Momwe mungayang'anire mita kuti ikhale yolondola kunyumba? Njira ndi Algorithm

Glucometer ndi chida chogwiritsira ntchito pawokha ngati pakhomo pakuyang'ana misempha ya magazi. Kwa matenda amtundu wa 1 kapena matenda ashuga a mtundu wa 2, muyenera kugula glucometer ndikuphunzira momwe mungagwiritsire ntchito. Kuti muchepetse shuga m'magazi kuti akhale abwinobwino, amayenera kuyezedwa pafupipafupi, nthawi zina 5-6 patsiku. Ngati kulibe owunikira osunthira kunyumba, ndiye chifukwa cha izi ndikadagona kuchipatala.

Momwe mungasankhire ndikugula glucometer yomwe imayeza moyenera shuga? Zindikirani mu nkhani yathu!

Masiku ano, mutha kugula njira yosavuta komanso yolondola ya glucose mita. Gwiritsani ntchito kunyumba komanso poyenda. Tsopano odwala amatha kuyeza kuchuluka kwa shuga m'magazi popanda kupweteka, ndipo, kutengera zotsatira zake, "kukonza" zakudya, zolimbitsa thupi, mlingo wa insulin ndi mankhwala. Uku ndikusinthika kochizira matenda ashuga.

M'nkhani ya lero, tikambirana momwe mungasankhire ndi kugula glucometer yoyenera kwa inu, yomwe siokwera mtengo kwambiri. Mutha kufananizira mitundu yomwe ilipo m'masitolo opezeka pa intaneti, kenako ndikugula ku pharmacy kapena oda ndikutumiza. Muphunzira zomwe muyenera kuyang'ana mukamasankha glucometer, komanso momwe mungayang'anire kulondola kwake musanagule.

Momwe mungasankhire komanso komwe mungagule glucometer

Momwe mungagule glucometer yabwino - zizindikiro zitatu zazikulu:

1. ziyenera kukhala zolondola
2. ayenera kuwonetsa zotsatira zake,
3. azitha kuyeza shuga.

Glucometer iyenera kuyeza shuga m'magazi - ichi ndiye chinthu chofunikira kwambiri komanso chofunikira kwambiri. Ngati mugwiritsa ntchito glucometer yomwe "ili yabodza", ndiye kuti chithandizo cha matenda ashuga 100% sichingaphule kanthu, ngakhale mutayesetsa motani komanso mtengo wake. Ndipo muyenera “kudziwa” mndandanda wazovuta zodwala komanso zovuta za matenda ashuga. Ndipo simungafune izi kwa mdani woipitsitsa. Chifukwa chake, yesetsani kuyesetsa kugula chipangizo cholondola.

Pansipa m'nkhaniyi tikufotokozerani momwe mungayang'anire mita kuti muwone ngati ikuyenera. Musanagule, onjezerani kuti zingwe zoyesa ndizoyesa mtengo wanji komanso ndi chitsimikizo chotani chomwe wopanga amapereka pazinthu zawo. Zoyenera, chitsimikizo sichikhala chopanda malire.

Ntchito zina za glucometer:

• makumbukidwe ozungulira pazotsatira zam'mbuyomu,
• chenjezo lomveka bwino lokhudza hypoglycemia kapena kuchuluka kwa shuga m'magazi kupyola malire ake,
• kuthekera kolumikizana ndi kompyuta kusamutsa deta kuchokera kukumbukira kupita nayo,
• glucometer yophatikizidwa ndi tonometer,
• Zipangizo za "Kulankhula" - kwa anthu ovala zowoneka (SensoCard Plus, CleverCheck TD-4227A),
• kachipangizo kamene kamatha kuyeza osati shuga wamagazi, komanso cholesterol ndi triglycerides (AccuTrend Plus, CardioCheck).

Ntchito zina zonse zomwe zatchulidwa pamwambapa zimawonjezera mtengo wawo, koma sizimagwiritsidwa ntchito pochita. Tikukulimbikitsani kuti mufufuze mosamala "zizindikiro zazikulu zitatu" musanagule mita, ndikusankha mtundu wosavuta kugwiritsa ntchito komanso wotsika mtengo womwe uli ndizowonjezera pang'ono.

Momwe mungayang'anire mita kuti ikhale yolondola

Zabwino, wogulitsa akuyenera kukupatsani mwayi wowunika momwe mita ikuyambira musanagule. Kuti muchite izi, muyenera kuyeza magazi anu katatu katatu mzere ndi glucometer. Zotsatira za miyeso iyi ziyenera kusiyana kuchokera pa wina ndi mzake posaposa 5-10%.

Mutha kupezanso kuyesedwa kwa magazi mu labotale ndikuyang'ana mita yanu ya glucose nthawi yomweyo. Pezani nthawi yopita ku lab ndikuchita! Dziwani momwe miyezo ya shuga ya magazi ilili. Ngati kusanthula kwa zasayansi kukuwonetsa kuchuluka kwa shuga m'magazi anu ndi ochepera 4.2 mmol / L, ndiye kuti cholakwika chovomerezeka cha chosakanizira chosaposa si kupitirira 0,8 mmol / L mbali imodzi kapena ina. Ngati shuga wanu wamagazi ali pamwamba pa 4.2 mmol / L, ndiye kuti kupatuka kovomerezeka mu glucometer kuli mpaka 20%.

Zofunika! Mudziwa bwanji ngati mita yanu ndi yolondola:

1. Muyeza shuga wamagazi ndi glucometer katatu motsatira mzere. Zotsatira ziyenera kusiyana ndi osapitilira 5-10%
2. Pezani mayeso a shuga m'magazi. Ndipo nthawi yomweyo, yeretsani magazi anu ndi glucometer. Zotsatira ziyenera kusiyana ndi 20%. Kuyesaku kutha kuchitika pamimba yopanda kanthu kapena mukatha kudya.
3. Chitani mayeso onsewa monga tafotokozera m'ndime yoyamba 1. ndi kuyezetsa magazi pogwiritsa ntchito magazi. Osangokhala malire pachinthu chimodzi. Kugwiritsa ntchito njira yolondola yofufuzira magazi ndikofunikira! Kupanda kutero, chithandizo chonse cha matenda ashuga sichikhala chopanda ntchito, ndipo muyenera “kudziwa bwino” zovuta zake.

Chikumbukiro chomangika pazotsatira zoyeza

Pafupifupi ma glucometer onse amakono ali ndi kukumbukira kwakumbuyo kwamiyeso ingapo. Chipangizocho "chimakumbukira" zotsatira za kuyeza shuga m'magazi, komanso tsiku ndi nthawi. Kenako chidziwitsochi chitha kusamutsidwa pakompyuta, kuwerengera zomwe zili pamawonekedwe awo, mawonekedwe awowonera, etc.

Koma ngati mukufunitsitsadi kutsika shuga wamagazi anu ndikuwasunga kuti akhale pafupi ndi masiku onse, ndiye kuti kukumbukira kukumbukira kwanu kwa mita sikothandiza. Chifukwa satenga mayendedwe ofanana:

• Nanga mudadya chiyani? Kodi mudadya magalamu angati am'madzi kapena chakudya?
• Zochita zolimbitsa thupi zinali chiyani?
• Mlingo wa mapiritsi a insulin kapena shuga adalandiridwa ndipo anali liti?
• Kodi mwapanikizika kwambiri? Odwala ozizira kapena matenda ena opatsirana?

Kuti mubwezeretse shuga m'magazi anu, muyenera kusunga cholembera momwe mungalembe mosamala maumboni onsewo, kuwasanthula ndikuwunika ma coefficients anu. Mwachitsanzo, "gramu imodzi ya chakudya, chakudya chamasana, imakweza shuga wanga m'mililita l."

Chikumbukiro cha zotsatira za muyeso, chomwe chimamangidwa mu mita, sichimapangitsa kujambula zonse zofunikira zokhudzana. Muyenera kusungira zolemba zamakalata kapena pafoni yamakono (foni yamakono). Kugwiritsa ntchito foni yam'manja pa ichi ndikosavuta, chifukwa nthawi zonse imakhala nanu.

Tikukulimbikitsani kuti mupeze foni yam'mbuyomu ngati mungangokhala ndi “diaryic diary” mmenemo. Kwa izi, foni yamakono ya madola 140-200 ndiyabwino kwambiri, sikofunikira kugula okwera mtengo kwambiri. Ponena za glucometer, sankhani mtundu wosavuta komanso wotsika mtengo, mutayang'ana "zazikulu zitatu".

Zida zoyesa: katundu wamkulu

Kugula zingwe zoyesera magazi a shuga - izi ndi zinthu zanu zazikulu. Mtengo "woyambira" wa glucometer ndiwapang'onopang'ono poyerekeza ndi gawo lokwanira lomwe muyenera kuyika pafupipafupi pazoyeserera. Chifukwa chake, musanagule chida, yerekezerani mitengo yamitengo yake ndi mitundu ina.

Nthawi yomweyo, zingwe zotsika mtengo zoyeserera siziyenera kukukakamizani kuti mugule glucometer yoyipa, molondola pang'ono. Mumayeza shuga osati "chiwonetsero", koma thanzi lanu, kupewa zovuta za shuga ndikuwonjezera moyo wanu. Palibe amene angakulamulireni. Chifukwa kupatula inu, palibe amene akufunika izi.

Kwa ma glucometer ena, zingwe zoyeserera zimagulitsidwa m'maphukusi amodzi, ndipo kwa ena mu "zonse pamodzi", mwachitsanzo, zidutswa 25. Chifukwa chake, kugula timitengo toyesera m'maphukusi amtundu uliwonse sikuli koyenera, ngakhale zikuwoneka zosavuta. .

Mukatsegula "zonse" zonse pamodzi ndi mizere yoyeserera - muyenera kuzigwiritsa ntchito mwachangu kwa nthawi yayitali. Kupanda kutero, zingwe zoyeserera zomwe sizigwiritsidwa ntchito nthawi zimawonongeka. Zimakupatsirani m'maganizo kuti muweze magazi anu pafupipafupi. Ndipo nthawi zambiri mukamachita izi, mudzatha kuyendetsa bwino matenda anu a shuga.

Mtengo wa zingwe zoyeserera ukukulira, motero. Koma mudzapulumutsa nthawi zambiri pochiza matenda osokoneza bongo omwe simudzakhala nawo. Kuwononga $ 50-70 pamwezi pamizere yoyesera sikosangalatsa. Koma izi ndi gawo lonyalanyaza poyerekeza ndi zowonongeka zomwe zingayambitse kuwonongeka kwa m'maso, vuto la mwendo, kapena kulephera impso.

Mapeto Kuti mugule bwino glucometer, yerekezerani zitsanzo zomwe zili m'masitolo opezeka pa intaneti, kenako pitani ku pharmacy kapena oda ndikutulutsa. Mwachiwonekere, chipangizo chosavuta chotsika mtengo chopanda “mabelu ndi whist” chosafunikira chingakukwanire. Iyenera kutumizidwa kuchokera kwa amodzi mwa opanga odziwika padziko lonse lapansi. Ndikofunika kukambirana ndi wogulitsa kuti ayang'anire mita molondola musanagule. Komanso samalani ndi mtengo wa zingwe zoyesa.

