Kuyeza kwa magazi ndi glucometer tebulo

Kuyeza kwa shuga wamagazi ndipo ngati kuli kotheka, kukonza kwake kwakanthawi kofunikira kumafunika kupewa kukula kwa zovuta za shuga. Popeza glycemia imayenera kuyang'aniridwa pafupipafupi, odwala matenda a shuga amaphunzitsidwa kuchita izi pawokha kunyumba. Pachifukwa ichi, zida zosunthira zoyezera shuga m'magazi - glucometer zimagwiritsidwa ntchito. Zipangizo zoterezi zimakupatsani mwayi wowunika kuchuluka kwa shuga m'magazi, osati odwala matenda ashuga okha, komanso mwa anthu athanzi, ngati pakufunika.

Kusanthula kwa zotsatira za kuyeza shuga mumagazi kumakupatsani mwayi wowunika momwe mungagwiritsire ntchito mankhwala, kudziwa njira yoyenera yamankhwala iliyonse komanso momwe mungakhalire, kukhathamiritsa kuchuluka kwa chakudya chomwe mumadya, kusintha mwachangu, kusintha zakudya ndi kuchuluka kwa mankhwalawa.

Mitundu yamakono ya glucometer imatha kulumikizana ndi kompyuta komanso ntchito yojambulira zokha komanso kukonza zotsatira za muyeso.

Mitundu ya glucometer

Pali mitundu ingapo ya ma glucometer:

• makanema ojambula - yeretsani kuchuluka kwa shuga m'magazi molingana ndi kusintha kwa mtundu wa reagent. Mwazi kuchokera pachala umasakanikirana ndi zinthu zapadera zomwe zimagwiritsidwa ntchito pa strip yoyesa. Mwazi wamagazi umalowa m'magazi ndi ma reagent, ma reagent amatembenukira abuluu, pomwe kukula kwa mtunduwo kudzadalira kuchuluka kwa shuga. Makina amomwe chipangizocho chikuunikira kusintha kwa mayeso ndikuwonetsa zotsatira zake pazowonetsera paz digito. Njira yakujambula ili ndi zovuta ndipo imawoneka ngati yatha,
• electrochemical glucometer - lembani zofunikira za shuga m'magazi mwakuyezera kuchuluka kwamagetsi omwe akutulutsidwa panthawi yomwe akuchitapo kanthu. Glucose amalumikizana ndi momwe gawo la mayeselo limayesedwera, momwe mumakhala osakanikirana a ma reagents owuma, omwe amachititsa kuti pakhale magetsi ofooka, omwe mtengo wake umawunikiridwa ndi kuyesa kwa chipangizocho. Zotsatira zimawonetsedwa pazenera monga chidziwitso cha kuchuluka kwa shuga. Zipangizo zama Electrochemical ndizolondola kuposa zazomwe zimakhala za m'badwo wachitatu wa glucometer.

Pa gawo lachitukuko ndi kukhazikitsa, pali mitundu ingapo ya ma glucometer - ma optic biosensors potengera ma plasma resonance, ndi ma glucometer a spectrometric omwe amayesa shuga m'magazi poyang'ana khungu la m'manja. Zida zoterezi zimapangitsa kuti azindikire zomwe zili ndi shuga popanda kuthana ndi magazi pogwiritsa ntchito laser.

Chipangizo cha Glucometer

Mtundu wa glucose wam'magazi uli ndi zinthu izi:

• batire yomwe ingagulitsidwe
• chida chowboola chala - semi-automatic scarifier (lancet),
• gulu lamagetsi lokhala ndi chowonekera pakristalo,
• seti yapadera ya mayeso.

Kujambulitsa zotsatira za kuyeza shuga m'magazi, mutha kupanga tebulo lapadera kapena kugwiritsa ntchito mitundu yopanga yopanga yazodzilamulira nokha.

Ma glucometer amatha kusiyanasiyana, liwiro, kukumbukira ndi mawonekedwe a skrini, mtengo. Mamita amakono a glucose amakono ndi ophatikizika, olondola, othamanga kwambiri kuti apeze zotsatira, safuna chisamaliro chovuta, kuti muwagwiritse ntchito mumangofunika kuchuluka kwa capillary, i.e., magazi otengedwa kuchokera kumunwe.

Mitundu yamakono imatha kukhala ndi ntchito zina zowonjezera:

• kukumbukira
• makina azotsatira,
• kuthekera kosungira zotsatira zaposachedwa,
• Ziwerengero zopatukana
• kuwerengetsa kwa pafupifupi kuchuluka kwa shuga m'magazi kwakanthawi,
• kayendedwe ka matupi a ketone m'magazi,
• masamba oyesa okha
• ntchito yamawu.

Ma glucometer onse amayeza shuga m'magazi m'njira zosiyanasiyana ndikupereka zotsatira zosiyanasiyana.Pa chipangizo chilichonse, calibration (kusintha) kumachitika pogwiritsa ntchito njira yothetsera shuga. Pambuyo pakuyesa, gawo lililonse limalandira nambala ya digito, yomwe imalowetsedwa mu mita. Ndikofunikira kuyang'ana chipangizocho mogwirizana ndi zingwe zoyeserera. M'mitundu ina ya zida, kachidindo kakuyenera kukhazikitsidwa pamanja pamtundu uliwonse wamayeso, mu glucometer ina nambala imayikidwa yokha.

Kuti mufananitse zotsatira za zida zosiyanasiyana zoyezera shuga m'magazi, muyenera kudziwa phindu lenileni la shuga m'magazi, omwe angadziwitsidwe ndi katswiri wa Laborator. Njira zabwino zowunika kulondola kwa glucose mita ya kunyumba ndikufanizira zotsatira zomwe zimapezeka pa chipangizo cha munthu ndi zothandizira za maulendo paulendo uliwonse wopita kwa dokotala.

Njira yoyezera shuga

Kusankha kwa nthawi yoyezera shuga wamagazi ndi glucometer komanso kusanthula kwakanthawi amasankhidwa ndi adokotala potengera zomwe akuwonetsa. M'mitundu yosadalira ya insulin, shuga wamagazi nthawi zambiri amayeza kawiri patsiku.

Mlingo wa shuga m'magazi mwa akulu umachokera ku 3.3-5,5 mmol / L. Kuchuluka kwa shuga m'magazi a 7.8-11.0 ndizofanana ndi matenda osokoneza bongo; kuchuluka kwa glucose kosaposa 11 mmol / l kumawonetsa shuga.

Kutalika kocheperako kwa kayendetsedwe ka glycemic m'mitundu yodalira insulini kumakhala kanayi patsiku. Shuga wowonjezera akakhala kuti amayeza kuyezedwa, chidziwitso chambiri chokhudzana ndi kugwiritsa ntchito mankhwalawa komanso pazinthu zomwe zimapangitsa kuchepa kwa shuga m'magazi. Ngati glycemia sichingakhazikike, akatswiri amalimbikitsa kuti odwala omwe amamwa insulini azikhala ndi muyeso wam'mawa m'mawa komanso asanagone, asanadye chakudya asanadye masewera, komanso ngati ali ndi vuto lachilendo: musanachite zinthu zomwe zimafunikira chidwi chachikulu, ndi matenda omwe mumakumana nawo, kuwonongeka kosasokoneza. mkhalidwe waumoyo, pamavuto, ndi masinthidwe achizolowezi cha moyo, pakati.

Maola anayi musanayesedwe kuti musadye. Kusanthula nthawi zambiri kumachitika musanadye chakudya komanso pogona.

Kusanthula algorithm:

• Sambani m'manja ndi sopo ndi madzi ofunda ndi kuwapukuta ndi thaulo loyera. Sikoyenera kuchitira manja anu mankhwala ophera tizilombo toyambitsa matenda, zakumwa zokhala ndi zakumwa zoledzeretsa kapena misozi yonyowa, pamenepa pali mwayi waukulu wopeza zolakwika,
• Sonyezani zala zanu kutentha kwa chipinda, tsitsani manja anu pang'ono kuti musinthe magazi,
• ikani singano yosalala mu zovulaza,
• vula chingwe choyeserera kuchokera pambale yosindikizidwa,
• ikani chingwe choyesa mumiyala ya mita,
• Sinthani mamitala, pomwe muli pa chiwonetsero pambuyo poyang'ana kuti tsambalo liyesedwe ndi kumaliza ntchito, meseji imawonekera pakukonzekera ntchito,
• sankhani kuya kozama kopumira, poganizira momwe mukumverera ndi khungu lakuda,
• perekani pakhungu la gawo la chala ndi cholembera. Pa zitsanzo zamagazi, tikulimbikitsidwa kugwiritsa ntchito masamba osiyanasiyana opangira,
• ikani dontho la magazi pamalo ogwiritsira ntchito strip yoyeserera,
• ikani thonje lodzikongoletsa mu njira yothetsera zakumwa zoziziritsa kukhosi,
• chotsani mzere woyezera kuchokera ku chipangizocho.

Mukalandira magazi ofunikira, chipangizocho chimawonetsa uthenga pazenera ndikuyamba kuzindikira. Zotsatira zoyeserera zikhale zokonzekera m'masekondi 5-50.

Kuti mumve bwino za mayendedwe a shuga, ndikulimbikitsidwa kuchita zomwe zimadziwika kuti ndi mayeso awiri, momwe mumawonjezera shuga asanachitike kapena pachitika zinazake kapena zina.

Zolakwika poyesa shuga ndi magazi:

• kugwiritsa ntchito zingwe zoyeserera zopangidwira mtundu wina wa mita,
• osagwirizana ndi kayendetsedwe ka kutentha panthawi yopereka magazi (kutentha kochepa kwambiri kapena kutentha kwambiri m'chipindacho, manja ozizira),
• manja akuda kapena zingwe zoyesa,
• kupopera mosazama, magazi ambiri kapena pang'ono kuti muunikemo,
• kulowa m'magazi a njira yothetsera matenda, madzi,
• kuipitsidwa kapena kuwonongeka kwa mita,
• kusowa koyang'ana kulondola kwa chipangizocho, kukhazikitsidwa molakwika pamizere yoyesera,
• kusungidwa kosayenera kwa zingwe zoyesa (botolo lotsekedwa mwamphamvu, kutentha kosungirako kwambiri kapena kotsika kwambiri, kusungirako kwanthawi yayitali kuposa tsiku lotha ntchito.

Kulemba ndi kusanthula zotsatira za mayeso

Kulemba zotsatira za kuyeza shuga m'magazi ndikofunikira kwambiri, kumakupatsani mwayi kuti musinthe m'thupi momwe mungasinthire, kuwunika momwe kuchuluka kwa zopatsa mphamvu kumakhudzira kuchuluka kwa shuga m'magazi, kusankha zolimbitsa thupi zolondola, ndikusintha kuchuluka kwa insulin.

Tiyenera kukumbukira kuti momwe shuga amaperewera m'magulu akuluakulu imachokera ku 3.3-5.5 mmol / L. Kuchuluka kwa shuga m'magazi a 7.8-11.0 ndizofanana ndi matenda osokoneza bongo; kuchuluka kwa glucose kosaposa 11 mmol / l kumawonetsa shuga. Akatswiri amalimbikitsa kuti odwala matenda ashuga asungire shuga pamlingo wa 5.5-6.0 mmol / L. Kuphatikiza apo, zomwe zimachitika mu dongosolo la endocrine, kupezeka kwa matenda ang'onoang'ono, zaka ndi jenda la wodwalayo zimaganiziridwa.

Kujambulitsa zotsatira za kuyeza shuga m'magazi, mutha kupanga tebulo lapadera kapena kugwiritsa ntchito mitundu yopanga yopanga yazodzilamulira nokha. Mitundu yamakono ya glucometer imatha kulumikizana ndi kompyuta komanso ntchito yojambulira zokha komanso kukonza zotsatira za muyeso. Ntchito zamakompyuta zimatha kusanthula zotsatira za muyeso, kuwona zithunzithunzi kwakanthawi kochepa mwanjira yamatsenga kapena ma graph.

Pazida zilizonse, kuyerekezera zinthu kumachitika pogwiritsa ntchito njira ya shuga. Pambuyo pakuyesa, gawo lililonse limalandira nambala ya digito, yomwe imalowetsedwa mu mita.

Buku lodzilamulira lokha lili ndi chidziwitso pa nthawi yoyezera shuga, magazi ndi ma insulin ena omwe atengedwa, kuchuluka kwa kuthamanga kwa magazi, kulemera kwa thupi, ndandanda ya zochitika zolimbitsa thupi, zambiri zokhudzana ndi zakudya, momwe muli.

Kuti mumve bwino za mayendedwe a shuga, ndikulimbikitsidwa kuchita zomwe zimadziwika kuti ndi mayeso awiri, momwe mumawonjezera shuga asanachitike kapena pachitika zinazake kapena zina. Chifukwa chake, kuyeza shuga m'magazi musanadye chakudya kumakuthandizani kuti mumvetsetse bwino momwe zakudya zimasankhidwira kapena zakudya zanu. Kuyerekezera kwa zizindikiro zomwe zimapangidwa madzulo ndi m'mawa zikuwonetsa kusintha kwa glucose mu thupi pakugona.

Kodi shuga ndi chiyani?

Mwazi wamagazi amawerengedwa mmol pa lita imodzi, ochepera kwambiri mamiligalamu pa desilita iliyonse. Mchitidwe wamagulu a shuga kwa munthu wathanzi ndi 3,6-5.8 mmol / L. Kwa wodwala aliyense, chizindikiro chomaliza ndimunthu payekha, kuphatikiza apo, phindu limasiyanasiyana malinga ndi chakudya, makamaka zotsekemera komanso zamafuta ochepa, mwachilengedwe, kusintha koteroko sikumadziwika ngati kwachidziwikire komanso kwakanthawi kochepa.

Momwe thupi limayang'anira shuga

Ndikofunikira kuti mulingo wa shuga ukhale mulingo wamba. Kutsika kwamphamvu kapena kuchuluka kwamphamvu kwa glucose m'magazi sikuyenera kuloledwa, zotsatira zake zimakhala zazikulu komanso zowopsa pamoyo komanso thanzi la wodwalayo - kusowa kwa chikumbumtima mpaka matenda a shuga.

Kuti akhalebe ndi glucose wabwinobwino, kapamba amatulutsa mahomoni awiri - insulin ndi glucagon kapena ma polypeptide hormone.

Insulin ndi mahomoni opangidwa ndi maselo a pancreatic, akumamasula poyankha glucose. Insulin ndiyofunikira maselo ambiri amthupi la munthu, kuphatikiza minyewa ya minofu, maselo a chiwindi, maselo amafuta. Hormoni ndi mapuloteni okhala ndi ma amino acid osiyanasiyana 51.

Insulin imagwira ntchito zotsatirazi:

• imawuza minyewa ndi maselo a chiwindi chizindikiro chomwe chimafuna kuphatikiza glucose wotembenuka mwanjira ya glycogen,
• amathandizira maselo amafuta kupanga mafuta posintha mafuta acid ndi glycerin,
• imapereka chizindikiro kwa impso ndi chiwindi kuti chisiye kubisalira kwa glucose awo pogwiritsa ntchito kagayidwe kazakudya - gluconeogenesis,
• imalimbitsa maselo am'mimba ndi maselo a chiwindi kuti apatule mapuloteni kuchokera ku amino acid.

Cholinga chachikulu cha insulin ndikuthandizira thupi kuyamwa michere mukatha kudya, chifukwa chomwe kuchuluka kwa shuga m'magazi, mafuta ndi amino acid kumatsika.

Glucagon ndi mapuloteni omwe ma cell a alpha amatulutsa. Glucagon imakhudzanso shuga wa magazi omwe ndi osiyana ndi insulin. Pamene kuchuluka kwa shuga m'magazi kumachepera, timadzi timene timapereka kwa maselo am'misempha ndi maselo a chiwindi kuti ayambe kugwira ntchito ya glucose monga glycogen ndi glycogenolysis. Glucagon imathandizira impso ndi chiwindi kuti zimitsegulidwe.

Zotsatira zake, glucagon ya mahomoni amatenga glucose kuchokera ku ziwalo zingapo ndikuwasunga pamlingo wokwanira. Izi zikapanda kuchitika, kuchuluka kwa shuga m'magazi kumatsikira pansi.

Matenda a shuga

Nthawi zina thupi limagwirira ntchito mothandizidwa ndi zinthu zakunja kapena zamkati, chifukwa chomwe zovuta zimakhudza kagayidwe kachakudya. Chifukwa cha kuphwanya kotero, kapamba amalephera kupanganso insulin yokwanira, maselo amthupi amachitanso zolakwika, ndipo pamapeto pake msempha wamagazi umakwera.

Vutoli limatchedwa shuga.

Hypoglycemia imawonetsa kuti shuga ya magazi ndiyotsika. Kuchuluka kwa shuga kumeneku ndikowopsa ngati nkovuta.

Ngati zakudya zamagulu chifukwa cha shuga wochepa sizipezeka, ubongo wa munthu umavutika. Zotsatira zake, chikomokere ndichotheka.

Zotsatira zoyipa zimatha kuchitika ngati shuga agwera ku 1.9 kapena kuchepera - mpaka 1.6, 1.7, 1.8. Pankhaniyi, kukomoka, kugwidwa, chikomokere ndikotheka. Mkhalidwe wa munthu ndi woopsa kwambiri ngati mulingo ndi 1.1, 1.2, 1.3, 1.4,

1.5 mmol / L. Pankhaniyi, popanda kuchitapo kanthu, imfa ndiyotheka.

Ndikofunikira kudziwa osati chifukwa chomwe chizindikirochi chikukwera, komanso zifukwa zomwe glucose imatha kugwa kwambiri. Kodi zimachitika bwanji kuti mayesowo akuwonetsa kuti glucose ndi wotsika mwa munthu wathanzi?

Choyamba, izi zitha kukhala chifukwa cha kudya pang'ono. Ndikamadya kokhwima, zosungirako zamkati zimatha pang'onopang'ono m'thupi. Chifukwa chake, ngati kwa nthawi yayitali (kuchuluka kwake kutengera mawonekedwe a thupi) munthu akudya, shuga wa m'madzi amachepetsa.

Kuchita zolimbitsa thupi kumathandizanso kuchepetsa shuga. Chifukwa cha katundu wolemera kwambiri, shuga amatha kuchepa ngakhale ndi chakudya chamagulu.

Ndi kumwa kwambiri maswiti, kuchuluka kwa shuga kumachulukitsa kwambiri. Koma kwakanthawi kochepa, shuga akucheperachepera. Mowa ndi mowa zimathanso kuchuluka, kenako ndikuchepetsa kwambiri magazi.

Ngati pali shuga pang'ono m'mwazi, m'mawa, munthu amayamba kufooka, kugona, kukwiya kumamugwira. Mwakutero, muyeso wokhala ndi glucometer ukhoza kuwonetsa kuti phindu lovomerezeka limatsitsidwa - osakwana 3.3 mmol / L. Mtengo ukhoza kukhala wa 2.2, 2.4, 2,5, 2.6, ndi zina zotero. Koma munthu wathanzi, monga lamulo, ayenera kumakhala ndi chakudya cham'mawa chokhacho kuti shuga ya m'madzi a m'magazi ikhale yolimba.

Koma ngati vuto la hypoglycemia likukula, pomwe glucometer ikuwonetsa kuti kuchuluka kwa shuga m'magazi kumatha munthu atadya, izi zitha kukhala umboni kuti wodwalayo akupanga matenda a shuga.

Shuga ndi gawo lofunikira pakupanga magazi ndimagazi, omwe amakonzedwa ndi kapamba. Gawo lazolimbitsa thupi la endocrine limayang'anira ntchito yopanga mahomoni insulin ndi glucagon.

Ndikofunika kwambiri kuti kusungitsa bwino kwazinthu zamagulu m'thupi. Mwachitsanzo, insulin ndiyo imayendetsa shuga m'magazi, pomwe glucagon imasiyanitsidwa ndi mawonekedwe ake a hyperglycemic.

Ngati kuchuluka kwa mahomoni kuphwanyidwa, chizolowezi cha shuga m'magazi a munthu sichimayang'aniridwa malinga ndi zotsatira za mayeso. Kuzindikira mwatsatanetsatane komanso chithandizo chamankhwala mwachangu ndichofunikira.

M'mabotolo, amagwiritsa ntchito matebulo apadera omwe zizindikiro za plasma zimawerengeredwa kale m'magazi a shuga a capillary. Kuwerenganso zotsatira zomwe zimawonetsedwa ndi mita zitha kuchitidwa palokha.

Pazomwezi, chizindikiro pa polojekiti chimagawidwa ndi 1.12. Choyimira chotere chimagwiritsidwa ntchito kuphatikiza matebulo omasulira zizindikiro zomwe zapezeka pogwiritsa ntchito zida zodziwonera za shuga.

Kuwona kwa kuyesa kwa glycemic level kumadalira chipangacho chokha, komanso zinthu zingapo zakunja ndikutsatira malamulo ogwiritsira ntchito. Opanga okha amati zida zonse zonyamula shuga za magazi zimakhala ndi zolakwika zazing'ono. Zotsirizazo zimakhala 10 mpaka 20%.

Zochita za insulin

Njira yosungira kuchuluka kwa shuga m'magazi munthawi yocheperako imapitilira. Madzi a insulin ndi omwe amachititsa izi. Amatulutsa shuga m'magazi kulowa m'maselo, kuwapatsa mphamvu. Ma glucose omwe amayendetsa mkati mwa maselo ndi mapuloteni apadera. Amatenga mamolekyulu a shuga kudzera mwa membrane wam'manja omwe amatha kusintha ndikulowetsa mkati kuti athandizidwe kukhala mphamvu.

Insulin imapereka shuga m'maselo a minyewa, chiwindi ndi minofu ina, kupatula ubongo: shuga imalowa mmenemo popanda thandizo la insulin. Shuga samawotchedwa kamodzi, koma amayikidwa mu mawonekedwe a glycogen - chinthu chofanana ndi wowuma ndipo chimadyedwa pofunikira. Ndikusowa kwa insulin, anthu onyamula shuga sagwira ntchito bwino, maselo sawalandira chifukwa chamoyo wonse.

