Boma la Matenda A shuga 2: Thanzi Likhala Ntchito Yanthawi Zonse

Zamkati

• Zotsatira zazikulu zofufuza
• Zovuta pamoyo ndi kupambana
• Ntchito yolemera
• Vuto lodabwitsa
• Nkhani zopambana
• Kugawikana pakati pa amuna ndi akazi
• Maganizo olakwika
• Maganizo abwino
• Zovuta zophatikizika
• Kuperewera kwa akatswiri
• Ndalama motsutsana ndi thanzi
• Ntchito ya mtundu wa 2 shuga
• Ntchito yamoyo
• Kulemera ndi kusalidwa
• Kupsinjika ndi kutopa
• Kugawikana pakati pa amuna ndi akazi
• Mibadwo ya mibadwo
• Kugawanika pakati pa amuna ndi akazi
• Zovuta zamankhwala ndi zisankho
• Zovuta
• Tulo
• Kuchita opaleshoni yamagetsi
• Kupeza chisamaliro
• Mtengo wa chisamaliro
• Kudzuka
• Ndemanga zamankhwala ndi kufunsa
• Okonza mkonzi ndi kafukufuku

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kutsikira mkati mwanjira yachiwiri ya matenda ashuga

Ngati mtundu wa 2 shuga suli m'malingaliro athu, uyenera kutero. United States ndiye likulu lotukuka la matendawa. Pafupi ndi anthu aku America mwina ali ndi matenda amtundu wa 2 kapena matenda am'mbuyomu, prediabetes. Imakhala 1 ya madola 7 aliwonse omwe timagwiritsa ntchito kuchipatala, malinga ndi American Diabetes Association. Ndipo zimakhudza kwambiri zaka zikwizikwi.

Kafukufuku wambiri wachitika pazinthu zosiyanasiyana zamtundu wa 2 shuga: momwe mankhwala amagwirira ntchito, omwe amakhudzidwa kwambiri, komanso maudindo omwe zakudya, zolimbitsa thupi, kupsinjika, komanso kugona zimasewera. Healthline adaganiza zofufuza mozama mdziko lino poyang'ana zokumana nazo za tsiku ndi tsiku ndi momwe akumvera anthu omwe amakhala ndi vuto lomwe siliwapatsa mwayi wopuma.

Kodi anthu omwe ali ndi matenda ashuga amtundu wachiwiri amathetsa bwanji vutoli? Kodi angathe kugula chithandizo chamankhwala ndi kusintha kwa moyo wawo? Kodi matendawa amasintha bwanji malingaliro awo a iwo eni komanso tsogolo lawo? Ndani amawathandiza? Ndipo mayankho a mafunso awa amasiyana m'mibadwo? Awa ndi mafunso ofunikira omwe maphunziro ambiri sawunika kwathunthu momwe tikufunira.

Kuti apeze mayankho, a Healthline adalamula kuti afufuze anthu opitilira 1,500 omwe ali ndi matenda ashuga amtundu wa 2. Tidafunsa zaka zikwizikwi, a Gen Xers, ndi ma boomers aana kuti atiuze zamalingaliro awo, nkhawa zawo, komanso zokumana nazo zawo. Kenako, kuti tiwone zomwe tikupeza, tidakambirana ndi anthu omwe ali ndi vutoli komanso akatswiri azachipatala omwe akudziwa kuchiritsa.

Anthu ena amati akuchita bwino ndi matenda ashuga amtundu wa 2, pomwe ena amati akuvutika. Ambiri amadera nkhawa zovuta zamatendawo, monga kutaya masomphenya kapena matenda amtima. Anthu ambiri, omwe ali kale otanganidwa ndi ntchito komanso mabanja, zimawavuta kuthana ndi ntchito yoyang'anira matendawa - zomwe katswiri wina adatcha "ntchito yanthawi zonse." Anthu ambiri akuda nkhawa kwambiri ngati angakwanitse kupeza mankhwala omwe angafunike.

Amavutika kugona.

Ndipo komabe, anthu ambiri omwe ali ndi matenda a shuga amtundu wa 2 apanga masinthidwe akulu m'miyoyo yawo - kudya bwino, kuchita masewera olimbitsa thupi - ndikuwona kuwapeza kwawo ngati tsiku lomwe adadzuka ndikuyamba kuyang'anira thanzi lawo.

Zotsatira zazikulu zofufuza

Kafukufuku wa State of Type 2 Diabetes wa Healthline adasanthula zovuta zam'malingaliro zamtunduwu, adazindikira kusiyanasiyana pakati pamibadwo, ndikuwunikanso zovuta za anthu.

Nayi chithunzi cha zotsatira zazikulu:

Zovuta pamoyo ndi kupambana

Ntchito yolemera

Kuchepetsa thupi ndi vuto lalikulu. Oposa awiri mwa atatu mwa iwo omwe ali ndi matenda a shuga amtundu wa 2 adati kulemera kwawo pakadali pano kumakhudza thanzi lawo. Pafupifupi theka ayesapo kuonda kangapo, osapambana kwanthawi yayitali. Nthawi yomweyo, oposa 40% adanenapo kuti samachita zolimbitsa thupi mpaka kutuluka thukuta.

Vuto lodabwitsa

Chimodzi mwazovuta zazikulu zomwe zanenedwa zitha kukudabwitsani: anthu ambiri omwe ali ndi matenda amtundu wa 2 - 55% - amavutika kugona tulo tokwanira.

Nkhani zopambana

Kwa anthu ena, matenda a shuga amtundu wa 2 amatha kumva ngati njira yodzutsa kuti ayambe kukhala ndi moyo wathanzi. Anthu ambiri adanena kuti matendawa adawatsogolera ku:

• idyani mopambanitsa (78%)
• samalirani bwino (56 peresenti)
• kumwa mowa pang'ono (25 peresenti)

Kugawikana pakati pa amuna ndi akazi

Achinyamata amakhala ndi nthawi yovuta kuposa achikulire omwe ali ndi zovuta zam'maganizo ndi zachuma zamtundu wa 2 shuga. Pali kusala komwe kumalumikizidwa ndi vutoli - ndipo zaka zikwizikwi ndizovuta.

• Pafupifupi theka la zaka zikwizikwi omwe adafunsidwa, ndipo pafupifupi gawo limodzi mwa magawo atatu a Gen Xers, akuti adabisa chikhalidwe chawo chifukwa chodandaula ndi zomwe ena amaganiza.
• Pafupifupi nambala yomweyo akuti akuweruzidwa molakwika ndi ena othandizira zaumoyo.
• Mtengo umalepheretsa oposa 40 peresenti ya zaka zikwizikwi kutsatira nthawi zonse malingaliro azachipatala awo.

Palinso magawano pakati pa amuna ndi akazi: amayi ali ndi mwayi wambiri kuposa abambo kunena kuti amaika zosowa za ena patsogolo pa zawo, ndipo amakumana ndi zovuta zambiri kusanja zosowa zawo ndi maudindo ena.

Maganizo olakwika

Kukhala ndi matenda ashuga amtundu wa 2 ndi ntchito yovuta, nthawi zambiri kumawonjezeredwa ndi nkhawa. Maganizo anayi ofala kwambiri omwe anthu amafotokoza anali awa:

• kutopa
• kudandaula za zovuta
• nkhawa za ndalama
• kudziimba mlandu posasamalira vutoli

Kuphatikiza apo, ambiri adanena kuti akumva ngati alephera ngati zotsatira za mayeso a A1C ndizokwera kwambiri.

