Eyona >> Iziyobisi Vs. Umhlobo >> I-Levemir vs.Lantus: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

I-Levemir vs.Lantus: Umahluko, ukufana, kwaye kukuphi okungcono kuwe

Iziyobisi Vs. Umhlobo

Inkqubo ye- Ingxelo ye-2020 yeSizwe yeSifo seSwekile ithi i-10.5% yabantu base-US banesifo seswekile, kwaye inani liyanda ngokobudala. Phantse iipesenti ezingama-27 zabantu abaneminyaka engama-65 nangaphezulu banesifo seswekile. Ukuba wena okanye umntu omthandayo unesifo seswekile, usenokuba uvile ngeentlobo ezahlukeneyo ze-insulins.

I-Levemir kunye neLantus ngamagama amabini e-insulin amayeza asetyenziswa kunyango lwesifo seswekile kubantu abadala nasebantwaneni. Omabini la machiza avunyiwe yi-United States yokutya kunye noLawulo lweeDrug (FDA). INovo Nordisk yenza iLevemir, kwaye iSanofi yenza iLantus. Zombini zihlelwa njengama-insulins asebenza ixesha elide. Nangona i-Levemir kunye neLantus bobabini basebenza ixesha elide, banomahluko, esiza kuwuchaza apha ngezantsi.

Nguwuphi umahluko ophambili phakathi kweLevemir neLantus?

I-Levemir kunye neLantus zombini zizitofu ezisebenza ixesha elide. Zombini ziyafumaneka ngegama legama kuphela, njenge-vial ye-10 ml okanye inaliti yokubhala.

I-Levemir iqulethe i-insulin detemir kwaye itofwa kanye yonke imihla (ngesidlo sangokuhlwa okanye ngexesha lokulala), okanye kabini yonke imihla.

I-Lantus iqulethe i-insulin glargine kwaye itofwe njengedosi enye yemihla ngemihla ngaxeshanye suku ngalunye.

Umahluko ophambili phakathi kweLevemir kunye neLantus
	Levemir	ILantus
Iklasi yeziyobisi	I-insulin esebenza ixesha elide	I-insulin esebenza ixesha elide
Uhlobo lweBrith / generic	Igama lebrand	Igama lebrand
Ngubani igama eliqhelekileyo?	Intshutshiso ye-insulin	I-insulin glargine
Zeziphi iifom eza nalo iziyobisi?	Inaliti (ibhotile kunye nepeni yeLevemir Flextouch ekhethiweyo)	Inaliti (ibhotile kunye nepeni yeLantus Solostar)
Ithini idosi esemgangathweni?	Ukwahluka ngokusekwe kwiimfuno ze-metabolic, iziphumo zokujonga iswekile yegazi, kunye nenjongo yolawulo lwe-glycemic. Injected subcutaneous (phantsi kwesikhumba) kanye yonke imihla ngesidlo sangokuhlwa okanye ngexesha lokulala, okanye kabini yonke imihla	Ukwahluka ngokusekwe kwiimfuno ze-metabolic, iziphumo zokujonga iswekile yegazi, kunye nenjongo yolawulo lwe-glycemic. Injected subcutaneous (phantsi kwesikhumba) kanye yonke imihla ngexesha elifanayo yonke imihla
Lude kangakanani unyango oluqhelekileyo?	Ixesha elide	Ixesha elide
Ngubani oqhelekileyo usebenzisa amayeza?	Abantu abadala nabantwana	Abantu abadala nabantwana

Imiqathango ephathwe yiLevemir kunye neLantus

ILevemir kunye neLantus zisetyenziselwa ukuphucula ukulawulwa kweswekile egazini kubantu abadala (ngohlobo 1 okanye udidi 2 lweswekile) kunye nabantwana (abanesifo seswekile 1). ILevemir kunye neLantus zikwabizwa ngokuba yi-basal insulin. I-insulin esisiseko igcina inqanaba leswekile yegazi lakho lingaguquguquki ngelixa uzila ukutya, njengaxa ulele.

ILevemir kunye neLantus akufuneki zisetyenziselwe ukunyanga i-ketoacidosis yeswekile.

Imeko	Levemir	ILantus
Ukuphucula ulawulo lwe-glycemic kubantu abadala kunye nabantwana abanesifo seswekile	Ewe	Ewe

Ngaba iLevemir okanye iLantus iyasebenza ngakumbi?

