Izinyathelo Okufanele Uzithathe Uma Imithi Yesifo Sikashukela Somlomo Yama Ukusebenza

-Delile

• Bheka imikhuba yakho yansuku zonke
• Faka esinye isidakamizwa
• Thatha i-insulin
• Hlala uxhumene nodokotela wakho

Khumbula ukukhishwa okwandisiwe kwe-metformin

NgoMeyi 2020, okunconywayo ukuthi abanye abenzi be-metformin enwetshiwe bakhiphe amanye amaphilisi abo emakethe yase-U.S. Lokhu kungenxa yokuthi izinga elingamukeleki le-carcinogen (i-agent ebangela umdlavuza) itholakale kwamanye amaphilisi e-metformin akhululwa isikhathi eside. Uma okwamanje uthatha lo muthi, shayela umhlinzeki wakho wezokunakekelwa kwempilo. Bazokweluleka ngokuthi ngabe kufanele uqhubeke nokudla imishanguzo yakho noma uma udinga incwadi kadokotela entsha.

Imithi yomlomo iyasebenza ekwehliseni ushukela wegazi lapho ukudla nokuzivocavoca umzimba kunganele ukuphatha uhlobo lwesifo sikashukela sohlobo 2.Kodwa le mithi ayiphelele - futhi ayisebenzi ngaso sonke isikhathi esikhathini eside. Noma ngabe ubuthatha umuthi wakho njengoba udokotela wakho ekuyalile, ungahle ungazizwa kahle njengoba kufanele.

Izidakamizwa zikashukela zingayeka futhi zivame ukuyeka ukusebenza. Cishe amaphesenti ama-5 kuye kwayishumi abantu abanesifo sikashukela sohlobo 2 bayayeka ukuphendula emithini yabo unyaka nonyaka. Uma umuthi wakho wesifo sikashukela somlomo ungasasebenzi, uzodinga ukuthola ukuthi yini okuvimbela ekulawuleni ushukela wegazi lakho. Ngemuva kwalokho kuzofanela uhlole ezinye izinketho.

Bheka imikhuba yakho yansuku zonke

Lapho umuthi wakho wesifo sikashukela ngomlomo uyeka ukusebenza, yenza isikhathi sokubonana nodokotela wakho. Bazofuna ukwazi ukuthi ngabe kukhona okuthile esimisweni sakho okuguqukile.

Izici eziningi zingathinta ukuthi umuthi wakho usebenza kahle kanjani - ngokwesibonelo, ukuzuza kwesisindo, izinguquko ekudleni kwakho noma ezingeni lomsebenzi, noma ekuguleni kwakamuva. Ukwenza ushintsho oluncane ekudleni kwakho noma ukuzivocavoca umzimba usuku ngalunye kunganele ukubuyisela ushukela egazini lakho futhi.

Kungenzeka futhi ukuthi isifo sakho sikashukela sesithuthukile. Amaseli we-beta kumanyikwe akho akhiqiza i-insulin angancipha ngokuhamba kwesikhathi. Lokhu kungakushiya une-insulin encane nokulawulwa ushukela egazini okumpofu.

Kwesinye isikhathi udokotela wakho kungenzeka angakwazi ukuthola ukuthi kungani umuthi wakho uyeke ukusebenza. Uma umuthi obewuthatha ungasasebenzi, kuzodingeka ubheke eminye imithi.

Faka esinye isidakamizwa

I-Metformin (i-Glucophage) imvamisa iyisidakamizwa sokuqala ozosithatha ukulawula uhlobo lwesifo sikashukela sohlobo lwe-2. Uma iyeka ukusebenza, isinyathelo esilandelayo ukufaka isidakamizwa somlomo sesibili.

Unemithi embalwa yesifo sikashukela somlomo ongakhetha kuyo, futhi isebenza ngezindlela ezahlukene.

