Prediabetes chiratidzo chikuru chenyevero. Icho chinoreva kuti ropa rako rinotapira rakakwirira, asi risina kukwana zvakakwana asi richizoonekwa kuti rine chirwere cheshuga.
Kunzwa kuti kuongorora kunogona kutyisa; izvi zvinorevei kune ramangwana renyu? Kana iwe wakaziviswa kuti une prediabetes, zvakakosha kuziva kuti iwe uri pane chinonyanya kukosha maererano nehutano hwako-iwe unogona kuva nehuwandu hwehutano.
Iwe unogona kudzivisa kana kunonoka kukura nekushuga kwechirwere cheshuga nekuita shanduko yekuita zvekuwedzera, kurasikirwa uremu , uye kudya kudya kwakanaka. Kwete kuisa mari mumararamiro aya ehupenyu, zvisinei, inogona kuisa zviyero uye inotungamirira kune kwete chirwere cheshuga chete, asi chirwere chemwoyo uye chirwere.
Muviri wako unobereka insulini kukubvumira kuti uchinje glucose (shuga kubva kuma carbohydrates) kuva simba uye kuchengetedza shuga yako muhutano hwakanaka. Prediabetes inowanzotanga nokuti muviri wako unenge usingakwanisi kurwisa insulini iyo, kunyanya nekuda kwehuwandu hunorema, kunyanya mudumbu.
Chiremba wako angashandisa tsanangudzo yakagadziriswa ye prediabetes paanotsanangura iyo kwauri, iyo inenge isina kukwana glucose yekutsanya kana kusakanganiswa kweglucose kushivirira. Izvi zvinoreva kuti iwe une shuga yekutsanya yeropa ye 100 mg / dL kusvika 125 mg / dL (yakasarudzwa iri pasi pe100) uye / kana hemoglobin yako A1c (mwedzi mitatu yevhareji yehuga rako rega) iri pakati pe57 muzana kusvika ku6,4 kubva muzana (yakasara iri pasi pe57 muzana).
Ndiani Ari pangozi ye prediabetes?
Pane zvimwe zvipingamupinyi zvaunogona kutora uye zvimwe zvausingagoni:
- Kukwegura: Sezvaunenge uchikwegura, pancreas yako inonyanya kuneta uye inogona kuita insulin shoma, kuwedzera njodzi yako yekukura nechirwere cheshuga.
- Nhoroondo yeMhuri: Kana uine mhuri yehutachiwana hwehuga, uri mungozi yakawanda yekuti usangogadzirisa zvirwere zvehutachiona, asi uchiwedzera chirwere cheshuga chakazara zvakare. Ngozi yako inowedzera kana iwe uchipa mararamiro ezvimwe zvinhu, zvakadai sekudya kusina kunaka, kusagadzikana kwepanyama, kusvuta, kuwedzerwa kweropa, nezvimwewo.
- Ethnicity: Mamwe madzinza ane dambudziko rakakura rekugadzira prediabetes uye chirwere cheshuga. Izvi zvinosanganisira Latinos, AmaIndia vokuAmerica, Pacific Islanders, Asia Americans uye vasiri vanhu vemuAsia.
- Nhoroondo yeGestational Diabetes : Kana uine chirwere cheshuga chirwere cheshuga (chirwere cheshuga chinomuka kana uri nepamuviri) izvi zvinogona kuwedzera dambudziko rako rekukura nechirwere cheshuga.
- Belly Fat uye / kana Kuwedzera Kuwanda: Kana uine hutoro hwako huzhinji mumumimba mako, uri mungozi yakawanda yekuvandudza prediabetes. Chikonzero chacho ndechekuti mimba yemuviri, iyo inonzi "mafuta episceral" inowedzera kusunungurwa kwemafuta asina mafuta, izvo zvinogona kuwedzera insulini kudzivisa. Mukuwedzera, mimba yemuviri inogonawo kuwedzera ngozi yako yehutano hwemwoyo, pamwe necholesterol yakakwirira, ropa, uye triglycerides. Kuwedzera muviri kunonyanya kukonzera kukanganisa chirwere cheshuga nekuda kwechikonzero chimwechete (zvimwe pane apa pasi).
- Sedentary Lifestyle: Kuita muviri kunobatsira muviri wako kushandisa insulini. Insulin ndiyo hormone inotora glucose kubva muropa kuenda kune masero okushandisa simba. Kurarama hupenyu hunoita kuti munhu ave nehutachiona hunogona kutungamirira ku insulini yekudzivirira.
