Insulin Tujeo: koyarwa da bita
Magani don allura 300 IU / ml, 1.5 ml
1 ml na bayani ya ƙunshi:
abu mai aiki - insulin glargine 300 PIECES,
magabata: meta-cresol, zinc chloride, glycerin (85%), sodium hydroxide, hydrochloric acid, ruwa don allura
Cikakke, bayani mara launi wanda baya dauke da rashin illa na inji.
Kayan magunguna
Pharmacokinetics
Orazantawa da rarrabawa
A cikin masu ba da agaji da lafiya da marasa lafiya masu fama da cutar sankara, bayan allurar subjejeous na Tujeo SoloStar concent, yaduwar insulin a cikin jijiyoyin jini yana nuna jinkirin da yalwatacce idan aka kwatanta da insulin glargine 100 IU / ml, wanda ke haifar da bayanan mai cike da kwanciyar hankali.
Bayanan magunguna na Pharmacokinetic sun yi daidai da aikin kantin magani na Tujeo SoloStar®.
Ana samun daidaituwa mai daidaituwa a cikin kewayon warkewa bayan kwanaki 3-4 na gudanarwar yau da kullun na Tujo SoloStar®.
Bayan allurar da aka yi da Tujeo SoloStar®, an sami bambance-bambancen da aka samu ta hanyar insulin na tsawon awanni 24 a cikin yanayin cimma daidaituwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa a cikin haƙuri ɗaya ya ragu (17.4%).
Bayan allurar subcutaneous, glargine insulin yana da sauri metabolized don samar da metabolites guda biyu masu aiki, M1 (21A-Gly-insulin) da M2 (21A-Gly-des-30B-Thr-insulin). A cikin jini na jini, babban fili kewaya shine metabolite M1.
Bayyanar metabolite na M1 yana ƙaruwa tare da ƙaruwa a cikin adadin da aka gudanar na gulingine insulin. Nazarin likitancin magunguna da magunguna sun nuna cewa aikin allurar insulin glargine injections shine yaduwa saboda bayyanar M1. A cikin mafi yawan masu haƙuri ba shi yiwuwa a gano insulin glargine da metabolite M2, kuma a lokuta yayin da za a iya ƙaddara su, yawan haɗarinsu bai dogara da kashi da aka ba da su ba da kuma sashi na insulin glargine.
Bayan gudanarwar cikin jijiya, rabin rayuwar insulin glargine da insulin mutane sun yi kama. Rabin-rayuwa bayan subcutaneous management na miyagun ƙwayoyi Tujo SoloStar® an ƙaddara shi da ƙimar sha daga ƙwayoyin subcutaneous. Rabin rayuwar Tujeo SoloStar® bayan gudanarwar subcutaneous shine awoyi 18-19 kuma baya dogaro da maganin.
Pharmacodynamics
Babban aikin insulin, gami da insulin glargine, shine tsari na metabolism metabolism. Insulin da analogues dinsu suna rage maida hankali na glucose na jini ta hanyar bunkasa shanyewar glucose ta gabobin mahaifa, musamman tsokar kasusuwa da tsotse nama, haka kuma ta hana samuwar glucose a cikin hanta. Insulin yana hana lipolysis a cikin adipocytes, yana hana proteolysis kuma yana haɓaka aikin furotin.
Glulin insulin shine kwatancen insulin na ɗan adam wanda aka tsara don samun ƙarancin rashin ƙarfi a matsakaicin pH. A pH 4, glargine insulin ya zama mai narkewa gaba daya. Bayan allura a cikin ƙwayar subcutaneous, maganin acidic shine keɓaɓɓe, wanda ke haifar da haifar da precipitates, daga abin da ƙananan adadin insulin glargine ke ci gaba da fitarwa. Kamar yadda aka lura a cikin binciken amfani da hanyar matsa tsufa wanda ya shafi marasa lafiya da nau'in ciwon sukari na 1, sakamakon rage karfin glucose na miyagun ƙwayoyi Tujo SoloStar® ya kasance mafi dindindin kuma an tsawaita shi idan aka kwatanta da insulin glargine 100 IU / ml bayan gudanarwar su ta subcutaneous. Aikin miyagun ƙwayoyi Tujo SoloStar® ya ɗauki tsawon awanni 24 (har zuwa awanni 36) a allurai masu dacewa. A cikin bincike na asibiti da kuma nazarin magungunan, ana gudanar da su ta hanyar insulin glargine na insulin kuma insulin na mutum ya zama mai kayan aiki idan anyi amfani da su a allurai iri daya. Kamar yadda yake a cikin sauran insulins, tsawon lokacin insulin glargine zai iya shafar ayyukan jiki da sauran canji.