Ntchito ina yofunika ya insulin ndikudziunjikira kwa mafuta m'maselo amafuta. Chifukwa cha masinthidwe a kusintha kwa glucose kukhala mafuta, kuchuluka kwa shuga mthupi kumachepa. Ndipo ndi insulin ya mahomoni yomwe ili yofunikira kwambiri kunenepa kwambiri, ntchito yake yosayenera imalepheretsa kuwonda.

Kusiyanitsa pakusala komanso pambuyo powerenga shuga

Pamimba yopanda kanthu, pamimba yopanda kanthu, kuwerenga kwa shuga sikokwanira. Munthu akadya, michere imalowa ndipo amalowa m'magazi, zomwe zimachulukitsa kuchuluka kwa shuga. Mwa munthu wathanzi wokhala ndi kagayidwe kazakudya kamphamvu, kapamba amatulutsa mwachangu kuchuluka kwa insulin kuti matenda asungunuke, kotero kuwonjezeka kumeneku sikokwanira ndipo sikumatenga nthawi yayitali.

Ndi kusowa kwa insulini (pankhani ya matenda a shuga 1) kapena kufooka kwake (mtundu wachiwiri wa matenda ashuga) mutadya, kuchuluka kwa shuga m'magazi kumawonjezera kwambiri, komwe kumakhudza impso, kupenya, mantha, chiwopsezo cha matenda a mtima kapena stroke.

Nthawi zambiri mavuto obwera chifukwa cha kuchuluka kwa shuga mutatha kudya amalakwitsa chifukwa cha kusintha kwachilengedwe. Komabe, ngati simuchita nawo molondola komanso munthawi yake, moyo wa wodwalayo umakulirakulira ndi zaka.

Mulole shuga wamagazi amuna

Mwamuna wamkulu yemwe ali ndi thanzi labwinobwino sangadandaule, chizindikiro chimakhalabe pamalire ovomerezeka. Komabe, kuwongolera dongosololi mwadongosolo sikudzakhala kopitilira muyeso.

Machitidwe ovomerezeka a shuga a magazi mwa amuna amatchulidwa kuti 3.3 - 5.5 mmol / l, ndipo kusintha kwake kumachitika chifukwa cha ukalamba wamthupi laimuna, thanzi komanso dongosolo la endocrine.

Phunziroli limatenga madzimadzi achiberekero, omwe ali ofanana kwa odwala ang'ono ndi achikulire. Ndi shuga wambiri, ndi kale matenda omwe amafunikira kuthandizidwa.

Amawonetsedwa kuti muukalamba shuga m'thupi umakwera, motero malire ovomerezeka amawonjezedwa poyerekeza ndi zomwe zimachitika kwa wachinyamata. Komabe, kuwonjezeka koteroko sikugwirizana nthawi zonse ndi ma pathologies akuluakulu, pakati pazomwe zimapangitsa kudumpha kowopsa kwa glucose, madokotala amasiyanitsa zowonjezera za chakudya, zolimbitsa thupi ndi kusinthasintha kwa testosterone, kupezeka kwa zizolowezi zoipa, ndi kupsinjika.

Ngati chizolowezi cha shuga chamagazi mwa amuna sichikupezeka, gawo loyamba ndikupeza etiology ya pathological process.

Payokha, ndikofunikira kuyang'ana kwambiri momwe thupi lilili, zomwe zimakhudza kuchuluka kwa shuga. Kuti chidziwitsocho chikhale cholondola momwe mungathere, khalani ndi mayeso a labotale m'mawa komanso nthawi zonse pamimba yopanda kanthu.

Zakudya zoyambirira zokhala ndi shuga komanso zakudya zama shuga zomwe zimakhala ndi shuga wambiri zimapereka zotsatira zabodza. Kupatuka kuchoka pazizolowezi sikuyenera kupitirira 6.1 mmol / l, koma mtengo wotsika umaloledwa - osachepera 3.5 mmol / l.

Kuti muwone shuga, ndikofunikira kugwiritsa ntchito zamadzimadzi zotulutsa, koma choyamba sonkhanitsani deta ya anamnesis. Mwachitsanzo, wodwalayo sayenera kudya chakudya, ndipo tsiku lotsatira ndikofunikira kuti muchepetse kugwiritsa ntchito mankhwala ena kuti muchepetse kuyankhidwa koyipa.

Ngakhale kutsuka mano m'mawa ndikosayenera, chifukwa kutsuka mano komwe kumakhala ndi zonunkhira kumatha kuyambitsa kupitilira malire ovomerezeka. Kukula kwa shuga kuchokera m'mitsempha kumafotokozedwa m'malire a 3.3 - 6.0 mmol / l.

Uku si kawirikawiri koma kophatikizanso mayeso othandizira ma labotale kuti apezeke matenda a shuga komanso kupewa matenda ashuga. Nthawi zambiri, kusanthula kotereku kumachitika muubwana ndikuwonekera kwa zizindikiro za kuchuluka kwa glucose mu madzi achilengedwe.

Kwa ana, pali malire. Ponena za abambo akuluakulu, ngati mutenga magazi kuchokera pachala, zotsatira zake ziyenera kukhala zogwirizana ndi 3.3-5.6 mmol / L.

Ngati chizolowezi chovomerezeka chitha, dokotala amatumiza kuti adziwonetsenso, monga njira - cheke chapadera chololeza chofunikira. Nthawi yoyamba madzi a capillary amatengedwa pamimba yopanda kanthu, makamaka m'mawa, ndipo chachiwiri - maola angapo atatha kudya magalamu 75 a shuga. Muyezo wa shuga mwa abambo wazaka 30-55 ndi 3.4 - 6.5 mmol / L.

Ndi katundu

Ndi ntchito yochepera yolimbitsa thupi, kuchuluka kwa shuga mumagazi a thupi kumafanana ndi chizolowezi chovomerezeka, koma chikakula, chimatha kudumphira mosayembekezereka. Mphamvu ya zochita za njira yotereyi imafanana ndi momwe munthu akumvera, pomwe kuwonjezeka kwa shuga m'magazi kumayambitsidwa ndi mavuto amanjenje, kupsinjika kwakukulu, mantha.

Kuti muthandizike pakukonzekera mankhwalawa, tikulimbikitsidwa kuti tichotse machitidwe olimbitsa thupi mopitilira muyeso, pomwe amaloledwa kuwonjezera njira zamankhwala, koma osagwiritsa ntchito mankhwala mopitirira muyeso. Kupanda kutero, hypoglycemia imayamba. Kuchepetsa kotereku, komwe kumakula mwa akulu, kumapangitsa vuto la kugonana, kumachepetsa kukondana.

Ndi matenda ashuga

Shuga amakwezedwa, ndipo chizindikiro choterocho chimakhala chovuta kukhazikika pamtengo wovomerezeka. Wodwala yemwe ali ndi matenda ashuga amayenera kuwunika nthawi zonse momwe madzi obwera azisamba, makamaka chifukwa cha mita iyi ya shuga wamagazi anagulidwa. Chizindikiro chimatengedwa kuti ndi chowopsa kuyambira 11 mmol / l, mukalandira mankhwala mwachangu, kuyang'anira achipatala.

Manambala otsatirawa amaloledwa - 4 - 7 mmol / l, koma zonse zimatengera mawonekedwe a chithunzi china cha matenda. Zina mwazovuta zomwe zimachitika, madokotala amatha kusiyanitsa matenda ashuga, zotsatira zoyipa za wodwala wodwala.

Zizindikiro za High shuga

Shuga wowonjezera amatha kutsimikiziridwa ngati munthu ali ndi zizindikilo zina. Zizindikiro zotsatirazi zomwe zikuwonetsedwa mwa munthu wamkulu komanso mwana ziyenera kumuchenjeza:

• kufooka, kutopa kwambiri,
• kulakalaka kwambiri ndi kuchepa thupi,
• ludzu ndi kumverera kosalekeza kukamwa kowuma
• kukoka kambiri komanso pafupipafupi, maulendo a usiku kupita kuchimbudzi ndi chikhalidwe,
• mafinya, zilonda ndi zotupa zina pakhungu, zotupa zotere sizichira,
• kuwonetsedwa pafupipafupi kwa kuyabwa m'misempha, kumaliseche,
• chitetezo chokwanira, kusayenda bwino, kuzizidwa pafupipafupi, matupi akulu akulu,
• kuwonongeka kowoneka, makamaka mwa anthu omwe ali ndi zaka zopitilira 50.

Kuwonetsedwa kwa zisonyezo zotere kungasonyeze kuti pali kuchuluka kwa glucose m'magazi. Ndikofunikira kulingalira kuti zizindikiritso za shuga wambiri zimatha kuwonetsedwa kokha mwa zina mwazowonetsa.

Chifukwa chake, ngakhale pokhapokha ngati zizindikiro za kuchuluka kwa shuga zikuwoneka mwa munthu wamkulu kapena mwana, muyenera kuyesedwa ndi kudziwa shuga. Kodi ndi shuga wanji, ngati wokwera, chochita, - zonsezi zimatha kupezedwa mwa kufunsira katswiri.

Gulu lomwe lili pachiwopsezo cha matenda ashuga limaphatikizapo omwe ali ndi mbiri ya banja la matenda ashuga, kunenepa kwambiri, matenda a kapamba, etc. Ngati munthu ali mgululi, kufunika kamodzi sikutanthauza kuti matendawo kulibe.

Kupatula apo, matenda ashuga nthawi zambiri amapezeka popanda zizindikiro ndi mawonekedwe, osatsimikizira. Chifukwa chake, ndikofunikira kuyesa mayeso angapo nthawi zosiyanasiyana, chifukwa mwina pakakhala kuti pali zomwe zikuwonetsedwazo, zomwe zikuwonjezereka zimachitika.

Ngati pali zizindikiro zoterezi, shuga wamagazi amakhalanso wapamwamba kwambiri panthawi yoyembekezera. Pankhaniyi, ndikofunikira kudziwa zomwe zimayambitsa shuga wambiri. Ngati glucose panthawi yapakati imakwezedwa, kodi izi zikutanthauza chiyani komanso zoyenera kukhazikitsa podzikhazikitsa, dokotala ayenera kufotokozera.

Tiyeneranso kukumbukira kuti kuwunikira kolimbikitsa kwabwino ndikothekanso. Chifukwa chake, ngati chizindikiro, mwachitsanzo, 6 kapena shuga wamagazi, izi zikutanthauza chiyani, zitha kutsimikizika pokhapokha maphunziro obwereza kangapo.

Zoyenera kuchita ngati mukukayika, ndizomwe zimawonetsa dokotala. Pozindikira, atha kukuwonetsani mayeso owonjezera, mwachitsanzo, mayeso ololera a glucose, mayeso okhudza shuga.

Tebulo lotanthauzira zotsatira za glucometer zomwe zidapangidwira kusanthula shuga kwamadzi m'magazi

Ngati mawonedwe azizindikiro za chipangizochi achitidwa molingana ndi tebulo, malingaliro ake azikhala motere:

• musanadye 5.6-7, 2,
• mutatha kudya, mutatha maola 1.5-2, 7.8.

Magazi atsopano a glucose samadziwikanso shuga ndi dontho la magazi athunthu. Masiku ano, zida zamtunduwu ndizopangidwira pakuwunika kwa plasma.

Chifukwa chake, nthawi zambiri deta yomwe chipangizo choyesera shuga panyumba chimatanthauzira sichimatanthauziridwa bwino ndi anthu omwe ali ndi matenda ashuga. Chifukwa chake, popenda zotsatira za phunziroli, musaiwale kuti shuga ya plasma ndi 10-11% kuposa magazi a capillary.

Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono

Sikuti munthu aliyense wathanzi amadziwa za kukhalapo kwa chipangizo choyezera ngati glucometer. Koma aliyense wodwala matenda ashuga amafunikira. Ndi matenda a shuga, ndikofunikira kwambiri kukhala ndi chida chotere.

Chipangizochi chimathandizira pochita njira yodziwira mulingo wa shuga kunyumba palokha. Kenako zimatha kuwongolera glucose ngakhale kangapo masana.

Pali ma glucometer omwe mumatha kudziwa zomwe zili mu cholesterol.

Mulingo woyenera kwambiri wa shuga, womwe umatha kuwonetsedwa pamtunda, sayenera kupitirira 5.5 mmol / l.

Koma kutengera zaka, zizindikiro zingasinthe:

• kwa ana akhanda ndi ana aang'ono, chizolowezi chimatengedwa kuti ndi kuyambira pa 2.7 mpaka 4.4 mmol / l,
• Ana azaka 1-5, mwanjirazo kuyambira pa 3.2 mpaka 5.0 mmol / l,

• Zapakati pa zaka 5 mpaka 14 zikuwonetsa kuti kuyambira 3.3 mpaka 5.6 mmol / l,
• Chizindikiro chovomerezeka cha zaka 14-60 chimawonedwa kuti ndi 4.3-6.0 mmol / l,
• kwa anthu azaka zopitilira 60 - 4.6-6.4 mmol / l.

Zizindikiro izi za glucometer ndizothandiza kwa odwala matenda ashuga, koma nthawi zonse pamakhala zosiyasiyana komanso zolakwika zovomerezeka.Chamoyo chilichonse ndi chapadera ndipo chimatha "kugogoda" kuchokera pazikhalidwe zomwe zimavomerezeka, koma adokotala omwe amapezeka ndi omwe anganene izi mwatsatanetsatane.

Glucometer - chida chodziyimira pawokha shuga - iyenera kukhala mwa wodwala aliyense yemwe ali ndi matenda ashuga. Pogulitsa mutha kupeza zida zosiyanasiyana. Mamita abwino a glucose amayenera kukhala olondola, chifukwa thanzi la wodwalayo limatengera zisonyezo zake.

Njira zoyezera shuga zamagazi kunyumba

Magazi a shuga m'magazi ndi glucometer. Zida zosunthika zimatha kukhala zosiyanasiyana pamitundu yawo komanso kuwerenga kwa zotsatira zake.

Pali zida zomwe zimafotokozera zomwe zimapangitsa kuti anthu azitha kuona mosavuta, ali ndi chinsalu chachikulu, ndipo othamanga kwambiri kuti adziwe zotsatira (zosakwana masekondi 15). Ma glucometer amakono amatha kupulumutsa zotsatira za mayeso ogwiritsa ntchito pambuyo pake, kuwerengetsa kuchuluka kwa glucose kwakanthawi.

Pali zida zatsopano zomwe zimatha kutulutsa zambiri ndikupanga matebulo ndi zithunzi za zotsatira. Ma glucometer ndi zingwe zoyesera zitha kugulidwa ku malo ogulitsa mankhwala.

Malangizo ogwiritsira ntchito:

• Sambani m'manja ndikukonzekera chida,
• tengani cholembera chapadera kuti muchotse, mowa, thonje, zingwe zoyesera,
• ikani chodzikongoletsera pachigawo chofunikira,
• kukoka masika
• tulutsani chingwe choyesera ndikuchiyika mu mita, pomwe icho chizitsegukira zokha,
• pukuta chala chako ndi swab thonje ndi mowa,
• kuboola chala chanu
• phatikiza gawo logwira ntchito la mzere wamagazi mpaka dontho la magazi,
• dikirani mpaka gawo lonse latha,
• tsinani malo opumira ndikudikirira zotsatira za kusanthula, kukonzekera masekondi angapo,
• chotsani Mzere

Njira zodziwira shuga m'magazi am'magazi komanso m'magazi athunthu zimapereka zotsatira zosiyanasiyana, mosiyana ndi 12%, kotero odwala nthawi zina amatha kuzimasulira molakwika.

Kuyerekeza kuwerengera komwe kumapezeka mosiyanasiyana, ndikofunikira kuchulukitsa kuwerengera kwa shuga m'magazi athunthu ndi 1.12, ndikuwerengedwa kwa shuga mu plasma - motero, gawani ndi 1.12. Pali magome ena apadera omwe ali ndi makulidwe amtundu wa shuga m'magazi komanso m'magazi athunthu.

Zizindikiro za glucometer za matenda ashuga

Miyezo ya shuga yamagazi idakhazikitsidwa mkati mwa zaka za zana la makumi awiri chifukwa cha kuyesa koyerekeza magazi mwa anthu athanzi komanso odwala.

Mankhwala amakono, kuwongolera kwa glucose m'magazi a odwala matenda ashuga samapatsidwa chidwi chokwanira.

Mafuta a shuga m'magazi a shuga nthawi zonse amakhala okwera kuposa anthu athanzi. Koma ngati musankha zakudya zopatsa thanzi, mutha kuchepetsa chizindikirocho, ndikuchifikitsa pafupi bwino.

Miyezo ya shuga

• Asanadye m'mawa (mmol / L): 3.9-5.0 kwa wathanzi ndi 5.0-7.2 kwa odwala matenda ashuga.
• Maola 1-2 atatha kudya: mpaka 5.5 wathanzi komanso mpaka 10,0 kwa odwala matenda ashuga.
• Glycated hemoglobin. %: 4.6-5.4 kwa wathanzi komanso mpaka 6.5-7 kwa odwala matenda ashuga.

Mu shuga mellitus, kuchuluka kwa shuga m'magazi kumayambira 7-8 mmol / l (maola 1-2 atatha kudya). Chizindikiro cha mpaka 10,0 mmol / L adavotera kuti ndichovomerezeka.

Palibe mavuto azaumoyo, shuga wamagazi amakhala m'magawo 3.9-5.3 mmol / L. Pamimba yopanda kanthu ndipo atatha kudya, izi ndizofunikira 4.2-4.6 mmol / L.

Ndi kumwa kwambiri zakudya zokhala ndi mafuta ochulukirapo, shuga m'munthu wathanzi amatha kuchuluka mpaka 6.7-6.9 mmol / l. Imakwera pamwamba pokha pokha.

Kuti mudziwe zambiri zamagulu a shuga a magazi mwa ana ndi akulu, dinani apa.

Kodi kuchuluka kwa shuga m'magazi mutatha kudya, kufotokozedwa m'nkhaniyi.

Kulondola kwa Glucometer

Kuyeza kwa mamitidwewo kumatha kusintha mulimonsemo - zimatengera chipangizocho.

Glucometer iliyonse imakhala ndi malangizo ogwiritsira ntchito, omwe amafotokozera momwe glycemia angapangidwire.Pakuwombera ndi kugwiritsa ntchito zotsalira zazomera pazofufuza, mutha kugwiritsa ntchito zigawo zingapo (kutsogolo, khutu, ntchafu, ndi zina), koma ndibwino kupyoza pachala. Mu gawo lino, magazi amayenda kwambiri kuposa mbali zina za thupi.

Zofunika! Ngati magazi ali ndi vuto pang'ono, pikirani zala zanu kapena musanengeni bwino.

Kudziwa kuchuluka kwa shuga m'magazi ndi glucometer molingana ndi mfundo ndi miyambo yomwe amavomerezedwa kumaphatikizapo izi:

1. Yatsani chipangizocho, ikani chingwe cholowera kuti muone kuti code yomwe ili pamalopo ikugwirizana ndi zomwe zikuwonetsedwa pazenera.
2. Sambani manja anu ndi kupukuta bwino, chifukwa kupeza dontho lililonse lamadzi kungapangitse kuti phunziroli likhale losalondola.
3. Nthawi iliyonse ndikofunikira kusintha gawo lazakudya zopangidwira. Kugwiritsa ntchito komweko malo omwewo kumapangitsa kuti pakhale mawonekedwe a kutupa, kumverera kowawa, kuchiritsa kwa nthawi yayitali. Sichikulimbikitsidwa kuti mutenge magazi kuchokera pachala chamanthu.
4. Lancet imagwiritsidwa ntchito poboola, ndipo nthawi iliyonse iyenera kusintha kuti isatenge matenda.
5. Dontho loyamba la magazi limachotsedwa pogwiritsa ntchito chikopa chowuma, ndipo chachiwiri chimagwiritsidwa ntchito poyesa mzere m'dera lomwe limagwiridwa ndi mankhwala agengents. Sikoyenera kufinya dontho lalikulu lamwazi kuchokera pachala, chifukwa timadzi tamatumbo timadzatulutsidwanso limodzi ndi magazi, ndipo izi zimabweretsa zosokoneza zenizeni.
6. Munthawi ya masekondi 20 mpaka 40, zotsatira zake zizioneka pa nthawi yoyang'ana mita.

Mukamayang'ana zotsatira, ndikofunikira kulingalira momwe mita ikuyendera. Zida zina zimapangidwa kuti ziyeze shuga m'magazi athunthu, zina mwa plasma.

Malangizo akuwonetsa izi. Ngati mita ndi yoyipa ndi magazi, manambala 3.33-5.55 ndi omwe azikhala ofanana.

Ndizokhudzana ndi mulingo uwu womwe muyenera kuwunika momwe mumagwirira ntchito. Kuwerengera kwa plasma kwa chipangizocho kukuwonetsa kuti zochulukirapo zidzaonedwa ngati zabwinobwino (zomwe zimakonda magazi ochokera m'mitsempha).

Ndi za 3.7-6.

Zakudya zochepa za carb

Kuchepetsa matenda ashuga komanso kukhalabe ndi moyo wabwinobwino ndizogwirizana ndi zakudya zosankhidwa bwino, mosasamala mtundu wa shuga. Chakudya chamafuta ochepa chimathandizira kuti glucose wamagazi azikhala wokhazikika. Mfundo zake zazikulu ndizotsatirazi.