Mayeso Amodzi Amasankha - Zotsatira

Mu Disembala 2013, wolemba malowa Diabetes-Med.Com adayesa mita ya OneTouch Select pogwiritsa ntchito njira yomwe tafotokozera pamwambapa.

Mmodzi Sankhani mita

Poyamba ndidatenga miyeso 4 motsatizana ndi mphindi 2-3, m'mawa pamimba yopanda kanthu. Magazi ankatengedwa kuchokera zala zosiyanasiyana za dzanja lamanzere. Zotsatira zomwe mukuwona m'chithunzichi:

Kumayambiriro kwa Januware 2014 adadutsa mayeso mu labotale, kuphatikiza shuga wa plasma. Patatsala mphindi zitatu kuti magazi asatayike kuchokera mu mtsempha, shuga adayeza ndi glucometer, ndiye kuti mumayerekezera ndi zotsatira za labotale.

Kutsiliza: mita ya OneTouch Select ndi yolondola kwambiri, ingalimbikitsidwe kuti mugwiritse ntchito. Zomwe zikuwoneka kuti zikugwiritsidwa ntchito ndi mita ndiyabwino. Dontho la magazi limafunikira pang'ono. Chophimbacho ndichabwino kwambiri. Mtengo wa zingwe zoyeserera ndi zovomerezeka.

Pezani gawo lotsatira la OneTouch Select. Osakukhetsa magazi pazingwe zochokera pamwamba! Kupanda kutero, mita idzalemba "Zolakwika 5: osakwanira magazi," ndipo mzere woyezera udawonongeka. Ndikofunikira kubweretsa mosamala chida "chotsimbidwa" kuti chingwe choyesa chimayamwa magazi kudzera pa nsonga. Izi zimachitika ndendende monga zinalembedwera ndikuwonetsedwa mu malangizowo. Poyamba ndidasokoneza ma boti 6 ndisanazolowere. Komatu muyeso wa shuga wamagazi nthawi iliyonse umachitika mwachangu komanso mosavuta.

P. S. Opanga opanga! Mukandipatsa zitsanzo za ma glucometer anu, ndiye kuti ndiwayesa momwemo ndi kuwafotokozera pano. Sinditenga ndalama chifukwa cha izi. Mutha kundilumikizitsa kudzera pa ulalo "About the Author" mu "chapansi" patsamba lino.

mwana wanga wamkazi, wazaka 1 chaka 9 miyezi - mtundu 1 wa matenda a shuga adapezeka kwa nthawi yoyamba .. adapezeka mwamwayi, mwa kusanthula kwamkodzo, glucosuria, matupi a ketone. madandaulo am'madzi. - c-peptin -0.92, insulin-7.44, glycated hemoglobin-7-64. Heredity salemedwa, mwana alibe matenda osachiritsika, mpaka chaka chimodzi miyezi itatu yoyamwitsa, kulemera ndi kutalika zili mkati moyenera. mankhwala a insulin anali 1.5 1.5 -1.5 actropide mphindi 20 asanadye, 1 levemir usiku. mwana amakonda kuchita hypoglycemia. ndiuzeni ngati mlingo wa insulini udasankhidwa molondola, chifukwa mwana amafunitsitsa kudya, wodwala.

> ndiuzeni ngati
Mlingo wa insulin wosankhidwa

Kumbukirani kwa moyo wanu wonse - mlingo wa insulin uyenera kusankhidwanso musanabaye jekeseni aliyense, kuyeza shuga wamagazi ndi glucometer ndikudziwa kuchuluka kwa zakudya zomwe mukufuna kudya.

Ngati muyika jakisoni wa insulin, monga momwe mukuchitira pakali pano, izi zimabweretsa mavuto mwachangu ("mwana amakonda hypoglycemia ... amakonda kudya, wodwala") ndi zovuta zazitali - zomwe zimayambitsa kulumala ndi kufa msanga, ayamba kuwonekera kale kuyambira ubwana.

Tilinso ndi nkhani yokhala ndi "chinyengo", pafupifupi njira yopweteka yopimira shuga. Koma zimakhala zopanda ululu kwa akuluakulu, ndipo zala za mwanayo zidakali zachifundo kwambiri. Mulimonsemo, njira yathu ndi yabwinoko kuposa kubaya pamanja, monga zimachitidwira.

Chabwino komanso chinthu chofunikira kwambiri. Zakudya zochepa zomwe munthu amadwala matenda ashuga, amakhala ndi insulin yochepa yomwe amafunikira komanso shuga yake yayandikira kwa anthu athanzi. Mwana akangokhala ndi matenda a shuga 1 amayamba kudya zakudya zamafuta ochepa, ndiye kuti sangakhale ndi zovuta zambiri, azikhala ndi moyo wautali mwinanso azisunga ma cell a beta ake.

Popewa ketosis, muyenera kuyeza shuga wamagazi ndikumasuka kuti muchepetse mulingo wa insulin. M'mikhalidwe ngati yanu, ana nthawi zambiri amafunikira insulin yotsika kwambiri, nthawi zambiri ngakhale pansi pa 0,5. Kuti izi zitheke, insulin iyenera kuchepetsedwa. Pa intaneti, mumapezapo malangizo a momwe mungachitire izi. Ndiye kuti, mutha kuyembekezera kuti muyeso wa insulin musanadye umachepera 2, kapena 4-5.

Valentine Zaka 67 zakubadwa. Ndimagwiritsa ntchito gluioneter wa BIONIME GM 100. Msinkhu 160, kulemera kwake panthawi ino ndi makilogalamu 72. Anatenga jakisoni 2 a thiotriazolin 25 mg / ml 4 ml (pali zovuta ndi zimachitika, kupweteka kwa mtima, kupuma movutikira poyenda osowa tulo). M'mawa mutatha jakisoni woyamba, shuga m'magazi 6.0, m'mawa wotsatira (pambuyo pa jekeseni wachiwiri) shuga 6.6. M'mbuyomu, pamwamba pa 5.8, kuchuluka kwa shuga sikukwera poyesa ndi glucometer yanga (pamimba yopanda kanthu, m'mawa pambuyo pogona ndi zimbudzi). Kodi thiotriazolin angapereke zotere kapena ndizoyenera kufunafuna zifukwa zina? Sindinapezeke ndi matenda ashuga, koma kupweteka kwa minofu ya ng'ombe kumandilepheretsa kugona usiku, ndimadzuka nthawi zonse ndimkamwa wowuma m'mawa, ndimakonda kuchepetsa thupi m'mbuyomu ndipo tsopano sindingathe kupirira. Kupanikizika komwe kunali 110/70 ndipo pano nthawi zambiri kumakwera kufika pa 128-130. Pochita komaliza ndi wochita zamatendawa, 150/70 (adakwera pansi pa chipatalacho 3 mchipatala yekha). Ndikumvetsa kuti pakadali pano izi sizingakhale matenda ashuga, koma matenda ashuga, monga Dr. Agapkin akunenera mu pulogalamu ya TV, ndidawonekeranso. Takhala tikulimbana ndi endocrinologist mpaka pano - chipatalacho sichimasunga zolemba mpaka kumapeto kwa Januware, popeza kulibe ma coupons.

> Kodi thiotriazolin angapereke zotere

Sindikudziwa, sindimatha kugwiritsa ntchito chida ichi

> Ndikumvetsa kuti izi zafika apa
> mwina osati matenda ashuga, koma prediabetes

Onani zolemba:
1. Momwe mungachepetse shuga
Zomwe zimayambitsa matenda oopsa komanso momwe mungazithetsere. Kuyesa kwa matenda oopsa
3. Pa tsamba la matenda oopsa, zinthu zina zonse zomwe zili mu block "Kuchira ku matenda oopsa mu masabata atatu ndi zenizeni."

... ndikutsatira malangizowo.

Moni (Zaka 53, 163 cm, 51 kg.)
M'malemba anu, chimodzi mwazotsatira za matenda a shuga ndi kunenepa kwambiri. Koma ndili ndi vuto lakelo. Pambuyo pa kuvutika kwa nthawi yayitali pafupifupi zaka 2 zapitazo komanso kupweteka kwina kosamveka pamimba lamanzere (FGS gastritis, pancreatic tomography), yomwe imapatsa kumbuyo, adayamba kuchepa thupi. M'malo mwake, ndinasinthira ku chakudya chamafuta pamalangizo a madotolo, ndinakhala pamenepo pafupifupi miyezi 4, ndikumadya nsomba zanthawi ndi nyama. Tsopano ndimadya pafupifupi chilichonse, koma ndimapitilirabe kuchepa thupi, ndipo chomwe ndichopatsa ndichakudya kwambiri, ndimachepetsa thupi. Mudadutsa kale pulogalamuyi - simumakuta wowuma ndi mafuta. Ndinkakayikira matenda ashuga (shuga 5.7) - madokotala amati izi ndizomwe zimachitika ... Ndinkawerengera maswiti kwathunthu, koma onani - m'mene ndimadya mkate kapena mbatata, kulemera kumatsikira. Pakukakamira kwanga, adotolo adapereka chitsogozo cha shuga ndi katundu, koma ine ndekha sindidasankhe nditazindikira kuti ndi katundu wotani. Chifukwa chake ndikuganiza kuyesera kuti ndisinthe pazakudya zopanda mafuta, koma sindingayerekezere moyo wopanda maapulo. Funso: Kodi pali chilichonse chomwe mungachite musanadye apulo kuti shuga asatuluke? Ndimangokhala kuti ndinali ndi lingaliro m'mutu mwanga kale kuti kusanthula kwanga kwa 5.7 sikuli kwazonse. Kodi munthu amatha kuchepa thupi chifukwa cha matenda ashuga?

> Kungoti lingaliro lidakhala m'mutu mwanga kale,
> kuti kusanthula kwanga kwa 5.7 sikuli kutali ndi kwanthawi zonse

Muyenera kufunsa katswiri wa oncologist, gastroenterologist ndi psychiatrist.

Mwamuna wake wakhala ndi matenda a kapamba kwa zaka zingapo. Monga lamulo, kawiri pachaka, ndizochulukitsa. Mukukula komaliza mu Marichi 2014, zinthu sizinachite bwino atalandira chithandizo. M'miyezi iwiri yapitayo, adakhala wakuonda kwambiri. Tsopano ndi kutalika kwa masentimita 185, amalemera 52 kg. Zowawa sizinadutse, palinso kumverera kwofooka ndi kutopa, ngakhale popanda katundu. Pambuyo pa kufufuza - shuga 16, kuzindikira matenda ashuga, chithandizo - matenda ashuga. Chonde ndiuzeni ngati mwamuna wanga ali ndi matenda ashuga - zotsatira za kapamba? Kodi njira zakuchiritsira ndi zofanana? Momwe mungatsatire zakudya ngati zikugwira ntchito? Mwambiri, tili otaika kwathunthu ...

