Thayipha isifo sikashukela sokuqala

Uhlobo lwesifo sikashukela sohlobo 1 yisifo sempilo yonke (esingapheli) lapho kunezinga eliphakeme likashukela (ushukela) egazini.

Thayipha isifo sikashukela esingu-1 singenzeka nganoma yisiphi isikhathi. Kuvame ukutholakala ezinganeni, ebusheni, noma kubantu abadala.

I-insulin yihomoni ekhiqizwa amanyikwe ngamaseli akhethekile, abizwa ngama-beta cells. Ama-pancreas angaphansi nangemuva kwesisu. I-insulin iyadingeka ukuhambisa ushukela wegazi (i-glucose) kumaseli. Ngaphakathi kwamaseli, i-glucose iyagcinwa bese isetshenziselwa amandla kamuva. Ngohlobo lwesifo sikashukela sohlobo 1, amaseli e-beta akhiqiza i-insulin encane noma akanayo nhlobo.

Ngaphandle kwe-insulin eyanele, i-glucose iyakheka egazini kunokuba ingene kumaseli. Le nqwaba yeglucose egazini ibizwa nge-hyperglycemia. Umzimba awukwazi ukusebenzisa i-glucose ukuthola amandla. Lokhu kuholela ezinkomba zohlobo lwesifo sikashukela sohlobo 1.

Imbangela ngqo yesifo sikashukela sohlobo 1 ayaziwa. Cishe, kuyisifo esizimele. Lesi yisimo esenzeka lapho amasosha omzimba ngephutha ehlasela futhi abhubhise izicubu zomzimba ezinempilo. Ngohlobo lwesifo sikashukela sohlobo 1, ukutheleleka noma esinye isifo kubangela ukuthi umzimba uhlasele ngephutha amaseli we-beta kumanyikwe enza i-insulin. Ukuthambekela kokuthuthukisa izifo ezizimele, kufaka phakathi uhlobo lwesifo sikashukela, kungazuzwa njengefa kubazali bakho.

USHUKELA WEGAZI ELIPHakeme

Izimpawu ezilandelayo zingaba yizimpawu zokuqala zesifo sikashukela sohlobo 1. Noma, kungenzeka lapho ushukela wegazi uphakeme.

• Ukoma kakhulu
• Ukuzizwa ngilambile
• Ukuzizwa ngikhathele ngaso sonke isikhathi
• Ukuba nokubona okufiphele
• Ukuzwa ukuba ndikindiki noma ukuncinza ezinyaweni zakho
• Ukwehla kwesisindo naphezu kwesifiso esengeziwe
• Ukuchama kaningi (kufaka phakathi ukuchama ebusuku noma ukukhipha umbhede ezinganeni ezazomile ubusuku bonke ngaphambili)

Kwabanye abantu, lezi zimpawu eziyisixwayiso ezingathi sína zingaba yizimpawu zokuqala zesifo sikashukela sohlobo 1. Noma, kungenzeka uma ushukela wegazi uphakeme kakhulu (isifo sikashukela ketoacidosis):

• Ukuphefumula okujulile, okusheshayo
• Isikhumba nomlomo owomile
• Ubuso obuthile
• Iphunga lokuphefumula okunuka kamnandi
• Isicanucanu nokuhlanza; ukwehluleka ukugcina phansi uketshezi
• Ubuhlungu besisu

USUKU OLUPHANSI LWEGAZI

Ushukela wegazi ophansi (i-hypoglycemia) ungakhula ngokushesha kubantu abanesifo sikashukela abathatha i-insulin. Izimpawu zivame ukuvela lapho izinga likashukela lomuntu liwela ngaphansi kwama-milligram angama-70 nge-deciliter (mg / dL), noma i-3.9 mmol / L. Buka:

• Ubuhlungu bekhanda
• Indlala
• Ukwesaba, ukucasuka
• Ukushaya kwenhliziyo okusheshayo (ukushaya kwenhliziyo)
• Kuthuthumela
• Ukujuluka
• Ubuthakathaka

Ngemuva kweminyaka eminingi, isifo sikashukela singaholela ezinkingeni ezinkulu zempilo, futhi ngenxa yalokho, nezinye izimpawu eziningi.