1. Kudya kwa tsiku ndi tsiku kwamakina osaposa 100-120 magalamu. Izi zimakupulumutsani pakuwonjezeka kwa shuga. Izi zimayenera kudyedwa pang'ono masana.
2. Shuga woyenga sayenera kupatula. Izi sikuti ndimaswiti okha (chokoleti, maswiti, makeke), komanso zakudya zokhuthala monga mbatata kapena pasitala.
3. Idyani kangapo 4-5 patsiku, koma khalani patebulo pokhapokha mukamamva njala. Osamadya "mpaka kutaya."
4. Gawani magawo kuti chakudya cham'mawa, chakudya chamasana komanso chakudya chamadzulo, mukhale ndi pafupifupi mafuta ochulukirapo komanso mapuloteni, kuti magazi anu azikhala okhazikika ndikuphunzitsa thupi lanu kudya zakudya zochuluka.

Malonda Oletsedwa:

• shuga
• maswiti
• mbewu za chimanga (kuphatikiza chimanga),
• mbatata
• mankhwala a ufa
• zopumira mwachangu
• zipatso zokoma ndi misuzi ya zipatso,
• kaloti, beets wofiira, dzungu,
• nyemba
• tomato wothira kutentha
• mkaka wonse
• zopangidwa mkaka,
• tchizi chamafuta ochepa
• msuzi wokoma
• wokondedwa
• okometsa.

Ndikosavuta kusintha kwambiri kuchokera ku chakudya chokhazikika kupita ku chakudya chamafuta ochepa. Komabe, thupi lidzazolowera kusintha, kusapeza kudzadutsa, ndipo muphunzira momwe mungakhalire ndi zakudya zoyenera, kusintha kwa zindikirani kukhala bwino, kuchepa thupi komanso manambala okhazikika pamamita.

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 zikondamoyo zimabisa insulin yowonjezera kuti itsitse shuga pambuyo pudya.

Ngati mulibe insulin yokwanira (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 mikhalidwe imapangidwira kugunda kwadzidzidzi kwa mtima kapena stroke. Mavuto azaumoyo omwe amayamba chifukwa cha kuchuluka kwa shuga mutatha kudya nthawi zambiri amawonedwa ngati kusintha kwachilengedwe. Komabe, amafunika kuthandizidwa, mwinanso wodwalayo sangakhale ndi moyo wapakati komanso wokalamba.

Glucose amawerengera:

Kuyesa kwa shuga m'magazi ndi njira yabwino yopezera matenda ashuga. Tiyeni tiwone chifukwa. Matenda a shuga akayamba, shuga wa m'magazi amayamba kudya. Zikondamoyo, 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 zikupezeka kale. Ngati wodwala sayeza shuga atatha kudya, ndiye kuti samakayikira kudwala kwake mpaka zizindikirazo zikuwonekera.

Kuti mupeze matenda a shuga, tengani 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 kuchitadi kuyesa kwa maola awiri pamagetsi. 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. Ngati wodwala sanalandire chithandizo, ndiye kuti gawo lotsatira limachitika - "zonse" shuga mellitus.

Momwe mungadziwire matenda oyamba ndi 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 prediabetes isandulika mtundu 2 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 am'mbuyomu, chimodzi mwazomwe zatchulidwa pamwambapa ndizokwanira kuzindikira. 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 uku sikuli kwanzeru kupitilira kuzindikira matenda. Gwiritsani ntchito njira zina - glycated hemoglobin kapena shuga wamagazi mukatha kudya.

Zowopsa zomwe zimayambitsa matenda a prediabetes ndi matenda a shuga a 2:

• 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 mwazovuta izi, muyenera kuyang'ana shuga wanu wamagazi zaka zitatu zilizonse, kuyambira pazaka 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."

Ma hormone a Catabolic ndi insulin ndi okondana wina ndi mnzake, i.e., amakhala ndi zotsutsana. Kuti mumve zambiri, werengani nkhani "Momwe Insulini Imalamulira Magazi a shuga mwa Matenda Achimodzimodzi ndi Matenda A shuga".

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 akayamba kudwala, wodwalayo amatha kuzindikira. Hyperglycemic coma ndi ketoacidosis ndizovuta zowopsa zomwe zimabweretsa shuga.

Zovuta pachimake, koma zofala zambiri:

• ludzu lalikulu
• kamwa yowuma
• kukodza pafupipafupi,
• Khungu lumauma,
• mawonekedwe osaneneka
• kutopa, kugona,
• Kuchepetsa thupi
• mabala, zipsera sizichiritsa,
• zomverera zosasangalatsa m'miyendo - kumeza, tsekwe,
• pafupipafupi matenda opatsirana komanso fungus omwe ndizovuta kuchiza.

Zizindikiro zowonjezera za ketoacidosis:

• kupuma pafupipafupi komanso kwanthawi yayitali
• Fungo la acetone popuma,
• chikhalidwe chosakhazikika.

• Hyperglycemic chikomokere - mwa okalamba
• Matenda a shuga ketoacidosis - odwala omwe ali ndi matenda ashuga 1, achikulire ndi ana

Chifukwa chiyani shuga wambiri ndi woipa

Ngati simumalandira shuga wamagazi ambiri, zimayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto owopsa adatchulidwa pamwambapa. Ichi ndi hyperglycemic chikomokere ndi matenda ashuga 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 mwendo kapena phazi, ndi matenda amtima. Mukakhala ndi shuga m'mwazi, zovuta zake zimayamba kukhazikika ndikuwonekera kwambiri. 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 ya mankhwala azitsamba, 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 azikhalidwe za anthu odwala matenda ashuga ndiwo "makasitomala" enieni a madokotala omwe amalimbana ndi kulephera kwa impso, kucheka kwa malekezero ena am'munsi, komanso ophthalmologists. Mavuto a matenda a shuga a impso, miyendo ndi maso zimawonetsa zaka zovuta zambiri wodwala asanaphe kapena matenda a mtima. Opanga ambiri ogulitsa mankhwalawa amagwira ntchito mosamala kuti asatsutsidwe ndi mlandu. Komabe, ntchito zawo zimaphwanya malamulo amakhalidwe abwino.

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.

• Chithandizo cha Folk cha matenda a shuga - Mankhwala azitsamba
• Mavitamini a shuga - Magnesium-B6 ndi Chromium Supplements
• Alpha lipoic acid

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. Muyenera kuyeza shuga osachepera 2-3 patsiku, makamaka nthawi zambiri. Mitsempha yamagazi a kunyumba inatuluka 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 mumakhala pafupifupi $ 0,5. Ndalama zonse zimapitilira mwezi umodzi. Komabe, izi ndi ndalama zosapeweka. Pulumutsani pamiyeso yoyeserera - pitani mukamachiritsa odwala matenda ashuga.

Panthawi ina, madokotala anakana kulowa nawo msika wa glucometer. Chifukwa adawopsezedwa ndi kutayika kwa magwero akuluakulu achuma kuchokera kuyezetsa magazi a labotale chifukwa cha 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.

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 ndi wapadera, wosafanana ndi wina aliyense. Chifukwa chake, tikufunika kukonzekera payekha - 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 - titangodzuka.
• kenako - musanayambe kudya chakudya cham'mawa,
• Maola 5 mutatha jakisoni aliyense wa insulin,
• pamaso chakudya chilichonse kapena chakudya.
• mukatha kudya chilichonse kapena zakudya zina - patatha maola awiri,
• musanagone
• musanakhale ndi maphunziro akuthupi, zochitika zovuta, zoyeserera zamphamvu kuntchito,
• mukangomva njala kapena kukayikira kuti shuga yanu ndiyapansi kapena kuposa apo,
• musanayendetse galimoto kapena kuyamba kugwira ntchito zoopsa, ndipo kenako ola lililonse mpaka mutamaliza,
• pakati pausiku - kupewa mankhwalawa hypoglycemia.

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

• Zomwe adadya - zakudya, magalamu angati,
• insulin yomwe idalowetsedwa komanso mlingo uti
• mapiritsi a shuga omwe adamwa
• watani
• zolimbitsa thupi
• wokometsedwa
• matenda opatsirana.

Lembani zonse, bwerani. Ma cell amakumbukidwe a mita samalola kujambula zochitika zotsatana. Chifukwa chake, kuti musunge zolemba, muyenera kugwiritsa ntchito cholembera pepala, kapena bwino, pulogalamu yapadera mufoni yanu.Zotsatira za kuwunika kwathunthu kwa glucose zimatha kusanthula palokha kapena palimodzi ndi dokotala. Cholinga ndikufuna kudziwa kuti ndi nthawi yanji masana komanso kuti shuga yanu siyabwinobwino. Ndipo kenako, chitani zinthu - gwiritsani ntchito pulogalamu yochizira matenda ashuga.

Kudziletsa kwathunthu kwa shuga kumakupatsani mwayi wowunika momwe zakudya zanu, mankhwala, maphunziro akuthupi ndi jakisoni wa insulin alili. Popanda kuwunikira mosamala, ma charlatans okha ndi omwe "amathandizira" matenda a shuga, pomwe pamakhala njira yolunjika kwa dotolo kuti akadule phazi ndi / kapena kwa nephrologist kuti adayetse matenda. 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 wanu wayamba kusinthasintha mwanjira ina, ndiye kuti ingokhalani masiku angapo mumachitidwe owongolera 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 zovuta za shuga. 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 2 komanso a 2. Werengani zambiri kuti mudziwe bwanji shuga m'mimba popanda 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, muyenera kuyeza shuga musanadye jekeseni iliyonse, ndipo kenanso maola awiri mutatha kudya. 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 zakudya zamafuta ochepa osaba jakisoni wothamanga, ndiye kuyeza shuga maola awiri mutadya.

Pali zida zomwe zimatchedwa pitilizani kuunika 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 mbali zina za khungu - kumbuyo kwa dzanja lanu, mkono wamanja, ndi zina. Nkhani ili pamwambapa ikufotokoza momwe mungachitire izi. Mulimonsemo, sinthani zala za manja onse awiri. Osamamenyetsa chala chomwecho nthawi zonse.

Njira yokhayo yochepetsera shuga mwachangu ndi kubayirira 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 mopitirira muyeso, ndipo munthu amatha kuzindikira. Zithandizo zachikhalidwe ndi zachinyengo, 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 m'nkhani yakuti: “Maphunziro azachilengedwe a matenda ashuga.” 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 yakuti "Mapuloteni, Mafuta, Zakudya Zam'madzi, ndi CHIKWANGWANI CHA CHAKUDYA CHOKHALITSA" 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 ...

• Momwe mungayesere shuga ndi glucometer, kangati patsiku muyenera kuchita izi.
• Momwe mungasungire zolemba za matenda a shuga komanso motani
• Mitengo ya shuga m'magazi - chifukwa chake amasiyana ndi anthu athanzi.
• Zoyenera kuchita ngati shuga ndiwambiri. Momwe mungachepetse ndikuisunga bwino.
• Zomwe zimagwiritsidwa ntchito pochiza matenda ashuga owopsa komanso apamwamba.

Zomwe zili m'nkhaniyi ndiye maziko a pulogalamu yanu yolimbana ndi matenda a shuga. Kusunga shuga pamalo okhazikika, monga momwe zimakhalira ndi anthu athanzi, ndizotheka kukwaniritsa ngakhale matenda ashuga amtundu 1 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.

Mnyamata 2g. Mwezi 1 .. Wopulumutsidwa mtundu 1 shuga 2 miyezi Kubwerera. Cole Levomir ndi Humalog. 3 ndi 4 mayunitsi patsiku. Timadya mosamalitsa monga regimen 6 pa tsiku. Chakudya cholimba. Kulakalaka kwambiri kumafunsa kuti kudya. Tikufunadi kudziwa ngati chilakolako chitha. Ves14kg. Pafupifupi osasinthika ndi zikomo Anastasia.

> Chilakolako chambiri ...
> Tikufuna kudziwa
> kaya munjira yakukonda.

Mwina thupi la mwana lidachepa panthawi yomwe matenda a shuga anali atayamba kale, ndipo anali asanalandire insulin. Tsopano thupi limapanga zotaika ndipo limayesetsa kudya kwambiri.

Ndi zotheka kuti mumabayidwa insulin yambiri.

Phunzirani mwachangu pazinthu zathu pa ulalo "Hypoglycemia (shuga wotsika)"

> amakhala amafunsa kuti kudya

Izi zikachitika - nthawi yomweyo yeretsani magazi ndi glucometer. Ndipo zonse zidzakhala zowonekera, palibe chifukwa chongoyerekezera chilichonse. Komanso, munkhaniyi mudaphunzira momwe mungachitire izi mosapweteka.

> Mnyamata 2g. 1 mwezi ..
> Wopulumutsidwa wa mtundu woyamba wa shuga m'miyezi iwiri

Mkhalidwe wovuta, simungafune wina aliyense akhale m'malo mwanu.

Tsamba lathu lidapangidwa makamaka kuti lizikulimbikitsa kudya zakudya zamagulu ochepa kwa matenda oopsa. Ndikuthandizani kuti mwana akatembenukira kwa iye, kudzakhala kosavuta kukhala kwa iye ndi makolo ake. Chifukwa chake, werengani zolemba pamalumikizidwe "Insulin ndi Carbohydrate: Choonadi Chomwe Muyenera Kudziwa" ndi "Momwe Mungachepetse Magazi a shuga ndikuwasunga Mwazotheka."

Atsikana, wazaka 11 zakubadwa miyezi8, kulemera 39 makilogalamu, kutalika 148 masentimita, mtundu wa shuga 1. Matendawa adapezeka sabata ziwiri zapitazo. Anapezeka mwangozi. Pakupereka mkodzo, shuga anali 2.8. Anapereka magazi 9 osati pamimba yopanda kanthu) 14.2. Kumanzere kuchipatala. Anapanga kokhotakhota kwa shuga, kusala kudya, atatha maola 2 13.2. Anayeza shuga maola 1.5 aliwonse asanadye komanso chakudya. nthawi zambiri pamakhala ma hypo (kuyambira 2.4 mpaka 3.0). Amawasangalatsa kwambiri. shuga wambiri 9.0-10.0 masiku awiri aliwonse. Anadutsa mayeso athunthu, zonse. Koma timakhala ndi fever fever, myopia yovuta, angioedema wamaso. Isolated hematuria (mayeso adadutsa, palibe chifukwa chomwe chidapezeka. Vulvovaginitis. Glycated hemoglobin 5.43%. Insulin 1.12 mmol / L. C-peptide 1.72 ng / ml.Pa b maselo glands 0.60 Pofika ma unit a GAD 72.2 / ml. Insulin therapy (lantus 1 unit - masiku 2) Kenako yathetsedwa. Amati kudikirira kuti shuga akhale ochulukirapo kapena wochepa nthawi zonse 8-9. Kenako pa insulini. Ndiuzeni, mungafune kafukufuku wowonjezera, ndikuda nkhawa ndi hematuria ndi zovuta za maso. Ndipo kodi imeneyi ndi njira yolondola? Kupatula apo, kulumpha mu shuga kumakhala ndi zotsatira zoyipa kwambiri pamitsempha yamagazi.

> Ndipo iyi ndi njira yoyenera

Monga onse omwe ali ndi matenda ashuga, ndi bwino kuti musinthe zakudya zamagulu ochepa, kuwonjezera pazomwe madokotala amakupatsani. Pankhaniyi, mlingo wa insulin uyenera kuchepetsedwa kwambiri. Muyezo shuga wa magazi anu ndi glucometer 3-8 patsiku kuti mupeze bwino kuchuluka kwa insulini. Mvetsetsani momwe izi zimachitikira.

Ndili ndi zaka 31. Kukula 165. Ndili ndi mtundu 1: ndidadwala zaka 2 zapitazo .. Ndidakhala ndi shuga usiku 12-13 Ndidatenga Chile usiku insulin Levemir ndi mayunitsi 2, i.e. vititi 6. Tsopano mmawa shuga 14-16 masanawa Kuchepa ndikufika pofika madzulo a 17-19. Kodi kuchuluka kwa insulin kungakhale kotsutsana? Zodabwitsa kuti nthawi ya 4 koloko usiku madzulo shuga anali 10-13? Ndimagwiritsa ntchito levemir ndi novorpid.

> ikhoza kuwonjezera insulin
> kuchita zosiyana?

Mwinanso ngati pakadali pano ntchito ya kapamba wanu ikupitilirabe kuwonongeka.

Kuti muthane ndi matenda a shuga, muyenera kuyeza shuga wanu wamagazi mpaka katatu pa tsiku, ndipo tikulimbikitsani kusinthana ndi zakudya zamafuta ochepa. Werengani nkhani "Momwe Mungachepetsere Mwazi wa Magazi".

Wazaka 47, kutalika 172 cm, kulemera-70 makilogalamu, mu Meyi 2013 adapeza mtundu wachiwiri wa prediabetes malinga ndi zotsatira zoyesa: shuga wamitsempha yofulumira - 5.51, glycosylated hemoglobin - 6.2.
Anadwala matenda a ischemic zaka 10,5 zapitazo.

Kupanikizika kukukwera mpaka 140-90. Cholesterol chonse chinakwera mu Novembala 2012 mpaka 5.65, cholesterol cha LDL chinali 3,84, ndipo index ya atherogenic inali 3.7. Anazindikira ndi hypercholesterolemia, tachycardia, matenda ischemia 1 digiri, matenda oopsa 4.
Mankhwala atachitika mu Epulo, malinga ndi umboni, cholesterol 4.54, LDL cholesterol -2.88, atherogenic index -2.8, maselo ofiira am'magazi -4.78, hemoglobin -143, hematocrit - 44, ena onse kuchipatala cha hematology onse ndi abwinobwino.
Kuyambira mwezi wa Meyi, ndimayesetsa kuti ndisamamwe shuga, ndimamwa kuchepetsa shuga komanso kuchepetsa zakudya zamafuta ndi mafuta azitsamba. Chonde thandizirani ndi upangiri wa momwe mungapewere matenda ashuga komanso zovuta zina.

Wodzipereka, Olga Vladimirovna.

Pambuyo mankhwala April

> Chonde thandizirani ndi upangiri

Ndikudandaula kuti muli ndi kulemera kwabwinoko. Izi zikutanthauza kuti mutha kukhala ndi matenda ashuga amtundu 1, osati mtundu wachiwiri wa shuga, womwe umakhala woipa kwambiri. Ndiye kuti, ntchito yodziwika bwino ikamakula. Lumikizanani ndi endocrinologist, yesetsani mayeso a C-peptide ndi insulin m'magazi.

Kuyambira Meyi ndingayese kudya shuga

Zakudya zamagulu ochepa zimafotokozedwa mwatsatanetsatane "Momwe Mungachepetse Magazi A shuga." Uwu ndiye njira yabwino kwambiri yazakudya zilizonse zodyera shuga aliyense.

Moni, ndili ndi pakati 2 trimester, ndinadutsa zotsatira za 5.3, ndinayambiranso masiku atatu pamimba yopanda kanthu zotsatira zake ndi 4.9. Amandiikira matenda a shuga, koma sindingapeze zowonetsa za amayi apakati, intaneti imapereka malingaliro osiyana mwazomwe zimachitika kwa amayi apakati kuyambira 4,3 mpaka 6.6 .. Kodi mungandiwuzeko zizindikilo ziti zomwe zimayenera kukhazikika (kusala glucometer)?

> Kodi mungandiuze
> Zizindikiro ndizomveka kuyenda

Mwanjira yochepa. Kutalika kwanu kunali kotani usanabadwe komanso tsopano? Kodi mwayezetsa magazi a glycated hemoglobin?

Msinkhu 168, kulemera 71 - anachira mu miyezi 5 ya mimba ndi 3 kg. Shuga wakhala wabwinobwino - nthawi zambiri amayendera. Tsopano pa mita, kusala 4.8.
Sindinapereke hemoglobin wa glycated, ngakhale ndinapereka malangizo - ndidaganiza kuti sizikumveka, popeza sindimaperekanso mankhwala a insulini, ndipo inemwini nditha kudya zakudya zamagulu ochepa, makamaka popeza zakudyazi ndizoyenera amayi apakati.

> Tsopano pa mita,
> kusala khola 4.8.

Izi ndizabwinobwino. Koma m'malo anu, muyenera kuwunika shuga osati pamimba yopanda kanthu, koma mutatha kudya. Ndipo malinga ndi zotsatira zake, sankhani zochita. Werengani mosamala nkhani yathu yokhudza matenda ashuga.Nkhani yokhudza kuyezetsa magazi imafotokoza “kuyesa kwa glucose mayeso”. Pitani pa labu, perekani. Kuyesa kwa shuga m'magazi sikuthandiza kwenikweni.

> Zakudya izi ndi
> yoyenera pakati

Tsoka ilo, izi sizophweka. Zakudya zamafuta ochepa zimatha kupangitsa ketosis (kuti isasokonezeke ndi ketoacidosis). Munthawi yabwinobwino, izi ndi zomwe timayesetsa. Munthu amamva bwino, safuna kudya, amachepetsa thupi, ndipo shuga wake wamagazi amakhazikika. Koma nthawi yapakati, ketosis imakhala yoopsa komanso yopweteka. Zimayambitsa kusokonezeka kapena kusokonekera kwa fetal.

Mapeto ake ndikuti ndi shuga ochulukirapo panthawi yomwe muli ndi pakati, muyenera kudya michere yaying'ono, komabe osakhala yochepa kwambiri chifukwa cha ketosis. Ngati simunadye chakudya chamafuta ochepa ndipo simunakhalepo ndi ketosis musanakhale ndi pakati, ndiye kuti simungakayike kuchuluka kwamafuta ochulukirapo omwe muyenera kudya. Chifukwa chake, ndibwino kuti mupereke jakisoni wa insulin ngati pakufunika.

Moni. Ndine wazaka 36, ​​kutalika 160, kulemera 87, pazaka zapitazi ndapeza zambiri. Chizindikiro 6.83 chinapereka magazi kuchokera mu mtsempha, kenako chinafikira 6.4 ndikutulutsa chala pamimba yopanda kanthu, ndipo atatha maola 5 pa 5.08. Amati ndi matenda a shuga. Yotsimikizika glucofazhtlrng 750 madzulo ndi nthawi yakudya. Zakudya zama carb otsika komanso masewera. Pambuyo pa kudya, kusanza komanso kutsekemera kwamtundu wina pakamwa kunayamba, ndipo mulingo unachepetsedwa ndi theka la piritsi. Masiku angapo pambuyo pake, zamphamvu zadzidzidzi zidatulukira .. Tsiku latha izi zisanachitike. Kukoma kosatha mkamwa. Kuwotcha ndi kuwawa pachifuwa. Kodi izi zitha kukhala zokhudzana ndi masewera olimbitsa thupi? Ndipo funso linanso, kodi shuga amachepetsa popanda kutenga glucophage pakanthawi kochepa komanso zakudya zochepa?

