Momwe mungachepetse shuga komanso kuthana ndi magazi abwinobwino

Mwazi wamagazi ndi dzina lanyumba la shuga losungunuka m'magazi, lomwe limazungulira m'mitsempha. Nkhaniyi imanena za miyezo ya shuga ya magazi kwa ana ndi akulu, abambo ndi amayi apakati. Muphunzira chifukwa chake kuchuluka kwa glucose kumakwera, momwe kumakhala koopsa, komanso koposa momwe mungakuchepetsere moyenera komanso mosatetezeka. Kuyesedwa kwa shuga kwa shuga kumaperekedwa mu labotale pamimba yopanda kanthu kapena mutatha kudya. Anthu opitilira 40 amalangizidwa kuchita izi kamodzi pachaka zitatu. Ngati matenda a shuga a prediabetes kapena Type 2 apezeka, muyenera kugwiritsa ntchito zida zam'nyumba kuyeza shuga kangapo tsiku lililonse. Chida choterocho chimatchedwa glucometer.

Glucose amalowa m'magazi kuchokera pachiwindi ndi m'matumbo, kenako magazi amatenga thupi lonse, kuyambira pamwamba mpaka mutu mpaka chidendene. Mwanjira imeneyi, minofu imalandira mphamvu. Kuti maselo atenge glucose m'magazi, insulin yofunika. Amapangidwa ndi maselo apadera a kapamba - maselo a beta. Mulingo wa shuga ndi kuchuluka kwa shuga m'magazi. Nthawi zambiri, amasintha mosiyanasiyana, osapitilira. Mwazi wochepera wamagazi uli pamimba yopanda kanthu. Mukatha kudya, imadzuka. Ngati zonse zili zabwinobwino ndi kagayidwe ka glucose, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo osati kwa nthawi yayitali.

Thupi limapitiliza kuyang'anira glucose kuti akhale bwino. Shuga wapamwamba amatchedwa hyperglycemia, shuga wochepa amatchedwa hypoglycemia. Ngati kuyezetsa magazi angapo patsiku zosiyanasiyana kukuwonetsa kuti shuga ndiwambiri, mutha kukayikira prediabetes kapena "weniweni" shuga. Kusanthula kumodzi sikokwanira izi. Komabe, munthu ayenera kukhala atcheru kale zotsatira zoyipa zisanachitike. Bwerezani kusanthula kambiri kangapo m'masiku akubwera.

M'mayiko olankhula Chirasha, shuga wamagazi amayezedwa m'mamilimita angapo pa lita imodzi (mmol / l). M'mayiko olankhula Chingerezi, ma milligrams pa desilita (mg / dl). Nthawi zina muyenera kutanthauzira zochokera pazomwe zikuwunikira kuchokera pa chimodzi. Sizovuta.

Zitsanzo:

• 4.0 mmol / L = 72 mg / dl
• 6.0 mmol / L = 108 mg / dl
• 7.0 mmol / L = 126 mg / dl
• 8.0 mmol / L = 144 mg / dL

Mwazi wamagazi

Adazindikirika mkati mwa zaka za makumi awiriwa malinga ndi kafukufuku wambiri wa anthu wathanzi ndi odwala matenda a shuga. Mitengo ya shuga ya odwala matenda ashuga ndiwokwera kwambiri kuposa wathanzi. Mankhwala samayesanso konse kuwongolera shuga m'matenda a shuga, kotero kuti amafika pamlingo wamba. Pansipa mupeza chifukwa chake izi zikuchitika komanso ndi njira zina zochizira.
Zakudya zoyenera zomwe madokotala amalimbikitsa zimadzaza ndi mafuta. Zakudya izi ndizabwino kwa anthu odwala matenda ashuga. Chifukwa chakudya amapangitsa kuti shuga azingokhala. Chifukwa cha izi, odwala matenda ashuga samva bwino ndipo amakula. Odwala omwe ali ndi matenda a shuga omwe amathandizidwa ndi njira zachikhalidwe, shuga amadumphira kuchokera kumtunda kwambiri mpaka kutsika. Zakudya zamafuta zimawonjezera, ndikuchepetsa jakisoni wa Mlingo waukulu wa insulin. Nthawi yomweyo, palibe chifukwa chobweretsera shuga kukhala yabwinobwino. Madotolo ndi odwala ali ndiokhutitsidwa kale kuti angathe kupewa kukomoka kwa matenda ashuga.

Komabe, ngati mumatsatira zakudya zamafuta ochepa, ndiye kuti muli ndi matenda a shuga a 2 komanso ngakhale muli ndi matenda osokoneza bongo a 1, mutha kukhalabe ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Odwala omwe amachepetsa chakudya chawo amachilamulira matenda awo a shuga osapindulitsa kapena insulin kapena kuwongolera pang'ono. Chiwopsezo cha zovuta mu mtima, impso, miyendo, maso - amachepetsa kukhala zero. Webusayiti ya Diabetes-Med.Com imalimbikitsa kudya zakudya zamafuta ochepa kuti azilamulira odwala a shuga olankhula Chirasha. Kuti mumve zambiri, werengani "Chifukwa Chomwe Mtundu 1 ndi Matenda Atiwiti Awiriwa Amafunikira:" Zotsatirazi zikufotokozera kuchuluka kwa shuga m'magazi mwa anthu athanzi komanso momwe amasiyana mosiyanasiyana malinga ndi boma.

