Mtundu wa shuga wachiwiri: chithandizo

Matenda a 2 a shuga amapezeka 90-95% ya onse odwala matenda ashuga. Chifukwa chake, matendawa ndi ochulukirapo kuposa mtundu 1 wa shuga. Pafupifupi 80% ya odwala omwe ali ndi matenda a shuga 2 amalemera mopitirira muyeso, ndiye kuti, matupi awo amapitilira muyeso wa 20%. Komanso, kunenepa kwawo nthawi zambiri kumadziwika ndi kufalikira kwa minofu ya adipose pamimba ndi thupi lapamwamba. Chithunzicho chimakhala ngati apulo. Izi zimatchedwa kunenepa kwam'mimba.

Cholinga chachikulu cha webusayiti ya Diabetes-Med.Com ndikupereka njira yeniyeni komanso yothandiza ya matenda ashuga a 2. Amadziwika kuti kusala kudya komanso kulimbitsa thupi kwa maola angapo patsiku kumathandizira kuti adwale. Ngati mwakonzeka kutsatira regimen yolemetsa, ndiye kuti simudzafunika kubaya insulin. Ngakhale zili choncho, odwala safuna kufa ndi njala kapena "kugwira ntchito molimbika" m'makalasi ophunzirira zolimbitsa thupi, ngakhale kupweteka kwambiri chifukwa cha kuphedwa ndi matenda ashuga. Timapereka njira zothandiza kuti muchepetse shuga m'magazi kuti akhale abwinobwino komanso kuti akhale otsika. Amakhala odekha polemekeza odwala, koma nthawi yomweyo amakhala othandiza kwambiri.

Maphikidwe a chakudya chamafuta ochepa a shuga 2 amapezeka pano.

Pansipa m'nkhaniyi mupezapo pulogalamu yachiwiri yothandiza anthu odwala matenda ashuga:

• wopanda njala;
• wopanda zakudya zopatsa mphamvu zochepa, zopweteka kwambiri kuposa kufa kwathunthu ndi njala;
• osagwira ntchito molimbika.

Phunzirani kuchokera kwa ife momwe mungayendetsere matenda a shuga a 2, kutsutsana ndi zovuta zake komanso nthawi yomweyo kumva kukhala kwathunthu. Simuyenera kuchita kukhala ndi njala. Ngati mukufuna jakisoni wa insulin, ndiye kuti phunzirani kuchita mosapweteka, ndipo mankhwalawo amakhala ochepa. Njira zathu zimalolera mu 90% ya milandu kuti ichiritse bwino matenda a shuga a 2 popanda jakisoni wa insulin.

Mwambi wodziwika bwino: "aliyense ali ndi matenda ake a shuga," kutanthauza kuti kwa wodwala aliyense, zimachitika mwa njira yake. Chifukwa chake, pulogalamu yothandizira odwala matenda a shuga imatha kukhala payokha. Komabe, njira zambiri zochizira matenda amtundu wa 2 wafotokozedwa pansipa. Ndikulimbikitsidwa kuti muzigwiritsa ntchito ngati maziko omangira pulogalamu yapayekha.

Nkhaniyi ndikupitiliza nkhani ya "Type 1 kapena Type 2 shuga: Koyambira." Chonde werengani nkhani yoyamba, apo ayi mwina china chake sichingakhale chomveka pano. Ma nuances amathandizira amathandizidwa pansipa, pomwe matenda a shuga a 2 amadziwika bwino. Muyenera kuphunzira momwe mungapewere matenda oyambawa. Kwa odwala ambiri, malingaliro athu ndi mwayi wokana jakisoni wa insulin. Mtundu wachiwiri wa matenda ashuga, zakudya, masewera olimbitsa thupi, kumwa mapiritsi ndi / kapena insulin zimayamba kutsimikizidwa kwa wodwala, poganizira kuopsa kwa matenda ake. Kenako imasinthidwa nthawi zonse, kutengera zotsatira zomwe zapezedwa kale.

Momwe mungachitire bwino matenda a shuga a 2

Choyambirira, werengani gawo la "Komwe mungayambire chithandizo cha matenda ashuga" mu nkhani ya "Type 1 kapena 2abetes: komwe mungayambire". Tsatirani mndandanda wa zochita zomwe zalembedwa pamenepo.

Njira yothandiza yothandizira matenda a shuga a 2 ili ndi magawo anayi:

• Gawo 1: Zakudya Zochepa za Zakudya Zamthupi
• Gawo lachiwiri: Zakudya zochepa zama carbohydrate kuphatikiza zochitika zolimbitsa thupi molingana ndi njira yochitira masewera olimbitsa thupi mosangalatsa.
• Gawo 3. Zakudya zochepa zama carbohydrate kuphatikiza masewera olimbitsa thupi komanso matenda a shuga omwe amalimbikitsa kumva kukoka kwa minofu.
• Gawo 4. Zovuta, zosasamalidwa. Chakudya chopatsa mphamvu zama thupi pang'ono komanso masewera olimbitsa thupi kuphatikizapo jakisoni wa insulin, limodzi ndi mapiritsi a shuga kapena opanda shuga.

Ngati zakudya zamagulu ochepa zimachepetsa shuga m'magazi, koma osakwanira, ndiye kuti, sizingatheke, ndiye kuti mbali yachiwiri ndi yolumikizidwa. Ngati wachiwiri salola kuti pakhale malipiro a shuga, amasinthana ndi wachitatu, ndiye kuti amawonjezera mapiritsi. Munthawi zovuta komanso zosasiyidwa, pomwe wodwalayo ayamba kudwala kwambiri, amatenga gawo limodzi. Kuchuluka kwa insulini komwe kumafunikira kuti kubwezeretsenso shuga kwa magazi. Nthawi yomweyo, amapitiliza kudya zakudya zamafuta ochepa. Ngati munthu wodwala matenda ashuga akhazikika bwino pakudya ndi kuchita masewera olimbitsa thupi mosangalala, ndiye kuti nthawi zambiri mumafunikira insulini yaying'ono.

Chakudya chamafuta ochepa sichofunikira kwenikweni kwa odwala amtundu wa 2 omwe ali ndi matenda ashuga. Ngati mupitiliza kudya zakudya zomwe zimadzaza ndi chakudya, ndiye kuti palibe chomwe mungalote kuti muchepetse shuga. Choyambitsa matenda a shuga a 2 ndikuti thupi sililekerera zakudya zomwe mumadya. Zakudya zopatsa mphamvu zopatsa mphamvu zimachepetsa shuga m'magazi mwachangu komanso mwamphamvu. Komabe, kwa anthu ambiri odwala matenda ashuga, sikokwanira kungokhala ndi shuga wamagazi, monga mwa anthu athanzi. Pankhaniyi, tikulimbikitsidwa kuphatikiza chakudya ndi masewera olimbitsa thupi.

