Posinthidwa posamutsa insulini, ndipo shuga akadali wokwera. Ndingatani?

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Ndiuzeni chonde. Mu Julayi, adasamukira ku insulin. Poyamba, zonse zinali bwino. Tsopano shuga yawuka. M'mawa uno 18.7, mu maola awiri 20.9. Ndipo kotero kupitirira mwezi umodzi. Anali pa nthawi ya endocrinologist dzulo. Tili ndi dokotala watsopano. Sindinatsegule khadi yanga. Adandilembera insulin m'makalata atatu ofupikira ndi aatali. Biosulin n ndi biosulin r. Ndipo anati momwe mankhwalawo adzatha, ndiye kuti mupambana mayeso, ndizo zonse. Ndakhala ndikulandila insulini kokha kuyambira Julayi, pali mafunso ambiri, koma palibe mayankho. Kodi ndizotheka? Zoyenera kuchita
Natalia, 52
25

Moni Natalya!

Sipars of 18-20 mmol-l ndi shuga wambiri. Shuga pamwamba pa 13 mmol / L - uku ndi kupezeka kwa glucose - kuledzera kwa thupi ndi shuga wambiri, ndichifukwa chake tiyenera kuchepetsa shuga pansi pa 13 mmol / L. Ndibwino kuti muchepetse shuga pansi 10 mmol / L (mulingo wa shuga kwa odwala ambiri omwe ali ndi matenda ashuga 5-10 mmol / L), makamaka pamankhwala omwe ali m'munsi mwa 10 mmol / L (uwu ndi shuga musanadye komanso pambuyo chakudya), pali chiopsezo chochepa chotenga matenda a shuga. Ndi shuga pamwamba 13 mmol / L, chiopsezo chotenga zovuta ndizambiri.

Mwazi wa magazi uyenera kuchepetsedwa. Poyamba, inunso mutha kuyamba kutsatira zakudya zamagulu onse (chotsani mafuta onse othamanga, idyani chakudya pang'onopang'ono pang'onopang'ono, mumakonda masamba osakhazikika (nkhaka, phwetekere, kabichi, zukini, biringanya) ndi mapuloteni ochepa mafuta (nsomba, nkhuku, ng'ombe, bowa, pang'ono pang'ono) -anthu, mtedza).

Kuphatikiza pakudya pachakudya, shuga amatha kuchepetsedwa ndikuwonjezera zolimbitsa thupi (chinthu chachikulu ndikukumbukira: mutha kudzipatsa nokha mashuga mpaka 13 mmol / l, mashuga apamwamba a thupi ali ndi kawopsedwe ka glucose, katundu adzadzaza thupi).

Muyenera kuwerengenso mabuku pazithandizo za matenda ashuga (mutha kupeza zambiri pazithandizo za matenda ashuga, kusankha kwa mankhwala a insulin patsamba lino ndi tsamba langa - // olgapavlova.rf), muyeneranso kupita kusukulu ya matenda ashuga kuti muyambe kuyendera njira zochepetsera shuga ndi mankhwala a insulini .

Ndipo tsopano chinthu chofunikira kwambiri: muyenera kupeza nokha endocrinologist yemwe ali ndi nthawi yokwanira, chidziwitso ndi chidwi chofuna kusankha chithandizo chokwanira chochepetsa shuga chomwe chingakhale chothandiza thupi komanso chogwira mtima polamulira shuga. Wochiritsika amatha kulemba insulin, ndipo ndi katswiri wokhazikika yemwe amatha kusankha njira zamakono zotetezeka. Nthawi zambiri, m'makiriniki, insulini ya matenda ashuga imayambika kwambiri ndipo imakhala yotalikirapo nthawi zonse malinga ndi mawonekedwe, zomwe zimabweretsa zotsatirapo zomvetsa chisoni: kuwonjezeka kwa insulin, chifukwa chomwe insulin imayamba ndi shuga kumakula; kunenepa kwambiri, shuga wosakhazikika, hypoglycemia ndi thanzi labwino. Insulin mu T2DM ndi mankhwala ngati zosankha zina zonse sizithandiza kapena ngati munthu ali ndi vuto lofooka (a.e. zochitika zina). Koma ngakhale mutakumana ndi zotere, pogwiritsa ntchito mankhwala a insulin oyenera komanso zakudya, mutha kukhalabe ndi shuga, thanzi komanso thupi.

Chifukwa chake, ntchito yanu yayikulu pakadali pano ndi kufunafuna endocrinologist wokhoza bwino, kuunikidwa ndikusankha chithandizo chogwira ntchito komanso chotetezeka.

Endocrinologist Olga Pavlova

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