Levemir vs. Lantus: Kusiyana, kufanana, ndi zomwe zili zabwino kwa inu
Mankhwala osokoneza bongo Vs. MnzanuKuwunika kwa mankhwala osokoneza bongo & kusiyana kwakukulu | Zinthu zothandizira | Mphamvu | Kuphunzira inshuwaransi ndi kufananiza mtengo | Zotsatira zoyipa | Kuyanjana kwa mankhwala | Machenjezo | FAQ
Pulogalamu ya Lipoti la Kafukufuku wa Matenda A shuga a 2020 akuti 10.5% ya anthu ku US ali ndi matenda ashuga, ndipo chiwerengerochi chikuwonjezeka ndi msinkhu. Pafupifupi 27% ya anthu azaka 65 kapena kupitilira ali ndi matenda ashuga. Ngati inu kapena wokondedwa wanu muli ndi matenda ashuga, mwina mudamvapo za mitundu ingapo yama insulini.
Levemir ndi Lantus ndi mankhwala awiri odziwika kuti insulin omwe amagwiritsidwa ntchito pochiza matenda a shuga mwa akulu ndi ana. Mankhwala onsewa amavomerezedwa ndi United States Food and Drug Administration (FDA). Novo Nordisk amapanga Levemir, ndipo Sanofi amapanga Lantus. Onsewa amadziwika kuti ndi ma insulini okhalitsa. Ngakhale a Levemir ndi a Lantus onse amakhala otetezera kwa nthawi yayitali, ali ndi zosiyana, zomwe tifotokoza pansipa.
Kodi pali kusiyana kotani pakati pa Levemir ndi Lantus?
Levemir ndi Lantus onse ndi majakisoni okhalitsa a insulin. Zonsezi zimapezeka muzina lokha, monga chotengera cha 10 ml kapena cholembera cholembera.
Levemir imakhala ndi insulin detemir ndipo imabayidwa kamodzi tsiku lililonse (ndi chakudya chamadzulo kapena nthawi yogona), kapena kawiri tsiku lililonse.
Lantus imakhala ndi insulin glargine ndipo imayikidwa ngati mlingo umodzi wa tsiku ndi tsiku nthawi yomweyo.
| Kusiyana kwakukulu pakati pa Levemir ndi Lantus | ||
|---|---|---|
| Levemir | Lantus | |
| Gulu la mankhwala osokoneza bongo | Insulini yotenga nthawi yayitali | Insulini yotenga nthawi yayitali |
| Chizindikiro cha Brand / generic | Mtundu | Mtundu |
| Kodi dzina lachibadwa ndi liti? | Kutulutsa kwa insulini | Insulini glargine |
| Kodi mankhwalawa amabwera mwa mawonekedwe ati? | Jekeseni (cholembera ndi cholembera cha Levemir Flextouch) | Jekeseni (cholembera ndi cholembera cha Lantus Solostar) |
| Kodi mulingo woyenera ndi uti? | Zimasiyanasiyana kutengera zosowa zamagetsi, zotsatira zowunika magazi m'magazi, komanso cholinga chowongolera glycemic. Jekeseni wocheperako (pansi pa khungu) kamodzi tsiku lililonse ndi chakudya chamadzulo kapena pogona, kapena kawiri tsiku lililonse | Zimasiyanasiyana kutengera zosowa zamagetsi, zotsatira zowunika magazi m'magazi, komanso cholinga chowongolera glycemic. Jekeseni wocheperako (pansi pa khungu) kamodzi tsiku lililonse nthawi imodzimodzi tsiku lililonse |
| Kodi mankhwalawa amatenga nthawi yayitali bwanji? | Kutalika | Kutalika |
| Ndani amagwiritsa ntchito mankhwalawa? | Akuluakulu ndi ana | Akuluakulu ndi ana |
Zomwe zimathandizidwa ndi Levemir ndi Lantus
Levemir ndi Lantus amagwiritsidwa ntchito popititsa patsogolo shuga m'magazi mwa akulu (omwe ali ndi Type 1 kapena Type 2 diabetes mellitus) ndi ana (omwe ali ndi matenda a shuga a Type 1). Levemir ndi Lantus amadziwikanso kuti basal insulin. Insulini ya basal imasungitsa kuchuluka kwa shuga wamagazi musanasale, monga nthawi yomwe mukugona.
Levemir ndi Lantus sayenera kugwiritsidwa ntchito pochiza matenda ashuga ketoacidosis.
| Mkhalidwe | Levemir | Lantus |
| Bwino glycemic kulamulira akuluakulu ndi ana ndi matenda a shuga | Inde | Inde |
Kodi Levemir kapena Lantus ndiyothandiza kwambiri?
