Malamulo asanu ndi awiri oteteza prediabetes kuti asanduke shuga

Matenda a shugakukonza njira yoti aphulike matenda ashuga, malinga ndi ziwerengero, munthu mmodzi mwa atatuwo. Ndikotheka kuti muchepetse chitukuko cha prediabetes komanso kupewa matenda oyamba ngati mutenga njira zochepa zosavuta.

Mwachitsanzo, pezani maswiti omwe amakuwonjezera mwayi wopezeka ndi matenda oopsa a shuga komanso zovuta zake zokhudzana ndi thanzi.

Kafukufuku watsopano yemwe adafalitsidwa m'magazini ya The Lancet adapeza kuti odwala omwe ali ndi prediabetes omwe amakhala ndi mwayi wowerengetsa nthawi yayitali owerengera shuga anali 56 peresenti kuti apewe matenda ashuga kupitilira kwa zaka zisanu ndi chimodzi. iwo akamaliza kuphunzira.

Mwanjira ina, "ndi prediabetes, nthawi zonse pamakhala mwayi wolamulira matendawa," atero a Matt Longjohn, MD (USA). Kafukufuku akuwonetsa kuti kusintha kosavuta kakhalidwe ikhoza kuchepetsa kwambiri mwayi wokhala ndi matenda ashuga pazaka zingapo zikubwerazi, moyenera kuposa mankhwala omwe amaperekedwa, monga metformin.

Pewani zolakwitsa zinayi zotsatirazi zomwe zimalepheretsa inu ndi tsogolo lanu labwino.

Vuto loyamba: amakhulupirira kuti kuchepa thupi kwambiri sikungathandize kupewa matenda ashuga

Phunziro la pulogalamu kupewa matenda ashuga, yomwe idakhudza anthu 3234 omwe ali ndi prediabetes kwa zaka zitatu, adawonetsa kuti kusintha kwa moyo wawo kupita ku zochulukirapo kudya moyenera komanso kuwonjezera zochitika zolimbitsa thupi za omwe atenga nawo mbali kunawathandiza kuti achepetse thupi. Komanso, kutayika ndikungokhala 5 - 7 peresenti ya kulemera kwa thupi (uku ndi 4 - 5 kg wolemera makilogalamu 76) ndipo zolimbitsa thupi adachepetsa mwayi wokhala ndi shuga wambiri ndi 58%.

Ndikofunikira kudziwa kuti Kuchepetsa thupi Izi zinali makamaka chifukwa cha kuchepa kwa mafuta am'mimba, omwe amakhala mkati mwa m'mimba mozungulira ziwalo zamkati ndipo ngakhale amalowerera chiwindi mwachindunji, akumapangitsa kuti azitha kuyendetsa shuga m'magazi. Malamulowa amachitika chifukwa chochotsedwa ndi chiwindi cha zinthu zomwe zimayambitsa kutupa, zomwe zimayambitsa kukana kwa insulin chifukwa chake matenda ashuga.

Malangizo : chinthu chofunikira kwambiri chomwe mungachite prediabetesics ─ yambani ndikuchepetsa chakudya. Briel McKinney, Medical Practice Manager ku Diabetes Center ku Evansville, Indiana (USA) akuti: "Kusunthira kuchepetsa kukula kwa ntchito ndi gawo lofunikira pazomwe timaphunzitsira anthu asanafike matenda ashuga."

Simukufuna kuyeza kuchuluka kwa chakudya ndi makapu ndi zolemera? Kafukufuku wina ku University of Calgary, 17 peresenti ya anthu omwe amagwiritsa ntchito chakudya chapadera (cha anthu odwala matenda ashuga, omwe amagawika m'magawo azakudya zosiyanasiyana) amataya 5 peresenti kapena kupitirira apo thupi lawo labwino, mosiyana ndi iwo omwe amadya zakudya wamba.

Theka la gawo la chakudya ndi la zipatso ndi ndiwo zamasamba, kotala limodzi ndi la zakudya zamafuta ochepa monga nkhuku, nsomba kapena nyama yofiira yopanda mafuta, ndipo kotala ina ndi ya zakudya zosakhwima monga mbatata kapena mpunga.

Kulakwitsa 2: kusamvetsetsa kuopsa kwa matenda osokoneza bongo

"Ngati dokotala wanena kuti muli ndi matenda osokoneza bongo, kapena ngati mukudziwa kuti muli ndi vuto lotenga matenda ashuga, mutha kusintha zomwe zikuchitika," akutero Longjon. Koma wotchi yayipa, nthawi ikutha, ndipo chaka chilichonse atazindikira kuti ali ndi matenda a prediabetes, 10-15 peresenti ya odwalawa amakhala ndi shuga wambiri.Izi zikutanthauza kuti pakatha zaka zisanu ndi zitatu mpaka khumi, ngati palibe chomwe chikuchitika, padzakhala odwala ambiri a shuga omwe ali pachiwopsezo chachikulu chotenga zovuta zazikulu, monga matenda a mtima, kuwonongeka kwa mitsempha, kuwonongeka kwa mitsempha, kuchepa kwa masomphenya, kulephera kwa impso ngakhale kudula kwamiyendo kapena lonse miyendo.

Chifukwa china chofunikira kwambiri choyambira kuchitapo kanthu mwachangu: prediabetes palokha imachulukitsa mwayi wokhala ndi matenda akulu.

Chifukwa chake, malinga ndi American Diabetes Association, prediabetesed ali ndi chiopsezo matenda amtima ndi sitiroko 50 peresenti apamwamba kuposa anthu athanzi, ndipo kafukufuku mu 2010 ku University of California, San Francisco adapeza kuti prediabetes imachulukitsa chiopsezo cha mavuto a impso ndi 70 peresenti. Komabe, 42 peresenti yokha ya odwala omwe ali ndi prediabetes ndi omwe amachitapo kanthu kuti athetse "matenda asanakwane" awa.

Malangizo : Pewani matenda a shuga, musadikire kuti adokotala anene kuti muli ndi matenda ashuga. Kumbukirani ─ makumi atatu ndi asanu peresenti ya achikulire omwe amadwala matenda ashuga, kuphatikiza theka la anthu onse opitilira 65. Koma mwa anthuwa, ndi 7 peresenti okha omwe amadziwa za matenda awo.

Vuto lachitatu: musasunthire kwambiri

Kuchita masewera olimbitsa thupi ndikuwombera mbali zinayi motsutsana ndi matenda ashuga: kumathandiza kuti muchepetse thupi, muchepetse mafuta m'mimba, mumapangitsa minofu "kuyamwa" shuga kuchokera m'magazi ndikuwonjezera chidwi cha thupi ku insulin. Kuti muthe kugwiritsa ntchito bwino izi, simuyenera kukhala katswiri wa masewera olimbitsa thupi (Olimpiki) ─ theka la ola lathupi lake tsiku lililonse limakwanira masiku asanu pa sabata.

Kafukufuku wa Harvard School of Public Health adapeza kuti azimayi omwe amayenda mphindi 30 tsiku lililonse amachepetsa chiopsezo chawo chotenga matenda ashuga ndi 30 peresenti.

Malangizo : Yambambani ndi kuyenda kwakanthawi kochepa kapena kuyenda tsiku lililonse, kenako kupanga peppy tsiku lililonse chizolowezi chanu. Yesani kuyenda kunyumba ndikulankhula pafoni kapena kungozungulira malo otsatsa pa TV, ndikumayimitsa galimoto yanu pamalo anu ogwirira ntchito pamalo ogulitsira, pamsika, ndi zina. Cholinga chanu ndi limbana ndi chizolowezi chokhala phee.

Maola awiri okhala tsiku lililonse pamaso pa TV amawonjezera mwayi wokhala ndi matenda ashuga ndi 14 peresenti, ofufuza ku Harvard akuti.

Cholakwika 4: kuiwala za CHIKWANGWANI

Saladi, tsabola wotentha, zipatso zokhala ndi mchere wambiri - chakudya chofunikira kwambiri ichi sichingokhala chokoma, komanso chimakutetezani ku matenda ashuga m'njira zitatu:

1. Imathandiza kuti muchepetse kunenepa.

2. Amathandizira kuchepetsa shuga m'magazi mukatha kudya.

3. Zakudya zambiri zamtunduwu zimakhala ndi magnesium ndi chromium, zomwe zimathandiza thupi kuyendetsa shuga.

Kafukufuku wina wokhudza azimayi 486, omwe adadya zipatso zambiri adachepetsa chiopsezo chawo. kagayidwe kachakudya matenda (choyambirira cha matenda ashuga) mwa 34 peresenti, ndipo iwo omwe adadina masamba ambiri adachepetsa chiopsezo ndi 30 peresenti.

Pakufufuza kwina kwa azimayi ndi abambo aku Germany a 25067 omwe chikhalidwe chawo chimayang'aniridwa kwa zaka 7, zidapezeka kuti iwo omwe amawononga kwambiri michere yonseyi anali 27 peresenti sangakhale ndi shuga kuposa ena onse.

Kafukufuku akuti 33% ya akulu okha omwe amadya zipatso kawiri kapena kuposerapo zamasamba tsiku lililonse, ndipo 8 peresenti yokha ndi omwe amadya chakudya chambiri katatu tsiku lililonse.

Malangizo : Idyani masamba a mitundu iwiri (mwachitsanzo, tsabola, anyezi, broccoli kapena bowa) pachoko chilichonse cha pitsa. Yambani tsikulo ndi smoothie (zipatso zatsopano kapena zachisanu ndi yogati zosungidwa mu blender). M'malo mwa tchipisi ─ mafuta saladi otsika mafuta.

Chiwopsezo chanu cha prediabetes ndi chiyani?

Muli ndi matenda osokoneza bongo ngati kuwerenga kwanu shuga (glucose) kwanu kuli pakati pa 100-125 mg / dl (5.6 - 6.9 mmol / l).

Ngati simunasankhe kudya kwanu magazi, ndiye kuti muli ndi chiopsezo cha matenda osokoneza bongo ngati:

• muli ndi zaka 45 kapena kupitilira

• onenepa kwambiri

• kholo limodzi lili ndi matenda ashuga

• mlongo kapena m'bale ali ndi matenda ashuga

• ndinu African American, Spaniard, Hispanic, Asia kapena Pacific Islander

• mudali ndi matenda ashuga panthawi yoyembekezera (matenda a shuga) kapena munabereka mwana wolemera makilogalamu anayi kapena kupitilira apo

• Mumakhala olimbitsa thupi zosakwana katatu pa sabata.

Sunthani zina!

Kukula kwa matenda ashuga kumayamba kuchepa ngati muyamba kuchita masewera olimbitsa thupi.

"Ngati simunayeserepo, yambani kuchita masewera olimbitsa thupi tsiku ndi tsiku. Mutha kukwera masitepe pafupipafupi kapena kusanja mukamaonerera TV, ”atero Patti Gale, Master of Science, Nutritionist, komanso wolemba buku la What I I Eating Tsopano?

"Kuchita masewera olimbitsa thupi ndi gawo lofunikira la njira yothandizira odwala matenda ashuga chifukwa amachepetsa shuga wamagazi ndikuchepetsa mafuta m'thupi," akutero Gale.

Zoyenera, muyenera kuphunzitsa osachepera mphindi 30 patsiku, masiku asanu pa sabata. Dziwitsani dokotala wanu za kupita patsogolo kwa maphunziro. Chongani kuwona ngati muli ndi zoletsa zilizonse zolimbitsa thupi.

Kuchepetsa thupi

Ngati ndinu wonenepa kwambiri, ndiye kuti mwina simukuyenera kusiya makilogalamu ambiri.

Omwe adatenga nawo kafukufuku m'modzi adakhala ndi prediabetes ndipo adangotaya 5% mpaka 7% ya zolemetsa zawo zoyambira (4.5 mpaka 6 kilogalamu ndi 90 kilogalamu zolemetsa zawo zoyambirira), potero amachepetsa chiopsezo chotenga matenda ashuga ndi 58%.

Pitani ku dokotala wanu pafupipafupi

"Pitani kwa a endocrinologist pakatha miyezi 3-6," Dr. Gereti analimbikitsa.

Ngati mukuyesetsa kuti muchepetse kukula kwa matenda ashuga, ndiye kuti mutha kupeza thandizo kuchokera kwa dokotala. Ngati mulibe chisonkhezero chokwanira chowongolera mkhalidwe wanu, ndiye kuti dokotala adzakuthandizani kuti mubwerere kunjira yoyenera.

"Odwala ndi umboni weniweni wa kuchita bwino kapena kulephera," akutero Gereti.

Idyani zabwinoko

Phatikizani zamasamba muzakudya zanu, makamaka zosakhwima kwambiri, monga sipinachi ndi mbewu zina zamasamba, broccoli, kaloti, ndi nyemba zobiriwira. Idyani masamba atatu okha patsiku.

Onjezerani zakudya zokhala ndi CHIKWANGWANI m'zakudya zanu.

Zipatso zimayenera kudyedwa pang'ono - kuyambira 1 mpaka 3 servings patsiku.

Sankhani mbewu zonse m'malo mwa zomwe zakonzedwa, monga mpunga wa bulauni m'malo mwa zoyera.

Komanso, m'malo mwa zakudya zama calorie ambiri. "Sankhani mkaka wowerengeka osati wokwanira, koloko ya zakudya m'malo mokhazikika," akutero Gale. "M'malo tchizi chamafuta ndi mafuta otsika, zomwezo ndi zovala za yogati ndi saladi."

"M'malo mopeza zakudya zamafuta ambiri - tchipisi ndi zokometsera, sankhani zipatso zatsopano kapena mafuta anyani a peanut kapena tchizi wamafuta ochepa," akutero Gale.

Lolani kugona kukhala patsogolo

Teresa Garnero, wolemba buku Langa la Chaka Choyamba ndi matenda a shuga dzina lake Teresa Garnero "

Kusowa tulo kumathandizanso kuti thupi lizigwiritsa ntchito bwino mankhwala a insulin komanso kuonjezera mwayi wokhala ndi matenda ashuga a 2.

Khalani ndi zizoloŵezi zabwino za kugona bwino. Gona ndi kudzuka nthawi yomweyo tsiku lililonse. Pumulani musanazimitse magetsi. Osamaonera TV, musamagwiritse ntchito kompyuta kapena foni yam'manja musanagone. Pewani kumwa tiyi wa khofi pambuyo chakudya chamadzulo ngati mukuvutikira kugona.

Pezani chithandizo

"Kuchepetsa thupi, kudya komanso kuchita masewera olimbitsa thupi ndikosavuta ngati muli ndi anthu omwe akukonzekeretsa udindo wanu ndikulimbikitsa," atero Ronald T. Ackerman, MD ndi MSc ku Public Health, pulofesa wothandizira ku Indiana University School of Medicine.

Ganizirani za kujowina mdera lomwe mungakhale moyo wathanzi ndi anthu amodzi.

Wophunzitsa matenda ashuga wokhazikika atha kukuthandizaninso kudziwa zomwe muyenera kuchita kuti muchepetse matenda ashuga. Mutha kupeza mphunzitsi m'masukulu osiyanasiyana a shuga.

Khalani panjira yanu yosankhidwa!

Ndikofunika kukhalabe ndi malingaliro oyenera.

