Kuzvibata-kutarisira ndiro chinhu chikuru chekutonga glucose zvakasimba
Kana iwe wakamboonekwa uine chirwere cheshuga chechipiri , zvino unoziva kuti zvinotyisa zvakadini zvingava pakutanga. Pane zvakawanda zvokuita uye kungofanana nekudzidza kubata chirwere chako zvakanaka. Uye ndizvo zvinokonzera chirwere cheshuga zvakasiyana. Panenge kubva pazuva rimwe, iwe unotarisirwa iwe pachako uye iwe unonyanya kutarisirwa kuti unoita zvakanaka sei kana kuti hauna kunaka.
Nenzira, kune zvombo zvinogona kubatsira.
Uine tsika shoma uye nguva, iwe unogona kutanga kuratidza chirwere cheshuga muhupenyu hwako uyezve kuchinja kusingagumi kwehuga rako reropa pane nguva refu.
Ropa Glucose Monitoring
Kuongorora mazinga eropa rako kanengi pazuva kunobatsira kuti unzwisise kuti muviri wako unopindura sei mishonga, kurovedza muviri, uye zvekudya iwe unodya. Paunotanga kubuda, kuchengetedza glucose yako mukati memvura yakasimba kunowanzoita sekunorova chinangwa chinofamba. Inogona kukurumidza kuvhara pasina chikonzero kana kupfugama zuva rakatevera pasinei nekuchengetedza kwese kurapwa kwako.
Asi, nokufamba kwenguva, iwe uchatanga kuwana pfungwa yekufungidzira yezvinoita kuti kuchinja uku, zvisinei kuve kushungurudzika, rudzi rwemhando yekarbhi, kana kuita zvakanyanya kuita basa.
Kuti ikubatsire mukutsvaga kwako, chengetedza zvinyorwa zvezuva rose zvemazinga ako glucose kusanganisira manyore pamusoro pezvamadya, kana wadya, nemhando yemabasa awakaita. Mukati pfupi, nguva ino, pfungwa idzi dzichakutungamirira mukuita zvakanaka zvisarudzo uye kudzivisa zvinokonzera zvinogona kutungamirira kuropa rekuchinja kweropa.
Oral Mishonga
Kana iwe uine chirwere chechirwere cheshuga chechipiri, chiremba wako kazhinji anopa mishonga yemuromo kunobatsira kuderedza ropa rako glucose. Ikozvino pane makirasi manomwe emuromo wehutachiona hwehutachiona hunobvumirwa kushandiswa:
- Biguanides, iyo inosanganisira metformin , inonyanya kupiwa mushonga wokurapa rudzi rwechipiri chirwere cheshuga
- Sulfonylureas iyo inokurudzira pancreas yako kuti iwedzere insulini
- Alpha-glucosidase inhibitors inononoka kudyiwa kwezvokudya zvakakosha mumakhahydrates
- Thiazolidinediones inowedzera kushushikana kwako kune insulin
- Meglitinides iyo inowedzera insulini inowanikwa asi inopfupi-kuita kupfuura sulfonylureas
- DPP4 inhibitors iyo inowanzoshandiswa mumushonga wechipiri-line kurasika mushure mekudya shuga
- SLGT-2 Inhibitor inobvisa glucose yakawandisa kubva mumuviri wako paunenge uchishamba
- GLP-1 agonist iyo inokurudzira kugadzirwa kwe insulin mukupindura kuvepo kweglucose
Kunewo zvinopfuura gumi nemaviri kusanganiswa zvinodhaka izvo zvinowanikwa mishonga miviri yakasiyana, kakawanda ne metformin semasana.
Insulin Therapy
Insulin inonzi hormone inogadzirwa nemuviri inoita glucose kubva kune zvokudya zvaunodya. Pasina iyo, glucose inogona kuunganidza uye inokonzera dambudziko. Sezvo iwe usina kukwanisa kubudisa insulini iwe pachako, unofanira kuchiwana kubva pane imwe nzvimbo.
