Shuga wa Anthu: Magawo pa Kusanthula

Mthupi la munthu, njira zonse za metabolic, kusinthana kwa zakudya zamafuta ndi mafuta zimalumikizana bwino, kuphwanya komwe kumachitika matenda osiyanasiyana, kuphatikizapo shuga m'magazi. Zakudya zabwino, zathanzi, moyo wathanzi, komanso kukhoza kupilira kupsinjika ndi chinsinsi cha thanzi labwino laumunthu. Zakhala zikuchitika m'zaka zaposachedwa?

Malinga ndi akatswiri, pazaka zana zapitazi, anthu achulukitsa kuwirikiza kawiri kumwa osati shuga wokha, komanso michere ina yamagetsi yotentha mosavuta. Kuphatikiza apo, m'zaka zaposachedwa, chilengedwe chosavomerezeka pamiyoyo ya anthu, kusowa kwa zakudya zopanda thanzi, zosavuta, zopanda mankhwala zimakhudza kwambiri thanzi la dziko, zomwe zimayambitsa zovuta zamatenda osati akuluakulu komanso ana.

Posakhalitsa izi zimapangitsa kuti kuphwanya kwa lipid metabolism, komanso kumakonda kusenzetsa kapamba, momwe kupangidwira kwa insulin kumadalira. Kuyambira paubwana, anthu amazolowera zakudya zomwe simungathe kudya - chakudya chofulumira, zakumwa zoziziritsa kukhosi zomwe zimakhala ndi zowonjezera zamankhwala, mitundu yonse ya tchipisi ndi confectionery, zakudya zamafuta ochulukirapo zimapangitsa kuti pakhale kuchuluka kwa mafuta ndipo, chifukwa chake, ngakhale mwa ana a zaka za 12-16 kulembetsa matenda ashuga, omwe m'mbuyomu ankawaganizira kuti ndi matenda a okalamba. Masiku ano, kuchuluka kwa shuga m'magazi kukuchulukirachulukira, makamaka ku Europe ndi United States.

Glucose wabwinobwino

Amadziwika kuti kuchuluka kwa shuga m'magazi kumayendetsedwa ndi mahomoni a kapamba - insulin, ngati sikokwanira kapena ngati minofu yathupi silimayankha insulin, ndiye kuti chiwonetsero cha shuga m'magazi chikuwonjezeka. Kukula kwa chizindikirochi kumakhudzidwa ndi kusuta, kupsinjika, kuperewera kwa zakudya m'thupi. Malinga ndi World Health Organisation, miyezo ya shuga yamagazi yaanthu yavomerezedwa, pamimba yopanda kanthu mu magazi a capillary kapena venous, azikhala m'milingo yotsatirayi, mmol / l:

Ndi zaka, chidwi chamunthu cha insulin chimachepa, popeza ena mwa ma receptor amafa ndipo, monga lamulo, kulemera kumawonjezeka. Zotsatira zake, insulini, ngakhale yopangidwa moyenera, imapangidwa bwino ndi minyewa yokhala ndi zaka komanso shuga ya magazi imakwera. Amakhulupiriranso kuti mukatenga magazi kuchokera mu chala kapena mu mtsempha, zotsatira zake zimasinthira pang'ono, kotero kuchuluka kwa shuga m'magazi a venous kumachulukitsidwa pang'ono, pafupifupi 12%.

Pafupifupi magazi a venous ndi 3.5-6.1, ndipo kuyambira chala - capillary 3.5-5.5. Kuti muwone ngati wodwala amayamba ndi matenda ashuga - kuyezetsa magazi kamodzi kokha sikokwanira, muyenera kupitiliza kuwunikira kangapo ndikuwayerekeza ndi zomwe wodwalayo angakuwuzeni ndi zina.

• Mulimonsemo, ngati mulingo wa glucose m'magazi kuyambira chala ndikuyamba 5.6 mpaka 6.1 mmol / l (kuchokera kumitsempha 6.1-7) - uku ndiye kusungunuka kwa shuga kapena matenda osokoneza bongo
• Ngati kuchokera m'mitsempha - oposa 7.0 mmol / l, kuchokera chala chachikulu kuposa 6.1 - chifukwa chake, ndi matenda a shuga.
• Ngati shuga ali m'munsi mwa 3.5, amalankhula za hypoglycemia, zomwe zimapangitsa kukhala kwamoyo komanso kwachilengedwe.