Dziwani kuti simukuchita bwino tsiku lililonse, koma kulonjeza kuti mudzayesa kuchita zabwino nthawi yayitali.

"Sankhani mosamala kuti mukhale osasunthika m'moyo wanu watsiku ndi tsiku. Izi zikuthandizira thanzi lanu, ”akuwalimbikitsa Garnero. "Tiziuza kuti tsiku lililonse muzichita zomwe mungathe kuti musinthe moyo wanu watsiku ndi tsiku." Kuyesayesa konseku kudzapeza phindu.

Zizindikiro zobisika zosonyeza kukhalapo kwa prediabetes

Matenda asanafike matenda a shuga si matenda. Chifukwa chake, anthu ambiri amadziona ngati athanzi, osasamala zina mwa "zinthu zazing'ono" zomwe zimayamba kuvutitsa munthu. Komabe, musagwiritse ntchito phindu kwa iwo mosasamala, popeza ndi nthawi ino pomwe matenda a shuga amatha kupewedwa ndikusintha kwakukulu mawonekedwe azakudya ndi zolimbitsa thupi.

Zizindikiro zowonetsa kukhalapo kwa prediabetes ziyenera kuphatikizapo:

• kuchiritsa kwakatikati mabala ang'onoang'ono atadula kapena kukomoka,
• kuchuluka ndi ziphuphu ndi zithupsa,
• Nthawi zambiri magazi akamatsuka m'mano,
• kuyabwa kulikonse - anal, inguinal kapena khungu chabe,
• mapazi ozizira
• khungu lowuma
• kufooka muubwenzi, makamaka ali aang'ono.

Pa chilichonse mwazizindikiro zomwe zili pamwambazi, pali matenda "awo", koma kupezeka kwawo nthawi zonse kumayambitsa nkhawa za kuthekera kwa matenda ashuga.

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Ngati chisonyezo chimodzi chokaikitsa chachitika, ndiye kuti njira zina ndizosavuta. Choyamba muyenera kupatsira shuga magazi pamimba yopanda kanthu ndikatha kudya chakudya chokhazikika, komanso kuyesa mkodzo wa mayeso. Ngati zizindikirozo ndizabwinobwino, kumayamba kudekha kwambiri. Kuyesedwa kwa glucose kumafunika. Imachitika mwa kutenga shuga pamimba yopanda kanthu, kenako maola 2 mutatha kudya magalamu 75 a shuga osungunuka m'madzi. Prediabetes imapezeka katatu:

• ngati shuga akusala kudya ndichizolowezi, ndipo mayesowo atakula mpaka 7.8 mmol / l
• Maganizo onsewa ndi apamwamba koma sanafike pa 11.1 mmol / l,
• ngati shuga yosala kudya ndi yotsika, ndipo yachiwiriyo ndiyokwera kwambiri (kuposa 2 mmol / l), ngakhale kuti kusanthula konseku ndikwabwino (mwachitsanzo: kusala 2.8 mmol / l, pambuyo poyesedwa - 5.9 mmol / l).

M'mizinda yayikulu, pamakhala zifukwa zowerengera zambiri, chifukwa ndizotheka kuphunzira kuchuluka kwa insulin yam'mimba pamimba yopanda kanthu. Ngati chizindikirochi chili pamwamba pa 12 IU / ,l, ndiye kuti ndizatinso zomwe zimayankhula za prediabetes.

Matenda a shuga siwovuta kwambiri, chifukwa chake, ndikuwonetsetsa kuti muli ndi thanzi labwino, ndizotheka kuchepetsa mwayi wokhala ndi matenda ashuga. Kuti muchite izi, muyenera:

• samalani magazi,
• kuchepetsa kuchuluka kwa chakudya chamagulu muzakudya,
• kuchepetsa thupi
• onjezani zochitika zogonana komanso zolimbitsa thupi,
• Pewani kudya kwambiri, koma musafe ndi njala.
• mwezi uliwonse muziyang'anira kuchuluka kwa shuga pamimba yopanda kanthu ndikatha kudya.

Kuti muthe kukhazikika matenda a prediabetes, mufunika thandizo la katswiri wazachipatala komanso wa endocrinologist. Adzakuwuzani za njira zomwe mungadye Njira zingapo zoyeserera kusintha moyo ndi kukonza mavuto omwe akhalapo paumoyo athandizira kuthandizira kudwala kwa shuga kwa zaka zambiri.

Chithandizo cha matenda a shuga - momwe mungapewere matenda a shuga

Munthawi ya matenda ashuga, kuchuluka kwa shuga sikokwanira kwambiri kuposa masiku onse. Kuchepa uku ndikuphwanya kukhululuka kwa glucose.

Matenda a shuga amatha kupezeka onse akulu ndi ana.

Ngati njira zoyenera sizitengedwa munthawi yake, ndiye kuti pali matenda enaake omwe ali nawo. Pachifukwa ichi, ndikofunikira kulumikizana ndi endocrinologist mwachangu kuti athandize odwala matenda a prediabetes.

Anthu omwe ali ndi matendawa ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Ngakhale atadwala matendawa, amathandizidwa. Kuti mubwezeretsenso kuchuluka kwa glucose m'magulu oyenera, tikulimbikitsidwa kuti muwonenso zomwe mumadya komanso zolimbitsa thupi.

Mkhalidwe wosayenera ungawonekere mosayembekezereka panthawi yomwe minyewa yamthupi imatha kutaya mphamvu ya mahomoni a pancreatic. Chifukwa cha izi, shuga amadzuka .ads-mob-1

Chimodzi mwazovuta zomwe zimachitika chifukwa cha matenda a prediabetes ndi angiopathy. Ngati simukulumikizana ndi dokotala nthawi yomweyo, zotsatira zina zimawonekera. Mkhalidwewo umatengera kuwonongeka mu magwiridwe antchito a ziwalo zamawonedwe, zamanjenje ndi zozungulira.

Zifukwa zopitira kuchipatala kuti mukawongolere shuga:

Ngati mukukayikira, muyenera kupereka magazi a shuga kuti mutsimikizire kuti mwazindikira. Kuyesedwa kwa shuga kumachitika kokha m'mimba yopanda kanthu m'mawa, asanamwe mowa, ngakhale kumwa madzi osaloledwa.

Ngati kafukufuku adawonetsa kuti glucose wa plasma ndi wochepera 6 mmol / l - ndi funso la kukhalapo kwa boma la prediabetes.

Ngati matenda a prediabetes adapezeka, muyenera kutsatira malingaliro a madokotala ndikuchepetsa kugwiritsa ntchito mafuta, muchepetse kwambiri maswiti ndi confectionery, komanso kuchepetsa kudya kwa calorie. Ndi njira yoyenera, mutha kuthana ndi vuto lomwe limayambitsa matenda ashuga.

Kuzindikiritsa munthawi yake matenda a prediabetes kumathandiza kupewetsa matenda a shuga a mtundu wachiwiri.

Ndi kulolerana kwa glucose, munthu alibe chizindikiro. Koma izi zimadziwika kuti ndi malire.

Anthu ambiri amakhala ndi shuga wambiri mthupi.

Madotolo amazindikira kufunika kozindikira matendawa kuti apewe mavuto akulu azaumoyo. Izi ndi monga: matenda a mtima ndi mitsempha yamagazi, ziwalo zamawonedwe ndi zowonekera.ads-mob-2

Mankhwala a prediabetes state, muyenera kutsatira izi:

1. Kutsatira zakudya zoyenera. Izi zikuthandizira kuchotsa mapaundi owonjezera. Kuchepetsa thupi pokhazikika pamakhalidwe oyenera kumathandizanso kwambiri pakuchiza matendawa.
2. Kusiya kusuta fodya komanso kumwa mowa.
3. Matenda a kuthamanga kwa magazi.
4. Kutsitsa cholesterol m'mitsempha yamagazi.

Kuyenera kudziwidwa nthawi yomweyo kuti ndi prediabetes, mankhwala sanakhazikitsidwe.

Dokotala amalankhula za zomwe akuyenera kuchita kuti apewe matendawa.

Kwa anthu ena, ndikokwanira kuyamba kuchita masewera olimbitsa thupi ndikusintha zakudya zawo pang'ono.

Kafukufuku ku United States awonetsa kuti kusintha kwakukulu kwa moyo wamunthu ndikothandiza kuposa kupereka mankhwala. Nthawi zina, Metformin akuwonetsedwa.

Ngati kusungidwa kwa zakudya zoyenera, kukana zizolowezi zoipa komanso kuchita masewera olimbitsa thupi mokwanira sikupereka zotsatira zoyenera, ndiye kuti muyenera kuyamba kumwa mankhwala omwe akuwonetsedwa kuti muchepetse shuga. Dokotala wanu atha kukupatsirani mankhwala omwe mumasankha: Metformin, Glucofage kapena Siofor.

Ndikofunikira kuyamba kutsatira zakudya zoyenera ndikuchepetsa ma servings. CHIKWANGWANI chiyenera kufalikira m'zakudya: masamba atsopano ndi zipatso, nyemba, amadyera ndi letesi. Ngati mumadya pafupipafupi zakudya izi, mutha kukonza thanzi lanu. Zakudya zotere zimakhudza thupi zokha.

Kuphatikiza apo, fiber ndiyabwino pakukhutiritsa njala. Munthu amakhala wokwanira, motero, samadya zakudya zopanda pake.

Ngati mutsatira zakudya zopatsa thanzi, kuchepa thupi kumayamba mofulumira. Mlingo wa glucose ukubwerera kwachilendo. Thupi limakhala lodzaza ndi zinthu zazing'ono komanso zazikulu, mavitamini opindulitsa ndi mchere.

Kudya moyenera ndi matenda asanafike shuga kumathandiza kupewa kukula kwa matenda ashuga.

Mutha kudya zakudya zilizonse, koma ziyenera kuperekedwa kwa iwo omwe amasiyana mafuta ochepa pazomwe zimapangidwa. Muyeneranso kusankha zakudya zokhala ndi index yotsika ya glycemic. Kudya calorie ndikofunikanso. Malamulowa ayenera kutsatiridwa:

1. Ndikofunikira kupereka zokonda zamafuta ochepa, omwe amakhala ndi CHIKWANGWANI kwambiri pakapangidwe kake.
2. Zopatsa mphamvu ziyenera kuganiziridwa. Kuti muchite izi, muthanso kuyimba diary ya chakudya, komwe muyenera kulowetsa chilichonse chamadya masana. Ndikofunikanso kukumbukira kuti tsiku ndi tsiku thupi liyenera kulandira kuchuluka kwa mapuloteni, mafuta ndi chakudya.
3. Muyenera kudya zitsamba zambiri zatsopano, masamba ndi bowa.
4. Ndikofunika kuti muchepetse anthu kudya mpunga oyera, mbatata ndi chimanga, chifukwa amadziwika ndi wowuma kwambiri.
5. Tsiku lomwe muyenera kumwa 1.5 - 2 malita a madzi.
6. Zakudya ziyenera kukhala zonyowa kapena mu uvuni. Wiritsani nyama ndi masamba.
7. Ndikofunikira kusiya madzi owala, kuphatikizapo madzi okoma.

Njira zina zitha kugwiritsidwa ntchito pokhapokha mukaonana ndi dokotala.

Chida chothandiza kwambiri cha prediabetes ndi buckwheat. Kuti mukonze othandizira, muyenera kupera ndi grinder ya khofi. Onjezani supuni ziwiri za ufa ndi 250 ml ya kefir wopanda mafuta. Siyani kusakaniza usiku, ndikuwotenga m'mawa musanadye.

Mankhwala ena othandiza ndi chakumwa cha nyale. Chosakaniza chachikulu chophwanyika chimayenera kuthiridwa ndi madzi ndikuphika pamoto wochepa kwa mphindi zisanu. Ziwerengero zake zizikhala motere: 300 ml ya madzi pa 25 g ya mbewu. Muyenera kumwa musanadye chakudya cham'mawa.

Kwanthawi yayitali tsopano, asayansi atembenukira ku zitsamba zomwe zingathandize kuchepetsa shuga. Palinso kukonzekera kwazitsamba komwe kungachepetse kuyambika kwa matenda:

• Insulin
• Arfazetin – E,
• Dianote.

Amakhala ndi mwayi umodzi wabwino pamankhwala ena - pafupifupi samayambitsa mavuto osafunikira ndipo amachita mosamala kwambiri. Kutulutsidwa kwa mankhwalawa kumayendetsedwa mu mawonekedwe a piritsi ndi kapisolo, komanso mu mawonekedwe a syrups ndi tinctures.

Zochita zolimbitsa thupi zomwe muyenera kuchita kuti mutuluke m'boma la prediabetes

Kuchita masewera olimbitsa thupi pafupipafupi ndikofunikira kuti muchepetse kuthekera kwa matenda ashuga m'tsogolo.Mutha kuyamba kusewera masewera ndi kukwera kwa banal masitepe.

Ndikulimbikitsidwanso kuti theka la ola limodzi tsiku lililonse muziyenda moyera.

Muyenera kusewera masewera kwa theka la ola tsiku lililonse. Maphunziro ayenera kukhala achizolowezi. Kuchepetsa thupi, ndikokwanira kupereka katundu kangapo pa sabata. Zochita zolimbitsa thupi zitha kugawidwa m'magawo angapo afupipafupi: magawo atatu a mphindi khumi. Zochita zolimbitsa thupi zimasankhidwa payekha. Ngati mungafune, mutha kudzipereka nokha pakuyenda pafupipafupi .ads-mob-2

Momwe mungachotsere kunenepa kwam'mimba mu shuga

Mtundu wam'mimba wakanenepa kwambiri (mtundu wa apulo) umadziwika kuti mafuta ambiri amayikidwa pamimba.

Pankhaniyi, muyenera kuchepetsa kuchuluka kwa mafuta ndi michere. Zakudya za caloric za tsiku ndi tsiku ziyenera kukhala zosakwana 1800 kcal.

Chithandizo chimakhala ndikutsatira zakudya, kusewera masewera komanso kukana kugwiritsa ntchito mankhwala osokoneza bongo. Mukatsatira malangizo a dotolo, matulukiridwe ake amakhala abwino .ads-mob-2

Kusintha kwa moyo kudzera mu zochita zolimbitsa thupi ndikuchotsa kunenepa kwambiri ndi 50% kumachepetsa mwayi wokhala ndi matenda ashuga.

Kuthandizira kwa akatswiri m'magawo oyamba kumathandizira kuti mawonekedwe a glucose azikhala munthawi yochepa kwambiri.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Malamulo asanu ndi awiri oteteza prediabetes kuti asanduke shuga

"Uwu ndi mwayi woyamba kusintha kwa moyo kapena chithandizo, kuti muchepetse kukula kwa matenda a shuga kapena kuletsa matendawa," akutero a Gregg Gereti, MD, wamkulu wa endocrinologist ku chipatala cha St. Peter ku Albany, NY.

Kutsatira malamulo asanu ndi awiri otsatirawa pakusintha zomwe mumachita tsiku ndi tsiku ndi njira yabwino yotsutsa kukula kwa matendawa.

Kukula kwa matenda ashuga kumayamba kuchepa ngati muyamba kuchita masewera olimbitsa thupi.