Ndi matenda a 2 a shuga, ndikofunikira kuchita zochiritsira kuti muchepetse ziphuphu. Chifukwa cha izi, njira "yakuwotcha" m'maselo ake a beta imalepheretseka. Njira zonse zimapangidwira kusintha kwamtundu wa maselo kuti agwiritse ntchito insulin, i.e., kuchepetsa insulin. Matenda a shuga a Mtundu 2 amatha kuthandizidwa ndi jakisoni wa insulin pokhapokha pazovuta kwambiri, osapitirira 5-10% ya odwala. Izi zikufotokozedwa mwatsatanetsatane kumapeto kwa nkhaniyi.

Zoyenera kuchita:

• Werengani nkhani "Insulin Resistance". Ikufotokozanso momwe mungachitire ndi vutoli.
• Onetsetsani kuti muli ndi mita ya glucose yolondola (momwe mungachitire izi), kenako kuyeza shuga la magazi anu kangapo tsiku lililonse.
• Yang'anirani kwambiri kuwongolera magazi anu mutatha kudya, komanso pamimba yopanda kanthu.
• Sinthani ku chakudya chochepa chamafuta. Idyani zakudya zovomerezeka zokha, pewani zakudya zoletsedwa.
• Chitani masewera olimbitsa thupi. Ndi bwino kuthamanga molingana ndi luso la kuthamanga kwambiri, makamaka kwa odwala omwe ali ndi matenda ashuga a 2. Kuchita masewera olimbitsa thupi ndikofunikira kwa inu.
• Ngati zakudya zamafuta ochepa osakanikirana ndi maphunziro akuthupi sizokwanira, ndiye kuti, mudakhalabe ndi shuga mutatha kudya, ndiye kuti muwonjezere mapiritsi a Siofor kapena Glucofage.
• Ngati zonse pamodzi - zakudya, masewera olimbitsa thupi ndi Siofor - sizithandiza kwenikweni, pokhapokha pokhapokha mutayenera kubaya insulini usiku komanso / kapena m'mawa pamimba yopanda kanthu. Pakadali pano, simungathe popanda dokotala. Chifukwa chiwembu cha insulin mankhwala ndi endocrinologist, osati okha.
• Mulimonsemo, kanizani zakudya zamafuta ochepa, ngakhale atanena dokotala, amene angakupatseni insulin. Werengani momwe mungapangire mankhwala othandizira odwala matenda a shuga. Ngati mukuwona kuti dokotala wakulemberani mankhwala a insulin “kuchokera padenga”, osayang'ana mbiri yanu ya kuchuluka kwa shuga, musagwiritse ntchito malangizowo, koma pitani ndi katswiri wina.

Kumbukirani kuti nthawi zambiri, insulin iyenera kuperekedwa kokha kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ndi aulesi kwambiri kuti athe kuchita masewera olimbitsa thupi.

Zomwe simuyenera kuchita

Osatengera zochokera ku sulfonylurea. Onani ngati mapiritsi a shuga omwe mudapatsidwa ndi ochokera ku sulfonylurea. Kuti muchite izi, werengani malangizo mosamala, gawo "Zogwira ntchito". Zitapezeka kuti mukutenga zochokera ku sulfonylurea, zitayeni.

Chifukwa chomwe mankhwalawa ali ovuta akufotokozedwa apa. M'malo mozitenga, onetsani shuga m'magazi anu ndi zakudya zamagulu ochepa, masewera olimbitsa thupi, mapiritsi a Siofor kapena Glucofage, ndipo ngati ndi kotheka, insulini. Ma endocrinologists amakonda kupereka mapiritsi osakanikirana omwe amakhala ndi sulfonylureas + metformin. Sinthani kuchokera kwa iwo kukhala "pure" metformin, ndiye kuti, Siofor kapena Glucofage.

Phunzirani mosamala nkhani ya “Momwe mungachepetse insulin. Zomwe zimathanso kudya komanso kudya pang'onopang'ono mafuta. ” Ngati mukuyenera kuwonjezera kuchuluka kwa insulin - zikutanthauza kuti mukuchita zolakwika. Muyenera kuyimilira, kuganizira mozama ndikusintha china chake pazochita zanu zamankhwala.

Maphunziro akuthupi komanso mapiritsi ochepetsa shuga

Lingaliro lalikulu ndikusankha masewera olimbitsa thupi omwe amakusangalatsani. Mukachita izi, ndiye kuti muzichita masewera olimbitsa thupi pafupipafupi kuti musangalale. Ndipo kusintha shuga m'magazi ndi kukonza thanzi ndi "mavuto." Njira yotsika mtengo yokwanira yophunzirira kusangalala ndi kuthamanga monga momwe buku la “Chi-jogging. Njira yosinthira - - mwachimwemwe, popanda kuvulala ndi kuzunzidwa. " Ndimalimbikitsa.

Pochiza matenda a shuga a 2, pali zozizwitsa ziwiri:

• Zakudya zamafuta ochepa
• Kuthamangira malinga ndi njira ya bukhu "Chi-jogging".

Tikukambirana za zakudya zotsika pang'ono zamagulu owonjezera mwatsatanetsatane apa. Pali zolemba zambiri pamutuwu patsamba lathu chifukwa ndi njira yayikulu yothanirana ndi matenda amtundu wa 2. Pankhani yothamanga, chozizwitsa ndikuti mutha kuthamanga kuti musazunzidwe, koma musangalale. Mukungoyenera kuphunzira momwe mungayendetsere bwino, ndipo bukuli lithandiza kwambiri. Pathamanga, "mahomoni achisangalalo" amapangidwa m'thupi, omwe amakhala ngati mankhwala osokoneza bongo. Kuthamangira malinga ndi njira ya Chi-jogu ndi koyenera ngakhale kwa anthu omwe ali ndi mavuto. Ndibwino kusinthana kuthamanga ndi makalasi pamatimu ochita masewera olimbitsa thupi. Ngati simukufuna kuthamanga, koma kusambira, tennis kapena njinga, ndipo mutha kulipira, ndibwino thanzi lanu. Kungokhala kuchitidwa pafupipafupi.