Isifo sikashukela sitholakala ngokuhlolwa kwegazi okulandelayo:

• Izinga lokushukela egazini - Isifo sikashukela sitholakala uma singu-126 mg / dL (7 mmol / L) noma ngaphezulu izikhathi ezimbili ezihlukene.
• Izinga le-glucose egazini okungahleliwe (okungazili) - Ungaba nesifo sikashukela uma singama-200 mg / dL (11.1 mmol / L) noma ngaphezulu, futhi unezimpawu ezifana nokwanda kokoma, ukuchama nokukhathala. (Lokhu kumele kuqinisekiswe ngokuhlolwa kokuzila ukudla.)
• Ukuhlolwa kokubekezelelana kwe-glucose yomlomo - Isifo sikashukela sitholakala uma izinga le-glucose lingu-200 mg / dL (11.1 mmol / L) noma ngaphezulu kwamahora amabili ngemuva kokuphuza isiphuzo esikhethekile sikashukela.
• Ukuhlolwa kweHemoglobin A1C (A1C) - Isifo sikashukela siyatholakala uma imiphumela yokuhlolwa ingu-6.5% noma ngaphezulu.

Ukuhlolwa kwe-ketone nakho kuyasetshenziswa kwesinye isikhathi. Ukuhlolwa kwe-ketone kwenziwa kusetshenziswa isampula yomchamo noma isampula yegazi. Ukuhlolwa kwe-ketone kungenziwa ukuthola ukuthi ngabe umuntu onesifo sikashukela sohlobo 1 ubene-ketoacidosis. Ukuhlola kuvame ukwenziwa:

• Lapho ushukela wegazi ungaphezulu kuka-240 mg / dL (13.3 mmol / L)
• Ngesikhathi sokugula okunjenge-pneumonia, isifo senhliziyo, noma isifo sohlangothi
• Lapho kwenzeka isicanucanu nokuhlanza
• Ngesikhathi sokukhulelwa

Lezi zivivinyo nokuhlolwa okulandelayo kuzokusiza wena nempilo yakho ukuba umhlinzeki aqaphe isifo sikashukela sakho futhi avikele izinkinga ezibangelwa yisifo sikashukela

• Hlola isikhumba namathambo ezinyaweni nasemilenzeni yakho.
• Bheka ukuthi izinyawo zakho ziyafa yini (isifo sikashukela sezinzwa).
• Hlola umfutho wegazi lakho okungenani kanye ngonyaka. Igoli kufanele libe ngu-140/90 mmHg noma ngaphansi.
• Yenza ukuhlolwa kwe-A1C njalo ezinyangeni eziyisithupha uma isifo sikashukela silawulwa kahle. Yenza ukuhlolwa njalo ezinyangeni ezintathu uma isifo sakho sikashukela singalawulwa kahle.
• Yenza ukuthi amazinga akho e-cholesterol ne-triglyceride ahlolwe kanye ngonyaka.
• Thola izivivinyo kanye ngonyaka ukuze uqiniseke ukuthi izinso zakho zisebenza kahle. Lezi zivivinyo zifaka phakathi amazinga wokuhlola we-microalbuminuria ne-serum creatinine.
• Vakashela udokotela wamehlo wakho okungenani kanye ngonyaka, noma kaningi uma unezimpawu zesifo sikashukela esamehlo.
• Bheka udokotela wamazinyo njalo ezinyangeni eziyisithupha ukuze uhlanzwe kahle futhi uhlolwe. Qiniseka ukuthi udokotela wamazinyo kanye nenhlanzeko bazi ukuthi unesifo sikashukela.

Ngenxa yokuthi uhlobo lwesifo sikashukela sohlobo 1 lungaqala ngokushesha futhi izimpawu zingaba nzima, abantu abasanda kutholakala bangadinga ukuhlala esibhedlela.

