Ukuphatha ushukela wegazi lakho

Uma unesifo sikashukela, kufanele ulawule kahle ushukela wegazi lakho. Uma ushukela wegazi lakho ungalawulwa, izinkinga ezinkulu zempilo ezibizwa ngokuthi izinkinga zingenzeka emzimbeni wakho. Funda ukuthi ungalawula kanjani ushukela wegazi lakho ukuze uhlale uphilile ngangokunokwenzeka.

Yazi izinyathelo eziyisisekelo zokuphatha isifo sikashukela. Isifo sikashukela esingaphethwe kahle singaholela ezinkingeni eziningi zempilo.

Yazi ukuthi:

• Bona futhi welaphe ushukela wegazi ophansi (i-hypoglycemia)
• Bona futhi welaphe ushukela ophakeme wegazi (hyperglycemia)
• Hlela ukudla okunempilo
• Gada ushukela wegazi (glucose)
• Zinakekele lapho ugula
• Thola, uthenge futhi ugcine izinto zesifo sikashukela
• Thola ukuhlolwa okudingayo

Uma uthatha i-insulin, kufanele futhi wazi ukuthi:

• Zinike i-insulin
• Lungisa imithamo yakho ye-insulin nokudla okudlayo ukuphatha ushukela wegazi ngesikhathi sokuzivocavoca nangezinsuku zokugula

Kufanele futhi uphile impilo enempilo.

• Ukuzivocavoca okungenani imizuzu engama-30 ngosuku, izinsuku ezinhlanu ngesonto. Yenza izivivinyo zokuqinisa imisipha izinsuku ezimbili noma ngaphezulu ngesonto.
• Gwema ukuhlala imizuzu engaphezu kwengu-30 ngesikhathi.
• Zama ukuhamba ngejubane, ukubhukuda, noma ukudansa. Khetha umsebenzi owuthandayo. Njalo hlola umhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuqala noma yiziphi izinhlelo ezintsha zokuzivocavoca.
• Landela uhlelo lwakho lokudla. Njalo ukudla kuyithuba lokwenza ukukhetha okuhle ekuphathweni kwesifo sikashukela.

Thatha imithi yakho ngendlela umhlinzeki wakho ancoma ngayo.

Ukuhlola amazinga kashukela kaningi futhi ubhale phansi, noma ukusebenzisa uhlelo lokusebenza ukulandelela imiphumela kuzokutshela ukuthi usilawula kahle kanjani isifo sakho sikashukela. Khuluma nodokotela nodokotela wakho wesifo sikashukela mayelana nokuthi kufanele uluhlole kangaki ushukela wegazi lakho.

• Akuwona wonke umuntu onesifo sikashukela okudingeka ahlole ushukela wegazi nsuku zonke. Kepha abanye abantu kungadingeka ukuthi bayihlole kaningi ngosuku.
• Uma unesifo sikashukela sohlobo 1, hlola ushukela wegazi lakho okungenani ama-4 ngosuku.

Imvamisa, uzohlola ushukela wegazi ngaphambi kokudla nangesikhathi sokulala. Ungahlola noshukela wegazi lakho:

• Ngemuva kokudla ngaphandle, ikakhulukazi uma uke wadla ukudla ongajwayelekile ukukudla
• Uma uzizwa ugula
• Ngaphambi nangemva kokuzivocavoca umzimba
• Uma unengcindezi enkulu
• Uma udla kakhulu
• Uma uthatha imithi emisha engathinta ushukela wegazi lakho

Gcina irekhodi lakho nomhlinzeki wakho. Lokhu kuzoba usizo olukhulu uma unezinkinga zokuphatha isifo sikashukela. Izokutshela nokuthi yini okusebenzayo nokuthi yini engasebenzi, ukugcina ushukela wegazi lakho ulawulwa. Bhala phansi:

• Isikhathi sosuku
• Izinga likashukela egazini lakho
• Inani lama-carbohydrate noma ushukela owudlile
• Uhlobo nomthamo wemithi yakho yesifo sikashukela noma i-insulin
• Uhlobo lokuvivinya umzimba okwenzayo nokuthi isikhathi esingakanani
• Noma yimiphi imicimbi engajwayelekile, njengokuzizwa ucindezelekile, ukudla ukudla okwehlukile, noma ukugula

Amamitha amaningi we-glucose akuvumela ukuthi ugcine lolu lwazi.