Phunziro limodzi adawonetsa kuti odwala angafunike kuchuluka kwa Levemir kuti athe kuwongolera shuga wamagazi. Odwala ena amafunika mulingo wachiwiri wa Levemir ngati zotsatirapo zake zitha pambuyo pamaola pafupifupi 12. Lantus imatenga nthawi yayitali kuposa Levemir. Izi sizikuwonetsa kuti imodzi ndi yothandiza kwambiri kuposa inayo, koma imafotokoza zambiri za momwe dosing ndi nthawi yogwirira ntchito.
KU kuwunika kwamaphunziro adatsiriza kuti Levemir ndi Lantus ali ofanana pankhani yachitetezo ndi magwiridwe antchito. Kukonda ndi kutsatira kwa odwala kumatsimikizira kusankha mankhwala abwino kwambiri.
Mankhwala abwino kwa inu angadziwike kokha ndi omwe amakuthandizani pa zaumoyo, omwe angaganizire zaumoyo wanu komanso mbiri yanu komanso mankhwala aliwonse omwe mungamwe omwe angagwirizane ndi Levemir kapena Lantus.
Kuphunzira ndi kuyerekezera mtengo wa Levemir vs. Lantus
Levemir ndi Lantus nthawi zambiri amakhala ndi inshuwaransi, koma osati Medicare Part D. Komabe, monga momwe mapulani amasiyana, fufuzani dongosolo lanu kuti mumve zambiri.
Bokosi la zolembera za Levemir ndalama pafupifupi $ 560 mthumba. Mutha kugwiritsa ntchito khadi yaulere ya SingleCare kuti mubweretse mtengo wotsika mpaka $ 370.
Bokosi la zolembera za Lantus limawononga pafupifupi $ 510 mthumba. Khadi laulere la SingleCare limatha kubweretsa mtengo wotsika mpaka $ 305.
| Levemir | Lantus | |
| Nthawi zambiri amakhala ndi inshuwaransi? | Inde | Inde |
| Nthawi zambiri amakhala ndi Medicare Part D? | Ayi | Ayi |
| Mlingo woyenera | Bokosi limodzi | Bokosi limodzi |
| Wopanga Medicare wamba | $ 532 | $ 489 |
| Mtengo wosakwatiwa | $ 367 + | $ 304 + |
Zotsatira zoyipa za Levemir vs. Lantus
Zotsatira zoyipa kwambiri za Levemir ndi Lantus ndi hypoglycemia (shuga wotsika magazi). Nthawi zambiri zimasiyanasiyana kutengera zomwe wodwala amachita.
Zotsatira zina zofala za Levemir zimaphatikizapo matenda opatsirana a m'mapapo, mutu, zilonda zapakhosi, malungo, kupweteka kwa msana, zotupa zotumphukira (kutupa m'manja kapena mwendo), ndi chifuwa.
Zotsatira zina zoyipa za Lantus ndi matenda opatsirana apamwamba, mutu, mavuto amaso, kutupa kwa mikono ndi miyendo, kuthamanga kwa magazi, komanso kupweteka.
Zowonjezera zoyipa zimatha kuchitika. Lumikizanani ndi omwe amakuthandizani kuti mupeze upangiri pazachipatala.
| Levemir | Lantus | |||
| Zotsatira zoyipa | Zoyenera? | Pafupipafupi | Zoyenera? | Pafupipafupi |
| Matenda osokoneza bongo | Inde | Zimasintha | Inde | Zimasintha |
| Matenda opatsirana apamwamba | Inde | 26.1% | Inde | 22.4% |
| Mutu | Inde | 22.6% | Inde | 5.5% |
| Edema zotumphukira | Inde | Zimasintha | Inde | makumi awiri% |
| Chikhure | Inde | 9.5% | Inde | 7.5% |
| Matenda oopsa | Ayi | - | Inde | 19.6% |
| Matenda a m'mitsempha | Ayi | - | Inde | 5.8% |
| Katemera | Ayi | - | Inde | 18.1% |
| Kuvulala mwangozi | Ayi | - | Inde | 5.7% |
| Kupweteka m'mimba | Inde | 6% | Ayi | - |
| Ululu wammbuyo | Inde | 8.1% | Inde | 12.8% |
| Tsokomola | Inde | 8.2% | Inde | 12.1% |
| Malungo | Inde | 10.3% | Ayi | - |
| Nseru | Inde | 6.5% | Ayi | - |
| Kusanza | Inde | 6.5% | Ayi | - |
Gwero: DailyMed ( Levemir ), Tsiku Lililonse ( Lantus )
Kuyanjana kwa mankhwala a Levemir vs. Lantus
Mankhwala ena amatha kuwonjezera chiopsezo cha shuga wotsika magazi akatengedwa ndi Levemir kapena Lantus. Mankhwala ena amatha kusokoneza kutsika kwa magazi m'magazi a Levemir kapena Lantus. Ngati mankhwalawa amaperekedwa limodzi, mlingowo ungafunike kusintha, ndipo shuga wamagazi amayenera kuyang'aniridwa pafupipafupi.
