Levemir vs. Lantus: Misiyano, kufanana, uye izvo zviri nani kwauri
Zvinodhaka Vs. ShamwariKuongorora kwemishonga & misiyano mikuru | Conditions kurapwa | Kubudirira | Inishuwarenzi kufukidza uye mutengo kuenzanisa | Zvimwe zvinokanganisa | Kubatana kwezvinodhaka | Yambiro | MIBVUNZO
Iyo 2020 Yenyika Chirwere cheshuga Statistics Chirevo inotaura kuti 10.5% yevanhu vari muU.S. vane chirwere cheshuga, uye nhamba inowedzera nezera. Vanenge 27% yevanhu vane makore makumi matanhatu nemashanu zvichikwira vane chirwere cheshuga. Kana iwe kana munhu waunoda ane chirwere cheshuga, ungangodaro wakanzwa nezvemhando dzakasiyana dzeinsulins.
Levemir naLantus mazita maviri ezita remishonga inonzi insulin inoshandiswa pakurapa chirwere cheshuga muvakuru nevana. Ose madhiragi anotenderwa neUnited States Chikafu neDrug Administration (FDA). Novo Nordisk inogadzira Levemir, uye Sanofi inogadzira Lantus. Ose ari maviri anosarudzwa seyakareba-inoshanda insulins. Kunyangwe Levemir naLantus vari vese vanoita kwenguva refu insulins, vane mimwe misiyano, iyo yatichataura pazasi.
Ndeupi mutsauko mukuru pakati peLevemir neLantus?
Levemir naLantus vese vari marefu-inoshanda insulin majekiseni. Ivo vaviri anowanikwa muzita rezita chete, sevhiri 10 ml kana chinyoreso chepeni.
Levemir ine insulin detemir uye inobaiwa jekiseni kamwe pazuva (nekudya kwemanheru kana panguva yekurara), kana kaviri pazuva.
Lantus ine insulin glargine uye inojowa seyero yezuva nezuva panguva imwe chete zuva rega rega.
| Misiyano mikuru pakati peLevemir neLantus | ||
|---|---|---|
| Levemir | Lantus | |
| Kirasi yemishonga | Yakareba-inoshanda insulin | Yakareba-inoshanda insulin |
| Brand / generic chinzvimbo | Brand | Brand |
| Chii chinonzi generic zita? | Insulin inoparadza | Insulin glargine |
| Ndeapi mafomu (s) ayo mushonga unouya? | Jekiseni (vial uye yakagadzirirwa Levemir Flextouch peni) | Jekiseni (ndiro uye yakasarudzika Lantus Solostar peni) |
| Ndeipi muyero wakajairwa? | Zvinosiyana zvichienderana nezvinodiwa metabolic, weropa glucose kuongorora mhedzisiro, uye glycemic control chinangwa. Yakapinza subcutaneous (pasi peganda) kamwe zuva nezuva nekudya kwemanheru kana panguva yekurara, kana kaviri pazuva | Zvinosiyana zvichienderana nezvinodiwa metabolic, weropa glucose kuongorora mhedzisiro, uye glycemic control chinangwa. Jekiseni subcutaneous (pasi peganda) kamwe zuva nezuva panguva imwechete mazuva ese |
| Yakareba sei iyo yekurapa? | Nguva refu | Nguva refu |
| Ndiani anowanzoshandisa mushonga? | Vakuru nevana | Vakuru nevana |
Mamiriro ezvinhu anorapwa neLevemir uye Lantus
Levemir naLantus zvinoshandiswa kugadzirisa shuga muropa muvanhu vakuru (ine Type 1 kana Type 2 chirwere cheshuga mellitus) uye vana (vane Type 1 cheshuga). Levemir naLantus vanozivikanwawo se basal insulin. Basal insulin inochengeta rako rehuga reropa rakaenzana uchitsanya, senge paunenge wakarara.
Levemir naLantus havafanirwe kushandiswa kurapa chirwere cheshuga ketoacidosis.
| Mamiriro | Levemir | Lantus |
| Inovandudza glycemic kutonga muvakuru uye vana vane chirwere cheshuga mellitus | Ehe | Ehe |
Levemir kana Lantus inoshanda zvakanyanya here?