Ngati mwayesa kudya zakudya zamagulu ochepa monga momwe tidavomerezera ndikuonetsetsa kuti zimathandizadi, yesaninso "Chi-run". Phatikizani zakudya zamagulu owonjezera komanso masewera olimbitsa thupi. Izi ndizokwanira kuti 90% ya odwala omwe ali ndi matenda ashuga a 2 achite popanda insulin ndi mapiritsi. Mutha kusungitsa kuchuluka kwa shuga m'magazi anu mwabwinobwino. Izi zikutanthawuza shuga mutatha kudya osaposa 5.3-6.0 mmol / L ndi hemoglobin wa glycated osapitirira 5.5%. Izi sizongopeka, koma cholinga chenicheni chomwe chitha kukwaniritsidwa m'miyezi yochepa.

Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha maselo amthupi kupita ku insulin. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda ashuga a 2. Mapiritsi a Siofor kapena Glucofage (the yogwira mankhwala metformin) amagwira ntchito zofanana, koma nthawi zambiri amakhala ofooka. Mapiritsi awa nthawi zambiri amayenera kutumizidwa kwa odwala matenda ashuga omwe ndi aulesi kwambiri kuti athe kuchita masewera olimbitsa thupi, ngakhale atakhala okopa bwanji. Timagwiritsanso ntchito metformin ngati chachitatu ngati chakudya chochepa chamafuta komanso kuchita masewera olimbitsa thupi sikokwanira. Uku ndikuyesa kwaposachedwa kwamankhwala apamwamba a shuga a 2 kuti mupereke insulin.

Pakufunika ma insulin

Matenda a 2 a shuga mu 90% ya milandu amatha kuwongoleredwa kwathunthu popanda jakisoni wa insulin. Zida ndi njira zomwe tatchulazi ndi zothandiza kwambiri. Komabe, ngati wodwala matenda ashuga "adayamba kukumbukira", ndiye kuti kapamba wake wavutika kale, ndipo insulin yakeyo sikupangidwa mokwanira. M'mikhalidwe yonyalanyazidwa, ngati simupaka insulin, shuga ya magazi imakwezedwa, ndipo zovuta za matenda ashuga zikungofika pakona.

Pochiza matenda a shuga a mtundu wachiwiri ndi insulin, pali mfundo zofunika zotsatirazi. Choyamba, insulin nthawi zambiri imayenera kukhala kutiikirira odwala omwe ali aulesi. Monga lamulo, chisankho ndi: insulin kapena maphunziro akuthupi. Apanso ndikukulimbikitsani kuti mupitenso kokasangalala. Kulimbitsa thupi mu masewera olimbitsa thupi kumathandizanso chifukwa kumawonjezera chidwi cha maselo kuti apange insulin. Ndi kuthekera kwakukulu, chifukwa cha maphunziro akuthupi, insulin ingathetsedwe. Ngati sizotheka kusiya jakisoni kwathunthu, ndiye kuti mulingo wa insulin udzachepa.

Kachiwiri, ngati munayamba kuchiza matenda amtundu wanu wachiwiri ndi matenda a insulin, sizitanthauza kuti tsopano mutha kusiya kudya. M'malo mwake, gwiritsitsani chakudya chamafuta ochepa kuti mudutse ndi ma insulin ochepa. Ngati mukufunabe kuchepetsa kuchuluka kwa insulini - Chitani masewera olimbitsa thupi ndikuyesera kuti muchepetse thupi. Kuti muchepetse kunenepa kwambiri, mungafunikire kuchepetsa kuchuluka kwa mapuloteni pazakudya zamagulu ochepa. Werengani zida zathu za momwe mungamwere jakisoni wa insulin mopweteka komanso momwe mungachepetsere shuga.

Chachitatu, odwala matenda a shuga a mtundu wachiwiri amalepheretsa kuyamba kwa mankhwala a insulin mpaka omaliza, ndipo izi ndizopusa kwambiri. Wodwala ngati mwadzidzidzi komanso atafa msanga ndi vuto la mtima, titha kunena kuti anali ndi mwayi. Chifukwa pali zosankha zoyipa:

• Mimbulu ndikudula mwendo;
• Akhungu;
• Imfa yopweteka chifukwa cha kulephera kwa impso.

Izi ndi zovuta za matenda ashuga zomwe mdani woipa kwambiri sangafune. Chifukwa chake, insulin ndi chida chabwino chomwe chimapulumutsa kuchokera kuzolowerana nawo kwambiri. Ngati zikuwoneka kuti insulini singagawidwe, ndiye kuti yambani jekeseni mwachangu, osataya nthawi.

Pakachitika khungu kapena kudula dzanja, munthu wodwala matenda ashuga nthawi zambiri amakhala wolumala. Munthawi imeneyi, amakwanitsa kuganizira mofatsa za momwe anali chidetso pomwe sanayambe jekeseni wa insulin pa nthawi ... Kuchitira mtundu uwu wa matenda a shuga a mtundu 2 si "o, insulin, zodabwitsa bwanji", koma "phula, insulin!"

Lembani zolinga ziwiri za matenda ashuga

Tiyeni tiwone zochitika zingapo kuti tiwonetse momwe tingakwaniritsire chithandizo chenicheni. Chonde werengani nkhani yoti “Zolinga Zakuchiritsira Matendawa”. Muli zofunikira. Malingaliro am'tsogolo pakukhazikitsira zolinga za matenda a shuga a 2 akufotokozedwa pansipa.

Tiyerekeze kuti tili ndi wodwala matenda a shuga a 2 omwe amakwanitsa kuthana ndi shuga ndimagamba ochepa komanso osachita masewera olimbitsa thupi mosangalala. Amatha kuchita popanda matenda a shuga komanso mapiritsi a insulin. Wodwala matenda ashuga ayenera kuyesetsa kukhalabe ndi shuga m'magazi a 4.6 mmol / L ± 0,6 mmol / L isanachitike, akamadya komanso akamadya. Adzatha kukwaniritsa izi pokonzekera pasadakhale chakudya. Ayenera kudya zakudya zamafuta ochepa mpaka azindikire kuchuluka kwa chakudya chake. Muyenera kuphunzira momwe mungapangire kupanga zakudya zamafuta ochepa. Zigawo ziyenera kukhala zokulirapo kuti munthu adzuke patebulo podzaza, koma osamwa mopitirira muyeso, ndipo nthawi yomweyo shuga wamagazi amasandulika kukhala wabwinobwino.