Kuyanjana kwina kwa mankhwala kumatha kuchitika. Funsani wothandizira zaumoyo wanu kuti mupeze mndandanda wathunthu wamagwiridwe antchito.
| Mankhwala osokoneza bongo | Gulu la mankhwala osokoneza bongo | Levemir | Lantus |
| Zoletsa za ACE Angiotensin receptor blockers (ma ARB) Mankhwala a antidiabetic (m'kamwa monga metformin, kapena jekeseni) Disopyramide Amapanga Fluoxetine Monoamine oxidase inhibitors (MAOIs) Mankhwala a Sulfonamide | Mankhwala omwe amachulukitsa chiopsezo chotsika shuga | Inde | Inde |
| Khalid Mankhwala oletsa antipsychotic Corticosteroids Okodzetsa Estrogen Glucagon Niacin Njira zolerera pakamwa Protease zoletsa Mahomoni a chithokomiro | Mankhwala omwe amachepetsa kutsika kwa magazi m'magazi a Levemir kapena Lantus | ||
| Mowa Beta-blockers Clonidine Lifiyamu | Mankhwala omwe amachulukitsa kapena amachepetsa kutsitsa magazi m'magazi a Levemir kapena Lantus | ||
| Beta-blockers Clonidine Guanethidine Onaninso | Mankhwala omwe amatha kubisa zizindikiro za shuga wotsika magazi | Inde | Inde |
| Pioglitazone Rosiglitazone | Anayankha | Inde | Inde |
Machenjezo a Levemir ndi Lantus
- Osagwiritsa ntchito Levemir kapena Lantus ngati hypoglycemic.
- Musagwiritse ntchito Levemir kapena Lantus ngati mwayamba kudana ndi zosakaniza.
- Osagawana cholembera (ngakhale singano itasinthidwa), singano, kapena jakisoni ndi wina aliyense. Kugawana zinthu kumawonjezera chiopsezo chotenga matenda.
- Kusintha kwa mtundu wa insulin kumatha kuyambitsa hypoglycemia (shuga wotsika magazi) kapena hyperglycemia (shuga wambiri wamagazi). Yang'anirani kwambiri kuchuluka kwa magazi m'magazi ndi kusintha kulikonse m'thupi la insulini.
- Kulemera kumatha kuchitika ndi mankhwala a insulin.
- Zochita patsamba la jakisoni zitha kuchitika. Izi zimatha kuphatikizira kufiira kwanuko, kupweteka, kuyabwa, ming'oma, ndi kutupa.
- Osabaya jekeseni wa Levemir kapena Lantus kudzera mumitsempha kapena kudzera pampu ya insulini.
- Shuga wamagazi wotsika kwambiri ndiye zotsatira zoyipa kwambiri za insulin. Shuga wotsika magazi amatha kubwera mwadzidzidzi ndipo amatha kuwononga chidwi ndi kuchitapo kanthu, zomwe zingakhudze kuyendetsa. Kuchuluka kwa shuga m'magazi kungayambitse kugwidwa. Ikhoza ngakhale kuwopseza moyo kapena kupha. Musagwiritse ntchito Levemir kapena Lantus munthawi yama hypoglycemic.
- Kusakanikirana pakati pa mankhwala a insulin kwachitika, komwe kumatha kuyambitsa shuga wotsika magazi. Onaninso chizindikiro cha insulini musanafike jakisoni aliyense.
- Zowopsa, zowopsa pamoyo kapena anaphylaxis zitha kuchitika. Ngati vuto la hypersensitivity limachitika, lekani kugwiritsa ntchito Levemir kapena Lantus ndikupita kuchipatala.
- Insulini imatha kuyambitsa potaziyamu wochepa. Ngati sanalandire chithandizo, mavuto amtima kapena imfa zimatha kuchitika.
- Mankhwala a Thiazolidinedione amatha kupangitsa kuti madzi asungidwe, makamaka akamamwa insulin. Izi zitha kuyambitsa kapena kukulitsa vuto la mtima ngati kuphatikiza kwa mankhwalawa kwaphatikizidwa; kuyang'anira zizindikiro za kulephera kwa mtima.