Imwe fundo yakaratidza kuti varwere vangangoda mwero wepamusoro weLevemir kuti uwane kudzora kweropa glucose. Vamwe varwere vanoda wechipiri muyero weLevemir kana mhedzisiro yacho ikapera mushure memaawa anenge gumi nemaviri. Lantus inogara kwenguva refu kupfuura Levemir. Iyi data hairatidzi kuti imwe inoshanda kupfuura imwe, asi inotaurira zvakawanda nezve dosing uye nguva yekuita.
TO kudzokorora kwezvidzidzo akagumisa kuti Levemir naLantus vakafanana maererano nekuchengetedza uye kushanda. Zvinodiwa nemurwere uye kutevedzera zvinotarisa kusarudzwa kwechigadzirwa chakanakisa.
Mushonga wakanakira iwe unogona chete kusarudzwa nemupi wako wezvehutano, uyo anogona kufunga nezvehutano hwako nhoroondo uye chero mishonga yaunotora iyo inogona kusangana naLevemir kana Lantus.
Kuvhavha uye mutengo kuenzanisa kweLevemir vs. Lantus
Levemir naLantus vanowanzovharwa neinishuwarenzi, asi kwete Medicare Chikamu D. Zvisinei, sezvo zvirongwa zvingasiyana, tarisa nehurongwa hwako kuti uwane rumwe ruzivo rwekuvhara.
Bhokisi reLevemir peni mari anenge madhora mazana mashanu nemakumi matanhatu kubva muhomwe. Iwe unogona kushandisa yemahara SingleCare kadhi kuunza mutengo pasi kusvika pasi pe $ 370.
Bhokisi remapeni eLantus rinodhura madhora mazana mashanu nemakumi mashanu kubva muhomwe. Kadhi reSingleCare remahara rinogona kuunza mutengo kusvika pasi pe $ 305.
| Levemir | Lantus | |
| Kazhinji yakafukidzwa neinishuwarenzi? | Ehe | Ehe |
| Inowanzo kufukidzwa neMedare Chikamu D? | Kwete | Kwete |
| Standard muyero | 1 bhokisi | 1 bhokisi |
| Chaizvoizvo Medicare copay | $ 532 | $ 489 |
| SingleCare mutengo | $ 367 + | $ 304 + |
Zvakajairika mhedzisiro mhedzisiro yeLevemir vs. Lantus
Rutivi rwunowanzoitika rwevose vari vaviri Levemir uye Lantus i hypoglycemia (yakaderera ropa shuga). Iyo frequency inosiyana zvichienderana neumwe murwere zvinhu.
Levemir zvimwe zvakajairika mhedzisiro zvinosanganisira yepamusoro yekufema chirwere chetachiona, kutemwa nemusoro, kurwadziwa pahuro, fivha, kurwadziwa musana, peripheral edema (kuzvimba paruoko kana gumbo), uye kukosora.
Mimwe mhedzisiro inowanzoitika yakaipa yeLantus hutachiona hwepamusoro hwekufema, kutemwa nemusoro, matambudziko eziso, kuzvimba kwemaoko nemakumbo, kuwedzerwa kweropa, uye kurwadziwa.
Kuwedzera mhedzisiro mhedzisiro inogona kuitika. Bata wako mupi wezvehutano nezvezvekurapa zvine chekuita nemhedzisiro.
| Levemir | Lantus | |||
| Side maitiro | Zvinoshanda? | Kakawanda | Zvinoshanda? | Kakawanda |
| Hypoglycemia | Ehe | Zvinosiyana | Ehe | Zvinosiyana |
| Utachiona hwepamusoro hwekufema | Ehe | 26.1% | Ehe | 22.4% |
| Kutemwa nemusoro | Ehe | 22.6% | Ehe | 5.5% |
| Peripheral edema | Ehe | Zvinosiyana | Ehe | makumi maviri% |
| Huro inorwadza | Ehe | 9.5% | Ehe | 7.5% |
| Hypertension | Kwete | - | Ehe | 19.6% |
| Retinal vascular kusagadzikana | Kwete | - | Ehe | 5.8% |
| Cataract | Kwete | - | Ehe | 18.1% |
| Kukuvara kwenjodzi | Kwete | - | Ehe | 5.7% |
| Marwadzo emudumbu | Ehe | 6% | Kwete | - |
| Kutambudzika shure | Ehe | 8.1% | Ehe | 12.8% |
| Kukosora | Ehe | 8.2% | Ehe | 12.1% |
| Kupindwa nechando | Ehe | 10.3% | Kwete | - |
| Nausea | Ehe | 6.5% | Kwete | - |
| Kusvipa | Ehe | 6.5% | Kwete | - |
Kwayaka: DailyMed ( Levemir ), Zuva Nezuva ( Lantus )
Kubatana kwemishonga kweLevemir vs. Lantus
Mimwe mishonga inogona kuwedzera njodzi yeshuga yeropa kana ikatorwa neLevemir kana Lantus. Mimwe mishonga inogona kupindira muropa-kudzikisa simba kweLevemir kana Lantus. Kana iyi mishonga ikapihwa pamwechete, muyero wacho ungangoda kugadziriswa, uye shuga yeropa inofanira kuongororwa kazhinji.
