Mtundu wa shuga wachiwiri wa shuga

Kwa odwala omwe moyo wawo umakhala wopitilira zaka 30 mpaka 40 ndipo palibe zomwe zikuwonjezera mawonekedwe a matenda amtima wam'magazi, cholingacho cha hemoglobin cha glycated chiyenera kukhazikitsidwa mu 6.5-7.0%. Mwa anthu athanzi, zizindikiro zotere ndi prediabetes, ndipo mwa odwala ndizochepa kuposa matenda a shuga. Kupeza kwawo kumawonetsa phindu la chithandizo komanso kupita patsogolo poletsa matendawa.

Zolinga za munthu payekhapayekha za 7.0-7,5% ya HbA1c zimakhazikitsidwa ndi odwala omwe amadzimvera okha omwe ali ndi matenda amtundu wa mtima. Amakhala ndi moyo zaka zoposa khumi.

Kwa odwala omwe akuyembekeza kukhala ndi moyo zaka 5-10, ndiye kuti, kwa anthu okalamba omwe sangathe kudziletsa komanso mavuto ndi kuwunika koyenera paumoyo wawo, zolinga za munthu payekhapayekha za chizindikirochi zitha kukhala m'magawo 7.5-8.0%, komanso zovuta zazovuta ndi mpaka 8,5%.

Kwa gulu lomaliza lokhala ndi moyo chaka chimodzi, cholinga chimodzi sichikhazikitsidwa. Glycated hemoglobin kwa iwo sichizindikiro chachikulu, ndipo sichikhudza mtundu wa moyo.
Chinanso chomwe chikukhudza kukula kwa cholinga cha wodwala yemwe ali ndi matenda a shuga 2 ndi chiopsezo chotenga hypoglycemia. Mawuwa amatanthauza shuga wochepa wamagazi, yemwe, osachepera shuga wambiri, amavulaza thanzi.

Hypoglycemia ikhoza kuyambitsa mavuto ambiri azaumoyo chifukwa chake zolinga zaumwini zimakhazikitsidwa ndi kudya kwambiri. Nthawi zambiri imagwiritsidwa ntchito ndi insulin mankhwala, chifukwa insulin imatha kuchepetsa kwambiri kuchuluka kwa shuga. Poletsa kukula kwa hypoglycemia, cholinga nthawi zambiri chimakhala chosakhala chofunikira kwa munthu wathanzi mu 6.0-6.5 mmol / l shuga m'magazi, koma osiyanasiyana 6.5-7.0 mmol / l. Izi zimapulumutsa nthawi yomwe glucose amagwera ku chithandizo chofunikira.

Mtundu 2 wa shuga wowunika pawokha

Makampani azachipatala ndi amisala amapereka zida zokwanira komanso zosavuta zodziyesera nokha za kuchuluka kwa shuga m'magazi odwala matenda ashuga - glucometer. Kukula kwake kulikulu kuposa foni yam'manja ndipo kupezeka kuti aliyense angathe kugwiritsa ntchito.

Zingwe zoyezera zimayikidwa mu mita, zomwe zimatenga magazi ndipo pambuyo pa masekondi angapo zotsatira zake zimawonetsedwa pazenera.
Wodwala matenda ashuga ayenera kuyang'aniridwa pafupipafupi. Pafupipafupi wamaphunziro amawongolera, koma amatha kusiyanasiyana pang'ono malingana ndi malingaliro a dokotala.
Chinthu chachikulu chomwe chimakhudza pafupipafupi kuyeza shuga wamagazi ndi mtundu wa chithandizo. Miyezo yodziletsa imaperekedwa pagome:

Kusintha kwa zolinga zanu

Miyezi isanu ndi umodzi yapatsidwa kuti ukwaniritse cholinga chimodzi malinga ndi hemoglobin ya glycated. Kwa nthawi yotere, chithandizo chamankhwala chiyenera kupereka mphamvu yofunikira. Glycated hemoglobin index amayeza miyezi itatu iliyonse ndipo pambuyo pa miyezi isanu ndi umodzi zotsatira zake zimayesedwa. Pali njira ziwiri zakapangidwe ka zochitika:

• cholinga cha munthu chikwaniritsidwa, kuchuluka kwa hemoglobin ya glycated kwatsika ndi 0,5% kapena kuposerapo - njira zamankhwala zosankhidwa zimakulitsidwa,
• cholinga chomwe sichinakwaniritsidwe, kuchuluka kwa hemoglobin ya glycated sikunasinthe kapena kutsika ndi ochepera 0,5% - mankhwalawa amathandizidwa, mankhwala ena amawonjezedwa kuti athandizane.

Kuwunika kotsatira kwa mphamvu ya mankhwalawa kumachitidwanso pambuyo pa miyezi isanu ndi umodzi. Njira zake zimakhalabe chimodzimodzi.

Shuga wovuta

Monga mukudziwa, kuchuluka kwa shuga musanadye kuchokera pa 3.2 mpaka 5.5 mmol / L, mutatha kudya - 7.8 mmol / L. Chifukwa chake, kwa munthu wathanzi, zofunikira zilizonse za glucose wamagazi pamwamba pa 7.8 ndi pansi pa 2.8 mmol / l zimawerengedwa kale kuti ndizovuta ndipo zimatha kuyambitsa zovuta zina mthupi.

Komabe, mwa anthu odwala matenda ashuga, kuchuluka kwa shuga m'magazi kumakhala kokulirapo ndipo makamaka zimadalira kuopsa kwa matendawa ndi zina zomwe wodwalayo ali nazo. Koma malinga ndi ambiri a endocrinologists, chizindikiritso cha glucose m'thupi pafupi ndi 10 mmol / L ndizofunikira kwa odwala ambiri omwe ali ndi matenda ashuga, ndipo owonjezera ake ndi osayenera.

Ngati magazi a munthu wodwala matenda ashuga azidutsa pamlingo woyambira ndikukwera pamwamba pa 10 mmol / l, ndiye kuti izi zimamuwopseza ndi hyperglycemia, yomwe imakhala yoyipa kwambiri.Kuphatikizidwa kwa glucose 13 mpaka 17 mmol / l kale kumabweretsa chiopsezo m'moyo wa wodwalayo, chifukwa zimapangitsa kuchuluka kwakukulu mu magazi a acetone komanso kukula kwa ketoacidosis.