• I-Sulfonylureas efana ne-glyburide (Glynase PresTab), i-glimeperide (i-Amaryl), ne-glipizide (i-Glucotrol) ivuselela ama-pancreas akho ukukhiqiza i-insulin eningi ngemuva kokudla.
• Ama-Meglitinides afana ne-repaglinide (Prandin) enza ama-pancreas akho akhiphe i-insulin ngemuva kokudla.
• Ama-receptor agonists afana ne-Glucagon-like peptide-1 (GLP-1) anjenge-exenatide (Byetta) kanye ne-liratuglide (i-Victoza) akhuthaza ukukhishwa kwe-insulin, anciphise ukukhishwa kwe-glucagon, futhi anciphise ukuphuma kwesisu sakho.
• I-SGLT2 inhibitors empagliflozin (Jardiance), i-canagliflozin (i-Invokana), ne-dapaglifozin (i-Farxiga) yehlisa ushukela wegazi ngokwenza izinso zakho zikhiphe i-glucose eningi emchameni wakho.
• I-Dipeptidyl peptidase-4 (DPP-4) inhibitors efana ne-sitagliptin (Januvia), linagliptin (Tradjenta), ne-saxagliptin (Onglyza) ivuselela ukukhululwa kwe-insulin futhi yehlise ukukhishwa kwe-glucagon.
• Ama-Thiazolidinediones afana ne-pioglitazone (Actos) asiza umzimba wakho ukuba uphendule kangcono kwi-insulin futhi wenze ushukela omncane.
• I-Alpha-glucosidase-acarbose ne-miglitol inciphisa ukumuncwa kwe-glucose.

Ungahle udinge ngaphezu kweyodwa yale mithi ukufeza ukulawula okuhle koshukela wegazi. Amanye amaphilisi ahlanganisa imishanguzo emibili yesifo sikashukela komunye, njenge-glipizide ne-metformin (Metaglip), ne-saxagliptin ne-metformin (Kombiglyze). Ukuthatha iphilisi elilodwa kwenza kube nokulula okulula futhi kunciphise izingqinamba ozikhohlwa ukuthatha umuthi wakho.

Thatha i-insulin

Enye indlela ukufaka i-insulin kumuthi wakho wesifo sikashukela ngomlomo noma ushintshele ku-insulin. Udokotela wakho angancoma ukwelashwa kwe-insulin uma izinga lakho le-A1C - elibonisa ukulawula ushukela wegazi ezinyangeni ezimbili kuya kwezintathu ezedlule - likude kakhulu nomgomo wakho noma unezimpawu zoshukela ophakeme wegazi, njengokoma noma ukukhathala.

Ukuthatha i-insulini kuzonikeza ikhefu lakho ukusebenza kanzima. Kungasiza ukuphatha ushukela wegazi ngokushesha, futhi kufanele kukusize uzizwe ungcono.

I-insulini iza ngezindlela eziningana ezihlukaniswa ngokuya ngezinto ezifana nokuthi zisebenza ngokushesha kangakanani, isikhathi sazo esiphakeme, nokuthi zihlala isikhathi esingakanani. Izinhlobo ezisebenza ngokushesha ziqala ukusebenza ngokushesha ngemuva kokudla futhi zivame ukuhlala cishe emahoreni amabili kuya kwamane. Izinhlobo ezisebenza isikhathi eside zivame ukuthathwa kanye ngosuku futhi zisetshenziselwa ukulawula ushukela wegazi phakathi kokudla noma ubusuku bonke.

Hlala uxhumene nodokotela wakho

Ukushintshela kumuthi omusha ngeke kulungise amazinga kashukela egazini lakho ngokushesha. Ungahle udinge ukwenza umthamo noma uzame izidakamizwa ezimbalwa ngaphambi kokulawula isifo sikashukela.

Uzobona udokotela wakho cishe kanye njalo ezinyangeni ezintathu ukudlula ushukela wegazi kanye namazinga we-A1C. Lokhu kuvakasha kuzosiza udokotela wakho ukuthi anqume ukuthi umuthi wakho womlomo ulawula ushukela wegazi lakho. Uma kungenjalo, kuzodingeka ungeze omunye umuthi ekwelashweni kwakho noma ushintshe umuthi wakho.