Mafunso omwe amafunsidwa pafupipafupi za Levemir vs. Lantus
Levemir ndi chiyani?
Levemir ndi insulini yayitali yomwe imathandizira kuwongolera shuga m'magazi mwa akulu ndi ana omwe ali ndi matenda ashuga. Muli pophika insulin detemir.
Lantus ndi chiyani?
Lantus ndi insulin yogwira ntchito nthawi yayitali yomwe imakhala ndi mankhwala a insulin glargine. Lantus imathandizira kuwongolera shuga m'magazi mwa akulu ndi ana omwe ali ndi matenda ashuga.
Kodi Lavemir ndi Lantus ndi ofanana?
Mankhwala onsewa ndi ma insulins okhalitsa omwe amabayidwa pansi pa khungu (subcutaneously). Komabe, ali ndi zosiyana, zomwe zafotokozedwa pamwambapa.
Kodi Levemir kapena Lantus ndibwino?
KU kuwunika kwamayeso azachipatala adatsiriza kuti Levemir ndi Lantus ali ofanana pankhani yachitetezo ndi magwiridwe antchito. Wothandizira zaumoyo wanu amatha kudziwa ngati Levemir kapena Lantus ali bwino kwa inu, kutengera matenda anu komanso mbiri yanu.
Kodi nditha kugwiritsa ntchito Levemir kapena Lantus ndili ndi pakati?
Uzani wothandizira zaumoyo wanu ngati muli ndi pakati kapena mukukonzekera kutenga pakati. Mayi ndi mwana ali ndi chiopsezo ngati matenda a shuga sangawongoleredwe bwino panthawi yapakati. Levemir ndipo Lantus sanakhalepo ndi vuto lobadwa nako, kupita padera, kapena zovuta zilizonse kwa mayi kapena mwana. Komabe, maphunzirowa anali ochepa ndipo sanaphunzire anthu ambiri. Wothandizira zaumoyo wanu adzasankha ngati mukufuna insulini panthawi yapakati, ndipo ngati ndi choncho, insulini ndi yoyenera kwambiri.
Kodi ndingagwiritse ntchito Levemir kapena Lantus ndi mowa?
Ngakhale zambiri za a Levemir ndi a Lantus sizilemba mndandanda wazokambirana zakumwa zoledzeretsa, anthu omwe amatenga Levemir kapena Lantus ayenera pewani mowa . Ngati shuga wanu wamagazi amayang'aniridwa bwino ndipo mulibe zovuta zina, mutha kusangalala ndi mowa pang'ono. Komabe, kumwa mopitirira muyeso kungayambitse shuga wotsika magazi, zomwe zitha kukhala zowopsa. Funsani wothandizira zaumoyo wanu zakumwa mowa ndi Levemir kapena Lantus.
Kodi insulin ingalowe m'malo mwa Lantus?
Basaglar Kwikpen ndi Toujeo SoloStar onse ali ndi insulin glargine, ngati Lantus. Toujeo amabwera pamlingo waukulu. Mosasamala kanthu za zophatikizira, ndi omwe amakupatsani chithandizo chamankhwala okha omwe angasankhe zomwe zili zoyenera kwa inu. Ngati mukukumana ndi mavuto ndi Lantus, funsani omwe akukuthandizani zaumoyo.
Kodi nthawi yabwino kwambiri yamasana kuti mutenge Levemir ndi iti?
Ngati mutenga Levemir kamodzi patsiku, nthawi yabwino imakhala nthawi yogona kapena chakudya chamadzulo. Ngati mutenga Levemir kawiri patsiku, nthawi yabwino kuti mutenge ndi m'mawa kenako maola 12 pambuyo pake.
Kodi malo abwino oti mubayire Levemir ali kuti?
Jekeseni Levemir mwakachetechete (pansi pa khungu) pamalo amodzi mwa jekeseni otsatirawa: ntchafu, mkono wakumtunda, kapena pamimba. Gwiritsani ntchito singano yatsopano ndi jakisoni aliyense.
Chifukwa chiyani Levemir ndiokwera mtengo kwambiri?
Insulini, monga Levemir, ndi yokwera mtengo. Insulini imagawidwa ngati a zamoyo , lomwe ndi molekyu yovuta kumvetsa yopangidwa ndi maselo amoyo. Zina mwazinthu za insulin zimakondedwa ndipo zimakhala zotsika mtengo papulani yanu. Wothandizira zaumoyo wanu amatha kudziwa ngati pali njira ina yoyenera kwa inu.