Vutoli limapatsa chidwi kwambiri mtima ndi impso za wodwalayo, ndipo zimapangitsa kuti madzi ake achepetse madzi. Mutha kudziwa mulingo wa acetone ndi fungo lokhazikika la mkamwa kuchokera pakamwa kapena ndi zomwe zili mkodzo pogwiritsa ntchito zingwe zoyeserera, zomwe tsopano zikugulitsidwa m'mafakitala ambiri.

Mulingo woyenerera wa shuga wamagazi pomwe wodwala matenda ashuga amatha kusokonezeka kwambiri:

1. Kuyambira 10 mmol / l - hyperglycemia,
2. Kuyambira 13 mmol / l - pachimodzimodzi,
3. Kuyambira 15 mmol / l - hyperglycemic chikomokere,
4. Kuyambira 28 mmol / l - ketoacidotic chikomokere,
5. Kuyambira 55 mmol / l - hyperosmolar chikomokere.

Shuga wakufa

Wodwala aliyense wodwala matenda a shuga ali ndi shuga wawo wambiri. Mwa odwala ena, kukula kwa hyperglycemia kumayamba kale pa 11-12 mmol / L, mwa ena, zizindikiro zoyambirira za izi zimawonedwa pambuyo pa chizindikiro cha 17 mmol / L. Chifukwa chake, mumankhwala palibe chinthu monga limodzi, kwa odwala matenda ashuga onse, kuchuluka koopsa m'magazi.

Kuphatikiza apo, kuuma kwa mkhalidwe wa wodwalayo sikungotengera kuchuluka kwa shuga mthupi, komanso mtundu wa shuga womwe ali nawo. Chifukwa chake shuga yotsika mu mtundu woyamba wa shuga imathandizira kwambiri kuchuluka kwa acetone m'magazi komanso kukula kwa ketoacidosis.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, shuga wokwezeka nthawi zambiri sayambitsa kuchuluka kwa acetone, koma zimapweteka kwambiri, ndipo zimavuta kusiya.

Ngati shuga mu wodwala wodwala yemwe amadalira insulin atha kukhala wamtengo wapatali wa 28 mm mm / l, ndiye kuti atha kukhala ndi vuto limodzi lalikulu la matenda ashuga - ketoacidotic chikomokere. Pa mulingo wa shugawu, supuni 1 imodzi ya shuga imakhala mu lita imodzi ya magazi a wodwala.

Nthawi zambiri zotsatira za matenda opatsirana aposachedwa, kuvulala kwambiri kapena opaleshoni, yomwe imafooketsanso thupi la wodwalayo, imatsogolera pamenepa.

Komanso ketoacidotic coma imatha kuchitika chifukwa chosowa insulini, mwachitsanzo, ndi mankhwala osankhidwa molakwika kapena ngati wodwala wasowa jekeseni nthawi. Kuphatikiza apo, chomwe chimayambitsa vutoli chimatha kukhala mowa.

Ketoacidotic chikomacho chimadziwika ndi chitukuko cha pang'onopang'ono, chomwe chimatha kutenga maola angapo mpaka masiku angapo. Zizindikiro zotsatirazi ndizoyambitsa izi:

• Kukoka pafupipafupi ndi kuphatikiza mpaka malita atatu. patsiku. Izi ndichifukwa choti thupi limayesetsa kupaka ma acetone ochuluka momwe angathere kuchokera mkodzo,
• Kuthetsa madzi m'thupi kwambiri. Chifukwa chokodza kwambiri, wodwalayo amataya madzi,
• Masewera okwera amthupi a ketone. Chifukwa chosowa insulini, glucose amasiya kutengeka ndi thupi, zomwe zimapangitsa kuti akonze mafuta kuti akhale ndi mphamvu. Zopangidwa ndi njirayi ndi matupi a ketone omwe amatulutsidwa kulowa m'magazi,
• Kupanda mphamvu kwathunthu, kugona,
• Matenda a shuga ndi nseru, kusanza,
• Khungu lowuma kwambiri, lomwe limatha kutuluka ndi kusweka,
• Pakamwa kowuma, mamasukidwe owoneka bwino, kupweteka m'maso chifukwa chosowa madzi akumwa,
• Fungo lonena za acetone kuchokera mkamwa,
• Kupuma mwamphamvu, koopsa, komwe kumawoneka ngati chifukwa cha kuchepa kwa mpweya.

Ngati kuchuluka kwa shuga m'magazi kukupitilirabe, wodwalayo amapanga njira yoopsa kwambiri yoopsa yodwala matenda ashuga - hyperosmolar coma.

Imadziwulula ndi zizindikiro zowopsa kwambiri:

Muzovuta kwambiri:

• Mitsempha yamagazi m'mitsempha,
• Kulephera kwina
• Pancreatitis

Popanda chithandizo chanthawi yake, chikomokere chimatha kumwalira. Chifukwa chake, pamene zizindikiro zoyambirira za kupsinjika izi zikuwoneka, kugonekedwa kuchipatala kwa wodwala kuchipatala ndikofunikira.

Chithandizo cha hyperosmolar chikomokereni chimachitika pokhapokha mwa njira zotsitsimutsa.

Chofunikira kwambiri pochiza matenda a hyperglycemia ndiko kupewa kwake. Osamabweretsa shuga m'magazi ovuta. Ngati munthu ali ndi matenda a shuga, ndiye kuti sayenera kuyiwala za izi ndipo nthawi zonse aziwonetsetsa kuchuluka kwa shuga panthawi.

Kusunga shuga wambiri wabwinobwino, anthu odwala matenda ashuga atha kukhala moyo wathunthu kwa zaka zambiri, osakumana ndi zovuta zovuta za matenda.

Popeza mseru, kusanza, ndi kutsegula m'mimba ndi zina mwazizindikiro za hyperglycemia, ambiri amatenga mankhwala opha ululu, omwe amakhala ndi zotsatirapo zoopsa.

Ndikofunika kukumbukira kuti ngati zizindikiro zoterezi zikuwoneka mwa wodwala yemwe ali ndi matenda ashuga, ndiye kuti vuto silikhala matenda am'mimba, koma kuchuluka kwa shuga m'magazi. Kuti muthandizire wodwala, jakisoni wa insulin ndi wofunika msanga.

Kuti athane ndi bwino ndi zizindikiro za hyperglycemia, wodwalayo ayenera kuphunzira kudziimira payekha mlingo woyenera wa insulin. Kuti muchite izi, kumbukirani njira yosavuta iyi:

• Ngati magazi a shuga ndi 11-12,5 mmol / l, ndiye kuti gawo lina liyenera kuwonjezeka pamankhwala amtundu wa insulin,
• Ngati zomwe glucose aposa 13 mmol / l, ndipo fungo la acetone lilipo mu mpweya wa wodwalayo, ndiye kuti ziwalo ziwiri ziyenera kuwonjezeredwa ku mlingo wa insulin.

