THE insulin he hormone hana maoli ʻia e ka pancreas i ka pane ʻana i ka piʻi ʻana o ke kiʻekiʻe o ke kō (glucose) i loko o ke koko.

He hana ka insulin " hypoglycémiante “, ʻO ia hoʻi, hoʻohaʻahaʻa i ka pae koko koko, pae koko koko. ʻO kaʻoiaʻiʻo, "haʻi" ia i nā pūnaewele o ke kino e komo i ka glucose, e kōkua ana e kaupalena i ka pae e kahe ana i ke koko.

He ʻokoʻa kona hopena i ka glucagon, kekahi hormone pancreatic e hoʻonui ai i ke koko glucose (hana hyperglycemic). Hana pū ka Insulin a me ka glucagon e mālama i nā pae kōpaʻa koko ma kahi o 1g / L i nā manawa āpau.

I ka maʻi diabetes, pilikia kēia kaulike. Hana ʻia ka insulin ma ka liʻiliʻi, a / a i ʻole nā ​​​​pūnaewele ʻaʻole i maʻalahi iā ia (no laila nāwaliwali kona hopena).

ʻO ke ʻano o ka insulin i ke koko (insulinemia) ʻaʻole hoʻohana ʻia no ka hōʻoia ʻana a i ʻole ka nānā ʻana i ka maʻi diabetes (e pili ana i ka nānā ʻana o ke kō koko a me ka hemoglobin glycated).

Eia nō naʻe, hiki ke hoʻāʻo i ka insulin i loko o ke koko e ʻike i ka hiki o ka pancreas ke huna i ka insulin (hiki ke hoʻohana ʻia kēia no ke kauka i kekahi mau manawa o ka maʻi diabetic).

Hiki ke hana ʻia kēia loiloi inā loaʻa hou ka hypoglycaemia. Hiki iā ia ke kōkua i ka ʻike ʻana i ka insulinoma (he maʻi pancreatic endocrine kakaʻikahi), no ka laʻana.

ʻO ka manawa pinepine, kuhikuhi ke kauka i kahi "pancreatic assessment", ʻo ia hoʻi, ka nānā ʻana o nā hormones pancreatic āpau me ka insulin, C-peptide, proinsulins a me glucagon.

Hoʻāʻo ʻia ka insulin e ka lawe ʻana i ke koko i loko o kahi keʻena hoʻokolohua lapaʻau. He mea nui ka hoʻokē ʻai ʻana no ka hoʻāʻo koko e ʻike i ke ʻano "basal".

Eia nō naʻe, ʻaʻole lawa kēia loiloi pinepine. Ma muli o ka loli ʻole o ka huna ʻana o ka insulin i ke kanaka hoʻokahi i ka lā, paʻakikī ke wehewehe ʻana i kahi ʻano kaʻawale. No laila, hana pinepine ʻia ka hoʻāʻo ʻana o ka insulin ma hope o ka hoʻāʻo ikaika e like me ka hyperglycemia waha (OGTT), kahi e hāʻawi ʻia ai ka mea maʻi i kahi hopena ʻono loa e inu ai e ʻike i ke ʻano o ka pane ʻana o ko lākou kino.

Nā hualoaʻa e hāʻawi i ke kauka alakaʻi ma kainsulinosécrétion, ʻo ia hoʻi ka huna ʻana o ka insulin e ka pancreas, ʻoi aku ma hope o ka "ʻai" momona.

Ma ke ʻano he alakaʻi, ma ka ʻōpū ʻole, ʻoi aku ka nui o ka insulinemia ma lalo o 25 mIU / L (µIU / mL). Aia ma waena o 30 a 230 mIU / L 30 mau minuke ma hope o ka hoʻohana ʻana i ka glucose.

I ka hihia o ka insulinoma, no ka laʻana, ʻano kiʻekiʻe kēia mea huna, e hoʻomau mau ʻia, e hoʻoulu hou i ka hypoglycaemia.

Hiki i ke kauka ke wehewehe i nā hopena a hāʻawi iā ʻoe i kahi hōʻailona.