Kunyatsoita Kuwedzerwa Kwakawanda Kunobatsira Sei mu Prediabetes?
Kuwedzera muviri kunobata basa guru pakuvandudza prediabetes uye chirwere cheshuga nokuti mafuta akawanda anogona kutungamirira ku insulin kudzivisa.
Insulin kusagadzikana chirwere umo masero zvikuru mukati memisimba, chiropa, uye mafuta mavara haashandisi insulini zvakakodzera. Vanhu vane prediabetes kana chirwere cheshuga vachiri kukwanisa kubudisa insulini, asi havagoni kushandisa insulin nenzira iyo muviri unofanirwa kuita. Somugumisiro, muviri unoramba uchiwedzera insulini, uchifunga kuti inoida.
Iyo panikresi inowedzera kushanda uye, nokufamba kwenguva, inorasikirwa nekwanisi yekuita yakafanana ye insulini. Masero haana kukwana kune izvo insulin iri kubudiswa. Uye kana pasina kuchinja kunogadzirwa-kana munhu asingadi kuora muviri, kuderedza kudya kwavo kweakagidhyidha, kana kudzidzira zvimwe-ropa rehuga rinowedzera zvakanyanya, zvichiita kuti chirwere cheshuga chiongororwe.
Kune Zviratidzo Zvokuyeverwa zvePediabetes?
Kazhinji, hapachina zviratidzo zvekunyevera zve prediabetes. Iwe unganzwa wakaneta kana kuti uri kunyura kakawanda, asi kazhinji iwe unonzwa usiri akasiyana uye unoti kuora kwako kunonoka kurara zvakanaka kana kusashanda. Yeuka, kunyange zvakadaro: Nokuita chiito-kurasikirwa, kudya kudya kwakanaka, nekufamba -iwe unogona kunonoka kana kudzivirira chirwere cheshuga.
Ndivanaani Vanofanirwa Kuchengetedzwa Kuti Vave Prediabetes? Inozivikanwa sei?
Maererano neAmerican Diabetes Association, munhu wese ane zvirevo zvinotevera anofanira kuongororwa nechirwere cheshuga:
- Vose vanhu vakuru vane uwandu hwepamusoro ne BMI> 25kg / m2; iyo BMI yakagurwa nokuda kweAsia America yakaderera (23kg / m2).
- Kuvapo kwehumwe huwandu hunokonzerwa nehutachiwana hwechiremba nechirwere cheshuga; pangozi nhangemutange / rudzi; A1c 5.7%; kusagadzikana kweglucose kushivirira kana kutadza kudya glucose; hutsika hwakanyanya hwekusaita; hypertension neropa rehukuru rinopfuura kana rakaenzana naro (140/90); HDL iri pasi pe35 kana triglyceride level 250 mg / dL; gestational diabetes; polycystic ovarian syndrome; kana zvimwe zvipatara zvinokonzerwa ne insulini yekudzivirira (zvakanyanya kuora, acanthosis nigricians , nhoroondo yemwoyo yemwoyo).
- Vana nevechiri kuyaruka vane kuwandisa uye vane zviviri kana kupfuura zvimwe zvinokonzera ngozi (ona pamusoro).
- Chero ani zvake ane makore anopfuura makumi mashanu nemashanu: Kana zviitiko zvikaitika, kuedza kunofanira kudzokororwa zvishoma zvishoma kwemashure emakore matatu, nekufungisisa kuongororwa kunowanzoitika zvichienderana nemigumisiro yekutanga (semuenzaniso avo vane prediabetes vanofanira kuongororwa gore negore).
Vanachiremba vanogona kufungidzira prediabetes nenzira imwechete iyo vanoziva chirwere cheshuga: nekushandisa kutsvaga shuga yeropa rekuedzwa (mausina kudya chero nguva mumaawa masere), maawa maviri eawa plasma glucose test , kana kuongorora ropa kunoyera A1c yako (iwe unoita haafaniri kutsanya pachiitiko ichi).
Unogona Kudzivirira Prediabetes Here?
