Kodi Njira Yothetsera Matenda A Shuga Ndi Chiyani?

Zamkati

• Kodi Medicare Shuga Prevention Program ndi chiyani?
• Kodi Medicare imapereka chithandizo chanji pantchitozi?
• Kuphimba kwa Medicare Part B
• Kuphimba kwa Medicare Advantage
• Ndi ntchito ziti zomwe zimaperekedwa kudzera pulogalamuyi?
• Gawo 1: Magawo oyambira
• Gawo 2: Gawo lokonzekera bwino
• Gawo 3: Nthawi zonse kukonza
• Ndani ali woyenera pulogalamuyi?
• Kodi ndingalembetse bwanji pulogalamuyi?
• Kodi ndingapeze bwanji pulogalamuyi?
• Ndi chiyani chinanso chomwe chimafunikira chisamaliro cha shuga pansi pa Medicare?
• Kutenga

• Dongosolo la Kupewa Matenda a Shuga lingathandize anthu omwe ali pachiwopsezo cha mtundu wachiwiri wa matenda ashuga.
• Iyi ndi pulogalamu yaulere kwa anthu omwe akuyenerera.
• Ikuthandizani kutsatira moyo wathanzi ndikuchepetsa chiopsezo cha matenda ashuga.

Matenda a shuga ndi amodzi mwa mavuto omwe anthu ambiri amakhala nawo ku United States. M'malo mwake, akulu aku America anali ndi matenda ashuga monga 2010. Kwa anthu azaka 65 kapena kupitilira apo, chiwerengerochi chimadumpha kupitilira 1 mwa anayi.

Medicare, limodzi ndi mabungwe ena azaumoyo monga Centers for Disease Control and Prevention (CDC), amapereka pulogalamu yotchedwa Medicare Diabetes Prevention Program (MDPP). Zapangidwa kuti zithandizire anthu omwe ali pachiwopsezo cha matenda a shuga kuti azipewe.

Ngati mukuyenerera, mutha kulowa nawo pulogalamuyi kwaulere. Mupeza upangiri, chithandizo, ndi zida zomwe mungafune kuti mukhale ndi moyo wathanzi ndikuchepetsa mwayi wanu wodwala matenda ashuga.

Kodi Medicare Shuga Prevention Program ndi chiyani?

MDPP yapangidwa kuti ithandizire omwe adzapindule ndi Medicare omwe ali ndi zizindikilo za ma prediabetes kuti akhale ndi zizolowezi zopewera matenda amtundu wa 2. Centers for Medicare and Medicaid Services (CMS) imayang'anira pulogalamuyo pamlingo waboma.

Kuyambira 2018, MDPP yaperekedwa kwa anthu omwe akuyenera kulandira Medicare. Linapangidwa chifukwa cha kuchuluka kwa anthu aku America omwe ali ndi matenda ashuga.

Ziwerengerozi ndizokwera kwambiri pakati pa anthu aku America azaka 65 kapena kupitilira apo. M'malo mwake, kuyambira mu 2018, 26.8% aku America azaka zopitilira 65 anali ndi matenda ashuga. Chiwerengerochi chikuyembekezeka kuwirikiza kawiri kapena kupitilira katatu.

Matenda ashuga ndi matenda osachiritsika - komanso okwera mtengo. Mu 2016 mokha, Medicare idawononga $ 42 biliyoni kusamalira matenda ashuga.

Kuthandiza opindula ndi kusunga ndalama, pulogalamu yoyendetsa ndege yotchedwa Diabetes Prevention Program (DPP) idapangidwa. Zinapatsa Medicare ndalama zowonongera matenda ashuga, ndikuyembekeza kuti izi zitanthauza ndalama zochepa zomwe adzagwiritse ntchito pochiza matenda ashuga.

DPP idayang'ana kwambiri malangizo a CDC pochepetsa chiopsezo cha matenda ashuga kwa anthu omwe ali ndi matenda a shuga. Njira zophatikizira kuphunzitsa anthu omwe adalembetsa mu DPP momwe:

• sintha zakudya zawo
• kuwonjezera zolimbitsa thupi lawo
• Pangani zisankho zabwino pamoyo wanu wonse

Pulogalamu yoyambayo idakhala zaka ziwiri m'malo 17 ndipo idachita bwino kwambiri. Zathandiza ophunzira kuti achepetse kunenepa, achepetse mwayi wawo wodwala matenda ashuga, komanso kuti alandire ochepa kuchipatala. Komanso, idapulumutsa ndalama za Medicare pazithandizo.