Wena nomhlinzeki wakho kufanele nibeke umgomo ohlosiwe wamazinga kashukela egazini ngezikhathi ezehlukene emini. Uma ushukela wakho wegazi uphakeme kunezinjongo zakho zezinsuku ze-3 futhi ungazi ukuthi kungani, shayela umhlinzeki wakho.

Amanani kashukela egazini angahleliwe kaningi awasizi kangako kumhlinzeki wakho futhi lokhu kungakhungathekisa kubantu abanesifo sikashukela. Imvamisa amanani ambalwa anolwazi oluthe xaxa (incazelo yokudla nesikhathi, incazelo yokuzivocavoca kanye nesikhathi, umthamo wemithi nesikhathi) okuhlobene nenani likashukela egazini kusiza kakhulu ukusiza ukuhola izinqumo zemithi nokulungiswa komthamo.

Kubantu abanesifo sikashukela sohlobo 1, i-American Diabetes Association incoma ukuthi imigomo kashukela egazini isekelwe ezidingweni nasemigomweni yomuntu. Khuluma nodokotela wakho kanye nomfundisi wesifo sikashukela ngalezi zinhloso. Umhlahlandlela ojwayelekile uthi:

Ngaphambi kokudla, ushukela wegazi kufanele ube:

• Kusuka ku-90 kuye ku-130 mg / dL (5.0 kuya ku-7.2 mmol / L) yabantu abadala
• Kusuka ku-90 kuye ku-130 mg / dL (5.0 kuya ku-7.2 mmol / L) wezingane, eneminyaka engu-13 kuye kwengu-19 ubudala
• Kusuka ku-90 kuye ku-180 mg / dL (5.0 kuya ku-10.0 mmol / L) wezingane, ezineminyaka engu-6 kuye kwengu-12 ubudala
• Kusuka ku-100 kuye ku-180 mg / dL (5.5 kuye ku-10.0 mmol / L) wezingane ezingaphansi kweminyaka engu-6

Ngemuva kokudla (1 kuya 2 amahora ngemuva kokudla), ushukela wegazi lakho kufanele ube:

• Ngaphansi kuka-180 mg / dL (10 mmol / L) yabantu abadala

Ngesikhathi sokulala, ushukela wegazi kufanele ube:

• Kusuka ku-90 kuye ku-150 mg / dL (5.0 kuya ku-8.3 mmol / L) yabantu abadala
• Kusuka ku-90 kuye ku-150 mg / dL (5.0 kuya ku-8.3 mmol / L) wezingane, eneminyaka engu-13 kuye kwengu-19 ubudala
• Kusuka ku-100 kuye ku-180 mg / dL (5.5 kuye ku-10.0 mmol / L) wezingane, ezineminyaka engu-6 kuye kwengu-12 ubudala
• Kusuka ku-110 kuye ku-200 mg / dL (6.1 kuye ku-11.1 mmol / L) wezingane ezingaphansi kweminyaka engu-6

Kubantu abanesifo sikashukela sohlobo lwe-2, i-American Diabetes Association nayo incoma ukuthi imigomo kashukela wegazi ibekwe ngamanye. Khuluma nodokotela wakho kanye nothisha wesifo sikashukela ngezinhloso zakho.

Ngokuvamile, ngaphambi kokudla, ushukela wegazi kufanele ube:

• Kusuka ku-70 kuye ku-130 mg / dL (3.9 kuye ku-7.2 mmol / L) yabantu abadala

Ngemuva kokudla (1 kuya 2 amahora ngemuva kokudla), ushukela wegazi lakho kufanele ube:

• Ngaphansi kuka-180 mg / dL (10.0 mmol / L) yabantu abadala

Ushukela ophakeme wegazi ungakulimaza. Uma ushukela wegazi lakho uphakeme, udinga ukwazi ukuthi ungakwehlisa kanjani. Nayi eminye imibuzo ongazibuza yona uma ushukela wegazi uphezulu.