Iyo insulini inoshandiswa mukurapa inoshandiswa uye inonyatsorondedzera chimiro muviri wako unowanzogadzira. Iwe unowanzodikanwa majekiseni maviri pazuva uye zvinogona kudikanwa mana kana kupfuura zvichienderana nekuraira kwechiremba wako.
Ikoko kune zvakasiyana zvakasiyana-siyana zve insulin formulations zvinoshandiswa mukurapa:
- Kukurumidza-kuita insulini inotanga kushanda mumaminitsi mashanu uye inosvika kwemaawa mana
- Kushandisa-insulin kwenguva pfupi inotanga kushanda mumaminitsi makumi matatu, inosvika pakakwirira kwemaawa maviri kusvika matatu, uye inoenderera mberi kushanda kwemaawa matanhatu
- Inopesitiate-acting insulin inotanga kushanda mumaawa maviri kusvika mana uye inoramba ichishanda kusvika maawa matanhatu
- Nguva refu-kuita insulin inotanga kushanda mumaawa matanhatu kusvika kune gumi uye inoramba ichishanda kwemaawa makumi maviri nemaviri
Iko kunewo mafungiro akafananidzwa asati asanganiswa anobatanidza kushambadzira-kuita sululin ane chekuita nekukurumidza-kushanda kana kuti kwenguva shoma insulin.
Zvokudya zvinovaka muviri uye Kuita muviri
Vanhu vazhinji vanofunga kuti kana iwe une chirwere cheshuga, haugoni kudya kudya zvine shuga.
Icho hachisi chokwadi zvachose sekudya keroti kana kuti kutapira kunogona kuva chikamu chekudya kwakanaka.
Ndeipi rudzi rwechipiri rwechirwere cheshuga runowanzodikanwa kushaya kurasikirwa . Kusvika pakupedzisira, kudya kwako kuchava kunyanya kuisa kuwedzera kwekudya kweproteinini yakaonda, miriwo, michero, fiber, nemafuta ane utano kuti ubatsire kurasikirwa nehutano uye uzvichengetedze.
Nguva dzose kurovedza muviri chikamu chinokosha zvakaenzana. Kwete chete kungakubatsira kuti uchengetedze muviri wako hwakakwana, unogona kuchinja zvakakwana kuropa rako rekuisa glucose. Izvi ndezvokuti insulin kusagadzikana zvakabatana nekuwedzera kwemafuta uye kuderera kwemisasa mashoma. Masero emasumbu anoshandisa insulini yakawanda kwazvo kupfuura mafuta, saka nokuvaka musuru uye kupisa mafuta, unogona kubatsira kuderedza uye nekudzivirira kudzora ropa rako rehuga.
Kutanga, chinangwa kwemaminitsi makumi matatu ekuenzanisa zvinhu mazuva mashanu pavhiki, izvo zvinogona kusanganisira kufamba, motokari, kushambira, pilates, yoga, tai chi, aerobics, kutambidzwa kwepamberi, uye mitambo yematambo. Nguva dzose ugadzirire chirongwa chekuita muviri nechipo chinobva kuna chiremba wako, kana kudzidzira kudzidzira kana kuderedza .
Nokushandisa mashandisi aya nenzira yakarurama, unogona kuvandudza mararamiro ako ehupenyu kwenguva yakareba usina kunyanya kushungurudza kana kukanganisa mararamiro ako.
> Kwakabva:
> Simba, M .; Bardsley, J .; Cypress, M. et al. "Chirwere cheshuga Kuzvimiririra Dzidzo neKutsigira muTsika 2 Chirwere cheshuga: A Joint Position Statement yeAmerican Diabetes Association, American Association of Diabetes Educators, uye Academy of Nutrition and Dietetics." Diabetes Educator. 2017; 43 (1): 40-53. DOI: 10.1177 / 0145721716689694.