Lembani 1 kapena 2 matenda ashuga: komwe mungayambire chithandizo

Matenda a shuga ndi chiwonongeko chokwanira kapena chosafunikira cha njira zodziyimira zokha zamagazi m'magazi, zomwe mwachilengedwe zimachitika mthupi la munthu. Aliyense amadziwa kuti zovuta zazikulu za matenda a shuga ndi vuto la miyendo, khungu, ndi kulephera impso. Mavuto onsewa amabwera chifukwa choti magazi a wodwalayo amakhala okwera kwambiri kapena "amalumpha" ndi matalikidwe akulu.

M'malo mwake, kulumpha m'magazi amthupi kumakhala ndi zovulaza pamachitidwe onse a thupi. Mwachitsanzo, ndi anthu ochepa omwe amadziwa kuti matenda a shuga amawonjezera chiopsezo cha mafupa (minyewa imatsukidwa m'mafupa). Dziwani kuti odwala matenda ashuga, mafupa nthawi zambiri amakhala opaka ululu, khungu limawoneka louma, loyipa komanso lokalamba.

Mavuto obwera chifukwa cha matenda ashuga amayambitsa kuwonongeka kwakuthupi, kuphatikiza ngakhale ubongo. Matenda a shuga amachepetsa kukumbukira kwakanthawi ndipo amayambitsa kukhumudwa.

Kansa ndi insulin

Kuti muthane ndi matenda a shuga, muyenera kudziwa momwe kapamba amagwirira ntchito ndikumvetsetsa mfundo za ntchito yake. Zikondazo ndi za kukula kwake ndi kulemera kwake pafupifupi kwa kanjedza ya munthu wamkulu. Ili m'mimba kumbuyo kwamimba, moyandikana ndi duodenum. Kutulutsa magazi kumeneku kumatulutsa, kumasunga, ndi kutulutsa insulin ya m'madzi m'magazi. Amatulutsanso mahomoni ena angapo komanso michere yokumba kuti mugaye chakudya, makamaka mafuta ndi mapuloteni. Insulin ndi yofunika kuti glucose ayambe. Ngati kupanga kwa mahomoniwa ndi kapamba kumaimiratu, ndipo osakulipiridwa ndi jakisoni wa insulin, ndiye kuti munthuyo adzafa msanga.

Insulin ndi timadzi tating'onoting'ono tomwe timakhala ndi ma cell a beta. Ntchito yake yayikulu ndikukhazikitsa milingo yamagazi. Insulin imagwira ntchito iyi polimbikitsa kulowerera kwa glucose m'maselo mabiliyoni amthupi la munthu. Izi zimachitika panthawi ya biphasic insulin secretion poyankha chakudya. Kupezeka kwa insulin kumalimbikitsa "ma glucose onyamula" kuti atuluke mkati mwa cell kupita ku membrane wake, kuti atenge glucose kuchokera m'magazi ndikuwapititsa ku cell kuti agwiritse ntchito. Zonyamula ma glucose ndi mapuloteni apadera omwe amanyamula glucose m'maselo.

Momwe insulin imayang'anira shuga

Mulingo wambiri wamagazi m'magazi ndi wocheperako. Komabe, nthawi zambiri insulin imangokhala ndi shuga m'magazi. Izi ndichifukwa chakuti imagwira pama cell a minofu ndi chiwindi, omwe amakhudzidwa kwambiri ndi insulin. Ma cell a minofu makamaka chiwindi akamachita insulin amatenga shuga m'magazi ndikusintha kukhala glycogen. Vutoli limafanana ndi mawonekedwe a wowuma, omwe amasungidwa m'maselo a chiwindi ndikusinthidwa ndikubwerera ku glucose ngati kuchuluka kwa shuga m'magazi kumatsika pansi.

Glycogen imagwiritsidwa ntchito, mwachitsanzo, pakulimbitsa thupi kapena kusala pang'ono. Zikatero, zikondamoyo zimatulutsa timadzi wina wapadera, glucagon, m'magazi. Hormone iyi imapereka chisonyezo ku maselo am'mimba ndi chiwindi kuti ndi nthawi yoti atembenuzire glycogen akhale glucose ndipo motero amakweza shuga m'magazi (njira yotchedwa glycogenolysis). M'malo mwake, glucagon ali ndi vuto lina la insulin. Masitolo a glucose ndi glycogen atatha, maselo a chiwindi (ndipo, pang'ono, impso ndi matumbo) amayamba kupanga glucose ofunikira kuchokera kumapuloteni. Kuti mukhale ndi moyo m'nthawi yanjala, thupi limaphwanya minyewa, ndipo ikatha, ndiye kuti ziwalo zamkati, kuyambira ndizofunikira kwambiri.