"Ngati simunayeserepo, yambani kuchita masewera olimbitsa thupi tsiku ndi tsiku. Mutha kukwera masitepe pafupipafupi kapena kusanja mukamaonerera TV, ”atero Patti Gale, Master of Science, Nutritionist, komanso wolemba buku la What I I Eating Tsopano?

"Kuchita masewera olimbitsa thupi ndi gawo lofunikira la njira yothandizira odwala matenda ashuga chifukwa amachepetsa shuga wamagazi ndikuchepetsa mafuta m'thupi," akutero Gale.

Zoyenera, muyenera kuphunzitsa osachepera mphindi 30 patsiku, masiku asanu pa sabata. Dziwitsani dokotala wanu za kupita patsogolo kwa maphunziro. Chongani kuwona ngati muli ndi zoletsa zilizonse zolimbitsa thupi.

Ngati ndinu wonenepa kwambiri, ndiye kuti mwina simukuyenera kusiya makilogalamu ambiri.

Omwe adatenga nawo kafukufuku m'modzi adakhala ndi prediabetes ndipo adangotaya 5% mpaka 7% ya zolemetsa zawo zoyambira (4.5 mpaka 6 kilogalamu ndi 90 kilogalamu zolemetsa zawo zoyambirira), potero amachepetsa chiopsezo chotenga matenda ashuga ndi 58%.

"Pitani kwa a endocrinologist pakatha miyezi 3-6," Dr. Gereti analimbikitsa.

Ngati mukuyesetsa kuti muchepetse kukula kwa matenda ashuga, ndiye kuti mutha kupeza thandizo kuchokera kwa dokotala. Ngati mulibe chisonkhezero chokwanira chowongolera mkhalidwe wanu, ndiye kuti dokotala adzakuthandizani kuti mubwerere kunjira yoyenera.

"Odwala ndi umboni weniweni wa kuchita bwino kapena kulephera," akutero Gereti.

Phatikizani zamasamba muzakudya zanu, makamaka zosakhwima kwambiri, monga sipinachi ndi mbewu zina zamasamba, broccoli, kaloti, ndi nyemba zobiriwira. Idyani masamba atatu okha patsiku.

Onjezerani zakudya zokhala ndi CHIKWANGWANI m'zakudya zanu.

Zipatso zimayenera kudyedwa pang'ono - kuyambira 1 mpaka 3 servings patsiku.

Sankhani mbewu zonse m'malo mwa zomwe zakonzedwa, monga mpunga wa bulauni m'malo mwa zoyera.

Komanso, m'malo mwa zakudya zama calorie ambiri."Sankhani mkaka wowerengeka osati wokwanira, koloko ya zakudya m'malo mokhazikika," akutero Gale. "M'malo tchizi chamafuta ndi mafuta otsika, zomwezo ndi zovala za yogati ndi saladi."

"M'malo mopeza zakudya zamafuta ambiri - tchipisi ndi zokometsera, sankhani zipatso zatsopano kapena mafuta anyani a peanut kapena tchizi wamafuta ochepa," akutero Gale.

Teresa Garnero, wolemba buku Langa la Chaka Choyamba ndi matenda a shuga dzina lake Teresa Garnero "

Kusowa tulo kumathandizanso kuti thupi lizigwiritsa ntchito bwino mankhwala a insulin komanso kuonjezera mwayi wokhala ndi matenda ashuga a 2.

Khalani ndi zizoloŵezi zabwino za kugona bwino. Gona ndi kudzuka nthawi yomweyo tsiku lililonse. Pumulani musanazimitse magetsi. Osamaonera TV, musamagwiritse ntchito kompyuta kapena foni yam'manja musanagone. Pewani kumwa tiyi wa khofi pambuyo chakudya chamadzulo ngati mukuvutikira kugona.

"Kuchepetsa thupi, kudya komanso kuchita masewera olimbitsa thupi ndikosavuta ngati muli ndi anthu omwe akukonzekeretsa udindo wanu ndikulimbikitsa," atero Ronald T. Ackerman, MD ndi MSc ku Public Health, pulofesa wothandizira ku Indiana University School of Medicine.

Ganizirani za kujowina mdera lomwe mungakhale moyo wathanzi ndi anthu amodzi.

Wophunzitsa matenda ashuga wokhazikika atha kukuthandizaninso kudziwa zomwe muyenera kuchita kuti muchepetse matenda ashuga. Mutha kupeza mphunzitsi m'masukulu osiyanasiyana a shuga.

Ndikofunika kukhalabe ndi malingaliro oyenera.

Dziwani kuti simukuchita bwino tsiku lililonse, koma kulonjeza kuti mudzayesa kuchita zabwino nthawi yayitali.

"Sankhani mosamala kuti mukhale osasunthika m'moyo wanu watsiku ndi tsiku. Izi zikuthandizira thanzi lanu, ”akuwalimbikitsa Garnero. "Tiziuza kuti tsiku lililonse muzichita zomwe mungathe kuti musinthe moyo wanu watsiku ndi tsiku." Kuyesayesa konseku kudzapeza phindu.

Ambiri safuna ngakhale kuganiza kuti matenda ashuga angawakhudze. Pazifukwa zina, anthuwa amakhulupirira kuti oyandikana nawo, m'makanema, ali ndi matenda otere, ndipo adzadutsa iwo osawakhudza.

Ndipo, mukamayesedwa, amapita kukayezetsa magazi, ndipo zimapezeka kuti shuga ndi 8 kale, kapena mwina apamwamba kwambiri, ndipo zonena za madotolo ndikukhumudwitsa. Izi zitha kupewedwa ngati zizindikiritso za matendawa zizindikirika munthawi yoyambira momwe zimayambira. Prediabetes ndi chiyani?

Matenda a shuga ndi mwayi waukulu wa kuyambika ndi kukula kwa matenda ashuga. Kodi izi zitha kuganiziridwa ngati gawo loyamba la matendawa?

Ndikovuta kwambiri kujambula mzere apa. Anthu omwe ali ndi prediabetes amatha kale kuwonongeka kwa zimakhala za impso, mtima, mitsempha yamagazi, ndi ziwalo zamasomphenya.

Kafukufuku wa asayansi akuwonetsa kuti zovuta zoyambirira zimayamba kale kumayambiriro kwa matenda ashuga. Matenda a shuga akapezeka, kuwonongeka kwa ziwalo kumawonekera kale ndipo ndizosatheka kuziletsa. Chifukwa chake, kuvomerezedwa kwakanthawi kwa vutoli ndikofunikira.

Anthu omwe ali ndi vutoli ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Komabe, izi zimathandiza kusintha. Kusintha moyo wanu, kuthetsa zizolowezi zopanda thanzi, mutha kubwezeretsa thanzi lanu lotayika ndikupewa matenda oyipa kwambiri.

Pali zifukwa zingapo zomwe zimayambitsa matenda a prediabetes. Choyamba, uku ndikobadwa kwa makolo.

Akatswiri ambiri amakhulupirira kuti mwayi wodwala umachulukirachulukira ngati pakhala kale pali matenda am'banja kapena pachibale.

Chimodzi mwazinthu zofunikira kwambiri zoopsa ndi kunenepa kwambiri. Chifukwa ichi, mwamwayi, chitha kuchotsedwa ngati wodwalayo, pozindikira kuvutikaku, achotsa kulemera kambiri, ndikuyesetsa kwambiri mwa iwo.

Njira zachikhalidwe zomwe beta-cell ntchito imalephera imatha kukhala chothandizira kukulitsa matenda a shuga. Ichi ndi kapamba, khansa ya kapamba, komanso matenda kapena kuvulala kwa timinyewa tina ta endocrine.

Udindo womwe umayambitsa matendawa umatha kuseweredwa ndi kachilombo ka hepatitis virus, rubella, chikuku, ngakhale chimfine. Zikuwonekeratu kuti unyinji wa anthu, SARS sichidzayambitsa matenda ashuga. Koma ngati uyu ndi munthu wolemedwa ndi cholowa komanso mapaundi owonjezera, ndiye kuti kachilomboka ndi kowopsa kwa iye.

Munthu yemwe alibe matenda ashuga mzungu wa abale ake apamtima amatha kudwala ma ARVI ndi matenda ena opatsirana nthawi zambiri, pomwe mwayi wokhala ndi matenda osokoneza bongo omwe umapitilira patsogolo umakhala wotsika kwambiri kuposa wa munthu yemwe ali ndi vuto lobadwa nalo. Chifukwa chake kuphatikiza pamavuto angapo nthawi imodzi kumawonjezera chiopsezo cha matendawa nthawi zambiri.

Zotsatirazi ziyenera kutchedwa kupsinjika kwamanjenje monga chimodzi mwazomwe zimayambitsa matenda a shuga. Ndikofunikira kwambiri kupewetsa kuchuluka kwa mantha ndi malingaliro kwa anthu omwe ali ndi vuto la matenda amtundu wa shuga komanso kukhala wonenepa kwambiri.

Udindo wofunikira pakuwonjezera ngozi umachitika ndi zaka - munthu akamakula, amakhala ndi vuto la matenda a shuga. Vuto linanso lomwe limayambitsa ngozi ndi kusinthana kwa ntchito kuntchito, kusintha kugona ndi kugona. Pafupifupi theka la odzipereka omwe anavomera kukhala ndi moyo wopanda tsankho anali ndi matenda a prediabetes.

Glucose wamkulu ndi chimodzi mwazomwe chimawonetsa matenda a shuga amitundu yoyamba ndi yachiwiri. Ngati mutayezetsa magazi kangapo motsatizana ndi tsiku limodzi, ndikuwonetsa kukhalapo kwa hyperglycemia nthawi zonse, matenda ashuga amatha kuganiziridwa.

Mndandanda wazidziwitso za shuga:

Pali zizindikiro zina za matendawa. Mwachitsanzo, ludzu lamphamvu lomwe limatsala pang'ono kuzima. Munthu amamwa kwambiri, asanu, kapena malita khumi patsiku. Izi zimachitika chifukwa magazi amakula pomwe shuga wambiri amadzisonkhanitsa.

Dera linalake muubongo lotchedwa hypothalamus limayatsidwa ndipo limayamba kupangitsa munthu kumva ludzu. Chifukwa chake, munthu amayamba kumwa kwambiri ngati ali ndi shuga wambiri. Chifukwa cha kuchuluka kwa magazi, kukodza pafupipafupi kumawonekera - munthuyo amakhala "womata" kuchimbudzi.

Popeza kukhudzidwa kwa glucose ndi minofu kumalephera mu shuga, kutopa ndi kufooka kumawonekera. Munthu amawona kuti watopa kwenikweni, nthawi zina zimamuvuta nkomwe kusuntha.

Kuphatikiza apo, kusokonekera kwa erectile kumadziwonetsera mwa amuna, komwe kumakhudza gawo logonana la wodwalayo (kugonana) m'moyo. Mwa akazi, nthendayi nthawi zina imapereka zolakwika zodzikongoletsera - mawanga amisamba pakhungu la nkhope, manja, tsitsi ndi misomali imakhala yoyipa, yoyipa.

Kwa zaka zambiri, kagayidweko kamachepa, kenako mafuta ochulukirapo amalepheretsa glucose kulowa m'maselo - kukhalapo kwa zinthuzi kumawonjezera mwayi wokhala ndi matendawa. Komanso kapamba wachikulire amayamba kupanga insulini yocheperako ndi zaka.

Ndi matenda a mtundu wachiwiri, kulemera kumachitika kawirikawiri. Chowonadi ndi chakuti ndi mtundu uwu wa shuga m'magazi mumakhala zinthu zambiri za glucose ndipo, nthawi yomweyo, insulin. Zowonjezera thupi zimayesetsa kusunthira ku adipose minofu, monga yabwino kwambiri yosungira. Chifukwa cha izi, munthu amayamba kunenepa kwambiri mwachangu.

Chizindikiro china ndikumverera kwa dzanzi mu miyendo, kumva kulira. Izi zimamvekedwa makamaka m'manja, chala. Pamene magazi abwinobwino amadzimadzi amasokonezeka chifukwa cha kuchuluka kwa shuga m'magazi, izi zimayambitsa kuwonongeka kwa zakudya zam'mitsempha. Chifukwa cha izi, munthu amakhala ndi mitundu yosiyanasiyana yosiyanasiyana yamalingaliro mwanjira yolira kapena kugona.

Ndipo pamapeto pake, khungu loyenda, lomwe ndilimodzi mwazizindikiro za matenda ashuga.Izi zitha kudabwitsidwa, kodi chizindikiritso cha glucose chingakhudze bwanji khungu lanu? Chilichonse ndichopepuka. Ndi hyperglycemia, kufalikira kwa magazi kumawipira, komwe kumapangitsa kuchepa kwa chitetezo chathupi. Chifukwa chake, mu matenda ashuga, kubadwanso kwa kachilombo koyambira pakhungu nthawi zambiri kumayamba, komwe kumapereka kuyimitsidwa.

Kuzindikira komaliza kuyenera kupangidwa ndi endocrinologist, osadalira amodzi, koma pamayeso angapo. Katswiri wodziwikiratu adzazindikira ngati ali ndi matenda a shuga kapena ayi, asankhe momwe angachiritsire, omwe mankhwalawa amakhala othandiza kwambiri nthawi iliyonse.

Popewa matenda a shuga kukhala osadabwitsa, ndikofunikira kuwunika mayendedwe a shuga, izi zitha kuchitika mosavuta kuchipatala kapena kunyumba pogwiritsa ntchito glucometer.

Kuyimitsa chitukuko cha matenda ashuga m'magawo oyamba, ndikofunikira kusintha momwe amagwirira ntchito ndikupuma. Zowononga thupi monga kusowa tulo, komanso kuchuluka kwake. Kupsinjika kwakuthupi, kupanikizika kosalekeza kuntchito kumatha kukhala kolimbikitsa pakukula kwa matenda oopsa, kuphatikizapo matenda a shuga. Pa gawo la prediabetes, mankhwala wowerengeka azitsamba ndi njira zingapo zachikhalidwe zomwe sizichikhalidwe zimagwira.

Muyenera kutsatira zakudya zabwino. Kuyimitsa maulendo kupita ku dipatimenti ya soseji, kuyiwala za mitundu yonse ya kuphika, gwiritsani ntchito ufa wosalala ndi chinangwa m'malo mwa mkate woyera, palibe mpunga ndi pasitala yoyera, koma mitundu ya bulauni ya mpunga ndi phala kuchokera ku mbewu zonse za chimanga. Ndikofunika kuti musinthe kuchokera ku nyama yofiira (mwanawankhosa, nkhumba) kuti mukhale nkhuku ndi nkhuku, idyani nsomba zambiri.

Chachikulu ndikuwonetsetsa kuti m'zakudyazo muli zipatso ndi ndiwo zamasamba zokwanira. Hafu ya kilogalamu tsiku lililonse muyenera kudya zonse ziwiri. Mitima yambiri ndi matenda ena amayamba chifukwa chakuti timadya zobiriwira zochepa, zipatso zatsopano.

Muyenera kuchepetsa kuchuluka kwa maswiti anu menyu tsiku lililonse kapena kuchotseratu kwathunthu. Kuledzera kwawo kwambiri kungakhale chinthu chofunikira kwambiri pakukula kwa matenda ashuga.

