Kusamalira shuga wanu wamagazi

Mukakhala ndi matenda ashuga, muyenera kuyang'anira shuga wanu wamagazi. Ngati shuga wanu wamagazi samayang'aniridwa, mavuto azaumoyo otchedwa zovuta amatha thupi lanu. Phunzirani momwe mungagwiritsire ntchito shuga wanu wamagazi kuti mukhalebe athanzi momwe mungathere.

Dziwani njira zoyenera zothanirana ndi matenda ashuga. Matenda ashuga osagwidwa bwino atha kubweretsa mavuto ambiri azaumoyo.

Dziwani momwe:

• Dziwani ndikuchiza shuga wotsika magazi (hypoglycemia)
• Zindikirani ndikuchiza shuga wambiri wamagazi (hyperglycemia)
• Konzani chakudya chopatsa thanzi
• Onetsetsani shuga lanu lamagazi (shuga)
• Muzidzisamalira mukamadwala
• Pezani, mugule, ndi kusunga zinthu za shuga
• Pezani mayeso omwe mukufuna

Ngati mutenga insulini, muyenera kudziwa momwe mungachitire:

• Dzipatseni insulini
• Sinthani kuchuluka kwa insulin ndi zakudya zomwe mumadya kuti muchepetse shuga wanu wamagazi mukamachita masewera olimbitsa thupi komanso masiku odwala

Muyeneranso kukhala ndi moyo wathanzi.

• Muzichita masewera olimbitsa thupi osachepera mphindi 30 patsiku, masiku 5 pa sabata. Chitani zolimbitsa thupi zolimbitsa thupi masiku 2 kapena kupitilira apo pa sabata.
• Pewani kukhala mphindi zopitilira 30 nthawi imodzi.
• Yesani kuyenda mwachangu, kusambira, kapena kuvina. Sankhani zochitika zomwe mumakonda. Nthawi zonse muzifunsa kaye zaumoyo wanu musanayambe kuchita masewera olimbitsa thupi.
• Tsatirani dongosolo lanu la chakudya. Chakudya chilichonse ndi mwayi wosankha bwino matenda anu ashuga.

Tengani mankhwala anu momwe woperekayo akuyamikirira.

Kuyang'ana kuchuluka kwa shuga wamagazi pafupipafupi ndikulemba, kapena kugwiritsa ntchito pulogalamu kuti muwone zotsatira zake kukuwonetsani momwe mukuyang'anira matenda anu ashuga. Lankhulani ndi dokotala wanu komanso wophunzitsa za matenda a shuga za momwe muyenera kuwunika shuga wanu wamagazi kangati.

• Sikuti aliyense amene ali ndi matenda a shuga amafunika kuwunika shuga tsiku lililonse. Koma anthu ena angafunike kukawona kangapo patsiku.
• Ngati muli ndi matenda a shuga a mtundu woyamba, onetsetsani shuga lanu kasanu ndi kamodzi patsiku.

Nthawi zambiri, mumayeza magazi anu musanadye komanso musanagone. Muthanso kuyang'ana shuga lanu lamagazi:

• Mukatha kudya, makamaka ngati mwadya zakudya zomwe simudya
• Ngati mukumva kudwala
• Musanayambe kuchita masewera olimbitsa thupi
• Ngati muli ndi nkhawa zambiri
• Ngati mumadya kwambiri
• Ngati mukumwa mankhwala atsopano omwe angakhudze shuga

Dzisungireni nokha ndi omwe akukuthandizani. Izi zidzakuthandizani kwambiri ngati mukukumana ndi mavuto pakusamalira matenda anu ashuga. Ikuuzanso zomwe zimagwira ntchito ndi zomwe sizigwira ntchito, kuti shuga wako wamagazi azilamuliridwa. Lembani:

• Nthawi ya tsiku
• Mlingo wa shuga m'magazi anu
• Kuchuluka kwa chakudya kapena shuga komwe mudadya
• Mtundu ndi mlingo wa mankhwala anu ashuga kapena insulini
• Mtundu wa masewera olimbitsa thupi omwe mumachita komanso nthawi yayitali bwanji
• Zochitika zachilendo zilizonse, monga kukakamizidwa, kudya zakudya zosiyanasiyana, kapena kudwala

Mamita ambiri a glucose amakulolani kuti musunge izi.

Inu ndi omwe akukuthandizani muyenera kukhazikitsa chandamale cha shuga wanu wamagazi munthawi zosiyanasiyana masana. Ngati shuga yanu yamagazi ndiyokwera kuposa zolinga zanu masiku atatu ndipo simukudziwa chifukwa chake, itanani omwe akukupatsani.

Zakudya zamagazi zamagazi nthawi zambiri sizikhala zofunikira kwa omwe amakupatsani ndipo izi zimatha kukhumudwitsa anthu omwe ali ndi matenda ashuga. Kawirikawiri mfundo zochepa ndi zambiri (kufotokozera chakudya ndi nthawi, kufotokoza zolimbitsa thupi ndi nthawi, mankhwala ndi nthawi) zokhudzana ndi kuchuluka kwa shuga m'magazi ndizothandiza kwambiri kuwongolera zisankho zamankhwala ndikusintha kwamankhwala.