Kumwe kudyidzana kwezvinodhaka kunogona kuitika. Bvunza wako mupi wezvehutano kuti uwane yakazara runyorwa rwekudyidzana zvinodhaka.
| Zvinodhaka | Kirasi yemishonga | Levemir | Lantus |
| ACE inhibitors Angiotensin receptor blockers (ARBs) Antidiabetic mishonga (yemumuromo senge metformin, kana jekiseni) Disopyramide Fibrates Fluoxetine Monoamine oxidase inhibitors (MAOIs) Sulfonamide mishonga inorwisa mabhakitiriya | Zvinodhaka zvinowedzera njodzi yeshuga yakaderera muropa | Ehe | Ehe |
| Albuterol Atypical antipsychotic Corticosteroids Diuretics Estrogen Glucagon Niacin Mishonga yekudzivirira Protease inhibitors Utachiona mahormone | Mishonga inoderedza ropa glucose-ichideredza mhedzisiro yeLevemir kana Lantus | ||
| Doro Beta-blockers Clonidine Lithium | Zvinodhaka zvinowedzera kana kudzikisa ropa glucose-ichideredza mhedzisiro yeLevemir kana Lantus | ||
| Beta-blockers Clonidine Guanethidine Reserpine | Zvinodhaka zvinogona kuvhara zviratidzo zveshuga yeropa shoma | Ehe | Ehe |
| Pioglitazone Rosiglitazone | Thiazolidinediones | Ehe | Ehe |
Yambiro nezve Levemir uye Lantus
- Usashandise Levemir kana Lantus kana hypoglycemic.
- Usashandise Levemir kana Lantus kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita.
- Usambofa wakagovana peni (kunyangwe kana tsono ikashandurwa), tsono, kana sirinji nemumwe munhu. Kugovera zvekushandisa kunowedzera mukana wekutapurira hosha.
- Shanduko mune insulin regimen inogona kukonzera hypoglycemia (yakaderera shuga yeropa) kana hyperglycemia (shuga yeropa). Pedyo tarisa huwandu hweshuga yeropa nechero shanduko mune insulin regimen.
- Kurema kwekurema kunogona kuitika ne insulin kurapwa.
- Injection saiti saiti inogona kuitika. Aya maitiro anogona kusanganisira kutsvuka kwemuno, kurwadziwa, kuchenesa, mikoko, uye kuzvimba.
- Usabaya Levemir kana Lantus mukati (mukati mutsinga) kana kuburikidza neye insulin pombi.
- Shuga yeropa yakaderera ndiyo yakajairika mhedzisiro mhedzisiro ye insulin. Shuga yeropa yakadzika inogona kuuya kamwe kamwe uye inogona kukanganisa kusangana uye kuita, izvo zvinogona kukanganisa kutyaira. Yakanyanya yakadzika shuga yeropa inogona kukonzeresa. Inogona kutotyisidzira hupenyu kana kukonzera rufu. Usashandise Levemir kana Lantus panguva ye hypoglycemic episode.
- Kusanganiswa-pakati peiyo insulin zvigadzirwa zvaitika, izvo zvinogona kukonzera yakaderera ropa shuga. Tarisa-tarisa insulin chinyorwa pamberi pejekiseni rega rega.
- Zvakanyanya, kutyisidzira hupenyu kukanganiswa kana anaphylaxis kunogona kuitika. Kana hypersensitivity reaction ikaitika, rega kushandisa Levemir kana Lantus uye utsvage kurapwa.
- Insulin inogona kukonzera yakaderera potasiamu mazinga. Kana ikasarapwa, matambudziko emoyo kana kufa kunogona kuitika.
- Thiazolidinedione mishonga inogona kukonzera kuchengetwa kwemvura, kunyanya kana ikatorwa ne insulin. Izvi zvinogona kukonzera kana kukuvadza kutadza kwemoyo kana musanganiswa wemishonga ukatorwa pamwechete; tarisa zviratidzo zvekushaya moyo.