Mwazi wamagazi

Mwa anthu athanzi, shuga wamwazi pafupifupi nthawi yonseyo amakhala m'mitundu 3.9-5.3 mmol / L. Nthawi zambiri, ndi 4.2-4.6 mmol / l, pamimba yopanda kanthu ndikatha kudya. Ngati munthu wadya kwambiri zakudya zamafuta, ndiye kuti shuga amatha kutuluka kwa mphindi zingapo mpaka 6.7-6.9 mmol / l. Komabe, ndizokayikitsa kuti ndizokwezeka kuposa 7.0 mmol / L. Kwa odwala matenda a shuga mellitus, kuchuluka kwa shuga m'magazi a 7-8 mmol / L pakatha maola 1-2 chakudya chikamawonedwa ngati chabwino, mpaka 10 mmol / L - chovomerezeka. Dokotala sangakupatseni mankhwala ena aliwonse, koma amangopatsa wodwala chidziwitso chofunikira - kuwunika shuga.

Miyezo yovomerezeka ya shuga m'magazi a odwala matenda ashuga ndiochuluka. Odwala matenda ashuga ayenera kuyesetsa kuti shuga asapitirire 5.5-6.0 mmol / L mukatha kudya komanso m'mawa m'mimba yopanda kanthu. Izi zimatheka kwenikweni ngati mutembenukira ku chakudya chamafuta ochepa. Mutha kuchepetsa mwayi wokhala ndi vuto la matenda ashuga m'maso, m'miyendo, impso, ndi mtima.

Chifukwa chiyani ndizofunikira kuti odwala matenda ashuga azitsatira posonyeza shuga, monga mwa anthu athanzi? Chifukwa zovuta zambiri zimayamba ngakhale shuga m'magazi akakwera kufika pa 6.0 mmol / L. Ngakhale, zowonadi, sizimakula mwachangu monga pamwambamwamba. Ndikofunika kuti musunge hemoglobin yanu ya glycated pansipa 5.5%. Ngati cholinga ichi chikwaniritsidwa, ndiye kuti chiopsezo cha imfa kuchokera kuzomwe zimayambitsa ndizochepa kwambiri.

Mu 2001, nkhani yokhudza mtima idasindikizidwa ku Britain Medical Journal yokhudza ubale wa glycated hemoglobin ndi kufa. Amatchedwa "Glycated hemoglobin, shuga, ndi kufa kwa amuna ku Norfolk cohort of European Prospective Investigation of Cancer and Nutrition (EPIC-Norfolk)." Olemba - Kay-Tee Khaw, Nicholas Wareham ndi ena. HbA1C inayesedwa mwa amuna 462 wazaka 45-79, kenako zaka 4 zinawonedwa. Mwa omwe adachita kafukufukuyu, ambiri anali anthu athanzi omwe sanali kudwala matenda ashuga.

Zinapezeka kuti kufa kwa zinthu zonse, kuphatikizapo kugunda kwa mtima komanso matenda opha ziwalo, sikochepa pakati pa anthu omwe hemoglobin ya glycated siapamwamba kuposa 5.0%. Kukula kulikonse kwa 1% ku HbA1C kumatanthauza chiopsezo cha kufa ndi 28%. Chifukwa chake, munthu yemwe ali ndi HbA1C ya 7% ali ndi chiwopsezo chachikulu 85% cha kufa kuposa munthu wathanzi. Koma glycated hemoglobin 7% - amakhulupirira kuti uku ndi kuwongolera kwabwino kwa matenda ashuga.

Miyezo yatsopano ya shuga imasefedwa chifukwa kudya “moyenera” sikuloleza kupatsidwa shuga. Madokotala amayesetsa kuti achepetse ntchito yawo popanda kuwononga zotsatira za wodwala. Palibe phindu boma kuti lichiritse odwala matenda ashuga. Chifukwa anthu oyipa amawongolera matenda awo a shuga, omwe amawonjezera ndalama pakubweza ndalama ndi mapindu osiyanasiyana. Khalani ndi udindo pazamankhwala anu. Yesani zakudya zamafuta ochepa - ndipo onetsetsani kuti zimapereka pambuyo pa masiku awiri ndi atatu. Mwazi wa magazi umatsikira kukhala wabwinobwino, Mlingo wa insulin umachepetsedwa ndi 2-7 nthawi, thanzi limasintha.

Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani

Mchere wochepera mwa anthu uli pamimba yopanda kanthu, pamimba yopanda kanthu. Chakudya chakudyacho chikamamwa, michere imalowa m'magazi. Chifukwa chake, kuchuluka kwa shuga atatha kudya kumatuluka. Ngati kagayidwe kazakudya sikasokonekera, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo sikokhalitsa. Chifukwa chakuti kapamba amasunga insulin yowonjezera kuti itsitse shuga pambuyo kudya.

Ngati insulin sikokwanira (mtundu 1 wa shuga) kapena yofooka (mtundu 2 wa shuga), ndiye kuti shuga mutatha kudya imatuluka maola ochepa aliwonse. Izi ndizovulaza chifukwa zovuta zimayamba pa impso, masomphenyawo amagwa, ndipo mapangidwe ake amanjenje amakhala opuwala. Choyipa chachikulu ndikuti machitidwe amapangidwira kugunda kwadzidzidzi kwa mtima kapena stroke. Mavuto azaumoyo omwe amayamba chifukwa cha kuchuluka kwa shuga mutatha kudya nthawi zambiri amawonedwa ngati kusintha kwachilengedwe. Komabe, ayenera kulandira chithandizo, apo ayi wodwalayo sangathe kukhala bwino pakatikati ndi kukalamba.