Moni, zikomo chifukwa cha mayankho omveka bwino komanso achangu!
Ndinadutsa mayeso a hemoglobin ya glycated - zotsatira zake ndi 5.6% pamalire a mayendedwe

> muyenera kufinya ndikudutsa
> kulolera shuga?

Ndikofunika kuchita izi. Glycated hemoglobin mumkhalidwe wanu sikuwonetsa chithunzi chonse.2

> glycated kusanthula
> hemoglobin - zotsatira zake ndi 5.6%

Izi sizokwanira. Mwa anthu athanzi, owonda, chiwerengerochi ndi 4.2-4.6%. Zimatanthawuza kuti muli pachiwopsezo chachikulu chotenga shuga ndi ukalamba. Chifukwa chake, mutakhala ndi pakati komanso mkaka wa m`mawere - mumakhala bwino moyo wonse motsimikiza kutsatira zakudya zopatsa mphamvu. Kenako ketosis siyikhala yoyipa ikadzuka.

Tsopano, ndikadakhala kuti ndikadakhala inu, ndikadaletsa michere, koma mwanjira yomwe ingalepheretse ketosis. Kuti muchite izi, pamodzi ndi mapuloteni ndi mafuta, idyani "zoyipazo" - masamba. Anyezi oyera (owiritsa kapena owotcha), nyemba, kaloti pang'ono ndi beets. Zipatso - sizoyenera ngati mumadya masamba. Zipatso zamtunduwu sizikugwiranso ntchito, ndipo zovulazo zingakhale zazikulu chifukwa cha kuchuluka kwa shuga m'magazi.
Kodi mukufunikira kupatsa insulin?

Moni, ndili ndi zaka 44, kutalika 158, kulemera 80 Sabata yatha, kusala kudya shuga kuchokera ku mtsempha 16. Wolembetsa. Mwinanso chifukwa cha mantha ndinayamba kudya pang'ono, kupatula apo, ndinapatula ufa wonse, chimanga, shuga. Ndimayesetsa kuti ndisadye kwambiri, koma maola atatu aliwonse, ndimakhala ndi njala, chizungulire. Kupanikizika kukukwera mpaka 140/100. Lero m'mawa, shuga osala kudya ndi -5.9 Maola atatu mutadya 7.4 .. Koma kachiwiri ndikufuna kudya. Kodi shuga amayenera kukhala wabwinobwino motani mukatha kudya? Zikomo

> kusala shuga kuchokera ku mtsempha 16.
> Ikani pakalembedwe

Choyamba, gulani mita yabwino ya glucose yolowedwa kunja ndikuyang'ana shuga wanu wamagazi kangapo patsiku, monga tafotokozera m'nkhaniyi.

> Komatu ndikufuna kudya

Werengani mosamala nkhani "Momwe mungachepetse shuga wamagazi" ndikudya modekha zakudya zamndandanda zomwe zololedwa. Ndikwabwino kudya nthawi 5-6 patsiku m'magawo ang'onoang'ono kuposa kawirikawiri komanso kwambiri.

> Zochuluka motani
> shuga mutadya?

Zakudya zamafuta ochepa sizikuthandizani kuonetsetsa kuti siwokhutira kuposa 5.5-6 mukatha kudya, zomwe zikutanthauza chiopsezo chochepa cha matenda ashuga. Ngati muphatikiza zakudya ndi maphunziro akuthupi, ndiye kuti shugayu adzakhala m'magulu a 3.5 - 5 mmol l, ndipo izi ndi zabwino, monga mwa anthu athanzi, owonda.

Moni, mwana wanga azikhala ndi miyezi iwiri pa Novembala 6. Tidapereka magazi kuti akhale ndi shuga, ali ndi zotsatira za 5.2, koma sitidapereka kotheratu pamimba yopanda kanthu (nditamaliza kudya maola 2,5), tidayesa glucometer mu labotale. chosangalatsa (agogo anga aakazi, ndiye kuti agogo a mwana wanga anali ndi matenda ashuga). Zikomo kwambiri

> Pali chifukwa chosangalalira

> basi agogo anga, i.e.
> agogo a mwana wanga anali ndi matenda ashuga

Werengani ziwonetsero za matenda ashuga mu makanda, kenako yang'anani mosamala kukula kwa mwana wanu. Pempho lokhutiritsa: musamuzungenso popanda chifukwa chachikulu ndikuyezetsa magazi. Ndipo musamalembe kawiri kawiri.

Yesetsani kusokonekera ndi china chake.

Moni. Ndili ndi zaka 23, kutalika 164 masentimita, kulemera kwa makilogalamu 63, Ndikufuna kudziwa ngati ndingakhale ndi matenda ashuga ngati agogo anga akuchikazi akudwala matenda a shuga omwe amadalira insulin, azakhali anga kuchokera kwa amayi akudwala matenda ashuga, koma amamwa mapiritsi, amayi anga nawonso ali ndi shuga mu magazi koma osafunikira? Ndinawerenga pa intaneti kuti kukodza kumatha kukhala chizindikiro cha matenda ashuga, ndili nako kwa masabata 3-4 kale, ndipo sikumapweteka, ndipo mwina ndimalandira mkodzo wa malita atatu patsiku, nthawi zonse ndimakhala ndi njala, ngakhale ndikangodya, kutopa koopsa, kugona nthawi zonse Ndikufuna mabala kuti achiritse bwino. Kodi ndikupereka magazi kuti apange shuga?

> Kodi nkofunika kupereka magazi chifukwa cha shuga?

Inde, ndipo mwachangu. Komanso, perekani shuga m'magazi pamimba yopanda kanthu, koma koposa zonse, kuyezetsa magazi kwa hemoglobin ya glycated. Kapena kuyesa kwa maola 2 a glucose.

Madzulo abwino, sinditha kupumula, ndithandizeni kuzindikira! Mwana wamkazi ali ndi zaka pafupifupi 7, kulemera kwa makilogalamu 19, kutalika kwa 122 cm.Anayamba kuchitira matenda opatsirana mononucleosis - motsutsana ndi kumbuyo kwa ma immunomodulators omwe adayamba kulemba ndikumwa kwambiri, khungu lake lidawuma pamiyendo yake, kutaya 1 kg kapena 2 kg kulemera kwake. Tinapita kwa asing'anga milungu ingapo pambuyo pake (sizinadziwike kuti lingakhale shuga). Kuthamanga shuga kudakhala 6.0 (chizolowezi chawo chimakhala mpaka 5.5), kumadya, kupatsa mayeso ena, glycated hemoglobin 5%, pafupipafupi mpaka 6%, shuga 4.1 tsiku lomwelo, C-peptide 0,58 pamodzi ndi 1- 4 ... .. khalani ndi zakudya zamafuta ochepa osalakwitsa. Tsopano kulemera kwake kuli pafupifupi 19 kg. zimachitika masiku awiri nthawi zambiri pisses. kusala shuga ndi glucometer (akuchek asset) kuchokera pa 4.7 mpaka 5.4 mmol / L, mutatha kudya pambuyo pa maola awiri mkati mwa 7.7 mmol / L. Tsopano mwana wanga wamkazi adadya shuga, adaganiza zoyesera m'mphindi 30 - zidapezeka kuti 9,0. Ndinkadya zipatso zam'madzi zophatikiza ndi zipatso, pang'ono pokha, tiyi wopanda shuga, komanso maswiti owonda odwala matenda ashuga. Kodi ndi SD-1 kapena MODI. kapena kulolera shuga. momwe mungamvetsetsere! Ndiopa kwambiri mwana wanga wamkazi ... Ndidzabereka m'miyezi itatu, (((() (

> Izi ndi SD-1 kapena MODI.
> kapena kulolera shuga.

Ndine waulesi kwambiri kuyang'ana machitidwe amiseche yaana. Koma pali kusiyana kotani? Mulimonsemo, muli ndi malingaliro otsatirawa:
1. Tsatirani kwambiri zakudya zamafuta ochepa.
2. Chitani shuga yonse ya magazi osachepera tsiku limodzi pa sabata. Poyamba, masiku 3-4 motsatana ndi bwinoko. Onetsetsani kuti mwayamba kukhala ndi mita yolondola ya shuga.
3. Ngati miyezo ya shuga ya magazi ikuwonetsa kuti ndikofunikira, yambani kuchiza matenda a shuga ndi insulin, osakoka.

> Kusunga chakudya chamagulu ochepa
> Palibe zolakwika.
> Ate buckwheat

Simunawerenge mosamala momwe chakudya chokhala ndi shuga ochepa. Sali ndi "njala", koma amayenera kuwonedwa mosamalitsa. Anadya pang'ono zakudya zoletsedwa - shuga mumagazi.

> maswiti a odwala matenda ashuga

Zakudya zonse "za shuga" ndizoletsedwa kwathunthu! Zonsezi zimakhala ndi ufa wa chimanga, fructose ndi / kapena ndowe zina.

Ndimafunafuna maswiti - tengani stevia ndikuphike nokha.

> Ndimawopa mwana wanga wamkazi

Inu, zachidziwikire, mwatuluka mwayi. Koma pali ma pluses ena. Mwana wamkazi akaphunzira kuubwana kuyang'anira boma ndi kuthetsa mavuto, adzakula kukhala wolimba mtima komanso wokhazikika. Mukasinthira banja lonselo kukhala chakudya chamagulu ochepa, ndiye kuti mudziteteze ku kunenepa kwambiri, matenda oopsa komanso mavuto ena okalamba. Komanso, maudindo anu ndi abwino kwambiri kuposa omwe makolo a makanda omwe ali ndi matenda ashuga a mtundu woyamba. Tangoganizirani momwe zimakhalira kutenga magazi kuchokera pachala cha mwana ndikulowetsa insulin.

Ndipo koposa zonse - muli ndi mwayi wopeza tsamba lathu lachichepere. Muyamba kumuthandiza kudya mwana wanu wamkazi matenda ashuga okhala ndi zakudya zamagulu ochepa, ndipo azikhala ndi moyo wathanzi, osadzakhala olumala asanafike pa msinkhu.

Moni Ndili ndi zaka 49, kutalika 165, kulemera kwa 68 kg. M'chilimwe cha 2013, m'mawa pamimba yopanda kanthu, shuga anali 4.56. Mu Januware 2014, inali kale 7.16. Ndinayamba kuyeza ndi glucometer m'mawa uliwonse kuyambira 5.8-6.8. Ndakhala ndi vuto ndi chithokomiro cha chithokomiro kwakanthawi, ndikumwa Eutirox 75. Kodi shuga ingawonekere chifukwa cha mavutowa? Zikomo

> Mwina chifukwa cha izi
> Mavuto amawoneka shuga?

Mavuto a chithokomiro komanso matenda a shuga sizokhudzana mwachindunji, koma amayamba chifukwa chofananacho. Mwakuwoneka, mukukula pang'onopang'ono mtundu woyamba wa matenda ashuga. Zoyenera kuchita - werengani nkhaniyo pachakudya chamafuta ochepa, sinthani kwa iwo tsopano ndikupitiliza kudziyang'anira nokha shuga. Komanso, ndikofunikira kuyeza shuga wamagazi mukatha kudya, osati pamimba yopanda kanthu. Ngati shuga akadakulirakudya wamba pama chakudya ochepa, yambani jakisoni.

Ndikukonzekera kutumiza zidziwitso zambiri za chithandizo cha matenda amtundu wa 1 komanso mtundu wa 2 m'miyezi iwiri yotsatira, chifukwa chake werengani nthawi ndi nthawi.

Moni. Ndili ndi zaka 34. Mimba yoyamba inali mapasa, mwana mmodzi wosabadwa patatha milungu 6, wachiwiri anabadwa ndi matenda a mtima. Shuga anali wabwinobwino. Tsopano masabata 14. Wolembedwa pa masabata a 8, kulemera kunali 58.9, shuga anali ochokera m'mitsempha 5.8. Kuyambiranso - 5.5. Adandiyika kudya nambala 9. Kwa sabata ino, kudya mwachangu shuga pa glucometer ndidali kuyambira 5.9 mpaka 4.6. Pakutha kwa sabata 5.3. Ola limodzi mutatha kudya, kuyambira 4.8 mpaka 6.2. Musanagone, kuyambira 4,7 mpaka 5.4. Nthawi 3.00 kuyambira 4.9 mpaka 5.4. Bwerezani magazi kuchokera m'mitsempha ya shuga kachiwiri 5.56. Ndikupezeka kuti sabata la zakudya sizinathandize. Amadutsa nthawi yomweyo pa glycosylated hemoglobin, zotsatira zake ndi 4.2. Kodi izi zikutanthauza chiyani? Ndipo chifukwa chiyani pali kusiyana kotero pazotsatira za kusanthula kwa shuga ndi glycosylated hemoglobin? Kuzindikira mwana. Kulemera asadakhale ndi pakati panali 57-58, kutalika 165. Tsopano mimba ndi masabata 14, kulemera 58,5. Amakhala bwino. Zikomo

> Kodi izi zikutanthauza chiyani?

Mwazi wanu wamagazi tsopano ndi wabwinobwino. Zikatero, aziyang'ananso theka lachiwiri la kutenga pakati.

Moni. Ndili ndi milungu 21 ya mimba, kutalika kwanga ndi 163, kulemera ndi 59 kg. Anachita mayeso ololera a glucose: pamimba yopanda kanthu - 94, ola limodzi atamwa shuga - 103, atatha maola 2 - 95. Mwazi unatengedwa kuchokera mu mtsempha. Dokotala wodziwa matenda ashuga. Kodi machitidwe anga ndioyipa?

> Kodi ntchito yanga ndiyabwino?

Mudakuwuzani zotsatira za kuyesedwa kwa magazi kwa shuga mg / dl. Kuti musinthe kukhala mmol / l, muyenera kugawa ndi 18. Malangizo a shuga amaperekedwa munkhani yomwe mudalemba ndemanga. Jambulani zomwe mwapanga.

Ndili ndi zaka 42, kutalika 152 cm, kulemera 58 kg. Kuthamanga shuga 7.9-8.0 mmol / L. Mwangozi ndapeza tsamba lanu ndipo ndakhala ndikudya zakudya zokhala ndi carb zochepa kwa masiku 5. Izi zisanachitike, ndimakhala ndi njala nthawi zonse, tsopano ndikumva bwino. Funso: ndingagwiritse ntchito ndimu ndi adyo?

> mutha kugwiritsa ntchito mandimu ndi adyo?

Ndimu - sizingatheke, pazifukwa zofanana ndi zipatso zina zonse. Garlic - pang'ono, pang'onopang'ono, ngati zokometsera.

Moni. Ndili ndi zaka 53. Msinkhu 167 cm, kulemera kwa 87 kg. Type 2 shuga. Ndidayesa shuga pa 12.00 pamimba yopanda kanthu - 8.1 mmol / L. Ndinkamwa piritsi Amaril, ndinadya buckwheat ndimtundu wa nsomba. Maola 2,5 adadutsa - shuga woyesedwa - 10.2 mmol / L. Funso langa ndikuti - kodi malembawa amakhudza chiyani? Mwachitsanzo: mutu wanga umapweteka, ndimamwa piritsi ndipo pakatha mphindi 15-30 zonse zapita, zonse zimveka bwino. Koma chikuyenera kuchitika ndi chiyani piritsi ya shuga? Kodi azitsitsa shuga? Kapena kodi kuchuluka kwa shuga kudzachitikabe ndipo sikudalira piritsi? Zinkawoneka kuti ndimamwa piritsi - ndipo amakakamizidwa kuti muchepetse shuga. Kapena ndikulakwitsa? Tithokoze yankho. Zambiri, Ivan.

> Koma zikuyenera kuchitika
> ndi piritsi ya shuga?

Piritsiyi idatsitsa shuga, koma buckwheat adakulitsa kwambiri kuposa momwe piritsi limagwirira ntchito. Zotsatira zake, shuga anu adakwera atatha kudya. Mutha kuwerenga zambiri mu nkhani ya "Momwe insulin imayang'anira shuga."Ngati simukufuna kuphunzira chiphunzitso chosafunikira, ingowerenga pulogalamu yachiwiri ya matenda a shuga ndikuchita mosamala. Patulani amaryl, ndipo m'malo mwake chitani zomwe tikulimbikitsani.

Moni Ndili ndi zaka 31, kutalika 164 cm, kulemera 57 kg. Amayika shuga yachiwiri. Zaka zinayi zapitazo panali pakati angapo okhala ndi kulemera kwathunthu kwa ana a 6 kg. Shuga pamimba yopanda kanthu 18. Ikani otsitsira a KMA 250 ndi insulin 10. Kuchepetsa shuga mpaka 10,5. Palangizo lanu, ndimayeza shuga kwathunthu tsiku loyamba. Kusala 13.7. Masana 18-19. Ndinaona kulimbikitsidwa kwa zinthu zina zoletsedwa. Ziyeso - glycated hemoglobin 18%, c-peptide 0.263 ng / ml. Ndili ndi nkhawa kuti matenda awowo si olondola (mtundu wa matenda ashuga). Ndikufuna kukufunsani ngati ndikufuna insulin, mwina ndiyimbire ambulansi? Miyendo yanga ikupweteka, ndikumva bwino ndi shuga. Masomphenya anayamba kugwa. Mwinanso izi ndi nkhawa, chifukwa ndimadziwa za matenda ashuga sabata yatha. Dokotala adasankhira Siofor 850, Thioctacid 600, Milgamm Mono ndi Pankragen. Ananenanso kuti tidzayesa popanda insulini. Chonde mungayankhe.

> Pali nkhawa yoti matendawo sanadziwike molondola?

Mantha olondola! Palibe kulemera mopitirira muyeso, c-peptide imatsitsidwa, shuga yamagazi ndiwokwera kwambiri - izi zikutanthauza kuti simunakhale wachiwiri, koma mtundu woyamba wa matenda ashuga, komanso mawonekedwe owopsa.

> Kodi ndikufuna insulin
> Ino ndi nthawi yoyimbira ambulansi?

Ambulansi siyofunikira ngati simutaya nkhawa, ndipo insulin yomweyo imayamba.

> Adati tidzayesa popanda insulini

Dotolo uyu ndi wadwala weniweni. Tsopano muphunzira pulogalamu yathu yothandizira matenda a shuga 1 ndikuwongolera shuga lanu m'masiku ochepa ndikudya kwama carb ochepa ndi insulin. Pambuyo pake, ndikofunikira kuperekera madandaulo ake kwa olamulira akuluakulu. Ndikofunika kwambiri ngati zolemba zake zidasungidwa kuti zisamasuke.

> zotchulidwa Siofor 850, Thioctacid 600,
> Milgamma Mono ndi Pankragen

Siofor ndi yopanda ntchito kwa inu, Pankragen ndi placebo yodula. M'malo mwa Milgamm, ndikukulangizani kuti muganize ndikutenga mavitamini a B-50, chifukwa pali mitundu yokhazikika yachuma chochepa. M'malo mwa thioctacid, mutha kuyitanitsanso ndikutenga alpha lipoic acid ku United States. Koma zonsezi sizofunikira mumkhalidwe wanu, poyerekeza ndi zakudya zamafuta ochepa, ndipo muyenera kuyambitsa jakisoni nthawi yomweyo.

Moni, bambo anga ali ndi zaka 72 ndipo adapezeka kuti ali ndi vuto loleza shuga. Ndimakonda kwambiri zakudya zamagulu ochepa. Koma bwanji ngati gout ikufunika kuchepetsa nyama ndi nyama, komanso mazira? Wokhulupirika, Elena.

> chochita ndi gout

Pali chiphunzitso chakuti choyambitsa gout sichiri mapuloteni a chakudya, koma kuchuluka kwa insulin m'magazi makamaka chakudya cha fructose. Mutha kuwerenga zambiri za ichi m'Chingerezi. Sindinaonepo izi m'chinenerochi, mwina ndiziwamasulira pambuyo pake, koma posachedwa. Ngati izi zili zoona, ndiye kuti mukasinthira kumakudya ochepa a carb, gout ya abambo anu imachepa kwambiri.

Moni. Ndikuyembekeza kusadziwika. Ndikufuna ndidziwe momwe zotsatira za shuga m'magazi kunyumba? Ndamva kuti mita ikusonyeza zotsatira zapamwamba 12, ndiye kuti muyenera kuchotsa 20% kuchokera pamenepa. Kodi izi ndi zowona? Zikomo

> momwe mungadziwire zotsatira zake
> shuga m'magazi kunyumba?

Kufotokozedwa mwatsatanetsatane m'nkhani yomwe mudalemba ndemanga.

Wazaka 40, kutalika 182 cm, kulemera 65-66 kg. Mtundu woyamba wa shuga kwa theka la chaka. HbA1c komaliza 5.3%. C cholesterol chokwanira 3.3 ndi china chilichonse ndichachilendo. Kolya Lantus 14 asanagone ndi Apidra pamlingo wa 1 unit. 10-12 magalamu a chakudya. Funso ndilakuti: nthawi zambiri m'mawa ndimakhala ndi shuga 3.2-5.0 ndipo masana osaposa 7.0. Mukangotha ​​kudya sindimayeza, nditatha maola 1.5-2. Koma pambuyo pakuphunzira mpira ndi masewera olimbitsa thupi, shuga nthawi zina amadumphira 9-10, ngakhale asanaphunzitsidwe ndi 4.5-5,5. Kuphatikiza apo ndimadya apulo ya magalamu 200. Koma nditatha mphindi makumi anayi, nditafika kunyumba, ndimakhalanso 4.0-5.5. Ndipo atatha maola awiri ndi theka akuyendetsa njinga izi sizimawonedwa. Kodi izi ndizabwinobwino kapena zina zikuyenera kuchitika?