Maganizo abwino

Ngakhale anthu ambiri amakhala ndi malingaliro osalimbikitsa, ambiri omwe adachita nawo kafukufukuyu adawonetsa kulimbikitsidwa ndikuwonetsa kuti nthawi zambiri amamva:

• akufuna kupeza njira zatsopano zothanirana ndi vutoli
• wodziwa zambiri
• kudzidalira
• kudzilandira

Ambiri adanenanso zakumva kulimba mtima, kupirira, ndikuyembekeza.

Zovuta zophatikizika

Anthu omwe ali ndi matenda a shuga amtundu wachiwiri amadziwa bwino zovuta zamankhwala zomwe zimatha kutsagana ndi vutoli: magawo awiri mwa atatu aliwonse amakhala ndi nkhawa pazovuta zazikulu kwambiri. Zovuta zazikulu ndi ziti? Khungu, kuwonongeka kwa mitsempha, matenda a mtima, matenda a impso, kupwetekedwa mtima, ndi kudulidwa.

Kuperewera kwa akatswiri

Oposa 60% mwa omwe adachita nawo kafukufukuyu sanawonepo katswiri wazamaphunziro kapena wophunzitsa za matenda a shuga, ndipo ambiri sanafikeko kwa katswiri wazakudya. Izi zikugwirizana ndi kafukufuku yemwe akuwonetsa akatswiri omwe amakhazikika pamtundu wa 2 shuga - vuto lomwe likuipiraipira.

Ndalama motsutsana ndi thanzi

Matenda a shuga ndi okwera mtengo. Pafupifupi 40% ya omwe adachita nawo kafukufuku ali ndi nkhawa zakukwanitsa kwawo kupeza chithandizo chamtsogolo.

Healthline's State of Type 2 Diabetes kafukufuku woyambirira ndi chidziwitso chitha kuperekedwa kwa akatswiri atolankhani ndi ofufuza pempho. Mafanizo onse ofananitsa kuyerekezera adayesedwa kuti akhale ofunikira pamlingo wa 90%.

Ntchito ya mtundu wa 2 shuga

Kukhala ndi matenda ashuga amtundu wa 2 kumatha kumva ngati ntchito yanthawi zonse. Kwenikweni, matenda osachiritsikawa amakhudza momwe thupi limagwiritsira ntchito shuga, lomwe ndi mafuta. Oposa ambiri, anthu omwe ali ndi matenda a shuga amtundu wa 2 amafunika kudya m'njira zomwe zimawonjezera thanzi lawo, kuchita masewera olimbitsa thupi pafupipafupi, ndikupanga zosankha zina pamoyo wawo tsiku lililonse. Kuphatikiza apo, amafunika kuwunika kuchuluka kwa shuga wamagazi. Ambiri amamwa mankhwala tsiku lililonse.

Ngakhale kuti matenda a shuga amtundu wa 1 ndi 2 amasiyana m'njira zofunika, zonsezi zimakhudza mavuto a insulin, mahomoni omwe amayendetsa kayendedwe ka shuga m'maselo amthupi. Thupi likapanda kupanga insulin, kapena kusiya kuigwiritsa ntchito moyenera, shuga amakula m'magazi ndipo imayambitsa vuto lotchedwa hyperglycemia. Kumayambiriro, shuga wambiri wamagazi amayambitsa zizindikilo zobisika, monga ludzu komanso kukodza pafupipafupi. Akasiyidwa, akhoza kuwononga mitsempha ya mitsempha, misempha, maso, impso, ndi mtima.

Mankhwala ena a shuga amatenga chiopsezo cha hypoglycemia, kapena shuga wotsika kwambiri wamagazi. Vutoli limatha kubweretsa mavuto akulu, kuphatikizapo kukomoka kapena kufa kumene.

Matenda a shuga amtundu wa 2 amayamba thupi likagonjetsedwa ndi insulin - kutanthauza kuti mahomoni sagwiritsidwa ntchito moyenera - kapena satulutsa insulin yokwanira kuti shuga wambiri azikhala mkati mwazomwe mukufuna. Imasiyana ndi mtundu woyamba wa matenda ashuga, omwe ndi matenda omwe amadzipangitsa kuti ayambe kupanga insulin. Mtundu wa shuga woyamba umayamba pakatha milungu ingapo, makamaka mwa ana kapena achikulire.

Mosiyana ndi izi, mtundu wachiwiri wa shuga nthawi zambiri umayamba pang'onopang'ono. Anthu amatha zaka zambiri osadziwa kuti ali nawo. Pofuna kuigwiritsa ntchito, madokotala amalimbikitsa kuwunika shuga, kusintha kwa moyo, komanso kumwa mankhwala pakamwa tsiku lililonse. Nthawi zina, amafunikira chithandizo cha insulin. Kutengera mtundu wamagulu (BMI) ndi zina, madokotala amalimbikitsa kuchitidwa opaleshoni yochepetsa thupi. Malinga ndi National Institutes of Health, BMI yayikulu imagwirizanitsidwa ndi kukana kwa insulin.

Ndizosavuta mopepuka - ngakhale zopweteka - kutcha mtundu wa 2 matenda ashuga "matenda amachitidwe." Palibe amene ali ndi mlandu poyambitsa. Zomwe zimayambitsa sizikudziwika. Zomwe zimayambitsa chibadwa komanso zachilengedwe mwina zimathandizira, inatero chipatala cha Mayo. Mbiri ya banja imayika anthu pachiwopsezo chachikulu. Mitundu ina kapena mitundu, monga African-American, Native American, ndi Latinos, nawonso ali pachiwopsezo chachikulu. Matendawa amapezeka kwambiri kwa anthu okalamba kuposa 40, ngakhale amakhudza kwambiri achinyamata.

Ziribe kanthu kuti imapezeka bwanji, matenda a shuga amtundu wa 2 amasintha miyoyo ya anthu mosasinthika. Kuyendera pafupipafupi ndi kuyesedwa kuti muwone kuchuluka kwa shuga wamagazi ndikulimbikitsidwa. Anthu ambiri amakhala ndi zolinga zakadyedwe komanso zolimbitsa thupi. Angafunikire kuthana ndi zoopsa pazovuta zina, monga kuthamanga kwa magazi kapena kuchuluka kwama cholesterol.

Kuphunzira kuchepetsa nkhawa ndikofunikanso. Kupsinjika kwamaganizidwe kumatha kukweza kuchuluka kwa shuga wamagazi - ndikukhala ndi mtundu wa 2 shuga kumatha kukhala kopanikiza. Pamafunika khama kuti tithetse zovuta za tsiku ndi tsiku ndi zovuta za matenda ovuta.

Moyo wamoyo umakhudza chiwopsezo komanso kuopsa kwa mtundu wa 2 shuga, kenako, chikhalidwecho chimatha kusintha moyo wamunthu. Ndicho chifukwa chake kafukufuku wa Healthline adalongosola momwe anthu omwe ali ndi matenda a shuga a mtundu wa 2 amathandizira tsiku ndi tsiku komanso momwe akumvera ndi momwe matendawa amakhudzira miyoyo yawo.

Ntchito yamoyo

Kafukufuku wa Healthline adapeza kuti achikulire ambiri - makamaka achikulire - amasangalala kwambiri ndi momwe akuyang'anira mtundu wa 2 wa matenda ashuga. Ambiri amati akuthandizidwa ndi okondedwa awo. Oposa theka akuti amamva kukhala odziwa zambiri, kudzidalira, kapena kupirira tsiku lililonse kapena sabata iliyonse. Pambuyo pozindikira kuti ali ndi vuto, ambiri adati adayamba kudya moyenera, kuchita masewera olimbitsa thupi, ndikuwongolera kulemera kwawo bwino.