Mu 2017, pulogalamuyi idakulitsidwa kukhala MDPP yapano.

Kodi Medicare imapereka chithandizo chanji pantchitozi?

Kuphimba kwa Medicare Part B

Medicare Part B ndi inshuwaransi yamankhwala. Pamodzi ndi Medicare Part A (inshuwaransi ya chipatala), zimapanga zomwe zimadziwika kuti Medicare yoyambirira. Gawo B limafotokoza ntchito ngati maulendo a azachipatala, othandizira odwala, komanso chisamaliro chodzitchinjiriza.

Chisamaliro chodzitchinjiriza chimaphimbidwa kwathunthu kwa anthu omwe adalembetsa ku Medicare. Izi zikutanthauza kuti simusowa kulipira 20% ya ndalamazi, monga momwe mungapangire mautumiki ambiri a Part B.

Chisamaliro chimaphatikizapo mapulogalamu ndi ntchito zosiyanasiyana zokuthandizani kuti mukhale ndi thanzi labwino, kuphatikizapo:

• maulendo abwinobwino
• kusiya kusuta
• katemera
• Kuyeza khansa
• Kuwona zaumoyo

Monga ntchito zonse zodzitetezera, MDPP sichikulipirani chilichonse malinga ngati mungakwaniritse zofunikira (zomwe zafotokozedwa pansipa) ndikugwiritsa ntchito wovomerezeka.

Mukuyenera kokha MDPP kamodzi munthawi ya moyo wanu; Medicare sidzalipira kachiwirinso.

Kuphimba kwa Medicare Advantage

Medicare Advantage, yomwe imadziwikanso kuti Medicare Part C, ndi njira yomwe imakupatsani mwayi wogula mapulani kuchokera ku kampani yabizinesi ya inshuwaransi yomwe imagwirizana ndi Medicare. Mapulani onse a Medicare Advantage akuyenera kupereka zofananira ndi Medicare yoyambirira.

Mapulani ambiri a Advantage amawonjezera zowonjezera, monga:

• chisamaliro cha mano
• chisamaliro cha masomphenya
• zothandizira kumva ndi kuwunika
• mankhwala osokoneza bongo
• zolimbitsa thupi

Madongosolo a Medicare Advantage amaperekanso ntchito zachitetezo chaulere. Koma mapulani ena ali ndi netiweki, ndipo muyenera kukhalabe pa netiweki kuti mufotokoze zonse. Ngati malo a MDPP omwe mukusangalatsidwa nawo alibe netiweki, mungafunike kulipira zina kapena zonse zotuluka m'thumba.

Ngati ndi malo okha a MDPP mdera lanu, mapulani anu atha kufotokozedwabe. Ngati muli ndi njira yapaintaneti, komabe, kunja kwa netiweki sikudzaphimbidwa. Mutha kuyimbira omwe amakupatsani dongosolo mwachindunji kuti mumve zambiri.

Monga momwe ziliri ndi Gawo B, mutha kuphimbidwa ndi MDPP kamodzi kokha.

Ndi ntchito ziti zomwe zimaperekedwa kudzera pulogalamuyi?

Ntchito zomwe mumalandira kuchokera ku MDPP zidzakhalanso chimodzimodzi ngakhale mutagwiritsa ntchito gawo liti la Medicare.

Pulogalamu iyi yazaka ziwiri yagawika magawo atatu. Pa gawo lirilonse, mudzakhala ndi zolinga ndipo mudzalandira chithandizo kukuthandizani kuzikwaniritsa.

Gawo 1: Magawo oyambira

Gawo 1 limatha miyezi 6 yoyambirira yomwe mwalembetsa ku MDPP. Munthawi imeneyi, mudzakhala ndi magawo 16 a gulu. Chilichonse chidzachitika kamodzi pa sabata pafupifupi ola limodzi.

Magawo anu azitsogoleredwa ndi mphunzitsi wa MDPP. Muphunzira maupangiri pakudya moyenera, kulimbitsa thupi, komanso kuonda. Wophunzitsayo amayesanso kulemera kwanu pagawo lililonse kuti muwone momwe mukuyendera.

