Cholinga Chanu cha A1C ndikusintha ma Insulini

Zamkati

• Cholinga chanu cha A1C
• Kusintha kwa mankhwala akumwa kupita ku insulini
• Nthawi ya chakudya (kapena bolus) insulini
• Insulini yoyamba
• Kusintha mankhwala a insulini

Chidule

Ziribe kanthu kuti mwakhala mukutsata ndondomeko yothandizidwa ndi insulini, nthawi zina mungafune kusintha kwa insulini yanu.

Izi zitha kuchitika pazifukwa zingapo, kuphatikiza:

• kusintha kwa mahomoni
• kukalamba
• Kukula kwa matenda
• kusintha kwa kadyedwe ndi zizolowezi zolimbitsa thupi
• kusinthasintha kwa kulemera
• kusintha kwa kagayidwe kanu

Pemphani kuti muphunzire za momwe mungasinthire njira ina yothandizira insulin.

Cholinga chanu cha A1C

Kuyesa kwa A1C, komwe kumatchedwanso hemoglobin A1C test (HbA1c), ndimayeso ofala amwazi. Dokotala wanu amagwiritsa ntchito kuti azindikire kuchuluka kwa shuga m'magazi anu miyezi iwiri kapena itatu yapitayo. Chiyesocho chimayeza kuchuluka kwa shuga wophatikizidwa ndi mapuloteni a hemoglobin m'maselo anu ofiira amwazi. Dokotala wanu amagwiritsanso ntchito mayeso awa kuti adziwe matenda ashuga ndikukhazikitsa mulingo woyambira wa A1C. Kuyesaku kumabwerezedwa mukamaphunzira kuchepetsa shuga m'magazi anu.

Anthu omwe alibe matenda a shuga amakhala ndi A1C pakati pa 4.5 mpaka 5.6 peresenti. Magawo a A1C a 5.7 mpaka 6.4 peresenti nthawi ziwiri zosiyana amatanthauza ma prediabetes. Mulingo wa A1C wa 6.5% kapena kupitilira apo pamayeso awiri osiyana akuwonetsa kuti muli ndi matenda ashuga.

Lankhulani ndi dokotala wanu za mulingo woyenera wa A1C kwa inu. Anthu ambiri omwe ali ndi matenda ashuga amayenera kutsata makonda a A1C ochepera 7%.

Nthawi zambiri mumafunikira mayeso a A1C zimadalira zinthu monga kusintha kwa mankhwala a insulini komanso momwe mukusungira shuga m'magazi anu moyenera. Mukasintha mapulani anu azachipatala ndipo mfundo zanu za A1C ndizokwera, muyenera kuyesa mayeso a A1C miyezi itatu iliyonse. Muyenera kukhala ndi mayeso miyezi isanu ndi umodzi iliyonse mukamakhala kuti mukukhazikika komanso pazolinga zomwe mwakhazikitsa ndi dokotala wanu.

Kusintha kwa mankhwala akumwa kupita ku insulini

Ngati muli ndi matenda ashuga amtundu wa 2, mutha kuthana ndi vuto lanu ndikusintha kwa moyo wanu komanso mankhwala, kuphatikiza:

• kuonda
• kuchita masewera olimbitsa thupi
• mankhwala akumwa

Koma nthawi zina kusinthana ndi insulin ikhoza kukhala njira yokhayo yoyendetsera shuga wanu wamagazi.

Malinga ndi Mayo Clinic, pali magulu awiri wamba a insulin:

Nthawi ya chakudya (kapena bolus) insulini

Bolus insulin, yotchedwanso kuti insulin nthawi yakudya. Itha kukhala yayifupi kapena yochita mwachangu. Mumatenga ndikudya, ndipo imayamba kugwira ntchito mwachangu. Insulini yogwira ntchito mwachangu imayamba kugwira ntchito mphindi 15 kapena kuchepera ndipo imakwera mphindi 30 mpaka 3. Imatsalira m'magazi anu mpaka maola 5. Insulini yaifupi (kapena yokhazikika) imayamba kugwira ntchito mphindi 30 mutalandira jakisoni. Imafika pakadutsa maola 2 mpaka 5 ndipo imakhala m'magazi anu mpaka maola 12.

Insulini yoyamba

Insulini ya basal imamwa kamodzi kapena kawiri patsiku (nthawi zambiri nthawi yogona) ndipo imapangitsa kuti magazi azikhala ndi shuga wamba nthawi yakusala kudya kapena kugona. Insulini yapakatikati imayamba kugwira ntchito mphindi 90 mpaka 4 patatha jekeseni. Amakwera maola 4 mpaka 12, ndipo amagwira ntchito mpaka maola 24. Insulini yotenga nthawi yayitali imayamba kugwira ntchito mkati mwa mphindi 45 mpaka maola 4. Simalimba ndipo imakhala m'magazi anu mpaka maola 24 mutabayidwa.

Kusintha mankhwala a insulini

Funsani dokotala wanu za kusintha ndondomeko ya mankhwala a insulini ngati mukumva zizindikiro monga:

• Pafupipafupi