Glucose Assays:

Kuyesa kwa shuga m'magazi ndi njira yabwino yopezera matenda ashuga. Tiyeni tiwone chifukwa. Matenda a shuga akayamba, shuga wa m'magazi amayamba kudya. Zikondazo, pazifukwa zosiyanasiyana, sizingathe kupirira kuti zichepetse mwachangu kuti zizolowereka. Kuonjezera shuga mutatha kudya pang'onopang'ono kumawononga mitsempha yamagazi ndikuyambitsa zovuta. M'zaka zochepa za matenda ashuga, kuthamanga kwa glucose kumatha kukhala kwabwinobwino. Komabe, pakadali pano, zovuta zikuluzikulu zikuyamba kale. Ngati wodwala sayeza shuga atatha kudya, ndiye kuti samakayikira kudwala kwake mpaka zizindikirazo zikuwonekera.

Kuti muone ngati muli ndi matenda ashuga, pitani kuyezetsa magazi a glycated hemoglobin mu labotale. Ngati muli ndi mita ya shuga m'magazi - yeretsani shuga 1 ndi maola awiri mutatha kudya. Musapusitsidwe ngati kuchuluka kwanu kwa shuga kusala kudya. Amayi omwe ali mu II ndi III ma trimesters am'mimba amayenera kuchita mayeso ololera a maola awiri. Chifukwa ngati matenda a shuga apezeka, kuwunika kwa hemoglobin ya glycated sikungathandize kuti muzitha kudziwa nthawi yake.

Matenda a shuga ndi matenda ashuga

Monga mukudziwa, 90% ya omwe amachititsa kuti shuga asamayende bwino ndi mtundu wa 2 shuga. Simamera nthawi yomweyo, koma kawirikawiri prediabetes imayamba. Matendawa amatha zaka zingapo. Wodwala akapanda kuthandizidwa, ndiye kuti zotsatira zotsatirazi zimachitika - "zonse" shuga mellitus.

Momwe mungadziwire matenda a prediabetes:

• Kuthamanga shuga m'magazi 5.5-7.0 mmol / L.
• Glycated hemoglobin 5.7-6.4%.
• Shuga pambuyo pa maola 1 kapena 2 mutatha kudya 7.8-11.0 mmol / L.

Ndikokwanira kukwaniritsa chimodzi mwazomwe zafotokozeredwa pamwambapa kuti mupeze matenda.

Matenda a shuga ndi vuto lalikulu la metabolic. Muli pachiwopsezo chachikulu cha matenda ashuga amtundu wa 2. Mavuto owopsa pa impso, miyendo, mawonekedwe amaso akupanga tsopano. Ngati simusintha ndikukhala ndi moyo wathanzi, ndiye kuti matenda am'mbuyomu amasintha mtundu wa shuga. Kapenanso mudzakhala ndi nthawi yakufa kale chifukwa cha vuto la mtima kapena sitiroko. Sindikufuna kukuwopani, koma izi ndi zotheka, osanyengerera. Kodi amathandizidwa bwanji? Werengani zolemba Metabolic Syndrome ndi Insulin Resistance, kenako kutsatira malangizowo. Matenda a shuga amatha kuyendetsedwa mosavuta popanda jakisoni wa insulin. Palibenso chifukwa chodzakhala ndi njala kapena kugwira ntchito molimbika.

Zolemba za kudziletsa kwa wodwala wokhala ndi prediabetes. Pambuyo pake, atasinthana ndi zakudya zamafuta ochepa, shuga wake adabweranso mwakale, monga mwa anthu athanzi.

Njira zoyenera kudziwa mtundu wachiwiri wa matenda ashuga:

• Kufulumira kwa shuga kumakhala kwakukulu kuposa 7.0 mmol / L malinga ndi zotsatira za kusanthula kawiri mzere pamasiku osiyanasiyana.
• Nthawi inayake, shuga wamagazi anali okwera kuposa 11.1 mmol / L, mosasamala kanthu za kudya.
• Glycated hemoglobin 6.5% kapena kuposa.
• Panthawi yovomerezeka ya glucose ya maola awiri, shuga anali 11.1 mmol / L kapena kuposa.

Monga matenda a prediabetes, ndikokwanira kukwaniritsa imodzi mwamalemba kuti tithe kupeza matenda. Zizindikiro zodziwika bwino ndi kutopa, ludzu, komanso kukodza pafupipafupi. Pangakhale kuchepetsa osafotokozera. Werengani nkhani "Zizindikiro za matenda a shuga" mwatsatanetsatane. Nthawi yomweyo, odwala ambiri sazindikira chilichonse. Kwa iwo, zotsatira zoyipa za shuga m'magazi ndizosadabwitsa.

Gawo lapitalo limafotokoza chifukwa chake kuchuluka kwa shuga m'magazi kumakhala kwambiri. Muyenera kuwomba alamu kale shuga atatha kudya ndi 7.0 mmol / l ndipo makamaka ngati apamwamba. Kusala shuga kumatha kukhala kwabwinobwino kwa zaka zochepa pomwe matenda ashuwarawa amawononga thupi. Kusanthula sikofunika kuti mutenge matenda. Gwiritsani ntchito njira zina - glycated hemoglobin kapena shuga wamagazi mukatha kudya.

Zowopsa zomwe zimayambitsa matenda a prediabetes komanso mtundu 2 wa matenda ashuga:

• Kunenepa kwambiri - index of body 25 kg / m2 and above.
• Kupsinjika kwa magazi 140/90 mm RT. Art. ndi mmwamba.
• Zotsatira zoyesa zamagazi cholesterol.
• Amayi omwe amakhala ndi mwana wolemera makilogalamu 4.5 kapena kuposerapo kapena wapezeka ndi matenda ashuga akakhala ndi pakati.
• Polycystic ovary.
• Milandu ya matenda amtundu 1 kapena matenda ashuga 2 m'banja.