Kuyesedwa kwa shuga kumagwiritsidwa ntchito ngati chidziwitso cha matendawa, komanso ngati kuwunika kwa mankhwalawa ndikulipira matenda ashuga. Ndi kuchuluka kwa shuga m'magazi kapena osaposa 10 mmol / l masana, mtundu 1 wa shuga umatengedwa ngati woloza. Kwa mtundu wachiwiri wa matenda a shuga, njira zoyeserera chipukuta misozi ndizovuta - shuga wamagazi sayenera kupitirira 6 mmol / L pamimba yopanda kanthu, ndipo osapitirira 8.25 mmol / L masana.

Kutembenuza mmol / L kukhala mg / dl = mmol / L * 18.02 = mg / dl.

Palinso mtundu wina wa matenda ashuga, omwe samadziwika kawirikawiri, ndi pancreatogenicabetes mellitus.

Zizindikiro za shuga wambiri

Madzi a glucose mita

Ngati wodwalayo ali ndi zizindikiro zotsatirazi, monga:

• Kutopa, kufooka, mutu
• Kuchepetsa thupi ndi chidwi chowonjezera
• Pakamwa pakamwa, ludzu losatha
• Kukoka mobwerezabwereza ndi kuphatikiza, makamaka mawonekedwe - kukodza usiku
• Maonekedwe a zilonda zapakhungu pakhungu, zovuta kuchiritsa zilonda zam'mimba, zilonda, mabala osachiritsika osachiritsika komanso zipsera
• Kuchepa kwapakati pa chitetezo chokwanira, kuzizira pafupipafupi, kuchepa kwa ntchito
• Maonekedwe a kuyabwa m'goli, kumaliseche
• Mawonedwe akuchepera, makamaka mwa anthu okulirapo zaka 50.

Izi zitha kukhala zizindikilo za shuga wambiri. Ngakhale munthu atakhala ndi zina mwazizindikiro zomwe zalembedwa, kuyezetsa shuga wamagazi kuyenera kuchitika. Ngati wodwala ali pachiwopsezo cha matenda a shuga - matenda obadwa nawo, m'badwo, kunenepa kwambiri, matenda a kapamba, ndi ena otero, ndiye kuti kuyezetsa magazi kamodzi pa mtengo wabwinobwino sikumapatula mwayi womwe ungakhalepo ndi matenda, popeza matenda ashuga nthawi zambiri samayang'aniridwa. asymptomatic, osakhazikika.

Mukamayang'ana kuchuluka kwa shuga m'magazi, zomwe zimadziwika kuti zimaganizira zaka, ndikofunikira kuzindikira kuti pali zotsatirapo zabodza. Pofuna kutsimikizira kapena kukana kuwunika kwa wodwala yemwe alibe zizindikiro za matendawa, ndikofunika kuti ayese mayeso owonjezera a shuga, mwachitsanzo, kuyezetsa magazi komwe kumachitika ndi shuga.

Kuyesedwa kwa shuga kwa glucose kumachitika kuti mudziwe njira yomwe imayambira matenda a shuga kapenanso kudziwa malabsorption syndrome ndi hypoglycemia. Ngati wodwalayo atsimikiza kulekerera kwa glucose, ndiye kuti mu 50% ya izi zimabweretsa matenda osokoneza bongo kwa zaka 10, 25% vutoli silinasinthe, 25% imazimiririka.

Mayeso a kulolera a glucose

Madokotala amayesa kuti adziwe kulolera kwa glucose. Iyi ndi njira yolondola yodziwira zovuta zaposachedwa komanso zowonekera za kagayidwe kazakudya, mitundu yosiyanasiyana ya matenda ashuga. Komanso zimakupatsani mwayi woti mumvetse bwino za matendawa ndi zotsatira zoyipa za mayeso wamba a shuga. Ndikofunikira kwambiri kuzindikira mitundu iyi ya odwala:

• Mwa anthu opanda zizindikiritso za magazi okwanira, koma ndimomwe amapezeka shuga mkodzo.
• Kwa anthu omwe alibe zizindikiro za matenda ashuga, koma ndi zizindikiro za polyuria - kuchuluka kwamikodzo patsiku, kuthamanga kwamagazi a shuga.
• Kuchulukitsa shuga kwa mkodzo azimayi panthawi yoyembekezera, odwala omwe ali ndi chithokomiro, komanso matenda a chiwindi.
• Anthu omwe ali ndi matenda ashuga, koma amakhala ndi magazi abwinobwino ndipo alibe shuga mkodzo wawo.
• Anthu omwe ali ndi vuto la chibadwa, koma wopanda zizindikilo za shuga.
• Amayi ndi ana awo obadwa ndilemera kwambiri, woposa 4 kg.
• Komanso odwala retinopathy, neuropathy yachilendo osadziwika.