> Kodi izi ndizabwinobwino kapena zina zikuyenera kuchitika?

Muli ndi matenda ashuga amtundu woyamba mosavuta chifukwa sizinayambire ali aang'ono, koma pambuyo pake. Komabe, ndikulimbikitsabe kuti musinthe zakudya zamagulu ochepa ndikutsatira malangizo ena onse omwe akuwonetsedwa mu pulogalamu ya matenda a shuga 1.

About shuga spikes pambuyo kwambiri masewera. Sindikusonyeza kuti ngakhale pakudya zakudya zamafuta ochepa vutoli litha. Panthawi yamaphunziro achiwawa, chidwi cha maselo kupita ku insulin chimawonjezeka. Mwazi wamagazi umatsikira. Poyankha izi, mahomoni otsutsana amatulutsidwa, kuphatikizapo adrenaline. Amachulukitsa shuga ndipo mumtundu woyamba wa shuga amawukweza kuposa wabwinobwino. Pamaziko awa, kuti shuga panthawi yophunzitsira isakukulireni, simuyenera kuwonjezera pasadakhale, koma kuchepetsa kuchuluka kwa insulin yayitali komanso yachangu. Zochita, ndizovuta kusankha molondola kuchuluka kwa insulini pamaphunziro olimbitsa thupi kotero kuti palibe kudumpha kwa shuga.

Ndili ndi zaka 34, ndili ndi pakati. Ndidazindikira kuti ndili ndi shuga 6.661 yofulumira komanso 12.42 nditatha shuga. Anadutsa mayeso a hemoglobin wa glycated - 5.8% ndi insulin 11.3. Kodi izi ndi zomwe zimachitika kapena mukufuna chakudya ndi insulin? Palibe matenda ofanana.

> Mukufunika kudya ndi insulin?

Mukufuna zakudya zamagulu owonjezera, monga tafotokozera apa, koma (!) Ndikudya kaloti tsiku lililonse, beets ndi zipatso, kupatula nthochi, kuti pasakhale ketosis.

Musachotse zinthu zonse zomwe zalembedwa muzolembazo. Koma muli ndi pakati, idyani kaloti, beets, zipatso zina, kupatula nthochi tsiku lililonse. Chifukwa ketosis imatha kutitsogolera. Pambuyo pobala, ndikofunikira kuti mudye zakudya zamafuta ochepa "moyo wonse" kuti moyo wanu wonse usathe.

Moni Mwezi watha, kuyesa kwa magazi kuchokera mu mtsempha kunali 6.4, ndipo glycosylated hemoglobin anali 6.2%. Wakhala akumwa glucosamine kuyambira mu February - malangizo akuti angayambitse kulolerana kwa insulini. Nditawerenga tsamba lanu, ndimatsatira kadyedwe. Kusala shuga kuyambira 4.5 mpaka 5.6. Mukatha kudya, pambuyo pa maola 2, shuga amatha kukwera ku 6-6.8. Lero, mphindi 15 pambuyo pa nkhomaliro (bowa wokazinga ndi saladi wobiriwira) shuga anali 7.3. Ganizirani za matenda ashuga kapena prediabetes? Kodi Zizindikiro Zitha Kutheka Ngati Chotsatira cha glucosamine?

> Mukuganiza za matenda ashuga kapena prediabetes?

prediabetes, pafupi mtundu 2 shuga.

> Kodi Zizindikiro Zitha?
> ngati izi ndi zotsatira za glucosamine?

Tsatirani zakudya zamafuta ochepa ndipo zonse zikhala bwino. Pankhaniyi, chondroitin ndi glucosamine amatha kupitiliza kumwa.

Zaka 47, kutalika 189 masentimita, kulemera 90 makilogalamu, anali 67 kg, mtundu 2 shuga. Posakhalitsa nditazindikira kuti ndapeza, ndinazindikira komwe mumapeza ndikuyamba kudya zakudya zamagulu ochepa. Yanumet yoikika idayamba kutsitsidwa piritsi limodzi patsiku, shuga amasungidwa pafupifupi 4.6-5.6. Chabwino ndi china chilichonse kumene, kuthamanga, kuyenda, kuyenda njinga, mphamvu. Sabata yapitayo, adasiya kwathunthu Yanumet, shuga adalumpha pafupifupi 0,4. Ndiyenera kuyamba kudabwitsanso ndikubweza Yanumet?

Malinga ndi zomwe mumalemba - osazifunikira pano, pitilizani kuonera. Mwambiri, sichofunikira. Samalani kuti musadye zakudya zovomerezeka, ngakhale mwangozi.

Ndili ndi zaka 31, kutalika 190 cm, kulemera kwa 87 kg. Nthawi yoyamba kuti adayeze ndi glucometer - adawonetsa 7.7. Kodi zili bwino? Yankhani chonde. Ngati sichoncho, ndichani? Meryl mutatha kadzutsa.

Ayi, ndizambiri. Mutha kukhala ndi matenda a shuga 1.

> Ngati sichoncho, ndichitenji?

Tengani magazi okwanira masiku angapo. Nkhaniyi ikufotokoza tanthauzo lake. Ndipo pamenepo ziwoneka.

Ndili ndi zaka 52, kulemera kwa 122 kg, kutalika 173 cm, hypothyroidism, kumwa eutiroks. Sabata yapita ndidapita kwa dotolo - kukodza pafupipafupi, kukamwa kowuma, kutopa kwambiri. Curve yokhotakhota idawonetsa - m'mawa 10.8 m'mimba yopanda kanthu, pambuyo pa maola 2 mutadya 14.45, pambuyo pa maola 2 - 12,0. Adalembetsa, mapiritsi sanatchulidwe. Anapereka glucometer, okakamizidwa kuti azichita kuwerengera magazi kamodzi pa sabata. Tithokoze Mulungu ndangopeza tsamba lanu ndikusinthira kuzakudya. Kwa tsiku loyamba ndangotaya 3 kg. Shuga akadali masiku awiri, tsopano yachepetsedwa. Lero ndidali wokondwa pamimba yopanda chakudya 6.4! Nditatha kudya - 8.5.Funso nlakuti - kodi ndizotheka kuti chakudya chayiwala za matenda ashuga kosatha? Kapena ndikudziwitsa za matendawa ndikuyenera kumwa mapiritsi? Ndipo kodi ndikuchita chilichonse bwino? Madzulo amabwera zhor ndi ludzu, ndimamwa madzi ambiri, kulemera kwam'mimba mwanga kuchokera pamenepo. Mwinanso izi ndizovulaza?

> pamimba yopanda kanthu kale
> 6.4 Chakudya chamadzulo! Mukatha kudya, 8.5

Palibe chomwe mungasangalale nacho, ndichipamwamba kwambiri kuposa zabwinobwino. Mavuto a matenda ashuga amakula pang'onopang'ono koma. Yesani zabwino zanu! Chitani masewera olimbitsa thupi. Mudzafunika kuti mupeze insulini chifukwa shuga woyambira anali wamkulu kwambiri. Kuthamanga shuga ndi zamkhutu. Muyang'anireni ola limodzi ndi awiri mutatha kudya komanso m'mawa pamimba yopanda kanthu.

> ndizotheka kudya
> kuyiwala za matenda ashuga mpaka kalekale?

M'malo mwanu, ayi. Chifukwa matenda a shuga ndi akulu, shuga woyambayo asanadye komanso pambuyo poti adya kwambiri.

> kumwa mapiritsi?

M'malo mwake, mudzayenera kubaya insulini ngati mukufuna kupewa zovuta za matenda ashuga.

> Madzulo amabwera zhor

Idyani zakudya zovomerezeka zamagulu ochepa zosakhazikika, musafe ndi njala.

> ludzu, ndimamwa madzi ambiri
> Mwinanso izi ndizowopsa?

Kuchita ludzu komanso kusowa kwamadzi kumakhala kowopsa. Muyenera kumwa 30 ml amadzimadzi pa 1 makilogalamu a thupi patsiku. Kwa inu, awa ndi pafupifupi malita 3.5 amadzi ndi tiyi wazitsamba.

> ndikuchita zonse bwino?

Muyenera kuyambiranso kuyesedwa kwa magazi anu kwa mahomoni a chithokomiro miyezi itatu iliyonse. Malinga ndi zotsatira zawo, lolani endocrinologist kusintha mlingo wa eutirox. Izi zithandiza kusintha kwa matenda ashuga. Musamvere malangizo a endocrinologist pa zakudya zoyenera motsutsana ndi matenda a shuga! Miyezo yovomerezeka ya shuga ya magazi ilinso mu ng'anjo. Ngati, ngakhale kuyesetsa konse, shuga atatha kudya azikhala pamwamba pa 6.5 mmol / L, ndiye kuti insulini imafunikiranso. Yambani kubaya, osakoka.

Mwana adadwala ndi SARS, pambuyo pake adazindikira kutuwa ndi chikasu. Anadutsa mayeso onse. Zotsatira zake, adalandira motsutsana ndi maziko a hemoglobin otsika - 86 g / l ndi mkulu ferritin - 231 ng / ml, glycosylated hemoglobin 6.8%. Nthawi yotsiriza yomwe adachita mayeso anali mu Ogasiti. Zinali zabwinobwino. Kodi timatani?

Gulani glucometer yolondola, kuyeza shuga m'mawa wopanda kanthu ndipo mukatha kadzutsa mukatha ola limodzi. Ndizotheka nthawi zina masana. Mwina matenda a shuga 1 amayamba.

Moni Mwana wanga ndi wazaka 1, kutalika 80 cm, kulemera 13 kg. Amayamitsidwa. Nthawi zambiri amayamwa mawere usiku. M'mawa amapereka magazi a shuga kuchokera pachala, zotsatira zake ndi 6.0. Maola awiri mutadya 6.3. Kodi ndizoyenera kuda nkhawa?

> Kodi kuli kuda nkhawa?

Inde, ndizotheka kuti matenda amtundu wa 1 ayambe, muyenera kuwona.

Mwanayo ali ndi zaka ziwiri ndi miyezi iwiri. Mtundu wa shuga 1, wodwala insulin kuyambira chaka chimodzi ndi miyezi 7. Mlingo wa insulin: m'mawa - levemir 3, Novorapid 2, nkhomaliro - Novorapid 2, madzulo - Levemir 3, Novorapid 2. Mkate timalandira 2 XE pa kadzutsa, nkhomaliro, chakudya chamadzulo ndi 1-1.5 XE zokhwasula-khwasula. Funso ndi liti. M'mawa shuga 6-7. Chakudya cham'mawa 8.8 - - chithunzithunzi chitatha pambuyo pa maola 2,5 10.00-10.30 - shuga wamagazi amawonjezeka nthawi 2, ngakhale ali ndi insulin. Chakudya chamasana ndikatha kudya, shuga ndiwokwera kwambiri! Pa nthawi ya nkhomaliro 13.00-13.30 insulin yochepa - shuga samatsika kwambiri. Koma titatha kuyamwa timapereka 1 XE yomwe ili 16.00-16.30 - shuga amadzuka nthawi 2-2.5. Kuwerengedwa kwamitunda yayitali kwambiri. Shuga wausiku usiku wa 2-3 ndiwambiri, nthawi zina mpaka 20, pofika m'mawa imatsika. Sindikumvetsa, kaya insulin yaying'ono, kapena zambiri, thandizo!

Muyenera kuphunzira zolemba zonse mumitu ya Mtundu wa shuga ndi Insulin, kenako ndikutsatira malangizowo. Choyamba, kudya zakudya zamagulu ochepa komanso kuwerengera molondola zamankhwala a insulin. Pambuyo posinthira kuzakudya zatsopano, mlingo wa insulin wa tsiku ndi tsiku udzagwera magawo 1-3 kuchokera pazinthu zanu za 3 + 2 + 2 + 3 + 2 = 12. Miyezo ya shuga imayenda bwino.

Moni Ndili ndi zaka 21, ndapezeka kuti ndayamba kudwala matenda ashuga. Wamtali masentimita 155, kulemera kwa moyo wanga wonse anali 44-46 kg. Zaka ziwiri zapitazo, adayamba kulemera mwadzidzidzi popanda chifukwa. Kunenepa kunali pafupifupi 60 kg. Kenako panali nkhawa yayikulu ndipo mchaka zosakwana chimodzi ndidataya 13 kg, popanda chifukwa chodziwika bwino. Ndidakondwera ndi izi, chifukwa izi zisanachitike, masewera kapena zakudya sizinakhale ndi zotsatira zochepetsa thupi. Panali ludzu, ndimamwa ma 2 kapena 5 malita amadzi patsiku. Amakonda kukodza pafupipafupi - mphindi 20 zilizonse, kapenanso kangapo.
Ndinakakhala kuchipatala ndili ndi ululu wam'mimba kwambiri, tachycardia komanso kusowa kwa oxygen. Panthawi yolowera kuchipatala kwambiri, thupi langa linali 40 kg. Ku dipatimenti ya endocrinology, adayamba kunenepa.
Ndi mankhwala a insulin panali njala yakuthengo. Posachedwa kudula 8-10-8 farmasulin ndi 12 yokulitsidwa, komanso farmasulin. Ngakhale kudya moyenera, shuga adadumpha. Pamaso pake panali nkhope ndi thupi, kuyabwa, kufinya kwamaso ndi khunyu. Ndimaganiza kuti ndizosagwirizana, koma adotolo adati ayi.
Kenako ndinayamba kulemera mwachangu. Mimba yopendekera kale, mbali zazikulu ndi miyendo yamafuta. Ndinapita kwa dotolo ndimantha, koma anati sanachira chifukwa cha insulin. Koma ngakhale ndisanakhale ndi matenda ashuga, sindinadye zomwe ndizoletsedwa kwa odwala. Sindimakonda kudya chokoleti ndipo kenako minuscule, sindimadya mwachangu komanso yokazinga paliponse, sindimamwa sopo wokoma.
Sindikudziwa zomwe ndingachotse mu zakudya konse, ndimadya - kanyumba tchizi 0,2% mafuta, 1.8 chakudya pamagalamu 100, kefir yemweyo, masamba onse kupatula mbatata, beets ndi kaloti. Nyama - mbale zokhazokha za bere la nkhuku ndi ng'ombe, ndimaphikirabe nsomba mu uvuni.
Ma supu opepuka. Ndimadya chilichonse chaching'ono, sindimva njala. Ndi zakudya zotere komanso insulin yolimbikitsidwa, adalandira hypoglycemia. Kuchepetsa. Ndipo adachepa pang'ono. Tsopano kulemera ndi 50 kg. Koma acetone adawonekera mkodzo mu ++. Adotolo adati ndizowopsa, chifukwa chake muyenera kumwa madzi ambiri amchere ndi atoxil. Zinandithandiza kwakanthawi, koma kenanso acetone. Ndimasunga shuga pamitundu 4.1-7.0. Kolya tsopano ndi 2 (4) -4 (6) -4 yaifupi komanso 8 (10) yowonjezera.
Sindikumvetsa chifukwa chake fluff ndi komwe acetone amachokera, popeza shuga amakhala ochulukirapo kapena osafunikira ndipo insulin imafanana ndi zakudya zamafuta (ndipo pali pafupifupi 30-40 g / tsiku) ndi zopatsa mphamvu zochepa. Chifukwa chokwiyitsa ndi zotupa mthupi? Panalibe zoterezi isanachitike mankhwala a insulin. Actrapid anali woyamba insulini, zonse zinali bwino, koma ndinasamutsidwa kupita kwa insuman. Zitatha izi, mavuto adayamba. Mothandizidwa ndi kukayikira kukayikirana, adasinthira kukhala farmasulin, koma zonse zidali m'malo. Chonde ndikulangizeni, chonde. Dokotala wothandizirayo samayankha madandaulo, poganiza kuti izi sizowopsa.

> Ndinapita kwa dotolo ndimantha, koma anati
> kuti chifukwa cha insulin samachira

M'malo mwake, amayamba kukhala bwino ngati mumawaza kuposa koyenera

> Ndinkaganiza kuti ndizosagwirizana,
> koma adotolo adati ayi.

Mutha kukhala osavomerezeka ndi mtundu wina wa insulin. Ngati ndi choncho, ndiye kuti kudzakhala kovuta ndalama kuzithetsa.

> Koma acetone adawonekera mkodzo mu ++.
> Adotolo adati zinali zowopsa

Siowopsa malinga ngati shuga ndi thanzi zili zabwinobwino.

1. Phunzirani pulogalamu yamatenda a matenda a shuga 1, tsatirani malangizowo. Onetsetsani kuti shuga pambuyo pa chakudya chilichonse komanso m'mawa pamimba yopanda kanthu kunalibe kuposa 5.5-6.0 mmol / L.
2. Chakudya chopatsa mphamvu pang'ono ndi 20-30 magalamu a chakudya tsiku, osati 30 gramu.
3. Yang'anirani kwambiri kuwerengera molondola kuchuluka kwa mapiritsi a insulin yayitali komanso yayifupi. Njira yowerengera ikufotokozedwa mwatsatanetsatane pamalowo. Pitilizani kupaka jekeseni yokhazikika - sipangakhale nzeru.
4. Musachepetse mafuta m'zakudya zanu! Omasuka kudya nyama yamafuta, tchizi, ndi zina zambiri.
5. Sinthani ku insulin Levemir kapena Lantus yowonjezera, ngakhale mutayenera kugula ndi ndalama zanu. Kenako yesani mitundu ingapo ya insulin yochepa musanadye. Chifukwa chake mudzazindikira ngati mumadwala mtundu wina wa insulin kapena ayi.
6. Musayang'ane ma ketoni mumkodzo wanu pomwe muli ndi shuga komanso thanzi labwino.

Zaka 42 zaka, kutalika 175 cm, kulemera kwa 125 kg, mtundu 2 shuga. Mu Meyi 2014 ndidakhala pa kakhosi kokhala ndi zakudya zamagulu ochepa. Pofika mwezi wa Ogasiti, kuchokera pa 137 kg, anali atachepera thupi kufika pa 125. Matupi a Ketone adapezeka kuti apezeka mu urinalysis. Ndidayendera ma endocrinologists atatu - aliyense amalankhula ndi liwu limodzi, idyani chakudya. Adayamba kudya 1 XE ndipo adasiya kumwa siofor. Chonde fotokozerani za matupi a ketone.

> Chonde fotokozerani za matupi a ketone

Zimakambidwa mwatsatanetsatane apa - m'mawu a nkhaniyi komanso ndemanga.

Sergey, ndapeza kale glucometer ndipo ndakonzeka kutsika bizinesi. Ndinayimba buku lazakudya, koma sindingakumbukire komwe ndidawerenga kuti mutha kumayeza shuga mphindi 5 mutatha kudya, mphindi 20 ndi maola awiri pambuyo pake ... Kodi izi zikumveka bwino poyamba? Ngati mwalangiza izi, chonde ndikumbutseni komwe - ndakhala ndikuwerenga nkhani zanu kwa masiku awiri koma sindinazipeze. Koma sindingathe kuzichita ndekha ...

> mutha kuyeza shuga mphindi 5 mutatha kudya,
> Mphindi 20 nditatha maola 2

Ngati mumadya kwambiri pakudya chamafuta ochepa, ndiye kuti muyenera kuyeza shuga maola awiri mutatha kudya. Ngati zinthu zoletsedwa zidakhalapo - patatha mphindi 30.

> Yambitsani diary ya chakudya

Chitsanzochi titha kuchiwona apa ndemanga. Muthafunikiranso mzere wazambiri za jakisoni wa insulin - nthawi yomwe anali atabayidwa ndi jakisoni.

Moni. Mwana wanga wamkazi ali ndi zaka 2.9, kulemera - 14 kg. Vutoli ndi ili: kwa mwezi umodzi masaya a mwana amayamba kusinthidwa nthawi zina, ndiye kuti pali acetone. Mnzake (namwino) adati mavuto a shuga ndi otheka. Pafupifupi, anayeza shuga ndi glucometer pambuyo pocheperako pang'onopang'ono. Shuga anali ndi zaka 17 (.), Masaya ake anali akuwotcha ndipo iye anali wopusa kwambiri. Tsiku lotsatira, pamimba yopanda kanthu - 4.9. Ndikumvetsetsa kuti pambuyo pa maswiti palibe amene amayeza shuga, koma kuthamanga kumandisokoneza. Lero ndinayang'ana kuchuluka kwa momwe mwana amamwa - pafupifupi malita 1.5. Amalemba patsiku 11-12. Usiku amatha kufotokozeredwa kapena kubzala pamphika 1 ngati atamwa usiku. Mwanayo ndi wamoyo, wachangu, ngakhale wochulukirapo. Sindinazindikire kuti ndikuchepetsa thupi. Ndatulutsa kale maswiti onse. Kodi chingakhale chiyani? Matenda a shuga kapena kudziwikiratu? Palibe m'mabanja. Ndikuganiza kuti tiyenera kuyesedwa, koma ndiuzeni zomwe muyenera kukonzekera? Zikomo

> Zitha kukhala chiyani?

Zikuwoneka kuti mtundu 1 wa shuga wayamba.

Shuga amadzuka atatha kudya ndikukhazikika pamimba yopanda kanthu - izi ndizomwe zimachitika poyamba. Palibe chachilendo muzochitika zanu.

Ndikadakhala kuti muli inu, tsopano nditha kugula glucometer yolondola (sikuti ndiyomwe inafotokozedwayi) ndikuyang'anira shuga wa mwana katatu patsiku ndikudya. Chifukwa cha izi, mutha kuchitapo kanthu pakapita nthawi. Ndikofunika kuti musalole mwana wamkazi kuti azisamalidwa kwambiri ndi ketoacidosis, monga zimachitika mwa ana onse omwe ali ndi matenda ashuga a mtundu woyamba.

> pokonzekera?