Ngati muli ndi chimodzi mwazomwe zalembedwera, ndiye kuti muyenera kuyang'ana magazi aliwonse azaka zitatu, kuyambira zaka 45. Kuyang'anira ana ndi achinyamata omwe ali onenepa kwambiri komanso omwe ali ndi vuto lina lowonjezera kumalimbikitsidwanso. Afunika kuwunika shuga pafupipafupi, kuyambira ali ndi zaka 10. Chifukwa kuyambira 1980s, matenda ashuga amtundu wa 2 adakula. M'mayiko a Azungu, zimawonekera ngakhale mwa achinyamata.

Momwe thupi limayang'anira shuga

Thupi limayang'anira mosalekeza kuchuluka kwa shuga m'magazi, kuyesera kuti lisasungidwe mkati mwa 3.9-5.3 mmol / L. Izi ndiye zolondola pamoyo wabwino. Anthu odwala matenda ashuga amadziwa bwino kuti mutha kukhala ndi moyo wambiri ndi shuga. Komabe, ngakhale ngati palibe zizindikiro zosasangalatsa, shuga wowonjezereka amalimbikitsa kukula kwamavuto a shuga.

Shuga wotsika amatchedwa hypoglycemia. Uku ndi tsoka lenileni kwa thupi. Ubongo sulekerera pakakhala kuti palibe magazi okwanira m'magazi. Chifukwa chake, hypoglycemia imangodziwonetsera ngati zizindikiro - kusakwiya, mantha, palpitations, njala yayikulu. Ngati shuga agwera mpaka 2.2 mmol / L, ndiye kuti kusokonekera kwa chikumbumtima ndi kufa kumatha kuchitika. Werengani zambiri mulemba "Hypoglycemia - Kupewa ndi Kupulumutsidwa kwa Attack."

Thupi limayendetsa shuga m'magazi ndikamasula mahomoni omwe amawonjezera kapena amachepetsa. Ma mahomoni a Catabolic amawonjezera kuchuluka kwa glucose - glucagon, cortisol, adrenaline ndi ena ambiri. Ndipo pali mahomoni amodzi okha omwe amatsitsa. Ichi ndi insulin. Kutsika kwama glucose komwe kumapangitsa, mahomoni ena obisika kwambiri amatulutsidwa, komanso insulini yocheperako. Ndipo mosinthanitsa - shuga wowonjezera wamagazi amathandizira kapamba kuti asunge insulin yowonjezera.

Ma hormone a Catabolic ndi insulin ndi okondana wina ndi mnzake, i.e., amakhala ndi zotsutsana.Kuti mumve zambiri, werengani nkhani yakuti "Momwe insulini imayang'anira shuga m'magazi komanso matenda ashuga."

Nthawi iliyonse, shuga wambiri amayenda m'magazi a munthu. Mwachitsanzo, mwa bambo wamkulu wolemera makilogalamu 75, kuchuluka kwa magazi m'thupi ndi malita asanu. Kuti tikwaniritse shuga m'magazi a 5.5 mmol / l, ndikokwanira kupukusa mkati mwake magalamu asanu okha a glucose. Izi ndi pafupifupi supuni 1 ya shuga ndi slide. Pa sekondi iliyonse, ma microscopic Mlingo wama glucose ndi mahomoni owongolera amalowa m'magazi kuti akhale bwino. Izi zimachitika maola 24 tsiku lililonse osasokoneza.

Shuga wapamwamba - zizindikiro ndi zizindikiro

Nthawi zambiri, munthu amakhala ndi shuga wambiri chifukwa cha matenda ashuga. Koma pakhoza kukhala zifukwa zina - mankhwala, kupsinjika kwamphamvu, kusokonezeka m'matumbo a adrenal kapena pituitary, matenda opatsirana. Mankhwala ambiri amalimbikitsa shuga. Awa ndi ma corticosteroids, beta-blockers, thiazide diuretics (okodzetsa), antidepressants. Kuti mupeze mndandanda wathunthu munkhaniyi sizotheka. Dokotala wanu asanakupatseni mankhwala ena, kambiranani momwe zakhudzira shuga wanu wamagazi.

Nthawi zambiri hyperglycemia siziwonetsa chilichonse, ngakhale shuga atakhala wamkulu kwambiri kuposa wabwinobwino. Woopsa akamadwala, wodwalayo amatha kuzindikira. Hyperglycemic coma ndi ketoacidosis ndizovuta zowopsa zomwe zimabweretsa shuga.

Zovuta pachimake, koma zofala zambiri:

• ludzu lalikulu;
• kamwa yowuma
• kukodza pafupipafupi;
• Khungu lidawuma;
• mawonekedwe osasangalatsa;
• kutopa, kugona;
• kuchepa thupi kosalephera;
• mabala, zipsera sizichiritsa bwino;
• zomverera zosasangalatsa m'miyendo - kumeza, goosebumps;
• pafupipafupi matenda opatsirana komanso fungus omwe ndizovuta kuchiza.

Zizindikiro zowonjezera za ketoacidosis:

• kupuma pafupipafupi komanso kwakuya kwambiri;
• fungo la acetone popuma;
• chikhalidwe chosakhazikika.