Maola anayi akuyenda mwachangu pa sabata - ndipo matenda ashuga azikhala m'mbuyo kwambiri. Ndikofunikira kupereka osachepera mphindi makumi awiri kapena makumi anayi tsiku lililonse phazi, koma osati pang'onopang'ono kuyenda, koma kuthamanga pang'ono kuposa masiku.

Ndikofunika kuti muphatikize masewera muzochita zanu za tsiku ndi tsiku. Mutha kuyamba ndi masewera olimbitsa thupi m'mawa kwa mphindi 10-15 patsiku, pang'onopang'ono kuwonjezera kuchuluka kwa katundu. Izi zikuthandizira kufulumira kwa kagayidwe kachakudya mthupi, kuchepetsa shuga, komanso kuchepetsa kuchuluka kwa mapaundi owonjezera. Kuchepetsa thupi mwa 10-15% kumachepetsa kwambiri vuto la matenda ashuga.

Zolemba pa kanema za prediabetes ndi njira zochiritsira:

Zochita zolimbitsa thupi zitha kuphatikizidwa ndikuyenda kapena masewera ena owopsa. Mutha kusankha nokha kuthamanga, kusewera tenisi, basketball, kupalasa njinga, kusewera. Mulimonsemo, shuga azitha kudya ngati gwero lamphamvu, kuchuluka kwa cholesterol kumatsika, komwe kumakhala chitetezo chabwino kwambiri cha matenda ashuga komanso mtima.

Prediabetes: Mwina Mukupewa Kusintha kwa Matenda A shuga?

Si aliyense amadziwa kuti pali zomwe zimatchedwa "prediabetes". Ndi iyo, kuchuluka kwa shuga pakuyesedwa kwa magazi kumachulukitsidwa pang'ono. Zikuwoneka kuti zili bwino, chifukwa uku ndikupatuka pang'ono. Koma izi zikuwonetsa kale kuti kulolera kwa glucose kumayipa. Matenda a shuga amatha kupezeka ali ndi zaka zilizonse - mwa ana komanso ...

Kusanthula kumaperekedwa pamimba yopanda kanthu, komanso m'mawa. Asanapereke magazi, ngakhale madzi saloledwa kumwa.

Ndi prediabetes, mankhwala othandizira nthawi zambiri samayikidwa mankhwala, chifukwa pakadali pano sikuti amangothandiza, koma ndi owopsa. Chifukwa chake, njira yoyenera kwambiri ndiyo kusintha kapena kusintha moyo wanu kutengera zikwangwani zoyambirira.

Mankhwala amatha kutumikiridwa pokhapokha ngati kusintha kwa moyo wanu sikunapereke zotsatira zomwe zikuyembekezeka. Pankhaniyi, Metformin, Siofor, Glucophage atha kusankha kuti asankhe.

Ngakhale zoletsa pazakudya, thupi liyenera kulandirabe kuchuluka kofunikira pazinthu zonse, kuphatikiza mapuloteni, chakudya, mafuta.

Muyenera kulowa nawo kuti mulembe ndemanga.

Chakudya chilichonse chomwe chimakhala ndi shuga komanso chimanga chambiri chimapangitsa kuchuluka kwa shuga m'magazi. Kuti izi zitheke, kapamba amatulutsa insulin m'magazi. Popita nthawi, thupi limachepetsa chidwi chake ndi insulin, imafunikira zowonjezereka kuti igwire ntchito yake. Mapeto ake, mumakhala osagwirizana ndi insulin komanso mumakonda kulemera, kenako mumadwala matenda a shuga.

Insulin ndiyofunikira kwambiri kuti ikhale ndi moyo, mwatsoka, anthu ambiri amakana ma hormone ofunikawa, omwe amafulumizitsa kukalamba ndikuthandizira kukulitsa matenda osachiritsika. Chakudya chilichonse chomwe chimakhala ndi shuga komanso chimanga chambiri chimapangitsa kuchuluka kwa shuga m'magazi. Kuti mumalize izi, kapamba wanu amatulutsa insulin mmenemu, yomwe imatsitsa shuga yanu kuti musafe. Insulin, komabe, imathandizanso kwambiri kuchepetsa shuga m'magazi, kuwasandutsa mafuta. Mukamachita zambiri mwachinsinsi, mumakhala wolimba kwambiri.

Kodi prediabetes ndi momwe mungaimitsire kukula kwa matenda ashuga

Ngati mumangodya zakudya zokhala ndi shuga wambiri ndi tirigu, kuchuluka kwa shuga m'magazi anu kumadzuka, ndipo pakapita nthawi, mphamvu zanu za insulini zidzachepa, ndipo thupi lanu limafunikira zambiri kuti ligwire ntchito yake. Mapeto ake, mumayamba kugonjera komanso kuyamba kukonda kunenepa, kenako kudwala matenda a shuga.

Anthu ambiri aku America Ndi Prediabetes

Matenda a shuga amatsimikizidwa ndi kuwonjezeka kwa shuga m'magazi opitilira 100 milligram pa desilita (mg / dl), koma osakwana 125 mg / dl, atatha kudziwa kuti matenda a shuga a 2 apezeka kale. Malinga ndi bungwe la US Centers for Disease Control and Prevention, pafupifupi anthu achikulire pafupifupi 85 miliyoni aku America, pafupifupi munthu m'modzi mwa atatu, ali mdziko la prediabetes, ndipo ambiri aiwo sazindikira izi.

Komabe, iyi ndi nkhani yovuta kwambiri, popeza kuti magazi aliwonse osala kudya a 90 mg / dl, m'malingaliro anga, amalankhula za insulin. Monga mudzaphunzirira mtsogolomo, pulogalamu yapa pulogalamu ya Dr. Joseph Kraft, wolemba wa The Diabetes Epidemic and You: Kodi Aliyense Ayenera Kuyesedwa, akuonetsa kuti 80% (8 mwa 10) ya anthu aku America sakukana.

Kutengera ndi kuchuluka kwa odwala 14,000, a Kraft, yemwe anali mkulu wa dipatimenti yachipatala komanso dipatimenti yamankhwala anyukiliya pachipatala cha Pres St. Joseph, adapanga mayeso othandizira odwala matenda ashuga. Anapatsa wodwalayo kumwa magalamu 75 a shuga, kenako kuyeza kuyamwa kwa insulin kamodzi mphindi 30 zilizonse kwa maola asanu.

Chochititsa chidwi, adawona mitundu isanu yapadera yomwe ikusonyeza kuti anthu ambiri ali ndi matenda ashuga, ngakhale kuti kuthamanga kwa glucose ndikwabwinobwino. Odwala 20 peresenti yokha ndi omwe adakumana ndi zomwe zimawonetsa kumva bwino kwa insulin pambuyo podya komanso chiopsezo chochepa chotenga matenda a shuga. Izi zikutanthauza kuti 80 peresenti anali m'dongosolo la matenda ashuga kapena anali ndi matenda a shuga. Monga tafotokozera pa IDMProgram.com:

"Ngati mukuyembekeza kuti kuchuluka kwa shuga m'magazi anu kuchulukane ndi matenda a shuga a 2, ndizomveka. Koma ngakhale mutakhala ndi shuga wabwinobwino m'magazi, pali chiopsezo chotenga matenda a prediabetes. Chifukwa chake, timapatsa wodwala shuga wambiri ndikuwona ngati thupi lingathe kupirira nawo.Ngati thupi limagwirizana ndi insulin yayikulu kwambiri, imatulutsa glucose kuchokera m'magazi kupita kumaselo ndikusunga magazi ake abwinobwino.

Koma izi sizachilendo. Izi zikufanana ndi wothamanga waluso yemwe amatha kuthamanga makilomita 10 mu ola limodzi komanso wothamanga yemwe sanakonzekere yemwe amafunika kuvutitsa kwambiri ndikuyesetsa kuchita izi. "Anthu omwe amafunika kupanga kuchuluka kwa insulini kuti abwerere ku shuga wamba ali pachiwopsezo cha matenda a shuga."

Gulu la ofufuza ku Scandinavia likuti pali mitundu isanu yokha ya shuga: mtundu 1 kapena insulin, komanso mitundu inayi ya mtundu 2.

Kuti amvetse izi, ofufuzawo adasanthula mbiri yachipatala ya odwala pafupifupi 15,000 omwe ali ndi matenda ashuga ochokera ku Sweden ndi Finland. Kuwerenga mitundu isanu ndi umodzi yodziwika, kuphatikiza zaka za kupezeka kwake, kuchuluka kwa thupi, komanso kuopsa kwa insulin, ofufuzawo adapeza kuti odwala adagawika m'magulu asanu:

Mtundu 1 - Severe Autoimmune Diabetes (SAID). Ambiri achinyamata komanso athanzi labwino omwe akupitiliza insulin chifukwa cha kusokonekera kwa autoimmune.

Mtundu Wachiwiri, Gulu Lachiwiri - Matenda Akuluakulu a shuga ndi Insulin Defence (SIDD). Achichepere, nthawi zambiri amakhala athanzi omwe ali ndi mavuto opanga insulin. Kuphatikiza anthu omwe ali ndi HbA1C yayikulu, kusokonezeka kwa insulin, komanso kukana pang'ono.

Mtundu 2, Gulu Lachiwiri - Matenda Aakulu a Insulin-Resistantabetes (SIRD). Anthu onenepa kwambiri kapena onenepa kwambiri omwe thupi lawo limapangabe insulin koma osalabadiranso. Ambiri aiwo ali ndi vuto la metabolic ndikuwonetsa zizindikiro zazikulu kwambiri, kuphatikizapo kulephera kwa impso.

Mtundu Wachiwiri, Subgroup 3 - Matenda Aakulu a shuga Olumikizana ndi Kunenepa (Mod). Anthu onenepa kwambiri komanso onenepa kwambiri omwe, ngakhale samagwirizana ndi insulin, amawonetsa kufatsa. Ambiri amakhala ndi matendawa ali aang'ono.

Mtundu Wachiwiri, Subgroup 4 - Mild Age Diabetes (MARD). Anthu omwe amadwala matenda ashuga kumapeto kwa moyo wawo ndikuwonetsa zizindikiro zofowoka.

Malinga ndi wolemba wotsogolera Leif Groop, dokotala wa endocrinologist ku Lund University Diabetes Center ku Sweden komanso Folhalsan Research Center ku Finland: Ili ndiye gawo loyamba lothandiza aliyense payekha. ”

Ineyo pandekha ndimakhulupirira kuti gawoli kukhala ma subtypes limabweretsa chisokonezo chopanda tanthauzo. Kraft adawonekeratu: ngati muli ndi insulin kukaniza (monga 80 peresenti ya anthu aku US), muli ndi mtundu 2 kapena prediabetes ndi nthawi.

Mwamwayi, iyi ndi imodzi mwama zovuta kwambiri paumoyo. Zomwe muyenera kuchita ndikutsatira zakudya za cyclic ketogenic, zomwe ndimazikamba m'buku langa, Mafuta ngati Mafuta.

Kuyesedwa kwa magazi otsatirawa kukuthandizani kudziwa ngati muli ndi prediabetes kapena matenda ashuga:

Kuthamanga mayeso a shuga - Mwachidziwikire, kusala shuga pansi pama milligram 100 pa desilita (mg / dl) akuwonetsa kuti simukuletsa insulini, pomwe gawo pakati pa 100 ndi 125 mg / dl limawonetsa prediabetes, zomwe zikutanthauza kuti ndinu okhazikika bwino kwa insulin.

Tsimikizani glycated hemoglobin A1C - omwe amayesa kuchuluka kwa shuga m'magazi nthawi yayitali, umachitika kawiri kapena kanayi pachaka. Uku ndiye kuyesa kwabwino kuposa kusala kudya glucose. Mulingo wa A1C pakati pa 5.7 ndi 6.4 umadziwika kuti ndi prediabetes. Chilichonse choposa 6.5 chimapezeka kuti ndi matenda ashuga. Mokulira, kumachepetsa chidwi cha insulin.

Kuthamanga mayeso a insulin - Kuyeza kumeneku kuli bwino koposa. Magazi a insulin mwachangu ali pansi pa 5, koma moyenera muyenera kuwasunga pansipa 3.

Mayeso a insulin ya m'magazi - Uku ndiye kuyesa kopambana komanso kovuta kwambiri. Amachitidwa chimodzimodzi ndi PHTT (mayeso a glucose kulolerana), komanso amayeza miyezo ya insulin.Sungani zomwe mwapeza ndikuyang'ana m'buku la Kraft kuti muwone ngati muli ndi prediabetes, yomwe ikupatseni chithunzi cholondola kuposa kusala glucose kapena insulin.

Mosadabwitsa, mankhwala ochiritsira sanadziwikebe pankhani imeneyi, ndipo a American College of Physicians (ACP) tsopano amalimbikitsa ngakhale cholinga chotsika kwambiri cha shuga m'magazi pochiza matenda amtundu wa 2.

Malinga ndi Purezidenti wa ACP Dr. Jack Ende, "Pali zovuta zomwe zimachitika chifukwa chokhala ndi chithandizo chazowopsa kapena cholakwika chokhazikika kwa A1C." Ndondomeko yatsopano ya ACP tsopano ikulimbikitsa kuyang'ana kwambiri A1C pa 7-8% m'malo otsika, omwe ndiofunikira m'magulu ambiri a shuga.

Kwa iwo omwe afika kale pamunsi, ACP ikupangira kuchepetsa kapena kusiya mankhwala ndipo "ingololani A1C ikhale pakati pa 7 ndi 8." American Diabetes Association yakana mwamphamvu malingaliro a ACP ndipo, povomereza zoopsa zomwe zimakhudzidwa, zikuwoneka ngati zopanda nzeru kuti "ingololani" mulingo wanu ukhale pa 8 osachita chilichonse. Komabe, njira yabwino si mankhwala, koma kusintha kwa moyo.

Zovuta zambiri za matenda amtundu 2 zimasinthidwa kwathunthu popanda mankhwala.

Ndikofunikira kuzindikira kuti mtundu wachiwiri ndi prediabetes zimadalira insulin (ndi leptin), ndikuti anthu ambiri - mwina 80 peresenti - ali mumodzi mwa magawo awiriwa. Izi zikutanthauza kuti pali anthu ochepa omwe safunika kudya komanso kuchita masewera olimbitsa thupi, popeza awa ndiye njira ziwiri zofunikira kwambiri zothandizira kupewa komanso kulandira chithandizo.

Nkhani yabwino ndiyakuti mtundu wa 2 wa matenda ashuga - mosasamala kanthu kwa subtype - ndiwotheka kupewa ndi kusintha popanda mankhwala.

Poyambirira ndidalemba buku la "Mafuta Ngati Mafuta" kwa odwala khansa, koma ndilothandiza makamaka kwa matenda ashuga a 2. Khansa ndi matenda ovuta komanso oopsa omwe amafunikira zoposa chakudya kuti azichiza. Komabe, matenda a shuga a 2 sangathe kuchiritsidwa ndi mafuta omwe ndimafotokoza mu Mafuta ngati Mafuta.

Chifukwa chake, kumbukirani, ngati mumasamala za thanzi lanu, ndikofunikira kwambiri kuthana ndi zizindikiro zilizonse zokhudzana ndi insulin komanso prediabetes. Nayi chidule cha malingaliro ofunikira kwambiri. Mwambiri, pulani iyi idzachepetsa mwayi wokhala ndi matenda ashuga komanso matenda ena okhudzana ndikukuthandizani kuti musagwidwe ndi matenda omwe mwina simungamvetse.