Ngati kuchuluka kwa glucose kumatsika kwambiri pambuyo pobayidwa jakisoni wa insulin, muyenera kudya chakudya cham'mimba mwachangu, mwachitsanzo, imwani msuzi wa zipatso kapena tiyi ndi shuga.

Izi zikuthandizira kuteteza wodwala kuti asafe ndi matenda a ketosis, ndiye kuti, nthawi yomwe matupi a ketone m'magazi ayamba kuchuluka, koma zomwe zili m'magaziwo zimakhala zotsika.

Mochepa shuga

Mankhwala, hypoglycemia imawerengedwa ngati kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Komabe, izi ndi zoona kwa anthu athanzi okha.

Monga momwe zilili ndi hyperglycemia, wodwala aliyense yemwe ali ndi matenda a shuga amakhala ndi gawo lake lotsika la shuga, pambuyo pake amayamba kukhala ndi hyperglycemia. Nthawi zambiri zimakhala zapamwamba kwambiri kuposa momwe zimakhalira ndi anthu athanzi. Mlozera wa 2.8 mmol / L siliwotsutsa kokha, koma wopha anthu ambiri odwala matenda ashuga.

Kuti mudziwe kuchuluka kwa shuga m'magazi omwe wodwala angayambire hyperglycemia, ndikofunikira kuti achotse gawo lake kuchokera pa 0,6 mpaka 1.1 mmol / l - ichi chizikhala chofunikira kwambiri.

Odwala ambiri odwala matenda ashuga, kuchuluka kwa shuga ndi pafupifupi 4-7 mmol / L pamimba yopanda kanthu komanso pafupifupi 10 mmol / L atatha kudya. Kuphatikiza apo, mwa anthu omwe alibe matenda ashuga, siziposa kuchuluka kwa 6.5 mmol / L.

Pali zifukwa ziwiri zazikulu zomwe zimapangitsa wodwala matenda ashuga:

• Kuchuluka kwa insulin
• Kumwa mankhwala omwe amalimbikitsa kupanga insulin.

Vutoli limatha kukhudza odwala onse omwe ali ndi matenda amtundu 1 komanso mtundu 2. Makamaka nthawi zambiri imawonekera mwa ana, kuphatikiza usiku. Kuti mupewe izi, ndikofunikira kuwerengetsa moyenera kuchuluka kwa insulin tsiku lililonse ndikuyesera kuti osapitirire.

Hypoglycemia imawonetsedwa ndi zizindikiro zotsatirazi:

1. Khungu lakhungu,
2. Kuchuluka thukuta,
3. Kugwedezeka thupi lonse
4. Zosangalatsa pamtima
5. Njala yadzaoneni
6. Kuwonongeka kwa chidwi, kulephera kuyang'ana,
7. Kusanza, kusanza,
8. Kuda nkhawa, kuchita zinthu mwankhanza.

Pa gawo lowopsa, zizindikiro zotsatirazi zimawonekera:

• Zofooka zazikulu
• Chizungulire ndi matenda ashuga, ululu m'mutu,
• Nkhawa, mantha osasinthika,
• Kusokonekera kwa mawu
• Masomphenya olakwika, masomphenya apawiri
• Chisokonezo, kulephera kuganiza mokwanira,
• Kuyendetsa bwino galimoto, kuvulala kwamatayala,
• Kulephera kuyenda pamtunda nthawi zambiri,
• Kutupa m'miyendo ndi manja.

Izi sizinganyalanyazidwe, chifukwa shuga wochepa kwambiri m'magazi ndiowopsa kwa wodwala, komanso wokwera kwambiri. Ndi hypoglycemia, wodwalayo ali pachiwopsezo chachikulu cha kutaya chikumbumtima ndikugwera mu kuphwanya kwa hypoglycemic.

Vutoli limafunikira wodwala kuchipatala. Chithandizo cha hypoglycemic coma chimachitika pogwiritsa ntchito mankhwala osiyanasiyana, kuphatikizapo glucocorticosteroids, omwe amalimbikitsa msanga shuga m'thupi.

Mankhwala osokoneza bongo a hypoglycemia atha kudwala, amatha kuwononga ubongo komanso kuwononga olumala. Izi ndichifukwa choti glucose ndiye chakudya chokha cha maselo aubongo. Chifukwa chake, ndi kuchepa kwake kwakukulu, amayamba kufa ndi njala, zomwe zimawachititsa kufa mwachangu.

Chifukwa chake, anthu omwe ali ndi matenda ashuga ayenera kuyang'ana kuchuluka kwa shuga m'magazi awo pafupipafupi kuti asaphonye kapena kuwonjezeka kwambiri. Kanemayo munkhaniyi ayang'ana shuga wokwezeka wamwazi.

Zikhalidwe ndi zopatuka poyesa magazi a shuga

Mthupi lathanzi, kapamba amapanga insulin kwambiri, ndipo maselo amagwiritsa ntchito bwino. Kuchuluka kwa glucose opangidwa kuchokera kuzakudya zomwe zimalandiridwa kumaphimbidwa ndi mtengo wamphamvu wamunthu. Kuchuluka kwa shuga pokhudzana ndi homeostasis (mawonekedwe a mkati mwa thupi) amakhazikika. Kusintha kwa magazi posanthula shuga amapangidwa kuchokera ku chala kapena kuchokera mu mtsempha. Malingaliro omwe amapezeka amatha kusiyanasiyana (magazi am'magazi ocheperako amatsitsidwa ndi 12%). Izi zimawonedwa ngati zabwinobwino ndipo zimaganiziridwa mukayerekezera ndi zomwe zimatchulidwa.

Mitundu ya shuga m'magazi, ndiye kuti, zodziwikiratu zomwe sizingachitike, siziyenera kupitirira malire a 5.5 mmol / l (millimol pa lita imodzi mwa magawo a shuga). Magazi amatengedwa kokha pamimba yopanda kanthu, chifukwa chakudya chilichonse chomwe chimalowa m'thupi chimasintha shuga. Ma microscopy oyenera a shuga atatha kudya ndi 7.7 mmol / L.

Kupatuka pang'ono pamalingaliro ofunikira komwe kukuwonjezeka (ndi 1 mmol / l) ndikuloledwa:

• mwa anthu omwe adutsa chopondapo cha zaka makumi asanu ndi limodzi, zomwe zimalumikizidwa ndi kuchepa kwokhudzana ndi zaka zapakati pakumverera kwa maselo kupita ku insulin,
• mwa amayi mu nthawi ya perinatal, chifukwa cha kusintha kwa kuchuluka kwa mahomoni.