Zolinga zomwe muyenera kuyesetsa kuchita:

• Shuga pambuyo pa 1 ndi 2 maola chakudya chilichonse - osapitirira 5.2-5,5 mmol / l
• Mafuta a m'mawa m'mimba yopanda kanthu osaposa 5.2-5,5 mmol / l
• Glycated hemoglobin HbA1C - pansipa 5.5%. Zoyenera - pansipa 5.0% (anthu otsika kwambiri).
• Zowonetsera cholesterol "yoyipa" ndi triglycerides m'magazi ndizomwe zili bwinobwino. Cholesterol "Chabwino" chimatha kukhala chokwera kuposa chizolowezi.
• Kupsinjika kwa magazi nthawi zonse osapitirira 130/85 mm RT. Art., Palibe mavuto oopsa (mungafunikenso kutenga zakudya zowonjezera matenda oopsa).
• Atherosermosis sikuti imayamba. Mkhalidwe wamitsempha yamagazi suwonjezereka, kuphatikiza m'miyendo.
• Zizindikiro zabwino zoyeserera magazi ku chiwopsezo cha mtima (C-reactive protein, fibrinogen, homocysteine, ferritin). Awa ndi mayeso ofunikira kwambiri kuposa cholesterol!
• Kutaya kwamaso kumayima.
• Kukumbukira sikuwonongeka, koma m'malo mwake kumakhala bwino. Zochita zam'kati nazonso.
• Zizindikiro zonse za matenda ashuga a m'mimba zimatha kwathunthu patangopita miyezi yochepa. Kuphatikiza phazi la matenda ashuga. Neuropathy ndikusinthika kwathunthu.

Tiyerekeze kuti adayesa kudya zakudya zamafuta ochepa, ndipo monga chotulukapo chake, amakhala ndi shuga m'magazi atadya 5.4 - 5.9 mmol / L. The endocrinologist anganene kuti izi ndizabwino. Koma tinena kuti izi ndizopitilira izi. Kafukufuku wa 1999 adawonetsa kuti zoterezi zimapangitsa kuti chiwopsezo cha matenda a mtima chiwonjezeke ndi 40%, poyerekeza ndi anthu omwe shuga ya m'magazi itatha kudya sapitirira 5.2 mmol / L. Tikulimbikitsa wodwala wotere kuti azichita masewera olimbitsa thupi mosangalala kuti achepetse magazi ake ndi kuwafikitsa pamlingo wa anthu athanzi. Kuthamanga bwino ndi chinthu chosangalatsa kwambiri, ndipo kumathandizanso kudabwitsa matenda a shuga.

Ngati simungathe kukopa wodwala yemwe ali ndi matenda a shuga a 2 kuti achite masewera olimbitsa thupi, ndiye kuti apatsidwa mapiritsi a Siofor (metformin) kuphatikiza pa chakudya chamagulu ochepa. Mankhwala Glucophage ndi Siofor yemweyo, koma wopitilira. Ndiwosavuta kuyambitsa zovuta - kutulutsa ndi kutsekula m'mimba. Dr. Bernstein amakhulupiriranso kuti Glucofage amachepetsa shuga nthawi yayitali 1.5 kuposa Siofor, ndipo izi zimapangitsa kuti mtengo wake ukhale wokwera.

Zaka zambiri za matenda ashuga: mlandu wovuta

Lingalirani za zovuta zina za matenda ashuga a mtundu wachiŵiri. Wodwalayo, wodwala matenda a shuga kwa nthawi yayitali, amatsata zakudya zamafuta ochepa, amatenga metformin, komanso amaphunzira maphunziro olimbitsa thupi. Koma shuga wake wamagazi atatha kudya amakhalabe wokwera. Zikatero, kuti muchepetse shuga m'magazi kuti akhale abwinobwino, muyenera kudziwa kaye pambuyo pa chakudya chomwe shuga wa magazi amakwera kwambiri. Kuti muchite izi, khazikitsani kuwongolera kwathunthu shuga kwa masabata 1-2. Ndipo yeserani nthawi yomwe mumatenga mapiritsi, komanso yesani kusintha Siofor ndi Glucofage. Werengani apa momwe mungayang'anire shuga m'mawa pamimba yopanda kanthu ndikatha kudya. Mutha kuchita chimodzimodzi ngati shuga wanu samabuka m'mawa, koma pakudya nkhomaliro kapena madzulo. Ndipo pokhapokha ngati zonsezi zithandizira, ndiye kuti muyenera kuyamba kubayirira insulin 1 kapena 2 kawiri pa tsiku.

Tiyerekeze kuti wodwala yemwe ali ndi matenda a shuga a 2 amafunikirabe mankhwala a "insulin" omwe amakhala nthawi yayitali usiku komanso / kapena m'mawa. Ngati atsatira zakudya zamagulu ochepa, ndiye kuti adzafunika insulin yaying'ono. Pancreas imapitilizabe kupanga yake insulin, ngakhale siyokwanira. Koma ngati shuga m'magazi achuluka kwambiri, ndiye kuti zikondazo zimazimitsa kupanga insulin. Izi zikutanthauza kuti chiopsezo cha hypoglycemia chochepa kwambiri, ndipo mutha kuyesa kutsitsa shuga wamagazi mpaka 4,6 mmol / L ± 0,6 mmol / L.

Milandu yayikulu, kapamba pomwe "watha" kale, odwala omwe ali ndi matenda a shuga a 2 samangofunikira jakisoni wa insulin "yomwe imakhalitsa", komanso jekeseni wa insulin "yayifupi" musanadye. Odwala oterowo ali ndi vuto lofanana ndi matenda a shuga 1. Njira yakuchizira matenda a shuga a 2 omwe ali ndi insulini amangoyikidwa ndi endocrinologist, musachite nokha. Ngakhale kuwerenga nkhani yoti "Njira za insulin Therapy" mulimonse kungakhale kothandiza.

Zomwe zimayambitsa matenda a shuga a insulin - palokha

Akatswiri amavomereza kuti chomwe chimayambitsa matenda a 2 matenda a shuga ndicho makamaka kukana insulini - kuchepa kwa chidwi cha maselo kuchitira insulin. Kasitomala amataya mphamvu yake yopanga insulin pokhapokha matendawa atadwala. Kumayambiriro kwa matenda a shuga a 2, kuchuluka kwa insulin kumazungulira m'magazi. Koma amachepetsa shuga m'magazi, chifukwa ma cell sazindikira kwambiri zomwe amachita. Kunenepa kwambiri akuti kumapangitsa insulin kukana. Ndipo mosinthanitsa - mwamphamvu kukana insulini, kuchuluka kwa insulini kumazungulira m'magazi ndipo minofu yamafuta imasonkhana mwachangu.