> Kodi matenda a shuga a Husband ndi chifukwa cha kapamba?

Mwachidziwikire inde. Sindili wokonzeka kulangizani chilichonse chokhudza inu. Chakudya chamafuta ochepa sichingakhale bwino kwa inu.Ndikofunikira kupeza wabwino (!) Gastroenterologist ndikuthandizidwa naye. Ngati gastroenterologist akuuza endocrinologist, pitani kwa iye.

Nditha kulangiza chinthu chimodzi motsimikiza. Kuchokera kwa dokotala yemwe wakupatsani matenda ashuga, muyenera kuthawa, ngati mliri. Ndikofunikira kuperekera madandaulo ake kwa olamulira.

Moni Kuthandizira kuti mumvetsetse kusiyana kwa miyezo ya glucometer - m'magazi ndi madzi a m'magazi? Ndimagwiritsa ntchito Accu cheki cha mafuta onenepa. Mu malo ogulitsira omwe adagula, iwo mosazengereza adati adayipanga kuti izimuyeza m'magazi. Momwe mungayang'anire? Kapena chotsani 12% pazotsatira? Sindikumvetsa chilichonse ndi glucometer iyi.

> Kapena kuchotsa 12% kuchokera ku zotsatirazi?

Osachotsa chilichonse, gwiritsani ntchito monga momwe ziliri. Opanga glucometer anakupangira kale zonse. Nayi miyambo ya shuga yamagazi, yang'anani pa iwo.

Mwana wamkazi 1 chaka ndi miyezi 8, shuga kwa miyezi 6, kutalika 82 cm, kulemera 12 kg. Humulin Humulin R ndi PN: m'mawa 1 unit R ndi 1 unit PN, nkhomaliro 1-1.5 mayunitsi R, chakudya 1-1.5 unit R, usiku umodzi 1-1.5 amayunitsi PN. Lumpha la shuga kuyambira pa 3 mpaka 25. Kodi mlingo woyenera ukusankhidwa?

> Kodi mankhwalawo ndi olondola?

1. Kuti mudziwe kuchuluka kwake kwa mankhwalawo, phunzirani momwe mungapangire insulin monga tafotokozera apa.
2. Nthawi yomweyo yoyamwitsa ikamatha, mwana amayenera kusinthidwa kukhala chakudya chamafuta ochepa. Osadyetsa chakudya, ngakhale madotolo, abale, etc.
3. Werengani kuwerenga kuyankhulana ndi makolo a mwana wazaka 6 wazaka 6. Ngati mutsatira njira yomwe ndikufunsani, zingakhale bwino kufunsa zomwezomwezo pakapita nthawi. Makamaka chidwi ndi othandiza zinachitikira insulin.

Moni! Ndithandizeni, chonde. Ndikuganiza kuti bambo anga ali ndi matenda ashuga; makamaka safuna kupita kuchipatala. Ndikukuuzani pang'ono: anali ndi zaka 55, pafupifupi miyezi iwiri yapitayo anayamba kukhala ndi mavuto, kuyabwa kumayambira pa mbolo, khungu lake ndi louma (amayi adandiuza), ludzu losatha, ndikulimbikitsidwa kuti ndipite kuchimbudzi ndikusowa chakudya nthawi zonse. Pafupifupi zaka 8 zapitazo anali ndi ischemia wamtima. Tsopano akutentha nthawi zonse, thukuta nthawi zonse. Masiku atatu apitawa ndidagula gluceter AMODZI. M'mawa pamimba yopanda kanthu idawonetsa 14, madzulo 20,6. Thandizo, ndimapiritsi ati oti mumugulire? Sakufuna kudya, iye ndi amayi anga samvera.

> ayenera kugula mapiritsi amtundu wanji?

Abambo anu ayamba kudwala matenda ashuga amtundu 1. Apa, palibe mapiritsi omwe angathandize, koma jakisoni wa insulin wokha.

> mokakamiza safuna kupita kuchipatala

Posachedwa azikhala ali pachipatala chovuta kwambiri chifukwa chodwala matenda ashuga.

> Sakufuna kudya, amayi ndipo sindikufuna kumvera

Ndikukulangizani tsopano kuti muthane ndi mavuto amilandu ya cholowa.

Moni Ndikufuna thandizo lanu. Nkhaniyi ndi yofanana ndi yomwe tafotokozazi. Agogo anga aamuna ali ndi zaka 64 ndipo akulemera pafupifupi 60-65 kg. Adagonekedwa kuchipatala chaka chathachi ali ndi vuto lalikulu chifukwa cha bala lakuthwa kumbuyo, ntchafu yakumtunda. Adachita opareshoni, kenako adadutsa mayeso omwe adawonetsa kuchuluka kwa shuga. FineTouch glucometer idagulidwa pomwepo. Pakupita miyezi 8, amawonetsa 10 mmol / L pamimba yopanda kanthu, 14-17 masana. Nthawi yomweyo kuyesa kumamatira ku chakudya. Madandaulo oyenda pakhungu, ludzu, kukodza pafupipafupi, kupweteka kwa impso, kufooka, kupweteka kwa mafupa, kugona tulo, chizungulire. Pazaka zambiri, adataya thupi kwambiri: khungu lake limangopachikidwa m'mafupa ake, zovala zake zonse ndizazikulu. Kukana kupita kwa adotolo. Nditengedwera kwa adotolo posachedwa, ngakhale popanda chilolezo, monga zikuwoneka kuti sizabwino. Chonde thandizirani kudziwa mtundu wa matenda ashuga, kunyalanyaza kwake komanso kuopsa kwake. Komanso muwalangire mankhwala omwe angathe kutengera zaka. Ndikufuna kukonzekera. Zikomo patsogolo!

> Chonde thandizirani
> kudziwa mtundu wa matenda ashuga

Mtundu woyamba wa matenda ashuga, woopsa

> Alangizeni mankhwala omwe angachitike

Jakisoni wokha wa insulin. Mapiritsi aliwonse ndi osathandiza.

> Ndinyamula posachedwa
> kwa dokotala, ngakhale popanda chilolezo

Ndikukutsimikizirani, sizachabe ntchito. Ndawonapo kale milandu yambiri yotere. Sipadzakhala nzeru. Kuthetsa mavuto ndi cholowa cha katundu wake, ndiye muzisiyira nokha kuti muchite bizinesi yanu.

Moni Mwana wanga wamkazi wazaka 6 adawonetsa mtundu woyamba wa matenda ashuga. Anagonekedwa ndi shuga pamimba yopanda kanthu 18. Madzulo ndinapita 26. Mkazi wanga ndiwosapeza malo, chifukwa ali kale ndi myopia ndipo ndizowopsa kupeza zowonjezera ... Ndapeza tsamba lanu ndipo ndikufuna kusamutsa banja langa mwachangu pa chakudya chochepa chamafuta. Pomwe mwana wamkazi ali m'chipatala, amapatsidwa chakudya yamagulu osakanikirana ndi insulin: Ndazindikira kale kuti izi sizolondola, chifukwa shuga wake amadumphira kuyambira 6 mpaka 16 mol. Ndine wokonzeka komanso wofunitsitsa kuthana ndi matenda a mwana wanga wamkazi atangotulutsidwa kumene, koma vuto lakuka. Mkaziyo akuti mwana wawo wamkazi amapempha kudya nthawi yosadziwika. Kenako timamupatsa zokhazo kuchokera mndandanda wazololedwa. Kodi ndizotheka kudya zakudya zake zovomerezeka masana?

> Kodi ndikuloledwa kukhala ndi zodyera
> Zakudya tsiku lonse?

Onani nkhani iyi. Nthawi yomweyo munatenga njira yoyenera. Kupitilira apo, ngati mumangodya zakudya zopatsa mphamvu pang'ono, ndiye kuti shuga wanu wosakhazikika kuposa 5.5-6.0 musanadye. Simungathe kubaya insulini konse.

Ngakhale kuti odwala matenda ashuga sawabayira insulin, ndikofunikira kudya pafupipafupi m'malo ochepa kuti asatambasule m'mimba. Kotero kuyimitsa zakudya ndi zololedwa sizomwe mungathe, koma ndizofunikira. Ndikofunika kuti muzilumikizana ndi ine - kunena momwe zinthu zikuyendera.

Moni Tithokoze yankho! Mwana wanga wamkazi adachotsedwa kuchipatala. Levemir (mayunitsi atatu) ndi Novorapid (magulu atatu) adalembedwa. Vuto lotsatirali lidabuka: adangodzuka ndi chakudya chosaneneka. Ndinazindikira izi ngakhale kuchipatala, ngakhale asanakhalepo matendawo, sanasonyeze chidwi kwambiri ndi chakudya. Amafuna kudya mosalekeza, makamaka amapempha tchizi ndi kabichi. Kunena zoona, kudya kwambiri, zomwe zimabweretsa kudumpha mu shuga. Lero linali kale 10.4. Kodi izi ndizovuta kwakanthawi kuchipatala kapena mukuyenera kuchitapo kanthu?

> kudzutsa chilakolako chosagwirizana

Mwina adachepa thupi pomwe anali ndi matenda osokoneza bongo osawerengeka. Tsopano thupi likufuna kuchira. Izi ndizabwinobwino.

> Mukufunika kuchitapo kanthu?

Zimatengera kuti mutha kulumpha insulin kwathunthu kapena ayi. Simungayankhe funsoli mwachidule.

> nthawi zambiri imafunsa tchizi ndi kabichi

> Levemir (mayunitsi atatu) ndi Novorapid (magulu atatu) adalembedwa.

Simukudziwa zomwe adalemba ... Muyenera kukhala ndi mutu wanu paphewa lanu. Phunzirani nkhani ya "Kuwerengera Mlingo wa Insulin" ndipo mudzitengere nokha, m'malo pobayira jekeseni wokhazikika.

Moni, Sergey. Kodi malingaliro anu ndi otani pa mulingo wamagazi wamagazi wa Accu-Chek Performa? Malinga ndi njira yanu, ndidayang'ana maulendo 4 ndikupeza zisonyezo: 6.2, 6.7, 6.7, 6.4. Tikukhala ku Australia ndipo tikufuna kudziwa - mmol / l ku Russia ndizofanana ndi zathu? Kapena kodi miyezo yathu ndi yosiyana? Ndimasambira tsiku lililonse mu dziwe la 1.5 km chesttroke, kusewera tenisi ndi volleyball, zizindikiro za shuga pafupifupi 6.2. Ndinamvetsetsa kuchokera munkhani yanu kuti chifukwa chake chili mkaka. Ndimagula mkaka wakomweko kwa mlimi ndipo ndimamwa malita 10-14 pa sabata, ndimakonda mkaka. Kapena mwina ndi zaka, ndili ndi zaka 61. Ndiyamba kudya kwanu, ndikhulupirira kuti zithandiza, ngakhale kukhala ku Australia komanso kusadya zipatso ndichinthu chovuta. Timazigulanso m'mabokosi.
Mulungu akudalitseni chifukwa cha ntchito yovutayi, koma yothandiza kwambiri. Zikomo patsogolo.

