Kusimwa kuora kurasikirwa ndicho chinhu chikuru chekuregererwa kwechirwere cheshuga
Zvakanakira kuora kurasikirwa mukurapa chirwere cheshuga zvakagara chiri mberi kwekuchengetedza chirwere cheshuga, kunyanya kune avo vane chirwere cheshuga chechipiri chinodarika kana kupfuura. Kuwedzera kuwedzera kunogona kuwedzera kuvhiringidza uye kuita kuti shuga yeropa iwedzere kuedza kuburikidza nokuita kuti insulin isaramba.
IAmerican Diabetes Association inoti, "Pane humwe hwakasimba uye hune humwe hunoratidza kuti kuzvidzora kunoramba kuripo kurasikirwa kunogona kunonoka kuenderera mberi kubva ku prediabetes kuisa 2 chirwere cheshuga uye kunobatsira kune vane chirwere chechirwere cheshuga." Asi, zvakadini kana kuora muviri kunogona kubatsira chaizvo kuderedza chirwere cheshuga chechipiri zvachose?
Vatsvakurudzi veSaabetes Remission Clinical Trial (DiRECT) vakawana kuti pashure pemwedzi gumi nemaviri ekupindira, 46 muzana yevatori vechikamu vakakwanisa kuwana kuregererwa kwechirwere cheshuga chechipiri kuburikidza nehutakisi hwehutano ne4% chete mukutonga. Vakatorawo kuti kuwedzera kukura kwakasakara kuwedzerwa kuregererwa (kunotsanangurwa sekuzadzisa A1c yepasi pe6,5% pasina chirwere cheshuga chechirwere cheshuga chechipiri.
Chiremba weDeabetes Alliance neTeldiabetes Mutungamiri paGomo reSinnah Hospital neGermany, Dr. Noga Minsky anoti, "Nhamba yekutora, iyo inopa vanhu vakawanda kunze uko tariro, ndeyekuti chirwere cheshuga chinodzokodzwa nekureruka. zvidzidzo zvakaenzaniswa nekuvhiyiwa kwevanaatric kuchinja kwehupenyu kana kuti kurapwa kwehutano, apo kurapa kusina kupirisa hakuna kutungamirira kuregererwa kwechirwere cheshuga kune chero varwere vakabata zvisina kuvhiringidzwa pashure pemakore maviri kusvika matatu. " Uyezve, Minsky anoti, "Yakanga iri kuvimbisa kuti chirwere cheshuga chakashandurwa kubudirira kunyange kune varwere vaiva nechirwere cheshuga kwemakore matanhatu, asi zvakakosha kuziva kuti varwere vairapwa ne insulini havana kubviswa pachidzidzo."
Ichi chidzidzo chinopa vanhu vakawanda vane chirwere cheshuga vanotarisira mune izvozvo, kunyange kana vane chirwere cheshuga kwenguva yakati, kurasikirwa kwemazimbe kunogona kuvabatsira kuti vawane shuga yeropa uye vanobva pamishonga.
Saka, Vaparidzi Vakabvisa Sei Kurema?
Kana kuderedza uremu kwaiva nyore, saka hurumende yekurasikirwa inorema haizoitwi mumabhiriyoni emadhora pagore.
Kurasikirwa kwehuremu uye kuyerwa kwemahombe kunogona kuva kwakaoma. Nhanho inokosha yekubudirira iri kuwana chirongwa chaunogona kumira nacho. Izvo zvinobatsira zvikuru kuti vave nehutano hwehutano vachichinja mararamiro enyu uye kuchengetedza maziso ako. Kuva nekutarisa hakusi kungobatsira iwe kubatisisa kurongwa, asi kunobatsirawo kubvisa zvimwe zvisarudzo zvokutanga kudya.