Insulin ilinso ndi ntchito ina yofunika, kuwonjezera pakupanga maselo kuti akoke glucose. Amapereka lamulo loti asinthe glucose ndi mafuta achilengedwe kuchokera m'magazi kupita ku minofu ya adipose, yomwe imasungidwa kuti zitsimikizike kupulumuka kwa thupi ngati kuli ndi njala. Mothandizidwa ndi insulin, shuga amasandulika mafuta, omwe amayikidwa. Insulin imalepheretsanso kuwonongeka kwa minofu ya adipose.

Zakudya zopatsa thanzi zambiri zimasokoneza insulin yambiri m'magazi. Ichi ndichifukwa chake zimakhala zovuta kuti muchepetse thupi pazakudya zochepa zama calorie. Insulin ndi mahomoni a anabolic. Izi zikutanthauza kuti ndikofunikira pakukula kwa minofu yambiri ndi ziwalo. Ngati ikuzungulira m'magazi kwambiri, ndiye kuti imayambitsa kukula kwama cell komwe kumakwirira mitsempha yamagazi kuchokera mkati. Chifukwa cha izi, kuunikira kwa ziwiya kumachepa, atherosclerosis imayamba.

Onaninso nkhani yatsatanetsatane "Momwe insulin imayang'anira shuga wa magazi mwa anthu athanzi komanso zomwe zimasintha ndi shuga."

Kukhazikitsa zolinga za matenda ashuga

Kodi cholinga chakuchiza matenda amtundu wa 2 ndikuti ndi chiyani? Kodi ndi mulingo wanji wa shuga womwe timawona kuti ndi wabwino komanso timayesetsa? Yankho: shuga wotere womwe umawonedwa mwa anthu athanzi popanda shuga. Kafukufuku wamkulu adawonetsa kuti mwa anthu athanzi, shuga wamagazi amasinthasintha m'malo ocheperako a 4.2 - 5.0 mmol / L. Amakwera m'mwamba pokhapokha ngati mwadya zakudya zamafuta ambiri othamanga. Ngati pali maswiti, mbatata, ophika buledi, ndiye kuti shuga m'magazi amakwera ngakhale mwa anthu athanzi, ndipo mwa odwala omwe ali ndi matenda ashuga "amapitilira".

Monga lamulo, pamene wodwala matenda ashuga akungoyamba kumene chithandizo, shuga yake ndi yayikulu kwambiri. Chifukwa chake, choyamba muyenera kutsitsa shuga wamagazi kuchokera kumtunda wa "cosmic" kupita kowonjezera kapena koyenera. Izi zikachitika, ndiye kuti tikuyenera kukhazikitsa cholinga chamankhwala kuti shuga m'magazi akhale 4.6 ± 0.6 mmol / l maola onse 24 patsiku. Apanso, chifukwa ndikofunikira. Timayesetsa kukhala ndi shuga wamagazi pafupifupi 4,6 mmol / L. mosalekeza. Izi zikutanthauza - kuwonetsetsa kuti kupatuka pa chiwerengerochi ndikochepa momwe kungathekere.

Werengani komanso nkhani yapadera, "Zolinga zochizira matenda amtundu 1 komanso matenda ashuga a 2. Muli ndi shuga wambiri bwanji? ” Makamaka, ikufotokozera magulu amtundu wa odwala omwe ali ndi matenda ashuga omwe amayenera makamaka kukhala ndi shuga yayikulu yamagazi kuposa anthu athanzi. Mupezanso kusintha komwe mungakhale nako pambuyo pa kubwezeretsa shuga mumagazi anu.

Gulu lapadera la odwala omwe ali ndi matenda amtundu woyamba ndi omwe adwala kwambiri gastroparesis - anachedwa m'mimba atatha kudya. Uku ndi kupuwala pang'ono pamimba - kuphatikizika kwa matenda ashuga omwe amachitika chifukwa cha kulowetsedwa kwa mitsempha. Odwala oterewa, chiopsezo cha hypoglycemia chikuwonjezeka. Chifukwa chake, pofuna chitetezo, Dr. Bernstein akweza shuga yawo yamagazi kukhala 5.0 ± 0,6 mmol / L. Matenda a shuga a shuga ndi vuto lomwe limalepheretsa kwambiri matenda ashuga. Komabe, ndipo itha kuthetsedwa. Posachedwa tili ndi nkhani yatsatanetsatane pankhaniyi.