Mukuganiza bwanji pa mita yamagazi ya Accu-Chek Performa?

Tsoka ilo, sindinathane nawobe mpaka pano.

> Ndayang'ana maulendo 4 ndikupeza zisonyezo: 6.2, 6.7, 6.7, 6.4.

> Ndinazindikira kuchokera munkhani yanu kuti chifukwa chake ndi mkaka.

Moni, Michael. Pakadali pano, Accu-Chek Performa Nano ndi imodzi mwazinthu zolondola kwambiri za glucometer komanso chizembe mu gawo lake. Kuchita kwanu kuli mkati mwanjira zopatuka molingana ndi muyezo wa ISO 2003. Ndipo kugwiritsa ntchito gluueter wa Accu-Chek Performa ku Australia ndi kuphatikiza kwakukulu. Chowonadi ndi chakuti bungwe la Australia Diabetes Association (NDSS), limodzi ndi Roche Diagnostics, likuyendetsa pulogalamu ya boma yodziyang'anira pawokha kuchuluka kwa shuga m'magazi. Chifukwa chake, kwa odwala matenda ashuga ku Australia, mizera yoyeserera ya Accu-Chek ndiyotsika mtengo kwambiri kuposa okhala m'maiko ena apadziko lapansi.

Moni Ndidawerenga nkhaniyi. Mumalemba kuti chinthu chomwe chimatulutsira ndalama ndi zingwe zoyesa. Nanga bwanji singano? Masiku ano, amangopeza matenda a shuga. Ndinagula mita ya shuga Contour TS. Ma PC 10 okha adaphatikizidwa. Ndimafunikira kuyang'anira shuga kwa masabata awiri tsopano. Singano sikokwanira ngati mungasinthe nthawi iliyonse yomwe mugwiritsa ntchito. Ndipo musasinthe - osati wosabala. Ndipo ena amatha bwanji kuchotsa magazi pachala?

> Ndipo musasinthe-osati wosabala

Mutha kudula chala chanu ndi lancet imodzi kangapo. Osangolora kuti anthu ena azilumikizana zala zawo ndi lancet yomweyo!

> Ndinagula mita ya shuga Contour TS.

Nditha kuziyang'ana m'malo mwanu monga momwe tafotokozera m'nkhaniyo. Ndinawerenga zambiri zonyoza za glucometer zapakhomo. Ngati chipangizocho sichili cholondola, ndiye kuti njira zonse zochizira matenda ashuga sizingakhale ntchito.

Ndilinso ndi Circuit Vehicle, kwa ine ndi imodzi mwazinthu zodalirika kwambiri, ndipo nyumbayo ili kuti? Dongosolo lagalimoto lopangidwa ndi Bayer. Malingaliro anga, zimapereka zotsatira zolondola kwambiri.

> Zoyendera magalimoto zopangidwa ndi Bayer.

Sindimadziwa izi

> Malingaliro anga, zimapereka zotsatira zolondola kwambiri.

Sibwino kungolota, koma kuyang'ana molingana ndi njira yofotokozedwera m'nkhaniyi.

Moni. Sindikumvetsa kuti ndi zolondola zamtundu wanji zomwe titha kulankhula ngati cholakwika chovomerezeka chiri 20% kubwerera ndi mtsogolo. Chiyeso changa cha fayilo chagona pafupifupi 25%, koma dzulo ndidachichotsa ndi 25% ndipo ndidachikulitsa ndi 10%. Ndipo 20% m'moyo weniweni - mwachitsanzo, anga adawonetsa m'mimba yopanda 8.3. Ndiye tangoganizirani, izi ndi 6 kapena 10. Zotsalazo ndizosamvetseka ndi zowunika. Kodi pali chiyani?

> Ndingatani?

Tsatirani pulogalamu ya matenda a shuga a 2 omwe afotokozedwa patsamba lino. Vuto laling'ono la glucometer 20-25% lidzatsalira. Koma kumachepetsa shuga la magazi, kumachepetsa kufunika kwathunthu kwa cholakwika ichi.

Moni, ndili ndi zaka 54, ndiri ndi matenda ashuga 2, ndili ndi zaka 15, pa glucophage, funso nlakuti - pali kusiyana kotani pakati pa kuwerenga kwa shuga m'magazi ndi madzi a m'magazi? Kodi ndikulabadira?

> zowerengera zimasiyana bwanji
> shuga ndimagazi?

Amasiyana pang'ono

> Kodi ndikulabadira?

Moni Zaka 65, 175 cm, 81 kg. Mtundu wa shuga wachiwiri, kwinakwake wazaka pafupifupi 5-6. Sindimaba jakisoni. Funso la mita. Ndili ndi FreeStyle Lite mita. Chonde gawani malingaliro anu pakuwona kwake. Zikomo patsogolo. Tsamba lanu ndi losangalatsa, ndiyesa kutsatira malingaliro kuti ndidziwe kuti ndi othandiza komanso ogwira ntchito.

Zambiri, Samson, Germany.

> gawani malingaliro anu
> za kulondola kwake

Sindinawonepo mita iyi. Sindikudziwa ngati ikugulitsidwa m'maiko a CIS. Dziyang'anireni ngati mulondola, monga momwe tafotokozera m'nkhaniyo.

Ndiuzeni, kodi gluueter wa Accu-Chek Performa Nano ndiwokwanira?

> Accu-Chek Performa Nano mita yamagazi
> zolondola mokwanira?

Yang'anani monga momwe tafotokozera m'nkhaniyi, ndipo mudzazindikira.

Moni, ndili ndi zaka 61, kutalika 180, kulemera kwa makilogalamu 97. Phunzitsani katatu pa sabata kwa maola awiri. Kusala shuga 2 zapitazo - 6.4, sanachitepo kanthu. Masabata atatu apitawa, mayeso opanda m'mimba opanda kanthu adawonetsa 7.0. Adayamba kudya zakudya zamafuta ochepa. Kulemera kunachepa ndi 4 kg. Kuwunikiranso mobwerezabwereza masiku ano kunawonetsa shuga 5.8, glycated hemoglobin (HA1c) - 5.4%. Ndizofanana ndi chizolowezi. Koma atatha kudya shuga amatha kudumpha mpaka 7.5.
Komanso masabata atatu apitawa ndidagula mita ya Bayer Contour.
Sindinapeze mawonekedwe - kulondola kwa chipangizocho. Kuyeza kumakhala kovuta. M'mawa uno, pamimba yopanda kanthu, ndinayeza nthawi 5 pazala 3: 5.2, 6.1, 6.9, 6.1, 5.9 (kusanthula kwa zasayansi lero - 5.8). Mitundu yazambiri ndizambiri kwambiri kuti sitinganene chilichonse.
Zoyenera kuchita Kodi kumangokhalira kudulira chala chimodzi?
Kodi ndi mita iti yomwe imawerengedwa kuti ndi yolondola?

> Zofunika kwambiri

M'malo mwake, ayi, osati odwala kwambiri, abwinobwino

Osagwiritsa ntchito dontho loyamba la magazi, lisambe ndi thonje, ndipo muyeze shuga ndi dontho lachiwiri. Pezani zotsatira zokhazikika komanso zowona.

Moni.
Ana aakazi a chaka chimodzi.
Ndidayesa m'mawa pamimba yopanda kanthu ndi glucometer - shuga adawonetsa 5.8.
Nthawi zambiri zotsatira zazikulu zinali 5.6.
Kamodzi pa miyezi 9 adawonetsa 2.7 pamimba yopanda kanthu.
Ndili ndi mtundu wachiwiri wa matenda ashuga, insulin idayamba jekeseni kuyambira sabata la 27 la mimba.
Ndiuzeni, kodi mwana wanga wamkazi ali ndi matenda ashuga?
Ndipo momwe angathane nayo?
Ngati insulin yaikidwa kuti ibwere, jakisoni ingakhale yochepa bwanji tsiku lililonse?
Zikomo patsogolo.

Kodi mwana wanga wamkazi ali ndi matenda ashuga?

Sizikudziwika mpaka pano - muyenera kuwona, kuyeza shuga ndi glucometer osachepera 2 pa sabata

momwe mungabayire jakisoni pang'ono tsiku lililonse?

Monga akulu

Chondealangiza. Panthawi yoyembekezera, matenda a shuga anapezeka. Atabereka, adadutsa mayeso ololera a glucose - mkhalidwe wake sunayende bwino, ndipo matenda asanakwane shuga adapezeka malinga ndi zotsatira zake. Sanadziwe mtundu wanji, adati adachita mayeso oloza glucose kamodzi pachaka.
Ndili pachakudya chokhwima, chakudya chamagulu ochepa (wopanda mkate, wopanda mbewu monga chimanga, palibe maswiti). Glucose mutatha kudya - pafupifupi 8. Ngati ndikadya supuni zingapo za mpunga, glucose ola limodzi mutatha kudya - zoposa 12. Kusala - 5.
Ndiuzeni, ndikufunika kuonana ndi madokotala, kusintha zakudya zanga ndikumwa mapiritsi? Kapena ndizabwinobwino kukhala pa kabichi ndi nyama?

Kodi ndiyenera kukaonana ndi madokotala, kusintha kadyedwe kanga ndi kumwa mapiritsi?

Ndikadakhala m'malo mwanu kuti ndikwaniritse mtundu wachiwiri wa matenda ashuga omwe alembedwa patsamba lino. Sanadalire kwambiri madokotala.

Kodi ndizabwino kukhala pa kabichi ndi nyama?

Sizachilendo, koma zabwino.

Ndimagwiritsa ntchito satellite-Express glucometer yopanga zoweta. Popeza chondichitikira changa ndili ndi zaka 14 kale (mtundu 1 wa shuga) komanso mita ya glucose wa 5, ndili ndi zaka zopitilira 10 ndikugwiritsa ntchito njirayi, motero. Chifukwa chake, ndakhala ndikugwiritsa ntchito Sattoite pafupifupi chaka chimodzi, aperekedwa ku chipatala. Poyamba ndidamkhumudwitsa. Panali malingaliro oyipa okhudza zida zoyezera m'nyumba, kupatula nthawi ya USSR. Ndidayesa mayeso angapo kuti ndilingaliro labwino (kuyerekeza ndi zotsatira za ma labotale, mayeso a "miyeso 3", kuyerekeza ndi ma glucometer ena opanga zinthu zakunja) ndipo zotsatira zake zidadabwitsa. Satelayiti idakhala glucoeter yolondola kwambiri, osati pakati pa zomwe ndidali nazo (kuphatikiza Van Tach ndi Akku Chek), komanso pakati pa glucometer omwe adadziwika kwambiri masiku ano ndi odwala matenda ashuga. Ndinali ndi mwayi wofanizira kuchipatala komwe ndimagona posachedwa.
Chipangizochi chiribe mphindi zoonekeratu. Kuphatikiza apo, nditha kunena kuti ndikudziyimira pandalama popanda kusinthasintha kwa ndale komanso zochitika zandale, kuyika aliyense payekha pazida zilizonse, zomwe ndizosavuta komanso zodalirika poyerekeza ndi "mabanki", komanso kukula kochepa komanso kupezeka pamsika.
Uku sikutsatsa, koma lingaliro logonjera. Tsopano ndili ndi ma glucometer atatu kunyumba, ndimagwiritsa ntchito Satellite yokha.