Chifukwa chiyani shuga wambiri ndi woipa

Ngati simutenga shuga m'magazi, ndiye kuti zimayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto owopsa adatchulidwa pamwambapa. Ichi ndi hyperglycemic coma ndi matenda ashuga a ketoacidosis. Amawonetsedwa ndi kusazindikira bwino, kukomoka ndipo amafuna chithandizo chamankhwala mwadzidzidzi. Komabe, zovuta zazovuta zimayambitsa kuphedwa kwa 5-10% ya odwala matenda ashuga. Ena onse amafa ndi zovuta mu impso, kupenya, miyendo, mantha am'mimba, ndipo koposa zonse - kuchokera ku vuto la mtima ndi sitiroko.

Shuga wokwera kwambiri amawononga makoma amitsempha yamagazi kuchokera mkati. Amakhala olimba mopanda kunenepa. Pazaka zambiri, calcium amawayika pa iwo, ndipo zombozo zimafanana ndi mapaipi akale amiyala. Izi zimatchedwa angiopathy - kuwonongeka kwa mtima. Komanso imayambitsa zovuta za matenda ashuga. Zoopsa zake zazikulu ndi kulephera kwa impso, khungu, kudula miyendo kapena mapazi, komanso matenda amtima. Mukakhala ndi shuga m'magazi, zovuta zambiri zimayamba kudziwonetsa bwino. Yang'anirani chithandizo ndi chisamaliro cha matenda anu a shuga!

Zithandizo za anthu

Chithandizo cha anthu omwe amachepetsa shuga m'magazi a ku Yerusalemu ndi artichoke, sinamoni, komanso mitundu ingapo yazitsamba, mankhwala, zotupa, mapemphero, chiwembu, zina. kuti simunalandire phindu lililonse. Zithandizo za anthu zimapangidwira kwa odwala matenda ashuga omwe amadzinyenga, m'malo mothandizidwa bwino. Anthu oterewa amafa msanga chifukwa cha zovuta.

Mafanizi azitsamba za anthu odwala matenda ashuga ndiwo "makasitomala" akuluakulu a madokotala omwe amalimbana ndi kulephera kwa impso, kucheka kwa malekezero ena am'munsi, komanso ophthalmologists. Mavuto okhudzana ndi matenda a shuga m'm impso, m'miyendo, ndi m'maso zimapereka zaka zingapo zovuta zaumoyo wodwala asanaphe kapena vuto la mtima. Opanga ambiri ogulitsa mankhwalawa amagwira ntchito mosamala kuti asatsutsidwe ndi mlandu. Komabe, zomwe amachita zimaphwanya mfundo zamakhalidwe.

Pangani shuga ndi magazi anu kangapo patsiku. Ngati mukuwona kuti zotsatira zake sizikuyenda bwino kapena zikuipiraipira, siyani kugwiritsa ntchito mankhwala opanda pake.

Funsani dokotala musanamwe mankhwala ena alionse a shuga. Makamaka ngati mwayamba kale zovuta za impso kapena muli ndi matenda a chiwindi. Zowonjezera zomwe zatchulidwa pamwambapa sizilowa m'malo mwa chithandizo ndi zakudya, jakisoni wa insulin, komanso zolimbitsa thupi. Mutayamba kumwa alpha-lipoic acid, mungafunike kuchepetsa mlingo wa insulin yanu kuti pasakhale hypoglycemia.

Glucometer - mita ya shuga kunyumba

Ngati mwazindikira kuti ndi prediabetes kapena matenda ashuga, ndiye kuti muyenera kugula mwachangu chida chakuyezera kwanu shuga. Chipangizochi chimatchedwa glucometer. Popanda icho, matenda a shuga sangathe kuyendetsedwa bwino. Pangani shuga katatu patsiku, makamaka pafupipafupi. Madzi a glucose am'mimba anawonekera m'ma 1970. Mpaka pomwe amagwiritsidwa ntchito kwambiri, odwala matenda ashuga amayenera kupita ku labotale nthawi iliyonse, kapena ngakhale kukhala kuchipatala kwa milungu ingapo.

Mamita amakono a glucose amakono ndi opepuka komanso osalala. Amayeza shuga m'magazi pafupifupi osapweteka ndipo amawonetsa zotsatira zake. Vuto lokhalo ndiloti zingwe zoyeserera sizotsika mtengo. Muyezo uliwonse wa shuga umakhala pafupifupi $ 0,5. Ndalama zonse zimapitilira mwezi umodzi. Komabe, izi ndi ndalama zosapeweka. Pulumutsani pamiyeso yoyeserera - pitani podwala pochiza zovuta za matenda ashuga.

Simungadziwe shuga wamagazi ndi thanzi lanu. Anthu ambiri samamva kusiyana pakati pa kuchuluka kwa shuga kwa 4 mpaka 13 mmol / L. Amamva bwino, ngakhale glucose wamagazi akakhala kuchulukirapo kawiri kuposa momwe amakhalira, ndipo chitukuko cha zovuta za matenda ashuga chikukula. Chifukwa chake, ndikofunikira kuyeza shuga ndi glucometer. Kupanda kutero, muyenera "kudziwa" zovuta za matenda ashuga.

Panthawi ina, madokotala anakana kulowa nawo msika wa glucometer. Chifukwa adawopsezedwa ndi kutayika kwa magwero akuluakulu achuma kuchokera kuyezetsa magazi a labotale kwa shuga. Mabungwe azachipatala adatha kuchedwetsa kukwezedwa kwa shuga wamagazi kunyumba kwa zaka 3-5. Komabe, zida izi zikagulitsidwa, adayamba kutchuka. Mutha kudziwa zambiri pa nkhaniyi pa Dr. Bernstein. Tsopano, mankhwala ovomerezeka akuchepetsa kupititsanso kwa zakudya zamafuta ochepa - chakudya chokhacho choyenera kwa odwala omwe ali ndi matenda a shuga a mtundu woyamba 1.

