90% of the diabetes injects insulin unstandardly The expert " gives an idea "

90% of the diabetes injects insulin unstandardly The expert " gives an idea "
The newest data reveal: The diabetes patient of our country is in the adult over our country 20, the ill number of people that age marks diabetes melting reaches 92,400,000, the ill rate is 9.7%, and the previous proportion of diabetes is up to 15.5%, the person who has a hyperglycemia state of in other words every four adult philtrums. In the treatment of the diabetes patient, the insulin treatment is one of the important means to realize control of good blood glucose. Use insulin can improve blood glucose to be getting up to standard to become global common understanding already in time, but diabetic the intersection of blood glucose and getting up to standard 1/4 only still of our country, it uses the intersection of patient and getting up to standard blood glucose of insulin to be only 37% too already, it may be an important reason that over 90% of the diabetics grasp to injecting technology uncompletely. For this reason, Chinese Medical Association determines from last year, confirm annual November 7 as " the diabetic norm injects on day " . In August of this year, Chinese Medical Association's diabetic credit will be also released in Nanjing the first of our country " Chinese diabetic medicine injects the technological guide ". On November 6, the large hospital, diabetic research institute of Southeast China University hold once " the norm is injected in Southeast China University attaches to, safe and up to standard " The educational theme activity of large-scale diabetes, at the activity scene, the experts of this courtyard of divisions of endocrinology, professional nurse practitioner of diabetes,etc. has taught normal way, method that inject in detail, it is the masses of diabetics " Bring order out of chaos " . Diabetes has illness coming on " Break with tremendous force " The intersection of Chinese Medical Association and diabetic credit will diabetic education and management group's vice group leader, large doctoral supervisor of hospital division of endocrinology grandson Professor Lin introduces in Southeast China University attaches to, in the adult over our country 20, the ill number of people that age marks diabetes melting reaches 92,400,000, the ill rate is 9.7%, and the previous proportion of diabetes is up to 15.5%, the person who has a hyperglycemia state of in other words every four adult philtrums, it is that 60.7% of the diabetics in our country have not been diagnosed can't carry on treatment and education early effectively to be serious even more, the cognitive intensity to diabetic preventive treatment knowledge of patient and the public is generally relatively low. Chinese Medical Association diabetic credit know education with 2010 such as group such as management a plurality of 5961 2 type diabetics that city finish manage the investigation to reveal oneself in the whole country, 83% of the patients understand diabetic knowledge through the medical worker, the patient grasps worse to knowledge of using the insulinogenic knowledge, diet and foot to attend to etc., the correct rate of cognition is fewer than 20%. In addition, 61.4% of the diabetics do not understand diet is controlled; 36.88% do not understand sports are controlled. Investigation indicate patient know situation to be generally relatively bad to diabetic knowledge, this cause blood glucose it controls getting up to standard to be only about 1/4 important factor too. 30% of the patients accept insulin while treating Southeast China University to attach to the money sunshine associate professor of treatment of division of endocrinology of large hospital tells reporters, diabetes is a kind of progressive disease, insulin is the important means to realize control of good blood glucose. Nearly 30% are accepting the insulin treatment in the diabetic of our country. Use insulin can improve blood glucose to be getting up to standard to become global common understanding of doctor already in time, but diabetic the intersection of blood glucose and getting up to standard 1/4 only still of our country, it uses the intersection of patient and getting up to standard blood glucose of insulin to be only 37% too already, it may be an important reason that the patient grasps to injecting technology uncompletely. " 90% of the patient insulin is injected unstandard grandson Professor Lin and said, 2008-2009 global the intersection of diabetic and insulin it injects technological questionnaires to be whether the second global the intersection of diabetic and insulin inject technological investigation of recent developments. This research lasts 8 months, will include in 4532 patients coming from 16 countries, 171 centres altogether from September of 2008 to June of 2009, investigate the patient's injection getting used to and problem present in the injection at present from two angles of diabetic educator and patient, it is the most broad relevant investigation up until now. 488 patients coming from 20 centres of 10 cities participate in, accounts for 11.2% of total experimenters our country. The investigation result reveals, in the global range, unstandard to inject phenomena to generally exist, and the injection current situation of diabetic of our country allows of no optimist especially, include, inject position rotate unstandard, inject pen the intersection of tactics and mistake and patient educate getting insufficient use repeated use of syringe needle, inject. These questions have influenced the insulinogenic result of treatment to a certain extent, lead to the fact blood glucose to be getting up to standard and relatively low finally. On the other hand, in our country, even if medical personnel's understanding that it influences the respect that insulin inject technology to control blood glucose is limited; To that are injected how to standardize insulin, the doctor of China, cognition of nurse and patient still have more weak points. Confirm " the diabetic norm is injected day " In order to make insulin inject and get the result of better treating diabetes, will claim to set up " the diabetic norm was injected day " last year in Chinese Medical Association's diabetic credit ,Schedule will it be November 7 every year time, propose " norm inject, not safe and up to standard " at the same time Slogan. " the diabetic norm is injected day " The ones that are devoted to realizing to injecting treating " Three a lot of threes lack " ,Namely it is more to understand, norms are more, blood glucose is up to standard more; The mistaken idea is short of a little, complications are a little fewer, cost of the life is a little less. Injecting the position wants science to rotate the associate professor of treatment of the gold sunshine and remind and say, the embodiment of the insulinogenic therapeutic effect is influenced by a lot of links, among them it is a main factor to inject technology. It is incorrect to inject the way, it is one of the important reasons which initiates the hypoglycemia. One kind has already proved the effective injection position rotates the scheme: Inject the position, divide 4 areas in equal division into ' The thigh or buttock can be waited for and divided into two area) in equal division ,Use an area in equal division every week