Momwe mungayang'anire mphamvu ya mankhwalawa

Mu sabata yoyamba ya pulogalamu ya matenda ashuga, magazi athunthu amathandizidwa. Zambiri zikadziunjikira, zimatha kusanthula ndikutsimikiza momwe shuga yanu imakhalira motsogozedwa ndi zakudya zosiyanasiyana, insulin ndi zina. Ngati munayamba kuchiza matenda ashuga ndi insulin, onetsetsani kuti shuga sanatsike pansi pa 3.8 mmol / l kwa sabata lathunthu. Izi zikachitika - mlingo wa insulini uyenera kuchepetsedwa nthawi yomweyo.

Chifukwa chiyani kusinthasintha kwa shuga m'magazi kuli koopsa?

Tiyerekeze kuti wodwala amatha kusunga shuga wake wamagazi pafupifupi 4,6 mmol / L, ndipo amakhulupirira kuti amatha kuwongolera matenda ake a shuga. Koma izi ndizowopsa. Ngati shuga "alumpha" kuchokera pa 3.3 mmol / l mpaka 8 mmol / l, ndiye kusinthasintha kwamphamvu kotere kumapangitsa munthu kukhala bwino. Amayambitsa kutopa nthawi zonse, kukwiya pafupipafupi komanso mavuto ena ambiri. Ndipo koposa zonse, munthawi zomwe shuga atakwezedwa, zovuta za matenda ashuga zimayamba, ndipo posachedwa adzadzipangitsa kumva.

Cholinga choyenera cha matenda ashuga ndikuwonetsetsa kuti shuga yanu isawonongeke. Izi zikutanthauza - kuchotsa kwathunthu kudumpha m'magazi a shuga. Cholinga cha tsamba la Diabetes-Med.Com ndikuti tizipereka njira ndi njira zochizira matenda ashuga amtundu wa 2, omwe amatilola kuti tikwaniritse cholinga choterechi. Momwe mungachitire izi akufotokozedwa mwatsatanetsatane m'nkhani zotsatirazi:

• Njira ndi njira zochizira matenda amtundu wa 1 shuga.
• Matenda a 2 a shuga: pulogalamu yatsatanetsatane yothandizira.

Njira zathu zochizira "zopusitsa" zimatha kusintha kusinthasintha kwa shuga m'magazi a 1 komanso a 2 matenda a shuga. Uku ndiye kusiyana kwakukulu kuchokera ku njira zachikhalidwe “zachikhalidwe”, momwe shuga yamagazi mwa odwala omwe ali ndi matenda ashuga amasiyanasiyana mosiyanasiyana, ndipo izi zimawonedwa ngati zabwinobwino.

Chithandizo chamankhwala odwala matenda ashuga apamwamba

Tiyerekeze kuti mwakhala ndi shuga wambiri kwa zaka zambiri. Pankhaniyi, shuga sangathe kuchepetsedwa mwachangu, chifukwa mudzakumana ndi zizindikiro za hypoglycemia. Ganizirani chitsanzo ichi. Kwa zaka zambiri, wodwala matenda ashuga amathandizidwa pambuyo pamanja, ndipo thupi lake limazolowera shuga 16-16 mmol / l. Pankhaniyi, zizindikiro za hypoglycemia zimatha kuyamba shuga atatsitsidwa mpaka 7 mmol / L. Izi zikuchitika ngakhale kuti zikhalidwe za anthu wathanzi sizoposa 5.3 mmol / L. Zikatero, ndikofunikira kukhazikitsa chandamale choyambirira cha 8-9 mmol / L masabata angapo oyamba. Ndipo ngakhale pamenepo pakhala kofunikira kuti muchepetse shuga kukhala bwino pang'onopang'ono, kupitilira miyezi ina 1-2.

Sizichitika kawirikawiri kuti pulogalamu yothandizira odwala matenda ashuga imakupatsani mwayi kuti shuga yanu ikhale yokhazikika. Nthawi zambiri, anthu amapatuka, ndipo nthawi zonse mumayenera kusintha mawonekedwe ang'onoang'ono. Kusintha kumeneku kumatengera zotsatira za kuwongolera kwathunthu shuga m'masiku oyambirira, komanso pazokonda za wodwala. Nkhani yabwino ndiyakuti mapulogalamu athu othandizira odwala matenda ashuga akuwonetsa zotsatira mwachangu. Shuga wamagazi amayamba kutsika m'masiku oyamba. Izi zimathandizanso odwala kuti azitsatira regimen, osalolera "kusokoneza."

