNah

,uz;L KiwNah

vLg;gJ

g;hPkpf;];l;

(%l;lkhdJ)

xU jdpg;gl;l itay;

my;yJ fhh;l;hp[; xU

epiyj;j ,d;Rypd;

tpfpjj;ij nfhz;Ls;sJ

(uhgpl; my;yJ gh];l; Mf;bq;

,d;RypDf;F vjpNu

,e;lh;kPbal; Mf;bq;

,d;Rypdpd; rjtpfpjj;ij

,e;j vz;fs; Fwpf;fpd;wd)

g;hPkpf;];l; nuFyh;

,d;Rypd;

Humulin® (30/70)

Novolin®ge (30/70, 40/60, 50/50)

g;hPkpf;];l; ,d;Rypd;

mdyhf;];

Humalog® Mix25 Mix50

NovoMix 30

fyitia

nghWj;jJ.

Canadian Diabetes Association- ,d; Efh;Nthh; jfty;jhis mbg;gilahf;nfhz;lJ, ,d;Rypd;: cq;fSf;F njhpaNtz;bait © 2013. (Insulin: Things you should know © 2013.)

,d;Rypid gad;gLj;JtJ

6

,d;Rypd; Nahridfs;

• ePq;fs; cgNahfpf;Fk; ,d;Rypd;(fs;) ngah;(fs;) kw;Wk; msTfs;, ve;j Ntisfspy; cq;fspd; ,d;Rypid Crp

Nghl;Lf;nfhs;sNtz;Lk;, vt;tsT Neuk; ,d;Rypd; Ntiy nra;fpwJ kw;Wk; vg;nghOJ kpfTk; nray;jpwDld;

,Uf;fpwJ vd;W vOj;jhy; gjpT nra;Aq;fs;.

• jpwf;fg;glhj ,d;Rypid 2 Kjy; 8 bfphp rp (35.6 bfphp v/g; Kjy; 46.4 bfphp v/g;) nu/g;hp[pNul; ntg;gepiyapy; itf;fTk;. xU Kiw ,d;Rypid jpwe;Jtpl;lhy;

mjDila n\y;g; MAs; xU khjk; jhd;.

jpwf;fg;glhj tpahy;fs; mit fhyhtjpahFk; jpfjp

tiuf;Fk; ed;whf ,Uf;Fk; e xU tpahiy ePq;fs;

cgNahfpg;gjw;F Kd;dhy; mjd; fhyhtjpahFk; jpfjpiag;

ghUq;fs;

• cq;fSila ,d;Rypd; ciwahky; ,Uf;fpwjh my;yJ

kpfTk; #lhg ,Uf;fpwjh (30 bfphp rp my;yJ 86 bfphp v/g; msTf;F kpfhky;) vd;W ghh;f;fTk;.

Content taken from the Canadian Diabetes Association’s consumer fact sheet, Insulin: Things you should know.

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