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Insulin dan Puasa |
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Pertanyaan
Dokter YTH,
Saya pengguna insulin Humalog Mix 25 dengan dosis 10 unit tiap pagi dan sore/malam. Yang saya tanyakan kapan penggunaan dan dosis yang tepat bila saat bulan puasa?
Terimakasih.
dari Utomo (s******@yahoo.com)
Jawaban
Salam Pak Utomo.
Insulin pagi disuntikkan sore hari menjelang berbuka puasa dengan dosis mungkin perlu dikurangi 1/3 nya. Sedangkan insulin sore disuntikkan sebelum sahur dengan dosis mungkin perlu dikurangi 1/2nya. Besarnya pengurangan dosis sebaiknya dikonsultasikan kpd dokter. Pada saat berpuasa perlu dilakukan pemantauan gula darah yang lebih ketat dan perlu waspada terhadap terjadinya hipoglikemia ( gula terlalu rendah), keracunan keton dan kekurangan cairan.
Pasien DM dianjurkan tidak berpuasa bila dosis insulin cukup besar, menyuntik 3-4 kali sehari, gula darah masih tinggi atau tidak terkontrol.
Wassalam
Dr. TAT Sp.PK |