Ingantaccen Asibiti da Aminci
Ingancin inganci da amincin Tujeo SoloStar® (insulin glargine 300 IU / ml) sau ɗaya a rana don sarrafa glycemic idan aka kwatanta da na insulin glargine 100 IU / ml sau ɗaya a rana a buɗe, gwaji iri-iri a cikin ƙungiyoyi masu daidaituwa tare da ikon sarrafawa na dindindin har zuwa 26 makonni, ciki har da marasa lafiya 546 da ke da nau'in ciwon sukari na 1 da masu haƙuri 2474 da ke fama da ciwon sukari na 2.
Sakamakon da aka samu a duk gwaji na asibiti tare da Tujeo SoloStar® ya nuna cewa raguwa a cikin ƙimar haemoglobin HbA1c mai glygated idan aka kwatanta da ƙimar farko ta ƙarshen nazarin ba ƙasa da wannan tare da gudanar da insulin glargine 100 IU / ml. Adadin marasa lafiya waɗanda suka cimma burin HbA1c (a ƙasa da 7%) ya yi kama a cikin rukunan magani biyu.
Rage yawan haɗarin glucose na plasma a ƙarshen binciken tare da Tujeo SoloStar® ya kasance daidai da wanda insulin glargine 100 IU / ml tare da ƙarin raguwa a hankali yayin lokacin titration tare da gabatarwar Tujeo SoloStar®. Gudanar da ƙwayar cuta ta kasance daidai da gudanarwar Tujeo sau ɗaya a rana da safe ko da yamma.
Haɓaka HbA1c bai dogara da jinsi ba, kabila, shekaru, ko tsawon lokacin ciwon sukari (
Tujo SoloStar
Tujeo ne ya samar da kamfanin Sanofi na kasar Jamus. An kirkiro shi ne akan glargine, wanda ya mayar dashi zuwa wani lokaci mai narkarda basal insulin, mai iya sarrafa matakan sukari na jini yadda ya kamata, yana hana canje-canje na kwatsam. Tujeo ba shi da wata illa ko kaɗan, yayin da akwai maki mai ƙarfi don ramawa. Kwayar cuta da illa da ba a ke so ba a tsarin jijiyoyi da jijiyoyin jini. Tujeo ya dace don maganin nau'in 1 da nau'in ciwon sukari na 2.
Magunguna da magunguna
Tujeo kwatankwacin insulin na mutum ne, wanda aka samo shi ta sake haɗa shi da kwayoyin ƙwayar cuta. Babban tasirin insulin shine daidaita jikin mutum na amfani da glucose. Yana rage matakan glucose, yana kara shan kwayoyi a cikin adipose nama da kasusuwa, yana kara samarda furotin, yana hana kwayar glucose da hanta lipolysis a cikin kitse mai. Sakamakon amfani da miyagun ƙwayoyi Tujo SoloStar yana nuna cewa akwai babban ɗaukar tsinkaye mai tsawo, yana ɗaukar sa'o'i 36.
Idan aka kwatanta da glargine 100, miyagun ƙwayoyi suna nuna ƙarancin maida hankali ne lokaci-lokaci. A cikin ranar bayan allurar Tujeo da ke ƙasa, bambance-bambancen ya kasance kashi 17,4%, wanda yake alama ce mara ƙarfi. Bayan allura, glargine na insulin ya kara karfin metabolism a yayin samuwar wasu daga cikin metabolites din M1 da M2. Plasma na jini a wannan yanayin yana da mafi yawan jikewa tare da M1 metabolite. Theara yawan ƙwayar yana haifar da karuwa a cikin tsarin bayyanar da metabolite, wanda shine babban abin da ke haifar da maganin.
Tsarin insulin
Gudun ƙarƙashin ƙasa a cikin ciki, kwatangwalo da makamai. Yakamata a canza wurin allurar a kowace rana don hana samuwar alamomin da lalacewar ƙwaƙwalwar subcutaneous. Gabatarwa zuwa jijiya na iya haifar da mummunan harin na hypoglycemia. Magungunan suna da tasiri na tsawon lokaci idan an yi allura a ƙarƙashin fata. Ana yin allurar insulin ta hanyar amfani da alkairin sirinji, allura ta ƙunshi raka'a 80. Yana yiwuwa a ƙara yawan lokacin amfani da alƙalami a cikin yawan rukunin 1.
