ลืมฉีดอินซูลิน ทำยังไงดี

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ลืมฉีดอินซูลิน ทำยังไงดี

ลืมฉีดอินซูลิน ทำยังไงดี

 

ลืมฉีดอินซูลิน ทำยังไงดี

บางครั้งเราก็หลง ๆ ลืม ๆ ไปบ้าง เช่น กุญแจรถ มือถือ แต่ถ้าเราลืมฉีดอินซูลินหรือไม่ได้ฉีดล่ะ? เมื่อร่างกายเราขาดอินซูลินจะพบปัญหามากมายตามมา ยิ่งถ้าน้องเบาหวานลืมฉีดยาบ่อย ๆ หรือขี้เกียจฉีด น้องเบาหวานต้องเจอกับอาการต่อไปนี้ เช่น ปวดหัว น้ำตาลในเลือดสูง ปวดท้อง รู้สึกเหนื่อย ตาพร่ามัว หิวบ่อย

“จำไว้เสมอว่า เมื่อไหร่ก็ตามที่เราไม่แน่ใจควรปรึกษาแพทย์หรือหมอประจำตัวเราเพื่อขอคำปรึกษา ดีกว่าต้องมาเสี่ยงเพราะความผิดพลาด”

จะเกิดอะไรขึ้นถ้าน้องเบาหวานหยุดฉีดอินซูลิน

เรื่องนี้ไม่มีกฎตายตัวว่าจะเกิดอะไรขึ้นถ้าเราไม่ได้ฉีดอินซูลิน ขึ้นอยู่กับว่าร่างกายเราขาดอินซูลินไปนานแค่ไหน เมื่อร่างกายเราไม่มีอินซูลิน ระดับน้ำตาลในเลือดจะสูงขึ้น น้องเบาหวานจะรู้สึกไม่สบายตัวและอาจนำไปสู่ภาวะคีโตซิส (DKA) ซึ่งร่างกายน้องเบาหวานเกิดคีโตนขึ้นมา ยิ่งมีคีโตนมากเท่าไหร่ร่างกายยิ่งบอบช้ำมากเท่านั้น การลืมฉีดหรือไม่ฉีดอินซูลินบ่อย ๆ อาจทำให้เกิดปัญหาต่าง ๆ ตามมา เช่น ติดเชื้อ และปัญหาสุขภาพในระยะยาว

ถ้าลืมอินซูลินก่อนมื้ออาหาร (Bolus)

ถ้าน้องเบาหวานลืมฉีดอินซูลินก่อนมื้ออาหาร เช่น novorapid humalog แล้วนึกขึ้นได้หลังทานอาหารไม่เกิน 2 ชั่วโมง สามารถฉีดตามได้ค่ะ แต่จำไว้ว่าการฉีดอินซูลินหลังอาหารนานขนาดนั้น การทำงานของอินซูลินที่จะช่วยลดระดับน้ำตาลในเลือดอาจไม่สัมพันธ์กัน ให้สังเกตและเจาะเลือดซ้ำเพื่อป้องกันระดับน้ำตาลในเลือดสูงหรือต่ำเกินไป หลังฉีด 2 ชั่วโมง
หากน้องเบาหวานลืมฉีดมื้อเช้า แต่นึกขึ้นได้ก่อนทานมื้อเที่ยง ลองนับดูสิคะ ผ่านมาหลายชั่วโมงจะฉีดก็ไม่ทันแล้ว ให้เจาะเลือดแล้วคำนวณฉีดเก็บไปพร้อมมื้ออาหารเที่ยงได้เลยค่ะ หากน้องเบาหวานไม่แน่ใจว่าควรใช้อินซูลินเท่าไหร่ ให้รีบติดต่อคุณหมอหรือพี่ ๆ พยาบาลเพื่อขอรับคำปรึกษา

ถ้าลืมอินซูลินแบบคุมทั้งวัน (Basal)

อินซูลิน basal ได้แก่ แลนตัส ถ้าลืมฉีดไม่เกิน 2 ชั่วโมงจากเวลาปกติ สมมติปกติฉีดตอนแปดโมงเช้า นึกขึ้นได้ตอนสิบโมง ให้รีบฉีดทันที อย่าลืมว่าอินซูลินแบบ basal ออกฤทธิ์ 24 ชั่วโมงอย่างสม่ำเสมอ วันต่อไปก็ฉีดเวลาเดิมค่ะ แต่ถ้าต้องฉีดแปดโมงเช้า นึกขึ้นได้ตอนเย็น ให้ลดปริมาณลงครึ่งหนึ่ง วันต่อไปก็ฉีดตามปกติค่ะ

ยกเว้น tresiba ถ้าลืมฉีดสามารถฉีดได้ใน 8 ชั่วโมง

อย่าลืมตรวจระดับน้ำตาลและคีโตน

การลืมฉีดอินซูลินทำให้เกิดปัญหาตามมามากมาย สิ่งสำคัญคือต้องคอยตรวจระดับน้ำตาลบ่อยกว่าปกติใน 24 ชั่วโมง เพื่อป้องกันน้ำตาลในเลือดสูงหรือต่ำเกินไป ถ้าระดับน้ำตาลสูง ไม่ยอมลง ให้น้องเบาหวานตรวจคีโตนดูว่ามีหรือไม่

 

อ้างอิงจาก

  1. https://www.diabetes.co.uk/insulin/missing-insulin-injection.html#:~:text=If%20short%20term%2Frapid%2Fbolus,it%20should%20have%20been%20done.
  2. https://type1.cornerstones4care.com/medicine/growing-up-with-diabetes/what-happens-if-i-forget.html

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