Kodi ndimatenda a shuga kapena pali mwayi woti muchiritsidwe?

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Moni, ndiuzeni? chonde, momwe mungatanthauzire moyenera zofunikira za kusanthula. Ndinadutsa mayeso ololera a glucose ndi C-peptide ndi glycated hemoglobin, komanso insulin. Zotsatira zake ndi motere: glucose akusala - 7.2 mmol / L (yachilendo 4.1-5.9), maola awiri atatha kuchita masewera olimbitsa thupi - 11.2 (3.9 - 7.8 - abwinobwino, 7.8 - 11.1 - kulolerana kwa glucose,> 11.1 - matenda ashuga ndizotheka). C-peptide yosala kudya ndi 1323 pmol / L (yodziwika 260-1730), patatha maola awiri 4470 (ndemanga imati "Zotsatira zake zimayesedwa malinga ndi kuchuluka kwa C-peptide". Insulin 21.3 (masiku onse 2.7 - 10.4 μU / ml). Glycated hemoglobin 5.6 (HbA1c standard> = 6.5% - njira yodziwira matenda ashuga mellitus (malingaliro a World Health Organisation (WHO), 2011, Russian Association of Endocrinologists (RAE), 2013, American Diabetes Association (ADA), 2013) Kuchulukana kwazitukuko. shuga mellitus ndi zovuta zake: 6.0% <= HbA1c <6.5% (malingaliro a WHO, 2011); 5.7% <= HbA1c <6.5% (malingaliro a ADA, 2013). Ndikuwona kuti glucose itatha 2 hours si yachilendo kale, koma glycated ndiyachilendo. Kodi ndimatenda a shuga kapena pali mwayi woti muchiritsidwe? Sindinamwe mankhwala aliwonse a shuga. Zikomo!
Elena, 38

Moni Elena!

Ngati tikulankhula za kusanthula kwanu, ndiye kuti: glucose othamanga ndi apamwamba kuposa 6.1 mmol / L (muli ndi 7.2), ndipo shuga pambuyo podya pamwamba 11.1 mmol / L (muli ndi 11.2) ndi zizindikiro za matenda ashuga.

Prediabetes imaperekedwa ndi shuga wambiri mwina musanadye kapena mutatha kudya, komanso osati ndi shuga wambiri.

Njira zoyenera kulolerana ndi matenda osokoneza bongo a NTG (prediabetes): shuga yofulumira - kuyambira 3.3 mpaka 5.5 mmol / l - ndi shuga wambiri mutatha kudya - kuyambira 7.9 mpaka 11.1 mmol / l, pamwamba pa 11.1 matenda ashuga.

Makhalidwe ochita kusala kudya kwa NGNT-glycemia (prediabetes) - shuga osala kudya amawonjezereka, kuyambira 5.6 mpaka 6.1 (pamwamba pa 6.1 shuga mellitus) ndi shuga wabwinobwino atatha kudya, mpaka 7.8 mmol / L.
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Ponena za hemoglobin ya glycated: ikuwonetsa mkhalidwe wa metabolism wa carbohydrate m'miyezi itatu - ndiko kuti, kwa miyezi itatu mumakhala ndi shuga wabwino - ndiye kuti, zovuta za metabolism za carbohydrate zachitika posachedwa.

Ponena za insulin: insulin 21.3 - kukhudzika kwa insulin - inde, ulidi ndi chiyambi cha matenda a shuga 2.

Malinga ndi kudziwikiratu: ngati mumadalira glycated hemoglobin, mutha kuyika prediabetes, koma shuga wamagazi akuwonetseratu kuyambika kwa matenda a shuga a 2. Ndemanga yokhayo: pakupanga matenda, ndi bwino kuganizira shuga kwa masiku atatu, mbiri ya 1 sikokwanira nthawi zonse - patsiku lomwe munayesedwa, mutha kuda nkhawa ndipo shuga ikhoza kukwera chifukwa cha kupsinjika.

Mulimonsemo, ziribe kanthu kuti tazindikira kuti tili ndi matenda ati: prediabetes (NTG, NGNT), mtundu wachiwiri wa matenda ashuga, muyenera kuyambitsa chakudya - timapatula chakudya, kudya zakudya zopatsa mphamvu pang'onopang'ono, kudya mapuloteni osachepera mafuta komanso masamba osakhalapo a carb .

Kuphatikiza pa zakudya, ndikofunikira kuwonjezera zolimbitsa thupi (mphamvu ndi katundu wa Cardio), timachulukitsa katundu, ndipo nthawi zonse timayang'anira kuwonda. Kulemera kumayenera kukhala kwamtunda wamba.

Ngati tirikunena za kusankha kwa mankhwala kuti achulukitse kagayidwe kazakudya, ndiye kuti choyamba muyenera kuyesedwa (UAC, Biohak, kuchuluka kwa mahomoni) ndikusankha mankhwalawo.

M'malo anu, ngati mumatsatira zakudya 100% molondola, dzipatseni masewera olimbitsa thupi ndikukhala olemera, ndiye mwayi wopanga popanda mankhwala.

Ponena za mwayi woti muchiritsidwe: mudakali ndi mwayi, ndipo ndi wabwino. Ngati tsopano mukuyamba kuchita nawo thanzi lanu, mudzapeza dokotala wodziwa bwino yemwe angakuwongolereni mu zakudya ndikuwunika momwe muliri, ndiye mwayi wopangitsa kagayidwe kazakudya.

Endocrinologist Olga Pavlova

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