An tsara alkalami don Tujeo, wanda ke kawar da buƙatar sake tunani. Wani sirinji na yau da kullun na iya lalata kicin tare da ƙwayoyi kuma bazai ba ku damar yin daidai gwargwadon kashi na insulin ba. Ana iya zubar da allura kuma dole ne a sauya tare da kowane allurar. Sirinjin yana aiki daidai idan digon insulin ya bayyana a saman allura. Ganin yadda siririn insulin allurar insulin, akwai haɗarin rufe su yayin amfani da sakandare, wanda ba zai ba mai haƙuri damar samun ainihin adadin insulin ba. Ana iya amfani da alkalami tsawon wata daya.
Umarni na musamman
Marasa lafiya masu ciwon sukari ya kamata su sa ido a kan yawan tattarawar glucosersu a kai a kai, su iya yin allurar subcutaneous daidai, kuma su dakatar da cututtukan jini da hawan jini. Mai haƙuri ya kamata ya kasance mai tsaro a koyaushe, ya lura da kansa yayin aikin insulin don faruwar waɗannan yanayin. Marasa lafiya waɗanda ke fama da gazawar koda ya kamata su sani cewa ana buƙatar rage ƙwayar hormone a wasu lokuta saboda raguwa a cikin metabolism metabolism da raguwa a cikin ikon gluconeogenesis.
Abun Harkokin Magunguna
Wasu kwayoyi na iya shafar metabolism metabolism. Idan an ɗauke su tare da hormone, to yana iya zama dole a fayyace kashi. Daga cikin magungunan da za su iya kara tasirin hypoglycemic na insulin kuma suna ba da gudummawa ga farawar hypoglycemia akwai Fluoxetine, Pentoxifylline, maganin rigakafin sulfonamide, fibrates, ACE inhibitors, MAO inhibitors, Disopyramide, Propoxyphene, salicylates. Idan kun ɗauki waɗannan kudade a lokaci guda kamar glargine, zaku buƙaci canjin sashi.
Sauran kwayoyi na iya yin tasirin hypoglycemic na miyagun ƙwayoyi. Daga cikin su akwai Isoniazid, glucocorticosteroids, hormone girma, inhibitors protease, kwayoyi tare da phenothiazine, Glucagon, sympathomimetics (Salbutamol, Terbutaline, Adrenaline), estrogens da progestogens, ciki har da waɗanda ke cikin rigakafin cututtukan hormonal, glandon thyroid, glandon dattin, antipsychotics (clozapine, olanzapine), diazoxide.
Lokacin amfani da su tare da shirye-shirye tare da ethanol, clonidine, salhi lithium ko beta-blockers, tasirin hormone na iya ƙaruwa kuma ya zama mai rauni. Amfani da lokaci guda tare da Pentamidine na iya haifar da hypoglycemia, sau da yawa yana canzawa zuwa hyperglycemia. Yin amfani da pioglitazone tare da hormone a cikin lokuta masu wuya na iya haifar da bayyanuwar rashin zuciya.
Contraindications da sakamako masu illa
Bai kamata a yi amfani da miyagun ƙwayoyi ba idan akwai rashin jituwa ga mutum daga abubuwan da aka haɗa. Tujeo ya dace da manya kawai. Ya kamata a yi amfani da hankali a cikin mata masu juna biyu, mutanen da ke fama da rikice-rikice na endocrine da shekarun ritaya. Tujeo bai dace da ketoacidosis mai ciwon sukari ba. Sakamakon sakamako na yau da kullun sun haɗa da:
- halayen rashin lafiyan halayen
- lipodystrophy,
- nauyi
- karancin gani
- myalgia
- yawan haila.
Sharuɗɗan sayarwa da ajiya
Ana ba da magani a cikin kantin magani tare da takardar sayan magani. Wajibi ne don adanawa a cikin wurin da aka kiyaye shi daga haske, zazzabi ya kamata ya kasance tsakanin 2-8 ° C. Boye daga yara. Lokacin adana miyagun ƙwayoyi, yana da mahimmanci a tabbatar cewa kwalliyar alƙaluman ba ta da dangantaka da injin daskarewa, tunda ba za a iya daskarewa insulin ba. Bayan amfani na farko, adana miyagun ƙwayoyi bai wuce makonni 4 ba.