Koma pali mbali yokhotakhota ya chithunzi chowala chija. Awiri mwa atatu mwa omwe adachita nawo kafukufukuyu adati kulemera kwawo pakadali pano kumakhudza thanzi lawo. Oposa 40% adati samachita masewera olimbitsa thupi mokwanira thukuta. Ndipo ochepa ochepa - makamaka achikulire - akuti akumva kutopa, kuda nkhawa, kapena kudzimva olakwa pazomwe amachita.

Zotsatirazi zitha kuwoneka ngati zotsutsana, koma mtundu wachiwiri wa matenda a shuga ndizovuta. Ndi munthu wosowa kwambiri yemwe amatha kutsatira malangizo onse a adotolo awo kupita ku T. Ndicho chifukwa chake ndikofunikira kuti mukhalebe olondola. Kuthana ndi matendawa ndikoyeserera: kachigawo kakang'ono ka chokoleti kamodzi kanthawi kali bwino, koma maswiti ofunikira amfumu tsiku lililonse siili.

"Mukukumana ndi anthu komwe ali, ndipo mukuwathandiza kusankha zosankha zenizeni pamoyo wawo," atero a Laura Cipullo, RD, CDE, omwe adalemba buku la "Daily Day Dials Meals: Cooking for One or Two." Mwakuchita kwake, amathandiza anthu kuganizira zosintha zazitali, osati kukonza mwachangu.

Koma ngakhale anthu omwe amadzipereka kuti asinthe zizolowezi zawo atha kuwona kuti zoyesayesa zawo zidayesedwa ndi phwando lokondwerera tsiku lobadwa, zopereka pantchito, kapena zinthu zina zomwe sangathe.

"Nditapezeka, ndinali ndi mapaundi a 45 olemera kuposa tsopano," atero a Shelby Kinnaird, wolemba blog Diabetic Foodie komanso buku la "The Pocket Carbohydrate Counter Guide for Diabetes."

Ngakhale amalemetsa, nthawi yake yolimbikira kuyenda imapangitsa kuti masewera olimbitsa thupi tsiku lililonse akhale ovuta. Posachedwapa, wakhala akukumana ndi "m'bandakucha," zomwe zikutanthauza shuga wam'mamawa wam'magazi omwe amayamba chifukwa cha kuchuluka kwa mahomoni. Pakadali pano, sanapeze yankho lalitali. "Zonse zomwe ndayesa sizigwira ntchito mosasinthasintha. Ili ndiye vuto lalikulu lomwe ndikukumana nalo pakadali pano. "

Mofananamo, Cindy Campaniello, mtsogoleri wa Rochester, NY, chaputala cha gulu lothandizira la DiabetesSisters, amagwira ntchito molimbika kuti athetse zofunikira zakusamalira mtundu wa 2 shuga ndiudindo wokhala moyo wotanganidwa. Kuyesera kukhalabe ndi zakudya zinazake "ndizowopsa," adatero, osati chifukwa chakudyacho sichimakhala chokoma koma chifukwa cha nthawi yomwe timakonzekera ndikukonzekera chakudya.

"Mukudziwa, tili ndi moyo," adatero Campaniello. Anauza Healthline za zovuta zakulera anyamata awiri olimbikira pokonza chakudya chopatsa thanzi ndi mapuloteni, zokolola zatsopano, komanso chakudya chochepa. "Simungathe kuuza ana anu kuti, 'Tikhala ndi McDonald's usikuuno,' 'adalongosola. "Simungathe kugwira ntchito ndi matenda a shuga mwa kupezako zakudya zina zogulitsidwa panthawi yopuma."

Kulemera ndi kusalidwa

Ngakhale akuyesetsa kuti asinthe moyenera, pafupifupi theka la omwe akutenga nawo mbali pa kafukufuku wa Healthline adati kuwongolera kunenepa kumakhalabe vuto lalikulu: ayesera kuonda kangapo osachita bwino kwanthawi yayitali.

Dr. Samar Hafida, katswiri wazamaphunziro ku Joslin Diabetes Center ku Boston, adauza a Healthline kuti pafupifupi, anthu omwe amawathandiza adayesa zakudya zitatu kapena zingapo. "Palibe matenda a shuga omwe samaphatikizapo kudya bwino komanso kuchita masewera olimbitsa thupi," adatero, koma upangiri wazakudya zabwino ungasocheretse anthu. "Pali zambiri zabodza kunja kuno."

Ichi ndi chimodzi mwazifukwa zomwe kuwonda kosatha kumathawa ambiri. China ndikuti anthu omwe akukumana ndi zovuta zolemera sangalandire chithandizo chamankhwala, kapena thandizo lililonse.

Kulimbana ndi mavutowa ndi kusala komwe kumayenderana ndi mtundu wachiwiri wa shuga komanso kulemera, makamaka kwa achinyamata.

"Ndidali ndi msungwana sabata ingapo yemwe anali wonenepa pang'ono," atero a Veronica Brady, PhD, CDE, mneneri wa American Association of Diabetes Educators yemwenso amagwira ntchito kuchipatala ku Reno, NV. "Zomwe ananena kwa ine nditakumana naye zinali, 'Ndikukhulupirira ndili ndi matenda ashuga amtundu woyamba osati mtundu wachiwiri.'” Ndi mtundu wachiwiri, mtsikanayo adachita mantha, "'anthu aganiza kuti ndili ndi matenda a shuga chifukwa sindinadziwe sindikutha kudziletsa. '”

Ammayi S. Epatha Merkerson, wa Law and Order ndi kutchuka kwa Chicago Med, amadziwa manyazi amtundu wa 2 matenda ashuga - makamaka kuchokera pazomwe adakumana ndi abale awo omwe anali ndi matendawa koma sanalankhulepo. Achibale ake sananene ngakhale mawu oti "matenda ashuga."

"Ndikukumbukira ndili mwana, achikulire m'banja lathu nthawi zonse ankati 'O, ali ndi shuga,'" Merkerson adauza Healthline, "Chifukwa chake ndidadzipeza ndekha ndikunena kuti sindimvetsetsa, ndiko kukhudza shuga? Mwina uli ndi matenda ashuga kapena ayi. ”

Pofotokoza momveka bwino za matenda ake, Merkerson akuyembekeza kuchepetsa manyazi omwe anthu ambiri amakhala nawo. Ndicho chifukwa chake ali woimira America's Diabetes Challenge, yothandizidwa ndi Merck ndi American Diabetes Association. Izi zikulimbikitsa anthu kuti asinthe moyo wawo ndikutsatira njira zamankhwala kuti athetse vuto la matenda amtundu wachiwiri.

Merkerson atamupima zaka 15 zapitazo, adayenera kuzindikira kuti anali atalemera motani. Pomwe adasiya Law and Order, adati, "ndinali ndi kabati yomwe idachokera pa 6 mpaka 16." Adachita manyazi kuwona kukula kwake kukuwonjezeka pawailesi yakanema yapadziko lonse - komanso adalimbikitsidwa kuti asinthe.

"Ndidali ndi zaka 50 pomwe adandipeza," adalongosola, "ndipo ndidazindikira panthawiyo kuti ndimadya ngati wazaka 12. Gome langa, chakudya changa, ndi zisankho zanga zidalibe pa tchati. Chifukwa chake, chinali chinthu choyamba kuchita, chinali kudziwa momwe ndingadye bwino, kuphika, kugula - zonsezo. ”

Kupsinjika ndi kutopa

Popeza ntchito yonse yothandizira kusamalira matenda a shuga amtundu wachiwiri, ndizosadabwitsa kuti pafupifupi 40 peresenti ya anthu omwe adafunsidwa adati amadzimva otopa tsiku lililonse kapena sabata iliyonse. Nthawi zambiri, opitilira 30 peresenti adati amadzimva olakwa pazomwe akuyang'anira vutoli.