• Ingabe udla kakhulu noma kancane kakhulu? Ngabe ubulandela uhlelo lwakho lokudla ngesifo sikashukela?
• Ingabe uyiphuza kahle imithi yakho yesifo sikashukela?
• Ngabe umhlinzeki wakho (noma inkampani yomshuwalense) ushintshe imishanguzo yakho?
• Ingabe i-insulin yakho iphelelwe yisikhathi? Bheka usuku ku-insulin yakho.
• Ngabe i-insulin yakho ivezwe amazinga okushisa aphezulu kakhulu noma aphansi kakhulu?
• Uma uthatha i-insulin, ngabe ubuthatha umthamo olungile? Ngabe ushintsha imijovo yakho noma izinaliti zepeni?
• Ingabe uyesaba ukuba noshukela ophansi wegazi? Ingabe lokho kukubangela ukuthi udle kakhulu noma uthathe i-insulin encane noma omunye umuthi wesifo sikashukela?
• Ngabe ujove i-insulin endaweni eqinile, ebandayo, enamaqhuqhuva noma esetshenziswe ngokweqile? Ngabe ubulokhu ujikelezisa amasayithi?
• Ngabe ubukade usebenza kancane noma ubukhuthele kunokujwayelekile?
• Unomkhuhlane, umkhuhlane, noma esinye isifo?
• Uke waba nengcindezi enkulu kunokujwayelekile?
• Ubulokhu uhlola ushukela wegazi nsuku zonke?
• Ngabe uzuzile noma wehlile emzimbeni?

Shayela umhlinzeki wakho uma ushukela wegazi lakho uphezulu kakhulu noma uphansi kakhulu futhi awuqondi ukuthi kungani. Lapho ushukela wegazi lakho usezingeni elibhekiswe kulo, uzozizwa ungcono futhi impilo yakho iyoba ngcono.

I-Hyperglycemia - ukulawula; Hypoglycemia - ukulawula; Isifo sikashukela - ukulawula ushukela wegazi; Ukuphatha i-glucose yegazi

• Phatha ushukela wegazi lakho
• Ukuhlolwa kwegazi
• Ukuhlolwa kweglucose

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Thayipha isifo sikashukela sohlobo 1. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 36.

I-American Diabetes Association. 6. Okuhlosiwe yi-Glycemic: Amazinga Wokunakekelwa Kwezokwelapha Kusifo Sikashukela-2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S66 – S76. I-PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

Imfumbe MC, Ahmann AJ. Ukwelashwa kohlobo lwesifo sikashukela sohlobo 2. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 35.

• Ukunqunywa umlenze noma unyawo
• Thayipha isifo sikashukela sokuqala
• Thayipha 2 sikashukela

• Ama-ACE inhibitors
• Cholesterol nendlela yokuphila
• Isifo sikashukela nokuzivocavoca umzimba
• Ukunakekelwa kwamehlo sikashukela
• Isifo sikashukela - izilonda ezinyaweni
• Isifo sikashukela - ukuhlala sisebenza
• Isifo sikashukela - ukuvimbela isifo senhliziyo nesifo sohlangothi
• Isifo sikashukela - ukunakekela izinyawo zakho
• Ukuhlolwa kwesifo sikashukela nokuhlolwa
• Isifo sikashukela - uma ugula
• Kuchazwe amafutha ezokudla
• Amathiphu okudla okusheshayo
• Ukunqunywa unyawo - ukukhishwa
• Isifo senhliziyo - izici eziyingozi
• Ukunqunywa umlenze - ukukhishwa
• Ukunqunywa umlenze noma unyawo - ukugqoka
• Ushukela wegazi ophansi - ukuzinakekela
• Ukuphatha ushukela wegazi lakho
• Ukudla kwaseMedithera
• Ubuhlungu bezitho zomzimba
• Thayipha i-2 yesifo sikashukela - okufanele ubuze udokotela wakho

• Igazi Ushukela