Analogs na insulin Tujeo
Abubuwan da ke tattare da magani a kan analogues a bayyane suke. Wannan tsawan aikin (a cikin awanni 24-35), da karancin amfani, da karin madaidaicin sarrafa matakan glucose na jini (dukda cewa akwai karancin allura), kuma lokacin injections ba zai iya tsawatarwa sosai ba. Daga cikin abubuwanda ake amfani dasu na yau da kullun na insulin na basal na sababbin mutanen:
Farashin insulin Tujeo
A cikin Rasha, ana iya samo Tujeo kyauta; Kuna iya siye a cikin kantin magani ko kantin sayar da kan layi don masu ciwon sukari. Matsakaicin matsakaici shine 3100 rubles, mafi ƙarancin shine 2800 rubles.
Mariya, ɗan shekara 30 Ina son sabon insulin da ya dade yana aiki, Ina fiye da shekara guda ina amfani da maganin. A can akwai Tresiba. Babban abu shi ne cewa babu haɗarin hauhawar jini, bayan insulin da ya gabata akwai sakamako mara kyau. Na manta game da tsalle-tsalle a cikin sukari, Tujeo yana kiyaye matakin al'ada. Ban ma ganin bukatar kayan ciye-ciye ba. Inje shine yake cikin sauki, ba za a kuskure ku da magani ba.
Victor, dan shekara 43. Na bukaci gyaran hypoglycemia bayan amfani da maganin tresib. Masanin ilimin endocrinologist ya shawarci lantus tujeo. Tsawon watanni shida yanzu ban san wata matsala ba, ko da asarar nauyi. Ina son cewa baku buƙatar yin allura mai yawa, ƙwayoyi suna aiki a cikin jiki na dogon lokaci. Yana da mahimmanci cewa alkalami mai dacewa ya dace da ma'aunin maganin.
Rosie, dan shekaru Tujeo 24 yana amfani da shi tsawon mako guda. Abin tsoro ne. Na kamu da ciwon sukari irin na 1 na dogon lokaci, kuma babu wani sha'awar yin gwaji. A baya can anyi amfani da Lantus. Dangane da canjin, ban lura da canje-canje ba, amma tare da Tujeo da tsalle-tsalle da daddare a cikin dare sun tsaya, Ina son in ci kaɗan. Ina bayar da shawarar Tujeo a matsayin ingantaccen insulin na zamani.
Aikin magunguna
Yana nufin ma'anar hypoglycemic jami'ai. Sakamakon ayyukan insulin, ana sarrafa hanyoyin metabolism. An rage yawan haɗuwar glucose a cikin jini saboda ƙoshinsa a cikin kasusuwa da ƙwayar tsopose. A wannan yanayin, ana hana rikodin polysaccharide a cikin hanta, kuma tsarin ayyukan furotin yana ƙaruwa.
Ana samun maganin ta hanyar bayyana ingantaccen bayani don allura a cikin adadin 1.5 ml.
Pharmacokinetics
Idan aka kwatanta da insulin gajeran aiki, bayan allurar wannan miyagun ƙwayoyi, abu mai aiki yana karɓar ƙwayoyin tsohuwar ƙwaƙwalwa a hankali. Ana lura da mafi girman abubuwan aiki a cikin jini sa'o'i 2 bayan allura. Yana cikin metabolized a cikin hanta. An keɓe shi a cikin hanyar metabolites na asali. Rabin-rabi shine kimanin awanni 19.
Alamu don amfani
Ana bada shawarar amfani da wannan magani wajen lura da kowane nau'in ciwon sukari a cikin manya.
Ana bada shawarar amfani da wannan magani wajen lura da kowane nau'in ciwon sukari a cikin manya.
Yadda ake ɗaukar Tujeo?
A bu mai kyau yin allura lokaci guda 1 a rana guda. Idan ana buƙatar allura guda ɗaya, to ana iya yin allura a kowane lokaci na rana. Idan ba zai yiwu a sanya allura a lokaci guda ba, ana bada shawarar aiwatar da aikin a cikin sa'o'i 3 kafin ko bayan lokacin da aka sanya. Ayyukan da miyagun ƙwayoyi ya kamata ya isa har tsawon yini ɗaya.
Yadda ake lissafin kashi?
A cikin lura da ciwon sukari na 1, ana bada shawarar allura tare da abinci. Ya kamata a ɗauka cewa an zaɓi sashi don kowane mai haƙuri daban-daban, amma kada ya wuce raka'a 100 kowace rana. Don kyakkyawan sakamako, an haɗakar da miyagun ƙwayoyi tare da wasu insulins na gajere.