and rotate clockwise all the time; In any injection in the area in equal division, the injection each time is clicked all in conformity with the interval of at least centimetre, damage by the organization avoiding repetition. The position is as follows, that commonly used insulin injects , buttock outside the upper arm, outside the belly, thigh. Select about symmetrical position to inject, and take turns injecting about symmetrically. The injection area takes turns being regular in the same injection position, so as not to obscure. Different the intersection of position and insulin absorb by fast slow, successively: Belly, upper arm, buttock, thigh. If dinner time may be advanced once in a while, would select the belly to inject insulin; If postpone, select the thigh to inject. The investigation reveals, about 41% of the diabetics frequently inject because of the same position, lead to the fact the lower fat of skin is increased and formed stiffly. Once find that there is pain, be sunken, harden etc., should stop injecting until the above-mentioned phenomenon disappears on this position to inject the position. The difference of time of the result arises in disposition of different Langerhans' islits, It is different too that it injects the position. For example: Fugitive insulin injects the position first-selected belly, insulin of China's result chooses thigh and buttock first, mix insulin and analog and inject the first-selected belly before breakfast, choose the thigh or buttock first in the evening in advance, in order to avoid the emergence of the hypoglycemia at night. It is appropriate and use and choose the appropriate injection pen of length to use the syringe needle repeatedly and essential for the syringe needle to choose. When being chosen the length of syringe needle, should fully consider many kinds of factors such as the patient's health, pharmacology and psychology, carry on the individual choice for the patient. Meanwhile, patients should observe the principle that a stitch one of syringe needle change while insulin injects, it will cause the pinpoint passivation to inject pens and use many times with the syringe needle, not merely increase the patient and pain, and may cause covers to play fat hyperplasia, even can hold in the internal accident the syringe needle. It is 4, 5 or syringe needle of 6 millimetres that children and patients of teenagers should use the length. Have more tight choosing the intersection of four limbs and position go on patient that inject statures, election use 5 or at the 6 good syringe needle of wood especially, need, pinch, get up skin form behind the leather pleat and then injecting. 4, 5 millimetres of and 6 millimetres syringe needle are suitable for the patients of all adults, including fat patient, and does not usually need to pinch skin, especially 4 millimetres of syringe needles during injection; Adult's patient adopts the shorter syringe needle ' 4, 5 millimetres of and 6 millimetres) While injecting, should make the syringe needle present 90 degrees and enter the needle with the skin surface vertically; When four limbs or fat less belly is injected, in order to prevent intramuscular injection, even can pinch the cover to inject while using 4 millimetres and 5 millimetres syringe needle. While using 6 millimetres of syringe needles, can adopt and pinch cover or angle of 45 degrees to inject; In the adult, any medical evidence does not recommend using the syringe needle over 8 millimetres in length. Inject and should adopt the shorter syringe needle to treat initially. Insulin keep want loud head nurse of hospital division of endocrinology Chen Xiang remind, say in the middle, insulin is a meticulous protein molecule, its stability is apt to receive various factors, influence in for instance the temperature, illumination situation and shaking,etc.. So, must pay close attention to the fact constantly that there are result one or various factors of reducing the drug effect to may shorten the Langerhans' islits. One of the main factors is a temperature. Under the condition less than ��, the activity of insulin will be destroyed; Once the temperature exceeds 25 ��, the activity of insulin will be reduced. So, while keeping insulin, should avoid the extreme temperature condition. Unseal insulin( Include bottled insulin, insulinogenic refill specially serve as and inject pens with insulin) Should store 8 �� environment at ��2, avoid freezing and penetrating with the sunshine directly, prevent shaking repeatedly. Studies have suggested, insulin already unsealed can be kept at room temperature, it is aseptic to use within 28 days, but with the extension of the length of time, the medicine result price is a downward trend, so should reduce the length of time after medicinal solution is opened. Can not use insulin some habit-forming patients think, insulin will be habit-forming, once using can not stop. This is a kind of incorrect idea, it is groundless. Grandson Professor Lin explains, because insulin is a kind of physiological sex hormone that people secreted, can't survive if the not insulinogenic organism can not finish metabolism, people, so insulin has no addiction nature into at all. If can control the fluctuation of blood glucose through injecting insulin, control the all right decrement well, the patient even having it can pass the oral medicine. As to already beginning to use insulin to lower the patient that candies treated, has continued using, could dismiss from insulin, the expert says, the key depends on the condition, some patients need to inject insulin to treat for a long time, because its far from enough organism of insulin secreted by oneself is utilized, other source insulin of injection is the need of keeping organism blood glucose normal, but not one's own habit-forming state of insulin. Can reduce with insulin complication take place " whether China 2 type diabetes prevents and cures the guide " point out clearly for a long time, 2 type diabetic's oral administration lowers the persons who are not up to standard of of blood glucose after 3 months of medicine treatment of candy, lower the candy treatment on should launch insulin in time ing. It is reported, if long-term blood glucose is not up to standard of, will lead to the fact the diabetic presents various complications, such as ketone disease and acidosis, lactate acidosis, oozing chronic complications such as acute complication, diabetic nephropathy, diabetic foot disease, diabetes retinal disease and heart brain blood vessel such as syndrome,etc. high, more important, these complications will endanger the patient's life quality and life and health seriously. Grandson Professor Lin says, the greatest danger of diabetes is various complications which influences life quality and life and health, and the therapeutic final purpose is to keep blood glucose up to standard and reduce or delay the emergence, development of various complications. So, in the treatment of diabetes, it is the most important to keep the normal blood glucose level, reduce complication, it is the best lowering the candy means that the patient of and the Langerhans' islits with worse function adopts insulin to treat. The expert calls upon, most diabetics all need to use insulin to treat as soon as possible, reduce the emergence of complication.

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