Lisa Sumlin, PhD, RN, namwino wachipatala wodziwa za matenda ashuga, amadziwa izi. Makasitomala ake ku Austin, TX, amakhala otuluka ndalama zochepa, ndipo nthawi zambiri amagwira ntchito zingapo kuti apeze zofunika pamoyo. Kuwonjezera ntchito zofunika kuthana ndi matenda a shuga amtundu wa 2 kumafunikira nthawi yochulukirapo komanso mphamvu.

"Ndimauza odwala nthawi zonse: iyi ndi ntchito yanthawi zonse," adatero.

Ndipo siimodzi yomwe angatenge njira zazifupi.

Ngakhale mayeso ofunikira azachipatala angayambitse kupsinjika. Mwachitsanzo, madokotala amalamula mayeso a A1C kuti aphunzire za kuchuluka kwa shuga m'magazi pamwezi wapitawo. Malinga ndi kafukufuku wathu, pafupifupi 40% ya anthu zimawavuta kudikirira zotsatira zawo za A1C. Ndipo 60 peresenti amamva ngati "alephera" ngati zotsatirazo zibwerera kwambiri.

Ndi nkhani yomwe Adam Brown adamva mobwerezabwereza. Brown, mkonzi wamkulu wa diaTribe, amakhala ndi matenda ashuga amtundu woyamba ndipo amalemba cholembera chotchuka cha "Adam's Corner", ndikupereka upangiri kwa anthu omwe ali ndi matenda a shuga amtundu woyamba komanso wachiwiri. Adalankhulanso mutu wamavuto a A1C m'buku lake, "Bright Spots & Landmines: The Diabetes Guide Ndikulakalaka Wina Akanandigwira."

"Anthu nthawi zambiri amapita kukaonana ndi adokotala akumva kuweruzidwa ndikumverera ngati manambala omwe ali pa [glucose] mita kapena A1C awo sakhala osiyanasiyana, amamva ngati akupeza bwino," a Brown adauza Healthline.

M'malo moyang'ana manambala ngati magiredi, akuwauza kuti aziwatenga ngati "chidziwitso chotithandiza kupanga zisankho." Izi zimasinthanso zotsatira za mayeso, adati: "Sikunena kuti, 'Adam ndiwe munthu woyipa yemwe ali ndi matenda ashuga chifukwa nambala yako ndiyokwera kwambiri."

Kupanikizika chifukwa cha zotsatira za mayeso kumabweretsa vuto lina lalikulu: "Mukupanikizika chifukwa cha matenda ashuga." Malinga ndi lipoti la a Joslin Diabetes Center, ili ndi boma lomwe anthu omwe ali ndi matenda ashuga "amatopa ndikuwongolera matenda awo kapena kungowanyalanyaza kwakanthawi, kapena kokulirapo, kosatha."

Anthu ena amaganiza zongochita izi.

"Monga wina anandiwuza mu gulu langa [gulu lothandizira] usiku wina," Kinnaird adati, "'Ndikungofuna kuti ndipume tsiku kuchokera ku matenda ashuga.'"

Kugawikana pakati pa amuna ndi akazi

Mibadwo ya mibadwo

Mutha kunena kuti achikulire omwe ali ndi matenda a shuga amtundu wa 2 amadwala matenda osiyanasiyana, poyerekeza ndi achikulire omwe ali ndi vutoli. Umu ndi momwe zochitika zawo ndizosiyana, makamaka mukayerekezera zaka zikwizikwi ndi ma boomers aana. Zosiyanazi ndizodabwitsa, osati m'njira yabwino kwa achikulire.

Kafukufuku wa Healthline adawulula zakusintha kwamalingaliro ndi zokumana nazo pakati pa magulu azaka zosiyanasiyana. Ma boomers ambiri azaka zapakati pa 53 ndi kupitilira apo, adanenapo zabwino pazoyesayesa zawo zothana ndi matenda ashuga amtundu wachiwiri, momwe amathandizira ndi ena, komanso momwe amadzionera. Poyerekeza, millennials ochulukirapo, azaka za 18 mpaka 36, ​​ati ali ndi zokumana nazo zoyipa m'malo awa. Mayankho a Gen Xers nthawi zambiri amagwera pakati pamagulu enawo, monganso zaka zawo.

Mwachitsanzo, opitilira 50 peresenti yazaka zikwizikwi komanso oposa 40% a Gen Xers akuti amachita manyazi ndi matupi awo tsiku lililonse kapena sabata iliyonse. Ndi 18 peresenti yokha ya ma boomers aana omwe amamva chimodzimodzi. Momwemonso, kudziimba mlandu, manyazi, komanso kuda nkhawa zimapezeka kwambiri pakati pa zaka zikwizikwi ndi Gen Xers kuposa achikulire.

Lizzie Dessify atamva ali ndi zaka 25 kuti ali ndi matenda a shuga a mtundu wachiwiri, adasunga chinsinsi chake kwa mwezi wopitilira umodzi. Pambuyo pake ataulula za ena, zomwe adachita sizidalimbikitse kudzidalira.

"Sindikuganiza kuti aliyense adadabwa," atero a Dessify, omwe amagwira ntchito ngati wothandizira odwala matenda amisala ku Pittsburgh, PA. "Sindinazindikire kuti ndalola kuti thanzi langa lichoke, koma mwachidziwikire aliyense amene anali pafupi nane anali ataziwona."

Anthu m'moyo wake anali achifundo, koma owerengeka amakhulupirira kuti atha kusintha kukula kwa matendawa. Izi "zinali zokhumudwitsa pang'ono," adatero.

A David Anthony Rice, wochita zisudzo wazaka 48 komanso wothandizira pazithunzi, nawonso akhala chete za vutoli kuyambira pomwe adadziwika ndi 2017. Achibale ena ndi abwenzi akudziwa, koma safuna kukambirana za zosowa zake pazakudya.

"Simukufuna kupita kulikonse ndikumauza aliyense kuti," O, ndine wodwala matenda ashuga, ndiye ndikabwera kunyumba kwanu, sindingadye, "adatero. "Limodzi mwa mavuto anga akulu kwambiri, osangodzipatula."

Mpunga umakana kuyesa shuga wake wamagazi kuntchito, kapena pamaso pa ana ake. "Kubowola chala changa patsogolo pawo - sindimakonda kuchita izi chifukwa zimawawopsa," adalongosola.

Kafukufuku wa Healthline akuwonetsa kuti ndizofala kwambiri kwa zaka zikwizikwi ndipo Gen Xers kubisala vutoli. Poyerekeza ndi ma boomers aana, magulu azaka izi amatha kunena kuti matenda amtundu wa 2 asokoneza ubale wawo, amakumana ndi zovuta kuntchito, kapena achititsa anthu kuwalingalira. Amamva kukhala osungulumwa pafupipafupi kuposa ma boomers a ana, nawonso.

Mavutowa atha kukhala ndi chochita ndikuti vutoli limawoneka ngati matenda achikulire.

Rice anali asanamvepo aliyense wam'badwo wake akunena zakukhala ndi matenda ashuga amtundu wa 2 mpaka pomwe adawona munthu waku TV Tami Roman akunena za zomwe adakumana nazo pa VH1 mndandanda wa Basketball Wives.