Werengani komanso momwe mungasankhire glucometer wabwino, onerani kanemayo.

Kuyeza shuga ndi glucometer: malangizo ndi gawo

Odwala odwala matenda a shuga ayenera kuyeza shuga ndi glucometer osachepera 2-3 patsiku, makamaka makamaka. Iyi ndi njira yosavuta komanso yopweteka. M'miyendo yoloza zala, singano ndizowonda kwambiri. Zomverera sizimapwetekanso kwambiri monga momwe kulumidwa ndi udzudzu. Zitha kukhala zovuta kuyeza shuga magazi anu koyamba, kenako mudzayamba kusuta. Ndikofunika kuti wina ayambe kuwonetsa momwe angagwiritsire ntchito mita. Koma ngati palibe munthu wodziwa zambiri pafupi, mutha kuthana nawo nokha. Gwiritsani ntchito malangizo omwe ali pansipa.

1. Sambani manja anu ndi youma bwino.
2. Kusamba ndi sopo ndikofunikira, koma osafunikira ngati palibe zikhalidwe za izi. Osapukuta ndi mowa!
3. Mutha kugwedeza dzanja lanu kuti magazi ayambe kupita ku zala zanu. Bwino komabe, gwiritsitsani pansi pa mtsinje wamadzi ofunda.
4. Zofunika! Tsambalo liponya louma. Musalole madzi kuti atulutsire dontho la magazi.
5. Ikani gawo loyeserera mu mita. Onetsetsani kuti uthenga wabwino ukuonekera pazenera, mutha kuyeza.
6. Pierce chala chokhala ndi lancet.
7. Kuchepetsa chala chanu kufinya dontho la magazi.
8. Ndikofunika kuti musagwiritse ntchito dontho loyamba, koma kuti muchotse ndi ubweya wouma kapena thonje. Uku si malingaliro ovomerezeka. Koma yesani kutero - ndipo onetsetsani kuti kuwongolera koyesaku kwakwaniritsidwa.
9. Finyani dontho lachiwiri la magazi ndikuwapaka pamiyeso.
10. Zotsatira zake ziziwoneka pazenera la mita - zilembeni ku diary yanu yoletsa matenda ashuga komanso zambiri.

Yesani kutenga dontho la magazi osati zala, koma kuchokera kumadera ena - mkono, dzanja, etc. Pankhaniyi, zotsatira zoyenera zimawonekera ndikuchedwa. Tiyerekeze kuti mukufuna kuyeza shuga anu maola awiri mutatha kudya. Ngati mukubaya osati chala, koma dera lina - yikani pambuyo maola 2 mphindi 20.

Ndikofunika kusunga diary control diabetes mosalekeza. Lembani izi:

• tsiku ndi nthawi ya muyeso wa shuga;
• zotsatila;
• zomwe adadya;
• omwe mapiritsi adatengedwa;
• kuchuluka ndi mtundu wa insulin yomwe idayamwa;
• zomwe zinali zolimbitsa thupi, kupsinjika ndi zina.

M'masiku ochepa muwona kuti ichi ndi chidziwitso chofunikira. Dzifufuzeni nokha kapena ndi dokotala. Mvetsetsani momwe zakudya zosiyanasiyana, mankhwala, jakisoni wa insulin, ndi zinthu zina zimakhudzira shuga wanu. Werengani nkhani yakuti: “Zomwe zimakhudza shuga. Mungapewe bwanji kuthana ndi kuyenda osazolowereka. "

Momwe mungapezere zotsatira zolondola poyesa shuga ndi glucometer:

• Werengani mosamala malangizo a chipangizo chanu.
• Onani mita kuti muone ngati ili pamwambapa. Ikapezeka kuti chipangizochi chagona, musachigwiritse ntchito, chotsani china.
• Monga lamulo, glucometer yomwe imakhala ndi zotsika mtengo zoyesera siyolondola. Amayendetsa odwala matenda ashuga kumanda.
• Pansi pa malangizo, werengani momwe mungagwiritsire dontho la magazi pachifuwa.
• Tsatirani mosamalitsa malamulo osunga mizere. Tsekani botolo mosamala kuti mpweya wambiri usalowe. Kupanda kutero, zingwe zoyeserera ziwonongeka.
• Osagwiritsa ntchito zingwe zoyeserera zomwe zatha.
• Mukapita kwa dokotala, tengani glucometer nanu. Sonyezani adokotala momwe mumayeza shuga. Mwina dokotala wodziwa zambiri angakuwonetseni zomwe mukuchita zolakwika.

Kangati patsiku muyenera kuyeza shuga

Kuti muchepetse matenda a shuga, muyenera kudziwa momwe shuga yanu imakhalira tsiku lonse. Kwa odwala matenda ashuga ambiri, vuto lalikulu limachulukitsidwa m'mawa m'mimba yopanda kanthu, kenako ndikudya cham'mawa. Mwa odwala ambiri, shuga amawonjezereka kwambiri pambuyo pa nkhomaliro kapena madzulo. Mkhalidwe wanu ndiwopadera, wosafanana ndi wina aliyense. Chifukwa chake, timafunikira mapulani pawokha - zakudya, jakisoni wa insulin, kumwa mapiritsi ndi zochitika zina. Njira yokhayo yopezera chidziwitso chofunikira pakuwongolera matenda a shuga ndikuyesa shuga wanu pafupipafupi ndi glucometer. Zotsatirazi zikufotokoza kangati patsiku muyenera kuyeza.

