Translated by Dr. muscle Chen 陳治豪 in Musclenet, 轉貼請保留此行, 謝謝
胰島素使用之基本(usage of insulin) By AnabolicDiabetic (EF) BASIC Insulin Primer- READ BEFORE POSTING QUESTIONS PLEASE
WHAT IS INSULIN? Insulin is a hormone produced in the pancreas- islet cells/beta cells to be specific.
Insulin facilitates the use of sugar, which all calories are ultimately converted to, for the multitude
of bodily fuctions which include energy production, brain activity, metabolism regulation- basically
all of your body's function either directly or indirectly.
胰島素是體內由胰臟所分泌的hormone, 精確一點的說就是胰臟小島細胞所分泌
WHERE DO I GET IT AND WHAT TYPE DO I USE? Humilin R is available OTC just about everywhere and while
it is a quick acting insulin, it is not the fastest or most consistent in terms of absorption and effect.
Humilin R starts working in about 1/2 hour and the effect can last up to six hours. Humiiln R
胰島素是可以在藥房買得到的商品, 可以快速起作用, 但對於吸收與效果而言他並不是最快速與效果最持久的開始的
時間約為半小時, 可以持續到六個小時左右
Humalog is available OTC in some states/countries while be RX
only in many other states. Humalog is a true fast acting insulin which begins activity within 15 minutes
and ends activity within 4 hours. Humalog is the preffered insulin to use since it works more predictably
and is out of your system faster which makes it easier to control. HOW MUCH DOES IT COST? In general,
Insulin costs between $20-$30 depending on the type and where you buy it. WHAT KIND OF NEEDLES DO I USE?
Use 29 guage, 1/2cc insulin syringes. "B-D ultra-fine" is my preference in terms of brand.
29 號半毫升的針與針筒
WHERE DO I INJECT? Upper back of arm, abdomen(avoid area too close to belly button),
inner and outer upper thigh, butt cheeks.
注射部位 : 上臂背側, 腹部, 大腿內外側,
HOW DO I INJECT? Rotate injection sites each time you inject. Don't inject into the same area two times in
a row. Insulin injections are subcutaneous- not intramuscular.
WHAT DOSE DO I START WITH? 開始的劑量呢 ?
Start with 2-3 units of insulin. There is no need to start higher than this as you will be adjusting your
dose gradually to find a tolerable level.
一開始使用約二到三個單位的insulin , 你沒有道理一開始就始用大量的劑量, 慢慢的增加劑量到你可以忍受的程度
HOW DO I INCREASE MY DOSE?
該怎麼樣增加劑量呢 ?
To move your dose higher in order to find your ideal dose, go up by one unit per day.
一天一個單位( 1 IU/day ) 左右來增加劑量
A very general guide would be to consider between 10 and 15 units as your pre-determined upper limit. If it
turns out you want to go higher and don't have any trouble with those doses, then no harm is done and you can go higher. Don't make big leaps up in dose or assume more is better- be safe rather than sorry.
一般而言, 一天總量十到十五個單位是你的上限 , 如果你可以忍受更高的劑量而不遇到
任何問題的話那麼還可以使用更高一點的劑量 千萬不要在劑量上跳得很快, 或自已為越
高劑量就越有效, 安全是第一考量
WHAT DO I EAT AND WHEN DO I EAT IT?
For Humilin R, the general start of activity is within a 1/2 hour but the varies ALOT!!!!!
Don't assume you have tons of time to wait to eat simple sugars. Pay attention to how you feel and never wait more than 15 minutes(if that) to eat. First consume simple sugars(dextrose preffered but not the only one) in the form of some type of drink as these are most readily absorbed in my experience. A general guideline is
10 grams of carbs for each unit of insulin- MINIMUM! Within a hour or so after your dose you want to eat a mix of simple carbs and high protein- this is the golden hour
Humilin R 一般來說, 開始作用的時間是注射後的三十分鐘左右, 但變異性很大
不要假設你 一定有足夠的時間來吃單糖, 請注意自己的感覺, 且要在15分鐘內就進食,
先吃單糖類(單糖飲料容易吸收), 每個單位的胰島素約可消耗10公克的糖類 ( 這是最
保守的估計值 ), 注射後一個小時左右, 你要吃進許多的複合糖類與蛋白質, 這是進食的黃金時間
AFTER your workout when the insulin will shuttle nutrients into your muscles very efficiently. Humilin R will peak at two hours after you take it so you must
eat another balanced meal at the hour and a half mark approximately. This meal should include complex carbs, some fats, and protein. Use simple carbs also if you feel any hypoglycemic symptoms. "R" will last up to six hours so be aware of how you feel and eat as needed after the two hour mark. REMEMBER THAT YOU STILL HAVE A SIGNIFICANT AMOUNT OF INSULIN WORKING UP TO SIX HOURS LATER SO DON'T BE COMPLACENT AND ASSUME YOU'RE NOT GOING TO GO HYPOGLYCEMIC.