Mulingo wamagulu a shuga a shuga 2 amitundu yoyenera kulipidwa ndi ⩽ 6.7 mmol / L pamimba yopanda kanthu. Glycemia atatha kudya amaloledwa mpaka 8.9 mmol / L. Mitsempha yama glucose yoyenera kuperekera matendawa ndi: ≤ 7.8 mmol / L pamimba yopanda kanthu, mpaka 10,0 mmol / L - mukatha kudya. Malipiro a shuga osawerengeka olembedwa pamiyeso yoposa 7.8 mmol / L pamimba yopanda kanthu komanso oposa 10.0 mmol / L atatha kudya.

Kuyeserera kwa glucose

Pozindikira matenda ashuga, kuyesa kwa GTT (kuyeserera kwa glucose) kumachitika pofuna kudziwa momwe maselo akumvera m'magazi. Kuyesedwa kumakhala ndi kuchuluka kwa magazi kuchokera kwa wodwala. Makamaka - pamimba yopanda kanthu, chachiwiri - maola awiri atatha kutenga shuga. Pakuwunika mfundo zomwe zapezeka, boma la prediabetes limapezeka kapena matenda a shuga atapezeka.

Kuphwanya shuga kulolerana ndi prediabetes, apo ayi - dziko lamalire. Ndi chithandizo chanthawi yake, prediabetes imasinthika, apo ayi mtundu wa 2 shuga umayamba.

Mlingo wa glycosylated hemoglobin (HbA1C) m'magazi

Glycated (glycosylated) hemoglobin imapangidwa mkati mwa glucose kuwonjezera pa mapuloteni omwe amapanga maselo ofiira am'magazi (hemoglobin) panthawi yopanda enzymatic glycosylation (popanda kutenga michere). Popeza hemoglobin sasintha kapangidwe ka masiku 120, kusanthula kwa HbA1C kumatilola kuti tiwunikenso mtundu wa metabolism ya carbohydrate pakupezanso (kwa miyezi itatu). Makhalidwe a hemoglobin a glycated amasintha ndi zaka. Akuluakulu, zizindikiro ndi:

Kwa odwala matenda ashuga, kuyesa kwa glycosylated hemoglobin ndi njira imodzi yochizira matenda. Kugwiritsa ntchito mulingo wa HbA1C, kuchuluka kwa chiwopsezo cha zovuta kumatsimikiziridwa, zotsatira za chithandizo chamankhwala zimayesedwa. Kukula kwa shuga kwa matenda a shuga a 2 komanso kupatuka kwa zizindikiritso kumafanana ndi zomwe zimachitika mu mawonekedwe a glycated hemoglobin.

Ubale pakati pa shuga, cholesterol ndi thupi

Type 2 shuga mellitus pafupifupi nthawi zonse amayenda ndi kunenepa kwambiri, matenda oopsa ndi hypercholesterolemia. Popanga kusanthula kwa magazi kwa odwala matenda ashuga, kuchuluka kwa cholesterol kumawerengeredwa, ndi kusiyana pakati pa kuchuluka kwa otsika osalimba a lipotropics ("cholesterol yoyipa") ndi kuchuluka kachulukidwe lipotropics ("cholesterol yabwino"). Amatinso BMI (body mass index) ndi kuthamanga kwa magazi (kuthamanga kwa magazi).

Ndi chipukutiro chabwino cha matendawa, kulemera kwabwinobwino kumakhazikika, kolingana ndi kukula, ndipo kupitirira pang'ono zotsatira za kuthamanga kwa magazi. Kubwezera koyipa (koyipa) kumachitika chifukwa chodandaula nthawi zonse wodwala amadwala matenda ashuga, mankhwala olakwika (mankhwala ochepetsa shuga kapena mlingo wake wasankhidwa mosalakwika), komanso kusayang'anira ntchito ya anthu odwala matenda ashuga komanso yopuma. Pa mulingo wa glycemia, mkhalidwe wama psycho-wodwala amawonekera. Kupsinjika (kupsinjika kwa malingaliro kosalekeza) kumayambitsa kuchuluka kwa shuga m'magazi.

Gawo 2 shuga ndi miyezo ya shuga

Mwa anthu omwe ali ndi matenda ashuga, misinkhu ya shuga imazindikira kukula kwa matendawa:

• Chopingidwa (choyambirira) gawo. Makina olipirira amapereka chida chokwanira chothandizira kuchira kwakanthawi. Ndikotheka kutulutsa kuchuluka kwa shuga m'magazi kudzera mu mankhwala othandizira komanso kuchuluka kwa mankhwala a hypoglycemic (hypoglycemic). Kuopsa kwa zovuta kumathetseka.
• Gawo lolumikizidwa (lokwanira). Pancreas yovala imagwira ntchito mpaka pamlingo, zovuta zimakhalapo pobwezera glycemia. Wodwalayo amapatsidwa chithandizo chokhazikika ndi mankhwala a hypoglycemic osakanikirana ndi zakudya zosasunthika. Pali chiopsezo chachikulu chotenga minyewa ya mtima (angiopathy).
• Kubwezera (gawo lomaliza). Zikondamoyo zimaletsa kupanga insulini, ndipo glucose sangakhale wolimba. Wodwala ndi mankhwala a insulin. Mavuto akakula, ngozi ya matenda ashuga imayamba.

Hyperglycemia

Hyperglycemia - kuchuluka kwa kuchuluka kwa shuga m'magazi. Munthu yemwe alibe matenda a shuga amatha kukhala ndi mitundu itatu ya hyperglycemia: alimentary, atadya chakudya chambiri, champhamvu, chomwe chimayamba chifukwa chadzidzidzi wamanjenjemera, timadzi totupa tomwe timayambitsa ndi kuphwanya kwa magwiridwe antchito a hypothalamus (gawo la ubongo), chithokomiro cha chithokomiro. Kwa odwala matenda ashuga, mtundu wachinayi wa hyperglycemia ndiwofatsa - wodwala.

Zizindikiro zamatenda a shuga a 2

Hyperglycemia imakhala ndi magawo angapo azovuta:

• kuwala - mulingo 6.7 - 7.8 mmol / l
• wapakati -> 8.3 mmol / l,
• zolemetsa -> 11.1 mmol / l.