Onani nkhani yakuti “Momwe Matenda a shuga a Mwana 1 Amayendetsedwera Popanda Insulin” ndi ndemanga zake. Apanso - onetsetsani shuga mutatha kudya komanso m'mawa pamimba yopanda kanthu kuti mwana asathere kwambiri.

Masana abwino, Sergey!
Ndine wazaka 33, kutalika 188 masentimita, kulemera makilogalamu 81. Ndimakhala wokangalika. Posachedwa adayesera izi ndi glucometer. Ndidadzuka m'mawa - ndinayeza shuga ndi glucometer, kenako ndinadya twixes zazikulu ziwiri, ndiye ndinayamba kuyeza shuga yanga yamagazi panthawi inayake. Nthawi yonse yoyesera, sindinadye kapena kumwa chilichonse.
Phula lotsatira linapezedwa: shuga musanatenge twixes yayikulu - 4,3, pambuyo pa mphindi 30 - 6.2, pambuyo pa mphindi 32 - 6.7, pambuyo pa mphindi 34 - 7.6, patatha mphindi 36 - 5.8, mutatha mphindi 38 - 5.8, mutatha mphindi 38 - - 5.4, patatha mphindi 40 - 4.8, patatha mphindi 60 - 3.8, patatha mphindi 90 - 4.8, patatha mphindi 120 - 4.9. Ndipo tsopano mafunso: kodi kupindika uku kumakwanira munthu wathanzi? Chifukwa chiyani shuga adatsika msanga kwambiri kuposa kale? Ndipo pamapeto pake, bwanji adaukiranso patapita nthawi pang'ono? Ndipo kodi izi ndizabwinobwino?
Zikomo patsogolo.

> ndi izi
> kupindika kwa munthu wathanzi?

> Chifukwa chiyani shuga adagwa mwachangu
> ngakhale wotsika kuposa kale?

Chifukwa chakuti kapamba amatulutsa insulin ina m'magazi

> Chifukwa chiyani adauka pang'ono?

Adadzuka monga zizolowezi

> Kodi izi ndizabwinobwino?

Ngati pali zizindikiro zilizonse za matenda ashuga, yeretsani shugawo kangapo 1 ndi maola awiri mutadya, masiku osiyana.

Masana abwino Zikomo chifukwa cha tsamba lanu, zonse ndizomveka bwino komanso zatsatanetsatane! Ndipempha upangiri. Mwana wamkazi ali ndi zaka 8, woonda, 24 makilogalamu, akuchita masewera olimbitsa thupi. Palibe zizindikiro. Milomo imakonda kuwuma, ndipo imawanyambita. Mu Disembala 2014, adapeza mwangozi shuga pamimba yopanda kanthu m'masewera 7. Adapita kuchipatala ndikutulutsidwa ndikulekerera kwakukulu. Nditapita kuchipatala, ndinapeza tsamba lanu ndipo nthawi yomweyo ndinakhala pachakudya chamafuta ochepa. Shuga adayamba kutsika pang'onopang'ono mpaka 3.2 - 3.8. Amadziona yekha "ayi." Tidawonjezera pang'ono chakudya, mwachitsanzo chidutswa chimodzi cha mkate wonenepa. Shuga anali wocheperapo kapena wocheperako, koma pamimba yopanda kanthu nthawi zonse amakhala wokwera. Tsopano anali ndi nthomba ndipo shuga anayamba kuchita bwino kwambiri. Pamimba yopanda kanthu, nthawi zina 7, nthawi zina 12, ngati muwonjezera chakudya chamagulu (adadya mbale ya borsch) - kudumpha ndikokwera. Dzulo tsiku lonse linali 14, tsiku lotsatira lidagwera 7. Sanadye chakudya chomwenso. Kodi tikufunika kukhazikitsa insulini? Mukufuna kupita kuchipatala kukayezetsa? Malinga ndi kusanthula kwa Disembala, insulini inali pansi pazomwe zikuchitika, tsopano sindikudziwa. Zikomo patsogolo!

> Kodi tikufunika kulumikiza insulini?

Inde, apo ayi mwanayo adzakhala mu chisamaliro chachikulu cha ketoacidosis

> Tikufuna kupita kuchipatala kukayezetsa?

Choyamba, muyenera kugula glucometer yolondola ndipo nthawi zambiri mumayeza shuga, makamaka mukatha kudya.

Masana abwino Ndili ndi zaka 47, kutalika 164 cm, kulemera pamaso chakudya chinali 80 kg. Malangizo anu onse ali ndi tanthauzo!
Miyezi 1.5 pachakudya chamafuta ochepa pambuyo popezeka ndi matenda a shuga a 2. Ndinamwa piritsi limodzi la matenda ashuga mwezi umodzi m'mawa, madzulo - piritsi limodzi la Siofor 500. Sabata inadutsa, pomwe sindinadye matenda ashuga, ndipo sindinazindikire kusintha kulikonse m'magazi. Tsopano ndimangotenga Siofor 500. Zowona, iye mwiniwake adakulitsa mlingo: mapiritsi 1.5 m'mawa ndi zofanana madzulo.
Mwezi wakudya, kulemera kunachepa ndi 4 makilogalamu - tsopano ndi 76 kg. Kuchepetsa thupi kwayima. Chifukwa chiyani?
Mukapezeka ndi matenda a shuga, panali kupsinjika kwakukulu kwa 150/115. Malinga ndi lingaliro lanu, ndidatenga mwezi umodzi: mafuta a nsomba, Magralis B6, hawthorn. Tsopano kupanikizika kwabwerera kwazonse - pafupifupi 125/85.
Magnelis B6 ndimapitiliza kumwa mapiritsi 6 tsiku lililonse. Mpando umakhala tsiku lililonse. Pakadutsa nthawi yanji kuti mubwereze maphunzirowa: mafuta a nsomba + Magnelis B6 + hawthorn?
Dokotalayo adazindikira gawo loyambirira lamatope. Kwa mwezi umodzi, madontho a Taufon anali akuwoneka, kumapeto kwa mwezi ndinamva kusintha. Tsopano ndikukhala pakompyuta popanda magalasi. Pitilizani kukokota ndikupitilira kapena patatha mwezi umodzi kuti mubwereze maphunzirowo, monga momwe Optometrist adanenera?
Ndipo vuto langa lalikulu lero ndi khungu louma thupi langa, koma m'manja mwanga ndi chilichonse chalimbitsidwa ndipo makwinya ambiri amapangidwa. Sanakhalepo ndi mavuto azikopa ndipo sanagwiritsepo ntchito mafuta. Ndimamva ngati masabata awiri apitawa, tsopano sangalephere. Alangizeni choti achite?
Zosangalatsa, Svetlana.
Zikomo kwambiri pondiyang'anira. Ndidikirira mayankho a mafunso anga.

> Pambuyo pake kuti mubwereze maphunziro

Palibe mawu omveka bwino. Monga momwe mungafunire. Zaumoyo. Kapenanso ngati kupanikizika kumakumananso.

> Pitilizani kukwezera zina

Taurine imatha kumwedwa mosalekeza ngati singachepetse kupanikizika kwambiri pamodzi ndi magnesium komanso zakudya zamafuta ochepa. Ngati simukufuna kuyika m'maso, yang'anani mapiritsi a Dibicor kapena Kratal.

> khungu louma pakhungu

Tengani vitamini A, mugule ku malo azamalonda, komanso zinc - ndibwino kuiwongolera ku USA, chifukwa mapiritsi azachipatala a zinc sulfate angayambitse nseru.

Zikomo kwambiri yankho!

Moni. Ndili ndi zaka 25. Msinkhu 173 masentimita, kulemera pafupifupi 56-57 kg. Posachedwa ndidangoyesa magazi a biochemical - zotsatira zake zonse zimakhala zabwinobwino, koma shuga 9. Ndikumva bwino. Kwa nthawi yayitali ndazindikira kutopa, kugona. Ndikumva pakamwa pouma, milomo itasweka. Ndimapezeka kuti ndimamwa kwambiri, nthawi zambiri ndimapita kuchimbudzi. Ndimadziwa, ndipo ambiri alibe kusangalala. Ndimaganiza kuti ndikusowa kwa vitamini. Kodi ndiyenera kuyesanso mayeso, ndipo nditha kukaikira matenda ashuga? Zikomo

> Kodi ndikufunika kuyesanso mayeso

Werengani nkhani yokhudzana ndi zizindikiro za matenda ashuga, yolumikizana nayo pamwamba pamutu pamalopo

> Ndingayerekeze matenda ashuga?

Inde, ndipo mtundu 1 ndi wolemera, simungathe popanda insulin.

Masana abwino Tsamba lothandiza kwambiri!
Panali funso. Posachedwa ndidapimitsa mayeso - magazi othamanga anali 5.9. Adafunsa adotolo kuti ayese mayeso, iye adalembera ine chitsogozo. Podziwunikira lokha, sindinakhale maola awiri nditamwa shuga, koma mphindi makumi awiri zochepa, zikuwoneka kuti namwino anali mwachangu kwinakwake. Zotsatira zake ndi shuga 10.1 itatha nthawi ino. Ndikumvetsetsa kuti ichi ndi prediabetes, koma kodi sichingakhale matenda athunthu? Sindimadya lokoma, ndimamwa khofi / tiyi wopanda shuga. Pokhapokha mbatata kamodzi pa sabata. Kodi ndingathe kudya maswiti? Kapena ziyenera kupatulidwa? Kodi matenda a shuga amathandizidwadi?

> Ndikumvetsa kuti ichi ndi prediabetes, koma sichingatheke
> Kodi ndi shuga?

Palibe kusiyana. Ndikofunikira kuchita pulogalamu yothandizira matenda a shuga 2 - kudya komanso kuchita masewera olimbitsa thupi, popanda insulin.

> Kodi ndingathe kudya maswiti?

Ngati chiwopsezo chophatikizira shuga sichingakuvuteni, ndiye kuti mungadye chilichonse.

Moni
Matenda a shuga - ndizotheka kutenga Magnelis B6, yomwe ili ndi shuga.

Mankhwala mapiritsi a magnesium - Mlingo wofanana wa sucrose.Zabwino zake ndi zazikulu kuposa zovuta za sucrose iyi, choncho tengani. Koma ichi ndi chifukwa china chofuna kuyitanitsa othandizira a magnesium ochokera ku United States, momwe mulibe sucrose konse.

Ndili ndi zaka 24. Msinkhu 168, kulemera 59 kg. Ndidayesa kudya glucose - 6.6. Pambuyo pa masiku 10 ndinadutsanso - 6. Ndimakhala ndi nkhawa kwambiri. Kodi ndiyenera kupita kwa adotolo? Kapena kodi ndizokwanira kuti muchepetse chakudya chanu?

> Kodi nkoyenera kupita kwa adotolo?

Muyenera kugula nyumba yabwino yochokera ku glucometer. Muziyeza shuga m'mawa m'mimba yopanda kanthu komanso maola awiri mukatha kudya.

> Kutalika 168, kulemera 59 kg.
> zokwanira kuchepetsa chakudya?

Kena kwina komwe mungadziikire malire? 🙂

Chilichonse cholembedwa mwaluso, zikomo! Ndikofunika kwa ine pano, mwana wanga wamkazi adagulira gluoureter ya Contour TS kuti ayang'anire thanzi lake, shuga, apo ayi ndakalamba ndipo ndayamba kunenepa. Poyamba ndidakana, kenako ndidaganiza kuti ndizonse, ndizosavuta kugwiritsa ntchito ndipo zotsatira zake zimathamanga. Chifukwa chake adayamba kudziletsa pang'onopang'ono.

> mwana wamkazi adagula mita ya Contour TS

Mitsempha yamagazi a kunyumba ndiyabodza mopanda manyazi. Kugwiritsa ntchito sikulimbikitsidwa, ngakhale kuli kotchipa.

Dera lake ndi Bayer, Germany, osati mita ya shuga m'magazi.

Simunakhale woyamba kunena izi apa, zikomo.

Mwana wamkazi wazaka 3, wopezeka ndi matenda ashuga 1 mwezi umodzi wapitawu. Insulin yochepa humalog 1 unit musanadye komanso nthawi yayitali levemir 1 unit 2 pa tsiku. Masana, shuga ndi 4-7, timaphunzira kuganizira zolimbitsa thupi ndikuwona mphamvu ya zakudya zamafuta ochepa a shuga pam shuga.

Funso ndilakuti, kodi pali zotchulidwa
shuga pa 22:00 - 6 ... 7
Nthawi 2:00 kapena 3:00 - 9 ... 11
Nthawi ya 6:00 - pafupi 9
Ndipo 9:00 m'mawa 3.5 - 4.8 modabwitsa

Momwe mungafotokozere m'munsi shuga?

Chakudya chamadzulo pa 18-19, mtengo wa insulin yayitali 21:00 ndi 9:00.
Zikomo!

> Momwe mungafotokozere za m'munsi shuga?

Sikuti mukutsatira zakudya zamafuta ochepa komanso kubaya insulini kwambiri. Chifukwa chake, shuga ndiwambiri komanso osakhazikika.

Moni, zikomo zambiri chifukwa chatsambali, mumabweretsa phindu lalikulu kwa anthu. Ndili ndi zaka 38. Kutalika kwa 174 cm, kulemera kwa 84 kg. Mtundu wachiŵiri wa matenda ashuga a mellitus insulin adapezeka mwa amayi ndi agogo a amayi. Ndili ndi shuga m'mawa chopanda kanthu mukayesedwa ndi mita ya glucose yakunyumba imodzi, kusinthasintha kwa 6.1-7.4. Kuchokera ku Vienna - 6.3. Pambuyo kudya pambuyo 2 maola - 6-7. Adokotala amayika matenda amtundu wa shuga. Pakadali pano, glucophage yekha ndi omwe adayikidwa pa Mlingo wa 500 mg usiku. Ndimalola maphunziro a Chrome, Magnesium, Taurine, Omega 3, ndimamwa mwezi, yopuma mwezi. Ndimayesetsa kutsatira zakudya zamagulu ochepa. Chonde ndikulangizeni chinanso chomwe ndingachite kuti ndikhale wathanzi komanso kuti muchepetse vuto la matenda ashuga? Ndipo komabe, ndimakonzekera kubereka mwana wachiwiri posachedwa. Ndiuzeni chonde, ndibwino kuti ndikonzekeretse thupi kuti lithe kutenga pakati? Zikomo kwambiri.

> Dokotala amayika matenda amtundu wa shuga.

Mankhwala apakhomo sawona ngati zoterezi ndi matenda ashuga, koma malinga ndi gulu la Dr. Bernstein, iyi ndi matenda a shuga a 2.

> Ndingatani

Chitani masewera olimbitsa thupi. Glucophage usiku uyenera kukhala Wautali (wowonjezera), osati wamba.

> Ndikufuna kubereka mwana wachiwiri
> khanda posachedwa

Sindingachite izi m'malo mwanu - ndi shuga, kulemera, msinkhu komanso zilonda. Simungovomereza taurine ... Yamikirani zomwe muli nazo kale kuti musakulume mapewa anu pambuyo pake. Khalani ndi chidwi ndi kukhala ndi ana osabereka.

Ndikadakhala kuti inu simukadakhala pachiwopsezo chotenga pakati, ngakhale mutachepetsa thupi pazonse. Ndipo makamaka ngati sichoncho.

Chonde nenani ngati miyezo ya shuga ya magazi ndi ya capillary kapena yonse ya venous kapena plasma ofanana? Popeza, mwachitsanzo, glucometer yanga imawongoleredwa molingana ndi plasma ofanana (pamalangizo pali ulalo womwe WHO imalimbikitsa kuti diagnostics ichitike pogwiritsa ntchito mankhwalawa). Popeza ma indices a shuga pama calibrations osiyanasiyana amasiyana ndi 10-15%, ndikufuna kufotokoza bwino mfundo iyi. Ziyeso zamankhwala zikuwoneka kuti zipita magazi athunthu?

miyezo ya shuga ya magazi ndi ya capillary kapena yonse ya venous magazi kapena plasma ofanana?

Musadzinamize mutu wanu ndi funso ili, ngakhale inunso kapena ine.M'malo mwake, yang'anirani kwambiri pakutsatira malangizo anu osamalira matenda ashuga.

Ngakhale ma glucometer abwino kwambiri ali ndi cholakwika cha 10-15%.

Moni Mwana ali ndi zaka 8, kutalika 135 cm, kulemera 27 kg. Kuyesedwa kwawoko kusukulu kunavumbulutsa shuga 6.3 ndi katundu wa 9. Amayika kuphwanya kulekerera kwa shuga, kuvala zakudya pa XE. Anadutsa c-peptide - anali pansipa. Pambuyo pa miyezi itatu, chakudyacho chinabwezeretsedwera ndi c-peptide - chinabwerera mwakale. Tsopano patha zaka 1.5. Glycated hemoglobin 5.6%, c-peptide m'munsi mozama. Tidakhala pachakudya chochepa chamafuta - shuga osala kudya adakhala bwino 5.1-5.7, mutatha kudya 5.6-6.4, zikuwoneka ngati zabwinobwino. Mwana akumva bwino, wakalamba, akuchita kusambira, palibe aliyense m'banjamo yemwe ali ndi matenda ashuga ... Tandiuza, kodi mtundu woyamba wa shuga umayamba bwanji? Ndipo kodi tingachedwetse kulandira mankhwala a insulin ndi zakudya zama carb otsika?

Kodi matenda ashuga 1 amathamanga motani?

Tsoka ilo, izi ndizomwe zimachitika - mwana wanu adzayamba kudwala matenda ashuga amtundu woyamba. Muyenera kugula mita yabwino ya shuga m'magazi ndikuyezera shuga kamodzi pa sabata pamimba yopanda kanthu m'mawa, kenako maola 1-2 mutatha kudya. Pofuna kuchitapo kanthu pa nthawi yake ndipo mwanayo sanadikire kwambiri, monga momwe zimakhalira ndi aliyense poyambira.

Kodi tingachedwetse kulandira mankhwala a insulin ndi zakudya zamagulu ochepa?

Ndi zomwe mukuchita tsopano. Zonse zimatengera momwe mwana amayenera kutsatira zakudya.

Moni Choyamba, ndikufuna kuthokoza chifukwa chatsamba lanu. Chilichonse chimafotokozedwa mwatsatanetsatane komanso kupezeka. Ine, monga aliyense, ndili ndi vuto la shuga. M'mawa pamimba yopanda kanthu ndi 4.9-5.4, ndipo mutatha kudya, pambuyo pa maola 1-2 imafika 6.5, ngakhale siyikukwera m'mwamba. Sindinayesenso mayeso ena pano. Panali zovuta sabata yatha, usiku sunagone, ndipo m'mawa kunali pakamwa kowuma kwambiri. Shuga yoyezedwa - 6.5. Tsopano m'mawa sizabwino kuposa 5.4. Kutalika kwanga kunali 164 cm, kulemera kwa 51 kg. Kubadwa koipa - agogo ali ndi matenda amtundu wa 2 kuyambira ali ndi zaka 23, ndipo amayi atatha zaka 45 ali ndi matenda a shuga. Ndinali kudya zakudya zosavuta zamafuta osagonjetseka, ndipo tsopano kwa milungu 4 ndakhala ndikudya popanda iwo. Poyamba ndimaganiza kuti izi zakwana, koma tsopano ndikumvetsa kuti sizokwanira. Ndiuzeni, momwe ndikumvera, ndikupanga prediabetes? Kodi ndizotheka kuletsa ndi chakudya ndipo, mwachitsanzo, patatha chaka, ndiyambanso kudya mbewu monga zipatso ndi zipatso? Kapena kodi zakudya zamafuta zosapatsa mphamvu zamagalimoto nthawi zonse zimakhala moyo? Ndi dokotala uti yemwe ndiyenera kulumikizana naye kuti athe kuyesa mayeso onse omwe atengedwa? Ndilinso ndi kusowa kwa ayodini. Kodi mwina ndikuti ndikukonzekera zolimbitsa thupi zomwe zimakhala ndi ayodini komanso shuga zimayambiranso kuyenda bwino?

Ndiuzeni, momwe ndikumvera, ndikupanga prediabetes?

Poyerekeza lembalo, muli ndi hypochondria, osati prediabetes. Izi ziyenera kuyang'aniridwa kwa katswiri wama zamaganizo. Ngati shuga ipita patsogolo ndipo zikuwoneka kuti shuga ya autoimmune ikupanga, ndiye kumbuyo kuno.

Moni
Ndili ndi zaka 50, zolemera 100 kg. Shuga adapezeka m'magazi 12 mmol / l pamimba yopanda kanthu. Malinga ndi malingaliro omwe ali patsamba lanu, ndakhala pachakudya chamafuta ochepa kwa sabata tsopano ndikumadya metformin, yomwe adokotala adandiuza. Kuthamanga shuga kudagwa 8,7. Kodi ndimakhala ndi mwayi wochita popanda kumwa insulini?

Kodi ndimakhala ndi mwayi wochita popanda kumwa insulini?

Muli ndi matenda osokoneza bongo omwe amafunikira chithandizo cha insulini, kuwonjezera pa zakudya okhwima komanso njira zina.

Ngati zotsatira zake sizosangalatsa, simungathe kubaya insulin. Khalani mwachangu, anamwalira achichepere (c) Pension Fund ya Russian Federation.

Moni. Kusala magazi m'mitsempha kunali 7.8. Patatha sabata limodzi, adapereka magazi kuchokera chala - 5.1. Dotolo adati kudya 9, popanda mankhwala. Pali zolemetsa pang'ono. Achibale alibe aliyense wodwala matenda ashuga. Kuda nkhawa kwambiri, kodi ndi matenda ashuga enieni? Kuyambira ndili mwana, kapamba nthawi zina amapweteka, koma ndinazolowera ndipo sindinachite. Shuga anali m'malire zaka ziwiri zapitazo, koma panali ma triglycerides ambiri. Khalani pansi, zoona, pa chakudya. Chonde ndiuzeni, kodi zakwanira? Inde, kuphatikiza zolimbitsa thupi. Zikomo patsogolo.