Kuti ayese mayeso okhudzana ndi shuga, wodwalayo amayambitsidwa pamimba yopanda magazi, ndiye kuti wodwalayo amamwa magalamu 75 a shuga omwe amathandizidwa ndi tiyi wofunda. Kwa ana, mlingo umawerengeredwa potengera kulemera kwa 1.75 g / kg pa kulemera kwa mwanayo. Kutsimikiza kwa kulolera kwa glucose kumachitika pambuyo pa maola 1 ndi 2, madokotala ambiri amawona kuchuluka kwa glycemia pambuyo pa ola limodzi la glucose kudya kukhala zotsatira zabwino kwambiri.

Kuyesedwa kwa kulolera kwa glucose mwa anthu athanzi komanso odwala matenda a shuga kumawonetsedwa pagome, mmol / l.

Kenako, kuti mupeze mkhalidwe wa metabolism ya carbohydrate, ma coefficients awiri ayenera kuwerengedwa:

• Hyperglycemic Chizindikiro ndi kuchuluka kwa shuga m'mawa umodzi pambuyo poti shuga ayambe kusala magazi. Zowonjezera siziyenera kupitirira 1.7.
• Hypoglycemic Chizindikiro ndi kuchuluka kwa shuga m'magazi patatha maola awiri shuga atatha kuyeza magazi chifukwa cha kusala shuga, muyezo uyenera kukhala wochepera 1, 3.

Ma coefficients amayenera kuwerengedwa moyenera, chifukwa pali zochitika pomwe wodwala sawonetsa zodetsa zilizonse pazofunikira kwambiri pambuyo poyesedwa wa kulolera kwa glucose, ndipo kufunika kwa imodzi mwazomwezi ndizopamwamba kuposa zomwe zimachitika. Pankhaniyi, zotsatira zake zimayesedwa ngati zonyozeka, ndipo munthuyu ali pachiwopsezo cha mtundu wina wa matenda a shuga.

Kodi glycated hemoglobin ndi chiyani?

Kuyambira mu 2010, bungwe la American Diabetes Association lalimbikitsa kuti glycated hemoglobin adziwe matenda a shuga. Iyi ndiye hemoglobin yomwe shuga wa m'magazi imagwirizanitsidwa. Anayeza%% ya hemoglobin yonse, yotchedwa kusanthula - mulingo wa hemoglobin HbA1C. Izi ndizofanana kwa akulu ndi ana.

Kuyesa kwa magazi kumeneku kumawerengedwa kuti ndiwodalirika komanso kosavuta kwa wodwala ndi madokotala:

• magazi amapereka nthawi iliyonse - osati pamimba yopanda kanthu
• njira yolondola komanso yosavuta
• osamwa shuga komanso 2 maola akudikirira
• Zotsatira za kusanthula kumeneku sizikhudzidwa ndimankhwala, kupezeka kwa chimfine, matenda a ma virus, komanso kupsinjika kwa wodwala (kupsinjika ndi kupezeka kwa matenda mthupi kungakhudze mayeso abwinobwino a shuga)
• Zimathandizira kudziwa ngati wodwala matenda a shuga adatha kuwongolera bwino magazi m'miyezi itatu yapitayo.

Zoyipa pakusanthula kwa HbA1C ndi:

• kusinthidwa mtengo kwambiri
• okhala ndi mahomoni ochepa a chithokomiro - zotsatira zake zingakhale zochulukirapo
• Odwala omwe ali ndi hemoglobin wochepa, wokhala ndi magazi - zotsatira zake zimapotozedwa
• sikuti zipatala zonse zimakhala ndi mayeso ofanana
• zimaganiziridwa, koma osatsimikiziridwa, kuti mukamamwa Mlingo wambiri wa vitamini E kapena C, kuchepa kwake kumachepa

Shuga wamba wamagazi

Magazi a shuga a boma ovomerezeka a shuga adalandiridwa - ali ndi mtengo wapamwamba kwambiri kuposa anthu athanzi. Mankhwala, palibe zoyesayesa zomwe zachitika kuti muchepetse shuga mu shuga ndikubweretsa pafupi ndi zomwe zimadziwika.

