Shuga wamagazi ochepa - kudzisamalira

Shuga wamagazi ochepa ndimomwe zimachitika mukamagwiritsa ntchito shuga (glucose) wamagazi. Shuga wamagazi ochepa amatha kupezeka kwa anthu omwe ali ndi matenda ashuga omwe amatenga insulin kapena mankhwala ena kuti athetse matenda awo ashuga. Shuga wamagazi ochepa amatha kuyambitsa zizindikiro zowopsa. Phunzirani momwe mungazindikire zizindikiro za shuga wotsika magazi komanso momwe mungapewere.

Shuga wamagazi ochepa amatchedwa hypoglycemia. Mlingo wa shuga wamagazi wochepera 70 mg / dL (3.9 mmol / L) ndi wotsika ndipo ukhoza kukuvulazani. Kuchuluka kwa shuga wamagazi kutsika kwa 54 mg / dL (3.0 mmol / L) ndi chifukwa choyenera kuchitapo kanthu mwachangu.

Muli pachiwopsezo chotsika shuga ngati muli ndi matenda ashuga ndipo mukumwa mankhwala aliwonse a shuga awa:

• Insulini
• Glyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), kapena nateglinide (Starlix)
• Chlorpropamide (Diabinese), tolazamide (Tolinase), acetohexamide (Dymelor), kapena tolbutamide (Orinase)

Mulinso pachiwopsezo chachikulu chokhala ndi shuga wotsika magazi ngati mudakhalapo ndi shuga wambiri wamagazi.

Dziwani momwe mungadziwire shuga wanu wamagazi akatsika. Zizindikiro zake ndi izi:

• Kufooka kapena kumva kutopa
• Kugwedezeka
• Kutuluka thukuta
• Mutu
• Njala
• Kumva kusakhazikika, kuchita mantha, kapena kuda nkhawa
• Kumverera kopanda pake
• Kuvuta kuganiza bwino
• Masomphenya awiri kapena osaoneka bwino
• Kuthamanga kapena kugunda kwamtima

Nthawi zina shuga lanu lamagazi limakhala lotsika kwambiri ngakhale mulibe zizindikilo. Ikatsika kwambiri, mutha:

• Kukomoka
• Khalani ndi khunyu
• Lowani chikomokere

Anthu ena omwe akhala akudwala matenda ashuga kwanthawi yayitali amasiya kuzindikira shuga wochepa wamagazi. Izi zimatchedwa kusazindikira kwa hypoglycemic. Funsani wothandizira zaumoyo wanu ngati kuvala chowunikira mosalekeza cha glucose ndikumverera kungakuthandizeni kuzindikira ngati shuga lanu lamagazi likutsika kwambiri kuti muteteze zizindikilo.

Lankhulani ndi omwe akukuthandizani za nthawi yomwe muyenera kuwunika shuga wanu wamagazi tsiku lililonse. Anthu omwe ali ndi shuga wotsika magazi amafunika kuwunika shuga wawo pafupipafupi.

Zomwe zimayambitsa shuga wotsika kwambiri m'magazi ndi:

• Kutenga mankhwala anu a insulini kapena matenda ashuga nthawi yolakwika
• Kumwa mankhwala ochuluka a insulin kapena mankhwala a shuga
• Kutenga insulin kuti athetse shuga wambiri wamagazi osadya chilichonse
• Osadya mokwanira mukamadya kapena mutamwa pang'ono mukamwa mankhwala a insulini kapena matenda ashuga
• Kudya chakudya (izi zitha kutanthauza kuti kuchuluka kwanu kwa insulini yayitali kwambiri, ndiye kuti muyenera kulankhula ndi omwe amakupatsani)
• Kudikirira nthawi yayitali mutamwa mankhwala kuti mudye
• Kuchita masewera olimbitsa thupi kwambiri kapena panthawi yomwe siachilendo kwa inu
• Osayang'ana shuga wamagazi kapena kusasintha mlingo wa insulini musanachite masewera olimbitsa thupi
• Kumwa mowa

Kupewa shuga wotsika magazi ndibwino kuposa kumwa. Nthawi zonse khalani ndi gwero la shuga wofulumira kwambiri nanu.

• Mukamachita masewera olimbitsa thupi, yang'anani kuchuluka kwa shuga m'magazi anu. Onetsetsani kuti muli ndi zokhwasula-khwasula nanu.
• Lankhulani ndi omwe amakupatsani za kuchepetsa mlingo wa insulini masiku omwe mumachita masewera olimbitsa thupi.
• Funsani omwe akukuthandizani ngati mukufuna chakudya chokwanira kuti mupewe shuga wotsika magazi usiku wonse. Zakudya zopanda mapuloteni zingakhale zabwino kwambiri.