Chifukwa chiyani odwala matenda ashuga amathandizidwa ndi njira zathu

Zakuti shuga m'magazi zimachepa komanso thanzi limayenda bwino zitha kuonedwa mwachangu, pakatha masiku angapo. Ili ndiye chitsimikizo chabwino kwambiri kuti mupitiliza kudzipereka ku pulogalamu yathu ya matenda ashuga. M'mabuku azachipatala, zambiri zalembedwa zakufunika kwa "odzipereka" kwa odwala kuti athandize odwala matenda ashuga. Amakonda kunena kuti zalephera chifukwa cha kulandira chithandizo chifukwa odwala sanawamvere mokwanira, ndiye kuti, anali aulesi kwambiri kutsatira malangizo a dokotala.

Koma bwanji odwala ayenera kukhala odzipereka ku njira zachikhalidwe zothandizira odwala matenda ashuga ngati sizothandiza? Simatha kuchotsa ma surges m'magazi a shuga komanso zowawa zawo. Jekeseni wa Mlingo waukulu wa insulin imayambitsa pafupipafupi hypoglycemia. Odwala omwe ali ndi matenda a shuga a mtundu wa 2 safuna kudya “chakudya” chaukali, ngakhale atawopsezedwa kuti amwalira. Unikani mtundu wa njira 1 yothandizira odwala matenda ashuga ndi njira zochizira matenda amtundu wa 2 - ndipo onetsetsani kuti malingaliro athu alipo, atha kutsatiridwa ngakhale mutaphatikiza chithandizo ndi ntchito yolimba, komanso maudindo a mabanja ndi / kapena ammudzi.

Momwe mungayambire chithandizo cha matenda ashuga

Lero, ndiye kuti simungakhale ndi mwayi wopeza endocrinologist wolankhula Chirasha yemwe angachiritse matenda ashuga ndi zakudya zamagulu ochepa. Chifukwa chake, mudzayenera kupanga dongosolo lochita nokha, pogwiritsa ntchito zomwe zili patsamba lathu. Mutha kufunsanso mafunso mu ndemanga, oyang'anira tsamba amawayankha mwachangu komanso mwatsatanetsatane.

Momwe mungayambire chithandizo cha matenda ashuga:

1. Patsani mayeso a labotale omwe adalembedwa m'nkhaniyi.
2. Zofunika! Werengani momwe mungawonetsetse kuti muli ndi mita yolondola ya shuga ndikuchita.
3. Yambitsani kuwongolera kwathunthu shuga.
4. Pitani pa chakudya chamafuta ochepa, bwino ndi banja lanu lonse.
5. Pitilizani kuthana ndi shuga. Onani momwe kusintha kwa zakudya kumakhudzira matenda anu ashuga.
6. Sindikizani mndandanda wazakudya zovomerezeka zamagulu ochepa a chakudya. Ingani mmodzi kukhitchini ndikusunga linalo.
7. Werengani nkhani "Zomwe muyenera kukhala ndi matenda ashuga kunyumba ndiinu" ndikugula zonse zomwe mukufuna.
8. Ngati mukukhala ndi mavuto ndi chithokomiro cha chithokomiro, funsani endocrinologist wanu. Nthawi yomweyo kunyalanyaza malangizo ake onena za kukhala ndi zakudya zoyenera ”za shuga.
9. Zofunika! Phunzirani kumwa insulin mwachisawawa, ngakhale mutakhala kuti simukugwiritsa ntchito mankhwala anu a shuga. Ngati muli ndi shuga wambiri m'matenda opatsirana kapena chifukwa chomwa mankhwala aliwonse, muyenera kubayirira insulin kwakanthawi. Konzekerani izi pasadakhale.
10. Phunzirani ndikutsatira malamulo oyang'anira matenda ashuga.
11. Kwa odwala matenda a shuga omwe amadalira insulin - dziwani momwe 1 UNIT ya insulini imatsitsira shuga lanu lamagazi, komanso kuchuluka kwa gramu imodzi ya chakudya kumachulukitsa.