A bu mai kyau yin allura lokaci guda 1 a rana guda. Idan ana buƙatar allura guda ɗaya, to ana iya yin allura a kowane lokaci na rana.
Don lura da ciwon sukari na 2, kashi-kashi na yau da kullun ya kai raka'a 200. Idan mai haƙuri bai isa ba, ana iya haɗu da shi tare da sauran jami'ai waɗanda ke da tasirin hypoglycemic.
Yaya za a yi amfani da alkalami?
Ba za ku iya shiga cikin maganin ba. Wannan na iya haifar da gurɓatar insulin tare da wasu kwayoyi kuma yana haifar da mummunan hypoglycemia. Ana yin allurar ne kawai da mai mai subcutaneous.
Alkawarin an cika shi da mafita kuma ana sarrafa raka'a 1 zuwa 80 na magunguna. A wannan yanayin, haɓakar kada ya wuce naúrar 1. An cika allurar sirinji musamman don gabatarwar Toujeo SoloStar, don haka babu ƙarin ƙididdigar adadin da za'a aiwatar.
Kada a sake yada magungunan daga sirinji a cikin wani sirinji na insulin. Wannan na iya haifar da yawan shan ruwa. Abubuwan allura ga kowane allura an saka sabo. Dole ne su kasance bakararre.
Kafin ka fara amfani da alkairin sirinji, kana buƙatar bincika umarnin a hankali, wanda yakamata a haɗa shi cikin fakitin asalin. Don aminci mafi girma a lokacin allura ya kamata ba kawai canza allura kowane lokaci ba. Tabbatar cewa mutum ɗaya ne kawai ya yi amfani da sirinji.
A bangaren metabolism da abinci mai gina jiki
Sharpara yawan ci a cikin abinci, mai haƙuri koyaushe yana jin yunwa. Wannan yanayin na iya haifar da kiba. Sakamakon haɓakar haɓakar jini, haɓakar metabolism, wanda ke haifar da raguwar sukari na jini saboda lalacewar ƙwayar glucose. Carbohydrate da mai mai zai iya zama masu damuwa.
Sakamakon sakamako na miyagun ƙwayoyi na iya zama cuta na rayuwa.
Sakamakon sakamako na miyagun ƙwayoyi na iya zama kiba.
Sakamakon sakamako na miyagun ƙwayoyi na iya zama myalgia.
Sakamakon sakamako na miyagun ƙwayoyi na iya zama karuwa cikin ci.
A ɓangaren fata
Abubuwan da ke faruwa na gida suna faruwa a wuraren allura. An lura da jin zafi, lokacin farin ciki, jan launi da ƙonewa.
Sau da yawa tare da yin amfani da insulin na dogon lokaci, halayen rashin lafiyan yana faruwa. Ana bayyana su ta musamman fitsari na fata, ƙoshi da ƙonawa. Urticaria da Quincke na edema na iya haɓaka.
Sakamakon sakamako na miyagun ƙwayoyi na iya zama fatar fata da itching.
Sakamakon sakamako na miyagun ƙwayoyi na iya zama mai iyawar gani.
Sakamakon sakamako na maganin yana iya zama edema Quincke.
Sakamakon sakamako na miyagun ƙwayoyi na iya samar da hatimi a wurin allurar.
Yi amfani da lokacin daukar ciki da lactation
Yana da karɓa don amfani yayin lokacin gestation. A cikin karatun, babu wani mummunan sakamako na abubuwan da ke tattare da miyagun ƙwayoyi akan tayi. Bukatar insulin yana raguwa a farkon farkon ciki, kuma a ƙarshe, akasin haka, yana ƙaruwa. Sabili da haka, don hana haɓakar haɓakar hyperglycemia, ya zama dole a ko da yaushe kula da matakin glucose a cikin jinin mace mai ciki.
Bayan haihuwa da kuma lokacin shayarwa, ana buƙatar rage insulin, sabili da haka, ana buƙatar daidaita sashi.
A cikin gazawar koda, insulin metabolism din yayi saurin sauka, sabili da haka ana rage buƙatuwar jikin ta.
Ba za ku iya haɗa magungunan tare da giya ba.
Ba a yarda ya yi wa yara da irin wannan magani ba.
An halatta a yi amfani da miyagun ƙwayoyi a lokacin haila.
Bayan haihuwa da kuma lokacin shayarwa, ana buƙatar rage insulin, sabili da haka, ana buƙatar daidaita sashi.