Malire anawonjezera shuga 25 g patsiku. Ngati mukuvutika ndi kukana kapena matenda a shuga, muchepetseni shuga wanu wokwanira mpaka 15 g patsiku mpaka kukana kwa insulini / leptin kudatha (ndiye kuti kungathe kuwonjezeka mpaka magalamu 25) ndikuyamba kusala kudya kwakanthawi.

Muchepetse mafuta ochulukirapo (ma carbohydrate opanda minofu) ndi mapuloteni ndikuwabwezeretsa mafuta abwino kwambirimonga njere, mtedza, mafuta ophikira achilengedwe, maolivi, mapeyala, mafuta a kokonati, mazira a organic ndi mafuta azinyama, kuphatikizapo omega-3s. Pewani zakudya zonse zakonzedwa, kuphatikizapo nyama. Kuti muwone m'ndandanda wazakudya zomwe zili zabwino kwambiri kwa anthu odwala matenda ashuga, onani Nine Superfoods forabetes.

Chitani masewera olimbitsa thupi pafupipafupi komanso kusunthira zinamukadzuka, cholinga chanu chikhale chochepera maola atatu patsiku.

Gona mokwanira. Ambiri amafunika kugona pafupifupi maola asanu ndi atatu usiku. Izi zikuthandizani dongosolo lanu la endocrine. Kafukufuku akuwonetsa kuti kusowa tulo kumatha kukhala ndizofunikira kwambiri pakumverera kwa insulin.

Sinthani Magawo a Vitamini D, moyenera, mothandizidwa ndi dzuwa. Mukamamwa vitamini D3 pakamwa, onetsetsani kuti muwonjezera kudya kwanu kwa magnesium ndi vitamini K2, popeza michereyi imagwira ntchito tandem.

Khalani ndi Thanzi Labwino, nthawi zonse muzidya zakudya zopatsa mphamvu komanso / kapena mutenge zowonjezera zamtengo wapatali zofalitsidwa ndi econet.ru.

1. 
   T. Rumyantseva "Zakudya za odwala matenda ashuga." St. Petersburg, Litera, 1998
2. 
   Chithokomiro. Physiology and Clinic, State Publishing House of Medical Literature - M., 2014. - 452 c.
3. 
   Matenda a Rudnitsky L.V. Chithandizo ndi kupewa, Peter - M., 2012. - 128 c.
4. Gryaznova I.M., VTorova VT. Matenda a shuga ndi pakati. Moscow, yosindikiza nyumba "Mankhwala", 1985, 207 pp.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Matenda a shuga: pali mwayi wopewa kusintha kwa matenda ashuga

Ziwerengero zimawonetsa mosakayikira kuti kuchuluka kwa odwala matenda ashuga kukuchuluka padziko lapansi chaka chilichonse. Anthu ambiri omwe adakumana ndi matenda akuti sanazindikirepo kale matendawa.

Koma kodi zilidi choncho? Matenda a shuga, makamaka mtundu 2, ndi matenda osayamba omwe samayamba mwadzidzidzi. Nthawi zambiri vutoli limayambitsidwa ndi nthawi yomwe kuchuluka kwa shuga m'magazi kumakhala ndi malire, koma zizindikiro zoyambirira za khungu limayamba kale.

Mungamazindikire bwanji mu nthawi kuti mupewe mawonetseredwe (oyambira) a matenda?

Zakudya zosankhidwa bwino zimathetsa mavuto ambiri azaumoyo.

Ndani ali pachiwopsezo

Zotheka kuti palibe aliyense padziko lapansi yemwe sangadwale matenda ashuga. Komabe, pali gulu la anthu omwe ali ndi mwayi waukulu wodwala. Mwa zoopsa zoyambirira, kumene, kubadwa.

Ngati pakati pa abale, makamaka makolo, pali wodwala mmodzi, ndiye kuti kuyambika kwa matendawa kumapitirirabe moyo wonse.

Zina zomwe zikuwonetsa kukhalapo kwa prediabetes ndi:

• mayi wachichepere yemwe kamodzi wabereka mwana wolemera makilogalamu anayi,
• kubereka m'mbuyomu
• anthu onenepa kwambiri omwe ali ndi matenda a gouty,
• odwala omwe apezeka mwadzidzidzi glucosuria (shuga mkodzo),
• matenda a periodontal (gum matenda) ovuta kuchiza
• kukomoka kopanda pake
• odwala onse azaka zopitilira 55.

Komabe, sizowonekera kunja chabe zomwe zimakhala ndi zofunikira pakupanga matenda a prediabetes. Zovuta zina m'magazi osavuta a magazi ndi mkodzo ndizofunikiranso kupewa matenda ashuga. Izi ndi izi:

• bilirubin ndi enzyme ya chiwindi yomwe imawonjezeka ndi matenda operewera,
• triglycerides - atherosulinosis chinthu chomwe chimawonetsa zovuta zamafuta ndi chakudya chamafuta,
• uric acid (osasokonezedwa ndi urea) - chizindikiro cha matenda a purine metabolism m'thupi,
• mkaka wa m`mawere - akuwonetsa mavuto ndi madzi amchere wamchere.

Ngakhale kuthamanga kwa magazi kumakhala ndi gawo - kuchuluka kwake, kumakhala ndi mwayi waukulu wodwala matenda a shuga. Chimodzi mwazinthu zazikulu zothandizira kupewa kupitirira patsogolo kwa matenda ashuga ndikuwunika kwambiri zomwe zikuwoneka pamwambapa komanso chithandizo cha panthawi yake cha kusintha komwe kwapezeka.

Momwe mungachedwetse kukula kwa matenda

Matenda a shuga siwovuta kwambiri, chifukwa chake, ndikuwonetsetsa kuti muli ndi thanzi labwino, ndizotheka kuchepetsa mwayi wokhala ndi matenda ashuga. Kuti muchite izi, muyenera:

• samalani magazi,
• kuchepetsa kuchuluka kwa chakudya chamagulu muzakudya,
• kuchepetsa thupi
• onjezani zochitika zogonana komanso zolimbitsa thupi,
• Pewani kudya kwambiri, koma musafe ndi njala.
• mwezi uliwonse muziyang'anira kuchuluka kwa shuga pamimba yopanda kanthu ndikatha kudya.

Kuti muthe kukhazikika matenda a prediabetes, mufunika thandizo la katswiri wazachipatala komanso wa endocrinologist.Adzakuwuzani za njira zomwe mungadye Njira zingapo zoyeserera kusintha moyo ndi kukonza mavuto omwe akhalapo paumoyo athandizira kuthandizira kudwala kwa shuga kwa zaka zambiri.

Magazi a shuga m'magazi a prediabetes. Zizindikiro za prediabetes komanso momwe mungachitire

Matenda a 2 a shuga amayamba pang'onopang'ono, zovuta za kagayidwe kazakudya zimachuluka kwazaka zambiri, ndipo ena kuyambira ubwana.

Matenda a shuga amatha zaka zambiri mpaka kusintha kwa pathological kukhala kovuta komanso kuchuluka kwa shuga kumakwezedwa nthawi zonse.

Kukhazikika kuti ku United States gawo limodzi mwa magawo atatu a anthu ali pasukulu ya prediabetes, ndiye kuti, gawo lina pansi, ndipo adzipezeka kuti ali ndi matenda osachiritsika. Palibe kafukufuku wofanana ndi uyu yemwe adachitika ku Russia, koma ziwerengero sizokayikitsa kwambiri.

Matenda a shuga amatha kupezeka mosavuta ndipo, ndikulimbikira kokwanira, amachira kwathunthu. Odwala nthawi zambiri amanyalanyaza ngozi yakuzindikirika, ndi 42% yokha yomwe imayamba kuthandizidwa. Chaka chilichonse, 10% ya odwala omwe amalola zonse kuchita mwangozi, amadwala matenda a shuga.

Kodi matenda a prediabetes ndi omwe amakonda

M'mbuyomu, anthu ankawaganizira kuti ndi gawo lofunikira kwambiri la matenda ashuga, koma amapezeka palokha. Kusintha koyambirira kwa kagayidwe kake ndizovuta kuzindikira pawokha, koma ndizosavuta kuzindikira kudzera mwa mayeso a labotale.

Mitundu ya kusanthula:

1. Mayeso a kulolera a glucose imatengedwa ngati yodalirika kwambiri pakupezeka matenda a prediabetes, chifukwa nthawi zambiri odwala amalephera kuloza shuga. Ndi cheki cha kuchuluka kwa glucose omwe amapezeka m'misempha. Mlingo wa shuga mwa munthu wathanzi ndi wabwinobwino maola awiri mutatha kudya. Ndi prediabetes, adzakhala osachepera 7.8 mmol / L.
2. Kuthamanga Glycemia. Kuzindikira kwa matenda ashuga kumachitika pamene shuga akusala m'magazi a wodwala apitilira 7 mmol / L. Zowonjezera ndizosachepera 6 mmol / l. Prediabetes - zizindikiro zonse ndizapakati pa 6 ndi 7 mmol / L. Ndi za magazi a venous. Ngati kuwunika kumachotsedwa chala, manambala amachepera pang'ono - 6.1 ndi 5.6 - momwe angaperekere magazi a shuga.
3. Kusala insulin. Shuga ikasiya kuchotsedwa m'magazi mu nthawi, kapamba amalimbitsa ntchito yake. Mwayi wa prediabetes ndiwokwera kwambiri ngati mulingo wa insulin ndi wokulirapo kuposa 13 μMU / ml.
4. Glycated hemoglobin ikuwonetsa ngati pakhala kuwuka kwa shuga m'magazi 3 apitawa. Zowonjezerazo zikufika pa 5.7%. Matenda a shuga - mpaka 6,4%. Pamwambapa pali shuga.

Kufunika komanso kusanthula pafupipafupi:

Zinthu zomwe zimapangitsa kuti matenda a shuga asadutse:

1. Kupanikizika kwakukulu kuposa 140/90 kuphatikiza cholesterol yokwezeka komanso triglycerides.
2. Achibale a mzere woyamba amadwala matenda amtundu wa 2.
3. Mumadwala matenda ashuga nthawi iliyonse yomwe muli ndi pakati.
4. Matenda a shuga a amayi anu.
5. Kulemera kuposa 4 kg pakubadwa.
6. Kukhala wa liwiro la Negroid kapena Mongoloid.
7. Kuchuluka kwa zolimbitsa thupi (zosakwana maola 3 pa sabata).
8. Kupezeka kwa hypoglycemia (kutsika kwa shuga m'munsi mwa nthawi yochepa pakati pa chakudya, chizindikiro chachikulu ndi kugwedezeka kwamkati panthawi ya njala).
9. Kugwiritsa ntchito nthawi yayitali ma diuretics, estrogen, glucocorticoids.
10. Kumwa makapu oposa atatu a khofi patsiku.
11. Matenda a periodontal matenda.
12. Pafupipafupi zotupa pakhungu, zithupsa.

Zifukwa zachitukuko

Cholinga chachikulu cha onse odwala matenda am'mbuyomu komanso mtundu wachiwiri wa shuga ndikuwonjezereka kwa minofu kukana insulin. Insulin ndi mahomoni, chimodzi mwazinthu zomwe ntchito yake ndikupereka shuga ku maselo a thupi.

M'maselo omwe akutenga nawo mbali, zochita zingapo zamankhwala zimachitika, chifukwa cha mphamvu imatulutsidwa. Glucose amalowa m'magazi kuchokera ku chakudya.Ngati maswiti, monga makeke kapena maswiti, akanadyedwa, shuga wamagazi amakwera kwambiri, popeza mtundu uwu wamafuta umafikiridwa msanga.

Kasitomala amayankha kutulutsidwa kumeneku mwa kuwonjezereka kwa insulin, ndipo nthawi zambiri amakhala ndi malire. Ngati chakudya chamagalimoto ovuta, monga chimanga kapena ndiwo zamasamba zokhala ndi fiber yambiri, chimaperekedwa ndi chakudya, shuga chimaperekedwa pang'onopang'ono, chifukwa zimatenga nthawi kuti chiwonongeke.

Nthawi yomweyo, insulin imapangidwa yaying'ono, yokwanira kugwiritsa ntchito shuga wambiri mu minofu.

Ngati pali shuga wambiri m'magazi, amabwera nthawi zambiri m'magulu akuluakulu, ndipo ma voliyumu ake amapitilira mphamvu zamagetsi zofunika, kukana insulini pang'onopang'ono kumayamba kukula. Zimayimira kuchepa kwa mphamvu ya insulin. Zilonda zam'mimba zimatha kusiyanitsa timadzi ta m'magazi ndipo timaloledwa kulowa m'magazi, shuga timayamba, prediabetes imayamba.

Kuphatikiza pa kukana insulini, zomwe zimayambitsa matendawa zimatha kukhala zopanda insulin chifukwa cha kapamba, zotupa (mwach., Insulinoma), kusintha kwa cystic, komanso kuvulala kwa pancreatic.

Zizindikiro za prediabetes ndi zizindikiro

Chifukwa chakuti ndi prediabetes, kusintha kwa kapangidwe ka magazi sikokwanira, sikukhala ndi zowoneka bwino. Odwala omwe ali ndi vuto loyambirira la metabolic amawona zovuta zina ndipo amafunsira dokotala kawirikawiri. Nthawi zambiri, thanzi loperewera limadziwika chifukwa cha kutopa, kuperewera kwa mavitamini ndi michere, komanso chitetezo chokwanira.

Zizindikiro zonse za prediabetes zimagwirizanitsidwa ndi kuchuluka kwa shuga. Zinapezeka kuti kuwonongeka kochepa mu ziwiya ndi mitsempha ya wodwalayo kumayamba ngakhale asanayambitse matenda ashuga.

Zizindikiro zake:

1. Kuchuluka ludzu, ziwalo zowuma, zotupa, khungu losalala. Zizindikirozi zimafotokozedwa ndikuti thupi limafunikira madzimadzi ambiri kuti muchepetse shuga. Kuwonjezeka kwa madzi akumwa kumatha kuwonekera pakuwonjezeka kwamikodzo komanso kuchuluka kwa mkodzo. Chizindikiro chodabwitsachi ndikuwoneka ngati usiku ndikutuluka kuchimbudzi, ngati kale kulibe.
2. Kuchulukitsa kwa njala chifukwa chosowa zakudya zama minofu, ngati pali insulin.
3. Kukhazikika kwa khungu ndi kumaliseche. Chifukwa cha kuchuluka kwa shuga, ma capillaries ang'onoang'ono amakhala otsekeka ndikuwonongeka. Zotsatira zake, kutulutsa zinthu zapoizoni kuchokera m'maselo kumacheperachepera. Ma Receptor okhala ndi kuyimitsidwa akuwonetsa vuto.
4. Kuwonongeka kwakanthawi kwakanthawi konga kupendekera, malo amtundu wamatsitsi. Umu ndi momwe kuwononga kwa capillaries mu retina kumawonekera.
5. Ziphuphu ndi zotupa pakhungu.
6. Mikwingwirima mu minofu ya ng'ombe, nthawi zambiri imayandikira m'mawa. Chizindikiro ichi chimawoneka ndi kukana kwambiri kwa insulini, pamene minofu yayamba kufa.
7. Kusowa tulo, kumva kutentha, kutentha kwa moto, kusakwiya. Umu ndi momwe thupi limagwirira ntchito mpaka kukwera insulin yambiri.
8. Mutu wapafupipafupi chifukwa cha zovuta zoyipa za m'magazi a bongo.
9. Kutsekemera kwa mano.

