Inhloso yakho ye-A1C kanye Nokwelashwa Kwe-insulin

-Delile

• Igoli lakho le-A1C
• Ukushintsha kusuka emithini yomlomo kuya kwi-insulin
• Isikhathi sokudla (noma i-bolus) insulin
• I-insulin eyisisekelo
• Ukushintsha ukwelashwa kwe-insulin

Ukubuka konke

Akunandaba ukuthi ubulandela isikhathi esingakanani uhlelo lokwelashwa lwe-insulin olunqunyiwe, kwesinye isikhathi ungadinga ushintsho ku-insulin yakho.

Lokhu kungenzeka ngezizathu eziningana, kufaka phakathi:

• izinguquko zehomoni
• ukuguga
• ukuqhubeka kwesifo
• izinguquko ekudleni nasekuzivocavoca umzimba
• ukushintshashintsha kwesisindo
• izinguquko emzimbeni wakho

Funda ukuze ufunde ngokwenza ushintsho kolunye uhlelo lokwelashwa kwe-insulin.

Igoli lakho le-A1C

Ukuhlolwa kwe-A1C, okubizwa nangokuthi ukuhlolwa kwe-hemoglobin A1C (HbA1c), ukuhlolwa kwegazi okuvamile. Udokotela wakho uyisebenzisela ukukala izinga likashukela egazini lakho ezinyangeni ezimbili kuya kwezintathu ezedlule. Ukuhlolwa kukala inani likashukela elixhunywe ku-protein hemoglobin kumaseli akho abomvu egazi. Udokotela wakho naye uvame ukusebenzisa lolu vivinyo ukuthola isifo sikashukela futhi asungule ileveli eyisisekelo ye-A1C. Ukuhlolwa kuyaphindwa njengoba ufunda ukulawula ushukela wegazi lakho.

Abantu abangenaso isifo sikashukela bavame ukuba nezinga le-A1C eliphakathi kwamaphesenti angu-4.5 kuya ku-5.6. Amazinga e-A1C ka-5.7 kuya ku-6.4 wamaphesenti ezikhathini ezimbili ezihlukene akhombisa ama-prediabetes. Amazinga e-A1C amaphesenti angu-6.5 noma ngaphezulu ezivivinyweni ezimbili ezihlukene akhombisa ukuthi unesifo sikashukela.

Khuluma nodokotela wakho ngezinga elifanele le-A1C lakho. Abantu abaningi abanesifo sikashukela kufanele bahlose amazinga e-A1C enziwe waba ngaphansi kwamaphesenti ayi-7.

Kukangaki udinga ukuhlolwa kwe-A1C kuncike ezintweni ezifana nezinguquko ezinqunyiwe ekwelashweni kwakho kwe-insulin nokuthi uligcina kahle kanjani izinga lakho likashukela egazini ngaphakathi kobubanzi obubekiwe. Uma ushintsha uhlelo lwakho lokwelashwa futhi amanani akho e-A1C aphezulu, kufanele uhlolwe i-A1C njalo ezinyangeni ezintathu. Kufanele uvivinywe njalo ezinyangeni eziyisithupha lapho amazinga akho azinzile futhi kulokho okubekele khona nodokotela wakho.

Ukushintsha kusuka emithini yomlomo kuya kwi-insulin

Uma une-type 2 yesifo sikashukela, ungakwazi ukwelapha isimo sakho ngokushintsha indlela ophila ngayo nemithi, okufaka:

• ukuncipha komzimba
• ukuzivocavoca umzimba
• imithi yomlomo

Kepha kwesinye isikhathi ukushintshela ku-insulin kungaba ukuphela kwendlela yokulawula amazinga kashukela egazini lakho.

Ngokusho kweMayo Clinic, kunamaqembu amabili ajwayelekile e-insulin:

Isikhathi sokudla (noma i-bolus) insulin

I-Bolus insulin, ebizwa nangokuthi i-insulin yesikhathi sokudla. Kungaba okufushane noma okusebenza ngokushesha. Uyithatha ngokudla, bese iqala ukusebenza ngokushesha. I-insulin esebenza ngokushesha iqala ukusebenza ngemizuzu engu-15 noma ngaphansi futhi iphakama emaminithini angama-30 kuye emahoreni ama-3. Ihlala egazini lakho kuze kufike emahoreni ama-5. I-insulin esebenza okwesikhashana (noma ejwayelekile) iqala ukusebenza imizuzu engama-30 ngemuva kokujova. Ikhuphuka emahoreni amabili kuya kwangu-5 futhi ihlala egazini lakho kuze kube ngamahora ayi-12.

I-insulin eyisisekelo

I-insulin eyisisekelo ithathwa kanye noma kabili ngosuku (imvamisa ngesikhathi sokulala) futhi igcina amazinga kashukela egazini ejwayelekile ngesikhathi sokuzila noma sokulala. I-insulin emaphakathi iqala ukusebenza imizuzu engama-90 kuye emahoreni amane ngemuva kokujova. Iphakama emahoreni angu-4 kuye kwayi-12, futhi isebenza amahora angafika kwangu-24. I-insulin esebenza isikhathi eside iqala ukusebenza kungakapheli imizuzu engama-45 kuye emahoreni ama-4. Akuphakami futhi kuhlala egazini lakho kuze kube ngamahora angama-24 ngemuva kokujova.

Ukushintsha ukwelashwa kwe-insulin

Xhumana nodokotela wakho ngokushintsha uhlelo lwakho lokwelashwa kwe-insulin uma uhlangabezana nezimpawu ezibandakanya:

• Njalo