Inowanzo bvunzwa mibvunzo nezve Levemir vs. Lantus
Chii chinonzi Levemir?
Levemir inzira inoshanda-yakareba insulin inovandudza kudzora kweshuga muropa muvanhu vakuru nevana vane chirwere cheshuga. Iine chinhu chinosanganisira insulin detemir.
Chii chinonzi Lantus?
Lantus irefu-inoshanda insulin iyo ine chinongedzo insulin glargine. Lantus inovandudza kudzora kweshuga muropa muvakuru uye vana vane chirwere cheshuga.
Levemir naLantus zvakafanana here?
Mishonga iyi miviri ndeyekugara-kwenguva insulins inobaiwa jekiseni pasi peganda (subcutaneously). Nekudaro, ivo vane mimwe misiyano, yakatsanangurwa pamusoro.
Levemir kana Lantus iri nani here?
TO kuongororwa kwemakiriniki ekuedzwa akagumisa kuti Levemir naLantus vakafanana maererano nekuchengetedza uye kushanda. Wako wekuchengeta hutano anogona kuona kana Levemir kana Lantus iri nani kwauri, zvichibva pane ako marapirwo mamiriro uye nhoroondo.
Ini ndinogona kushandisa Levemir kana Lantus ndichiine nhumbu?
Udza mupi wako wezvehutano kana iwe uri nepamuviri kana kuronga kuve nepamuviri. Kune njodzi kuna amai nemwana kana chirwere cheshuga chisina kudzorwa zvakanaka panguva yepamuviri. Levemir uye Lantus hauna kunge wakabatanidzwa nehurema hwekuzvarwa nahwo, kupererwa nepamuviri, kana chero zvinokanganisa amai kana mwana. Nekudaro, izvo zvidzidzo zvave zvidiki uye hazvina kudzidza vanhu vazhinji. Mutapi wako wezvehutano achasarudza kana iwe uchida insulin panguva yekuzvitakura, uye kana zvirizvo, iyo insulin inonyanya kukodzera.
Ini ndinogona kushandisa Levemir kana Lantus nedoro?
Kunyangwe ruzivo rwaLevemir naLantus rwekugadzira rusinga nyorwe kutaurirana kwakadhakwa, vanhu vanotora Levemir kana Lantus vanofanirwa. nzvenga doro . Kana shuga yako yeropa yakanyatso kudzorwa uye iwe usina imwe mamiriro, unogona kukwanisa kunakidzwa neimwe doro zvine mwero. Zvisinei, doro rakawandisa rinogona kukonzera shuga shoma muropa, iyo inogona kuva nengozi. Tarisa nemubatsiri wako wehutano nezve kunwa doro neLevemir kana Lantus.
Ndeipi insulin inogona kutsiva Lantus?
Basaglar Kwikpen uye Toujeo SoloStar zvese zvine insulin glargine, seLantus. Toujeo inouya mune yakakwira muyero. Pasinei nechinhu chinogadzirwa, wega mupi wako wekuchengetedza hutano ndiye anogona kusarudza kuti ndechipi chigadzirwa chakakukodzera. Kana iwe uri kunetseka neLantus, bata wako mupi wezvehutano nezve imwe nzira.
Ndeipi nguva yakanakisa yezuva yekutora Levemir?
Kana iwe ukatora Levemir kamwe pazuva, nguva yakanakisa iri panguva yekurara kana nekudya kwemanheru. Kana iwe ukatora Levemir kaviri pazuva, yakanakisa nguva yekutora iri mangwanani uyezve maawa gumi nemaviri gare gare.
Ndeipi nzvimbo yakanakisa yekubairira Levemir?
Jekiseni Levemir subcutaneously (pasi peganda) pane imwe yenzvimbo dzinotevera jekiseni: chidya, ruoko rwepamusoro, kana dumbu. Shandisa tsono nyowani jekiseni rega rega.
Nei Levemir ichidhura kwazvo?
Insulin, saLevemir, inodhura. Insulin inorondedzerwa se biologic , rinova morekuru rakaoma kunzwisisa rakagadzirwa kubva mumasero mapenyu. Mimwe insulin michina inosarudzwa uye inodhura zvishoma pane yako chirongwa. Mubatsiri wako wehutano anogona kuona kana paine imwe nzira yakakodzera iwe.