Isifundo esinye ibonise ukuba abaguli banokufuna idosi ephezulu yeLevemir ukufezekisa ulawulo lweglucose yegazi. Ezinye izigulana zifuna idosi yesibini yeLevemir ukuba iziphumo ziyaphela emva kweeyure ezili-12. ILantus ithatha ukuhlala ixesha elide kuneLevemir. Le datha ayibonisi ukuba enye isebenza ngakumbi kunenye, kodwa ixelela ngakumbi malunga nomthamo kunye nexesha lokuthatha isenzo.

UKUYA uphononongo lwezifundo uqukumbele ukuba iLevemir kunye neLantus ziyafana ngokubhekisele kukhuseleko kunye nokusebenza ngokukuko. Ukukhethwa kwesigulana kunye nokubambelela kunyanzelisa ukukhetha imveliso efanelekileyo.

Elona chiza lilungileyo kuwe unokuchazwa kuphela ngumboneleli wakho wezempilo, onokuthi athathele ingqalelo iimeko zakho zonyango kunye nembali kunye nawo nawaphi na amayeza owathathayo anokusebenzisana noLevemir okanye iLantus.

Umyinge kunye nokuthelekiswa kweendleko zeLevemir vs. Lantus

ILevemir kunye neLantus zihlala zigutyungelwe yi-inshurensi, kodwa hayi iCandelo leMedicare D. Nangona kunjalo, njengoko izicwangciso zinokwahluka, jonga kwisicwangciso sakho ngolwazi oluthe kratya.

Ibhokisi yeepeni zeLevemir iindleko malunga ne- $ 560 epokothweni. Ungasebenzisa ikhadi lasimahla le-SingleCare ukuzisa ixabiso liye ezantsi ngaphantsi kwe- $ 370.

Ibhokisi yeepeni zeLantus ixabisa malunga ne- $ 510 epokothweni. Ikhadi lasimahla le-SingleCare linokuzisa ixabiso libe ngaphantsi kweedola ezingama-305.

	Levemir	ILantus
Ngokuqhelekileyo i-inshurensi?	Ewe	Ewe
Ngokuqhelekileyo ihlanganiswe yiCandelo le-Medicare?	Hayi	Hayi
Umthamo osemgangathweni	Ibhokisi enye	Ibhokisi enye
I-Medicare copay eqhelekileyo	$ 532	$ 489
Ixabiso elilodwa	$ 367 +	$ 304 +

Iziphumo eziqhelekileyo ezichaphazelekayo zeLevemir vs Lantus

Iziphumo ebezingalindelekanga ezixhaphakileyo zeLevemir kunye neLantus yihypoglycemia (iswekile esezantsi yegazi). Ukuhamba rhoqo kuyahluka ngokuxhomekeke kwisigulana ngasinye.

Ezinye iziphumo ebezingalindelekanga eziqhelekileyo ze-Levemir zibandakanya usulelo oluphezulu lokuphefumla, intloko ebuhlungu, umqala obuhlungu, umkhuhlane, iintlungu zomqolo, i-peripheral edema (ukudumba kwengalo okanye umlenze), kunye nokukhohlela.

Eminye imiphumo emibi yeLantus yintsholongwane ephezulu yokuphefumula, intloko, iingxaki zamehlo, ukuvuvukala kweengalo nemilenze, uxinzelelo lwegazi kunye nentlungu.

Iziphumo ebezingalindelekanga ezongeziweyo zinokwenzeka. Nxibelelana nomboneleli wakho wezempilo malunga neengcebiso zonyango malunga neziphumo ebezingalindelekanga.

	Levemir	ILantus
Imiphumela	Iyasebenza?	Rhoqo	Iyasebenza?	Rhoqo
Hypoglycemia	Ewe	Iyahluka	Ewe	Iyahluka
Usulelo oluphezulu lokuphefumula	Ewe	26.1%	Ewe	22.4%
Intloko ebuhlungu	Ewe	22.6%	Ewe	5.5%
Ukudumba kwemida	Ewe	Iyahluka	Ewe	Amashumi amabini%
Umqala obuhkungu	Ewe	9.5%	Ewe	7.5%
Uxinzelelo lwegazi	Hayi	-	Ewe	19.6%
Ukuphazamiseka kwemithambo yegazi	Hayi	-	Ewe	5.8%
Cataract	Hayi	-	Ewe	18.1%
Ukwenzakala ngengozi	Hayi	-	Ewe	5.7%
Intlungu zesisu	Ewe	6%	Hayi	-
Umqolo obuhlungu	Ewe	8.1%	Ewe	12.8%
Khohlela	Ewe	8.2%	Ewe	12.1%
Ifiva	Ewe	10.3%	Hayi	-
Isicaphucaphu	Ewe	6.5%	Hayi	-
Ukuhlanza	Ewe	6.5%	Hayi	-

Umthombo: DailyMed ( Levemir ), Yonke imihla ( ILantus )

Ukudibana kweziyobisi neLevemir vs. Lantus

Amanye amachiza anokunyusa umngcipheko weswekile esezantsi yegazi xa usiwe eLevemir okanye eLantus. Amanye amayeza anokuphazamisa iswekile esehla egazini yeLevemir okanye iLantus. Ukuba la machiza anikwe kunye, idosi inokufuna uhlengahlengiso, kwaye iswekile yegazi kufuneka ibekwe esweni rhoqo.