Iye anati: "Inali nthawi yoyamba kuti ndiimve ikulankhulidwa mokweza ndi anzanga amsinkhu wanga." Zinamugwetsa misozi. "Amakhala ngati," Ndili ndi zaka 48. Ndine wazaka 48, ndipo ndikulimbana ndi izi. "

Nthawi zina, manyazi kapena kusalidwa zimatha kukhudzanso zokumana nazo za achikulire. Pafupifupi theka la zaka zikwizikwi ndipo pafupifupi gawo limodzi mwa magawo atatu a Gen Xers akuti akumva kuweruzidwa ndi ena othandizira zaumoyo momwe amathandizira mtundu wa 2 shuga. Pafupifupi gawo lomwelo adati achedwa kuwona wothandizira zaumoyo chifukwa amaopa ziweruzo zoterezi.

Limenelo ndi vuto, popeza akatswiri azaumoyo amatha kupereka chithandizo chachikulu kuti athandize anthu kuthana ndi vutoli. Mwachitsanzo, dessify, ayamikire dokotala wawo pomuthandiza kumvetsetsa zosintha zomwe amafunikira kuti akhale ndi thanzi labwino. Anadya zakudya zambiri, anayambanso kuchita masewera olimbitsa thupi, ndipo anataya mapaundi 75 pazaka zitatu. Tsopano zotsatira zake za A1C zili pafupi kwambiri. Iye wayambanso bizinesi yaying'ono ngati mphunzitsi wolimbitsa thupi.

Ngakhale nkhani zopambana ngati izi ndi gawo lofunikira pachithunzichi, zaka zikwizikwi zambiri sizikuyenda bwino.

Kafukufuku wa 2014 mu Diabetic Medicine adapeza kuti poyerekeza ndi achikulire omwe ali ndi matenda a shuga amtundu wa 2, omwe ali ndi zaka 18 mpaka 39 samakonda kudya mopatsa thanzi komanso kutenga insulini monga momwe amafunira. Achichepere nawonso anali ndi nkhawa zambiri kuposa achikulire.

"Alibe chilinganizo chazovuta zanthawi yayitali zomwe zimafunikira kukhala tcheru ndi kuwunika kwa moyo wonse," adalongosola Dr. Rahil Bandukwala, katswiri wazamaphunziro ku MemorialCare Saddleback Medical Center ku Southern California.

Zimakhumudwitsa kwambiri achinyamata kuti azindikire kuti matenda a shuga amtundu wa 2 azikhala nawo moyo wawo wonse, adawonjezera, chifukwa moyo wawo wonse ndiwotalika kwambiri.

Achinyamata omwe ali ndi matenda a shuga amtundu wa 2 amakumana ndi zovuta zina, nawonso - monga ndalama. Oposa 40% azaka zikwizikwi adati nthawi zina samatsata ndi chithandizo chamankhwala chifukwa chokwera mtengo. Pafupifupi wachitatu akuti alibe inshuwaransi yazaumoyo. Ambiri mwa iwo omwe ali ndi inshuwaransi adati atsala ndi ngongole zazikulu.

Millennials, komanso pang'ono pang'ono Gen Xers, nawonso anali othekera kwambiri kuposa kunena kwa ana a boomers kunena kuti zimawavuta kuthetsa zosowa zawo ndi maudindo ena.

Dr. Bandukwala sanadabwe. Wapeza kuti ambiri, zaka zikwizikwi ndi mbadwo wopanikizika kwambiri. Ambiri amadandaula za kupeza ndi kusunga ntchito m'dziko lomwe likuyenda mwachangu ndi mpikisano wadziko lonse lapansi. Ena amathandizanso kusamalira makolo kapena agogo ndi ndalama kapena chithandizo chamankhwala.

"Zimapangitsa kuti zikhale zovuta kwambiri," adatero, "kuwonjezera chisamaliro cha shuga ngati ntchito ina."

Kugawanika pakati pa amuna ndi akazi

Kugawikana kwachilengedwe sikunali kokha kusiyanasiyana komwe kumawonetsedwa pazofufuza - mipata yayikulu idawonekeranso pakati pa amayi ndi abambo. Amayi ambiri kuposa amuna amafotokoza zovuta ndi kunenepa. Azimayi amatha kunena kuti kasamalidwe ka matenda ashuga amtundu wa 2 amafunika kuwongolera. Alinso ndi zovuta zambiri kusiyanitsa kudzisamalira ndi maudindo ena.

Andrea Thomas, wamkulu pa bungwe lopanda phindu ku Washington, D.C., nthawi zambiri amamva ngati alibe nthawi yothandizira matenda amtundu wa 2 mosamala kwambiri momwe angafunire.

"Ndimadana kunena kuti ndili ndi chizolowezi choipa, komwe ndimagwira ntchito kwambiri, ndikuyenda kwambiri kubwerera ku California chifukwa abambo anga akudwala, ndikuyang'anira komiti iyi kutchalitchi," adatero. . "Zangokhala, ndikuyenera kuti?"

Thomas akumva kuti waphunzira bwino za matenda ake. Koma ndizovuta kukhala pamwamba pazinthu zonse zoyang'anira - kuchita masewera olimbitsa thupi, kudya bwino, kuwunika shuga, ndi zina zonse.

"Ngakhale ndikamauza anthu kuti ndikufuna kudzakhala mayi wokalamba tsiku lina, yemwe amayenda padziko lapansi, pali kusiyana pakati pazomwe ndiyenera kuchita kuti ndizisamalira ndekha, komanso zomwe ndikuchitadi."

Nkhani ya Thomas itha kumveka ndi azimayi ambiri omwe adayankha kafukufuku wa Healthline.

Pafupifupi 70 peresenti adati amaika zosowa za ena patsogolo pa zawo, ngakhale amakhala ndi matenda osachiritsika. Poyerekeza, amuna opitilira 50 peresenti ananena chimodzimodzi. Kodi ndizodabwitsa kuti azimayi ali ndi vuto lochulukitsa kudzisamalira ndi maudindo ena?

"Ndikuganiza kuti azimayi ali ndi zovuta zawo pakakhala mtundu wachiwiri wa shuga," atero a Thomas. Ndikofunika kuti azimayi azilingalira momwe amadzisamalirira, adawonjezera, ndikuyika patsogolo.

Sue Rericha, mayi wa ana asanu komanso wolemba blog Diabetes Ramblings, akuvomereza.

"Nthawi zambiri, timadzidalira," adatero, "koma ndimakumbukirabe, mukakhala pa ndege ndikuwayesa chitetezo ndikukambirana za mask ya oxygen, amauza anthu omwe amayenda ndi ana , ikani chigoba chanu choyamba ndikuthandizira wina. Chifukwa ngati sitidzipangira tokha, sitikhala komwe tifunika kuthandiza ena. "

Zovuta zamankhwala ndi zisankho

Zovuta

Ambiri mwa anthu omwe ali ndi matenda ashuga amtundu wa 2 omwe Healthline adawafunsa adati ali ndi nkhawa yayikulu yokhudzana ndi zovuta zomwe zingachitike chifukwa cha matendawa.

Mavutowa atha kuphatikizira masomphenya, matenda amtima, matenda a impso, ndi sitiroko. Matenda ashuga amathanso kuyambitsa kupweteka- komanso kufooka-kumayambitsa matenda amisala, kapena kuwonongeka kwamitsempha, m'manja kapena m'mapazi. Kufooka kumeneko kumatha kusiya anthu osazindikira kuvulala, komwe kumatha kubweretsa matenda komanso kudulidwa ziwalo.

Kafukufukuyu anapeza kuti magawo awiri mwa atatu a anthu omwe ali ndi matenda a shuga amtundu wa 2 amadandaula ndi zovuta zonse zamatendawa. Izi zimapangitsa kuti nkhaniyi ikhale yodetsa nkhawa kwambiri. Chiwerengero chachikulu - 78 peresenti - nkhawa za kutayika kwamasomphenya.