Ngati zizindikiro zoyipa zikuwoneka, kuyesedwa kwa glucose kuyenera kuchitidwa kuti mupeze matenda osokoneza bongo. Kuyeza kuchuluka kwa shuga ndi mita ya shuga m'magazi sikokwanira, chifukwa mankhwalawa amapangidwira odwala omwe ali ndi matenda ashuga ndipo samakhala ndi chidziwitso chokwanira kuti adziwe kusintha kwamomwe magazi amapangidwira.

>> Momwe mayeso a glucose kulolerana (GTT) amachitikira

Kodi matenda ashuga angachiritsidwe?

Tsogolo la munthu yemwe ali ndi prediabetes lili m'manja mwake kwathunthu. Ndi iye yekha amene amatha kupanga chisankho.

Mutha kupitiliza kukhala kumadzulo pamaso pa TV ndi tiyi ndi keke yomwe mumakonda ndipo monga chotulukapo, chitani nthawi yotsiriza ya moyo wanu polimbana ndi matenda ashuga komanso zovuta zake zambiri.

Ndipo mutha kusintha malingaliro anu, moyo wanu ndikuwona prediabetes monga chikumbutso choti malingaliro athanzi sangachite popanda thupi lathanzi.

Kuletsa kwazosankha zamagalimoto othamanga, kuchepa thupi, maphunziro a thupi zimadabwitsa. Ngakhale kuyeserera kochepa kumalipira kangapo.Mwachitsanzo, kuchepa thupi kwa 7% kokha kumachepetsa chiopsezo cha matenda ashuga pafupifupi 58%. Kutsatira potsatira upangiri wonse wa dokotala kumachiritsa matenda ashuga, ndikuchepetsa matenda oopsa, matenda a mtima ndi matenda a impso nthawi 1.5.

Momwe mungapewere kukula kwa matenda ashuga

Ngati mayeso a labu asonyeza kuloleza kwa glucose, muyenera kucheza ndi endocrinologist.

Adzaikanso mayeso ena kuti adziwe kuopsa kwa matenda ashuga posachedwa, kuti adziwe kuchuluka kwa kuwonongeka kwa makoma amitsempha yamagazi.

Ndi mawonekedwe achilendo onenepa (mwachitsanzo, mwa azimayi amtundu wa admin), kafukufuku wam'mbuyo wa mahomoni adzalembedwera.

Kutengera ndi zomwe zalandiridwa zokhudzana ndi zaumoyo, pulogalamu ya munthu payekha yothandizira matenda a matenda ashuga iphatikizidwa. Ili ndi magawo atatu: zakudya zapadera, masewera olimbitsa thupi komanso mankhwala.

Zoyambirira ziwiri ndizovomerezeka, popanda iwo zovuta za metabolic sizingathetsedwe. Koma phindu la mankhwala ndilocheperapo. Amachepetsa chiopsezo cha matenda ashuga ndi gawo limodzi lokha.

Chifukwa chake, mankhwalawa amathandizidwa ngati othandizira anthu onenepa kwambiri kapena ngati wodwalayo alibe kupirira komanso kupirira pakudya.

Kugwiritsa ntchito zakudya zapadera

Zolinga za zakudya zochizira matenda a prediabetes:

• kutsika kwa calorie kudya,
• kuwonetsetsa mulingo wofanana wa shuga,
• kutsika kwa kuchuluka kwa shuga m'magazi.

Chithandizo cha prediabetes ndizosatheka popanda kutaya kwathunthu chakudyacho kuchokera ku chakudya chambiri. Izi ndi zinthu zonse zomwe zimakhala ndi index ya glycemic pamtunda wama 50.

Onaninso tebulo la GI, samalani ndi zakudya zomwe zili ndi index yotsika, yomwe idayiwalika mwanjira yanu. Tsegulani cookbooks kapena masamba, pezani maphikidwe potengera iwo.

Ngati mungathe kupanga osati wathanzi, komanso chotsekemera pakudya kwanu, iyi ndi gawo lalikulu lothana ndi matenda ashuga.

Zoyenera kuchita kuti zakudya zomwe zili ndi prediabetes zizigwira bwino monga momwe mungathere:

1. Dzazani firiji yanu ndi zakudya zololedwa kuti musayesedwe ndi zovulaza. Tengani mndandanda wazinthu zomwe zikugulitsidwe kuti musatsegule mwachisawawa.
2. Kongoletsani mbale zopangidwa ndi anthu, pangani malo abwino, muziyang'ana anthu amitima yawo. Mwachidule, chitani chilichonse kuti chakudya chisawonekere ngati chopinga, koma monga njira yopita kumoyo wabwino.
3. Kuti muwone kuti glucose amalowa m'magazi momwemonso, idyani m'magawo ang'onoang'ono kasanu patsiku.
4. Mukachoka kunyumba, mudye naye chakudya. Kwa matenda ashuga asanakwane, mumatha kudya masamba osankhidwa, mtedza, ndi buledi wopanda tirigu monga chakudya.
5. Lekani kuyika shuga mu tiyi. Ngati simungathe kupirira kukoma kwatsopano, gulani lokoma.
6. Siyani khofi kwathunthu. Ndi kulowerera pang'onopang'ono kwa khofi wanu m'thupi lanu, ngakhale kumwa pang'ono pang'ono ndi chachitatu kumakulitsa chiopsezo cha matenda a shuga.
7. Funsani kwa endocrinologist. Ngati muli ndi insulin yayikulu, mankhwala amkaka ayenera kuletsedwa kwa miyezi ingapo. Kukhazikitsidwa kuti ali ndi index yayikulu ya insulin, ndiye kuti, amachititsa kuti maholide azitulutsa.

Kusintha momwe mumadyera ndi prediabetes ndizovuta kwambiri. Ngakhale thupi lako lidzatsutsana nawe. Kwa zaka zambiri, adazolowera kupanga magetsi osavuta, chifukwa chake zakudya zilizonse zopanda chakudya zimatha kuoneka ngati zopanda vuto komanso zopanda chiyembekezo.

Zimatenga nthawi, nthawi zambiri pafupifupi miyezi iwiri, kuti mumangenso kagayidwe.

Ngati mungathe kupirira nthawi imeneyi, mudzadabwitsidwa kumva kuti masamba abwino omwe ali ndi nyama amatha kukhala okoma, ndipo zipatso zokhala ndi mchere zimabweretsa chisangalalo chochepa kwambiri ngati chidutswa cha keke.

Zochita zolimbitsa thupi zamitundu yosiyanasiyana

Kusintha kwa zakudya za prediabetes sikokwanira. Ndikofunikira kuti chikhazikitse shuga wambiri m'thupi, komanso kukhazikitsa njira zopopera.

Njira yothandiza kwambiri yochepetsera kukana insulini ndikuyenda bwino kwa magazi kuchokera m'magazi ndikulimbitsa thupi mwadongosolo.Minofu ndiyo yogwiritsa ntchito mphamvu zambiri mthupi lathu.

Zikagwira ntchito kwambiri, shuga azikhala ochepa.

Kuti muchepetse matenda a prediabetes, kukhala wothamanga sikofunikira. Amakhulupirira kuti pochiza matenda amtundu wa metabolic, kulimbitsa thupi theka la ola tsiku lililonse kapena ola limodzi katatu pamlungu ndikokwanira.

Cholinga choyamba panjira yopita ku moyo wathanzi ndikusiya chizolowezi chokhala tsiku lonse. Yambani kusuntha - yendani madzulo, pang'onopang'ono kuwonjezera liwiro ndi mtunda. Yendani kukagwira ntchito, kukwera masitepe, osati okwera, kuchita masewera olimbitsa thupi pomwe mukuwona TV kapena kucheza pafoni.

Gawo lotsatira ndi kuphunzira pafupipafupi. Sankhani maphunziro malinga ndi momwe mumafunira, funsani dokotala wanu ngati waloledwa mu thanzi lanu. Kwa anthu onenepa kwambiri, zochitika zilizonse mu dziwe kapena kuyenda zimalimbikitsidwa. Ndi kuwonda pang'ono - kuthamanga, masewera amtimu, masewera achisanu, kuvina, kulimbitsa thupi.

Kumayambiriro kwa maphunziro, chinthu chachikulu sikuti muchichita mopitirira muyeso. Kuchita masewera olimbitsa thupi kuyenera kuthandizira kuchuluka kwamtima. Ngati mwatopa, chepetsani. Ndikwabwino kukwaniritsa cholinga chanu patapita nthawi pang'ono kusiya kusiya kuthamangira kulandira chithandizo.

Pokhala ndi zochulukirapo zochita, musaiwale za kupumula kwabwino. Kuti thupi ligawane mosavuta ndi mafuta omwe asungidwa, muyenera kugona pafupifupi maola 8. Insulin imapangidwa usiku wocheperako, kotero magazi ochokera ku shuga yambiri ayenera kumasulidwa pasadakhale: khalani olimbitsa thupi ndipo musadye maola awiri asanagone.

Kodi mankhwala ndi ofunika?

Nthawi zambiri, kusintha kwa moyo kumakwanira kuchiritsa matenda ashuga. Amayesera kuti asapereke mankhwala othandizira kuti azitha kusintha zotsatira zake.

Ngati patatha miyezi itatu kuyambira pomwe munayamba kulandira chithandizo palibe zotsatira, mudzayikidwa Metformin. Mankhwala amatha kuchepetsa kapangidwe ka shuga ndi chiwindi, zomwe zikutanthauza kuti azithandizanso kusala glycemia.

Kuphatikiza apo, amachepetsa kukana kwa insulin, ndiye kuti, mutatha kudya, shuga kuchokera m'magazi amalowa m'maselo. Chinanso chabwino cha Metformin ndi kuchepa kwa mayamwidwe a shuga m'matumbo.

Gawo la glucose lomwe limatha lidzatsitsidwa mu ndowe.

Kumwa Metformin moyo wake wonse m'chiyembekezo chopewa matenda a shuga ndizowopsa. Mukamamwa, kutulutsa, kupweteka m'mimba, thupi lawo limatha kuwonedwa. Ngati pazifukwa zina mankhwalawa sadzachotsedwa mu impso pakanthawi, chiwopsezo cha lactic acidosis ndi chambiri.

Kugwiritsa ntchito nthawi yayitali kumayambitsa kusowa kwa vitamini B12, wofundidwa ndi kufa kwamitsempha yama mitsempha komanso kukhumudwa. Chifukwa chake, kuikidwa kwa Metformin kumakhala koyenera pokhapokha ngati chithandizo sichingatheke popanda thandizo la kuchipatala.

Nthawi zambiri uwu ndi mtundu wachiwiri wa matenda ashuga, osati prediabetes.

Kodi kuchira kwathunthu ndikotheka?

Matenda a shuga ndi vuto asanafike matenda ashuga. Kusiyana kwakukulu ndikuti nthawi ndi nthawi dongosolo la endocrine limagwira bwino ntchito, chifukwa chake kulolerana kwa glucose kumayamba.

Zotsatira zake, kapamba samapanganso insulin, yomwe inali kale. Ndiye kuti, ndikuzindikira izi, anthu amalembedwa kuti ali pachiwopsezo chokhala ndi mtundu wachiwiri wa matenda osokoneza bongo.

Koma, ngakhale atakhala kuti ali ndi vuto lotenga matendawa, chithandizo chitha kuchitika bwinobwino ngati mungafikire moyenera.

Kuti mubwezeretsere kuchuluka kwa shuga, muyenera choyamba kusintha moyo wanu, makamaka zakudya, masewera olimbitsa thupi.

Vutoli nthawi zambiri limadziwoneka losatsimikizika panthawi yomwe thupi limatayika ndi ziwalo za thupi lawo chifukwa chokhala ndi mahomoni opangidwa ndi kapamba. Chifukwa chake, kuchuluka kwa shuga kumachitika.

Monga zovuta, angiopathy amatha kukhala limodzi ndi prediabetes.

Zifukwa zakuzindikira

Ngati simukuonana ndi dokotala mwachangu, ndiye kuti zovuta zingapo za prediabetes zingayambike zomwe zimakhudza ntchito yamanjenje, yowonera, yamagazi. Zotsatira zake, zifukwa zopitira kwa dokotala ndi:

• Kunenepa kwambiri
• Matenda a shuga pakapita pakati,
• Mkulu shuga wambiri mukamayesa,
• Zoposa zaka 45
• Thumba lam'mimba lamabele,
• Mkulu triglycerides, cholesterol mu kusanthula.

Ndizofunikira kudziwa kuti prediabetes nthawi zambiri siziwonetsa chilichonse, ngakhale kuti pali zosiyana. Kenako zizindikilo zimatha kuwoneka mosiyanasiyana:

• Kusokonezeka tulo
• Ntchito yowoneka bwino,
• Kusenda kwa mucous nembanemba
• Ludzu lalikulu
• Chomera usiku
• Kuchepa kwa ziwalo zamasomphenya,
• Kuchulukitsa pokodza.

Ngati prediabetes ikukayikiridwa, ndiye kuti magazi omwe amathandizidwa ndi shuga angafunike. Nthawi zambiri amagwiritsidwa ntchito kuti adziwe mtundu wa kusanthula kwa shuga. Ngati chizindikirocho chili chocheperapo kuposa 6 mmol / l, boma la matenda ashuga lakhazikitsidwa kale.

Kusanthula kumaperekedwa pamimba yopanda kanthu, komanso m'mawa. Asanapereke magazi, ngakhale madzi saloledwa kumwa.

Momwe amathandizidwira

Ngakhale atazindikira kuti matenda a "prediabetes" amapangidwa, muyenera kuthana ndi vutoli moyenera. Ndi malingaliro onse, ndikosavuta kupewetsa mtundu wachiwiri wa matenda ashuga.

Nthawi zambiri, kulekerera kwa glucose kwa odwala, Zizindikiro zambiri za anthu odwala matenda ashuga amawoneka pafupipafupi, ndipo nthawi zambiri amakhala asymptomatic. Ndiye kuti, uku ndikumalire kumene anthu ambiri amakhala, osakayikira ngakhale pang'ono kuti awopseze.

Koma ngati mutsatira malangizowa, ndiye kuti mutha kusiya ndikusintha prediabetes:

• Zakudya zoyenera
• Kusiya zizolowezi zoipa,
• Matenda a kuthamanga kwa magazi
• Kulimbitsa machitidwe amanjenje ndi mtima,
• Chithandizo cha matenda omwe alipo,
• Kutsitsa magazi m'thupi,
• Masewera olimbitsa thupi.

Ndizofunikira kudziwa kuti zakudya zamagetsi komanso masewera zimathandizira kukonza magwiridwe antchito amthupi, omwe chifukwa chotsatira samalola kuthetsa zoopsa, komanso kusintha kupirira, zizindikiro zazikulu zamakina osiyanasiyana.