Kunenepa kwambiri pamimba ndi mtundu wapadera wa kunenepa kwambiri komwe mafuta amasonkhana pamimba, m'thupi lam'mwambamwamba. Mwa munthu yemwe wakula kwambiri m'mimba, gawo lachiuno limakhala lalikulupo kuposa kuzungulira m'chiuno. Mzimayi yemwe ali ndi vuto lomwelo amakhala ndi chiuno chofika 80% kapena kupitirira m'chiuno mwake.Kunenepa kwambiri pamimba kumayambitsa kukana kwa insulin, ndipo amalimbikitsana. Ngati kapamba sangathe kupanga insulin yokwanira kuti iwaniritse kufunika kwake, matenda a shuga a 2 amachitika. Ndi matenda 2 a shuga, insulin mthupi sikokwanira, koma m'malo mwake nthawi 2-3 kuposera apo. Vuto ndilakuti maselo samalabadira bwino. Kuyambitsa kapamba kuti apange insulin yambiri ndi mathero akufa.

Ochuluka a anthu potengera kuchuluka kwa chakudya masiku ano komanso moyo wongokhala amakhala pang'onopang'ono chifukwa cha kunenepa kwambiri komanso kukana insulini. Mafuta akamaunjikana m'thupi, katundu pancreas amapitilira. Mapeto ake, maselo a beta sangathe kuthana ndi kupanga insulin yokwanira. Magazi a shuga m'magazi sakhala abwinobwino. Izi zimathandizanso kuti ma cell a beta azitsamba, aphedwe kwambiri. Umu ndi momwe mtundu wachiwiri wa shuga umakhalira.

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

Kusiyana pakati pa matendawa ndi matenda amtundu 1 shuga

Chithandizo cha matenda amtundu 1 komanso matenda amtundu wa 2 chikufanana m'njira zambiri, koma zilinso ndi kusiyana kwakukulu. Kuzindikira kusiyana kumeneku ndikofunikira kuti muwongolere bwino shuga yanu yamagazi. Matenda a 2 a shuga amakula pang'onopang'ono komanso modekha kuposa matenda amtundu 1. Mafuta a shuga a mtundu 2 a shuga sakonda kukwera mpaka ku cosmic. Komabe, popanda kulandira chithandizo mosamala, amakhalabe okwera, ndipo izi zimayambitsa kukula kwa zovuta za shuga zomwe zimayambitsa kulumala kapena kufa.

Kuchuluka kwa shuga m'magulu 2 a shuga kumayambitsa mitsempha yodutsa, kumawononga mitsempha, mtima, maso, impso ndi ziwalo zina. Popeza njirazi nthawi zambiri sizimayambitsa ziwonetsero, mtundu wa shuga wachiwiri umatchedwa "wakupha wakachetechete". Zizindikiro zoyipa zimatha kuchitika ngakhale zotupa zitasinthika - mwachitsanzo, kulephera kwa impso. Chifukwa chake, ndikofunikira kuti musakhale aulesi kutsatira njira zamankhwala ndikuthandizira, ngakhale ngati palibe chomwe chimapweteka mpaka pano. Ikadwala, imachedwa kwambiri.

Poyamba, mtundu 2 wa matenda ashuga ndi matenda oopsa kuposa matenda a shuga 1. Pafupifupi wodwalayo alibe choopseza "kusungunuka" kukhala shuga ndi madzi ndikufa movutikira milungu ingapo. Popeza palibe zizindikiro zoyipa poyamba, matendawa amatha kuperewera, pang'ono ndi pang'ono kuwononga thupi. Matenda a 2 a shuga ndiwo amachititsa kwambiri kulephera kwa impso, kudula miyendo, komanso khungu lonse padziko lonse. Zimathandizira kukulitsa matenda a mtima ndi stroko mwa odwala matenda ashuga. Mankhwalawa nthawi zambiri amakhala limodzi ndi matenda obwera ndi ukazi mwa amayi komanso kusabala kwa amuna, ngakhale izi ndizopusira poyerekeza ndi vuto la mtima kapena stroko.

Kutsutsana ndi insulin kuli m'mitundu yathu

Tonse ndife mbadwa za iwo omwe anapulumuka nthawi yayitali yanjala. Chibadwa chomwe chimazindikira kuchuluka kwamafuta kwambiri komanso kukana insulini ndizothandiza kwambiri chifukwa chosowa chakudya. Muyenera kulipira pa izi ndikukhala ndi chizolowezi chowonjezereka cha matenda ashuga 2 munthawi yabwino yomwe anthu akukhalamo. Chakudya chamafuta ochepa nthawi zingapo amachepetsa chiopsezo cha matenda ashuga a 2, ndipo ngati ayamba kale, amachepetsa kukula kwake. Pofuna kupewa komanso kuchiza matenda a shuga a 2, ndibwino kuphatikiza chakudya ichi ndi maphunziro akuthupi.

Kukana kwa insulin kumachitika chifukwa cha majini, mwachitsanzo, chibadwidwe, koma osati iwo okha. Kuzindikira kwa insulin kwamaselo kumachepa ngati mafuta ochulukirapo mwa mawonekedwe a triglycerides azungulira m'magazi. Wamphamvu, ngakhale osakhalitsa, kukana insulini mu labotale nyama kumachitika chifukwa cha kulowetsedwa kwa jekeseni a triglycerides. Kunenepa kwambiri pamimba ndi komwe kumayambitsa kutupa kosatha - njira ina yolimbikitsira kukana kwa insulin. Matenda opatsirana omwe amayambitsa njira zotupa amatengera momwemo.

Limagwirira a chitukuko cha matenda

Kutsutsa kwa insulin kumawonjezera kufunikira kwa insulin. Masewera okwanira a insulin m'magazi amatchedwa hyperinsulinemia. Zimafunika "kukankha" glucose m'maselo m'magulu a insulin. Kupereka hyperinsulinemia, kapamba amagwira ntchito ndi kupsinjika kwakukulu. Insulin yambiri m'magazi imakhala ndi zotsatirazi:

• kumawonjezera kuthamanga kwa magazi;
• imawononga mitsempha yamagazi kuchokera mkati;
• kumawonjezera kukana kwa insulin.

