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INSULIN

Insulin aspart NOVOLOG


Insulin detemir LEVEMIR
Insulin glargine LANTUS
Insulin glulisine APIDRA
Insulin lispro HUMALOG
NPH insulin suspension HUMULIN N,
NOVOLIN N

Regular insulin HUMULIN R, NOVOLIN R
AMYLIN ANALOG

Pramlintide SYMLIN
ORAL AGENTS

Acarbose PRECOSE
Alogliptin NESINA
Bromocriptine CYCLOSET
Canagliflozin INVOKANA
Colesevelam WELCHOL
Dapagliflozin FARXIGA
Glimepiride AMARYL
Glipizide GLUCOTROL
Glyburide DIAΒETA, GLYNASE PRESTAB
Linagliptin TRADJENTA
Metformin FORTAMET, GLUCOPHAGE
Miglitol GLYSET
Nateglinide STARLIX
Pioglitazone ACTOS
Repaglinide PRANDIN
Rosiglitazone AVANDIA
Saxagliptin ONGLYZA

Sitagliptin JANUVIA
Tolbutamide TOLBUTAMIDE

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Type 1

Type 2

Tuổi khởi phát 5JB!

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Thể trạng


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Truyền glucose TM



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6/23/2014 8:29:00 AM


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III. INSULIN VÀ INSULIN ANALOG
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1

Kháng insulin ở
ngoại biên
Gan
Tăng tổng
hợp glucose

Glucose

Giảm thu nhận
glucose




MÔ MỠ

Tế bào β tiết insulin
không đầy đủ

2

Insulin
Tuyến tụy
B"ng 4
!
1 4
$"%'(7
1&
&


Rối loạn
dung nạp
Bình
thường Glucose

Re
lat
ive

ab
ility

to

Không
điều trị

0–5
năm

ĐTĐ type2
5–15
Trên
năm
15
năm

sec
rete
insu
lin

Ăn
kiêng

Ăn kiêng Phối
+
hợp
metformin thuốc

Insulin
nhiều

mũi

Diễn tiến bệnh nặng dần

C. Tác d'ng ngo!i ý c(a insulin

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6/23/2014 8:29:02 AM


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namud.vn - Cng 




Triệu chứng hạ
đường huyết

Đau đầu

Hồi hộp

IV. CÁC CH
 INSULIN TRONG 

!
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-168/-1QC;/AQ-j85`748&175p1+
A. Insulin nhanh và insulin th"

Đánh trống ngực


Lú lẫn

Chóng mặt

Toát mồ hôi

Run

Đói cồn
cào

Nhìn mờ

A

A

A

Mệt mỏi rã
rời

Loạn dưỡng mỡ

Quá mẫn


!


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0002116803.INDD 338

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