Olunye unxibelelwano lweziyobisi lunokwenzeka. Nxibelelana nomboneleli wakho wezempilo uluhlu olupheleleyo lokudibana kwamachiza.

Iziyobisi	Iklasi yeziyobisi	Levemir	ILantus
I-ACE inhibitors I-Angiotensin receptor blockers (ii-ARBs) Amachiza e-antidiabetic (ngomlomo njenge-metformin, okanye ijojo) I-Disopyramide Iifibhethi IFluoxetine I-Monoamine oxidase inhibitors (MAOIs) I-Sulfonamide antibiotics	Iziyobisi ezonyusa umngcipheko weswekile esezantsi yegazi	Ewe	Ewe
I-Albuterol I-antypychychotic ye-Atypical ICorticosteroids Womchamo Estrogen Iswekile yeglucagon Niacin Izinto zokucwangcisa ngomlomo Iprotease inhibitors Iihomoni zedlala lengqula	Iziyobisi ezinciphisa iswekile yegazi yokunciphisa iswekile yeLevemir okanye iLantus
Utywala Beta-iibhlokhi Clonidine ILithium	Iziyobisi ezonyusa okanye zinciphise ukunciphisa iswekile yegazi kwiLevemir okanye iLantus
Beta-iibhlokhi Clonidine IGuanethidine Hlaziya ngokutsha	Iziyobisi ezinokufihla iimpawu zeswekile esezantsi yegazi	Ewe	Ewe
IPioglitazone Rosiglitazone	Inkcitho	Ewe	Ewe

Izilumkiso zeLevemir kunye neLantus

Sukusebenzisa i-Levemir okanye iLantus xa u-hypoglycemic.
Sukusebenzisa i-Levemir okanye iLantus ukuba uthe wadibana nezinto ezingafunekiyo.
Ungaze wabelane ngepeni (nokuba inaliti itshintshiwe), inaliti, okanye isirinji nomnye umntu. Ukwabelana ngeempahla kwandisa umngcipheko wokuhambisa izifo.
Utshintsho kwirejimeni ye-insulin inokubangela i-hypoglycemia (iswekile esezantsi yegazi) okanye i-hyperglycemia (iswekile ephezulu yegazi). Jonga ngokusondeleyo amanqanaba eglucose egazi ngalo naluphi na utshintsho kwirejimeni ye-insulin.
Ukufumana ubunzima kunokubakho ngonyango lwe-insulin.
Impendulo yendawo yenaliti inokwenzeka. Ezi mpendulo zingabandakanya ububomvu bendawo, iintlungu, ukurhawuzelela, imihlathi kunye nokudumba.
Musa ukujova iLevemir okanye iLantus ngaphakathi (emthanjeni) okanye ngempompo ye-insulin.
Iswekile esezantsi yegazi yeyona nto ixhaphakileyo kwi-insulin. Iswekile esezantsi yegazi inokuza ngesiquphe kwaye inokuphazamisa uxinzelelo kunye nokuphendula, okunokuchaphazela ukuqhuba. Iswekile esezantsi yegazi inokubangela ukuxhuzula. Kungasongela ubomi okanye kubangele ukufa. Sukusebenzisa i-Levemir okanye iLantus ngexesha lesiqendu se-hypoglycemic.
Ukudibanisa phakathi kweemveliso ze-insulin zenzekile, ezinokubangela iswekile esezantsi yegazi. Jonga kabini ileyibhile ye-insulin ngaphambi kwenaliti nganye.
Okumandundu, ubomi obusongela ubomi okanye i-anaphylaxis inokwenzeka. Ukuba impendulo ye-hypersensitivity iyenzeka, yeka ukusebenzisa i-Levemir okanye i-Lantus kwaye ufune unyango.
I-insulin inokubangela amanqanaba asezantsi e-potassium. Ukuba ayinyangeki, iingxaki zentliziyo okanye ukufa kunokubakho.
Amayeza e-Thiazolidinedione angabangela ukugcinwa kwamanzi, ngakumbi xa kuthathwa nge-insulin. Oku kunokubangela okanye kubangele ukusilela kwentliziyo ukuba le ndibaniselwano yamayeza ithathwa kunye; Ukujonga imiqondiso yokusilela kwentliziyo.

