{"id":293,"date":"2023-08-24T11:39:40","date_gmt":"2023-08-24T15:39:40","guid":{"rendered":"https:\/\/ca.beyondtype2.org\/fr\/?p=293"},"modified":"2023-09-06T15:35:53","modified_gmt":"2023-09-06T19:35:53","slug":"le-guide-du-diabete-de-type-2-sur-linsuline-basale","status":"publish","type":"post","link":"https:\/\/ca.beyondtype2.org\/fr\/le-guide-du-diabete-de-type-2-sur-linsuline-basale\/","title":{"rendered":"Le guide du diab\u00e8te de type 2 sur l&#8217;insuline basale"},"content":{"rendered":"<p>L&#8217;insuline est une hormone n\u00e9cessaire pour rester en vie car elle aide \u00e0 transporter le glucose dans les cellules o\u00f9 il se transforme en \u00e9nergie. Il existe deux causes principales au diab\u00e8te de type 2, qui se produisent soit en m\u00eame temps, soit l&#8217;une peut devenir un effet causal de l&#8217;autre :<\/p>\n<ul>\n<li>Une diminution de la qualit\u00e9 de l&#8217;insuline<\/li>\n<li>Une diminution de la quantit\u00e9 d&#8217;insuline produite par le pancr\u00e9as.<\/li>\n<\/ul>\n<p>Une diminution de la qualit\u00e9 de l&#8217;insuline am\u00e8ne le pancr\u00e9as \u00e0 produire une plus grande quantit\u00e9 de cette substance, ce qui entra\u00eene une d\u00e9ficience progressive de la quantit\u00e9 d&#8217;insuline disponible.<\/p>\n<p>Et que se passe-t-il lorsque la quantit\u00e9 d&#8217;insuline n&#8217;est plus suffisante pour mener \u00e0 bien toutes les activit\u00e9s et fonctions que notre corps effectue au cours de la journ\u00e9e ? Eh bien, la glyc\u00e9mie commence \u00e0 augmenter et, parfois, les m\u00e9dicaments oraux prescrits ne suffisent pas, si bien qu&#8217;il faut recourir \u00e0 l&#8217;insuline.<\/p>\n<p>On peut dire que l&#8217;insuline pr\u00e9sente dans notre organisme fonctionne de deux mani\u00e8res diff\u00e9rentes.<\/p>\n<p><strong>a) L&#8217;insuline en bolus<\/strong> : il s&#8217;agit de l&#8217;insuline utilis\u00e9e pour couvrir la quantit\u00e9 d&#8217;aliments consomm\u00e9s, principalement des glucides, et pour abaisser les taux de glyc\u00e9mie \u00e9lev\u00e9s (dose de correction).\u00a0 Comme vous pouvez le conclure, cela signifie que l&#8217;insuline de bolus abaisse la glyc\u00e9mie lorsqu&#8217;elle est \u00e9lev\u00e9e. Pour en savoir plus, cliquez <a href=\"https:\/\/beyondtype2.org\/bolus-insulin\/\">ici<\/a>.<\/p>\n<p><strong>b) L&#8217;insuline basale :<\/strong> il s&#8217;agit de l&#8217;insuline qui fonctionne comme une base ind\u00e9pendamment de la nourriture consomm\u00e9e. Notre organisme a besoin de l&#8217;insuline basale pour r\u00e9guler toutes les variations de glucose qui ne sont pas li\u00e9es \u00e0 l&#8217;alimentation, mais \u00e0 des causes hormonales, physiologiques, etc. Le but de ce type d&#8217;insuline est de r\u00e9guler le taux de sucre dans le sang.<\/p>\n<h3>Quelles sont les insulines basales disponibles ?<\/h3>\n<p>L&#8217;objectif de ce type d&#8217;insuline est de couvrir les besoins en insuline entre les repas, on les trouve sous les formes suivantes :<\/p>\n<ul>\n<li>Interm\u00e9diaire ou NPH<\/li>\n<li>A action prolong\u00e9e<\/li>\n<\/ul>\n<p>Les insulines basales ont g\u00e9n\u00e9ralement un d\u00e9but d&#8217;action de une \u00e0 deux heures. Les basales ont un tr\u00e8s l\u00e9ger pic maximal qui n&#8217;est pas pris en compte, \u00e0 l&#8217;exception de la NPH dont le pic maximal se situe entre quatre et huit heures apr\u00e8s son application et sa dur\u00e9e varie de 12 \u00e0 42 heures.<\/p>\n<h3>Quand un m\u00e9decin prescrira-t-il l&#8217;utilisation d&#8217;insuline ?<\/h3>\n<p><a href=\"https:\/\/guidelines.diabetes.ca\/cpg\/chapter-13-2020-update\">Il est conseill\u00e9 aux m\u00e9decins<\/a> d&#8217;envisager de prescrire de l&#8217;insuline basale aux personnes atteintes de diab\u00e8te de type 2 lorsque :<\/p>\n<ul>\n<li>Il y a une perte de poids continue<\/li>\n<li>Des sympt\u00f4mes d&#8217;hyperglyc\u00e9mie sont pr\u00e9sents<\/li>\n<li>Lorsque le taux d&#8217;A1c est sup\u00e9rieur \u00e0 10 pour cent (86 mmol\/mol)<\/li>\n<li>Lorsque la glyc\u00e9mie est tr\u00e8s \u00e9lev\u00e9e (sup\u00e9rieure \u00e0 300 mg\/dL).