當訓練完了以後, insulin 會很有效率的把這些養份送進細胞內 , 他的作用會在一個半小時左右
達於頂峰, 所以你在這時間點應該要吃進養份豐富的一餐, 你要記得一件事, 就是你體內的
胰島素會持續作用到六個小時左右, 所以對身體的訊號與感覺要很注意, 不要自以為不可能會
發生低血糖的危機
For Humalog, use the same general rules and type of meal sequence, but begin the process
immediately. Simple carbs should be ingested within 10 minutes- NO EXCEPTIONS. Then have the carb/protein meal
within the hour. Then have the balanced meal of complex carbs/fats/protein at the hour 1/2 mark. Keep aware of
how you feel up to four hours after your dose and eat as needed. FACTORS
AFFECTING INSULIN ABSORPTION/SENSITIVITY
影響胰島素的吸收與敏感性
The abdomen is generally the area where insulin is absorbed the most consistently or evenly as it is designed to be. Injections near a muscle that you have worked out can dramtically increase the absorption rate and effect of your dose of insulin. GH will make you more insulin INsensitive so your tolerance of insulin will change
when on or off of GH. Highly androgenic steroids also make you more insulin insensitive, however, can also cause very random hypoglycemia aswell. Supplements such as Chromium, Ginseng, Alpha Lipoic Acid, and Cinnamon (among
others) increase insulin sensitivity.
肚子附近是胰島素可以持續穩定吸收的部位, 如果你打在剛運動完的肌肉組織附近的話
會加速它的吸收與作用時間, 生長激素(GH)會讓身體對於胰島素變得比較不那麼敏感 ,
所以當你也同時使用或是不使用 生長激素(GH)是會對胰島素的敏感性有變話, 而強烈的
合成性類固醇也同樣讓你對於Insulin 的敏感性下降, 所以有可能會發生隨機的低血糖症狀
有些補品可以增加它的敏感性
Variations in glycogen levels in your muscles can also affect how severe
a hypoglycemic reactions may be or may feel. If you are starting out with low levels of muscle glycogen, the same dose of insulin that didn't affect you before may now be too much. The glucagon response from everyone's liver will vary. This hormone increases blood sugar when during stresses to the body or in response to
hypoglycemia. Some people may get a big response from their liver and hypoglycemia for them won't be as severe.
Others will have less of a respense and may be more prone to insulin shock. This response can also vary for each person based on their diet, exercise etc. so don't assume your liver will react the same way to hypoglycemia each time- you may get help from it or you may have to depend mostly on consuming sugar to save your life.
WHAT ARE THE SYMPTOMS OF HYPOGLYCEMIA?
低血糖的症狀有哪一些呢 ?
They include: sweating, dizziness, heart palpitations, tremors, drowsiness,
sleep distrubances, anxiety, blurred vision, hunger, restelessness, lightheadedness, tingling in extremeties,
headache, slurred speech, irritability, unstable movement, personality changes, seizures, DEATH
冒汗, 頭暈, 心悸 , 四肢顫抖, 嗜睡,
睡眠障礙, 焦慮, 視力模擬 , 饑餓感,
頭重腳輕, 抽筋, 死亡
HOW SHOULD I CYCLE
INSULIN? Insulin should be cycled so that you have less of a chance of permanently affecting your own body's
production of insulin. Even cycling can affect your own production though so be aware and see your doctor regularly.
I say 4 weeks on and 4 weeks off as a general rule of thumb with 6 weeks on being the absolute limit in my opinion.
insulin 一定要循環性的使用來避免身體本身的製造受到永久的壓抑 ,
即使是循環性的使用也可能讓身體受到傷害, 所以請小心為上
使用四週, 停用四週 , 最多就是使用六週就要停下來
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This was meant to be a basic introduction to using insulin. I do not condone the use of insulin by non-diabetics
nor am I encouraging anyone to use insulin. I am not a doctor and YOU are the only one who can be responsible for
making the decision to use insulin. I hope this helps someone to stay safe and think things through before
jumping into the unknown. Good luck to all- AD
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