Muchidzidzo ichi chaiwo, vatori vechikamu vakatevera kudya kwekudya kwemazuva ose (825-853 kcal / zuva formula yekupedza kudya kwemwedzi mitatu kusvika ku5), vakatora zvokudya zvakare kuwedzerwa (kwemavhiki maviri kusvika masere), uye kugadziriswa kwakagadzirirwa kwenguva refu yekurema kurasikirwa kwekugadzirisa. Mwedzi mitatu yokutanga yakagadzirwa nehotera yakanyanya yekoriori, iyo inogona kuva yakaoma kuramba yakanamatira kunze kwekunzwa uine nzara uye inoshayiwa. Usati watanga kuchinja kwakanyanya mumakorori, kunakidza kusangana nehutano hwehutano kuitira kuti iwe ugone kuziva kuti chirongwa chekudya chipi chichabereka zvakaringana nekodori kukanganisa kukubatsira kuti uremerwe uremu uye uchengete uzere uye kugutsikana. Kugamuchira dzidzo inopfuurira kuchakubatsira kudzidza kuti ungazvidya sei iwe pachako, saka haugoni kuwana uremu zvakare.
Iro Kurema Kwakawanda Kunofanira Kurasikirwa Nechirwere Cheshuga Kuregererwa Here?
Sezvo nehuwandu hwezvinhu zvechirwere cheshuga, zviyero zvekurema kwemazana emapato zvingada kuve zvakasiyana.
Muchidzidzo ichi chaicho, vatori vechikamu avo vakarasikirwa nemutoro wakakura vaiva nehuwandu hwekuregererwa kwechirwere cheshuga. Kurasikirwa kwehuremu kwakasiyana pakati pevatori vechikamu, kubva pamakirogiramu anenge 11-33 (5-15 makilogiramu) uye kuenzanisa makirogiramu gumi (10 kg). Hazvizivikanwi kuti zviyero zvipi zvehutumbi hwavo izvo zvakaenzana.
IAmerican Diabetes Association inoratidzira kuti 5 muzana kurasikirwa kwekutanga kwehutundu hwemuviri yakaratidzwa kuvandudza glycemic control uye kuderedza kudiwa kweglucose-kuderedza mishonga. Kuwedzerwa, 5% inorema kurasikirwa inodiwa kunatsiridza glycemic control, lipids, neropa rega, uye kuraswa kwekusimudza kwe7% kunowanikwa zvakanaka.
Kune munhu anorema mapaundi mazana maviri, 5 muzana kurasikirwa nekurema kunobereka 10 pounds uye 7 muzana kushaya kurasi ndeye 14 pounds. Zvechokwadi, kuwanda kwehutakisi kurasikirwa kunodiwa kuderedza A1c kusvika pasi pe6,5 muzana kuchasiyana kubva kumunhu-kusvika-munhu, asi 5 kusvika ku7 muzana kuyerwa kuderedzwa kutanga kunonzwisisika.
Kurasikirwa kwehuremu Hakusi Kungofanana neRopa Suar Control
Takaona kuwirirana pakati pekuora mwoyo, kuneta, uye chirwere cheshuga. Kurasikirwa uye kuvandudza glycemic control yakabatanidzwa nekuvandudza simba, kurara kwakanakisisa, uye nani hutano hutano. Ichi chidzidzo chinoratidza kuti kurasikirwa kwekurema kunowedzerawo hupenyu hwehupenyu. Unhu hwehupenyu (QoL) hwakaongororwa uchishandisa EuroQol 5 Dimension analogue scale. Vashandi vekupindira vakawana kuwedzera kwehuwandu hwemashoko e 7.2 pamusoro pehuwandu hweQoL huenzaniswa nedonho rekutenderera 2.9 mapeji ekudzivirira (kuchinja mutsauko 6.4 pfungwa, 95 muzana CI 2.5-10.3, P = 0.0012).
Ndingaita sei Jump Kutanga Kurasikirwa Kwangu Kurasikirwa?
Kana uchitanga, iwe unoda kusangana nenyanzvi, yakadai semudzidzisi wezvokudya kana chiremba ane chirwere cheshuga chekuita kuti akubatsire kugadzira hurongwa hwekudya hwakasiyana hunoenderana nemararamiro ako uye unokupa iwe nezvokudya zvaunoda.