<\/li>\n<\/ul>\n<p>Toutefois, si le taux d&#8217;HbA1c reste sup\u00e9rieur \u00e0 l&#8217;objectif malgr\u00e9 la prise d&#8217;insuline basale, le m\u00e9decin peut prescrire une insuline en bolus pour compl\u00e9ter le r\u00e9gime alimentaire.<\/p>\n<h3>Comment utiliser l&#8217;insuline basale ?<\/h3>\n<p>Votre m\u00e9decin vous indiquera l&#8217;insuline \u00e0 utiliser ainsi que la quantit\u00e9 d&#8217;insuline dont vous avez besoin. La dose est personnalis\u00e9e, et vous ne devez pas utiliser la dose de quelqu&#8217;un d&#8217;autre. Pour plus d&#8217;informations, voici quelques conseils sur les m\u00e9thodes d&#8217;injection d&#8217;insuline.<\/p>\n<h3>Quels sont les risques et les avantages de l&#8217;insuline basale ?<\/h3>\n<p>Le principal risque li\u00e9 \u00e0 l&#8217;utilisation de l&#8217;insuline est un risque plus \u00e9lev\u00e9 d&#8217;hypoglyc\u00e9mie ou d&#8217;hypoglyc\u00e9mie, surtout si vous modifiez les activit\u00e9s physiques auxquelles vous \u00eates habitu\u00e9, comme marcher un peu plus ou faire des exercices plus intenses, ou si vous prenez plus d&#8217;insuline que recommand\u00e9. Cependant, cela peut \u00eatre \u00e9vit\u00e9 en utilisant un appareil de surveillance du glucose pour conna\u00eetre le comportement du glucose tout au long de la journ\u00e9e. En savoir plus sur l&#8217;hypoglyc\u00e9mie et comment la pr\u00e9venir si elle se produit. Un autre risque est de ne pas prendre d&#8217;insuline ou d&#8217;en prendre moins que ce qui est prescrit, ce qui entra\u00eene une augmentation de la glyc\u00e9mie.<\/p>\n<p>L&#8217;avantage de prendre de l&#8217;insuline r\u00e9side dans les diff\u00e9rentes fa\u00e7ons dont elle peut nous aider \u00e0 mieux g\u00e9rer notre glyc\u00e9mie, avec un temps plus \u00e9lev\u00e9 dans l&#8217;intervalle, ce qui retarde ou pr\u00e9vient le risque de complications du diab\u00e8te. L&#8217;inconv\u00e9nient est que la prise d&#8217;insuline n\u00e9cessite des injections.<\/p>\n<h3>Points cl\u00e9s :<\/h3>\n<ul>\n<li>L&#8217;insuline basale est ce dont notre corps a besoin pour r\u00e9guler toutes ces variations de glucose qui ne sont pas li\u00e9es \u00e0 l&#8217;alimentation, mais \u00e0 des questions hormonales, physiologiques, etc.<\/li>\n<li>Elle peut mettre une \u00e0 quatre heures pour commencer \u00e0 agir.<\/li>\n<li>Son pic d&#8217;action maximum va de quatre \u00e0 huit heures ou elle a un pic d&#8217;action minimum.<\/li>\n<li>Sa dur\u00e9e varie de 12 \u00e0 42 heures.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;insuline est une hormone n\u00e9cessaire pour rester en vie car elle aide \u00e0 transporter le glucose dans les cellules o\u00f9 il se transforme en \u00e9nergie. Il existe deux causes principales au diab\u00e8te de type 2, qui se produisent soit en m\u00eame temps, soit l&#8217;une peut devenir un effet causal de l&#8217;autre : Une diminution de [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":822,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[38],"tags":[],"invisible":[28,8,29,9],"class_list":["post-293","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-insuline-et-medicaments-diabete","invisible-btresource","invisible-core-evergreen-resource","invisible-insulinportal","invisible-management"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Le guide du diab\u00e8te de type 2 sur l&#039;insuline basale - Beyond Type 2 Canada<\/title>\n<meta name=\"description\" content=\"L&#039;insuline basale fonctionne comme une base, ind\u00e9pendamment des aliments consomm\u00e9s, et aide \u00e0 r\u00e9guler les glyc\u00e9mies. 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