Uku sikutsatsa, koma lingaliro logonjera.

Ndatumiza ndemanga yanu kuti asandiuze kuti ndimalandila ndalama yotsatsira ma glucometer ochokera kunja.

Ndikupangira onse omwe ali ndi zida za Satellite kuti ayang'anire glucometer yawo mu njira ziwiri, monga tafotokozera m'nkhaniyi.

Makamaka omwe adawunikidwa pamitundu itatu, zotsatira zake ndizovomerezeka. Kusiyana ndi zotsatira kuchokera ku labotale yamankhwala othandizira odwala ndi 0,0-0.8 mmol l. Satelayiti idagwiritsa ntchito koyamba kwa zaka 13, zikadakhala kuti palibe zowonongeka pamakina, nthawiyo ikadakhala yotalikirapo. Ndimagwiritsa ntchito Satellite Express yachiwiri pachaka cha 11. Mitengo ya zingwe zoyesa imakhala yokhutira, chifukwa mtengo wa mizere imodzi pazida zambiri zomwe ndimalowetsa nditha kugula maphukusi atatu ndekha.

Masana abwino, dokotala!
Ndili ndi zaka 33, mimba yachiwiri ndi masabata 26, kulemera kwa 79 (seti ya 7 kg), shuga osala 5.4.
Valani zakudya 9, ndimayeza ndi glucometer kanayi pa tsiku (pamimba yopanda kanthu, ola limodzi mutatha kadzutsa, nkhomaliro, chakudya chamadzulo)
Kusala kudya pafupipafupi 5.1-5.4 (kamodzi kunali 5.6)
Mukatha kudya mu ola limodzi, osapitirira 5.5 nthawi zonse! Nthawi zina ndimachimwa ndi chokoleti chowawa ndi tiyi, ngakhale maswiti, sizimakhudza zotsatira, shuga samachuluka.
Kodi kusala kudya kumakwezedwa chifukwa chiyani?
Kodi izi ndi zoipa kwambiri?
Pambuyo pa sabata ndikupita kukayezetsa shuga.
Zikomo!

Madzulo abwino Ndagula mita imodzi ndikusankha momwe mwasiyira. Ndinayamba kuwona ngati zinali zolondola ndipo ndinapeza izi: 5.6, 4.6, 4.4, 5.2, 4.4. Kusiyanaku ndikwakukulu kwambiri pakati pa zowerengera. Kenako adamuyesa mwamunayo, umboni wake udadzakhala 5.2, 5.8, 6.1, 5.7.Kodi ndikumvetsa bwino kuti ndikuyenera kusintha chipangizochi kukhala china, chifukwa Kodi izi sizolondola? Chowonadi ndi chakuti ndili ndi milungu 9 ya mimba ndipo mukulumikizana kudya shuga inali 5.49 (izi zinali zitatha sabata la SARS) ndipo akuwakayikira GDM. Ndinadutsa mayeso a Helix pambuyo pa masabata awiri: kusala glucose 4.7, 5.13% glycated hemoglobin (wabwinobwino mpaka 5.9), c-peptide 0.89 (wabwinobwino 0.9 mpaka 7). Malinga ndi zomwe zikuwonetsa, kodi ndili ndi gedational sd? Zikomo kwambiri yankho lanu, ndili ndi nkhawa kwambiri. Kulemera kwanga ndi makilogalamu 54 (musanakhale ndi pakati pa 53 kg), kutalika 164 cm.

Mwachidziwitso, zonse ndi zolondola. Koma comrade sangamvetse kuti timakhala mdziko la Ukraine ndipo ndalama zathu zalandidwa ndi boma. Ndani angakwanitse kuyeza shuga m'magazi 5-6 patsiku, pamtengo woyesera kuchokera ku 320 mpaka 450 hryvnia pazinthu 50?

Bizinesi iyi ndi yodzifunira nokha, zilibe kanthu kuti mukukhala ndi dziko liti.

Ndikugwirizana ndi Valery onse 100. Komanso ku Ukraine, mwatsoka. Kukhala ndi glucometer ndikuyesa pafupifupi kawiri pa tsiku ndizabwino zapamwamba.

Masana abwino Ndine pafupifupi zaka 38, kutalika 174, kulemera 80, chaka chilichonse limakula 2-3 kg. Kuyambira 08.2012, Mirena wakhala akuimirira (Weight 68kg). Mu 2013, adatenga Eutirox 0.25 kwa miyezi itatu. TSH idakulitsidwa nthawi 1.5, khazikika.
Kuyesa mayeso a shuga kuchipatala 2013 - 5.5, February 2015 - 5.6. Tsopano ndimadwala bronchitis, ndidadutsa shuga kwa Marichi 1, 2016 - 6.2.
Othandizira amafunsa: Kodi muli ndi matenda ashuga? Ndili ndi nkhawa. Makolo alibe matenda ashuga. Agogo anga aakazi adachezera amayi anga.
Mwa zomwe akuwonetsa, iye amapotoza miyendo yake pansi pa mawondo ndi kusasangalala, kuwuma - akuti akuwonjezeka. Zofooka zambiri, kupanda chidwi. Ndikumva bwino, ndikumvetsetsa kuti china chake chalakwika ndi thupi. Endocrinologists mu chipatala chathu ndi achisanu.
Ndikuthokoza kwambiri chifukwa cha mayankho a mafunso anu:
- Kodi Mirena amakhudzanso matenda ashuga?
- Kodi matenda ashuga angayambike chaka chimodzi?
- Ndi mayeso ati a shuga omwe amapita kuchipatala chayekha komanso akatswiri omwe amawayendera kuwonjezera?

Sindikudziwa ngati nkhani yanga ingakuthandizeni, koma ndikufuna kuigawana.
Osati kale kwambiri, amayi anga adapezeka kuti ali ndi matenda a shuga 2, amafunika glucometer. Ndipo ine ndine munthu wosamala kwambiri. Ndidakwera ma forum onse ndi masamba, kuphatikiza opanga ma glucometer, ndipo ndidapeza zinthu zingapo.
Choyamba, cholakwika cha 20% mu glucometer si cholakwika pakati pa miyeso iwiri, koma kupatuka kuchokera ku LABORATORY ANALYSIS. Ndiye kuti, ngati muli ndi shuga weniweni 5.5, ndipo mita yanu ikuwonetsa 4.4 ndi 6.6, ndiye kuti izi zitha kuonedwa ngati zabwinobwino (kuphatikiza ndi kutambasuka). Koma ngati mita yanu imawonetsa shuga yemweyo kasanu motsatana, ndiye ichi sichizindikiro cha kulondola kwa chipangizocho. Zowonadi, ngati mutapeza kangapo mtengo wa 6.7, ndi shuga wanu weniweni 5.5, ndiye kuti cholakwacho chimaposa 20% kusanthula kwa labotale.
Kachiwiri, cholakwika cha 20% ndizokwanira zomwe zimaperekedwa makamaka pazotsatira zabwino kwambiri za shuga. Ngati kubalalika kotereku kumachitika mwa anthu omwe ali ndi shuga kapena odwala omwe ali ndi hypoclycemia, ndiye kuti akhoza kukhala kuti ndi glucometer wosavomerezeka. Kutsika shuga, zolakwika zochepa ziyenera kukhala. Malinga ndi malipoti osatsimikizika, ndi shuga wabwinobwino sayenera kupitirira 15%, ndipo ndi shuga wochepa 10% ya kusanthula kwa LABORATORY. Ndipo ndikuwonjezera, chisonyezo cha mzere wowonongeka kapena mita ya glucose SIKULIWA 20% iyi!
Chachitatu. Ngakhale ma glucometer apamwamba kwambiri kuchokera kwa opanga osiyanasiyana amawonetsa kwambiri mawonekedwe osiyanasiyana, omwe sawalepheretsa onse kugwa mkati mwa 20% yolakwika. Mwachitsanzo, ndidaphunzira kuti glucometer ya imodzi mwa makampani omwe sadziwika ku Russia nthawi zonse imakhala yamtundu wa 5-7% kuposa mitundu ina yonse ya gluceter, komabe, imasiyana ndi kufalikira kochepa kwambiri pakati pamayezo komanso kugweranso 20%.

Tsopano pazama mayeso. Zolakwika pamayeso nthawi zambiri sizichitika chifukwa cha zolakwika za mita, koma kwenikweni chifukwa cha zolakwika zina pamiyeso. Chifukwa chake musanagule mita, musakhale aulesi kuti muphunzire zambiri za izo! Panali milandu pomwe amapereka milandu kwa opanga ma glucometer, koma choyambitsa umboni cholakwika chinali kumasulidwa kwa zingwe zolakwika. Koma ngakhale zonse zikakhala mwadongosolo, konzekerani kuti kuchokera m'mbali mwa 100, osachepera 1-2, koma makamaka, adzakhala opanda vuto. Komanso, opanga onse amachenjeza izi. Koma nthawi zambiri timaganiza kuti otsika kwambiri ndi omwe sagwira ntchito konse, ndiye kuti amawonetsa cholakwika pa mita. Komabe, phindu lililonse la shuga kapena mopanda phindu la shuga limatha kukhala chifukwa cha kusachita bwino kwa glucometer, koma chifukwa cholakwika pamlingo woyeserera. Ndikofunika kwambiri kugula mizere yamtengo wapamwamba komanso yosatha, koma tiyenera kukumbukira kuti mizere yoyesera ndichinthu chosalimba, chosavuta kuyipsa ndi chinyezi komanso kutentha komanso kugwada nthawi zina. Ndipo ngakhale zikuwoneka kuti ndife oyera kwambiri ndipo timachita zonse bwino, nthawi zambiri timadziwononga tokha.
Pazonse, khalani okonzekera kuti mudzafunika muphunzirapo zonse zamitundu yanu ya glucometer ndikukhala athanzi !.

Moni. Ndithandizira Dmitry. Satellite yanga nawonso si Express yokha, komanso kuphatikiza. Nditakhala ndi chisamaliro chachikulu nditabereka mwana, amabwera kwa ine kuchokera ku labotale ndikuyang'ana shuga, ndiye ndinayeza kangapo pa glucometer yanga. Tidamaliza ndi adotolo kuti kukwera shuga, ndiye kuti zolakwazo ndizolakwika. Malinga, kuchepetsa shuga, ndikulondola Zowonetsa. Ndipo inde, adotolo adazindikiranso kuti ndizotheka pamene gawo lililonse loyesa limayikidwa padera.