Kana iwe uchida kutumbuka kutanga pakarepo, zvichida nzvimbo yakanaka yekutanga ndeyekushandura imwe-kusvika-mbiri yezvokudya zvako nekugadzirisa kudya . IAmerican Academy of Nutrition uye Dietetics inoti, "Kudya kwezvokudya zvine simba rinozivikanwa uye macronutrient yemari inzira inobatsira yekugadzirisa zvinetso zvekudya zvakaoma uye / kana kukanganisa kudya kwezvokudya paunenge uchiedza kuwana 500 kusvika 1 000 kushaya simba kwemaoko." Izvi zvinobatsira kudzora makirori uye zvinowedzera nyore, izvo zvinokosha kuti nguva yakareba ibudirire. Zvidzidzo zvakaratidzawo kuti vanhu avo vane chirwere cheshuga chechirwere cheshuga vanorasikirwa neanomwe sezana kubva muzana yehutatu hwemuviri wavo mugore rimwe chete, vanoramba vachirondedzera kuderedza mishonga pakushandisa kushandiswa kwekudya. Zvakakosha kucherechedza, zvisinei, kuti mune zvidzidzo izvi, vanhu vaive vachiri kushandisa, kuchengeta diary diary uye kudzidza nezvekudya.
Iwe unogona zvakare kuedza kudya kwekushandisa nzira yekubatsira nyore nyore zvinhu kwauri. Nhasi, pane zvakawanda zvakasarudzwa. Munguva pfupi yapfuura, American Diabetes Association yakabatana neKef'd kuti ipe nyore kugadzira mapepa emakiti kune vanhu vane chirwere cheshuga chakafuridzirwa neAmerican Diabetes Association yekukunda mabhuku ekubika.
Kusimudzirwa Kurasikirwa Kwekurema Ndiko Kunokosha
Kune vamwe, kurasikirwa ihwohwo chikamu chakareruka-kuri kuchengetedza kurema kunoramba kuchioma zvikuru. Kana uchinge warasa huwandu hwehuwandu, kupumha kwako kwemagetsi kunoderedzwa uye iwe unoda zvishoma makori kuti uchengetedze uremu hwako. Munguva ino, rubatsiro runokosha. Iwe unoda zvose zvakatsigirwa mukati memusha wako, uyewo rubatsiro rwezvenyanzvi-chiremba wako wokutanga wokurapa, mudzidzisi ane chirwere cheshuga, ane chiremba, uye mutano wehutano. Kurema kwekudzoka kunongoguma nekugadzirisa kudiwa kwekudzokera shure kune mushonga wehuga uye kazhinji nguva vanhu vakareruka uye vanochiwanazve, vachawana zvakawanda kupfuura kare. Izvi zvinoita kana zvakaoma kuderedza kuorazve zvakare-uye kuora mwoyo zvikuru.
Mukuedza kudzivirira izvi kuti zvirege kuitika, zvakakosha kusarudza chirongwa chekudya uye chirongwa chekudya chinoshanda uye chinogara. Kuramba kuchifamba kuchavawo chinhu chikuru mukugadzira kukanganiswa kwekoriori uye kuvaka kwechigunwe chemuviri kunowedzera metabolism. Zvakanaka, iwe unoda kuita kusanganisa kwepfungwa uye kupikisa kushanda. Kuwedzera kwekudzivirira kushanda kunobatsira kuwedzera kukuzorora kwako kwemetabolism (chiyero chemakoriri iwe unopisa kurarama chete), iyo inowedzera kukosha apo isu takura kana metabolism iri kunonoka pane zvayo.