Uma usanda kutholakala ukuthi unesifo sikashukela sohlobo 1, kungadingeka ukuthi uhlolwe isonto ngalinye kuze kube yilapho ulawula kahle ushukela wegazi lakho. Umhlinzeki wakho uzobuyekeza imiphumela yokuhlolwa kukashukela egazini lakho nokuhlolwa komchamo. Udokotela wakho uzobheka nedayari yakho yokudla, ukudla okulula, kanye nemijovo ye-insulin. Kungathatha amasonto ambalwa ukufanisa imithamo ye-insulin kumasheduli akho wokudla nomsebenzi.

Njengoba isifo sikashukela siqina, uzoba nokuvakashelwa okumbalwa okulandelayo. Ukuvakashela umhlinzeki wakho kubaluleke kakhulu ukuze ukwazi ukuqapha noma yiziphi izinkinga zesikhathi eside ezivela kusifo sikashukela.

Umhlinzeki wakho uzokucela ukuthi uhlangane nesazi sokudla, usokhemisi wasemtholampilo, kanye nokunakekelwa kwesifo sikashukela okuqinisekisiwe kanye nochwepheshe bezemfundo (CDCES). Laba bahlinzeki bazokusiza futhi ukuphatha isifo sakho sikashukela.

Kodwa, nguwe umuntu obaluleke kakhulu ekuphatheni isifo sakho sikashukela. Kufanele wazi izinyathelo eziyisisekelo zokuphathwa kwesifo sikashukela, kufaka phakathi:

• Ungayibona kanjani futhi uyiphathe kanjani ushukela wegazi ophansi (i-hypoglycemia)
• Ungayibona kanjani futhi uyiphathe kanjani ushukela wegazi ophakeme (i-hyperglycemia)
• Ungakuhlela kanjani ukudla, kufaka phakathi ukubalwa kwe-carbohydrate (carb)
• Ungayinikeza kanjani i-insulini
• Ungayihlola kanjani i-glucose yegazi namaketoni omchamo
• Ungayilungisa kanjani i-insulin nokudla lapho uzivocavoca umzimba
• Ungaziphatha kanjani izinsuku zokugula
• Ukuthenga kuphi izinto zesifo sikashukela nokuthi ungazigcina kanjani

INSULIN

I-insulini yehlisa ushukela wegazi ngokuwuvumela ukuthi uphume egazini ungene kumaseli. Wonke umuntu onesifo sikashukela sohlobo 1 kumele athathe i-insulin nsuku zonke.

Ngokuvamile, i-insulin ijojowe ngaphansi kwesikhumba kusetshenziswa isirinji, ipeni le-insulin, noma ipompo ye-insulin. Olunye uhlobo lwe-insulin uhlobo oluhogelwayo. I-insulini ayikwazi ukuthathwa ngomlomo ngoba i-asidi esiswini ibulala i-insulin.

Izinhlobo ze-insulin ziyahlukahluka ekutheni ziqala ukushesha kangakanani nokuthi zihlala isikhathi esingakanani. Umhlinzeki wakho uzokukhetha uhlobo oluhle kakhulu lwe-insulin futhi uzokutshela ukuthi ulusebenzisa ngasiphi isikhathi sosuku. Ezinye izinhlobo ze-insulin zingaxutshwa ndawonye emjoqweni ukuze kutholwe ukulawula okungcono kweglucose egazini. Ezinye izinhlobo ze-insulin akufanele neze zixutshwe.

Iningi labantu abanesifo sikashukela sohlobo 1 badinga ukuthatha izinhlobo ezimbili ze-insulin. I-insulin eyisisekelo ihlala isikhathi eside futhi ilawula ukuthi umzimba wakho wenza ushukela ongakanani uma ungadli. Isikhathi sokudla (okunomsoco) i-insulin isebenza ngokushesha futhi ithathwa ngakho konke ukudla. Ihlala isikhathi eside ngokwanele ukusiza ukuhambisa ushukela omuncwe ekudleni uye kumaseli emisipha namafutha ukuze ugcinwe.

