Matenda a shuga

Ma Prediabetes amapezeka pamene mulingo wa shuga (shuga) m'magazi anu ndiwokwera kwambiri, koma osakwera mokwanira kuti ungatchedwe matenda ashuga.

Ngati muli ndi ma prediabetes, muli pachiwopsezo chachikulu chotenga mtundu wachiwiri wa shuga mkati mwa zaka 10. Zimakulitsanso chiopsezo cha matenda amtima ndi sitiroko.

Kuchepetsa thupi komanso kuchita masewera olimbitsa thupi nthawi zambiri kumatha kuletsa kuti matenda ashuga asakhale mtundu wachiwiri wa shuga.

Thupi lanu limapeza mphamvu kuchokera ku shuga m'magazi anu. Mahomoni otchedwa insulin amathandiza maselo amthupi lanu kugwiritsa ntchito shuga. Ngati muli ndi ma prediabetes, njirayi siyigwiranso ntchito. Shuga amakwera m'magazi anu. Ngati milingo ikukwera mokwanira, zikutanthauza kuti mwapanga mtundu wachiwiri wa matenda ashuga.

Ngati muli pachiwopsezo cha matenda ashuga, wothandizira zaumoyo wanu adzakuyesani magazi anu pogwiritsa ntchito mayeso amodzi kapena angapo. Zotsatira zotsatirazi zikuwonetsa ma prediabetes:

• Kusala magazi m'magazi a 100 mpaka 125 mg / dL (otchedwa kusala kudya kwa glucose)
• Magazi a shuga a 140 mpaka 199 mg / dL patadutsa maola awiri mutatenga magalamu 75 a shuga (otchedwa kulekerera kwa shuga)
• Mulingo wa A1C wa 5.7% mpaka 6.4%

Kukhala ndi matenda a shuga kumawonjezera mavuto ena azaumoyo. Izi zili choncho chifukwa kuchuluka kwa shuga m'magazi kumatha kuwononga mitsempha ndi mitsempha. Izi zingayambitse matenda a mtima ndi kupwetekedwa mtima. Ngati muli ndi prediabetes, kuwonongeka kumatha kuchitika kale m'mitsempha yanu.

Kukhala ndi prediabetes ndikulimbikitsa kuti muchitepo kanthu kuti mukhale ndi thanzi labwino.

Wothandizira anu azilankhula nanu za matenda anu komanso zoopsa zanu kuchokera ku matenda a shuga. Pofuna kukuthandizani kupewa matenda ashuga, omwe akukuthandizani angaganize zosintha zina pamoyo wanu:

• Idyani zakudya zabwino. Izi zimaphatikizapo mbewu zonse, mapuloteni owonda, mkaka wopanda mafuta ambiri, zipatso ndi ndiwo zamasamba zambiri. Onerani kukula kwake kwa magawo ndikupewa maswiti ndi zakudya zokazinga.
• Kuchepetsa thupi. Kuchepetsa pang'ono kungapangitse kusiyana kwakukulu m'moyo wanu. Mwachitsanzo, omwe amakupatsani akhoza kukuwuzani kuti muchepetse za 5% mpaka 7% ya thupi lanu. Chifukwa chake, ngati mulemera mapaundi 200 (90 kilograms), kuti muchepetse 7% cholinga chanu chingakhale kutaya pafupifupi mapaundi 14 (6.3 kilograms). Wothandizira anu atha kupereka malingaliro azakudya, kapena mutha kulowa nawo pulogalamu yokuthandizani kuti muchepetse kunenepa.
• Chitani masewera olimbitsa thupi. Khalani ndi mwayi wochita masewera olimbitsa thupi kwa mphindi 30 mpaka 60 osachepera masiku 5 pa sabata. Izi zingaphatikizepo kuyenda mwachangu, kukwera njinga yanu, kapena kusambira. Muthanso kugawa zolimbitsa thupi m'magawo ang'onoang'ono tsiku lonse. Kukwera masitepe m'malo chikepe. Ngakhale zochitika zochepa zimawerengera cholinga chanu cha sabata.
• Tengani mankhwala monga mwauzidwa. Wothandizira anu akhoza kukupatsani metformin kuti muchepetse mwayi woti matenda anu ashuga apitirire kukhala matenda ashuga. Kutengera zovuta zina zomwe zingayambitse matenda amtima, omwe amakupatsirani mankhwalawa amathanso kukupatsirani mankhwala kuti muchepetse kuchuluka kwama cholesterol kapena magazi anu.

Simungadziwe kuti muli ndi prediabetes chifukwa ilibe zisonyezo. Njira yokhayo yodziwira ndikupita kukayezetsa magazi. Wothandizira anu amayesa shuga wanu wamagazi ngati muli pachiwopsezo cha matenda ashuga. Zomwe zimayambitsa matenda ashuga nzofanana ndi mtundu wa 2 shuga.

Muyenera kuyezetsa prediabetes ngati muli ndi zaka 45 kapena kupitilira apo. Ngati muli ochepera zaka 45, muyenera kuyesedwa ngati muli onenepa kwambiri kapena onenepa kwambiri ndipo muli ndi chimodzi kapena zingapo mwaziwopsezo izi:

• Chiyeso choyambirira cha matenda a shuga chikuwonetsa chiwopsezo cha matenda ashuga
• Kholo, m'bale wawo, kapena mwana yemwe anali ndi matenda a shuga
• Moyo wopanda ntchito komanso kusachita masewera olimbitsa thupi pafupipafupi
• African American, Hispanic / Latin American, American Indian ndi Alaska Native, Asia American, kapena Pacific Islander mafuko
• Kuthamanga kwa magazi (140/90 mm Hg kapena kupitilira apo)
• Cholesterol yotsika HDL (chabwino) kapena ma triglycerides apamwamba
• Mbiri ya matenda amtima
• Mbiri ya matenda ashuga panthawi yoyembekezera
• Matenda okhudzana ndi insulin kukana (polycystic ovary syndrome, acanthosis nigricans, kunenepa kwambiri)

Ngati zotsatira zanu zoyesa magazi zikuwonetsa kuti muli ndi matenda ashuga, omwe akukuthandizani atha kunena kuti mudzayesedwenso kamodzi pachaka. Ngati zotsatira zanu ndi zabwinobwino, omwe amakupatsani mwayi atha kupereka lingaliro loti ayesedwe zaka zitatu zilizonse.

Matenda osala kudya shuga - prediabetes; Kulekerera kwa shuga - ma prediabetes

• Zowopsa za matenda ashuga

Bungwe la American Diabetes Association. Miyezo ya chithandizo chamankhwala a shuga - 2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S77-S88. chisamaliro.diabetesjournals.org/content/43/Supplement_1/S77.

[Adasankhidwa] Kahn CR, Ferris HA, O'Neill BT. Pathophysiology yamtundu wa 2 shuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 34.

Siu AL; Gulu Lankhondo Loteteza ku US. Kuwunika magazi osazolowereka amtundu wa shuga ndi mtundu wachiwiri wa matenda ashuga: Ndemanga ya US Preventive Services Task Force. Ann Intern Med. 2015; 163 (11): 861-868. (Adasankhidwa) PMID: 26501513 www.ncbi.nlm.nih.gov/pubmed/26501513.

• Matenda a shuga