Type 2 shuga. Pamimba yopyapyala, shuga 8. Ate 2 yophika mazira nkhuku, pambuyo 2 maola shuga 11. Ndipo kwalembedwa kuti mazira angathe. Chifukwa chiyani izi zinachitika? Zikomo

Chonde ndiuzeni malingaliro anu okhudza mita ya Aku Chek Gow. Kodi chovomerezeka ndi chogwiritsa ntchito mosalekeza? Zikomo

Moni nonse! Ndili ndi gawo limodzi lokhathamiritsa magazi glucose kutalika katatu mu mzere magazi zotsatira zinali motere 7.8 9.4 8.9, kodi pali kusiyanasiyana kwamphamvu mumalingaliro?

Moni nonse! Ndimawerengera zambiri za munthu wodwala matenda ashuga. Ndili ndi zaka 68. Ndili ndi zaka 30. Matenda a matenda a shuga, mtundu wa I, kuyambira 1978 (zaka 38). Mamita adagulidwa kokha mu 2002, atakambirana ndi endocrinologist. Mu sanatorium yothandizira, ndinali ndi shuga. Zinapezeka kuti ndi shuga m'mawa m'mimba yopanda 3.5-3.8, postprandial glycemia (shuga maola awiri pambuyo pa chakudya cham'mawa) sizimagwirizana ndi zomwe zili 16.0-16.8 (zabwinobwino

Masana abwino Ndili wokondwa kuti ndakumana ndi tsamba lanu, ndakhala ndikudwala matenda ashuga a 2 kwa zaka 12, komanso kuwonjezera kuchuluka kwa mapiritsi komanso kuchuluka kwa shuga m'magazi, sindinapeze chilichonse. Kwa milungu iwiri ndili pachakudya chochepa kwambiri cha carb ndipo ndataya makilogalamu 5, shuga adatsikira mpaka 5.5, m'malo mwake 9 mmol pamimba yopanda kanthu. Nditatenga Glucofage 1000 m'mawa ndi madzulo, Amaril 4 mg m'mawa, trenta 5 mg m'mawa, thiogamma 600, Diroton 10 mg kuchokera kuzapanikizika ndi aspirin Cardio usiku. Tsopano ine ndinakana amaryl ndi diroton kuyambira pomwe panali zovuta kukhala 120 mpaka 70 Ndimalola chromium picoline, Magnelius B6, coenzyme Cardio, sermion30 (och pali chizungulire chachikulu) Glucophage 1000'Trazhentu 5 mg, aspirin Cardio usiku.Ndizodabwitsa kuti nthawi zina kupanikizika kumakhala kotsika 110 mpaka 65. Ndawerenga kuti pali Glucofage Long, ndizotheka kuti ndimwe usiku, chifukwa shuga m'mawa nthawi zina kuposa usiku, Ndikumvetsa kuti penapake vuto ndi kadyedwe. Vuto lalikulu matumbo, kudzimbidwa kosalekeza, ngakhale ndimachita monga momwe mwalangizira, ndimamwa madzi okwanira malita 2,5, ndikuwunikira mosiyanasiyana, index ya glycemic ndi 7.7, izi zikuchokera ku 9.5. Chonde ndiuzeni zomwe ndikulakwitsa, ndipo nditha kuwonjezera Glyukofazh Long. Ndinapeza njira yosangalatsa yophika makeke a masamba a kolifulawa popanda ufa, kodi ndizotheka kugawana m'malo mwa mkate ndi odwala anzanu?

Okondedwa nzika. Osatenga mita ya Contour TS. Ndidatenga miyeso ingapo kuchokera dontho limodzi lamwazi, monga mudalemba apa. Amanama pa UNITS zingapo! Osati chachikhumi, chomwe, zigawo - HORROR.

Moni, pali vuto sindikudziwa choti ndichite, pamimba yopyapyala panali shuga 2.8 (kumwa mankhwala osokoneza bongo pambuyo pothandizirana), palibe mankhwala-tiba- shuga curve-, 8.30 am-3.6, mutadya koloko m'ma 10:30 ndi 3.5 , thukuta, + kusintha kwa thupi, kutalika 167, kulemera 73, anali 85, kubadwa atatu motsatizana - ana 4050 kg., 4200.4400 kg., nawonso adatulutsa zaka 22, koma kulibe ludzu ndi shuga mkodzo osati pomwe kunalibe, ngakhale mwala wamiyendo unali wazaka 51 tsopano. Ndili ndi mantha boma ndikayamba kugwedezeka ndikuyesera kudya pomwepo. Ndikamatsata zakudyazo ndikudya maola 2,5 aliwonse, zonse zimawoneka ngati zabwinobwino. Kungoyenera kuphwanya lamulo ili, ndiye m Kwakusiyana zatryasti.Holesterin kuchuluka, nthawi zina ukufika 8.4., Koma kutenga statins amakana t.k.srazu udzaphwanya ziwiya myshtsam.Proveryala, iwo n'zabwinobwino.

Moni. Ndili ndi zaka 49. Kulemera 75 kg. Matendawa ndi a 2 shuga. Sindimamwa mankhwala aliwonse. Ngati ndi kotheka, tsatirani zakudya. Posachedwa, ndidayamba kumva kuti sindimamva bwino. Ndinaganiza zoyeza shuga. Sananduke kwa nthawi yoposa 14, koma 28 atatha kudya. Ndidafuna kusaina kwa adotolo, mzerewu ndi milungu itatu pasadakhale. Upangiri mankhwala chonde.

Ndili ndi zaka 68. Type 2 matenda ashuga zaka 11 zakubadwa. Mu Ogasiti 1916, adotolo anandinyengerera kuti ndisinthe insulin. Tsopano ndikupanga mayunitsi a Humodar B 24. m'mawa + metformin 1000 ndi madzulo 10 mayunitsi. insulin + metformin 1000. kuthamanga shuga 6.5-7.5. Dotolo ndiwokondwa, koma ine sindine. Amakhala bwino - kumenyedwa ndi thumba - amayembekeza zotsatira zabwino. Pambuyo kumwa mankhwalawa - maola 2-3 akudwala. Mwinanso cholakwika ndi kuphatikiza kumeneku ndi chiyani? Kuyembekezera uphungu.

Moni Sergey, ndinayamba kutsatira zakudya zamafuta ochepa, nditatha tsiku kuti shuga ibwerere mwakale (4.3-4.8) pamimba yopanda kanthu, m'mawa chabe panali 5.7, idatenga masiku atatu. Linali sabata limodzi ndipo ndinalolera kuti ndimwe botolo la vinyo wouma usiku ndi usiku wotsatira. Ndinayetsa shuga ndisanamwe komanso nditatha kumwa - zonse zinali mkati moyenera, koma tsiku lachitatu zili kale pang'ono (5.6-6.0) pamimba yopanda kanthu, komanso pafupifupi 7 mutadya. Ndiuzeni, kodi vinyo akhoza kukopa motere kapena ayi? zikomo pasadakhale.

Masana abwino Ndili ndi zaka 58, zolemera 105 kg. Tinapezeka kuti tili ndi matenda a shuga 2 a zaka ziwiri zapitazo. M'chaka choyamba, shuga amasungidwa mkati mwa 7.0. Kenako idayamba kusinthasintha kufika pa 15.0. Ndinadutsa mayeso: glucose 15,0, glycosemia. Hemoglobin 8.77, insulin 6.9, HOMA index 11.2. Ndimatenga DibizidM kawiri pa tsiku. Palibe wabwino endocrinologist. Ndidawerenga za chakudya chamafuta ochepa ndipo ndidasankha "kukhala pansi" pamenepo. Ndiuzeni kapena mankhwalawo adandiyambitsa? Ndi zina. Ndimagwiritsa ntchito iXell glucometer popanga Chipolishi. Mukamayesa mayeso (magazi a venous), mita ya glucose ndi 17.7, ndipo labotale 15.0. Kodi ndifunika kusintha mita? Ngati sichoncho, ndiye kuti mungaziganizira bwanji mtsogolo?

Moni, ndili ndi zaka 65, ndikudwala matenda ashuga a 2 kwa zaka 8. kudula kulemera - 125 kg. Mankhwala osiyanasiyana mapiritsi ambiri kapena zochepa. Mu Epulo 2017, adachita kuyesa kwamwazi. kuyesa kwa chiwindi kunaposa katatu. anamwetsa kukapanda kuleka komanso mawonekedwe a jet, ndiye mankhwala omwewo m'mapiritsi. palibe kusintha. zitsamba sizimapereka chifukwa. Anandisamutsa insulin kuti ndimasulidwe chiwindi ndipo anandipeza ndi mankhwala osokoneza bongo. jakisoni waifupi wa insulin (maulendo 4 pa maola asanu aliwonse) samathandiza. shuga sanali ochepera 11 pamimba yopanda kanthu, ndipo atatha kudya - 14, 15, ndipo 19 isanachitike. Izi zakhala zikuchitika kwa miyezi iwiri tsopano. tsopano endocrenologist ali patchuthi mpaka kumapeto kwa Julayi. Therapist zotchulidwa phosphogliv. ndingatenge zowonjezera usiku mwachitsanzo manin?

Moni, ndagula mita ya OneTouch Select, mphindi 5 ndisanapatse m'mimba yopanda kanthu mu labotale, ndimayeza shuga ndi mita iyi. Zotsatira zake ndi glucometer 5.4, labotale - 5. Poganizira kuti nthawi zonse pamakhala kuchuluka kwa glucose ku Vienna (iwo amalemba 12 peresenti), zikuwoneka kuti glucometer yanga imakweza shuga ndi 1 unit? Ndilidi?

Chifukwa chiyani mudaganizira za "OneTouch Select" mita imodzi, ngati buku lanu latchedwa
"Yemwe akufuna kugula mita yabwino." Kodi ndikutsatsa? Kodi kufananirako kuli kuti? Kodi kusiyanasiyana kuli kuti? Ndikufuna kudziwa kusiyanasiyana kwake komanso mtengo wake pamitengo kuchokera kwa opanga osiyanasiyana.

Masana abwino, Sergey! Zikomo kwambiri chifukwa cha tsamba lanu komanso maphikidwe! Chonde ndiuzeni ngati ma glucometer awiri awonetsa manambala 5 ndi 7, ndi uti wokhulupirira? Kapena cheke monga momwe mudalemba?

Moni Ndamva kuti ma glucometer popanda chala chakudyera ali kale akugulitsidwa pomwe simukufunika kugula zingwe nthawi zonse. Ngati mungathe kulangizirani kuti ndi bwino kugula.