Nthawi iliyonse ndikalemba za ma shuga, ndimatanthawuza kuchuluka kwa shuga m'magazi a m'magazi a capillary otengedwa kuchokera pachala. Ndiye kuti, mita yanu imayeza. Makhalidwe abwinobwino am'magazi ndi mfundo zomwe zimawonedwa mwa anthu athanzi, owonda popanda matenda ashuga, pakanthawi kochepa, mosasamala kanthu za kudya. Ngati mita ndi yolondola, ndiye kuti magwiridwe akewo sangakhale osiyana ndi zotsatira za kuyezetsa magazi kwa odwala.

Kodi shuga wamagazi amatha bwanji

Dr. Bernstein adakhala nthawi yambiri ndikuyesayesa kuti adziwe zomwe shuga amawona mwa anthu athanzi, owonda opanda matenda a shuga. Kuti achite izi, adakakamiza kuyeza kuchuluka kwa magazi a okwatirana ndi achibale a odwala matenda ashuga omwe amabwera kudzamuika. Komanso, omwe amagulitsa maulendo nthawi zambiri amamuchezera, kuti awalimbikitse kugwiritsa ntchito glucometer amodzi kapena mtundu wina. Zikatero, nthawi zonse amalimbikitsa kuti amayeza shuga pogwiritsa ntchito gluceter yomwe amalengeza, ndipo amatenga magazi nthawi yomweyo m'mitsempha yawo kuti apange mawunikidwe a Laborator ndikuwonetsetsa kuti glucometer ndi yolondola.

Pazochitika zonsezi, shuga ndi 4.6 mmol / L ± 0.17 mmol / L. Chifukwa chake, cholinga chamankhwala othandizira odwala matenda ashuga ndi kukhala ndi shuga wamagazi a 4.6 ± 0,6 mmol / l, nthawi iliyonse, musanadye chakudya, musanadye. Onani mtundu wathu wamankhwala othandizira odwala matenda ashuga a mtundu woyamba ndi pulogalamu yachiwiri ya matenda ashuga. Ngati mungazikwaniritse, ndiye kuti mukwaniritsa cholinga ichi ndichowoneka, ndipo mwachangu. Chithandizo cha anthu odwala matenda ashuga - zakudya "zopatsa thanzi" komanso kuchuluka kwa insulin - sizingadzitamande chifukwa cha izi. Chifukwa chake, miyezo ya shuga yamagazi imagwiritsidwa ntchito mopitirira. Amalola zovuta za matenda ashuga kukula.

Ponena za hemoglobin ya glycated, mwa anthu athanzi labwino, nthawi zambiri amakhala 4.2-4.6%. Chifukwa chake, tiyenera kuyesetsa kuchita. Yerekezerani ndi mtundu wa hemoglobin wa glycated - mpaka 6.5%. Izi ndizokwera pafupifupi 1.5 poyerekeza ndi anthu athanzi! Komanso, matenda ashuga amayamba kuthandizidwa pokhapokha chizindikiro ichi chikufika pa 7.0% kapena kuposa.

The American Diabetes Association malangizo akuti "kuwongolera odwala matenda ashuga" kumatanthauza:

• shuga m'magazi musanadye - kuyambira 5.0 mpaka 7.2 mmol / l;
• shuga m'magazi 2 pambuyo chakudya - osapitirira 10,0 mmol / l;
• glycated hemoglobin - 7.0% ndi m'munsimu.

Tili ndi izi monga "kusowa kwathunthu pakulamulira matenda a shuga." Kodi kusiyana kumeneku m'malingaliro a akatswiri kumachokera kuti? Chowonadi ndi chakuti Mlingo wambiri wa insulin umabweretsa chiwopsezo cha hypoglycemia. Chifukwa chake, American Diabetes Association imachulukitsa kuchuluka kwa shuga m'magazi poyesa kuchepetsa ngozi. Koma ngati matenda a shuga amathandizidwa ndi zakudya zamagulu ochepa, ndiye kuti Mlingo wa insulin umafunikira kangapo. Kuopsa kwa hypoglycemia kumachepetsedwa popanda kufunika kokhala ndi shuga wambiri komanso kukhala ndi zovuta za matenda ashuga.

Kujambulitsa Zolinga Zoyang'anira Matenda Ati Ati Asamayike

Tiyerekeze kuti mwaphunzira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga ndipo mukukonzekera kuyambitsa. Pakadali pano, ndizothandiza kwambiri kulemba mndandanda wazolinga za matenda ashuga.