Zakudya zoyenera zomwe madokotala amapereka zili ndi zakudya zambiri, zomwe zimakhala zovulaza kwa odwala matenda ashuga, chifukwa zimadzetsa kusinthasintha kowopsa m'magazi a magazi. Pochiza matendawa pogwiritsa ntchito njira zachilengedwe, kuchuluka kwa shuga kumatha kusiyanasiyana kwambiri mpaka kutsika kwambiri.

Mafuta omwe amwedwa amachititsa shuga wambiri, ndipo ndiofunikira kuti achepetse mwa kubaya mankhwala a insulin okwanira, makamaka ngati chisonyezo chiri 10. Sichinthu ngakhale chobweretsa shuga ku chizindikiritso chabwinobwino. Madokotala ndi odwala asangalala kale kuti kutalikirana kumalepheretsa munthu kukhala ndi matenda ashuga.

Koma ngati mungatsatire zakudya zamafuta ochepa, ndiye kuti muli ndi matenda a shuga a 2 (ngakhale shuga yayikulu 1, shuga atadumphira ku 10), mutha kukhalabe ndi shuga wathanzi, zomwe zimadziwika kwa anthu athanzi, motero kuchepetsa mphamvu ya shuga m'moyo wodwala.

Poletsa kudya zakudya zamagulu ochepa, odwala amatha kuwongolera matenda awo osagwiritsa ntchito insulin, kapena amakhala ndi mankhwala ochepa. Chiwopsezo cha zovuta kumiyendo, mtima ndi mitsempha yamagazi, impso ndi mawonekedwe amaso amachepetsa.

Mwazi wamagazi

Kuchuluka kwa shuga m'magazi a 7.8-11.0 ndizofanana ndi prediabetes; kuchuluka kwa shuga kwa 11 mmol / l kumawonetsa shuga.

Kuthamanga kwa shuga m'magazi ndi chimodzimodzi kwa amuna ndi akazi. Pakadali pano, zizindikiro za chikhalidwe chovomerezeka cha shuga m'magazi zimatha kusiyana malinga ndi zaka: pambuyo pa zaka 50 ndi 60, homeostasis nthawi zambiri imasokonezeka. Ngati timayankhula za azimayi oyembekezera, ndiye kuti kuchuluka kwa shuga m'magazi awo kumatha kuchepa pakudya, pomwe kumakhalabe kwabwino pamimba yopanda kanthu. Kukwera kwa shuga m'magazi panthawi yapakati kumawonetsa kukula kwa matenda ashuga.

Magazi a shuga m'magazi ndi osiyana ndi akuluakulu wamba. Chifukwa chake, mwa mwana wochepera zaka ziwiri, kuchuluka kwa shuga kwa magazi kumachokera pa 2.8 mpaka 4,4 mmol / l, kuyambira wazaka ziwiri mpaka zisanu ndi chimodzi - kuyambira 3.3 mpaka 5 mmol / l, mwa ana a akulu akulu ndi 3, 3-5.5 mmol / L.

Zomwe shuga zimadalira

Pali zinthu zingapo zomwe zingakhudze kusintha kwa shuga:

• chakudya
• zolimbitsa thupi
• malungo
• kukula kwa kupanga kwa mahomoni komwe kumapangitsa insulin,
• kuthekera kwa kapamba kuti apange insulin.

Magwero a shuga wamagazi ndi chakudya chamagulu m'zakudya. Mukatha kudya, mayamwidwe azakudya zam'mimba zosakanikirana mosavuta ndikuwonongeka kwawo kumachitika, kuchuluka kwa shuga kumawonjezeka, koma nthawi zambiri amabwereranso kwazonse pambuyo maola ochepa. Pakusala kudya, kuchuluka kwa shuga m'magazi kumachepa. Ngati glucose omwe ali m'magazi amachepetsa kwambiri, glucagon wa pancreatic amamasulidwa, mothandizidwa ndi omwe maselo a chiwindi amasintha glycogen kukhala glucose, ndipo kuchuluka kwake m'magazi kumakulanso.

Odwala omwe ali ndi matenda ashuga amalimbikitsidwa kuti azisungiramo zolemba zina, momwe mungayang'anire kusintha kwa shuga m'magazi kwakanthawi.

Ndi shuga wochepetsedwa (m'munsi mwa 3.0 mmol / L), hypoglycemia imapezeka, ndikuwonjezereka (oposa 7 mmol / L) - hyperglycemia.