Kuyang'anira magazi konse ndikamayesa:

• m'mawa - atangodzuka;
• ndiye kachiwiri - musanayambe kudya chakudya cham'mawa;
• Maola 5 mutatha jakisoni aliyense wa insulin;
• pamaso chakudya chilichonse kapena Zakudya;
• Pambuyo pa chakudya chilichonse kapena Zakudya zilizonse - patatha maola awiri;
• musanagone;
• isanayambe komanso itatha maphunziro akuthupi, zochitika zovutitsa, zoyeserera zamphamvu pantchito;
• mukangomva njala kapena kukayikira kuti shuga yanu ndi yotsika kapena yapamwamba kuposa momwe zimakhalira;
• Musanafike kumbuyo kwa gudumu lagalimoto kapena kuyamba kugwira ntchito zoopsa, ndipo kenako ora lililonse mpaka mutamaliza;
• pakati pausiku - kupewa mankhwalawa hypoglycemia.

Odwala omwe ali ndi matenda amtundu wa 1, komanso matenda a shuga a 2 omwe amadalira kwambiri inshuwaransi, amafunika kuyeza shuga awo kangapo patsiku - m'mawa pamimba yopanda kanthu komanso asanadye chakudya chilichonse. Amathandizanso kuyeza 2 maola mutatha kudya. Izi zikuwonetsa ngati mutasankha mtundu wabwino wa insulin musanadye. Kwa odwala matenda amtundu wachiwiri, ngati mumayendetsa bwino shuga panu popanda jakisoni wa insulin, mutha kuyeza kangapo - kawiri pa tsiku.

Nthawi iliyonse mukatha kuyeza shuga, zotsatira zake ziyenera kulembedwa mu diary. Sonyezani nthawi ndi zochitika zina:

• zomwe adadya - zakudya ziti, magalamu angati;
• insulin yomwe idalowetsedwa ndi mlingo uti;
• omwe mapiritsi a shuga adatengedwa;
• watani;
• zolimbitsa thupi;
• Zokhazikika
• matenda opatsirana.

Lemberani zonsezo, bweretsani. Ma memory memory a mita samalola kujambula zochitika zomwe zikugwirizana. Chifukwa chake, kuti musunge zolemba, muyenera kugwiritsa ntchito cholembera pepala, kapena bwino, pulogalamu yapadera mufoni yanu. Zotsatira zakudziwonera kwathunthu kwa shuga zimatha kusanthula palokha kapena palimodzi ndi dokotala. Cholinga ndikufuna kudziwa kuti ndi nthawi yanji masana komanso kuti shuga yanu siyabwinobwino. Ndipo, mogwirizana, chitanipo kanthu - yambirani dongosolo la chithandizo cha matenda ashuga.

Kudziletsa kokwanira kwa shuga kumakupatsani mwayi wofufuza momwe zakudya zanu, mankhwala, maphunziro akuthupi ndi jakisoni wa insulin alili. Popanda kuwunikira mosamala, okhawo a charlatans "amachiza" matenda a shuga, pomwe pamakhala njira yolunjika kwa dotolo kuti akadule phazi ndi / kapena kwa nephrologist kuti adayikepo. Anthu ochepa odwala matenda ashuga omwe amakhala okonzekera kukhala tsiku ndi tsiku mu njira zomwe tafotokozazi. Chifukwa mtengo wa mayeso woyezera wa glucometer ukhoza kukhala wokwera kwambiri. Komabe, yang'anirani kwathunthu magazi osachepera tsiku limodzi sabata lililonse.

Ngati mukuwona kuti shuga yanu yayamba kusintha mosiyanasiyana, ndiye kuti pangani masiku angapo mukuwongolera mpaka mutapeza ndikuchotsa zomwe zimayambitsa. Ndikofunika kuphunzirira nkhani ya "Zomwe zimakhudza shuga. Momwe mungathetsere kudumpha ndi kukhalabe kwabwinobwino. ” Ndalama zochulukirapo zomwe mumagwiritsa ntchito poyesa mita ya glucose, mumasunga ndalama zambiri pochiza matenda ashuga. Cholinga chachikulu ndikukhala ndi thanzi labwino, kupulumuka anzanu ambiri osakhala okalamba. Kusunga magazi nthawi zonse osapitilira 5.2-6.0 mmol / L ndi zenizeni.

Mafunso Ofunsidwa Kawirikawiri

Ngati mwakhala zaka zingapo ndi shuga wambiri, 12 mmol / L ndi kupitilirapo, ndiye kuti sibwino kuti muchepetse mwachangu mpaka 4-6 mmol / L, monga mwa anthu athanzi. Chifukwa zizindikiro zosasangalatsa komanso zowopsa za hypoglycemia zitha kuwoneka. Makamaka, zovuta za shuga m'masomphenya zimatha kukula. Ndikulimbikitsidwa kuti anthu oterowo ayambe kutsitsa shuga mpaka 7-8 mmol / L ndikulola kuti thupi lizolowere mkati mwa miyezi 1-2. Ndipo kenako pitirirani kwa anthu athanzi. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Ndi shuga uti amene muyenera kulimbana naye. ” Ili ndi gawo "Mukafunikira makamaka shuga."

Nthawi zambiri simumayesa shuga ndi glucometer. Kupanda kutero, akadazindikira kuti buledi, chimanga ndi mbatata zimachulukitsa chimodzimodzi ndi maswiti. Mutha kukhala ndi matenda osokoneza bongo kapena matenda oyamba a shuga 2. Kuti mumvetse bwino za matendawa, muyenera kupereka zambiri. Momwe angapangidwire - afotokozedwa mwatsatanetsatane m'nkhaniyi. Njira yayikulu yochepetsera ndi zakudya zamafuta ochepa.