Kodi tikufuna tikwaniritse chiyani, mu nthawi yanji komanso tikonzekera bwanji kuchita izi? Nayi mndandanda wa zolinga za matenda ashuga:

1. Matenda a shuga. Makamaka, kutengera kwazomwe zimachitika chifukwa cha kuyamwa kwathunthu kwa shuga.
2. Kusintha kapena kusintha kwachulukidwe ka zotsatira za mayeso a labotale. Chofunika kwambiri mwa izo ndi glycated hemoglobin, "good" and "bad" cholesterol, triglycerides, protein-C-reactive, fibrinogen, and test fig fig. Kuti mumve zambiri, onani nkhani "Kuyesa kwa Matenda a shuga".
3. Kukwaniritsa kulemera kwabwino - kuchepa thupi kapena kuchepa thupi, chilichonse chomwe chikufunika. Kuti mumve zambiri pa cholembedwachi, Kufupika mu shuga. Momwe mungachepetse thupi ndi matenda a shuga a mtundu woyamba 1. "
4. Wathunthu kuletsa chitukuko cha matenda ashuga.
5. Kuchotsa kwathunthu kapena pang'ono kwa zovuta za shuga zomwe zayamba kale. Izi ndi zovuta pamiyendo, impso, kupenya kwamaso, mavuto ndi potency, matenda amkazi mwa akazi, mavuto ndi mano, komanso mitundu yonse ya matenda a shuga. Tili ndi chidwi chachikulu ndi matenda a matenda a shuga a gastroparesis.
6. Kuchepetsa pafupipafupi komanso kuopsa kwa ma epicode a hypoglycemia (ngati kale).
7. Kuthetsa kutopa kwambiri, komanso kukumbukira kwakanthawi kochepa chifukwa cha shuga wambiri.
8. Matenda a kuthamanga kwa magazi, ngati anali okwera kapena otsika. Kupitiliza kupanikizika popanda kugwiritsa ntchito mankhwala “osakanikirana” kwa matenda oopsa.
9. Ngati maselo a beta amakhalabe mu kapamba, ndiye kuti azikhala amoyo. Imayendera pogwiritsa ntchito kuyezetsa magazi kwa C-peptide. Cholinga ichi ndi chofunikira kwambiri kwa matenda ashuga amtundu wa 2 ngati wodwala akufuna kupewa jakisoni wa insulin ndikukhala ndi moyo wabwino.
10. Mphamvu zowonjezera, mphamvu, kupirira, kugwira ntchito.
11. Matenda a mtundu wa mahomoni a chithokomiro m'magazi, ngati kuwunika kwawonetsa kuti sikokwanira. Cholinga ichi chikakwaniritsidwa, tiyenera kuyembekezera kufooka kwa zizindikiro zosasangalatsa: kutopa kosalekeza, kuzizira kwamphamvu, kusintha mbiri ya cholesterol.

Ngati muli ndi zolinga zina, kuwonjezera pa mindandanda.

Ubwino wa kutsatira mosamala

Ku Diabetes-Med.Com, tikuyesera kupereka njira yothandizira mtundu wa matenda amtundu wa 2 komanso mtundu wa 2 omwe angakwaniritsidwe. Apa simupeza zambiri zamankhwala omwe ali ndi zakudya zochepa zama calorie. Chifukwa odwala onse posachedwa amayamba "kuwonongeka", ndipo mkhalidwe wawo umakulirakulira. Werengani momwe mungabayere insulin popanda kupweteka, momwe mungadzire shuga komanso momwe mungachepetse kuti ikhale yachilendo ndi zakudya zamagulu ochepa.

Ngakhale maboma ateteza bwanji, amafunikabe kulemekezedwa, komanso mosasamala. Lolani kukopeka pang'ono - ndipo magazi a magazi awuluka. Tiyeni tilembe maubwino omwe mungapeze ngati mungagwiritse ntchito mosamalitsa pulogalamu yothandizira odwala matenda ashuga:

• shuga m'magazi abwerera mwakale, manambala omwe ali pamitengo akondweretsedwa;
• kukulitsa kwa zovuta za matenda ashuga kutha;
• zovuta zambiri zomwe zidapangidwa kale zidzatha, makamaka pakatha zaka zochepa;
• thanzi ndi malingaliro zidzasintha, mphamvu zidzawonjezedwa;
• ngati mukunenepa kwambiri, ndiye kuti mwina mukanenepa kwambiri.

Wonaninso gawo la "Zomwe mungayembekezere shuga wanu wamagazi atayamba kukhala wabwinobwino" mu nkhani yakuti "Zolinga zochizira matenda amtundu 1 komanso matenda a shuga a 2.” Mu ndemanga mutha kufunsa mafunso omwe oyang'anira tsamba amayankha mwachangu.