Njira Zomwe Mungatenge Ngati Mankhwala Anu Akumwa Ashuga Akumalephera Kugwira Ntchito

Zamkati

• Onani zomwe mumachita tsiku lililonse
• Onjezerani mankhwala ena
• Tengani insulini
• Lumikizanani ndi dokotala wanu

Kumbukirani kumasulidwa kwa metformin

Mu Meyi 2020, adalimbikitsa kuti ena opanga metformin awonjezere kutulutsa ena mwa mapiritsi awo kumsika waku US. Izi ndichifukwa choti mulingo wosavomerezeka wa khansa yotenga khansa (wothandizira khansa) udapezeka m'mapiritsi ena a metformin. Ngati mukumwa mankhwalawa, itanani woyang'anira zaumoyo wanu. Adzakulangizani ngati mupitiliza kumwa mankhwala anu kapena ngati mukufuna mankhwala atsopano.

Mankhwala apakamwa ndi othandiza pakuchepetsa shuga wamagazi pomwe zakudya ndi masewera olimbitsa thupi sizokwanira kuthana ndi matenda a shuga amtundu wa 2. Komabe mankhwalawa siabwino - ndipo sagwira ntchito nthawi yayitali. Ngakhale mutakhala mukumwa mankhwala anu monga adanenera dokotala, mwina simungamve bwino momwe mumafunira.

Mankhwala a shuga amatha kusiya ndipo nthawi zambiri amasiya kugwira ntchito. Pafupifupi 5 mpaka 10 peresenti ya anthu omwe ali ndi matenda a shuga amtundu wa 2 amasiya kuyankha mankhwala awo chaka chilichonse. Ngati mankhwala anu ashuga am'kamwa sakugwiranso ntchito, muyenera kudziwa zomwe zikulepheretsa kuti muchepetse shuga wanu wamagazi. Ndiye muyenera kufufuza njira zina.

Onani zomwe mumachita tsiku lililonse

Mukamamwa mankhwala anu ashuga am'kamwa, kambiranani ndi dokotala wanu. Afuna kudziwa ngati chilichonse m'zochita zanu zasintha.

Zinthu zambiri zimatha kukhudza momwe mankhwala anu amagwirira ntchito - mwachitsanzo, kunenepa, kusintha kadyedwe kapena magwiridwe antchito, kapena matenda aposachedwa. Kusintha pang'ono pokha pazakudya zanu kapena kuchita masewera olimbitsa thupi tsiku lililonse kungakhale kokwanira kuti magazi anu azilamulidwanso.

Ndizothekanso kuti matenda anu ashuga apita patsogolo. Maselo a beta m'matumba anu omwe amatulutsa insulin amatha kuchepa pakapita nthawi. Izi zingakusiyeni ndi insulin yocheperako komanso kuchepa kwa shuga m'magazi.

Nthawi zina dokotala wanu sangathe kudziwa chifukwa chomwe mankhwala anu adasiya kugwira ntchito. Ngati mankhwala omwe mwakhala mukugwiritsa ntchito salinso othandiza, muyenera kuyang'ana mankhwala ena.

Onjezerani mankhwala ena

Metformin (Glucophage) nthawi zambiri ndi mankhwala oyamba omwe mungamwe kuti muchepetse matenda amtundu wa 2. Ngati asiye kugwira ntchito, chinthu chotsatira ndikuwonjezera mankhwala ena amlomo.

Muli ndi mankhwala ochepa akumwa ashuga omwe mungasankhe, ndipo amagwira ntchito m'njira zosiyanasiyana.

• Sulfonylureas monga glyburide (Glynase PresTab), glimeperide (Amaryl), ndi glipizide (Glucotrol) amalimbikitsa kapamba wanu kuti azipanga insulini yambiri mukatha kudya.
• Meglitinides monga repaglinide (Prandin) imayambitsa kapamba wanu kuti amasule insulini mukatha kudya.
• Glucagon-ngati peptide-1 (GLP-1) receptor agonists monga exenatide (Byetta) ndi liratuglide (Victoza) amalimbikitsa kutulutsa kwa insulin, amachepetsa kutulutsa kwa glucagon, ndikuchepetsa kutaya kwa m'mimba mwanu.
• SGLT2 inhibitors empagliflozin (Jardiance), canagliflozin (Invokana), ndi dapaglifozin (Farxiga) shuga wotsika magazi ndikupangitsa impso zanu kutulutsa shuga wambiri mkodzo wanu.
• Dipeptidyl peptidase-4 (DPP-4) inhibitors monga sitagliptin (Januvia), linagliptin (Tradjenta), ndi saxagliptin (Onglyza) zimathandizira kutulutsa kwa insulin ndikuchepetsa kutulutsidwa kwa glucagon.
• Ma Thiazolidinediones monga pioglitazone (Actos) amathandizira thupi lanu kuyankha bwino ku insulin ndikupanga shuga wochepa.
• Alpha-glucosidase-acarbose ndi miglitol amachepetsa kuyamwa kwa shuga.

Mungafune mankhwala opitilira umodzi kuti mukwaniritse bwino shuga. Mapiritsi ena amaphatikiza mankhwala awiri a shuga m'modzi, monga glipizide ndi metformin (Metaglip), ndi saxagliptin ndi metformin (Kombiglyze). Kutenga piritsi limodzi kumathandiza kuti mukhale ndi dosing yosavuta komanso kumachepetsa zovuta zomwe mungaiwale kumwa mankhwala anu.

Tengani insulini

Njira ina ndikuwonjezera insulini m'kamwa mwanu mankhwala ashuga kapena kusinthana ndi insulin. Dokotala wanu angakulimbikitseni chithandizo cha insulini ngati mulingo wanu wa A1C - womwe umawonetsa kuchuluka kwa shuga m'magazi m'miyezi iwiri kapena itatu yapitayi - uli kutali kwambiri ndi cholinga chanu kapena muli ndi zizindikiro za shuga wambiri wamagazi, monga ludzu kapena kutopa.

Kutenga insulini kumakupatsani mpata wopuma kwambiri. Ikhoza kukuthandizani kusamalira shuga wanu wamagazi mwachangu, ndipo ikuyenera kukuthandizani kuti mukhale bwino.

Insulini imabwera m'njira zingapo zomwe zimasankhidwa potengera zinthu monga momwe amagwirira ntchito mwachangu, nthawi yayitali kwambiri, komanso kutalika kwake. Mitundu yothamanga imayamba kugwira ntchito mwachangu mukatha kudya ndipo nthawi zambiri imatha pafupifupi maola awiri kapena anayi. Mitundu yanthawi yayitali nthawi zambiri imamwedwa kamodzi patsiku ndipo imagwiritsidwa ntchito kuchepetsa shuga m'magazi pakati pa chakudya kapena usiku.

Lumikizanani ndi dokotala wanu

Kusinthira ku mankhwala atsopano sikungakonze msinkhu wamagazi anu nthawi yomweyo. Mungafunike kuchepetsa mlingo kapena kuyesa mankhwala angapo musanathe kuwongolera matenda ashuga.

Mudzawona dokotala wanu kamodzi pa miyezi itatu iliyonse kuti mupite shuga wanu wamagazi ndi milingo ya A1C. Maulendowa amuthandiza dokotala kudziwa ngati mankhwala anu akumwa akulamulira shuga lanu. Ngati sichoncho, muyenera kuwonjezera mankhwala ena kuchipatala kapena kusintha mankhwala anu.