Ndakhala ndikugwiritsa ntchito Satellite Express kwa zaka 2.5. Mwa njira, ndili nawo awiri aiwo, mwina, ngakhale kuti lachiwiri lidagulidwa mwangozi, pomwe "ndidataya" woyamba. Iyi ndiye glucometer yabwino koposa komanso yolondola yomwe ndidakhalapo nayo. Adayesa m'sukulu ya matenda ashuga panthawi yoyesa magazi mu labotore yawo. Nthawi yoyamba kusiyana kunali 2,5% ndi umboni wa labotale, ndipo kachiwiri kunali 5%. Mutha kundiponya miyala, koma ichi ndi chizindikiro chabwino kwambiri chogwiritsira ntchito zapakhomo.
Ndipo posachedwa (Ogasiti 2018), Satellite idakhala ndi mavuto ena opezeka ndipo zidutswa zimasowa muma pharmacose onse. Kenako ndidaganiza zogula Accu-Chek Active. Izi ndizowopsa, osati glucometer. Zosakhazikika bwino (kulowa paukonde mu recess, ndani adabwera ndi izi?). Zakudya zodula kwambiri (kusiyana kwake kuli pafupifupi katatu). Nthawi zina zimapereka zotsatira zachilendo kwambiri, zomwe ndizokayikitsa, pankhaniyi ndiziyesanso ndipo zotsatira zake zimasiyana ndikungokhala wopanda ulemu. Mwachidule, iye ndi woyipa. Tithokoze mulungu zingwe za Express zikugulitsidwanso pamakona onse.
Express si akale a Satellites Plus komanso a Satellites okha.

Mwazi wamagazi

Malinga ndi ma algorithms a chithandizo chapadera chamankhwala othandizira odwala matenda ashuga, pafupipafupi mwa miyeso ya anthu odwala matenda ashuga ndi 4 p. / Tsiku. ndi matenda a shuga 1 ndi 2 p. / tsiku. ndi matenda a shuga a 2. Mu glucometer mwachizolowezi omwe timagwiritsa ntchito njira za enzymatic zokha, njira zopangira zithunzi zomwe zimagwiritsidwa ntchito m'mbuyomu sizothandiza masiku ano, tekinoloje zomwe sizimakhudzana ndi kupuma kwa khungu sizikupezeka kwa ogula ambiri. Zipangizo zoyesera glucose ndizogwiritsa ntchito labotale komanso zothandizira.

Nkhaniyi ikunena za osanthula osunthika, omwe amagawidwa m'magulu am'magazi (amagwiritsidwa ntchito mu zipatala za mabungwe azachipatala) ndi munthu payekha. Ma glucometer a chipatala amagwiritsidwa ntchito pakuwonetsa koyambirira kwa hypo- ndi hyperglycemia, kuwunika glucose odwala omwe ali m'chipatala m'madipatimenti a endocrinological and achire, komanso kuyeza glucose mwadzidzidzi.

Ubwino waukulu wa mita iliyonse ndikuwonetsetsa kwake, komwe kumawonetsa kuyandikira kwa zotsatira za miyeso ndi chipangizochi ku chithunzi choona, zotsatira za muyeso woyeserera.

Kuyeza kwa glucometer molondola ndi cholakwika chake. Zocheperako kupatuka kuzidziwitso, ndizowonjezera kulondola kwa chipangizocho.

Momwe mungawerengere kulondola kwa chipangizocho

Eni ake omwe ali ndi mitundu yosiyanasiyana ya ma glucometer nthawi zambiri amakayikira zomwe amawerenga. Sizovuta kuyendetsa glycemia ndi chipangizo chomwe sichidziwika bwino. Chifukwa chake, ndikofunikira kudziwa momwe mungayang'anire mita kuti ikhale yolondola kunyumba. Ziwerengero zamitundu yosiyanasiyana za glucometer zamunthu nthawi zina sizigwirizana ndi zotsatira za labotale. Koma izi sizitanthauza kuti chipangizocho chili ndi chilema pafakitale.

Akatswiri amawona zotsatira za zoyeserera pawokha ngati zolakwika zawo pakupatuka kuzisonyezo zomwe zapezeka pa mayeso a labotale sizidutsa 20%. Kulakwitsa kotereku sikuwoneka posankha njira zamankhwala, chifukwa chake, zimawonedwa kuti ndizovomerezeka.

Mlingo wakupatuka ungakhudzidwe ndi kasinthidwe ka zida, mawonekedwe ake aukadaulo, chisankho cha mtundu winawake. Kuyeza kulondola ndikofunika:

• Sankhani chida choyenera chogwiritsira ntchito kunyumba,
• Unikani zinthuzo ndi thanzi labwino.
• Fotokozani kuchuluka kwa mankhwalawa kuti mupeze glycemia,
• Sinthani zakudya ndi masewera olimbitsa thupi.

Kwa mita ya glucose yam'magazi anu, momwe mungawerengere zolondola mogwirizana ndi GOST ndi: 0.83 mmol / L yokhala ndi glucose wocheperachepera 4.2 mmol / L ndi 20% yokhala ndi zotsatira zazikulu kuposa 4.2 mmol / L. Ngati mitengoyo ipitirira malire ovomerezeka achinyengo, chipangizocho chimayenera kusintha.

Zoyambitsa Kusokoneza

Zipangizo zina zimawunikira zotsatira zake osati mmol / l, ogwiritsa ntchito ogula aku Russia, koma mu mg / dl, zomwe ndizofanana ndi miyezo ya azungu. Zowerengedwa zikuyenera kutanthauziridwa molingana ndi njira zotsatsira zotsatirazi: 1 mol / l = 18 mg / dl.

Ma laboratori amayesa shuga, onse ndi capillary ndi venous magazi. Kusiyana pakati pa kuwerengera koteroko kumakhala mpaka 0,5 mmol / L.

Zolakwika zimatha kuchitika popanda kusamala zitsanzo za biomaterial. Simuyenera kudalira zotsatira pomwe:

• Mzere woipitsidwa ngati sunasungidwe mumawu ake osindikizidwa oyambira kapena kuphwanya malo osungira,
• Lancet yosakhala yosabala yomwe imagwiritsidwa ntchito mobwerezabwereza
• Mzere watha, nthawi zina muyenera kuyang'ana tsiku lotha ntchito kuti litseguke ndi lotseka,
• Zoyera m'manja zosakwanira (ziyenera kutsukidwa ndi sopo, zouma ndi tsitsi)
• Kugwiritsa ntchito mowa pothana ndi malo opumira (ngati palibe njira zina, muyenera kupatula nthawi yoti nyengo isanthe),
• Kusanthula munthawi ya mankhwala a maltose, xylose, immunoglobulins - chipangizochi chikuwonetsa zotsatira zopindulitsa.

Njira zowonetsera zida zolondola

Njira imodzi yosavuta yofufuza ngati chipangizo chilipo ndi kufananiza deta pa cheke kunyumba ndi malo osungirako labati, malinga ngati nthawi pakati pama sampuli awiri a magazi ndi yochepa. Zowona, njirayi siyopangidwa kokhako, chifukwa kupita ku chipatala pankhaniyi ndikofunikira.

Mutha kuyang'ana gluceter wanu ndi mizere itatu kunyumba ngati pali kanthawi kochepa pakati pa kuyezetsa magazi atatu. Pazida zolondola, kusiyana muzotsatira sikungakhale kuposa 5-10%.

Muyenera kumvetsetsa kuti kuwerengera kwa mita ya shuga wamagazi ndi zida mu labotale sizimagwirizana nthawi zonse. Zipangizo zamunthu nthawi zina zimayesa kuchuluka kwa glucose kuchokera m'magazi athunthu, ndi ma labotale - kuchokera ku madzi a m'magazi, omwe ndi gawo lamadzi lomwe limalekanitsidwa ndi maselo. Pazifukwa izi, kusiyana kwa zotsatira kumafika pa 12%, m'magazi athunthu chizindikiro ichi chimakhala chotsika. Poyerekeza zotsatirazi, ndikofunikira kubweretsa zomwezo mumayeso amodzi, pogwiritsa ntchito matebulo apadera kuti azimasulira.

Mutha kuyeserera pawokha kuti chipangizocho chikugwiritsa ntchito madzi apadera. Zipangizo zina zimakhala ndi njira zothetsera mavuto. Koma mutha kuzigula mosiyana. Wopanga aliyense wa mitundu yawo amatulutsa yankho linalake, izi ziyenera kukumbukiridwa.

Mabotolo amakhala ndi kuchuluka kwa shuga. Monga zowonjezera zimagwiritsa ntchito zinthu zomwe zimapangitsa kuti njirayi ikhale yolondola.

Zowunikira

Ngati mumaphunzira mosamala malangizowo, munaona kuti pali njira yosinthira chipangizocho kuti chigwire ntchito ndi madzi owongolera. Ma algorithm a njira yodziwitsira matenda adzakhala ngati izi:

1. Mzere wa kuyesa umayikidwa mu chipangizocho, chipangizocho chimayenera kuyatsa chokha.
2. Chongani ngati nambala yomwe ili pa mita ndikufanana ndi Mzere.
3. Pazosankha muyenera kusintha makonda. Zida zonse zogwiritsidwira ntchito kunyumba zimakhazikitsidwa pakupereka magazi. Katunduyu mumakina a mitundu ina ayenera kusinthidwa ndi "control solution". Kodi mukufunikira kusintha zoikamo kapena ngati zikuchitika mwanjira yanu, mutha kudziwa kuchokera kumalangizo anu.
4. Gwedeza botolo lothaniliralo ndikugwiritsa ntchito pamtundu.
5. Yembekezerani zotsatirazi ndikuyerekeza ngati zikugwirizana ndi malire ovomerezeka.

Ngati zolakwa zapezeka, kuyesaku kuyenera kubwerezedwa. Ngati zizindikiro ndizofanana kapena mita ikuwonetsa zotsatira zosiyana nthawi iliyonse, choyamba muyenera kutenga gawo latsopano la mayeso. Vutoli likapitiliza, simuyenera kugwiritsa ntchito chipangizocho.

Zotheka kupatuka

Mukamaphunzira momwe mungayang'anire mita kuti ikhale yolondola, ndi bwino kuyamba ndi njira zodziwonera kunyumba. Koma choyamba, muyenera kufotokozera ngati mukugwiritsa ntchito moyenera zomwe zingagwiritsidwe ntchito. Chipangizocho chikhoza kukhala cholakwika ngati:

• Sungani cholembera penti pazowonjezera pawindo kapena pa batri yotentha,
• Chovala pamtundu wa fakitale ndi mikwingwirima sichotseka mwamphamvu,
• Zotheka ndi nthawi yotsimikizira
• Pulogalamuyi ndi yonyansa: mabowo olumikizira zokhazikitsa zothetsera, ma lens amtundu wafoto ndi fumbi,
• Manambala omwe akuwonetsedwa pensulo ndi mikwingwirima ndi pazida sizigwirizana,
• Diagnostics imachitika mu nyengo zomwe sizigwirizana ndi malangizo (kutentha kovomerezeka kuyambira +10 mpaka + 45 ° C),
• Manja achisanu kapena kutsukidwa ndi madzi ozizira (padzakhala kuchuluka kwa shuga m'magazi a capillary),
• Manja ndi zida zake zimadetsedwa ndi zakudya za shuga,
• Kuzama kwa kapangidwe kake sikogwirizana ndi makulidwe amkhungu, magazi samatuluka mwakachetechete, ndipo zoyesayesa zowonjezereka zimatsogolera kutulutsidwa kwa madzimadzi a interellular, omwe amasokoneza umboni.