Umhlinzeki wakho noma uthisha wesifo sikashukela uzokufundisa ukuthi ungayijova kanjani imijovo ye-insulin. Ekuqaleni, imijovo yengane inganikezwa ngumzali noma omunye umuntu omdala. Ngeminyaka eyi-14, izingane eziningi zingazinikeza imijovo yazo.

I-insulin ehogelwayo iza njengempuphu ephefumlelwa ngaphakathi (ehogelwayo). Kusebenza ngokushesha futhi kusetshenziswe ngaphambi nje kokudla ngakunye. Umhlinzeki wakho angakutshela ukuthi ngabe lolu hlobo lwe-insulin lukufanele yini.

Abantu abanesifo sikashukela badinga ukwazi ukuthi bangalungisa kanjani inani le-insulin abayithathayo:

• Lapho bezivocavoca umzimba
• Lapho begula
• Lapho bazobe bedla ukudla okuncane noma okuncane namakhalori
• Lapho besohambweni

UKUDLA OKUNEMPILO nokuzivocavoca umzimba

Ngokuhlola izinga lakho likashukela egazini, ungafunda ukuthi yikuphi ukudla nemisebenzi ekhulisa noma eyehlisa kakhulu ushukela wegazi lakho. Lokhu kukusiza ukuthi uguqule imithamo yakho ye-insulin ekudleni noma emisebenzini ethile ukuvimbela ushukela wegazi ekubeni phezulu kakhulu noma phansi kakhulu.

I-American Diabetes Association ne-Academy of Nutrition and Dietetics zinemininingwane yokuhlela ukudla okunempilo, okunomsoco. Kuyasiza futhi ukukhuluma nodokotela wezokudla noma umeluleki wezokudla obhalisiwe.

Ukuvivinya umzimba njalo kusiza ukulawula inani likashukela osegazini. Kuyasiza futhi ukushisa ama-calories amaningi namafutha ukufinyelela nokugcina isisindo esinempilo.

Khuluma nomhlinzeki wakho ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca. Abantu abanesifo sikashukela sohlobo 1 kufanele bathathe izinyathelo ezikhethekile ngaphambi kokuzivocavoca, ngesikhathi, nangemva kokuzivocavoca noma ukuzivocavoca.

UKUPHATHA ISUKU LAKHO LEGAZI

Ukuzihlola izinga likashukela egazini lakho bese ubhala imiphumela ekutshela ukuthi usilawula kahle kangakanani isifo sikashukela. Khuluma nomhlinzeki wakho kanye nomfundisi wesifo sikashukela mayelana nokuthi uhlola kangaki.

Ukuhlola izinga likashukela egazini lakho, usebenzisa umshini obizwa ngokuthi i-glucose meter. Imvamisa, uthinta umunwe wakho ngenaliti encane, ebizwa nge-lancet, ukuthola ithonsi legazi elincane. Ubeka igazi emgqeni wokuhlola bese ubeka umugqa emitha. Imitha ikunikeza ukufundwa okutshela izinga likashukela egazini lakho.

Abaqaphi be-glucose abaqhubekayo balinganisa izinga likashukela egazini lakho kusuka kuketshezi olungaphansi kwesikhumba sakho. Lezi zingqapheli zisetshenziswa kakhulu ngabantu abasemaphampu e-insulin ukulawula isifo sabo sikashukela. Abanye abaqaphi abadingi ukubanjwa ngomunwe.

Gcina irekhodi likashukela egazini lakho kanye neqembu lakho lokunakekelwa kwezempilo. Lezi zinombolo zizosiza uma unezinkinga zokuphatha isifo sikashukela. Wena nomhlinzeki wakho kufanele nibeke umgomo ohlosiwe wezinga likashukela egazini ngezikhathi ezehlukene phakathi nosuku. Kufanele futhi uhlele ukuthi wenzeni uma ushukela wegazi lakho uphansi kakhulu noma uphezulu.