Ndi prediabetes, mankhwala othandizira nthawi zambiri samayikidwa mankhwala, chifukwa pakadali pano sikuti amangothandiza, koma ndi owopsa. Chifukwa chake, njira yoyenera kwambiri ndiyo kusintha kapena kusintha moyo wanu kutengera zikwangwani zoyambirira.

Mankhwala amatha kutumikiridwa pokhapokha ngati kusintha kwa moyo wanu sikunapereke zotsatira zomwe zikuyembekezeka. Pankhaniyi, Metformin, Siofor, Glucophage atha kusankha kuti asankhe.

Zakudya zamankhwala

Njira imeneyi imathandizira kuchepetsa magazi. Mofananamo, ndizotheka kutaya mapaundi owonjezera. Kuphatikiza apo, kulemera kwa thupi kumathandizanso kwambiri pankhaniyi. Malamulo oyipa azakudya:

• Zowonjezera zambiri
• Makulidwe ang'onoang'ono
• Chakudya chamagulu
• Kukana kudya mwachangu, zinthu zomalizidwa,
• Kukana kwa muffin komanso makeke owonekera a confectionery,
• Powonjezera saladi, masamba, nyemba, zipatso, ndiwo zamasamba pazakudya,
• Kuledzera kwa chimanga (kuphatikiza mbewu monga chimanga), mbatata, mpunga ndi zinthu zina zomwe zimapangidwira kuchuluka kwake.
• Kumwa malita 1.5-2 amadzi patsiku,
• Kuphika kumachitika kaya mu uvuni, kapena kuphika kapena kuwotcha,
• Kukana maswiti, chokoleti ndi zakudya zina zamafulumira (kuphatikizapo zakumwa zotsekemera za carbonated).

Moyenera, muyenera kusankha zakudya zamafuta ochepa komanso zokhala ndi index yochepa ya glycemic. Chifukwa chake, titha kunena kuti kudya caloric kumathandizira kwambiri kuthetsa matenda a prediabetes. Chifukwa chake, zopatsa mphamvu ziyeneranso kulingaliridwa, kusungitsa buku la chakudya.

Ngakhale zoletsa pazakudya, thupi liyenera kulandirabe kuchuluka kofunikira pazinthu zonse, kuphatikiza mapuloteni, chakudya, mafuta.

Kukonzekera zitsamba za prediabetes

Ngati matendawa amayamba ndi matenda a matenda ashuga - kuyabwa, ludzu, kukokana komanso zizindikiro zina, ndiye kuti kukonzekera kwazitsamba kungathetse vutoli. Ubwino wawo wambiri ndi wocheperako wa contraindication, komanso zovuta zochepa. Chifukwa chake, madokotala amatha kulembetsa:

Mphamvu ya mankhwalawa imakhala yovuta kwambiri pakhungu ndipo imakupatsani mwayi wochotsa zizindikiro zonse zosafunikira, pomwepo munthawi yomweyo kuchepetsa shuga. Koma musadzinyadire kuti mapiritsi ndi mapepala ochepa okha ndi omwe angathetse vutoli. Popanda kuwongolera mayendedwe, izi ndi njira yochepa yomwe ingachedwetse mtundu wa matenda ashuga a 2 kwa kanthawi kochepa.

Zochita zolimbitsa thupi

Kuchita zolimbitsa thupi pafupipafupi pambuyo pa kuphatikiza chakudya ndi mzati wachiwiri womwe chithandizo cha prediabetes chimakhazikitsidwa. Nthawi yomweyo, sikofunikira kuti mudzisainitse nthawi yomweyo kuti mukhale olimba. Muyenera kuyamba ndi izi:

• Kuyenda mu mpweya watsopano kwa theka la ola,
• Kukwera masitepe
• Kuchaja
• Magawo ang'onoang'ono olimbitsa thupi.

Ngati onenepa kwambiri alipo, ndiye kuti maphunziro ayenera kuchitidwa kangapo pa sabata. Nthawi yomweyo, ndikofunikira kuganizira kuchuluka kwa katundu ndi kukonzekera kwa munthuyo. Ndi kusachita masewera olimbitsa thupi, ndiye kuti, kuchepa kwa zochitika m'mbuyomu, ndikofunikira kupereka chidwi pakulimbitsa kwakanthawi. Patsikulo, maphunziro a theka la ora ndi okwanira ndikuphatikiza ma Cardio ndi masewera olimbitsa thupi, omwe amasankhidwa payekha.

Ngati mungathe kuthana ndi chithandizo choyenera cha prediabetes, ndiye kuti pali mwayi wopewa kukula kwachiwiri kwa matenda ashuga. Kuphatikiza apo, njira zambiri zochiritsira zimagwiritsidwa ntchito mosiyanasiyana.

Ndikofunika kudziwa kuti ndibwino kuyambitsa zoterezi kwamuyaya, ndiye kuti, khalani ndi moyo wathanzi.

Pankhaniyi, osati boma la prediabetes lokha lomwe lingathe, koma zoopsa zokhala ndi matenda omwe ali ndi matenda zidzatha.

Matenda a shuga: momwe mungapewerere matendawa

Matenda a shuga ndi matenda a carbohydrate metabolism omwe amatsogolera kukula kwa matenda ashuga a mtundu 2. Amakhala ngati mawonekedwe obisika, zizindikiro zoyipa zoyambirira nthawi zambiri zimangowonekera pokhapokha ngati munthu akudwala matenda ashuga.

Ndizosatheka kudziwikitsa pawokha matenda a prediabetes; moyo wa anthu ambiri omwe ali ndi vuto la metabolism umakhala wokhutiritsa kwambiri.

Matenda a shuga: Zizindikiro ndi Kudziwitsa

Nthawi zina, odwala matenda a prediabetes amakhala ndi madandaulo akuwonjezera kutopa, ludzu, komanso kuwonongeka kwa mawonekedwe, koma zifukwa zina ndizosavuta kupeza zizindikirozi.

Chifukwa chake, ngati pali kukayikira kwa prediabetes, adotolo amafotokozera kuyesedwa kwa magazi, maola awiri atatha kudya, komanso kuyesa kwa kupsinjika, komwe kuchuluka kwa shuga m'magazi kumatha maola awiri mutatenga magalamu 75 a shuga osungunuka mu kapu yamadzi.

Kuzindikira kumachitika ngati:

• Magazi a shuga m'magazi amakwezedwa pang'ono pamimba yopanda kanthu - kuyambira 6 mpaka 6.9 mmol / L.
• Pali kuphwanya kwa kulekerera kwa glucose, ndiko kuti, pambuyo poyesedwa ndi katundu wa carbohydrate, kuchuluka kwa shuga kumakwera mpaka 8.9-12 mmol / l maola awiri.

Mitundu inayi ya shuga 2

Gulu la ofufuza ku Scandinavia likuti pali mitundu isanu yokha ya shuga: mtundu 1 kapena insulin, komanso mitundu inayi ya mtundu 2.

Kuti amvetse izi, ofufuzawo adasanthula mbiri yachipatala ya odwala pafupifupi 15,000 omwe ali ndi matenda ashuga ochokera ku Sweden ndi Finland. Kuwerenga mitundu isanu ndi umodzi yodziwika, kuphatikiza zaka za kupezeka kwake, kuchuluka kwa thupi, komanso kuopsa kwa insulin, ofufuzawo adapeza kuti odwala adagawika m'magulu asanu:

Mtundu 1 - Severe Autoimmune Diabetes (SAID). Ambiri achinyamata komanso athanzi labwino omwe akupitiliza insulin chifukwa cha kusokonekera kwa autoimmune.

Mtundu Wachiwiri, Gulu Lachiwiri - Matenda Akuluakulu a shuga ndi Insulin Defence (SIDD). Achichepere, nthawi zambiri amakhala athanzi omwe ali ndi mavuto opanga insulin.Kuphatikiza anthu omwe ali ndi HbA1C yayikulu, kusokonezeka kwa insulin, komanso kukana pang'ono.

Mtundu 2, Gulu Lachiwiri - Matenda Aakulu a Insulin-Resistantabetes (SIRD). Anthu onenepa kwambiri kapena onenepa kwambiri omwe thupi lawo limapangabe insulin koma osalabadiranso. Ambiri aiwo ali ndi vuto la metabolic ndikuwonetsa zizindikiro zazikulu kwambiri, kuphatikizapo kulephera kwa impso.

Mtundu Wachiwiri, Subgroup 3 - Matenda Aakulu a shuga Olumikizana ndi Kunenepa (Mod). Anthu onenepa kwambiri komanso onenepa kwambiri omwe, ngakhale samagwirizana ndi insulin, amawonetsa kufatsa. Ambiri amakhala ndi matendawa ali aang'ono.

Mtundu Wachiwiri, Subgroup 4 - Mild Age Diabetes (MARD). Anthu omwe amadwala matenda ashuga kumapeto kwa moyo wawo ndikuwonetsa zizindikiro zofowoka.

Malinga ndi wolemba wotsogolera Leif Groop, dokotala wa endocrinologist ku Lund University Diabetes Center ku Sweden komanso Folhalsan Research Center ku Finland: Ili ndiye gawo loyamba lothandiza aliyense payekha. ”

Ineyo pandekha ndimakhulupirira kuti gawoli kukhala ma subtypes limabweretsa chisokonezo chopanda tanthauzo. Kraft adawonekeratu: ngati muli ndi insulin kukaniza (monga 80 peresenti ya anthu aku US), muli ndi mtundu 2 kapena prediabetes ndi nthawi.

Mwamwayi, iyi ndi imodzi mwama zovuta kwambiri paumoyo. Zomwe muyenera kuchita ndikutsatira zakudya za cyclic ketogenic, zomwe ndimazikamba m'buku langa, Mafuta ngati Mafuta.

Kusagwirizana kwa malamulo othandizira odwala matenda ashuga

Kuyesedwa kwa magazi otsatirawa kukuthandizani kudziwa ngati muli ndi prediabetes kapena matenda ashuga:

Kuthamanga mayeso a shuga - Mwachidziwikire, kusala shuga pansi pama milligram 100 pa desilita (mg / dl) akuwonetsa kuti simukuletsa insulini, pomwe gawo pakati pa 100 ndi 125 mg / dl limawonetsa prediabetes, zomwe zikutanthauza kuti ndinu okhazikika bwino kwa insulin.

Tsimikizani glycated hemoglobin A1C - omwe amayesa kuchuluka kwa shuga m'magazi nthawi yayitali, umachitika kawiri kapena kanayi pachaka. Uku ndiye kuyesa kwabwino kuposa kusala kudya glucose. Mulingo wa A1C pakati pa 5.7 ndi 6.4 umadziwika kuti ndi prediabetes. Chilichonse choposa 6.5 chimapezeka kuti ndi matenda ashuga. Mokulira, kumachepetsa chidwi cha insulin.

Kuthamanga mayeso a insulin - Kuyeza kumeneku kuli bwino koposa. Magazi a insulin mwachangu ali pansi pa 5, koma moyenera muyenera kuwasunga pansipa 3.

Mayeso a insulin ya m'magazi - Uku ndiye kuyesa kopambana komanso kovuta kwambiri. Amachitidwa chimodzimodzi ndi PHTT (mayeso a glucose kulolerana), komanso amayeza miyezo ya insulin. Sungani zomwe mwapeza ndikuyang'ana m'buku la Kraft kuti muwone ngati muli ndi prediabetes, yomwe ikupatseni chithunzi cholondola kuposa kusala glucose kapena insulin.

Mosadabwitsa, mankhwala ochiritsira sanadziwikebe pankhani imeneyi, ndipo a American College of Physicians (ACP) tsopano amalimbikitsa ngakhale cholinga chotsika kwambiri cha shuga m'magazi pochiza matenda amtundu wa 2.

Malinga ndi Purezidenti wa ACP Dr. Jack Ende, "Pali zovuta zomwe zimachitika chifukwa chokhala ndi chithandizo chazowopsa kapena cholakwika chokhazikika kwa A1C." Ndondomeko yatsopano ya ACP tsopano ikulimbikitsa kuyang'ana kwambiri A1C pa 7-8% m'malo otsika, omwe ndiofunikira m'magulu ambiri a shuga.

Kwa iwo omwe afika kale pamunsi, ACP ikupangira kuchepetsa kapena kusiya mankhwala ndipo "ingololani A1C ikhale pakati pa 7 ndi 8." American Diabetes Association yakana mwamphamvu malingaliro a ACP ndipo, povomereza zoopsa zomwe zimakhudzidwa, zikuwoneka ngati zopanda nzeru kuti "ingololani" mulingo wanu ukhale pa 8 osachita chilichonse. Komabe, njira yabwino si mankhwala, koma kusintha kwa moyo.

Momwe mungayimire chitukuko cha matenda ashuga

Chifukwa chake, kumbukirani, ngati mumasamala za thanzi lanu, ndikofunikira kwambiri kuthana ndi zizindikiro zilizonse zokhudzana ndi insulin komanso prediabetes. Nayi chidule cha malingaliro ofunikira kwambiri. Mwambiri, pulani iyi idzachepetsa mwayi wokhala ndi matenda ashuga komanso matenda ena okhudzana ndikukuthandizani kuti musagwidwe ndi matenda omwe mwina simungamvetse.

Malire anawonjezera shuga 25 g patsiku. Ngati mukuvutika ndi kukana kapena matenda a shuga, muchepetseni shuga wanu wokwanira mpaka 15 g patsiku mpaka kukana kwa insulini / leptin kudatha (ndiye kuti kungathe kuwonjezeka mpaka magalamu 25) ndikuyamba kusala kudya kwakanthawi.

Muchepetse mafuta ochulukirapo (ma carbohydrate opanda minofu) ndi mapuloteni ndikuwabwezeretsa mafuta abwino kwambirimonga njere, mtedza, mafuta ophikira achilengedwe, maolivi, mapeyala, mafuta a kokonati, mazira a organic ndi mafuta azinyama, kuphatikizapo omega-3s. Pewani zakudya zonse zakonzedwa, kuphatikizapo nyama. Kuti muwone m'ndandanda wazakudya zomwe zili zabwino kwambiri kwa anthu odwala matenda ashuga, onani Nine Superfoods forabetes.

Chitani masewera olimbitsa thupi pafupipafupi komanso kusunthira zinamukadzuka, cholinga chanu chikhale chochepera maola atatu patsiku.

Gona mokwanira. Ambiri amafunika kugona pafupifupi maola asanu ndi atatu usiku. Izi zikuthandizani dongosolo lanu la endocrine. Kafukufuku akuwonetsa kuti kusowa tulo kumatha kukhala ndizofunikira kwambiri pakumverera kwa insulin.

Sinthani Magawo a Vitamini D, moyenera, mothandizidwa ndi dzuwa. Mukamamwa vitamini D3 pakamwa, onetsetsani kuti muwonjezera kudya kwanu kwa magnesium ndi vitamini K2, popeza michereyi imagwira ntchito tandem.

Khalani ndi Thanzi Labwino, nthawi zonse muzidya zakudya zopatsa mphamvu komanso / kapena mutenge zowonjezera zamtengo wapatali zofalitsidwa ndi econet.ru.

Kodi mumakonda nkhaniyo? Kenako tithandizireni kanikiza:

Ndani ali pachiwopsezo

Popeza prediabetes imatha kupezeka kokha kudzera m'mayeso a labotale, anthu omwe ali pachiwopsezo chodwala matenda a carbohydrate metabolism ayenera kuwunika shuga wawo wamagazi pafupipafupi.