Kwa anthu omwe ali ndi matenda a shuga amtundu woyamba, bungwe la American Diabetes Association limalimbikitsa kuti zolinga za shuga m'magazi zizitengera zosowa ndi zolinga za munthu. Lankhulani ndi dokotala wanu komanso wophunzitsa za shuga za izi. Chitsogozo chachikulu ndi ichi:

Musanadye, shuga wanu wamagazi ayenera kukhala:

• Kuchokera 90 mpaka 130 mg / dL (5.0 mpaka 7.2 mmol / L) akuluakulu
• Kuyambira 90 mpaka 130 mg / dL (5.0 mpaka 7.2 mmol / L) ya ana, azaka 13 mpaka 19
• Kuyambira 90 mpaka 180 mg / dL (5.0 mpaka 10.0 mmol / L) ya ana, azaka 6 mpaka 12
• Kuyambira 100 mpaka 180 mg / dL (5.5 mpaka 10.0 mmol / L) ya ana ochepera zaka 6

Mukatha kudya (1 kapena 2 maola mutadya), shuga wanu wamagazi ayenera kukhala:

• Ochepera 180 mg / dL (10 mmol / L) akuluakulu

Nthawi yogona, shuga wanu wamagazi ayenera kukhala:

• Kuyambira 90 mpaka 150 mg / dL (5.0 mpaka 8.3 mmol / L) akuluakulu
• Kuyambira 90 mpaka 150 mg / dL (5.0 mpaka 8.3 mmol / L) ya ana, azaka 13 mpaka 19
• Kuyambira 100 mpaka 180 mg / dL (5.5 mpaka 10.0 mmol / L) ya ana, azaka 6 mpaka 12
• Kuchokera 110 mpaka 200 mg / dL (6.1 mpaka 11.1 mmol / L) ya ana ochepera zaka 6

Kwa anthu omwe ali ndi matenda ashuga amtundu wa 2, American Diabetes Association imalimbikitsanso kuti zomwe akufuna kupanga shuga azikhala payekha. Lankhulani ndi dokotala wanu komanso wophunzitsa za shuga za zolinga zanu.

Mwambiri, musanadye, shuga wanu wamagazi ayenera kukhala:

• Kuchokera 70 mpaka 130 mg / dL (3.9 mpaka 7.2 mmol / L) akuluakulu

Mukatha kudya (1 kapena 2 maola mutadya), shuga wanu wamagazi ayenera kukhala:

• Ochepera 180 mg / dL (10.0 mmol / L) akuluakulu

Shuga wamagazi atha kukuvulazani. Ngati shuga m'magazi anu ali okwera, muyenera kudziwa momwe mungachepetsere. Nawa mafunso omwe mungadzifunse ngati shuga wanu wamagazi ali wokwera.

• Kodi mukudya mopitirira muyeso kapena moperewera? Kodi mwakhala mukutsata dongosolo lanu la matenda ashuga?
• Kodi mukumwa mankhwala anu a shuga molondola?
• Kodi wothandizira (kapena kampani ya inshuwaransi) wasintha mankhwala anu?
• Kodi insulini yanu yatha? Onani tsiku lomwe mulandire insulini.
• Kodi insulini yanu yatentha kapena kutentha kwambiri?
• Ngati mumamwa insulin, kodi mwakhala mukumwa mlingo woyenera? Kodi mukusintha ma syringe kapena masingano?
• Kodi mukuopa kukhala ndi shuga wotsika magazi? Kodi izi zikukupangitsani kudya mopitirira muyeso kapena kumwa kwambiri insulin kapena mankhwala ena ashuga?
• Kodi munabaya insulini pamalo olimba, owuma, opunduka, kapena ogwiritsidwa ntchito mopitirira muyeso? Kodi mwakhala mukuzungulira malo?
• Kodi mwakhala ocheperapo kapena okangalika kuposa masiku onse?
• Kodi mukudwala chimfine, chimfine, kapena matenda ena?
• Kodi mudakhala ndi nkhawa zambiri kuposa masiku onse?
• Kodi mwakhala mukuyang'ana magazi anu tsiku lililonse?
• Kodi mwakhala wonenepa kapena wochepa thupi?

Itanani omwe akukuthandizani ngati shuga wanu wamagazi ndiwokwera kwambiri kapena wotsika kwambiri ndipo simukumvetsa chifukwa chake. Shuga wanu wamagazi mutakhala momwe mukufunira, mudzakhala bwino komanso thanzi lanu lidzakhala bwino.

Hyperglycemia - kuwongolera; Hypoglycemia - kuwongolera; Matenda a shuga - kuwongolera shuga; Kusamalira magazi

• Sinthani shuga wanu wamagazi
• Kuyezetsa magazi
• Mayeso a shuga

Atkinson MA, Mcgill DE, Dassau E, Laffel L. Type 1 matenda ashuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 36.

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/.

Chinsinsi MC, Ahmann AJ. Mankhwala amtundu wa 2 matenda ashuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 35.

• Kudulidwa mwendo kapena phazi
• Type 1 shuga
• Type 2 matenda ashuga

• Zoletsa za ACE
• Cholesterol ndi moyo
• 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
• Mafuta azakudya anafotokoza
• Malangizo achangu
• Kudulidwa kwamapazi - kutulutsa
• Matenda a mtima - zoopsa
• Kudulidwa mwendo - kutulutsa
• Kudulidwa mwendo kapena phazi - kusintha kosintha
• Shuga wamagazi ochepa - kudzisamalira
• Kusamalira shuga wanu wamagazi
• Zakudya zaku Mediterranean
• Phantom kupweteka kwamiyendo
• Lembani 2 matenda ashuga - zomwe mungafunse dokotala wanu

• Shuga wamagazi