Imibuzo ebuzwa rhoqo malunga neLevemir vs Lantus

Yintoni iLevemir?

ILevemir yi-insulin esebenza ixesha elide ephucula ukulawulwa kweswekile egazini kubantu abadala nakubantwana abanesifo seswekile. Inesithako se-insulin.

Yintoni iLantus?

I-Lantus yi-insulin esebenza ixesha elide enesithako se-insulin glargine. ILantus iphucula ulawulo lweswekile egazini kubantu abadala kunye nabantwana abanesifo seswekile.

Ngaba iLevemir kunye neLantus ziyafana?

Omabini la mayeza kukusebenza kwe-insulins ende etofwe phantsi kolusu (ngaphantsi). Nangona kunjalo, banomahluko othile, ochazwe apha ngasentla.

Ngaba iLevemir okanye iLantus ingcono?

UKUYA uphononongo lovavanyo lweklinikhi uqukumbele ukuba iLevemir kunye neLantus ziyafana ngokubhekisele kukhuseleko kunye nokusebenza ngokukuko. Umboneleli wakho wezempilo unokumisela ukuba i-Levemir okanye iLantus ingcono kuwe, ngokusekwe kwiimeko zakho zonyango kunye nembali.

Ndingayisebenzisa iLevemir okanye iLantus ngelixa ndikhulelwe?

Xelela umboneleli wakho wezempilo ukuba ukhulelwe okanye ucwangcisa ukukhulelwa. Kukho umngcipheko kumama nosana ukuba isifo seswekile asilawulwa kakuhle ngexesha lokukhulelwa. Levemir kwaye ILantus khange unxulunyaniswe nokukhubazeka kokuzalwa, ukuphuma kwesisu, okanye naziphi na iziphumo ezibi kumama okanye kusana. Nangona kunjalo, ezi zifundo bezincinci kwaye khange zifunde bantu baninzi. Umboneleli wakho wezempilo uya kuthatha isigqibo sokuba ufuna i-insulin ngexesha lokukhulelwa, kwaye ukuba kunjalo, yeyiphi eyona insulin ifanelekileyo.

Ndingayisebenzisa iLevemir okanye iLantus ngotywala?

Nangona ulwazi lomenzi weLevemir kunye neLantus lungadwelisi unxibelelwano oluthile lotywala, abantu abathatha iLevemir okanye iLantus kufuneka thintela utywala . Ukuba iswekile yegazi lakho ilawulwa kakuhle kwaye awunayo nayiphi na eminye imiqathango, unokukwazi ukonwabela utywala ngokulinganisela. Nangona kunjalo, utywala obuninzi bunokubangela iswekile esezantsi yegazi, enokuba yingozi. Jonga umboneleli wakho wezempilo malunga nokusela utywala kunye neLevemir okanye iLantus.

Yeyiphi i-insulin enokuthi ithathe indawo yeLantus?

I-Basaglar Kwikpen kunye neToujeo SoloStar zombini zine-insulin glargine, njengeLantus. UToujeo uza kumthamo ophezulu. Kungakhathaliseki ukuba yintoni isithako, ngumboneleli wakho wezempilo kuphela onokugqiba ukuba yeyiphi imveliso efanelekileyo kuwe. Ukuba unengxaki noLantus, nxibelelana nomboneleli wakho wezempilo malunga nenye indlela.

Leliphi elona xesha lilungileyo lokuthatha i-Levemir?

Ukuba uthatha iLevemir kanye ngemini, elona xesha lilungileyo lokulala okanye isidlo sangokuhlwa. Ukuba uthatha iLevemir kabini ngemini, elona xesha lilungileyo lokuyithatha kusasa emva koko emva kweeyure ezili-12.

Yeyiphi indawo efanelekileyo yokujova iLevemir?

Tofa i-Levemir ngokucuthekileyo (phantsi kolusu) kwenye yezi ndawo zokutofa: ithanga, ingalo ephezulu, okanye isisu. Sebenzisa inaliti entsha ngenaliti nganye.

Kutheni levemir ibiza kangaka?

I-insulin, njengeLevemir, iyabiza. I-insulin ihlelwa njenge ibhayoloji , eyimolekyuli entsonkothileyo eyenziwe ngeeseli eziphilayo. Ezinye iimveliso ze-insulin zikhethwa kwaye zibiza ixabiso elincinci kwisicwangciso sakho. Umboneleli wakho wezempilo unokumisela ukuba kukho enye indlela efanelekileyo.