Mndandandandawu umaphatikizapo:

• Anthu omwe ali ndi abale apamtima odwala matenda ashuga.
• Amayi omwe ali ndi polycystic ovary syndrome kapena shuga woyembekezera.
• Kunenepa kwambiri.
• Anthu omwe ali ndi cholesterol yambiri.
• Anthu azaka zopitilira 45, makamaka akaphatikizidwa ndi zoopsa zina.
• Anthu omwe amakhala moyo wongokhala.
• Odwala omwe apezeka ndi metabolic syndrome. Amadziwika ndi kupambananso kwa zizindikiro: kunenepa kwambiri pamimba, ndiko kuti, kuphatikizika kwamafuta m'mimba, kuthamanga kwa magazi, cholesterol yayikulu.

Kuzindikira koyambirira kwa matenda a prediabetes ndikofunikira kwambiri, chifukwa amakupatsani mwayi komanso kupewa kupewa matenda oyamba ndi matenda ashuga. Komanso, anthu omwe ali ndi vuto la kulolera glucose amatha kukhala ndi vuto la mtima - amatha kufa kawiri kawiri ndi matenda a mtima kapena sitiroko. Ndikofunika kuyamba kulandira chithandizo msanga.

Matenda a shuga: choti achite

Malinga ndi ziwerengero, prediabetes imadwala matenda a shuga pafupifupi 50% ya odwala. Cholinga cha izi, monga lamulo, ndikukana kwa kusintha kwa moyo ndikusungidwa kwa zizolowezi zoyipa zosadya. Zatsimikiziridwa kuti pazovuta za carbohydrate metabolism, ndikokwanira kungosintha zakudya kuti muchepetse kapena kuletsa kukula kwa matenda osokoneza bongo kwa nthawi yayitali.

Chofunikira kwambiri pakudya kwa prediabetes ndikuwongolera kuchuluka kwa shuga ndi mafuta m'zakudya. Maziko azakudya ayenera kukhala masamba, chimanga, zakudya zomwe zili ndi mapuloteni komanso fiber. Chofunikira chokhala ndi moyo wathanzi ndimachitanso masewera olimbitsa thupi.

Ndi kulemera kwambiri, ndikofunikira kuti muchepetse, chifukwa kunenepa kwambiri ndi chimodzi mwazinthu zazikulu zomwe zimayambitsa matenda ashuga. Mwa kuchepetsa kulemera kokha mwa 10-15%, kuchuluka kwa shuga m'magazi kungatheke.

Matenda a shuga ndiwopseza thanzi, koma amasinthika ndikudziwunika kwakanthawi komanso kusintha kwa moyo.

Kodi prediabetes ndi chiyani ndipo imatha kuchiritsidwa?

Ambiri safuna ngakhale kuganiza kuti matenda ashuga angawakhudze.Pazifukwa zina, anthuwa amakhulupirira kuti oyandikana nawo, m'makanema, ali ndi matenda otere, ndipo adzadutsa iwo osawakhudza.

Ndipo, mukamayesedwa, amapita kukayezetsa magazi, ndipo zimapezeka kuti shuga ndi 8 kale, kapena mwina apamwamba kwambiri, ndipo zonena za madotolo ndikukhumudwitsa. Izi zitha kupewedwa ngati zizindikiritso za matendawa zizindikirika munthawi yoyambira momwe zimayambira. Prediabetes ndi chiyani?

Mkhalidwe wa matenda ashuga - ndi chiyani?

Matenda a shuga ndi mwayi waukulu wa kuyambika ndi kukula kwa matenda ashuga. Kodi izi zitha kuganiziridwa ngati gawo loyamba la matendawa?

Ndikovuta kwambiri kujambula mzere apa. Anthu omwe ali ndi prediabetes amatha kale kuwonongeka kwa zimakhala za impso, mtima, mitsempha yamagazi, ndi ziwalo zamasomphenya.

Kafukufuku wa asayansi akuwonetsa kuti zovuta zoyambirira zimayamba kale kumayambiriro kwa matenda ashuga. Matenda a shuga akapezeka, kuwonongeka kwa ziwalo kumawonekera kale ndipo ndizosatheka kuziletsa. Chifukwa chake, kuvomerezedwa kwakanthawi kwa vutoli ndikofunikira.

Prediabetes ndi gawo lapakati pomwe kapamba amapanga insulini, koma ochepa kwambiri, kapena insulin imapangidwa modabwitsa, koma ma cell a minofu sangathe kuyamwa.

Anthu omwe ali ndi vutoli ali pachiwopsezo cha matenda a shuga a mtundu wachiwiri. Komabe, izi zimathandiza kusintha. Kusintha moyo wanu, kuthetsa zizolowezi zopanda thanzi, mutha kubwezeretsa thanzi lanu lotayika ndikupewa matenda oyipa kwambiri.

Zizindikiro

Glucose wamkulu ndi chimodzi mwazomwe chimawonetsa matenda a shuga amitundu yoyamba ndi yachiwiri. Ngati mutayezetsa magazi kangapo motsatizana ndi tsiku limodzi, ndikuwonetsa kukhalapo kwa hyperglycemia nthawi zonse, matenda ashuga amatha kuganiziridwa.

Mndandanda wazidziwitso za shuga:

Pali zizindikiro zina za matendawa. Mwachitsanzo, ludzu lamphamvu lomwe limatsala pang'ono kuzima. Munthu amamwa kwambiri, asanu, kapena malita khumi patsiku. Izi zimachitika chifukwa magazi amakula pomwe shuga wambiri amadzisonkhanitsa.

Dera linalake muubongo lotchedwa hypothalamus limayatsidwa ndipo limayamba kupangitsa munthu kumva ludzu. Chifukwa chake, munthu amayamba kumwa kwambiri ngati ali ndi shuga wambiri. Chifukwa cha kuchuluka kwa magazi, kukodza pafupipafupi kumawonekera - munthuyo amakhala "womata" kuchimbudzi.

Popeza kukhudzidwa kwa glucose ndi minofu kumalephera mu shuga, kutopa ndi kufooka kumawonekera. Munthu amawona kuti watopa kwenikweni, nthawi zina zimamuvuta nkomwe kusuntha.

Kuphatikiza apo, kusokonekera kwa erectile kumadziwonetsera mwa amuna, komwe kumakhudza gawo logonana la wodwalayo (kugonana) m'moyo. Mwa akazi, nthendayi nthawi zina imapereka zolakwika zodzikongoletsera - mawanga amisamba pakhungu la nkhope, manja, tsitsi ndi misomali imakhala yoyipa, yoyipa.

Chizindikiro chimodzi chodabwitsa cha prediabetes chikule kwambiri, makamaka zikaphatikizidwa ndi ukalamba.

Kwa zaka zambiri, kagayidweko kamachepa, kenako mafuta ochulukirapo amalepheretsa glucose kulowa m'maselo - kukhalapo kwa zinthuzi kumawonjezera mwayi wokhala ndi matendawa. Komanso kapamba wachikulire amayamba kupanga insulini yocheperako ndi zaka.

Ndi matenda a mtundu wachiwiri, kulemera kumachitika kawirikawiri. Chowonadi ndi chakuti ndi mtundu uwu wa shuga m'magazi mumakhala zinthu zambiri za glucose ndipo, nthawi yomweyo, insulin. Zowonjezera thupi zimayesetsa kusunthira ku adipose minofu, monga yabwino kwambiri yosungira. Chifukwa cha izi, munthu amayamba kunenepa kwambiri mwachangu.

Chizindikiro china ndikumverera kwa dzanzi mu miyendo, kumva kulira. Izi zimamvekedwa makamaka m'manja, chala.Pamene magazi abwinobwino amadzimadzi amasokonezeka chifukwa cha kuchuluka kwa shuga m'magazi, izi zimayambitsa kuwonongeka kwa zakudya zam'mitsempha. Chifukwa cha izi, munthu amakhala ndi mitundu yosiyanasiyana yosiyanasiyana yamalingaliro mwanjira yolira kapena kugona.

Ndipo pamapeto pake, khungu loyenda, lomwe ndilimodzi mwazizindikiro za matenda ashuga. Izi zitha kudabwitsidwa, kodi chizindikiritso cha glucose chingakhudze bwanji khungu lanu? Chilichonse ndichopepuka. Ndi hyperglycemia, kufalikira kwa magazi kumawipira, komwe kumapangitsa kuchepa kwa chitetezo chathupi. Chifukwa chake, mu matenda ashuga, kubadwanso kwa kachilombo koyambira pakhungu nthawi zambiri kumayamba, komwe kumapereka kuyimitsidwa.

Kuzindikira komaliza kuyenera kupangidwa ndi endocrinologist, osadalira amodzi, koma pamayeso angapo. Katswiri wodziwikiratu adzazindikira ngati ali ndi matenda a shuga kapena ayi, asankhe momwe angachiritsire, omwe mankhwalawa amakhala othandiza kwambiri nthawi iliyonse.

Popewa matenda a shuga kukhala osadabwitsa, ndikofunikira kuwunika mayendedwe a shuga, izi zitha kuchitika mosavuta kuchipatala kapena kunyumba pogwiritsa ntchito glucometer.

Njira zochizira

Kuyimitsa chitukuko cha matenda ashuga m'magawo oyamba, ndikofunikira kusintha momwe amagwirira ntchito ndikupuma. Zowononga thupi monga kusowa tulo, komanso kuchuluka kwake.

Kupsinjika kwakuthupi, kupanikizika kosalekeza kuntchito kumatha kukhala kolimbikitsa pakukula kwa matenda oopsa, kuphatikizapo matenda a shuga.

Pa gawo la prediabetes, mankhwala wowerengeka azitsamba ndi njira zingapo zachikhalidwe zomwe sizichikhalidwe zimagwira.

Muyenera kutsatira zakudya zabwino. Kuyimitsa maulendo kupita ku dipatimenti ya soseji, kuyiwala za mitundu yonse ya kuphika, gwiritsani ntchito ufa wosalala ndi chinangwa m'malo mwa mkate woyera, palibe mpunga ndi pasitala yoyera, koma mitundu ya bulauni ya mpunga ndi phala kuchokera ku mbewu zonse za chimanga. Ndikofunika kuti musinthe kuchokera ku nyama yofiira (mwanawankhosa, nkhumba) kuti mukhale nkhuku ndi nkhuku, idyani nsomba zambiri.

Chachikulu ndikuwonetsetsa kuti m'zakudyazo muli zipatso ndi ndiwo zamasamba zokwanira. Hafu ya kilogalamu tsiku lililonse muyenera kudya zonse ziwiri. Mitima yambiri ndi matenda ena amayamba chifukwa chakuti timadya zobiriwira zochepa, zipatso zatsopano.

Simuyenera kungowerengera zakudya zanu, komanso kusiya zizolowezi zoipa. Nthawi zina zimakhala zokwanira kusiya kusuta fodya kapena kuchepetsa kugwiritsa ntchito zakumwa zoledzeretsa kuti musayambitse matenda ashuga.

Muyenera kuchepetsa kuchuluka kwa maswiti anu menyu tsiku lililonse kapena kuchotseratu kwathunthu. Kuledzera kwawo kwambiri kungakhale chinthu chofunikira kwambiri pakukula kwa matenda ashuga.

Prediabetes - zimayambitsa, Zizindikiro, kuwongolera shuga ndi zakudya zoyenera kuchokera pamenyu

Kuopsa kwa matenda am'mbuyomu ndikuti nthawi zambiri, malinga ndi ziwerengero komanso zolosera za akatswiri, amayamba kukhala amtundu wa shuga m'masiku ochepa.

Matenda a prediabetesic siwosintha, ndipo pokhazikika podziletsa komanso mosamalitsa kutsatira malangizo azachipatala, wodwalayo amatha kukhalabe ndi thanzi ndikubweretsa shuga m'magazi.

Mkhalidwe prediabetesic amadziwika ndi kusokonekera shuga kulolera. Ndi prediabetes, pancreatic enzyme yopanga imachepa pang'ono, ndipo kuchuluka kwa shuga m'magazi kuli kale kwambri, koma sanafike pamlingo womwe matenda a 2 amadziwika. M'mbuyomu, matendawa amatchedwa zero-siteji ya shuga.

Choyambitsa chachikulu cha prediabetes (monga mtundu wachiwiri wa matenda ashuga) ndikusintha kwa minofu kukana insulin. Chimodzi mwazinthu zomwe zimagwira ntchito imeneyi ndi kutsitsa glucose kupita ku ma cell a thupi.

Zakudya zam'magazi zikafika m'magazi, kapamba amapanga insulini, ndipo mwakuchulukitsa kuchuluka kwa shuga, kutsutsana ndi insulini kumayamba pang'onopang'ono - kuchepa kwa mphamvu ya mahomoni, kuthekera kwa ma membrane am'mimba kuti azindikire ndikuthandizira pokonza shuga.

Kuphatikiza pa kukulira kwa insulin, kutsika kwa kupanga kwa insulin mu kapamba kapena matenda osiyanasiyana apamba (zotupa (insulinoma), kusintha kwa cystic, kuvulala) kungayambitse matenda a prediabetes.Malinga ndi ziwerengero, odwala ali pachiwopsezo cha matenda a matenda ashuga:

• onenepa
• ndi matenda oopsa (kuthamanga kwa magazi ndi mitengo kuyambira 140/90 ndi pamwamba),
• Zisonyezo zosasunthika zazotsatira za kusanthula kwa shuga,
• cholesterol yayikulu ndi triglycerides,
• zaka zopitilira 45
• azimayi omwe ali ndi ovary ya polycystic,
• azimayi omwe adadwala matenda ashuga panthawi yoyembekezera.

Matenda a prediabetes

Pamaso pa zizindikiro zoyenera, njira zingapo zosavuta zimagwiritsidwa ntchito kukonza magazi a wodwalayo ndi chizolowezi ndikuganiza zokhudzana ndi chitukuko cha prediabetes.

Kuti mupeze zolondola ndi zomwe zapezedwa, kuyesa magazi kumachitika pamimba yopanda kanthu, maola 10 mutatha chakudya chomaliza.

Tsiku lisanafike mayeso, wodwalayo akulangizidwa kuti asiye kusuta ndi kuchita masewera olimbitsa thupi, kutentha kwake ndi kuthamanga kwa magazi panthawi yopereka magazi kuyenera kukhala kwabwinobwino. Maphunziro otsatirawa amathandizira kuzindikira kukula kwa matendawa:

• Mayeso a kulolera kwa glucose - amawona kuchuluka kwa kulowa kwa glucose mu minofu. Zizindikiro pamwambapa 7.5 mmol / L zitha kuwonetsa kukhalapo kwa prediabetes.
• Kuthamanga glycemia - magazi a venous amafunikira kuti aunikidwe. Zizindikiro zomwe zimasintha pakati pa 6 ndi 7 mmol / l zimawonetsa kukula kwa matendawa.
• Kusala kudya kwa insulin - kuganizira kwambiri za 13 μIU / ml ndi umboni wa prediabetes.
• Glycated hemoglobin - wokhala ndi prediabetes, chizindikiro chimasiyana pakati pa 5.7 ndi 6.5%.