Chonde ndiuzeni, kodi zakwanira?

Gulani glucometer yolondola, nthawi zambiri mumayeza shuga yanu pakatha maola 1-2 mutatha kudya - ndikupeza.

Masana abwino Zaka 25 zakubadwa. Kutalika kwa 180 masentimita, kulemera 70 kg. Sindikumva zizindikiro za matenda ashuga. Kuthamanga shuga m'magazi 4.6-4.9.Maola awiri atatha kudya - 4.8-6.3.
Kuyesedwa kwa glycated hemoglobin 5.4%. C-peptide 244 pmol / L (yachilendo 260-1730).
Ndiwuzeni kuti ndikakumba ndikatani? Zoda nkhawa kwambiri ndi izi.

Ndiwuzeni kuti ndikakumba ndikatani?

Muyenera kuwona othandizira za hypochondria. Ngati sichithandiza, ndiye kupita kwa azamisala.

Shuga wamagazi anu ndi abwino.

Ndinaiyiwala kunena kuti zizindikiro zoterezi zimatha nditayamba kutsatira zakudya zamagulu ochepa (pafupifupi magalamu 60 a chakudya patsiku, zogawidwa magawo).
Zitatha izi, ndidapita kuchipatala ndimadwala osakhazikika - kutentha kudali 38,5, kupweteka mutu, kufupika, kupweteka thupi langa lonse. Shuga panthawi yolandila anali 14.8. Pambuyo masiku atatu, adachotsedwa muyezo wokwanira. Chithokomiro cha chithokomiro, ziwalo zam'mimba ndizabwino. Dotolo adalangiza kuti azilamulira shuga ndikuti kuchuluka kwa c-peptide kumatsitsidwa, ndipo izi zimabweretsa kukula kwa matenda a shuga 1. Ndiuzeni, kodi zili choncho? Ndipo ndi mayeso ati a labotale omwe angadutsebe kuti athe kuyesa matendawa?

Shuga panthawi yolandila anali 14.8

Ah, izi zasintha nkhaniyi.

Inde, mukuyenera kukhala ndi matenda ashuga amtundu woyamba.

Ndi mayeso ati a labotale omwe angadutsebe kuti awonetsetse matendawa?

M'malo mwake, palibe. Matenda a shuga a Autoimmune azichitika kapena ayi - simungathe kuzikopa mwanjira iliyonse. Sindingawononge ndalama pakuyesa mtengo wodwala.

Phunzirani momwe mungatalikitsire tchuthi chanu cha matenda amtundu 1 ndikuchita zomwe akunena. Mulibe vuto. Matenda a shuga 1 amtundu, omwe adayamba kukula, ndi osavuta, mosiyana ndi shuga, omwe adayamba ali mwana. Ngati mungayesere, mudzakhala ndi moyo wautali popanda zovuta za matendawa.

Moni.
Ndili ndi zaka 45. Kutalika kwa masentimita 170, kulemera kwa 87 kg. adapereka kusanthula kwa mapangidwe opanga maukadaulo Zizindikiro zonse ndizabwinobwino kupatula ziwonetsero ziwiri za 6.4 mmol / l. ndi index ya atherogenic 3.8. Dokotala atatha kuphunzira kusanthula kwa mankhwala a metformin 1000mg usiku ndikugula chida. Ndidaganiza kuti ndisamamwe mapiritsi nthawi yomweyo ndikuyesa shuga kwa sabata limodzi ndikuyesa kuchuluka kwa shuga pamimba yopanda kanthu - 6.0 mmol / L. kupanikizika 131/85 2 mawola chakudya cham'mawa 5.2 mmol / L. 129/80, maola awiri mutadya nkhomaliro, 5.4 mmol / L. 135/90, maola awiri mutatha kudya, 5.1 mmol / L. 126/77 pogona 4.9 mmol / L. anayeza masabata onse pafupifupi zofanana. Tsopano ndamwa Metformin 1000mg kwa masabata awiri tsopano, palibe chomwe chasintha pamimba yopanda kanthu - 5.9 mmol / L. Maola awiri mutatha kadzutsa, 5.4 mmol / L. Maola awiri atatha kudya masana 4.9 mmol / L. ndiuzeni zikutanthauza chiyani? Tithokoze yankho. Zambiri, Vladimir.

Peppy usiku! ))) Zaka 62 zaka, kutalika 158 masentimita, tsopano masentimita 93, ndipo mu Julayi 2015, pamene chithandizo cha matenda a shuga 2 chinayamba, kunenepa kunali 120 kg.
Chithandizo. adafunsidwa ndi endocrinologist mu chipatalacho - metformin yaulere. Ndinakana kuzilandira ndipo, nditalangizidwa ndi dokotala wina, ndinayamba kutenga Glucophage kwa 500 - 2 m'mawa mutatha kadzutsa komanso 2 mutadya chakudya chamadzulo. Sindikuvomereza china chilichonse. Kulemeraku kunayamba kutsika chifukwa cha zakudya zomwe dokotala pachipatalacho adandipatsa papepala lomwe adalengeza kwa odwala matenda ashuga. Ndizosiyana ndi zomwe mumadya. Palibe mafotokozedwe ena pazakudya, chithandizo, mayeso, mita ya shuga wamagazi ndi mawonekedwe a moyo ndi mankhwala a shuga adanenedwa. Inenso ndinayang'ana yankho la mafunso anga kuchokera kwa odwala matenda ashuga pa intaneti.

Mwazi wa magazi unapezeka mu sanatorium panthawi yoyesedwa mu 2014 pamimba yopanda kanthu mu 2014 - 7.08. Sanalabadire, ndimaganiza zangozi.
Mu sanatorium womwewo mu 2015, shuga anali kale 13.71 pamimba yopanda kanthu, ndipo patatha sabata limodzi chakudya chopanda mankhwala chinakhala 10,98.
Anabwerako ku sanatorium ndikupita kuchipatala. Zalongosoledwa pamwambapa ndi zotsatira zake. AYI. Apanso, adotolo sanamufunse kuti aunike, koma adagwiritsa ntchito mwayi wopenda kafukufukuyo, ngakhale kuti anali atalandira kale milungu itatu.

Ndidazindikira kuti ndi ine ndekha amene ali ndi chidwi ndi thanzi langa ndipo nthawi yomweyo ndidagula mita ya One Touch Select. Adayamba kumwa miyezo ya shuga iyemwini mogwirizana ndi malangizo a mita ndikuyang'anira shuga ndi zakudya zomwe. Zinali zovuta ndi chakudya, mpaka mutakumba tsamba lanu pa intaneti.Miyezi yoyamba ya chithandizo idayamba kuchepa thupi makamaka mwachangu (izi zilibe chakudya chanu) ndikuwonongeka (kuchotsedwa)) pafupifupi 20 kg, kenako kulemera kwake kudakwera, ngati kuti kwazika mizu iwiri. Ngakhale lingaliro langa ndilokwaniritsa kulemera osachepera 70 kg, ndipo ngati kungatheke kutero. Kenako, ndikudya kwanu, pang'ono ndi pang'ono kulemeraku kunayamba kugwereranso ndipo tsopano kwathunthu ndataya (kuchotsedwa)) 27 kg. Zidali zovuta kwa ine ndi maphunziro akuthupi. Ndimagwira ntchito kwambiri pakompyuta, ngakhale kusuntha kwakhala kosavuta, kwaulere ndipo koposa zonse ndikufuna kusuntha. Anayamba kusangalala ndikuyenda, kupepuka m'miyendo komanso kusinthasintha kwa thupi. M'miyezi yoyambirira yamankhwala, adayesa kwambiri chakudya. Ndinamvetsetsa chinthu chimodzi - buledi, chimanga, maswiti amachotsedwa kwina konse. Ndimasankha masamba mosankha bwino, chifukwa zimadziwika kuti zomwe zakula pansi zimakhala ndi shuga, komanso zomwe zakula pamtunda zimakhala ndi shuga pang'ono. Ndimatuluka mu zakudya. Osatinso mano okoma, osasamala maswiti, koma chisoni kwenikweni chifukwa cha uchi wachilengedwe komanso wapamwamba kwambiri. Sindimadya mbatata, kaloti, beets kwa zaka zisanu tsopano. Sapita ndi zonse, adakhala oyipa. Sitimadya nyama ya pasitala ndi zinthu zofananira kwa zaka zambiri, kuphatikizapo zokhala ndi mtanda uliwonse, ngakhale ndi nyama. Osamadya masoseji, soseji ndi zinthu zina zofananira kwa zaka 10 kapena kuposerapo. Ndimakonda chidutswa chilichonse chophika nyama ndipo chimakhala chotsika mtengo pamtengo.

Tsopano shuga m'mawa wopanda kanthu ndi 4.3-4.7. Masana, mosasamala chakudya, lili m'dera la 5.3-5.9. Pambuyo pa kadzutsa imakwera mpaka 6.1.

M'nyengo yozizira, adakonza zosakaniza zamasamba ambiri. Kabichi, kolifulawa, belu tsabola, biringanya, katsitsumzukwa, broccoli, bowa, katsabola mosiyanasiyana. Tomato wambiri wokutira, wophatikizidwa mu blender, yemwe ndimawonjezera msuzi, masamba a masamba ndikuwotchera nyama.

Kwa nthawi yayitali ndakhala ndikuchita opaleshoni ya mtima. chifukwa muubwana adadwala poliyo miyendo yonse. Mitsempha yamagalayo inali itakulungidwa kumiyendo yakumanzere ndipo ziwiya zam'mbali zimatenga katundu. Ndimamwa maphunziro a Detralex kapena Venarus kwa miyezi 3 kawiri pachaka. Nditayamba kulandira chithandizo cha matenda a shuga a mtundu wachiwiri, mankhwala a mtima amagwira ntchito bwino komanso moyenera, panalibe zilonda.
Usiku ndimamwa mosakayikira Cardiomagnyl mapiritsi 0,5 a 150. Mu 2014, hemoglobin anali 160, ndipo tsopano 137.

Asanayambe chithandizo cha matenda a shuga, chithokomiro cha chithokomiro chinali nkhawa kwambiri, koma tsopano ayi.

Mafunso ali motere.
1. Ndimangolakalaka zonyansa zamasamba aliwonse a kabichi, mazira, nyama ndipo nthawi zina tchizi. Zimachitika ndi ma hazelnuts, koma tili ndi zambiri pafupi ndi Sevastopol. Nthawi zina ndimalephera kudziletsa ndikumakonza zokhwasula-khwasula makamaka kabichi kapena chidutswa cha bere la Turkey ndi bowa. Izi zimachitika makamaka madzulo. Zosakhazikika zazing'ono, komabe! Ndawerenga m'mawu anu kuti ndibwino kusakhala ndizakudya nthawi zonse, makamaka usiku. Ngakhale zakudya zomangirira zomwe ndakhala ndikugula ndizowonjezera maola awiri asanagone. Zikufika poti ndimangotulutsa tsamba kuchokera kabichi ndikudya, ndimalovu okhaokha omwe amayenderera kabichi. Ndipo masanawa ndimaluma dzira popanda china chilichonse ndipo ndimakhala ndi malingaliro kuti ili ndiye dzira lokoma kwambiri padziko lapansi. Kodi ndingapewe bwanji vuto lomwa kabichi? Sindikondera kwenikweni zinthu zopangidwa ndi buledi, ndilibe chidwi ndi maswiti, zilibe kanthu kuti zimawoneka bwanji, koma vuto la kabichi langokhala lalikulu. Zikhala bwanji?

2. Ndayamba kubowola khungu pakhungu panga pang'ono pang'onopang'ono. Nthawi zina pamakhala kugona. Kodi ndi m'badwo kapena matenda ashuga?

3. Mwina ndiyenera kuchepetsa kuchuluka kwa glucophage nthawi yayitali? Mwinanso kuli koyenera? Tsoka ilo, pazifukwa zomveka, sindingadalire upangiri waupangiri wazachipatala wakuchipatala. Sindikukhulupirira.

4. Kodi kuthana ndi kudzimbidwa? Koma izi zidasanduka vuto. Sindikufuna kukhala pansi pazakumwa.

5. Kodi ndizotheka kugwiritsa ntchito tomato owundana mu chakudya pambuyo pa kutentha?

Tikuthokozani pasadakhale chifukwa cha mayankho anu. Mwa njira, ndidasonkhanitsa zambiri zothandiza pamayankho anu ku mafunso aanthu ovutika. Tsamba lanu liposa matamando.

Masana abwino
Chonde ndikuuzeni, amayi anga adapatsidwa shuga wachiwiri, angafotokozere bwanji kuti akuyenera kuyeza shuga kawiri patsiku, ndipo akuti akumva bwino ndipo safuna kumvera chilichonse?

Moni.Ndili ndi zaka 20, kulemera kwa makilogalamu 54, kutalika 163. Mwa zisonyezo za matenda ashuga, tchuthi m'miyendo, nthawi imodzi kunali kugona kwambiri, koma nthawi zambiri kugona tulo usiku. Shuga pambuyo 2 maola kudya 6.9. Izi zisanachitike, shuga anali asanayesedwe kwa nthawi yayitali.Pa abalewo, panali agogo ake omwe anali ndi matenda oopsa a shuga. Kodi izi zingasonyeze kuti ndikupanga matenda ashuga?

Ndidapeza zambiri zothandiza patsamba lanu panthawi yokhala ndi matenda ashuga othamanga (4.5, 8.9, 8.5). Ndidatsata kadyedwe ndikusunga shuga osaposa 6.7 ola limodzi nditatha kudya (ndidawerenga mu kafukufuku wa meta) kuti izi ndizochitikadi kwa amayi apakati. Chodabwitsa, adazindikira kuti m'miyezi iwiri yapitayo, zizindikirozo zinali zabwinoko kwambiri kuposa momwe zinaliri pakatikati, ngakhale kuti nthawi zambiri amati shuga ikupita patsogolo. Dokotala wina ananena mosapita m'mbali kuti mwana amandithandiza kutulutsa insulin yambiri. Mwanjira iliyonse, mwana amabadwa pa nthawi, kulemera 3,650, zonse ndizabwinobwino. Kulemera kwanga komweko nthawi yomweyo kunkabweranso kwachilendo asanabadwe.

Shuga adapitilirabe kuyerekezedwa nthawi zina pambuyo pobadwa kwa mwana, makamaka pankhani imeneyi ndi mafunso. Miyezi iwiri yoyambirira, mwina chifukwa cha kuyambika kwa GV, chilakolako cha chakudya chinali chambiri kuposa kale, ndimafunitsitsanso kudya, motero ndinadya mapalare, zipatso zouma, komanso maswiti. Shuga linali, ngati silinali locheperachepera 6, ndiye kuti silinaphuke kuposa 6-7, koma ndiye kunali kofunikira kwambiri kuti ndikhale ndi GW yodzaza, kotero sindinadere nkhawa kwambiri. Pang'onopang'ono, chidwi chimachepa, koma shuga adayamba kukwera pafupipafupi. Mafunso:

1. Kodi mukudziwa momwe HB imakhudzira shuga? Pambuyo pa miyezi inayi atabadwa, kodi zonse ziyenera kuti zibwerere mwakale, kapena kodi zingatchulidwenso ndi zovuta za HS?

2. Nthawi yapakati, nthawi yovuta kwambiri inali chakudya cham'mawa, koma pakudya nkhomaliro komanso chakudya chamadzulo, gawo laling'ono la phala limatha kuyambitsa 7.8. Kodi izi zokha ndi mtundu wa "chizindikiro"? Pankhaniyi, mayankho azakudya zomwezi zimasiyanasiyana tsiku ndi tsiku, ngakhale zinthu zina (kugona, nkhawa, palibe SARS, zochitika zofananira) ndizofanana. Nthawi zina zimawoneka kwa ine kuti zonse zimadalira kwambiri pazinthu zina. Mwachitsanzo, kuphatikiza chakudya chomangira chakudya chamasana chokhala ndi chiwindi chamafuta kwambiri ndi 5.4 mu ola limodzi. Gawo lomwelo ndilopezekanso ndi nkhomaliro ndi dzira lophika (i.e., popanda mafuta) - 7.5.

3. Sindinakhalepo ndi mafuta ochulukirapo, ma kilogalamu angapo. Kodi izi zikutanthauza kuti ndiyenera kuyang'ana koyambirira pa LADA?

4. Mwina sizachilendo kufunsa funso lotere patadutsa miyezi yoposa isanu ndi umodzi ndikugwiritsa ntchito mita, koma tanthauzo lake ndi chiyani "ola limodzi mutatha kudya"? Dokotala adati "nditatha sip yoyamba", kotero ndimayeza. Koma ngati chakudya chamadzulo chinayamba 18:00 ndi masamba a saladi, ndipo chakudya choyamba chimameza 18: 10, kodi ndichabwino kuyesa nthawi ya 19:00 kapena pang'ono pambuyo pake? Komanso, nthawi ya chakudya: zikuwoneka kuti shuga mu ola limodzi ayenera kukhala osiyana ngati, titi, idyani supuni ziwiri za shuga nthawi imodzi kapena kusiyana kwa theka la ola. Mwambiri, kodi ndikoyenera kuyesa shuga nthawi ina? (Mphindi 15 pambuyo pa kumwa koyamba, maola awiri pambuyo pake?) M'mawa zikuwoneka kuti zikadali za 4.5, ndipo zochulukitsidwa m'maola awiri kuchokera pa 7.5 slide mpaka 6.1.

Tithokoze chifukwa cha mayankho.

Moni. Adadwala GDVI ndi tonsillitis (adadwala kwa milungu itatu). Sabata yapitayi, ndimakhala ndi kufooka kwambiri, kutopa, kusanza kwakanthawi, nthawi zina ndikunjenjemera mkati ndi thupi ndi miyendo, ndikusintha kwambiri "zhor" chifukwa chosowa kudya, kugona tulo komanso kutentha kosamveka kumadumphira mpaka 37,5. Koma koposa zonse ndidalabadira zaumoyo komanso kunjenjemera kosadziwika bwino m'thupi. Kukula - 1.51, kulemera - 50 kg. Ndinayesa kusala kudya kuchokera kumunwe wanga, zotsatira zake zinali 4.86, ndinazidutsitsa kuchokera kumitsempha tsiku lomwelo, komanso pamimba yopanda kanthu, zotsatira zake ndi 5.44. Chilichonse chimakhala ngati chimadutsa malire, koma ndimada nkhawa kuti mwina zinthu zikakhala bwanji. Ndiuzeni, kodi kuyesanso kwa shuga m'magazi kumafunikabe? Kapena kodi, monga momwe mudalemba pamwambapa, dziko la hypochondriacal?

Moni, ndilibe matenda ashuga, koma pokumbukira zomwe akunena, amatengeka ndi chibadwidwe ndikukumbukira kuti anali ndi abambo ndi agogo! Ndimayang'ana izi nthawi zina ndipo ndangobwera kumene ndikusanthula ndi glucometer kunyumba, ndikuwonetsa 6.5 ndi enawo, 6.3 ndikudya kadzutsa ndi tchizi, dzira ndi tiyi wokoma pang'ono ndikupita kuntchito, nditatenga mita ndi ine pafupifupi ola limodzi, ndimayetsa kuntchito ndikupeza mayankho 5.5 nditatha maola awiri atatha kusanthula adatenga ndikulandila mobwerezabwereza kuchokera m'manja awiri 6.1 - 6.6

Mwamuna 63 g.Walemera makilogalamu 107 (anali 115 pachaka chapitapo) Matenda a shuga 2 amatenga Metformin TEVA 1000 m'mawa ndi 1000 madzulo ... kusala shuga m'mawa 6.5-7,5 glucometer Perfona Nano,
Labu chala 4.9 -5.6 .... (pazifukwa zina, nthawi zonse magawo a 1-2 amaperewera kuposa glucometer).
Ma Laborator ena a Helix Glucose mu plasma 7.45 mmol / L, Glikir (HbA1c) 6.30%
Mafunso
1) VITAMINS kwa odwala omwe ali ndi matenda ashuga - Mwachitsanzo, Doppel herz aktiv, Complivit Diabetes ndi zina. Ndikufuna kuzitenga ndipo ndizitenga nthawi yayitali bwanji?
Maphwa Kodi?
2) Metformin Teva, Glucophage kapena Siafor mu mgawo womwewo amagwiranso ntchito chimodzimodzi (mfundo yoti ndikudziwa metformin kulikonse) Madokotala anena zinthu zosiyana, kuti metformin (Russia) imagwira ntchito molakwika ...
3) Ndinatenga Glucophage Long, zimawoneka ngati kuti zimachepa ...

Chonde thandizirani. Ndili ndi ndalama zambiri ndipo ndinayamba kuyeza shuga ndi mantha. Kuthamanga shuga kumasiyana kuchokera ku 4.6 mpaka 5.1, ndi 1-2 mutatha kudya kuchokera ku 6.1 mpaka 6.7. Zikuwoneka kuti zonse ndizabwinobwino, koma polingalira zolakwika za glucometer mu 20%, zonse sizabwino. Ndiye kuti, pamimba yopanda kanthu kuyambira pa 5.6 mpaka 6.1, ndipo mukatha kudya imatha kukhala 8. Kodi ndi matenda ashuga kapena ndingathe kudekha?

Moni Chonde ndithandizeni kudziwa. Thupi langa linayamba kuyamwa kwambiri, nthawi zambiri miyendo ndi manja anga, ndimapita kwa othandizira kuchipatala, kukapimitsa mayeso, shuga 7.1, othandizira amatumizidwa kwa endocrinologist. Iyenso adatumiza mayeso ena. zomwe zimawoneka ngati zabwinobwino kwa iye, anakana kundigwira ndipo adanditumiza kwa dotolo (ngakhale khungu langa lili loyera). Dotolo wofufuzira adamupeza, sanapeze chilichonse ndikuyitumiza kwa katswiri wa zamitsempha, sanapeze chilichonse ndikutumiza kwa akatswiri othandiza, oseketsa? koma sindiri ... kwa pafupifupi mwezi umodzi ndidazunzidwa ndi kuyabwa, ndipo palibe amene adazindikira, mwina angandiwuzeko kanthu? nditani

Moni Mwana wanga wamwamuna ali ndi chaka chimodzi ndi miyezi 10. The neurologist adapereka chithandizo ndi Cortexin + Phenibut + Magne-B6. Analandira chithandizo kwa sabata limodzi, atawona kuti mwanayo adayamba kumwa zamadzi zambiri. Anadutsa shuga pamimba yopanda kanthu - 6.1! Kodi izi zingakhale kuchitapo kanthu pa mankhwala? Kodi njirayi idzasinthiratu pambuyo posiya mankhwala?