MUSAMWE mowa osadya kanthu. Amayi ayenera kuchepetsa kumwa mowa kamodzi patsiku ndipo abambo ayenera kumwa zakumwa ziwiri patsiku. Achibale ndi abwenzi ayenera kudziwa momwe angathandizire. Ayenera kudziwa:

• Zizindikiro za shuga wotsika magazi komanso momwe mungadziwire ngati muli nawo.
• Zakudya zingati komanso zamtundu wanji zomwe akuyenera kukupatsani.
• Nthawi yoyitanitsa thandizo ladzidzidzi.
• Momwe mungabayire glucagon, hormone yomwe imakulitsa shuga m'magazi anu. Wopezayo adzakuwuzani nthawi yogwiritsira ntchito mankhwalawa.

Ngati muli ndi matenda ashuga, nthawi zonse muvale chibangili chazidziwitso cha zamankhwala kapena mkanda. Izi zimathandiza ogwira ntchito zachipatala mwadzidzidzi kudziwa kuti muli ndi matenda ashuga.

Onetsetsani kuti magazi anu ali ndi shuga nthawi zonse mukakhala ndi shuga wotsika. Ngati shuga wamagazi anu ali pansi pa 70 mg / dL, zithandizeni nthawi yomweyo.

1. Idyani china chomwe chili ndi pafupifupi magalamu 15 (g) a chakudya. Zitsanzo ndi izi:

• Mapiritsi atatu a shuga
• Kapu theka (4 ounces kapena 237 mL) ya madzi azipatso kapena soda wamba, yopanda zakudya
• 5 kapena 6 maswiti olimba
• Supuni 1 (tbsp) kapena 15 mL wa shuga, wosalala kapena wosungunuka m'madzi
• 1 tbsp (15 mL) wa uchi kapena madzi

2. Dikirani mphindi 15 musanadye kenanso. Samalani kuti musadye kwambiri. Izi zimatha kuyambitsa shuga wambiri wamagazi ndi kunenepa.

3. Onaninso shuga lanu la magazi.

4. Ngati simukumva bwino mumphindi 15 ndipo shuga m'magazi anu akadali ochepera 70 mg / dL (3.9 mmol / L), idyani chakudya china chokhala ndi 15 g ya chakudya.

Mungafunike kudya chotupitsa ndi chakudya ndi mapuloteni ngati shuga yanu yamagazi ili bwino - yopitilira 70 mg / dL (3.9 mmol / L) - ndipo chakudya chanu chotsatira sichitha ola limodzi.

Funsani omwe akukuthandizani momwe angachitire izi. Ngati njira izi zokuzira shuga m'magazi sizigwira ntchito, itanani dokotala wanu nthawi yomweyo.

Ngati mumagwiritsa ntchito insulini ndipo shuga wanu wamagazi amakhala otsika pafupipafupi kapena mosasintha, funsani dokotala kapena namwino ngati:

• Mukubayira insulini mwanjira yoyenera
• Mukufuna mtundu wina wa singano
• Muyenera kusintha kuchuluka kwa insulini yomwe mumatenga
• Muyenera kusintha mtundu wa insulin womwe mumamwa

MUSASinthe chilichonse musanalankhule ndi dokotala kapena namwino poyamba.

Nthawi zina hypoglycemia imatha kukhala chifukwa chomwa mankhwala olakwika. Fufuzani mankhwala anu ndi wamankhwala wanu.

Ngati zizindikiro za shuga wocheperako sizikuyenda bwino mutadya chakudya chokhala ndi shuga, uzani wina kuti akupititseni kuchipinda chadzidzidzi kapena itanani nambala yanu yadzidzidzi (monga 911). Musayendetse galimoto mukakhala ndi shuga wambiri.

Pezani chithandizo chamankhwala nthawi yomweyo kwa munthu amene ali ndi shuga wochepa magazi ngati munthuyo sali tcheru kapena sangathe kudzutsidwa.

Hypoglycemia - kudzisamalira; Magazi otsika - kudzisamalira

• Chibangili chodziwitsa zamankhwala
• Mayeso a shuga

Bungwe la American Diabetes Association. 6. Zolinga za Glycemic: Miyezo Yachipatala mu Shuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S66 – S76. PMID: 31862749 adasankhidwa.ncbi.nlm.nih.gov/31862749/.

Kulira PE, Arbeláez AM. Matenda osokoneza bongo. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 38.

• Type 1 shuga
• Type 2 matenda ashuga

• Zoletsa za ACE
• Matenda a shuga ndi masewera olimbitsa thupi
• Kusamalira maso a shuga
• Matenda a shuga - zilonda za kumapazi
• Matenda a shuga - kugwira ntchito
• Matenda ashuga - kupewa matenda amtima komanso kupwetekedwa mtima
• Matenda a shuga - kusamalira mapazi anu
• Kuyesedwa kwa matenda ashuga ndikuwunika
• Matenda a shuga - mukamadwala
• Kusamalira shuga wanu wamagazi
• Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu

• Matenda a shuga
• Mankhwala a shuga
• Matenda a shuga 1
• Matenda osokoneza bongo