Gawo 2: Gawo lokonzekera bwino

Pakati pa miyezi 7 mpaka 12, mudzakhala mu gawo 2. Mukhala nawo pamisonkhano isanu ndi umodzi mgawoli, ngakhale pulogalamu yanu itha kupereka zambiri. Mudzalandira thandizo lopitilira pakupanga zizolowezi zabwino, ndipo kulemera kwanu kukupitilizabe kutsatira.

Kuti musunthire gawo lachiwiri, muyenera kuwonetsa kuti mukupita patsogolo pulogalamuyi. Nthawi zambiri, izi zikutanthauza kupezeka gawo limodzi pamwezi 10 mpaka 12 ndikuwonetsa kuchepa kwa osachepera 5 peresenti.

Ngati simukupita patsogolo, Medicare sidzakulipirani kuti mupitirire gawo lotsatira.

Gawo 3: Nthawi zonse kukonza

Gawo 3 ndiye gawo lomaliza la pulogalamuyi ndipo limatha chaka chimodzi. Chaka chino chagawika magawo anayi a miyezi itatu iliyonse, yotchedwa nthawi.

Muyenera kupezeka magawo awiri osachepera munthawi iliyonse ndikupitilizabe kukwaniritsa zolimbitsa thupi kuti mupitilize pulogalamuyi. Mukhala ndi magawo osachepera kamodzi pamwezi, ndipo wophunzitsa wanu apitiliza kukuthandizani momwe mungasinthire zakudya zanu zatsopano komanso moyo wanu.

Medicare imalola opereka chithandizo kuti apereke magawo azodzikongoletsera koma safuna. Izi zikutanthauza kuti ndi kwa omwe amakupatsani.

Wothandizira wanu wa MDPP akuyenera kukudziwitsani mukalembetsa zomwe mungasankhe mukaphonya gawo. Othandizira ena atha kukulolani kuti mulowe nawo gulu lina usiku wina, pomwe ena atha kudzipereka m'modzi kapena m'modzi.

Ndani ali woyenera pulogalamuyi?

Kuti muyambe MDPP, muyenera kulembedwa ku Medicare Part B kapena Part C. Muyenera kuti mukwaniritse zina zowonjezera. Kuti mulembetse, simukadakhala:

• anapezeka ndi matenda a shuga, pokhapokha ngati anali ndi matenda ashuga
• amapezeka ndi matenda am'magazi am'magazi (ESRD)
• analembetsa mu MDPP kale

Mukakwaniritsa zofunikirazi, muyenera kuwonetsa kuti muli ndi zizindikilo za ma prediabetes. Izi zikuphatikiza index ya thupi (BMI) yopitilira 25 (kapena kupitilira 23 ya omwe akutenga nawo mbali ngati Asia). BMI yanu idzawerengedwa kuchokera kulemera kwanu pamaphunziro anu oyamba.

Mufunikiranso ntchito yabu yomwe imawonetsa kuti muli ndi ma prediabetes. Mutha kugwiritsa ntchito chimodzi mwazotsatira zitatu kuti muyenerere:

• kuyezetsa magazi kwa hemoglobin A1c ndi zotsatira za 5.7% mpaka 6.4%
• kusala kwa magazi m'magazi kuyesa ndi zotsatira za 110 mpaka 125 mg / dL
• Kuyezetsa magazi pakamwa poyamwa ndi zotsatira za 140 mpaka 199 mg / dL

Zotsatira zanu ziyenera kuchokera miyezi 12 yomaliza ndipo muyenera kukhala ndi chitsimikiziro cha dokotala wanu.

Kodi ndingalembetse bwanji pulogalamuyi?

Chimodzi mwazinthu zanu zoyambirira kulembetsa ziyenera kukhala kukambirana ndi dokotala za zizindikilo zanu za prediabetes. Dokotala wanu akhoza kutsimikizira BMI yanu yapano ndikuitanitsa labu kuti mugwire ntchito yomwe mungafune musanalowe nawo pulogalamuyi.

Mutha kusaka mapulogalamu mdera lanu pogwiritsa ntchito mapu.

Onetsetsani kuti pulogalamu yomwe mumagwiritsa ntchito ikuvomerezedwa ndi Medicare. Ngati muli ndi dongosolo la Medicare Advantage (Gawo C), mudzafunika kuwonetsetsa kuti pulogalamuyi ili pamaneti.