Merkerson wawona zoyipa zina zoyipa za matendawa pakati pa abale ake.

"Bambo anga adamwalira ndi zovuta," adatero. “Agogo anga aakazi anayamba kuona. Ndinali ndi amalume anga omwe anadulidwa ziwalo kwenikweni. ”

Omwe adafunsidwa omwe adadziwika kuti African-American kapena Latino, komanso azimayi amitundu yonse, anali otheka kunena zodandaula. Anthu amakhalanso ndi nkhawa zambiri ngati amakhala kapena pafupi ndi "," dera lomwe lili kumwera kwenikweni kuti U.S. Centers for Disease Control and Prevention yazindikiritsa kuti ili ndi mitundu yambiri ya matenda ashuga amtundu wa 2.

Izi sizingakhale zodabwitsa, popeza kafukufukuyu apeza zovuta zambiri zokhudzana ndi matenda a shuga m'magulu ang'onoang'ono ndi akazi, poyerekeza ndi azungu ndi abambo.

Dr. Anne Peters amagwira ntchito ngati katswiri wazamaphunziro azachipatala kuzipatala ziwiri zaku Los Angeles - imodzi ku Beverly Hills yolemera komanso ina yomwe ili mdera laling'ono ku East Los Angeles. Adazindikira kuti anthu amakonda kukhala ndi zovuta m'mbuyomu pa chipatala cha East L.A., chomwe chimatumikira anthu omwe alibe inshuwaransi makamaka Latino.

"M'dera la East L.A., amapeza zovuta zonsezi achichepere," adatero. "Sindinawonepo khungu ndi kudulidwa muzochita zanga za Westside mwa ana azaka 35, koma ndimachita izi chifukwa palibe mwayi wopeza chithandizo chamankhwala kwa moyo wonse."

Tulo

Kafukufuku wa Healthline adapeza kuti oposa theka la anthu omwe ali ndi matenda a shuga amtundu wa 2 amavutika kugona. Izi zitha kumveka zazing'ono, koma zimatha kupanga zovuta zamavuto.

Joslin Diabetes Center yati shuga wambiri m'magazi amatha kuyambitsa ludzu komanso kukodza pafupipafupi, chifukwa chake anthu omwe ali ndi matenda a shuga amtundu wachiwiri amatha kudzuka kangapo usiku kuti amwe kapena kupita kuchimbudzi. Kumbali inayi, shuga wotsika m'magazi imatha kubweretsa kusokonezeka kwa kugona kapena njala. Kupsinjika, kuda nkhawa, komanso kupweteka kwa matenda amitsempha amathanso kusokoneza tulo.

Kafukufuku wa 2017 adanenanso kuti kusowa tulo komanso kusokonezeka kwa tulo kumafala kwambiri mwa anthu omwe ali ndi matenda amtundu wa 2. Komanso, pamene anthu sagona bwino, zingayambitse matenda awo a shuga: kafukufuku wa 2013 mu Diabetes Care adapeza kuti magulu a shuga m'magazi adasokonekera pomwe anthu omwe ali ndi matenda a shuga a 2 amagona kwakanthawi kochepa kapena kwakanthawi.

"Nthawi zonse ndimafunsa anthu, makamaka ngati ali ndi shuga wambiri wamagazi m'mawa, mukugona mokwanira bwanji ndipo malo ogona anu ndi abwino kugona?" Anatero Brown. Iye adalemberana ndi anthu ambiri kufunafuna malangizo othandizira kuthetsa matenda ashuga. Malingaliro ake, ambiri sazindikira kufunika kogona.

"Kuyankhula za kugona kungakhale ndi zotsatira zazikulu tsiku lotsatira, chifukwa cha kuchepa kwa insulini, kuchepa kwa insulini, kuchepa kwa shuga ndi ma carb, kufuna kuchita masewera olimbitsa thupi, komanso kusangalala," adanenanso. "Zomwe mungapeze chifukwa chothandiza wina kugona mokwanira, ndikuganiza, ndizochepa."

Kuchita opaleshoni yamagetsi

Ngakhale ali ndi nkhawa ndi zovuta zamtundu wa matenda ashuga amtundu wa 2, ochepera kotala la omwe amafunsidwa amafunitsitsa kuwona opaleshoni yamankhwala ngati njira yothandizira. Theka linati ndi loopsa kwambiri.

Malingaliro oterewa amapitilirabe ngakhale zabwino zomwe zalembedwa za opaleshoni yamankhwala, zomwe zimatchedwanso bariatric kapena opaleshoni yochepetsa thupi. Ubwino wake ukhoza kupitilira kupitirira kuchepa thupi.

Mwachitsanzo, pafupifupi 60 peresenti ya anthu omwe ali ndi matenda ashuga amtundu wa 2 omwe amachitidwa opaleshoni yamtundu wina amathandizira kukhululukidwa, adatero mu 2014 mu The Lancet Diabetes & Endocrinology. "Kukhululukidwa" nthawi zambiri kumatanthauza kuti kusala kwama shuga am'magazi kumatsikira kuzizindikiro kapena ma prediabetes popanda mankhwala.

M'mawu omwe adasindikizidwa mu 2016, gulu la mabungwe ashuga apadziko lonse lapansi adalangiza madotolo kuti aziona opaleshoni yamankhwala ngati njira yothandizira anthu omwe ali ndi matenda a shuga a mtundu wa 2 omwe ali ndi BMI ya 30.0 kapena kupitilira apo ndipo ali ndi vuto lowongolera shuga. Kuyambira pamenepo, American Diabetes Association idatsata malangizowo pamiyeso yake yamankhwala.

Dr. Hafida, ku Joslin Diabetes Center, sanadabwe ndi kukana opaleshoni. "Amagwiritsidwa ntchito moperewera komanso amasalidwa kwambiri," adatero. Koma iye anati, “ndiyo mankhwala othandiza kwambiri amene tili nawo.”

Kupeza chisamaliro

Akatswiri azosamalira mtundu wa 2 wa matenda ashuga atha kupanga kusiyana kwakukulu kwa anthu omwe ali ndi vutoli - koma ambiri sakupeza ntchito zawo.

Pakati pa omwe adachita nawo kafukufuku wa Healthline, 64 peresenti adati anali asanawonepo katswiri wazamaphunziro. Oposa theka adati sanawonepo katswiri wazakudya kapena wazakudya, yemwe angawathandize kusintha zakudya zawo. Ndipo m'modzi yekha mwa 10 adanenanso kuti adakumana ndi wochiritsa kapena mlangizi koposa katatu pachaka - ngakhale kotala la otenga nawo mbali akuti adapezeka kuti ali ndi nkhawa kapena nkhawa.

Mtundu wa 2 shuga ndi matenda okhudzana ndi endocrine system, kapena mahomoni amthupi ndi zopangitsa. Malinga Dr. Koma ngati wina yemwe ali ndi matenda a shuga amtundu wa 2 akuvutika ndi kuchuluka kwa shuga m'magazi, ngati ali ndi zododometsa, kapena ngati mankhwala ochiritsira sakugwira ntchito, kuwona kuti endocrinologist ikulimbikitsidwa.

Nthawi zina, dokotala wa munthu amatha kuwatumiza kwa aphunzitsi ovomerezeka a shuga, kapena CDE. Katswiri wamtunduwu amaphunzitsidwa mwapadera pophunzitsa ndi kuthandiza anthu odwala matenda ashuga.Madotolo oyambira, anamwino, odyetsa, ndi othandizira ena onse atha kukhala ma CDE.