Hyperinsulinemia ndi insulin kukana amapanga bwalo loipa, kulimbikitsana. Zizindikiro zonse zomwe zatchulidwa pamwambapa zimatchedwa metabolic syndrome. Zimakhala zaka zingapo, mpaka ma cell a beta a kapamba "atha" chifukwa cha kuchuluka kwambiri. Pambuyo pa izi, shuga wowonjezera wamagazi amawonjezeredwa pazizindikiro za metabolic syndrome. Ndipo mwatha - mutha kuzindikira matenda ashuga amtundu wa 2. Mwachidziwikire, ndibwino kuti musabweretse matenda a shuga, koma kuyamba kupewa momwe mungathere, ngakhale pagawo la metabolic. Njira zabwino kwambiri zopewera izi ndi chakudya chamafuta ochepa, komanso maphunziro akuthupi osangalatsa.

Matenda a shuga a 2 amakula - mwachidule. Ma genetic amayambitsa + njira zotupa + triglycerides m'magazi - zonsezi zimayambitsa kukana kwa insulin. Nayo, imayambitsa hyperinsulinemia - kuchuluka kwa insulin m'magazi. Izi zimapangitsa kuwonjezera kuchuluka kwa minofu ya adipose pamimba ndi m'chiuno. Kunenepa kwambiri kwam'mimba kumawonjezera triglycerides m'magazi ndipo kumathandizira kutupa kosatha. Zonsezi zimachepetsa chidwi cha maselo ku insulin. Mapeto ake, maselo a pancreatic beta amasiya kuthana ndi kuchuluka kowonjezereka ndikufa. Mwamwayi, kusiya njira zoyipa zomwe zimayambitsa matenda a shuga a 2 sikovuta. Izi zitha kuchitika ndi chakudya chamafuta ochepa komanso kuchita masewera olimbitsa thupi mosangalala.

Chinthu chosangalatsa kwambiri chomwe tapulumutsa pamapeto. Zimapezeka kuti mafuta osasangalatsa omwe amayenderera m'magazi mu mawonekedwe a triglycerides si mtundu wamafuta omwe mumadya konse. Kuchuluka kwa triglycerides m'magazi sikuchitika chifukwa cha kudya mafuta azakudya, koma chifukwa chodya zakudya zamagulu komanso kuchuluka kwa minofu ya adipose mwanjira yokhudza kunenepa kwambiri pamimba. Kuti mumve zambiri, onani nkhani yakuti "Mapuloteni, Mafuta, ndi Zosakhazikika Zomwe Zili m'gulu la Zakudya Zam'magazi." M'maselo a adipose minofu, osati mafuta omwe timadya amadzisonkhanitsa, koma omwe thupi limatulutsa kuchokera kumankhwala azakudya mothandizidwa ndi insulin. Mafuta okometsera achilengedwe, kuphatikiza mafuta azinyama, ndiofunika komanso amakhalanso athanzi.

Type 2 matenda a insulin

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe apezeka posachedwa, monga lamulo, akupitiliza kupanga awo a insulin ambiri. Kuphatikiza apo, ambiri a iwo amapanga insulin yochulukirapo kuposa anthu oonda opanda shuga! Kungoti thupi la odwala matenda ashuga salinso ndi insulin yokwanira chifukwa cha kukana kwambiri insulin. Chithandizo chofala kwa matenda amishuga amtundu 2 pamenepa ndikuwonjezera kapamba kuti apangitse insulini kwambiri. M'malo mwake, ndibwino kuchitapo kanthu kuti muwonjezere chidwi cha maselo kuti muchite insulin, i.e., kuti muthandizire kukana kwa insulin (momwe mungachitire).

Ngati atachira moyenera komanso moyenera, ndiye kuti odwala ambiri omwe ali ndi matenda a shuga a 2 adzabwezeretsa shuga awo mwachizolowezi popanda jakisoni wa insulin. Koma ngati singasiyidwe kapena kulandira chithandizo cha “chikhalidwe” cha abambo operekera zakudya m'thupi (chakudya chambiri cham'mimba, mapiritsi a sulfonylurea), posachedwa maselo a pancreatic beta "adzathedwa" kwathunthu. Ndipo kenako jakisoni wa insulini adzakhala wofunikira kwambiri kuti wodwalayo apulumuke. Chifukwa chake, lembani matenda ashuga amtundu wa 2 amasintha bwino kukhala mtundu wamphamvu wa shuga. Werengani pansipa momwe mungadzichiritsire moyenera kuti mupewe izi.

Mayankho a Odwala Amafunsa Kawirikawiri

Chithandizo chachikulu cha matenda a shuga a 2 ndichakudya chamafuta ochepa. Ngati simutsatira, ndikudya zakudya zabwino zomwe zadzaza ndi mafuta owopsa, ndiye kuti palibe nzeru. Palibe mapiritsi kapena akutsikira, zitsamba, chiwembu, etc. zingathandize. Malingaliro anga, amabweretsa zabwino zenizeni. Koma amatha kuthana ndi mavitamini B-50 m'mapiritsi. Berlition ndi dontho la alpha lipoic acid. Amatha kuyesedwa ndi matenda a shuga, kuphatikiza pa chakudya chamagulu ochepa, koma osakhala m'malo mwawo. Werengani nkhani ya alpha lipoic acid. Actovegin ndi Montidol wogwira - sindikudziwa.

Diaglazide imatchulira zochokera ku sulfonylurea. Awa ndimapiritsi oyipa omwe amatha (atatha, "awotcha") kapamba wanu. Zotsatira zake, matenda anu amtundu wa 2 asintha kwambiri matenda ashuga 1. Kwa endocrinologist yemwe adalemba mapiritsi awa, nkuti moni, chingwe ndi sopo. M'mikhalidwe yanu, simungathe kuchita popanda insulini. Yambani kuzibaya mwachangu mpaka mavuto atasintha. Phunzirani ndikutsatira pulogalamu yothana ndi matenda a shuga 1. Letsaninso diformin. Tsoka ilo, mwapeza tsamba lathu litachedwa kwambiri, ndiye kuti mutha kubaya insulin mpaka kumapeto kwa moyo wanu. Ndipo ngati ndinu aulesi kwambiri, ndiye kuti patapita zaka zochepa mudzakhala olumala chifukwa cha zovuta za matenda ashuga.

Dokotala wanu akunena zoona - ichi ndi prediabetes. Komabe, zoterezi, kufalitsa mapiritsi ndikotheka komanso kosavuta. Pitani pa zakudya zamafuta ochepa pomwe mukuyesetsa kuti muchepetse kunenepa. Koma musakhale ndi njala. Werengani nkhani za metabolic syndrome, kukana insulini komanso momwe mungachepetse kunenepa. Moyenera, inu, komanso zakudya, mumachitanso masewera olimbitsa thupi mosangalala.