Hypoglycemia imakhala ndi mphamvu ya kufa kwa maselo, kuphatikiza maselo aubongo, kugwira ntchito kwabwino kwa thupi kumasokonezeka. Chizindikiro chowumbidwa chimapangidwa, chomwe chimatchedwa hypoglycemic syndrome:

• mutu
• kufooka mwadzidzidzi
• anjala, kulakalaka chakudya,
• tachycardia
• hyperhidrosis
• kunjenjemera miyendo kapena thupi lonse.
• diplopia (masomphenya apawiri),
• zovuta zamakhalidwe
• kukokana
• kulephera kudziwa.

Zoyambitsa hypoglycemia mwa munthu wathanzi:

• kuperewera kwa zakudya m'thupi, zakudya zomwe zimabweretsa kuperewera kwakuthupi,
• mowa wosakwanira
• kupsinjika
• kuchuluka kwa mafuta oyengedwa muzakudya,
• zolimbitsa thupi
• uchidakwa
• intravenous makonzedwe a kuchuluka kwa saline.

Hyperglycemia ndi chizindikiro cha kuperewera kwa kagayidwe kachakudya ndipo kamaonetsa kukula kwa matenda a shuga kapena matenda ena a endocrine. Zizindikiro zoyambirira za hyperglycemia:

• mutu
• ludzu lochulukirapo
• kamwa yowuma
• kukodza pafupipafupi
• Kununkhira kwa acetone kuchokera mkamwa,
• kuyabwa kwa pakhungu ndi mucous;
• kuchepa kwapang'onopang'ono kwa zowoneka bwino, kung'anima pamaso, kutayika kwa malo owoneka,
• kufooka, kutopa kwambiri, kuchepa mphamvu,
• kuyang'ana mavuto
• kuwonda msanga
• kuchuluka kwa kupuma,
• kuchiritsa pang'onopang'ono mabala ndi zikwapu,
• kuchepa kwamphamvu kwamiyendo
• chizolowezi cha matenda opatsirana.

Hyperglycemia yomwe imatenga nthawi yayitali imabweretsa kuwonongeka kwakukulu kwa ziwalo ndi machitidwe chifukwa cha kusokonezeka kwa metabolic ndi magazi, komanso kuchepa kwakukulu kwa chitetezo chathupi.

Miyezi ya shuga yamagazi imatha kuyezedwa kunyumba pogwiritsa ntchito chipangizo chamagetsi - mita ya shuga m'magazi.

Pofufuza zizindikiro zomwe zili pamwambapa, adotolo amafufuza kuyesedwa kwa magazi kwa shuga.

Njira zoyezera shuga

Kuyesedwa kwa magazi kumakupatsani mwayi wowona shuga. Zizindikiro zoika magazi mayeso a shuga ndi matenda ndi zinthu zotsatirazi:

• Zizindikiro za hypo- kapena hyperglycemia,
• kunenepa
• kuwonongeka kwamawonekedwe
• matenda a mtima
• oyambirira (mwa amuna - mpaka zaka 40, mwa akazi - mpaka zaka 50) kukula kwa matenda oopsa, angina pectoris, atherosulinosis,
• Matenda a chithokomiro, chiwindi, ndulu ya adrenal, England
• ukalamba
• Zizindikiro za matenda ashuga kapena boma.
• mbiri yakubanja yodwala matenda ashuga,
• amadwala matenda amiseche. Amayi oyembekezera amayesedwa ngati ali ndi pakati pa sabata la 24 mpaka 28 la sabata.

Komanso, kuyezetsa shuga kumachitika poyeserera njira zachipatala, kuphatikiza ana.

Njira zazikulu zoyeserera zamankhwala zokhala ndi shuga

• kusala magazi - kuchuluka kwa shuga m'magazi kwatsimikizika,
• kuyeserera kwa shuga - imakupatsani mwayi wodziwa zovuta zobisika za carbohydrate metabolism. Kuyesedwa ndi kuwirikiza katatu kwa kuchuluka kwa glucose pang'onopang'ono pambuyo pa carbohydrate yambiri. Nthawi zambiri, shuga wamagazi amayenera kuchepetsedwa malinga ndi nthawi yomwe atatha kugwiritsa ntchito shuga. Ngati shuga wambiri wa 8 mpaka 11 mmol / L wapezeka, kuwunika kwachiwiri kumazindikira kuti kuphwanya minofu kumapangitsa shuga. Matendawa ndi mtundu wa matenda ashuga (prediabetes),
• Kutsimikiza kwa glycated hemoglobin (Kulumikizana kwa molekyu ya hemoglobin yokhala ndi molekyulu ya glucose) - imawonetsa kutalika ndi kuchuluka kwa glycemia, imakupatsani mwayi kuti muzindikire matenda ashuga. Shuga wamba wamagazi amawerengeka nthawi yayitali (miyezi iwiri).