Moni Ndili ndi zaka 27. Opaleshoni yamatumbo posachedwapa. Nditatuluka kuchipatala, ndinawona zotsatira za mayeso a magazi, shuga anga anali 5.6. Kodi izi ndizabwinobwino kwa ine kapena ayi?

Moni: Ndili ndi zaka 26, kutalika 172, kulemera kwakukulu 130. Ndinapereka magazi kwa shuga, zinakhala 7.0. Kodi ndizotheka kuchiritsa? Zikomo

Masana abwino Ndili ndi zaka 24. Miyezi isanu ndi umodzi yapitayo ndinamva kuchepa kwa kusumika, kulakalaka maswiti ndi kutopa, ludzu linawoneka. Kuthamanga magazi - 4.4-4.6. Height 185, kulemera kwa 74 (sasintha). Ola limodzi mutatha kadzutsa ndi mpunga woyera - 9.9, pambuyo pa 2 - 7.5. Ola limodzi pambuyo pa buckwheat - 9.1, pambuyo pa 2 - 6.1. Glycated hemoglobin 5.0%. Amayi ndi agogo ali ndi matenda ashuga a 2. Kodi ndikumvetsa bwino kuti ndili ndi prediabetes?
Ndayesa zakudya zama carb ochepa, koma ndinayima, chifukwa nthawi yomwe ndimamva kugunda kwamtima ndi shuga 4.4. Izi ndi zizindikiro za hypoglycemia, sichoncho? Mwina vuto linali kudya kwakasamalidwe, kapena munadikirira kuti chiwonjezere insulin?

Pali mavuto ambiri azaumoyo. Adayamba kuchiza matumbo, ndipo pamapeto pake adazindikira kuti shuga ndi p / w zikufunika kusintha. Ndinakhala pachakudya chamoto chocheperapo pamalangizo a Kronportaloa (NAC) ndipo mwanjira imeneyi ndidayamba kuphunzira zonsezi. Zakudya, shuga, etc.

Chonde ndiuzeni, kulikonse komwe kwalembedwa kuyeza shuga maola awiri mutatha kudya. Ndipo zizindikirozo pambuyo pa mphindi 30-ola 1 sizikusonyeza konse? Dziwani zambiri kuti shuga PONSE! sayenera kupitirira 8 kwa munthu wathanzi. Ngakhale atangodya. Adalembedwa osachepera phiri la chakudya chambiri ngati mungadye.

Funso ndilakuti - kodi pali chizolowezi chomwa shuga 1 ola limodzi mutatha kudya? Kapena sizofunika? Chifukwa pambuyo maola 2, shuga mwanjira ina imabweranso mwakale. Koma patatha ola limodzi, iye akuyala - 13-14 ... Mungamvetse bwanji izi? Kodi izi ndizomwe zimachitika? Ndipo imagaya pamasamba ndi nyama!

Masana abwino Wazaka 53, kutalika 164, kulemera 60. 4 zaka zapitazo hepatitis C ankachitira. (Ndikhulupirira kuti izi zachitika). Pambuyo pa chithandizo, cholesterol idakula. Poyamba adathandizidwa ndi zakudya zamankhwala - sizinathandize (mpaka 10, the atherogenic coeffnty was 4.5). Miyezi iwiri yapitayo, ndidayamba kudya zakudya zowonjezera zakudya, kuchepetsa zakudya zamafuta (mpaka 90) - zonse zidali -8.99, "zabwino" zanyamuka, "zoyipa" zachepa, ndipo kugwirizira kwa atherogenic kunali 3.04. Mwangozi ndapeza tsamba lanu pa intaneti. Ndidapitilira kusanthula kwamphamvu kagayidwe kazakudya kagayidwe kachakudya. Zinapezeka kuti glycated hemoglobin 5.79, C-peptide 3.8, glucose (seramu) 6.19, insulin 19.1, HOMA coefflication 5.25.Tsoka ilo ndimakhala mtawuni yaying'ono ndipo ndizovuta kukhala ndi akatswiri abwino. Chifukwa chake timakhala motsatira lamulo - kupulumutsidwa kwa kumiza anthu - ntchito ya anthu akumira yomwe. Ndiuzeni, pazotsatira za kusanthula, kodi uku ndikuwona? Chotsatira ndi chiyani?

Moni. Ndili ndi zaka 35, kutalika 158, kulemera 98, pakati masabata 11. Kuthamanga shuga 5.6-5.8. Masana, 6.5 mutatha kudya. Glycated hemoglobin 6.15. Anadzipaka yekha kudya zakudya zochepa. Ndinkaponya 2 kg pa sabata. kusala kudya kunakhala 5.2-5.6. mutatha kudya 4.9-5.6, Tandiuza, kodi ndimatendawa? Pali vuto. .. Amayi ali ndi matenda ashuga a 2.

Masana abwino
Mu February 2015, ndinapezeka ndi prediabetes. Panthawi yodziwitsa kuti ndili ndi matendawa, ndinkalemera makilogalamu 113 ndikuwonjezeka kwa 180. Tsopano ndili ndi zaka 34, zolemera 78 kg. Pambuyo pakuzindikira, ndinachita mantha kwambiri, ndinasankha kudzipeza ndekha. Zakudya, kuchita masewera olimbitsa thupi nthawi zonse, kukana maswiti. Anachepetsa thupi msanga, mkati mwa miyezi 6 (mwina mwachangu kwambiri). Ndakhala ndikusunga kulemera kwanga kwenikweni kwa miyezi 8. Kuphatikiza pa zoyesayesa zanga zonse, shuga pamimba yopanda kanthu kumadera a 5.51 - 5.95. Chonde ndiuzeni, kodi ndidakali ndi mwayi woti ndikwaniritse shuga?
Zambiri
Valery

Moni Chonde nenani, zisonyezo zomwe zikuwonetsedwa mu magome a nkhaniyi amawerengedwa ndi madzi am'madzi kapena magazi (capillary)?

Masana abwino Malinga ndi zotsatira zoyesa, glucose 4,5, glycated hemoglobin 4.4. Mimba ndi miyezi 11. Shuga amalumpha mwamphamvu atatha kudya (chakudya chama chakudya), amatha kufikira 8.0 mu ola limodzi, nthawi zonse osakwana 5.5 mu 2 maola (ndipo nthawi zambiri amakhala mozungulira 4.6-4.8). Malinga ndi zotsatira za glucometer, shuga yofulumira imakhala pafupifupi 4,4-4.6.
Komabe, malinga ndi zotsatira za labotale ina, adaperekanso shuga osala 5.25 ndi hemoglobin 5.9 glycosylated (masiku 10 kusiyana ndi zotsatira zam'mbuyomu). The endocrinologist adapulumutsa GSD. Sindikumvetsa ngati izi zilidi GDM, kapena ndikuwonetsa mtundu wanga wa matenda ashuga (170 cm, 66 makilogalamu, ndinalibe abale anga omwe ali ndi matenda ashuga, sindinawone zovuta zilizonse ndi shuga musanakhale ndi pakati), kapena zotsatira zoyesa m'magawo onse awiri sizolondola.
The endocrinologist adachita GTT (anali ndi owunikira awiri okha), koma momwe ine ndikumvera, ndizolakwika, chifukwa Zizindikiro zidatengedwa ndi glucometer. Kuthamanga shuga kunali 4.6, patatha ola limodzi - 10,9, pambuyo pa 2 - 8,7, koma cholakwacho chitha kufika 20% (nditha kukwawa pakhomo la 11.1).
Mukuganiza, mungamufotokozere bwanji za matendawo? Ndangopereka c-peptide ina kuti ingatero. Ndi kulumpha kotero mu shuga, ndikukayika kuti glycated imatha kukhala 4,4, koma nthawi yomweyo sizingatheke kuti kusala shuga kunali 5.24.

Tsiku labwino! Zikomo pachilichonse. Wamphamvuyonse akudalitseni chifukwa cha ntchito zanu, chifukwa cha kukoma mtima komanso kumvera chisoni! Ndili ndi shuga wambiri. Kukhazikika pa chakudya chamafuta ochepa. Voros))))) Mkate ndiosatheka! Ndipo ndizigwiritsa ntchito chiyani batala wofunsidwa?))))

Moni mwana wanga wamkazi tsopano ali ndi zaka 16.5. Nthawi yotsiriza adapereka magazi a shuga chaka chatha. Kusala kudya kunali 5.7 ndi 5.5. Manja kupitilira 2 ndi kutalika kwa masiku atatu. Izi zisanachitike (zaka 1.5-2 zapitazo), komanso 5.7. Kusukulu, zaka 0,5 zapitazo adapereka kusanthula. adawonetsa 4.9. Sindikhulupirira zotsatira za "sukulu", chifukwa pomwe tidagawa idali yonse 5.7 komanso kamodzi 5.5.
Adotolo sananene chilichonse chokhudza matenda a prediabetes. Sindinayankhule ndi mwana za zakudya. Ndidafunsa kuti ndikuwuzeni za shuga, ndipo adotolo adayankha: "Lumikizanani ndi mwana."
Vuto tsopano ndi mwana wamkazi akukana kupita kukapereka magazi. Sindikudziwa kuti ali ndi shuga wanji tsopano. Sindikudziwa choti ndichite. Zilibe ntchito kuyankhula ndi dokotala (((
Alangizeni zoyenera kuchita, kapena zina zomwe muyenera kuyesa kupatula shuga.
Ndamvetsetsa kuchokera patsamba lanu kuti tili ndi prediabetes.

Moni. Ndili ndi nkhawa ndikamadwala matenda a hypoglycemic nditatha maswiti, ndipo makamaka ndikatha kuchita masewera olimbitsa thupi, shuga komanso kuthamanga shuga ndizabwinobwino, hemoglobin wa glycated ndiyabwinobwino, atero endocrinologist.
Ndinagula ndodo yaying'ono ndikuyamba kuyeza kunyumba, mwachisawawa, koma kangapo shuga pambuyo podya anali 7.4 ndi 8.3, kutengera izi, nditha kukaikira shuga?

Masana abwino
Ku funso langa lapitalo ndikufuna kuwonjeza kuti lero glyc. Hemoglobin ndi 5.57, c-peptide ndi 0.6, calcium ionized ndi 1.27. Kodi ndizotheka kukana insulini pamlingo wotere m'tsogolomu, pokhapokha ngati chakudya chamafuta chimasiyidwa kwathunthu? ngakhale ndizovuta. Zikomo

Masana abwino
Zikomo kwambiri chifukwa cha tsamba lanu. Zothandiza kwambiri komanso zothandiza.
Ndili ndi zaka 63. Kutalika kwa 160 cm, kulemera 80 makilogalamu. Cholesterol 7.5, kukakamiza 130-135 / 80-85. Mayi anga anayamba matenda ashuga a 2 ali ndi zaka 50.
Shuga wamagazi masana:
5-00 ola 7.9
7-00 ola 5.3
Mutatha kadzutsa, ola limodzi pambuyo pake - 9.9
- pambuyo 2 maola - 8.2
Asanadye nkhomaliro - 6.1
mu ola -9.2
pambuyo 2 maola 8.0
M'mbuyomu, ankapereka magazi pafupipafupi (kamodzi pachaka) (ndi kumayeza iye kunyumba ndi glucose mita (Accu-cheke) pamimba yopanda kanthu m'mawa, kotero amakhulupirira kuti ndili ndi shuga yambiri.
Dokotala adakhazikitsa Metmorphine 500 mg usiku, zakudya zamafuta ochepa, zakudya zama magnesium, ndi taurine.
Kodi muyeso wa metmorphine sukhumudwitsidwa?

Moni. Chonde tafotokozerani, ndili ndi zaka 55, kupsinjika 140-155 / 80-90- ndimamwa mapiritsi akundikakamiza. mavuto ang'onoang'ono a chithokomiro. Lero ndidayesa shuga m'mawa m'mimba yopanda kanthu - 6.6 ndipo nditatha kudya nditatha maola 1.5 - 8.6. M'mawa pamimba yopanda kanthu, shuga anali atakwezedwa pang'ono zaka zingapo zapitazo. ndipo ndili ndi kulemera kwa 90 ndi kutalika kwa 163. Kodi ndimatenda a shuga? ndi mtundu wanji? woyamba kapena wachiwiri? Kodi ndizotheka kuyendetsa zakudya? zikomo yankho.

Ndichite chiyani ngati shuga ndi glycated hemoglobin zili mkati moyenera, ndipo thanzi langa likuwonetsa zizindikiro za kusokonekera kwa shuga kagayidwe (kuyamwa, kukodza pafupipafupi, kulumpha pamavuto mutatha kudya, chikumbumtima chosavomerezeka)?

Kukula kwa shuga m'magawo kuti akawunikire sikumaposa 6.2. Ndipo mumawawopa anthu owona 5.5. Izi ndichakuti anthu amathawira kumalo olandiliridwira, makamaka omwe amalipira. Ndimagwiritsa ntchito mita ya ONE TOUCH ULTRA yopangidwa ku USA .. Ku Moscow kuli ofesi yoyimira izi makampani ndipo akhoza kuyankha funso lililonse pamutuwu. free8-800-200-8353.

Moni. Mayi anga (azaka 65) anali ndi matenda a shuga a 2, osati insulin. Zizindikiro za mita ndi labotale zimasiyanasiyana. Mankhwala adafotokoza kuti muyenera kuchulukitsa chizindikiro cha mita ndi 0.8 ndikupeza labotale. Kodi shuga azikhala ndi mtundu wanji wa shuga? Sindingathe kumvetsetsa, zolemba sizikusonyeza ngati alemba glucometer kapena ma labotera zizindikiro. Chonde ndithandizeni kudziwa.

Moni Ndine 27, kulemera 38,5, kutalika 163. Ndinkachitidwa opaleshoni ziwiri pamimba ndipo thupi lonse limavutika kwambiri ndi izi, popeza ndinadya moipa. Posachedwa ndidayamba kuyeza shuga chifukwa chodwala shuga adatsikira ku 3.9, kenako nsomba ndi makeke atakhala 6.1 patatha maola awiri, ndiye 5.0 atatha maola 2,5, atatha kudya chakudya chinali 4.8 (pambuyo maola 2) ndipo atadya chakudya chachiwiri cha kaloti ndi mbatata zidali kale za 4.5. Ndili ndi nkhawa kwambiri, chifukwa ndidazindikira kuti ndikamadya shuga wambiri amayamba kubwerera mwakale pakatha maola awiri, osatinso wina aliyense ndipo nthawi zambiri amakula mpaka 6-7, koma pano 9.9, ndikuuzeni, kodi ndimatendawa shuga? Ndipo ngati ndiye ndiye?

Moni
Wazaka 26, kutalika 168, kulemera 3 miyezi yapitayo anali 73 kg. (Epulo 2017)
Kuyambira chaka chatha, nthawi zina mpweya wabwino, pakamwa lowuma. Mumva ludzu mpaka malita 2-3 patsiku.
Ndinayesa glycated mu labotale yodalirika miyezi 3 yapitayo inali 6.1%. Ndipo pa Epulo 22, 2017 panali opareshoni ya appendicitis. Atamuchita opareshoni, adayamba kutsatira kadyedwe. Pakupita miyezi itatu adataya 10 kg. Sabata yapitayo ndidaganiza zofufuza za glycated komanso kusala kuchokera kumitsempha. Gliked inadzakhala 6.2. Kusala mtsempha 5.6.
Ndinapita kwa endocrinologist kuchipatala chakomweko patatha masiku 4. Anatumizira mayeso kuchipatala chokha. Amakonzekera kudya 19:00 ndikudutsa mayeso a shuga mu 2 hours. Komanso glycated.
Amasanthula kuchipatala chokha:
Kusala ma moles 5.5 kuchokera pachala.
Shuga 2 maola atatha kudya kuchokera ku chala anali 6.5 mol. Glycated 6.8? Matupi a Ketone opezeka mumkodzo.
Kuchulukitsa kwa diastasis.
Komanso Zizindikiro zake, zimapweteka pansi pa nthiti ya kumanzere.Nthawi yoyamba idwala masabata awiri apitawa atatha phwando. Panali zowawa. Kudutsa mu mphindi 3-4.
Zowonjezereka zofanananso ndi zowawa zochepa zimachitika 1-2 mu sabata limodzi.
Kafukufuku wam'mimba wapakhungu akuwonetsa kuwonjezeka kwa izo, dotolo yemwe adayendetsa ultrasound adati ndidatulutsa kapamba.
Endocrinologist adati kuweruza ndi kuchuluka kwa shuga ndili ndi matenda ashuga. Adandiwuza kuti ndidye chakudya (osatha kudya zotsekemera, zonona, zonunkhira). Ndidamuuza Gordox za kapamba. Mawa ndiyenera kukhetsa.
1) Kodi hemoglobin ya glycated ingasinthe kwambiri kuyambira sabata kuchokera pa 6.2 mpaka 6.8%.? Kapena adapereka zolakwika mu chipatalachi?
2) Kodi ndili ndi matenda ashuga?
3) Kodi ndiyenera kukhazikitsa Gordox? Kodi ndingavulaze ziphuphu? Dotolo yemwe adachita ultrasound adati ndibwino kuti musamayendetse Gordox, koma kuchitira kapamba ndi mankhwala ena odana ndi kutupa.
4) Kodi kupweteka kwam'mimba kwa kapamba kapena pachimake kumayambitsa zotsatira zam'magazi.
Kuchokera kuzowonjezereka, amadwala matenda a chiwindi A zaka 3. Tsopano sindimamva ngati zovuta.

Moni. Ndikufuna zikomo chifukwa chazinthu zofunikira kwambiri. Koma funso linabuka. Nkhani yanga yoyamba. Mwamuna wanga akulemera makilogalamu 90 ndi kutalika kwa 164, kunenepa kwambiri pamimba. Atangoyamba kudumphira m'mavuto, kuyamba kumva kuwawa, adapereka mayeso a shuga ndi cholesterol mwachangu. Ndipo adachita mantha: shuga yofulumira idali 15. Cholesterol ndiwokwera.
Tidasintha chakudya chamoto chochepa. Takhala tikugwira pafupifupi chaka chimodzi. Kulemera kunatsika mpaka 73 kg, cholesterol komanso kuthamanga kwa magazi zinali zabwinobwino, ndipo thanzi linasintha kwambiri.
Pamimba yopanda kanthu ndikatha maola 2 shuga amakhala abwinobwino. Koma ola limodzi litatha kudya, limatha kukwera mpaka 7-8, ngakhale osakhalitsa, pambuyo pa maola awiri limatsika. Kodi zikugwirizana bwanji ndi izi? Kodi izi ndizabwinobwino, kapena nkoyenera kuwonanso zakudyazo?

ndipo ngati shuga m'mawa wopanda kanthu ndi 3.6 ndi matenda a shuga 2?

Ndakhala ku NUD kwa miyezi iwiri, sindimalola shuga, SD2, shuga. kwenikweni. 5.4-6.6 (UMODZI WONSE). wotaya makilogalamu 10, njira yochepetsera thupi inasiya. Zonyansazo zidayera. Mukufuna kuchita kena kake? Zikomo

Moni Chonde ndiuzeni kangati patsiku lomwe muyenera kudya ndi zakudya zamafuta ochepa? Adotolo adandiwuza kuti ndisadye mopitilira maola 5. Kuwerenga zolemba zanu, ndinali ndi chitsimikizo kuti ndimafuna pafupipafupi; sindinawone kutsimikiza kwina (mwina sindinawerenge zonse). Mtundu wa shuga wachiwiri kuyambira 2013, zaka 48, kutalika 159, kulemera kwa 71. Kusala shuga ndi zakudya zoyenera kuyambira 4,4 mpaka 8, mutatha kudya simunayime (simunadziwe zomwe zimafunikiranso). Mwambiri, nditatha kuwerenga zolemba zanu, ndidazindikira kuti zonse ndizofunika kwambiri kuposa zomwe adokotala adandiuza. Zachidziwikire, ndimatembenukira ku chakudya chamafuta ochepa. Ndikuopa kutsika lakuthwa kwa shuga, makamaka usiku. Kudzuka usiku kuti muyeza shuga, m'malingaliro mwanga, ndizovuta, ndiye kuti sindingagone m'mawa kuti ndikagwire ntchito. Sindingathe kuyimilira kwa nthawi yayitali ... Ndawona tsamba lanu mwina chaka chapitacho kapena kupitilira apo, koma ndimaganiza kuti zonse zili bwino ndi ine. Ndimadandaula kuti sindinasamalire mwachidwi zolemba ndi malingaliro onse ... ndinataya nthawi ...

Masana abwino Mwamuna wanga anabadwa mu 1969 lembani matenda ashuga a 2 kuyambira 2012 (cholowa, kulemera, ndi zina). Zimatenga piritsi la Galvus 1, zonse zinali bwino. Ndinayamba kutsatira zakudya, masewera +, ndinachotsa makilogalamu 8 m'miyezi isanu ndi umodzi (kutalika 175, kulemera kwa 87 mpaka pano), ndi shuga pazifukwa zina adayamba kuwuka. Ndikukayikira glucometer kapena ikuyesa molakwika. M'mawa pamimba yopanda kanthu (6.5-7), mutatha kudya 6, kuyesedwa kunaperekedwa - amylase ndi cholesterol adakwezedwa, ndipo kupumula kunali kwazonse. Zikomo