Yi amfani da tsufa
Ga marasa lafiya da suka haura shekaru 65, farawa da tabbatarwa yakamata su zama masu tasiri kaɗan. Hadarin da ke tattare da haɓakar haɓakar jini na nesa yana ƙaruwa. Bugu da ƙari, sauran maganganun hypoglycemic da ke haɗuwa da yawan ci insulin sau da yawa suna haɓaka. Sabili da haka, ya kamata a aiwatar da daidaitawar sashi don kowane mai haƙuri daban-daban.
Yawan abin sama da ya kamata
Matsanancin digon jini na haɓaka da sauri. A cikin yanayin matsin matsakaici mai ƙarfi, ana iya daidaita yanayin ta hanyar ɗaukar adadin carbohydrates. A cikin mawuyacin yanayi, lokacin da kwayar cuta ta hauhawa, cututtukan zuciya da wasu rikicewar jijiyoyi, za a dakatar da harin ta hanyar gabatar da wani bayani mai narkewa ko maganin glucagon.
Tare da yawan shan magungunan ƙwayar cuta, hare-hare masu iya yiwuwa.
Tare da yawan shan magungunan ƙwayar cuta, ƙwayar cuta na iya faruwa.
Tare da yawan shan magungunan ƙwayar cuta, farawar hypoglycemia mai yiwuwa ne.
Tare da yawan wuce haddi na miyagun ƙwayoyi, raunin jijiyoyi mai yiwuwa ne.
Yin hulɗa tare da wasu kwayoyi
Lokacin amfani da wasu ƙwayoyi, zaku buƙaci daidaita sashi na insulin, saboda matakan glucose na jini na iya sauka kwatsam, wanda ke haifar da ci gaban hawan jini.
Hypoglycemic jamiái, salicylates, ACE inhibitors, maganin rigakafi da wasu sulfonamides suna rage tasirin hypoglycemic na wannan insulin. Beta-blockers da shirye-shiryen lithium zasu iya rage biyu da haɓaka tasirin warkewa na shan insulin.
Diuretics, salbutamol, adrenaline, glucagon, hormones na thyroid, estrogens, wasu rigakafin hormonal, isoniazid, antipsychotics da inhibitors a lokacin da suke shan wannan magani suna rage tasirinsa na hypoglycemic.
Guda jamiái da ke da irin wannan tsari da kuma warkewa sakamako:
Dokokin Tujeo SoloStar Abin da kuke buƙatar sani game da insulin Lantus Bari mu yi allurar insulin da ta dace! Kashi na 1
Tujeo mai masana'anta
Kamfanin masana'antu: Sanofi Aventis Deutschland GmbH, Jamus.
Iyakar kariya daga hasken rana kai tsaye. Kar a daskare, amma a adana a cikin firiji a zazzabi da bai wuce + 8 ° C.
Reviews na Tujeo
Yawancin sake dubawar likitoci da marasa lafiya suna da kyau.
Mikhailov AS, masanin ilimin endocrinologist, Moscow: "Mutane da yawa yanzu suna korafi game da canji ga wannan ƙwayar. Insulin kanta tana da kyau, amma yana da matukar mahimmanci don ƙididdige adadin. A wannan yanayin, za a iya haƙuri da kyau ba tare da bayyanar cututtuka ba."
Samoilova VV, endocrinologist, Nizhny Novgorod: “Surukar mahaifiya ta fama da cutar sankarau tsawon shekaru. Ni, a matsayina na likita, na canza ta daga Lantus, wanda ba mu karɓa ba, zuwa Toujeo. saboda nayi nazari kan tasirin wannan insulin. Suga ba zata “yi girma” ba in za a iya samar da allurar daidai. ”
Masu ciwon sukari
Karina, 27 years old, Kiev: "Ina son shi fiye da sauran insulin, saboda ya fi maida hankali, kuma kawai kuna buƙatar allurar dashi sau ɗaya a rana. Yana da dacewa, yana da amfani kuma baya tsoma baki cikin ayyukan yau da kullun. Ana kiyaye sukari a matakin koyaushe, babu tsalle, bincika akai-akai. "
Victor, dan shekara 36, Voronezh: "Na dauki wannan insulin har tsawon wata daya. Kafin hakan, akwai wasu magunguna wadanda suka zama marasa inganci. Har ma na manta game da kayan ciye-ciye."
Andrei mai shekara 44, Moscow: "Na kasance ina amfani da Lantus. Yanzu ba su rubuta shi ba. Dole ne in yi allurar Toujeo, wanda ba na farin ciki da shi.