Kuwonjezeka kwazowonetsa kwa shuga kukuwonetsa kukula kwa precoma (kuyambira 16.5 mmol / l) - mkhalidwe wa kupitirira kwa zizindikiro ndi zoletsa za ntchito za mtima dongosolo (chapakati mantha dongosolo).Pakakhala chisamaliro chachipatala, gawo lotsatira ndi chikomokere cha matenda ashuga (kuchokera pa 55,5 mmol / l) - chikhalidwe chodziwika ndi areflexia (kutaya mphamvu kwa chikumbumtima), kusazindikira komanso kuyang'ana pazokopa zakunja. Mu kukomoka, zizindikiro za kupuma komanso kulephera kwa mtima zimawonjezeka. Coma ndiwowopsa pamoyo wa wodwalayo.

Glycemic control regimen yamtundu wa 2 shuga

Kuyeza shuga yamagazi kwa odwala matenda ashuga ndi njira yovomerezeka, pafupipafupi yomwe imatengera gawo la matendawa. Pofuna kupewa kuwonjezeka kwa chiwonetsero cha shuga, miyezo imapangidwa ndi chiphuphu chokhazikika cha shuga - tsiku lililonse (katatu patsiku), panthawi ya mankhwala omwe ali ndi hypoglycemic - musanadye ndi maola 2 mutatha, mutatha masewera olimbitsa thupi kapena zina zambiri, polyphagia, munthawi ya makonzedwe mu zakudya zatsopano - isanayambe kapena itatha kugwiritsa ntchito.

Popewa hypoglycemia, shuga amayeza usiku. Mu gawo lowonongeka la matenda ashuga a mtundu 2, kapamba wovala amalephera kutulutsa insulin, ndipo matendawa amakhalanso amtundu wa insulin. Ndi mankhwala a insulini, shuga m'magazi amayezedwa kangapo patsiku.

Diary ya Diabetes

Kuyeza shuga sikokwanira kuthana ndi matendawa. Ndikofunikira kuti nthawi zonse mulembe “Diabetesic Diary”, pomwe yalembedwa:

• Zizindikiro za glucometer
• nthawi: kudya, kuyeza glucose, kumwa mankhwala a hypoglycemic,
• dzina: zakudya zodya, zakumwa zoledzeretsa, mankhwala omwe adamwa,
• zopatsa mphamvu pakudya,
• Mlingo wa mankhwala a hypoglycemic,
• mulingo komanso nthawi yayitali yochita zolimbitsa thupi (maphunziro, ntchito zapakhomo, kulima dimba, kuyenda, ndi zina zambiri),
• kukhalapo kwa matenda opatsirana ndi mankhwala omwe atengedwa kuti athetsedwe,
• kukhalapo kwa zochitika zopsinja
• Kuphatikiza apo, ndikofunikira kujambula kuthamanga kwa magazi.

Popeza kwa wodwala yemwe ali ndi mtundu wachiwiri wa matenda ashuga, imodzi mwamaudindo akuluakulu ndikuchepetsa thupi, zizindikiro za kulemera zimalowetsedwa mu diary tsiku lililonse. Kudziwunikira mwatsatanetsatane kumakupatsani mwayi wotsatira zovuta za matenda ashuga. Kuwunika koteroko ndikofunikira kudziwa zomwe zikukhudza kusakhazikika kwa shuga m'magazi, kugwiritsa ntchito bwino kwa mankhwalawa, zotsatira zake zolimbitsa thupi pa thanzi la odwala matenda ashuga. Pambuyo pofufuza zomwe zalembedwa mu "Diary of a Diabetes", endocrinologist, ngati kuli kotheka, amatha kusintha zakudya, kuchuluka kwa mankhwala, kuchuluka kwa zochita zolimbitsa thupi. Onaninso kuopsa kwa matendawo.

Ndi chindapusa chokwanira cha matenda a shuga a 2, kuphatikiza chithandizo chamankhwala ndi mankhwala osokoneza bongo, shuga yabwinobwino yamagazi ili ndi izi:

• kusala kudya kwa glucose kuyenera kukhala kosiyanasiyana mwa 4,4 - 6.1 mmol / l,
• Zotsatira zakuyimira mukatha kudya sizidutsa 6.2 - 7.8 mmol / l,
• kuchuluka kwa hemoglobin wa glycosylated sikupitilira 7.5.

Kubwezeredwa koyipa kumabweretsa kukula kwa mavuto a mtima, matenda a shuga, ndi kufa kwa wodwalayo.

Ndi matenda a shuga a mtundu 2, kodi payenera kukhala shuga m'magazi amitundu ingati?

Matenda a shuga a matenda a shuga a 2 sayenera kupitirira munthu wathanzi. Magawo oyamba amakula zamitsempha sizitanthauza kupezeka kwa kudumpha mu ndende ya thupi.

Pazifukwa izi, zizindikiritso zakukula kwa matenda samadziwika. Nthawi zambiri, kudziwika kwa mtundu wachiwiri wa shuga kumakhala kokhazikika ndipo kumachitika pakumayesedwa kapena kupimidwa komwe kumayenderana ndi ma pathologies ena.

Poyerekeza ndi kukula kwa endocrine pathology, shuga mu matenda a mtundu wachiwiri amatha kukhala ndi matanthauzidwe osiyanasiyana ndipo zimatengera zinthu zambiri. Wodwala amafunikira kuti azitsatira mosamalitsa malamulo a zakudya zoyenera komanso kuchita masewera olimbitsa thupi, zomwe zimakupatsani mwayi wambiri wamagazi m'magazi a plasma m'manja. Njira iyi yakuwongolera imapangitsa kuti pakhale zotheka kuletsa kukula kwa zotsatira zoyipa za kupitirira kwa matenda.

Mukamayendetsa mwamphamvu, chizolowezi chodwala matenda amtundu wachiwiri kwenikweni sichimasiyana ndi zoyenera munthu wathanzi.

Ndi njira yoyenera yowunikira ndikubwezerera mokwanira matendawa, chiopsezo chokhala ndi ma concomitant pathologies amachepetsa kwambiri.

Kuwunikira pafupipafupi kumafunikira kuti muchepetse kuchepa kwa mtengo mpaka 3.5 kapena kutsikira. Izi ndichifukwa choti wodwalayo yemwe ali ndi zizindikirozi amayamba kuoneka ngati ali ndi vuto la chikomokere. Pokhapokha ngati pali magawo okwanira omwe amawonjezera shuga, kufa kumatha kuchitika.