Khuluma nomhlinzeki wakho mayelana nethagethi yakho yokuhlolwa kwe-A1C. Lokhu kuhlolwa kwebhu kukhombisa isilinganiso esilinganiselwe soshukela wegazi wakho ezinyangeni ezi-3 ezedlule. Kubonisa ukuthi usilawula kahle kanjani isifo sakho sikashukela. Kubantu abaningi abanesifo sikashukela sohlobo 1, okubhekiswe ku-A1C kufanele kube ngu-7% noma ngaphansi.

Ushukela wegazi ophansi ubizwa ngokuthi yi-hypoglycemia. Izinga likashukela egazini elingaphansi kuka-70 mg / dL (3.9 mmol / L) liphansi kakhulu futhi lingakulimaza. Izinga likashukela egazini elingaphansi kwama-54 mg / dL (3.0 mmol / L) liyimbangela yesenzo esisheshayo. Ukugcina ukulawula kahle ushukela wegazi kungasiza ekuvimbeleni ushukela ophansi wegazi. Khuluma nomhlinzeki wakho uma ungaqiniseki ngezimbangela nezimpawu zeshukela eliphansi legazi.

UKUNAKEKELWA KWEZINYAWO

Abantu abanesifo sikashukela banamathuba amaningi kunalawo angenasifo sikashukela ukuba nezinkinga ezinyaweni. Isifo sikashukela silimaza izinzwa. Lokhu kungenza izinyawo zakho zingakwazi ukuzwa ingcindezi, ubuhlungu, ukushisa noma ukubanda. Ungahle ungaboni ukulimala konyawo kuze kube yilapho unomonakalo omkhulu esikhunjeni nasezicutshini ezingezansi, noma uthola ukutheleleka okunzima.

Isifo sikashukela singalimaza nemithambo yegazi. Izilonda ezincane noma ukuqhuma esikhunjeni kungahle kube yizilonda zesikhumba ezijulile (izilonda). Isitho esithintekile singadinga ukunqunywa uma lezi zilonda zesikhumba zingapholi, noma ziba zikhudlwana, zijule noma zitheleleke.

Ukuvimbela izinkinga ngezinyawo zakho:

• Yeka ukubhema, uma ubhema.
• Thuthukisa ukulawula ushukela wegazi lakho.
• Thola ukuhlolwa konyawo okungenani kabili ngonyaka kusuka kumhlinzeki wakho, futhi ufunde ukuthi ngabe unomonakalo wezinzwa.
• Cela umhlinzeki wakho ukuthi ahlole izinyawo zakho ngezinkinga ezinjenge-calluses, i-bunion noma i-hammertoe. Lezi zidinga ukwelashwa ukuvimbela ukubola kwesikhumba nezilonda.
• Hlola futhi unakekele izinyawo zakho nsuku zonke. Lokhu kubaluleke kakhulu uma usuvele unenkinga yezinzwa noma yegazi noma izinkinga zonyawo.
• Phatha izifo ezincane, njengonyawo lomsubathi, zisuka.
• Ukunakekelwa kahle kwezipikili kubalulekile. Uma izinzipho zakho ziwugqinsi futhi ziqinile, kufanele izinzipho zakho zigundiwe ngudokotela wezinyawo noma omunye umhlinzeki owaziyo ukuthi unesifo sikashukela.
• Sebenzisa i-lotion ethambisa esikhunjeni esomile.
• Qiniseka ukuthi ugqoka uhlobo olufanele lwezicathulo. Buza umhlinzeki wakho ukuthi hlobo luni olulungele wena.

UKUVIMBELA IZINKINGA

Umhlinzeki wakho angakunikeza imithi noma ezinye izindlela zokwelapha ukunciphisa amathuba akho okuba nezinkinga ezivamile zesifo sikashukela, kufaka phakathi:

• Isifo samehlo
• Isifo sezinso
• Ukulimala kwemizwa yomzimba
• Isifo senhliziyo nesifo sohlangothi

Nge-type 1 yesifo sikashukela, usengozini yokuba nezimo ezinjengokulahlekelwa ukuzwa, isifo sezinsini, isifo samathambo, noma izifo zemvubelo (kwabesifazane). Ukugcina ushukela wegazi lakho ulawulwa kahle kungasiza ukuvimbela lezi zimo.