Kudziyang'anitsitsa kokhazikika kwa shuga mumagazi kumathandizira kukhala ndi shuga yabwinobwino m'magazi, kuzindikira zizindikiro zoyambirira zamagazi ndikuchepetsa kukula kwa zovuta.

Maphunziro owonjezera kuti azindikire kuchuluka kwa shuga m'magazi:

• Fructosamine ndende (shuga ndi albumin pawiri) - imakupatsani mwayi wodziwa kuchuluka kwa glycemia m'masiku 14-20 apitawa. Kuwonjezeka kwa milingo ya fructosamine kungasonyezenso kukulitsa kwa hypothyroidism, kulephera kwa impso, kapena ovomereza kwamapazi
• kuyezetsa magazi kwa c-peptide (gawo la protein ya proinsulin) - amagwiritsidwa ntchito kufotokoza bwino zomwe zimayambitsa hypoglycemia kapena kuwunika mphamvu ya insulin. Chizindikiro ichi chimakupatsani mwayi wofufuza momwe mumapangira insulini yanu momwe mukudwala,
• magazi lactate (lactic acid) mulingo - chikuwonetsa momwe minofu yadzadza ndi mpweya,
• kuyezetsa magazi kwa ma antibodies kuti apange insulin - imakupatsani mwayi kusiyanitsa pakati pa matenda amtundu wa 1 ndi mtundu wa 2 wa odwala omwe sanalandire chithandizo ndi insulin. Ma Autoantibodies opangidwa ndi thupi motsutsana ndi insulin yake ndiye chizindikiro cha matenda amtundu wa 1. Zotsatira za kuwunikirazi zimagwiritsidwa ntchito popanga dongosolo lamankhwala, komanso chidziwitso chakukula kwa matendawa kwa odwala omwe ali ndi mbiri ya matenda amtundu 1, makamaka ana.

Kuyesedwa kwa magazi bwanji kwa shuga

Kusanthula kumachitika m'mawa, pambuyo pa kusala kudya kwa maola 8 mpaka 14. Pamaso pa njirayi, mutha kumwa madzi opanda mchere kapena mchere. Phunzirolo lisanayambe kugwiritsa ntchito mankhwala ena, siyani njira zochiritsira. Kuletsedwa kusuta maora ochepa musanayesedwe, kumwa mowa kwa masiku awiri. Osavomerezeka kusanthula pambuyo pa opareshoni, kubala mwana, ndi matenda opatsirana, matenda ammimba, kutupa kwa chiwindi, hepatitis, kuledzera kwa chiwindi, kupsinjika, hypothermia, pakapita msambo magazi.

Kuthamanga kwa shuga m'magazi ndi chimodzimodzi kwa amuna ndi akazi. Pakadali pano, zizindikiro za chikhalidwe chovomerezeka cha shuga m'magazi zimatha kusiyana malinga ndi zaka: pambuyo pa zaka 50 ndi 60, homeostasis nthawi zambiri imasokonezeka.

Kuyeza shuga kunyumba

Miyezi ya shuga yamagazi imatha kuyezedwa kunyumba pogwiritsa ntchito chipangizo chamagetsi - mita ya shuga m'magazi. Mikwingwirima yapadera imagwiritsidwa ntchito, pomwe dontho la magazi limatengedwa pachala chala. Masiku amakono a glucose mita amangochita zamagetsi zamagetsi zamagetsi, kuwerengetsa nthawi yochitira, kuchenjeza zolakwika pakuchitika.

Kudziyang'anitsitsa kokhazikika kwa shuga mumagazi kumathandizira kukhala ndi shuga yabwinobwino m'magazi, kuzindikira zizindikiro zoyambirira zamagazi ndikuchepetsa kukula kwa zovuta.

Odwala omwe ali ndi matenda ashuga amalimbikitsidwa kuti azisunga diary yoletsa, malinga ndi momwe mungayang'anire kusintha kwa shuga m'magazi kwakanthawi, muwone momwe thupi limayendetsera kayendetsedwe ka insulin, lembani ubale pakati pa shuga wamagazi ndi kudya, zochita zolimbitsa thupi ndi zina.