Popeza mitundu yambiri ya operekera akhoza kukhala ma CDE, ndizotheka kuwona imodzi osazindikira. Koma monga momwe akudziwira, 63 peresenti ya omwe adachita nawo kafukufukuyu adati sanafunsepo m'modzi.

Ndiye, bwanji anthu ambiri omwe ali ndi matenda amtundu wa 2 samalandira chidwi chapadera?

Nthawi zina, inshuwaransi siyilipira kukaona akatswiri. Kapenanso akatswiri savomereza mapulani ena a inshuwaransi.

Brady wawona vutoli pafupi, akugwira ntchito ngati CDE ku Reno, NV. "Tsiku lililonse mumamva, 'anthu wamba sakulandira inshuwaransi yanga," adatero, "ndipo kutengera inshuwaransi yanu, adzakuwuzani," sitikutenga odwala atsopano. "

Kuchepa kwakomwe kwa akatswiri azamaphunziro am'thupi kumayambitsanso zopinga, makamaka kumidzi.

Mtunduwu uli ndi 1,500 ochepera a endocrinologists kuposa momwe amafunikira, malinga ndi kafukufuku wina wa 2014. Mwa omwe akugwira ntchito mu 2012, 95% anali m'mizinda. Chophimba chabwino kwambiri chinali ku Connecticut, New Jersey, ndi Rhode Island. Choyipa chachikulu chinali ku Wyoming.

Chifukwa cha kusiyana kotereku, ndizomveka kuti kafukufuku wathu adapeza kusiyana kwa zigawo. Anthu Kumpoto chakum'mawa anali omwe amatha kunena kuti amamuwona katswiri wazamagetsi kangapo pachaka. Omwe akumadzulo ndi kumadzulo chakumadzulo anali ochepa mwayi woti ananenapo kuti awonapo.

Popanda kuyesetsa kuthana ndi kuchepa kwa akatswiri azamaphunziro, vuto likuyembekezeka kukula.

Zitha kugunda achikulire molimba makamaka.

Monga momwe a Lancet Diabetes & Endocrinology ananenera, wachichepere pomwe amapezeka kuti ali ndi matenda a shuga amtundu wachiwiri, zimakhudza kwambiri chiyembekezo cha moyo wawo. Mwa zina, ndichifukwa choti zaka zazing'ono zoyambira zimatha kubweretsa zovuta m'mbuyomu.

Ngakhale achichepere ambiri omwe ali ndi matenda a shuga amtundu wa 2 atha kupindula ndi chisamaliro cha akatswiri, kafukufuku wathu adapeza kuti 1 mwa 3 millennials omwe alangizidwa kuti akawone katswiri wazamagetsi akuvutika kuti awapeze.

Mtengo wa chisamaliro

Mtengo wazachuma wamtundu wa 2 matenda ashuga ndi nkhani yovuta kwambiri, kafukufukuyu adapeza. Pafupifupi 40 peresenti ya omwe anafunsidwa amadandaula za kuthekera kwawo kupeza chisamaliro mtsogolo. Mwinanso zovuta kwambiri, pafupifupi 1 mwa 5 adati mtengo nthawi zina wawalepheretsa kutsatira malangizo azachipatala awo.

Malinga ndi lipoti la American Diabetes Association, mtengo mdziko lonse wamtundu 1 komanso mtundu wachiwiri wa shuga - $ 327 biliyoni mu 2017 - wakwera ndi 26% pazaka zisanu. Chiwerengero chaposachedwa chinali $ 9,601 pa munthu aliyense yemwe ali ndi matenda ashuga. Anthu ambiri sangakwanitse kupeza gawo lolimba la tabu lomwe amafunikira.

Mwa omwe adachita nawo kafukufuku, pafupifupi 30% adati ali ndi inshuwaransi yomwe imawasiya ndi ngongole zazikulu. Chakudya chopatsa thanzi, mamembala a masewera olimbitsa thupi, komanso zida zolimbitsa thupi zimawononga ndalama. Zachidziwikire, momwemonso maulendo obwera kuchipatala komanso chithandizo chamankhwala - kuphatikiza mankhwala.

"Mtengo wa mankhwala a antihyperglycemic, makamaka insulini, wakhala cholepheretsa kuchiza matenda ashuga," adatero kafukufuku wa 2017 mu Current Diabetes Reports.

Monga anthu ambiri, Kinnaird wakumanapo ndi vuto la mtengo wamankhwala. Wodzilemba yekha, amayenera kugula inshuwaransi yatsopano pambuyo poti inshuwaransi wake wam'mbuyomu atatulutsa ndalama zotsika mtengo za Care Act. Kusinthana sikunakhale kwabwino pachikwama chake: mankhwala a miyezi itatu omwe amawononga $ 80 tsopano amawononga $ 2,450.

Nthawi zina, anthu omwe ali ndi matenda a shuga amamwa mankhwala ochepa kuposa omwe adalamulidwa kuti athetse vutoli.

Magaziniyi idakopa chidwi pambuyo poti mnyamatayo wamatenda amtundu wa 1 wamwalira chaka chatha. Alec Raeshawn Smith atakwanitsa zaka inshuwaransi za makolo ake, mtengo wa insulini yake udakwera kwambiri. Anayamba kugawa ndalama kuti zitheke. Pasanathe mwezi umodzi, anali atamwalira.

Campaniello adachita nawo zochepa zake. Zaka zapitazo, amakumbukira kuti adalipira $ 250 miyezi itatu iliyonse pakulandila mtundu watsopano wa insulin yayitali. Mankhwalawa adamubweretsera milingo ya A1C modabwitsa. Koma dotolo wake atawunikanso zotsatira za mayeso ake, adakayikira kuti Campaniello anali "kusewera" ndi insulin yake.

"Ndidati," Ngati mukundiuza kuti ndimasunga nthawi zina kumapeto kwa mwezi, chifukwa sindingakwanitse, "Campaniello adakumbukira," "ukunena zowona!"

Zonenedweratu, kafukufuku wa Healthline adapeza kuti anthu omwe amapeza ndalama zochepa amakhala ndi mwayi wofotokoza nkhawa zawo pamitengo ya chisamaliro komanso inshuwaransi. N'chimodzimodzinso ndi omwe ali m'chiuno cha matenda a shuga.

Kafukufuku pakati pa anthu ambiri apezanso kusiyana pakati pa mafuko ndi mafuko: pakati pa anthu osakwana zaka 65, 17 peresenti ya ku Puerto Rico-America ndi 12% ya aku Africa-America anali osatetezedwa mu 2016, poyerekeza ndi 8% azungu aku America, adatero a Kaiser Maziko Abanja.

Pamene munthu sangakwanitse kulipira ndalama zoposa madola ochepa pamwezi, zimatha kuchepetsa njira zomwe angalandire chithandizo, atero a Jane Renfro, namwino yemwe amadzipereka kuchipatala ku Falls Church, VA, kwa anthu omwe alibe anthu ambiri komanso omwe alibe inshuwaransi.

"Tiyenera kuwonetsetsa kuti mankhwala omwe timasankha ndi omwe ndi achibadwa ndipo amaperekedwa pamtengo wotsika kwambiri - mwachitsanzo, $ 4 pamwezi, $ 10 pamwezi wachitatu," adalongosola. "Izi zimachepetsa kuchuluka kwa chithandizo chomwe tingathe kupereka."