Zomwe mukufotokozera sizinenso kapena zabwinobwino, koma sizabwino. Chifukwa m'maminiti ndi maora pomwe shuga amayamba kukwera, zovuta za matenda ashuga zimayamba kukhazikika. Ziphuphu zimagwira kumapuloteni ndikusokoneza ntchito yawo. Ngati pansi amathiridwa ndi shuga, imakhala yolimba ndipo zimavuta kuyiyenda. Momwemonso, glucose wophika mapuloteni "amamatira". Ngakhale mutakhala kuti mulibe matenda ashuga, kulephera kwa impso kapena khungu, chiopsezo chodwala mwadzidzidzi mtima kapena matenda opha ziwalo adakali okwera kwambiri. Ngati mukufuna kukhala ndi moyo, ndiye kuti tsatirani pulogalamu yathu mosamalitsa matenda a shuga a 2, musakhale aulesi.

Simunalembe chinthu chachikulu. Shuga osapitirira 6.0 - pamimba yopanda kanthu kapena mutatha kudya? Kuthamanga shuga ndi zamkhutu. M shuga wokha mukatha kudya ndi wofunikira. Ngati mukuwongolera shuga mutatha kudya ndi zakudya, pitirizani momwemonso. Sipafunika mapiritsi kapena insulin. Zikadangokhala kuti wodwala sanachotsere "chakudya" chanjala. Ngati mudawonetsa shuga pamimba yopanda kanthu, ndipo mutatha kudya mumayesa kuwayeza, ndiye kuti uku ndikumangirira mutu wanu mumchenga, monga nthiwatiwa zimachitira. Ndipo zotsatirazo zidzakhala zoyenera.

Mukakhala pachakudya "chanjala", mwachepetsa katundu pancreas anu. Chifukwa cha izi, adachira pang'ono pang'ono ndipo adatha kupilira. Koma ngati mungabwerere pazakudya zopanda thanzi, ndiye kuti kuchotsedwa kwa matenda ashuga kutha posachedwa. Komanso, palibe maphunziro akuthupi omwe angakuthandizeni ngati mumadya mafuta ambiri. Matenda a shuga a Mtundu 2 amatha kuwongoleredwa osati ndi calorie yotsika, koma zakudya zamagulu ochepa. Ndikupangira kuti mupite ku icho.

Ndikotheka kuthana ndi matenda a shuga a 2 m'mbuyomu moyo wanga wonse ndikudya popanda mapiritsi ndi insulini. Koma pa izi muyenera kutsatira zakudya zamafuta ochepa, osakhala ndi calorie "yanjala", yomwe imalimbikitsidwa ndi mankhwala. Ndikamadya chakudya chamagulu, odwala ambiri amalephera. Zotsatira zake, kulemera kwawo ndi zikondamoyo “zimatha”. Pambuyo kulumpha kangapo, ndizosatheka popanda mapiritsi ndi insulin. Mosiyana ndi izi, zakudya zamafuta ochepa sizabwino, ndizokoma komanso ngakhale zapamwamba. Anthu omwe amadwala matenda ashuga mosamalitsa amatsatira, osapasuka, amakhala mwachilungamo popanda mapiritsi ndi insulin.

Ndinu ochepa thupi, palibe kulemera kowonjezera. Anthu ocheperako alibe mtundu 2 wa shuga! Matenda anu amatchedwa LADA, mtundu 1 wa shuga wofatsa. Shuga siwokwera kwambiri, koma wokwera kwambiri kuposa wabwinobwino. Siyani vuto ili osakumanapo. Yambirani chithandizo kuti zovuta pamiyendo, impso, mawonekedwe a maso asatukuke. Musalole kuti shuga iwononge zaka zagolide zomwe zikubwera.

Dokotala wanu samaphunzira za matenda ashuga, monga ambiri ogwira nawo ntchito. Anthu oterewa amathandizira LADA mwa odwala awo momwemonso matenda amtundu wa 2 wodwala. Chifukwa cha izi, chaka chilichonse odwala masauzande ambiri amafa msanga. Maninil ndi piritsi loipa, ndipo kwa inu ali owopsa kangapo kuposa odwala omwe ali ndi matenda a shuga a 2. Werengani nkhani yatsatanetsatane, "Matenda a LADA: Diagnosis and Treatment Algorithm."

Chifukwa chake simukufuna maswiti, ndikukulangizani kuti mutenge zowonjezera. Choyamba, chromium picolinate, monga tafotokozera apa. Ndipo pali chida changa chachinsinsi - ichi ndi L-glutamine ufa. Kugulitsidwa m'masitolo azakudya zamagulu. Ngati mungayitanitse ku USA potengera izi, zidzakhala zotsika mtengo kamodzi ndi theka. Sungunulani supuni yothira mu kapu yamadzi ndikumwa. Kusunthika kumadzuka msanga, chilako cha kususuka chimatha, ndipo zonsezi ndi zopanda vuto, ngakhale zothandiza thupi.Werengani zambiri za L-glutamine m'buku la Atkins "Supplements." Tengani pamene mukumva chikhumbo chachikulu cha "kuchimwa" kapena prophylactically, makapu awiri a yankho tsiku lililonse, mwamphamvu pamimba yopanda kanthu.

Amayi anu ali kale ndi matenda ashuga amtundu wa 2 ndipo ali ndi mtundu woyamba wa matenda ashuga. Yambani kubayila insulin nthawi yomweyo! Ndikukhulupirira kuti sinachedwe kupulumutsa mwendo kuti musadulidwe. Ngati amayi akufuna kukhala ndi moyo, muwalole aphunzire mtundu wa 1 wa chithandizo cha matenda ashuga ndikuwonetsetsa. Kanani jakisoni wa insulin - osalotanso! Madokotala anu atawonetsa kuti alibe chidwi. Mutasintha shuga ndi jakisoni wa insulin, ndikofunika kudandaula kwa akuluakulu. Patulani yomweyo ma glucovans.

Ndikukulangizani kuti musinthe mwachangu ku zakudya zamagulu ochepa ndikuwonetsetsa. Komanso muzilimbitsa thupi mosangalala. Pitilizani kumwa Diaformin, koma osayamba matenda a shuga. Chifukwa chiyani Diabetes imakhala yoyipa, werengani apa. Pokhapokha ngati masabata awiri atangokhala ndi chakudya chochepa kwambiri shuga wanu shuga atatha kudya akhala pamwamba 7.0-7.5, ndiye kuti yambani jekeseni wa insulin - Lantus kapena Levemir. Ndipo ngati izi sizokwanira, ndiye kuti mungafunenso jakisoni wa insulin mwachangu musanadye. Ngati muphatikiza chakudya chochepa chama carbohydrate ndi maphunziro akuthupi ndikutsata boma mwachangu, ndiye kuti mwina mungathe kuchita popanda insulini.