Kuchuluka kwa shuga m'magazi ndi matenda amtundu wachiwiri kumachokera ku izi:

• pamimba yopanda kanthu - 3.6-6.1,
• mutatha kudya, mukayeza maola awiri mutatha kudya, mulingo sayenera kupitirira 8 mmol / l,
• musanagone madzulo, chakudya chovomerezeka cha m'madzi a m'magazi ndi mtengo wa 6.2-7,5 mmol / l.

Ndi kuwonjezeka kwa zomwe zili pamwambapa 10, wodwalayo amakhala ndi vuto la kuchepa kwa magazi (hyperglycemic coma), komwe kumabweretsa zotsatira zoyipa kwambiri mthupi lomwe limakhudzana ndi kuphwanya, zotsatirazi zimayenderana ndi ziwalo zamkati ndi machitidwe awo.

Glucose Pakati Chakudya

Amuna ndi akazi omwe alibe mavuto azaumoyo amakumana ndi kusinthasintha kwa shuga pamtunda wa 3,3 mpaka 5.5 mmol / L. Mwambiri, mtengo wake umayandikira pafupi ndi 4.6.

Mukamadya, ndizachilendo kuwonjezera kuchuluka kwa shuga, kuchuluka kwa gawo la plasma mwa munthu wathanzi kumawonjezeka mpaka 8,0, koma patapita kanthawi mtengowu umatsika kukhala wabwinobwino chifukwa cha kutulutsidwa kwa insulin yowonjezera ndi kapamba, komwe kumathandizira kugwiritsa ntchito glucose owonjezera ponyamula kupita ku maselo odalira insulini.

Matenda a shuga amtundu wa 2 shuga amathanso kudya. Mosiyana ndi maziko a matenda, asanadye, zomwe zili pamlingo wa 4.5-6.5 mmol pa lita imodzi zimawerengedwa kuti ndi zofunikira. Pambuyo pa maola 2 mutatha kudya, kuchuluka kwa shuga pamiyeso yoyenera sikuyenera kupitirira 8.0, koma zomwe zili munthawiyi m'chigawo cha 10.0 mmol / l ndizovomerezeka kwa wodwala.

Ngati mankhwala omwe akuwonetsa omwe ali ndi shuga sangadutse, izi zimachepetsa kwambiri zoopsa zomwe zimachitika chifukwa cha maonekedwe ndi kupitirira kwa mbali zam'magazi m'thupi la wodwalayo.

Ma pathologies oterewa kuposa kuchuluka kwa shuga m'magazi a 2 matenda a shuga ndi awa:

1. Kusintha kwa atherosulinotic kapangidwe ka mitsempha yamitsempha yamagazi.
2. Matenda a shuga.
3. Neuropathy.
4. Nephropathy komanso ena

Madokotala nthawi zonse amawona kuchuluka kwa shuga m'magazi odwala matenda ashuga payekhapayekha. Ku mulingo guno, ekizibu ky'ekibuga kiyinza okuba ne kyamagero ekinene, wabula bwe kityo bwe kiri bwe kityo bwe kityo bwe kitatuuka ku musango gwali ku musaayi oba mukazi.

Nthawi zambiri, kuchuluka kwa chakudya m'thupi la munthu wodwala matenda ashuga kumakhala kofupikirapo poyerekeza ndi wofanana ndi munthu wathanzi.

Kutengera ndi msinkhu, kuchuluka kwake kungakhale kosiyanasiyana kwa odwala omwe ali ndi matenda ashuga motere:

1. Kwa odwala achichepere, ndikofunika kuti pakhale shuga wambiri wama 6.5 pamimba yopanda kanthu komanso mpaka ma eyiti 8.0 maola awiri atatha kudya.
2. Wodwala matenda ashuga akafika zaka zapakati, mtengo wovomerezeka wam'mimba wopanda pake ndi 7.0-7.5, ndipo maola awiri mutatha kudya mpaka 10,0 mmol pa lita.
3. Mukakalamba, mfundo zapamwamba zimaloledwa. Asanadye, kupezeka kwa 7.5-8.0 ndikotheka, ndipo mukatha kudya pambuyo 2 maola - mpaka 11.0 mayunitsi.

Mukamayang'ana zomwe zili ndi shuga m'm wodwala yemwe ali ndi matenda ashuga, phindu lofunika ndikusiyana pakati pa kugundika pamimba yopanda kanthu ndikatha kudya, ndikofunikira kuti kusiyana kumeneku sikupitilira magawo atatu.

Zizindikiro pa mimba, limodzi ndi mawonekedwe a matenda

Mawonekedwe a gestational, ndi mtundu wa matenda amtundu wachiwiri, omwe amapezeka mwa azimayi panthawi yoyembekezera. Chimodzi mwa matendawa ndi kupezeka kwa kulumpha mukatha kudya ndi shuga athanzi. Pambuyo pobereka, zodwala zam'mimba zimatha.

Pali magulu angapo oopsa momwe zimathekera ndi mwayi wambiri wopanga chithunzithunzi cha matenda amisempha pa mimba.

Magulu omwe ali pachiwopsezo ndi awa:

• ana ali ndi pakati,
• azimayi okhala ndi thupi lokwera kwambiri
• amayi oyembekezera omwe amakhala ndi chibadwa chotenga matenda,
• azimayi obereka mwana ndipo amakhala ndi ovary yam'mimba,

Kuti mupeze matenda am'mimba ndikuwongolera kuchuluka kwa maselo otengera insulin kuti muchete shuga pambuyo pa milungu 24 ya mimba, kuyesedwa kwina kumachitika. Pachifukwa ichi, magazi a capillary amatengedwa pamimba yopanda kanthu ndipo mkazi amapatsidwa kapu yokhala ndi shuga. Pambuyo pa maola awiri, kuyesedwa kwachiwiri kwa biomaterial kosanthula kumachitika.

Munthawi yabwinobwino thupi, kumangika pamimba yopanda kanthu ndi 5.5, ndipo mutakweza mpaka magawo 8.5.

Ndikofunikira kwambiri kwa mayi ndi mwana, pamaso pa mawonekedwe a masewera, kukhalabe ndi kuchuluka kwa chakudya chamagulu pamlingo wokhazikika, wolimbitsa thupi.

Makhalidwe abwino kwambiri omwe mayi wapakati ali nawo ndi awa:

1. Kuzindikira kwakukulu pamimba yopanda kanthu ndi 5.5.
2. Ola limodzi mutatha kudya - 7.7.
3. Maola ochepa mutatha kudya komanso musanagone usiku - 6.6.