Khuluma nethimba lakho lokunakekelwa kwezempilo ngezinye izinto ongazenza ukunciphisa amathuba akho okuba nezinkinga zesifo sikashukela.

Abantu abanesifo sikashukela kufanele baqiniseke ukuthi bagcina uhlelo lwabo lokugoma.

IMPILO YOMzwelo

Ukuphila nesifo sikashukela kungaba yingcindezi. Ungazizwa ukhungathekile ngakho konke okudingeka ukwenze ukuphatha isifo sikashukela. Kepha ukunakekela impilo yakho engokomzwelo kubaluleke kakhulu njengempilo yakho engokomzimba.

Izindlela zokuqeda ukucindezeleka zifaka:

• Ukulalela umculo ophumuzayo
• Ukuzindla ukususa ingqondo yakho ezinkingeni zakho
• Ukuphefumula okujulile ukusiza ukukhulula ukungezwani komzimba
• Ukwenza i-yoga, i-taichi, noma ukuphumula okuqhubekayo

Ukuzizwa udabukile noma udangele (ucindezelekile) noma ukhathazekile kwesinye isikhathi kuyinto ejwayelekile. Kepha uma unale mizwa kaningi futhi bangena endleleni yokuphatha isifo sikashukela, khuluma nethimba lakho lokunakekelwa kwezempilo. Bangathola izindlela zokukusiza uzizwe ungcono.

Kunezinsizakusebenza eziningi zikashukela ezingakusiza uqonde kabanzi ngohlobo lwesifo sikashukela sohlobo 1. Ungafunda nezindlela zokuphatha isimo sakho ukuze uphile kahle nesifo sikashukela.

Isifo sikashukela yisifo sempilo yonke futhi asikho ikhambi.

Ukulawulwa okuqinile kwegazi glucose kungavimbela noma kubambezele izinkinga zesifo sikashukela. Kodwa lezi zinkinga zingenzeka, ngisho nakubantu abalawulwa kahle isifo sikashukela.

Ngemuva kweminyaka eminingi, isifo sikashukela singaholela ezinkingeni ezinkulu zempilo:

• Ungaba nezinkinga zamehlo, kufaka phakathi inkinga yokubona (ikakhulukazi ebusuku) nokuzwela ekukhanyeni. Ungaba yimpumputhe.
• Izinyawo zakho nesikhumba sakho kungaba nezilonda nezifo. Uma unalezi zilonda isikhathi eside, unyawo noma umlenze wakho kungadingeka ukuthi unqunywe. Ukutheleleka nakho kungadala izinhlungu, ukuvuvukala nokunwaya.
• Isifo sikashukela singenza kube nzima ukulawula umfutho wegazi kanye ne-cholesterol yakho.Lokhu kungaholela ekuhlaselweni yinhliziyo, isifo sohlangothi, nezinye izinkinga. Kungaba nzima ukuthi igazi ligobhozele emilenzeni nasezinyaweni.
• Isifo sikashukela singenza amasosha akho omzimba abe buthakathaka futhi sikwenze kube namathuba amaningi okuthi wehle ngezifo.
• Imithambo emzimbeni ingalimala, idale izinhlungu, ukulunywa, ukuncinza kanye nokuba ndikindiki.
• Ngenxa yomonakalo wezinzwa, ungaba nezinkinga ekugayeni ukudla okudlayo. Ungazizwa ubuthakathaka noma unenkinga yokuya endlini yangasese. Ukulimala kwemithambo kungenza kube nzima ngamadoda ukuthi akhe ukwakhiwa.
• Ushukela ophakeme wegazi nezinye izinkinga kungaholela ekulimaleni kwezinso. Izinso zingase zingasebenzi kahle njengakuqala. Bangaze bayeke nokusebenza, ukuze uzodinga i-dialysis noma ukufakelwa izinso.
• Ushukela ophakeme wegazi unganciphisa amasosha akho omzimba. Lokhu kungenza ukuthi kube lula ngawe ukuthola izifo, kufaka phakathi izifo ezisongela impilo zesikhumba kanye nezifo zefungal.
  