Shuga m'mawa pamimba yopanda kanthu amadzuka chifukwa m'maola angapo m'mawa, chiwindi chimachotsa insulini m'magazi. Izi zimatchedwa chodabwitsa cha m'bandakucha. Amapezeka mwa odwala ambiri omwe ali ndi matenda amtundu wa 1 komanso a 2. Werengani mwatsatanetsatane momwe mungasinthire matenda m'mawa pamimba yopanda kanthu. Ili si ntchito yosavuta, koma yotheka. Muyenera kulangidwa. Pakatha milungu itatu, chizolowezi chokhazikika chimakhazikika, ndipo kumamatira ku regimen kumakhala kosavuta.

Ndikofunikira kuyeza shuga m'mawa uliwonse pamimba yopanda kanthu. Ngati mungabaye insulin musanadye, ndiye kuti muyenera kuyeza shuga musanadye jakisoni aliyense, ndipo kenanso maola awiri mutadya. Izi zimapezeka 7 pa tsiku - m'mawa mopanda kanthu m'mimba komanso zina kawiri pachakudya chilichonse. Ngati muli ndi matenda ashuga amtundu wa 2 ndipo mumawongolera ndi chakudya chochepa chamafuta osabaya jakisoni wa insulin mwachangu, ndiye kuyeza shuga maola awiri mutatha kudya.

Pali zida zomwe zimatchedwa kuphatikiza njira zopenyerera magazi. Komabe, ali ndi cholakwika chachikulu kwambiri poyerekeza ndi glucometer wamba. Mpaka pano, Dr. Bernstein sanalangizebe kuzigwiritsa ntchito. Komanso, mtengo wawo umakhala wokwera.

Yesani nthawi zina kuboola ndi chala chanu osati zala zanu, koma madera ena pakhungu - kumbuyo kwa dzanja lanu, mkono wamanja, ndi zina zotero. Nkhani ili pamwambapa ikufotokoza momwe mungachitire izi. Mulimonsemo, sinthani zala za manja onse awiri. Osamamenyetsa chala chomwecho nthawi zonse.

Njira yokhayo yotsitsira shuga mwachangu ndikumabaya insulin yochepa kapena yochepa kwambiri. Zakudya zamafuta ochepa zimatsika shuga, koma osati nthawi yomweyo, koma mkati mwa masiku atatu. Mitundu yina ya mapiritsi a shuga a 2 amachitapo kanthu mwachangu. Koma ngati mutawatenga pa Mlingo wolakwika, ndiye kuti shuga amatha kutsika kwambiri, ndipo munthu amatha kuzindikira. Zithandizo za anthu ndi zachabechabe, sizithandiza konse. Matenda a shuga ndi matenda omwe amafunikira chithandizo chamankhwala, kulondola, kulondola. Mukamayesetsa kuchita zinthu mwachangu, mwachangu, mutha kungovulaza.

Muyenera kuti muli ndi matenda ashuga amtundu woyamba. Yankho lenileni la funsoli linaperekedwa munkhani ya "Maphunziro azolimbitsa thupi a shuga." Mulimonsemo, zabwino zolimbitsa thupi mumapeza kuposa zovuta. Osasiya maphunziro akuthupi. Pambuyo poyesera kangapo, mupeza momwe mungakhalire shuga wabwinobwino musanayambe kuchita masewera olimbitsa thupi komanso pambuyo pake.

M'malo mwake, mapuloteni amawonjezera shuga, koma pang'onopang'ono komanso osatinso michere. Cholinga chake ndikuti gawo la mapuloteni adyidwa m'thupi limasandulika kukhala glucose. Werengani nkhani yoti "Mapuloteni, Mafuta, Zakudya Zam'madzi ndi CHIKWANGWANI CHA CHAKUDYA CHOKHALITSA" mwatsatanetsatane. Ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda ashuga, muyenera kuganizira kuchuluka kwa mapuloteni omwe mumadya kuti muwerenge kuchuluka kwa insulin. Anthu odwala matenda ashuga omwe amadya chakudya chamagulu omwe amakhala ndi chakudya chambiri sazindikira mapuloteni. Koma ali ndi mavuto enanso ...

Mapeto

Kodi mwadziwa:

• Momwe mungayesere shuga ndi glucometer, kangati patsiku muyenera kuchita izi.
• Bwanji ndipo bwanji osunga buku la shuga lodzisamalira
• Mitengo ya shuga m'magazi - chifukwa chake amasiyana ndi anthu athanzi.
• Zoyenera kuchita ngati shuga ndiwambiri. Momwe mungachepetse ndikuisunga bwino.
• Zida zamankhwala othandizira odwala matenda ashuga owopsa komanso apamwamba.

Zomwe zili m'nkhaniyi ndiye maziko a pulogalamu yanu yolimbana ndi matenda a shuga. Kukhala ndi shuga wokhazikika, ngati momwe zimakhalira ndi anthu athanzi, ndizotheka kukwaniritsa ngakhale matenda ashuga amtundu woyamba, komanso makamaka ndi matenda a shuga 2. Mavuto ambiri sangathe kuchepetsedwa, komanso kuchiritsidwa kwathunthu. Kuti muchite izi, simuyenera kufa ndi njala, kuvutika m'makalasi ophunzitsa zolimbitsa thupi kapena kubaya Mlingo waukulu wa insulin. Komabe, muyenera kukulitsa kulanga kuti muzitsatira boma.