Ngati mukupatuka kuzinthu zomwe zakulimbikitsani, muyenera kufunsa dokotala kuti mupangire upangiri, komanso njira zoyenera zolipira chakudya cham'magazi.

Zizindikiro za hyperglycemia mu shuga

Hyperglycemia ndi mkhalidwe womwe umalumikizidwa ndi matenda, wowonetsedwa ndi kuwonjezeka kwa kuwerengera kwa glucose m'magazi a wodwala. Mkhalidwe wamatumbo umagawika m'magawo angapo kutengera kuwuma kwa zisonyezozo, kuwonekera kwake komwe kumatengera ndi kuchuluka kwake.

Gawo losavuta limadziwika ndi kukwera pang'ono kwa mfundo, zomwe zimatha kukhala 6.7 mpaka 8.2. Gawo la kusasamala kwenikweni kumadziwika ndi kuwonjezeka kwa zomwe zalembedwa kuyambira 8,3 mpaka 11.0. Mu hyperglycemia yayikulu, mlingo umakwera kufika pa 16.4. Precoma imayamba kukula kwa mtengo wa 16.5 mmol lita imodzi. Hyperosmolar coma imakula ikafika pamtunda wa 55,5 mmol / L.

Madokotala ambiri amalingalira zovuta zazikulu ndi kuwonjezeka osati chiwonetsero chachipatala chokha, koma kukulira zotsatira zoyipa za hyperinsulinemia. Insulin yowonjezera m'thupi imayamba kukhala ndi vuto pa ntchito ya pafupifupi ziwalo zonse ndi machitidwe awo.

Izi ndizovuta:

• impso
• CNS
• dongosolo lamagazi
• kawonedwe
• musculoskeletal system.

Pofuna kupewa kukula kwa zinthu zoyipa mthupi pomwe hyperglycemia imachitika, kuwongolera kofunikira kwambiri kameneka ndikutsatira malangizo onse a dokotala omwe akufuna kuletsa kuchuluka kwa shuga amafunika.

Kodi mungasunge bwanji chizolowezi cha matenda a shuga a 2?

Panthawi yolamulirayo, zinthu ziyenera kumwedwa osati kungopewa kuchuluka kwambiri poyerekeza ndi chizolowezi, komanso osalolera kuchepa kwambiri kwa chakudya chamagulu.

Kuti mukhale ndi chizolowezi, thupi limafunikira. Pachifukwa ichi, tikulimbikitsidwa kusinthana ndi dongosolo lazakudya zofunikira pokonza zakudya zapadera. Menyu yodwala sayenera kukhala ndi zakudya zazambiri zamagulu pang'ono. Zimafunikira kusiyiratu kugwiritsa ntchito shuga, ndikusintha ndi chopangira kapena cholowa m'malo.

Anthu odwala matenda ashuga amalangizidwa kuti asiyiratu kumwa mowa, kuwonjezera pa izi ayenera kusiya kusuta.

Kuti achepetse phindu lochulukirapo, ngati kuli kotheka, adotolo, limodzi ndi zakudya, akhoza kulimbikitsa kugwiritsa ntchito mankhwalawa. Pachifukwa ichi, mankhwala ochepetsa shuga a magulu osiyanasiyana azamankhwala amagwiritsidwa ntchito.

Magulu akuluakulu a mankhwalawa, kugwiritsa ntchito komwe kumapangitsa kuti mafuta achilengedwe asowe, ndi:

1. Zochokera ku sulfonylureas - Maninyl, Glibenclamide, Amaryl.
2. Ma glinids - Novonorm, Starlix.
3. Biguanides - Glucophage, Siofor, Metfogamm.
4. Glitazones - Aktos, Avandy, Pioglar, Roglit.
5. Alpha-glycosidase zoletsa - Miglitol, Acarbose.
6. Incretinomimetics - Onglisa, Galvus, Januvia.

Mapiritsi olimbikitsidwa ndi adotolo ayenera kugwiritsidwa ntchito mosamala komanso mosamalitsa malinga ndi chiwembu chomwe adokotala adapereka. Kugwiritsa ntchito mankhwalawa kumathandiza kupewa kukomoka kwa shuga.

Kuti mupeze zambiri zokhudzana ndi kuchuluka kwa glucose, kupenda kwamikodzo mwatsatanetsatane pakupeza mkodzo watsiku ndi tsiku kumalimbikitsidwa.

Wodwalayo ayenera kukhala ndi mankhwala okoma nthawi zonse, omwe angalole, ngati pakufunika, kuti azitsegula pang'ono. Chifukwa chaichi, kuwerengera ndemanga zambiri, zidutswa za nzimbe nzabwino

Nthawi zambiri asanadye

Kukula kwa matenda ashuga mwa anthu kumawonetsedwa ndi kuwonjezeka kosalekeza kwamisempha yamagazi. Zotsatira za kupatuka kotere ndi thanzi loperewera, kutopa nthawi zonse, kusokonekera kwa magwiridwe antchito amkati ndi machitidwe, zomwe zotsatira zake zimabweretsa zovuta zazikulu.

Kulumala kwathunthu sikungathetsedwe. Ntchito yotsogolera kwa odwala omwe ali ndi mtundu wachiwiri wa shuga ndikupeza zizindikiro za shuga zomwe zili pafupi kwambiri ndi msinkhu wa munthu wathanzi. Koma kuti mugwiritse ntchito ndizovuta kwambiri, motero, mulingo wambiri wama shuga kwa odwala matenda ashuga ndiwosiyana.

Imasinthidwira kumwamba. Koma izi sizitanthauza kuti kusiyanitsa kwa kuchuluka kwa shuga ndi munthu wodwala matenda ashuga kungakhale magawo angapo. Endocrinologists amalola zosintha zochepa chabe. Kupitilira malire apamwamba a chovomerezeka chakhalidwe lakhalidwe sayenera kupitirira 0.3-0.6 mmol / l.

Zofunika! Mafuta a shuga a matenda a shuga a mtundu 2 amawerengedwa kwa wodwala aliyense payekhapayekha ndipo amatchedwa "chandamale".

Chisankhocho chimapangidwa ndi adotolo pazotsatira izi:

• kuchuluka kwa chindapusa cha matenda ashuga,
• zovuta kutuluka
• nthawi yodwala
• zaka odwala
• kukhalapo kwa concomitant pathologies.

Mmawa (kusala) shuga m'magazi a 2 matenda ashuga ayenera kukhala oyandikira kwambiri ku mulingo wa shuga wa munthu wathanzi. Mwa anthu osavulala kagayidwe kazakudya, ndi 3.3-55 mmol / L.