Simuyenera kulandira bilu yazantchito izi. Ngati mungatero, mutha kulumikizana ndi Medicare nthawi yomweyo poyimbira 800-Medicare (800-633-4227).

Kodi ndingapeze bwanji pulogalamuyi?

Ndikofunika kukhala okonzekera kusintha komwe kudzachitike ndi MDPP. Mungafunike kusintha zina ndi zina pamoyo wanu, kuphatikizapo:

• kuphika chakudya china kunyumba
• kudya shuga, mafuta, ndi chakudya chochepa
• kumwa zakumwa zochepa ndi zakumwa zina zotsekemera
• kudya nyama zowonda kwambiri ndi ndiwo zamasamba
• kuchita masewera olimbitsa thupi ndi kuchita zambiri

Simuyenera kusintha zonsezi nthawi imodzi. Kusintha kwakanthawi pakapita nthawi kumatha kupanga kusiyana kwakukulu. Kuphatikiza apo, mphunzitsi wanu akhoza kukuthandizani popereka zida monga maphikidwe, maupangiri, ndi mapulani.

Kungakhalenso kothandiza kukhala ndi mnzanu, wachibale wanu, kapena mnzanu kudzipereka ku zina mwa zosinthazi ndi inu, ngakhale iwo sali mu MDPP. Mwachitsanzo, kukhala ndi winawake woyenda naye tsiku lililonse kapena kuphika naye kumatha kukupatsani chilimbikitso pakati pa magawo.

Ndi chiyani chinanso chomwe chimafunikira chisamaliro cha shuga pansi pa Medicare?

MDPP imayenera kupewa matenda ashuga. Ngati muli ndi matenda ashuga kapena mukukula pambuyo pake, mutha kulandira chithandizo pazosowa zosiyanasiyana. Pansi pa Gawo B, kufalitsa kumaphatikizapo:

• Kuyeza matenda ashuga. Mumalandila zowonera ziwiri chaka chilichonse.
• Kudziyang'anira matenda ashuga. Kudziyang'anira kumakuphunzitsani momwe mungapangire jakisoni wa insulini, kuwunika shuga wanu wamagazi, ndi zina zambiri.
• Katemera wa matenda ashuga. Gawo B limakhudza zinthu monga zoyeserera, zoyang'anira shuga, ndi mapampu a insulini.
• Kuyesa mapazi ndi chisamaliro. Matenda ashuga angakhudze thanzi la mapazi anu. Pachifukwa ichi, mudzayikidwa mayeso a phazi miyezi isanu ndi umodzi iliyonse. Medicare amalipiranso chisamaliro ndi zinthu zina, monga nsapato zapadera kapena ma prostheses.
• Mayeso amaso. Medicare ikulipirani kuti mupimidwe khungu la glaucoma kamodzi pamwezi, popeza anthu omwe ali ndi matenda ashuga ali pachiwopsezo chachikulu.

Ngati muli ndi Medicare Part D (chithandizo chamankhwala).

• mankhwala antidiabetic
• insulini
• masingano, majekeseni, ndi zina

Dongosolo lililonse la Medicare Advantage lithandizira ntchito zofananira ndi Gawo B, ndipo zambiri zimaphatikizaponso zina mwazinthu zomwe zili ndi Gawo D.

Kutenga

Ngati muli ndi prediabetes, MDPP ikhoza kukuthandizani kupewa matenda a shuga amtundu wa 2. Kumbukirani kuti:

• Kutenga nawo mbali mu MDPP ndi kwaulere ngati mungayenerere.
• Mutha kukhala mu MDPP kamodzi.
• Muyenera kukhala ndi zisonyezo za ma prediabetes kuti muyenerere.
• MDPP ikhoza kukuthandizani kuti musinthe moyo wanu wathanzi.
• MDPP imakhala zaka ziwiri.

Zomwe zili patsamba lino zimatha kukuthandizani posankha nokha za inshuwaransi, koma cholinga chake si kupereka upangiri wokhudzana ndi kugula kapena kugwiritsa ntchito inshuwaransi kapena zinthu zilizonse za inshuwaransi. Healthline Media siyigulitsa bizinesi ya inshuwaransi mwanjira iliyonse ndipo siyololedwa kukhala kampani ya inshuwaransi kapena opanga madera aliwonse aku U.S. Healthline Media sivomereza kapena kuvomereza aliyense wachitatu yemwe angachite bizinesi ya inshuwaransi.