Musanayang'anire kuchuluka kwa mita ya glucose yanu, muyenera kuwona ngati malo onse osungirako omwe mungagwiritsidwepo ndi zosakaniza zamagazi amakwaniritsidwa.

Magawo oti ayang'anire glucometer

Opanga ma glucose mita m'dziko lililonse amafunikira kuti ayese kulondola kwa zida asanalowe mumsika wamankhwala. Ku Russia ndi GOST 115/97. Ngati miyeso ya 96% imagwera mkati mwa zolakwika, ndiye kuti chipangizocho chikugwirizana ndi zofunikira. Zipangizo zamunthu payekha ndizachidziwikire kuti sizolondola kuposa anzawo aku chipatala. Pogula chida chatsopano chogwiritsira ntchito nyumba, kuyang'ana kulondola kwake ndikofunikira.

Akatswiri amalimbikitsa kuti ayang'ane momwe magawo amayendera masabata aliwonse a 2-3, osadikira zifukwa zapadera zokayikira mtundu wake.

Ngati wodwala ali ndi matenda a shuga a prediabetes kapena a 2, omwe amatha kuyendetsedwa ndi zakudya zama carb ochepa komanso mankhwala okwanira minofu popanda mankhwala a hypoglycemic, ndiye kuti mutha kuyang'ana shuga kamodzi pa sabata. Potere, pafupipafupi kuyang'ana momwe ntchito ikuyendera sikhala osiyana.

Cheke chosasunthika chimachitika ngati chipangizocho chatsika kuchokera kutalika, chinyezi chakhala pa chipangizocho kapena kuyika matayala kwa nthawi yayitali.

Ndi mitundu iti ya glucometer yolondola kwambiri?

Opanga otchuka kwambiri ndi ochokera ku Germany ndi USA, mitundu yamitunduyi imadutsa mayeso ambiri, ena amakhala ndi chitsimikizo cha moyo. Chifukwa chake, akusowa kwambiri m'maiko onse. Malingaliro amakasitomala ali motere:

• BIONIME Yoyenera GM 550 - palibe chilichonse chopanda tanthauzo mu chipangizocho, koma kuchepa kwa ntchito zowonjezera sikunalepheretse mtsogoleri molondola.
• One Touch Ultra Easy - chida chosavuta cholemera 35 g ndicholondola kwambiri komanso chosavuta kugwiritsa ntchito, makamaka popita. Kuyesa kwa magazi (kuphatikiza m'malo ena) kumachitika pogwiritsa ntchito mphuno yapadera. Chitsimikizo kuchokera kwa wopanga - wopanda malire.
• Acu-Chek Yogwira - kudalirika kwa chipangizochi kumatsimikiziridwa ndi kutchuka kwake kwazaka zambiri, ndipo kupezeka kwake kumalola aliyense kuti akhale wotsimikiza ndi mtundu wake. Zotsatira zake zimawonekera pawonetsero pambuyo pa masekondi 5, ngati kuli kotheka, gawo la magazi lingawonjezedwe ndi mzere womwewo ngati kuchuluka kwake sikokwanira. Kukumbukira zotsatira za 350, ndizotheka kuwerengetsa zamtengo wapakati pa sabata kapena mwezi.
• Accu-Chek Performa Nano - chipangizo chogwiritsa ntchito chokhala ndi doko losawoneka bwino cholumikizira opanda zingwe pa kompyuta. Chikumbutso chomwe chili ndi alamu chingakuthandizeni kuwongolera pafupipafupi kuwunikira. Pamiyeso yovuta, chizindikiro chomveka chimamveka. Zingwe zoyezera sizimafuna kuti zilembedwe ndipo zimakoka dontho la magazi.
• True Resist Twist - kulondola kwa mita kumakuthandizani kuti mugwiritse ntchito mwanjira iliyonse ndipo nthawi iliyonse chitukuko cha matenda ashuga, chimafunikira magazi ochepa kuti aunikidwe.
• Contour TS (Bayer) - chida chachijeremani chinapangidwa pogwiritsa ntchito matekinoloje apamwamba kuti atsimikizire kulondola kwakukulu komanso kukhazikika, ndipo mtengo wake wotsika mtengo komanso kuthamanga kwachangu kumawonjezera kutchuka kwake.

Glucometer ndiye chida chofunikira kwambiri pothandizira matenda a shuga, ndipo muyenera kuchitira ndi vuto limodzi ndi mankhwala. Kuwunikira komanso kusamalidwa kwamankhwala kwa mitundu yina ya ma glucometer pamsika wapakhomo sikukwaniritsa zofunikira za GOST, kotero ndikofunikira kwambiri kuwongolera kulondola kwawo munthawi yake.

Ma glucometer amtundu amodzi amangogwiritsidwa ntchito podziyang'anira pawokha shuga ndi odwala matenda ashuga omwe ali ndi matenda ena omwe amafunikira njirayi. Ndipo muyenera kuwagula kokha m'masitolo kapena paukadaulo wapadera wamankhwala, izi zimathandiza kupewa zabodza komanso zina zosafunikira.

Kutsatira miyezo yapadziko lonse lapansi

Ngakhale pali zofunika zochepa zowunika nyumba, komabe ndikofunikira kuti azitsatira mtundu wa ISO 15197. Malinga ndi zomwe zaposachedwa 15197: 2016, ndi shuga yokhala ndi zopitilira 5.5 mmol / l, 97% yazotsatira zonse ziyenera kukhala ndizolondola zosachepera 85%. Iyi ndi gawo lotetezeka lomwe limakupatsani mwayi wogwiritsa ntchito bwino njira zamakono zamankhwala ndikupewanso zovuta zowopsa.

Samalani! Zolakwika zochulukirapo, ndipo zotsatira zake, zomwe sizinayesedwe kwambiri kapena kuwonjezeredwa kwambiri, zimatha kubweretsa kusankha kolakwika kwa mankhwala ochepetsa shuga.

Chifukwa cha chiyani mita ya glucose imatha kupitilizidwa?

Mukamagula kusanthula kwatsopano, muyenera kukhala okonzeka kuti zowerenga zake sizigwirizana ndi zotsatira za chipangizo chomwe mudagwirapo kale. Ngakhale mutakhala ndi zida ziwiri za mtundu womwewo. Pali zovuta zambiri. Fananizani kulondola kwazida ndi mayeso a labotale okha.

Ndikofunika kukumbukira kuti kulondola komwe kukuwonetsedwa pabokosi kapena patsamba la mita, chifukwa wopanga aliyense amawerengedwa ndi njira zosiyanasiyana.

Ngati mukufuna chipangizo chomwe zotsatira zake mungatsimikizire, muyenera kusankha chosinkhira chomwe chimayezetsa ndi kumayiko ambiri otukuka. Zikalata FDA (USA), EALS (mayiko onse a EU), Unduna wa Zaumoyo ku EU walandila glucometer kuchokera ku LifeScan (ya Johnson & Johnson Corporation) ndi Ascensia Contour. Amagwiritsa ntchito ukadaulo wama elekitirodi, ma enzymes amayikidwa pa zingwe zokhala ndi mulingo wofunikira kwambiri, ndipo mtengo woyezera pawokha umatetezedwa ndi chipolopolo ndipo saopa chilengedwe chakunja.

Otsimikizira omwe adatsimikizidwanso ayenera kuphatikiza Accu Chek Asset. Komabe, imagwiritsa ntchito ukadaulo wa zithunzi, kulondola kwake komwe kumakhudzidwa ndi zinthu zina. Zolakwika pakuwunika kotero ndizapamwamba, mwapang'onopang'ono zimataya mawonekedwe.

China chomwe chikuwonetsa kulondola ndi momwe mzere wamalaye umayesedwera. Moyo wa alumali wopitilira, kuipitsidwa, kapena kusungidwa mu chinyezi chambiri (mum'chidebe chomwe chili ndi chivindikiro chotseguka) - zonsezi zimatha kusokoneza kuyesedwa kwa kuyesedwa. Mitundu ina yopanga ma processor imakhala ndi ma elekitirodi owonjezera omwe amayesa mzere asanasanthule. Ngati zothetsera zowonongeka, Hi kapena Lo ziwoneka pazenera.

Zina zomwe zikukhudza kulondola:

• zakudya: Kukhalapo kwa zinthu zomwe zimakhudza kuchuluka kwa magazi. Ndi hematocrit yowonjezereka kapena yocheperako, cholakwika chowunikira chikuwonjezereka,
• tinthu ta dothi kapena mafuta ngati khungu silinathandizidwe ndi antiseptic isanafike magazi,
• kuchuluka kwa adrenaline kapena cortisol panthawi yamayesero a magazi pakuyesa,
• Kutentha komanso chinyezi.

Musanagwiritse ntchito, yang'anani magawo omwe ali mu chipangizocho. Ku USA ndi Israel, ndizachikhalidwe kuwonetsa zotsatira mu mg / dl. Ku EU, Russia ndi maiko ena ambiri - mmol / l.

Chifukwa chiyani zotsatira za mita ya shuga m'magazi ndi kuyesa kwa labotale ndizosiyana kwambiri?

Ngati kusiyana kuli pafupifupi 10%, kapena 11-12% ndikuyika mwamphamvu, mwina chifukwa chake ndikufanana. Ma laboratory mayeso amawerengedwa plasma. Pomwe ma glucometer ambiri (nthawi zambiri amajambulidwa) - a magazi athunthu.

Kuti muwone kulondola kwa kusanthula (ngati kuli ndi magazi okwanira), gawani mtengo wopezeka mu labotale ndi 1.12. Samalani. Mutha kuyerekeza mayeso omwe amagwiritsa ntchito magazi kuchokera pa mpanda umodzi. Ngakhale m'mphindi zisanu, shuga amatha kukwera kapena kugwa. Magazi oti ayesedwe ayenera kukhala atsopano, amatha kusungidwa osapitilira mphindi 30 kuchokera pa nthawi yomwe amapereka.

Momwe mungayang'anire kulondola kwa mita?

Ngati mukumva kusakonzeka, koma mita imangowonetsa kuti shuga ndiyabwinobwino, muyenera kuwunika chipangizocho. Kuti muchite izi, gwiritsani ntchito njira yapadera yoyendetsera (ngati simuperekedwa, mutha kugula padera). Ingoyesani pogwiritsa ntchito dontho lamadzi m'malo mwa magazi. Mtengo womwe umakhala pazenera uyenera kufanana ndi zomwe zili pa botolo. Ngati vuto lakhazikika, kulumikizana ndi malo ovomerezeka.