Monga lamulo, kuchepetsa shuga ya m'mawa kwa odwala matenda ashuga osachepera malire ovomerezeka ndikovuta kwambiri. Chifukwa chake, chizolowezi chovomerezeka cha kusala kudya kwa magazi mukazindikira mtundu wachiwiri wa shuga ndi chizindikiro cha 6.2 mmol / L.

Mavuto am'matumbo am'mimba amatha kukhudzidwa ndi shuga m'magazi am'magazi a shuga. Chifukwa nthendayi nthawi zina imayamba chifukwa cha kuyamwa kwa shuga. Tiyeneranso kukumbukira kuti shuga wabwinobwino wazaka zakubadwa wazaka 60 azikhala osiyana. Mlingo wa odwala ndi wosiyana pang'ono.

Mulingo wa shuga wodwala pamtundu wachiwiri wa shuga atatha kudya umakwera kwambiri. Chizindikirochi chimatengera zomwe munthu amadya komanso kuchuluka kwa chakudya chomwe amaphatikiza ndi chakudya.

Mulingo wambiri wa glucose mukatha kudya amadziwika pambuyo pa mphindi 30-60 (zonse zimatengera mbale zomwe zimaperekedwa, kapangidwe kake).Koma ngati mwa munthu wathanzi mulingo wake ukafika pakati pa 10-12 mmol / l, ndiye kuti odwala matenda ashuga azitha kwambiri.

Pangakhale kusokonezeka kwa glucose, mapangidwe ake amachepetsa pang'onopang'ono mpaka amafikira thupi. Pamaso pa pathology, kuchuluka kwa shuga m'magazi mukatha kudya kumapitilirabe kwambiri. Otsatirawa ndi miyezo ya glucose yomwe wodwala wodwala matenda ashuga a 2 ayenera kuyesetsa kupeza:

• Mphindi 60 mutadya - osapitilira 10 mmol / l,
• Pakatha mphindi 120 mutadya - osapitirira 8-9 mmol / l.

Mlingo wazomwe umalipira shuga

Kuchuluka kwa shuga kwa matenda ashuga amtundu umodzi kumatsimikizidwanso ndi kuchuluka kwa kulipidwa kwa matendawa.

Chodabwitsa cha mbandakucha

The Morning Dawn Phenomenon ndi mawu azachipatala omwe amabisa kuwonjezeka kowopsa m'magazi a shuga m'magazi a matenda ashuga atadzuka. Izi zimachitika pafupifupi 4 mpaka 9 m'mawa. Pakadali pano, chizindikirocho chimatha kufika 12 mmol / L.

Izi zimachitika chifukwa chakuwonjezeka kwaposachedwa kwa kupangika kwa cortisol ndi glucagon, chifukwa chomwe glucose amapanga ndi ma cell a chiwindi imayambitsa. Zizindikiro zotsatirazi ndizofanana ndi zomwe zimachitika m'mawa.

• kutopa
• chisokonezo
• kuwonongeka kwamawonekedwe
• ludzu lalikulu
• kusanza, nthawi zina kusanza.

Sintha shuga m'magazi m'mawa popanda kuthetsa zodabwitsazi sizikugwira ntchito. Pankhaniyi, wodwalayo ayenera kufunsa wa endocrinologist, komanso mankhwala a resechedule pambuyo pake. Makamaka, adokotala atha kulimbikitsa kuti awombere insulin pambuyo pake.

Malangizo onse

Momwe mungakhazikitsire kuwerenga kwa glucose? Pali malingaliro angapo:

• Kuchokera pazosankha, muyenera kusiyiratu zinthu zomwe zimakhala ndi chakudya chofunikira kugaya mofulumira. Amapezeka mu chokoleti cha mkaka, maswiti, shuga, halva. Kuphika makeke, maswiti, mkate, pizza, kudya mwachangu kumatha kudzutsa kulumpha kwakukulu. Anthu odwala matenda ashuga nawonso amaletsedwa semolina, mpunga, misuzi yamafakitale, mowa, nyama zosuta, mafuta a nyama, koloko yabwino. Kuchokera pachakudya, ndikofunikira kuti muchepetse zakudya zomwe zimakonzedwa komanso zakudya zamzitini.
• Zakudya za wodwalayo ziyenera kukhala ndizakudya zomwe zili ndi index yotsika ya glycemic. Masamba - kabichi, biringanya, zukini, tsabola wa belu, nandolo zobiriwira ndi zina zimathandizira kukula kwa shuga. Zakudya za anthu odwala matenda ashuga ayenera kukhala ndi masamba ambiri atsopano momwe angathere. Ndikofunikira kuti chithandizo chamatenthedwe ndizochepa, chifukwa zimachulukitsa kwambiri GI ya malonda.
• Chakudyacho chikuyenera kuphatikizira zipatso ndi zipatso zomwe zimaloledwa kwa odwala matenda ashuga - maapulo okhala ndi masamba obiriwira, yamatcheri, othandizira ndi zina zambiri. Amafunikanso kudyedwa mwatsopano, chifukwa nthawi ya kutentha pamakhala kuchuluka kwa GI. Kukula mwachangu kwa shuga m'magazi kumachitika chifukwa cha timadziti tatsopano totomedwa.
• Matenda a kulemera. Odwala omwe ali ndi vuto lozolowereka, kuphatikiza shuga kusala kudya kumathandiza kwambiri. Ichi ndichifukwa chake munthu ayenera kuchita zolimbitsa thupi. Zotsatira zabwino zimaperekedwa posambira, kuyendera masewera olimbitsa thupi. Ngati izi sizingatheke, ndiye kuti madokotala amalimbikitsa kuyenda mwachangu. Zithandizanso.

Zofunika! Zakudya zamafuta ochepa zimathandizira kukhazikika kwa shuga m'magazi. Zakudya izi ndizosamalitsa.

Pazinthu zina zilizonse, muyenera kutsatira mosamala malangizo a endocrinologist, kumwa mankhwala onse omwe mumamwa. Ngati kuchuluka kwa glucose a tsiku ndi tsiku ndi 15 mmol / l kapena kupitirira chizindikirocho, ndiye kuti wodekha adzakhazikika, makamaka, insulin idzayikidwa.

Type 2 shuga mellitus ndimatenda owopsa, samangokulitsa moyo, komanso nthawi yake. Matenda oopsa a hyperglycemia amayambitsa zovuta zazikulu. Ndipo kungokhala kwachilengedwe kwamasamba a shuga kumalola munthu kukhala ndi moyo wautali.