Shayela ku-911 noma inombolo ephuthumayo yendawo uma une:

• Ubuhlungu besifuba noma ingcindezi, ukuphefumula okuncane, noma ezinye izimpawu ze-angina
• Ukulahlekelwa ukwazi
• Ukuquleka

Shayela umhlinzeki wakho noma uye egumbini lezimo eziphuthumayo uma unezimpawu ze-ketoacidosis yesifo sikashukela.

Shayela nomhlinzeki wakho uma une:

• Amazinga kashukela egazi aphezulu kunezinhloso ozibekele zona nomhlinzeki wakho
• Ukuba ndikindiki, ukudikiza, noma ubuhlungu ezinyaweni noma emilenzeni
• Izinkinga ngokubona kwakho
• Izilonda noma izifo ezinyaweni zakho
• Imizwa ejwayelekile yokudangala noma ukukhathazeka
• Izimpawu zokuthi ushukela wegazi lakho wehla kakhulu (ubuthakathaka noma ukukhathala, ukuthuthumela, ukujuluka, ukucasuka, unenkinga yokucabanga kahle, ukushaya kwenhliziyo okusheshayo, umbono ophindwe kabili noma ofiphele, umuzwa ongathandeki)
• Izimpawu zokuthi ushukela wegazi lakho uphakeme kakhulu (ukoma, ukungaboni kahle, isikhumba esomile, ubuthakathaka noma ukukhathala, kudingeka uchame kakhulu)
• Ukufundwa koshukela wegazi ongaphansi kwama-70 mg / dL (3.9 mmol / L)

Ungelapha izimpawu zokuqala ze-hypoglycemia ekhaya ngokuphuza ijusi lewolintshi, ngokudla ushukela noma uswidi, noma ngokuthatha amaphilisi eglucose. Uma izimpawu ze-hypoglycemia ziqhubeka noma izinga lakho le-glucose yegazi lihlala ngaphansi kuka-60 mg / dL (3.3 mmol / L), iya egumbini lezimo eziphuthumayo.

Uhlobo lwesifo sikashukela sohlobo 1 alunakuvinjelwa njengamanje. Le yindawo esebenzayo kakhulu yocwaningo. Ku-2019, isifundo esisebenzisa umjovo ojojoweyo sakwazi ukubambezela ukuqala kohlobo lwesifo sikashukela sohlobo 1 ezinganeni ezisengozini enkulu. Akukho ukuhlolwa kokuhlolwa kwesifo sikashukela sohlobo 1 kubantu abangenazo izimpawu. Kodwa-ke, ukuhlolwa kwama-antibody kungakhomba izingane ezisengozini enkulu yokuthola uhlobo lwesifo sikashukela uma zinezihlobo zokuqala (ingane yakini, umzali) ezinesifo sikashukela sohlobo 1.

Isifo sikashukela esincike ku-insulin; Isifo sikashukela sokuqala kwentsha; Isifo sikashukela - uhlobo 1; Ushukela ophakeme wohlobo lwesifo sikashukela

• 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
• Ukunqunywa unyawo - ukukhishwa
• Ukunqunywa umlenze - ukukhishwa
• Ukunqunywa umlenze noma unyawo - ukugqoka
• Ushukela wegazi ophansi - ukuzinakekela
• Ukuphatha ushukela wegazi lakho

• Iphampu ye-insulin
• Thayipha I isifo sikashukela
• Iphampu ye-insulin
• Phatha ushukela wegazi lakho

I-American Diabetes Association. 2. Ukwahlukaniswa nokuxilongwa kwesifo sikashukela: izindinganiso zokunakekelwa kwezokwelapha kusifo sikashukela - 2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S14-S31. I-PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

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

UBrownlee M, Aiello LP, uSun JK, et al. Izinkinga zesifo sikashukela. Ku: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.