Miyezo yovomerezeka ya shuga ya odwala omwe ali ndi matenda ashuga ndi yokwera nthawi 1.5 kuposa anthu athanzi. Izi ndiye chifukwa chake muli ndi nkhawa. Koma ife ku Diabetes-Med.Com tikuvomereza kuti odwala matenda ashuga onse amayesetsa kusunga shuga yawo chimodzimodzi ndi anthu omwe ali ndi chakudya chamafuta. Werengani za zolinga za matenda ashuga. Zimangothandiza kwa inu. Mwanjira iyi, palibe chodandaula. Funso lina ndikuti mupitilira nthawi yayitali bwanji? Mukutsatira boma lovuta kwambiri. Pewani matenda ashuga kudzera pa njala yoopsa. Ndikukhulupirira kuti posakhalitsa mungathe kugwa, ndipo "kubwerezanso" kudzakhala tsoka. Ngakhale ngati simukuswa, ndiye chotsatira nchiani? 1300-1400 kcal patsiku - izi ndizochepa kwambiri, sizikwaniritsa zosowa za thupi. Muyenera kukulitsa kudya kalori tsiku ndi tsiku kapena mudzayambiranso kusala ndi njala. Ndipo ngati muwonjezera ma calories kudzera mu chakudya, ndiye kuti katundu pa zikondwererozi adzakulirakulira ndipo shuga atuluka. Mwachidule, sinthani zakudya zamafuta ochepa. Onjezani zopatsa mphamvu za tsiku ndi tsiku kudzera mu mapuloteni komanso mafuta. Ndipo kupambana kwanu kudzatenga nthawi yayitali.

Kuwongolera kwa shuga m'magazi: Malangizo omaliza

Chifukwa chake, mumawerenga kuti ndi mtundu wothandiza wa mtundu wa 2 wa matenda a shuga omwe ali. Chida chachikulu ndichakudya chamafuta ochepa, komanso kuchita masewera olimbitsa thupi molingana ndi njira yophunzitsira thupi mwakusangalala. Ngati zakudya zoyenera ndi maphunziro olimbitsa thupi sizokwanira, ndiye kuwonjezera pa iwo, mankhwalawa amagwiritsidwa ntchito, ndipo ovulala kwambiri, jakisoni wa insulin.

Timapereka njira zothandiza kuti tipewe kuthana ndi magazi, ngakhale ogwira ntchito. Amapereka mwayi wambiri kuti wodwala wodwala mtundu wa 2 azitsatira malangizowo. Ngakhale zili choncho, kuti mupeze njira yabwino yothandizira matenda anu a shuga, muyenera kugwiritsa ntchito nthawi komanso kusintha kwambiri moyo wanu. Ndikufuna kupangira buku lomwe, ngakhale siligwirizana mwachindunji ndi chithandizo cha matenda ashuga, lidzakulimbikitsani. Ili ndiye buku "Wamng'ono chaka chilichonse."

Wolemba wake, Chris Crowley, ndi loya wakale yemwe, atapuma pantchito, adaphunziranso kukhala momwe akufunira, kuphatikizanso, mu boma losunga ndalama mosamalitsa. Tsopano akuchita mwakhama maphunziro akuthupi, chifukwa ali ndi chilimbikitso pamoyo. Poyang'ana koyamba, ili ndi buku lonena za chifukwa chake ndikofunikira kuchita masewera olimbitsa thupi kuti muchepetse ukalamba, komanso momwe mungachitire bwino. Chofunika kwambiri, amauza bwanji khalani ndi moyo wathanzi komanso zomwe mungapeze. Bukuli lidakhala desktop kwa mazana masauzande aopuma ku America, ndipo wolemba - ngwazi yadziko. Kwa owerenga tsamba la Diabetes-Med.Com, "zambiri zamaganizidwe" m'bukuli ndizothandizanso kwambiri.

Odwala omwe ali ndi matenda a shuga a 2, oyambira, "amalumpha" m'magazi a magazi kuchokera kumtunda wotsika kwambiri amatha kuonedwa. Zomwe zimayambitsa vutoli sizikuwonetsedweratu. Zakudya zamagulu ochepa zimapukusa bwino, zimapangitsa odwala kumva bwino. Komabe, nthawi ndi nthawi, shuga wamagazi amatha kutsika mpaka 3,3-3.8 mmol / L. Izi zimagwira ngakhale kwa odwala omwe ali ndi matenda a shuga a 2 omwe samathandizidwa ndi insulin.

Ngati shuga m'magazi apezeka kukhala 3.3-3.8 mmol / l, ndiye kuti si hypoglycemia yayikulu, koma imatha kuyambitsa kusasamala komanso kuluma kwina. Chifukwa chake, tikulimbikitsidwa kuphunzira momwe mungaimire hypoglycemia, komanso nthawi zonse mumakhala ndi mapiritsi a glucometer ndi glucose pamenepa. Werengani nkhani yakuti “Chitetezo Choyamba. Zomwe muyenera kukhala ndi matenda ashuga kunyumba komanso nanu. "

Ngati muli okonzeka kuchita chilichonse ndi matenda ashuga amtundu wa 2, mukadapanda kuchita "kukhala pansi" pa insulin - zabwino! Tsatirani mosamala zakudya zamafuta ochepa kuti muchepetse kupanikizika ndi kupangitsa maselo anu a beta akhale amoyo. Phunzirani masewera olimbitsa thupi mosangalatsa, ndipo chitani. Chitani kuchuluka kwa magazi nthawi zonse. Ngati shuga yanu ikadalipobe pakudya chamafuta ochepa, yesani mapiritsi a Siofor ndi Glucofage.

Kuthamanga, kusambira, kuyendetsa njinga kapena mitundu ina yolimbitsa thupi - ndi kothandiza kwambiri maulendo khumi kuposa piritsi lililonse lotsitsa shuga. Nthawi zambiri, jakisoni wa insulini ndi wofunikira kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ali aulesi kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi ndikosangalatsa, ndipo jakisoni wa insulin ndi vuto. Chifukwa chake "dziganizireni nokha, sankhani nokha."