Kudzuka

Palibe amene amasankha kukhala ndi matenda ashuga amtundu wa 2 - koma zisankho zomwe anthu amapanga zimatha kukhudza momwe matendawa amapitilira. Kwa ambiri omwe Healthline adawafunsa, matendawa adawoneka ngati kuwadzutsa komwe kudawakakamiza kusiya zizolowezi zawo zathanzi. Ngakhale panali zovuta zomwe adakumana nazo, ambiri akuti adachitapo kanthu kuti atukule thanzi lawo.

Kafukufuku wa Healthline adapeza kuti 78 peresenti adanenanso kuti amadya bwino chifukwa chodziwika ndi matendawa. Oposa theka adati amachita masewera olimbitsa thupi kwambiri ndipo mwina akuchepetsa kapena kuti achepetse kulemera kwawo. Ndipo ngakhale ambiri akuwona kuti njirayo ikuyenda movutikira, pafupifupi kotala limodzi amaganiza kuti pali zambiri zomwe akuyenera kuchita kuti azisamalira thanzi lawo.

Gretchen Becker, wolemba mawu kuseri kwa blog Wildly Fluctuating komanso wolemba "Chaka Choyamba: Matenda Awiri A shuga," adagawana ndi Healthline momwe matendawa adamupangitsira kuti asunge zomwe akufuna kusintha:

"Monga anthu ambiri aku America, ndimayesetsa kuti ndichepetse kunenepa kwa zaka zambiri, koma china chake chimasokoneza kuyesetsa kwanga: mwina phwando lalikulu lokhala ndi zokopa kapena chakudya chamadzulo chokha chambiri. Nditapezeka ndi matendawa, ndinayamba kuona zinthu mozama. Ngati wina anena kuti, 'o, kulumako pang'ono sikungakupwetekeni,' nditha kunena kuti, 'inde zikutero.' Chifukwa chake ndimadya ndikudya pafupifupi mapaundi 30. "

"Ndikadapanda kukhala ndi matenda ashuga," adapitiliza, "ndikadapitilizabe kunenepa, ndipo pano ndikadakhala wopanda nkhawa. Ndikudwala matenda ashuga, sikuti ndangofika ku BMI wamba, koma zomwe ndimadya ndizosangalatsa kuposa zomwe ndimadya kale. "

Dessify amatchulidwanso kuti amupeza chifukwa chomukakamiza kuti asinthe moyo wake.

Ali ndi pakati ndi mwana wawo wamwamuna, adapezeka kuti ali ndi matenda ashuga. Patatha milungu isanu ndi umodzi atabadwa, magulu a shuga m'magazi a Dessify adakhalabe okwera.

Atazindikira kuti ali ndi matenda a shuga a mtundu wachiwiri, Dessify adadzimva wamlandu chifukwa cha momwe matendawa angafupikitsire moyo wake komanso nthawi yake ndi mwana wake wamwamuna. "Sindingathe ngakhale kulonjeza kuti ndidzakhala kuno nthawi yayitali momwe ndingathere kukhala naye," adauza Healthline.

Patapita miyezi ingapo, anayamba kuwona dokotala watsopano ndikumufunsa kuti amufotokozere moona mtima. Adamuuza kuti zisankho zomwe akupita mtsogolo ziziwonetsa momwe matenda ake aliri oopsa.

Dessify adasintha zakudya zake, adadzikakamiza kuchita masewera olimbitsa thupi, ndikuchepetsa thupi.

Monga kholo, adati, cholinga chake chachikulu chinali kukhala chitsanzo chabwino kwambiri kwa mwana wake. "Ndinadalitsidwa ndi vuto lomwe linandipangitsa kuti ndikhale wofunitsitsa kukhala wotsatira."

Pofuna kukhalabe pamzere, Dessify amagwiritsa ntchito wotchi yabwino. Malinga ndi kafukufuku wa Healthline, zida zamtunduwu zolimbitsa thupi- komanso kutsatira zakudya ndizofala pakati pazaka zikwizikwi monga Dessify kuposa mibadwo yakale. Millennials amakhalanso okonda kugwiritsa ntchito intaneti ngati gwero lazidziwitso zokhudzana ndi matenda a shuga kapena chithandizo chachitukuko.

"Anthu omwe amagwiritsa ntchito mapulogalamuwa mosalekeza, ndiyenera kukuwuzani, khalani ndi zowerengera za A1C," atero a Brady, pofotokoza zabwino zina zaukadaulo watsopano.

Koma njira iliyonse yomwe ingathandize anthu kuti azitsatira njirayi ndi yabwino, atero a Dr. Hafida. Kaya zimadalira zida zadijito kapena cholembera ndi pepala, chofunikira kwambiri ndikuti anthu azitsatira zomwezo ndikupanga thanzi lawo patsogolo.

Kinnaird, monga ana ambiri omwe amachita nawo kafukufukuyu, apeza zoyeserera zosintha kwambiri pamoyo wake.

"Ndinalibe cholinga chilichonse chosinthira kufikira nditapezeka ndi matendawa," adalongosola. "Ndinali ndi ntchito yovuta kwambiri, ndimayenda nthawi zonse, ndimadya katatu patsiku, masiku asanu pa sabata."

"Koma nditangopezeka ndi matendawa," adatero, "pamenepo ndi pomwe adadzuka."

Ndemanga zamankhwala ndi kufunsa

Amy Tenderich ndi mtolankhani komanso woimira yemwe adayambitsa chida chodziwika bwino pa intaneti cha DiabetesMine.com atamupeza ndi matenda a shuga a 2003. Tsambali tsopano ndi gawo la Healthline Media, pomwe Amy akutumikira ngati Wowongolera Mkonzi, Matenda a shuga & Advocacy Patient. Amy ndi mlembi mnzake wa "Dziwani Manambala Anu, Pitirizani Kukhala Ndi Matenda A shuga," chitsogozo cholimbikitsira kudzisamalira kwa matenda ashuga. Wachita kafukufuku wofotokoza zosowa za odwala, zotsatira zake zidafalitsidwa mu Diabetes Spectrum, American Journal of Managed Care, ndi Journal of Diabetes Science and Technology.

Susan Weiner, MS, RDN, CDE, FAADE ndi wokamba nkhani komanso wolemba wopambana mphotho. Adatumikira monga 2015 AADE Shuga Educator of the Year ndipo adalandira 2018 Media Excellence Award kuchokera ku New York State Academy of Nutrition and Dietetics. Susan analandiranso 2016 Dare to Dream Award kuchokera ku Diabetes Research Institute Foundation. Ndiye wolemba nawo za The Complete Diabetes Organiser ndi "Diabetes: Malangizo 365 a Kukhala Ndi Moyo Wabwino." Susan adalandira digiri ya master ku Applied Physiology and Nutrition ku Columbia University.

Dr. Marina Basina ndi katswiri wazamaukadaulo wodziwa za matenda a shuga amtundu wa 1 ndi 2, ukadaulo wa matenda ashuga, mitsempha ya chithokomiro, ndi khansa ya chithokomiro. Anamaliza maphunziro awo ku Second Moscow Medical University ku 1987 ndipo adamaliza maphunziro ake a endocrinology ku Stanford University ku 2003. Dr. Basina pakadali pano ndi pulofesa wothandizirana nawo ku Stanford University School of Medicine. Alinso mgulu la alangizi azachipatala a Carb DM ndi Beyond Type 1, ndipo ndi director director azachipatala ku Stanford Hospital.

Okonza mkonzi ndi kafukufuku

Jenna Flannigan, mkonzi wamkulu
Heather Cruickshank, mkonzi wothandizira
Karin Klein, wolemba
Nelson Silva, director, wotsatsa sayansi
Mindy Richards, PhD, katswiri wofufuza
Steve Barry, mkonzi
Leah Snyder, chojambula
David Bahia, kupanga
Dana K. Cassell, onani zowona