Kana iwe uri mumwe munhu ane mhuri yehutachiwana hwehuga, hapana mhinduro yakananga yekuziva kana iwe unogona kudzivirira prediabetes. Mhedzisiro ndeyekuti, kana iwe ukaramba uine hutano hwakanaka; kurovedza; idya kudya kwakanyatsonaka kwakapfuma mumiriwo, kuonda mapuroteni, mafuta ane utano, uye fiber-rich carbohydrates iwe unogona kudzivirira uye / kana zvechokwadi kunonoka prediabetes. Sezvo iwe zvichida wakatove wakaunganidza, mararamiro ekuchinja mararamiro anoita basa guru mukudzivirira.
Zvaunogona Kuita Kana Wave Waudzwa Iwe Une Prediabetes
- Kurasikirwa Uremu: Zviongorori zvakaratidza kuti kunyange kurerutsa kurerutsa-5 kubva muzana kusvika ku7 muzana yemuviri wako-kunogona kudzivirira kana kunonoka kukura kwechirwere cheshuga. Somuenzaniso, kana iwe uri munhu anoyera mapaundi mazana maviri, kurasikirwa nemapiritsi gumi chete kunogona kuderedza dambudziko rako rekukura nechirwere cheshuga.
- Deredza Kudha Kwemaginhadhiroti Yenyu: Mahydrohydrates ndiwo muviri unobata shuga yeropa. Iwe unogona kuderedza ropa rako sutu uye unorasikirwa nemutoro nekudya zvishoma ma carbs. Dzivisa ma carbohydrates akachena, akadai sechingwa chena, pasta, rice, uye zvokudya zvekudya. Bvisa juice nezvimwe zvinwiwa zvinotapira, uye uwedzere kudya kwako kwemajimu asina kusimba.
- Kudya Zvokudya zveMediterranean: Kudya kweMediterranean ndiko kudya kunobereka michero, miriwo, uye zvakakosha, mafuta ane utano, akadai semiti, mbeu, uye maorivhi. Zvimwe zvidzidzo zvinoratidza kuti huwandu hwemafuta aunodya hunokosha kupfuura huwandu hwehuwandu hwemafuta. Zvichida ichi ndicho chikonzero dzimwe dzidzo dzakaratidza kushamwaridzana nekudya kudya kweMediterranean nekudzivirira rudzi rwechipiri chirwere cheshuga.
- Kudzidzira muviri: Basa rekuita basa rinongobatsira chete kuchengetedza uremu hwako mukutarisa, asi zvinokubatsira kuti uwedzere kushandisa insulini. Insulin inobvumira masero ako kuti ashandise shuga (glucose), iyo inodzivisa kubva pakuvaka muropa. Kuwedzera basa rako rekuita rinogona kubatsira kuderedza ngozi yako yehuga nehafu.
Shoko Rinobva
Kunyatsozivikanwa kwe prediabetes hapana mubvunzo pamusoro pezvo, asi tinokukurudzira kuti ushandise izvi sekufuridzirwa kushandura chero zvipi zvehupenyu hwako hungave huchivhiringidza hutano hwako. Kudya hutano hwakanaka, kurasikirwa, nekuita zvakawanda hazvizoiti kuti uwane hutano nekudzivirira njodzi yako yezvirwere, iyo ichawedzera simba rako, inokubatsira kurara zviri nani, nekuvandudza mafungiro ako. Iwe unogona kuchinja hupenyu hwako kuti huve nani.
> Sources:
> American Diabetes Association. Maitiro ekurapa muShuga. http://care.diabetesjournals.org/content/39/Supplement_1 Yakasunungurwa naJuly 12, 2016.
> American Diabetes Association. Nhamba Nezvechirwere Cheshuga. http://www.diabetes.org/diabetes-basics/statistics/. Yakasvika musi waJuly 11, 2016.
> Bansal, Nidhi. Prediabetes Kuziva uye Kurapa. World Journal Diabetes. 2015; 6 (2): 296-303. doi: 10.4239 / wjd.v6.i2.296.
> Busko, Marlene. Zvokudya zvakakosha-kudya zvakanakisisa nokuda kwekuchengetedzwa kwechirwere cheshuga muhuwandu-hwakawanda. Medscape. http://www.medscape.com/viewarticle/865525?src=wnl_mdplsnews_160701_mscpedit_wir&uac=86320AJ&impID=1144673&faf=1 Yakasunungurwa naJuly 10, 2016.
> Chirongwa Chekurwara Kwezvirwere. General Information. http://www.cdc.gov/diabetes/pdfs/data/2014-report-generalinformation.pdf. Yakasvika musi waJuly 10, 2016.