Mukuwedzera, iwe unoda kugara uchizvichengetedza iwe pachako. Vatori vechikamu muchidzidzo ichi vakagadzirirwa kutsigirwa kwakagadziriswa kwekureba kwemairi ekugadzirisa. Kutsigirwa kwakagadziridzwa kunogona kuitika asi iwe unoshanda zvakanakisisa iwe uye mararamiro ako. Pasinei nokuti iwe unopikisana neboka rako rehutano hwehutano mumunhu kana kushandisa imwe mhando yekushandira -zvisarudzo nhasi hazvigumi. Telemedicine iri kuita kuti zvirwere zvirambe zviri nyore nyore-teknolojia inopa vatsigiri vako vehutano kukwanisa kusvika-uye kukubatsira chero pavanenge vari. Zvakakosha kushandisa zvinyorwa zvako. Bvunza chiremba wako wekugadzirira kana vakashandisa teknolojia yekugadzirisa varwere vavo kana kana vakashanda nevanoverengeka vezvokudya, vadzidzisi vane chirwere cheshuga vane chiremba, kana mudzidzisi wehutano akaremberedzwa kuitira kuti iwe ugone kuunganidza chirongwa chekusimbisa uye kushandisa chirongwa chekureba kwemazuva ekurasikirwa.
Chii Chatingaita NeNhoroondo Iyi Nezveramangwana?
Ichi chidzidzo chinotipa humwe ruzivo rwekukosha kwekurasikirwa kwehuremu ndeyekudzivirira chirwere cheshuga, kurapa, uye kutungamira. Maererano nevanotsvakurudza, kurasikirwa kwekurema kunofanira kuva chinhu chinonyanya kukosha muchirwere chechipiri chirwere cheshuga, zvichienderana nechinangwa chikuru chekudzivirira zvirwere pahuwandu hwevanhu. Kutenda ndechokuti, panzvimbo yekumhanyira kune chirwere cheshuga chekutarisa chirwere chacho, nzira isiri yepasmocological inoratidza kurasika kwekurema inofanira kusimbiswa zvakare. Uye kunyange kana kurasikirwa kwekurema kusina kukonzerwa nekugadzirisa kwemashuga eropa, mararamiro anoita mararamiro akadai sehutano hwakanaka, hwakanyatsogadzikana uye chirongwa chekudzidzira muviri chinoramba chiri chakakosha mukusimudzira ropa sutu.
Shoko Rinobva
Vanhu vane chirwere cheshuga vanofanira kukurudzirwa nekudzidza uku. Zvisinei, zvakakosha kucherechedza zvinhu zvishomanana apa: Kurasikirwa kwehuremu haisi nyore uye hausi kuyerwa kwekugadzirisa. Dr. Minsky anoti, "Kugara kwezviitiko izvi mumakore mana anotevera ekutevedzwa kwakarongwa kuchave kwakakosha, kunyanya kupiwa kuti kuyerwazve shure kwekudya kudya kwakanyanya." Kutsigira kunokosha uye kugara nekutevedza ndeimwe yeiyi dzekurasikirwa nekudzivirira. Minsky anobvumirana, achiwedzera kuti "varwere vanokurudzirwa nekudzidza uku kuti vaderedze uremu kuitira kuti vadzosere chirwere chavo cheshuga vanorayirwa kuti vaite saizvozvo nekutsigirwa nehutano kuti vaone kudya kwakakwana uye rubatsiro nekugadziriswa kwemishonga."
> Sources:
> Lean M, et al. Kunyanya kuchengetedza kutungamirirwa-kutakura mashomanana kwekuregererwa kworudzi rwechipiri chirwere cheshuga (DiRECT): iri saruka rakazaruka, musumbu-randomized trial. " Lancet 2017: DOI: 10.1016 / S0140-6736 (17) 33102-1.
> American Diabetes Association. Maitiro ekurapa muShuga - 2017. Chirwere cheshuga . 2017 Jan; 38 (Suppl 1): S1-132.
> J Am Diet Assoc. Nzvimbo yeAmerican Dietetic Association: Weight Management. 2009; 109: 330-346.
> Verdi, Cassandra. Kuita kudya kwayo; pasi-koriori inoputika kana zvipfigiso zvinogona kuva chikamu chepurogiramu yakachengeteka yekurasika. Diabetes Forecast . October 2014; 62-63.