Thayipha isifo sikashukela 1 noma 2: ukuqala kuphi ukwelashwa

Isifo sikashukela ukubhujiswa okuphelele noma okuyingxenye kwezindlela zokuzithiba kwamazinga kashukela egazini, ngokwemvelo emzimbeni womuntu. Wonke umuntu uyazi ukuthi izinkinga eziphambili zesifo sikashukela yizinkinga zomlenze, ubumpumputhe kanye nokwehluleka kwezinso. Zonke lezi zinkinga ziqhamuka ngenxa yokuthi ushukela wegazi lesiguli ugcina ukuphakanyiswa ngokungaguquki noma "uyagxuma" ngenhla enkulu.

Eqinisweni, ukweqa ushukela wegazi kunomthelela oyingozi kuwo wonke amasistimu omzimba. Isibonelo, bambalwa abantu abaziyo ukuthi isifo sikashukela sandisa ubungozi be-osteoporosis (amaminerali ahlanzwa amathambo). Qaphela ukuthi kuma-diabetes, amalunga avame ukufuthelwa futhi abuhlungu, isikhumba sibukeka somile, silukhuni futhi sineminyaka yobudala.

Izinkinga zesifo sikashukela zidala umonakalo omkhulu emzimbeni, kubandakanya nengqondo. Isifo sikashukela sikhulisa inkumbulo yesikhashana futhi sicasule ukudana.

Ama-pancreas kanye ne-insulin ye-hormone

Ukulawula ngempumelelo isifo sikashukela, udinga ukwazi ukuthi ama-pancreas asebenza kanjani futhi aqonde imigomo yomsebenzi wawo. I-pancreas imayelana nosayizi kanye nesisindo cishe sesandla somuntu omdala. Itholakala emgodini wesisu ngemuva kwesisu, eduze eduze kwe-duodenum. Le ndlala ikhiqiza, igcine, futhi ikhiphe i-insulin yegazi emzimbeni wegazi. Iphinde ikhiqize amanye ama-hormone amaningi nama-enzyme wokugaya ukugaya ama-carbohydrate, ikakhulukazi amafutha namaprotheni. I-insulin ibalulekile ekuthatheni ushukela. Uma ukukhiqizwa kwaleli hormone ngama-pancreas sekumisiwe ngokuphelele, futhi lokhu kungenxeshezelwa imijovo ye-insulin, umuntu uzofa ngokushesha.

I-insulin yi-hormone evikelwe amaseli we-beta wamanyikwe. Umsebenzi wayo ophambili ukulawula amazinga kashukela egazini. I-insulin yenza lo msebenzi ngokwakha ukungena kweglucose kumaseli ezigidigidi zamaseli emzimbeni womuntu. Lokhu kwenzeka ngesikhathi sec section ye-biphasic insulin ekuphenduleni isidlo. Ukuba khona kwe-insulin kushukumisela “abahamba nge-glucose” ukuba bakhuphuke ngaphakathi kweseli baye kolwelwesi lwayo, bathathe ushukela egazini bese beludlulisela esitokisini ukuze lusetshenziswe. Abathuthi be-glucose amaprotheni akhethekile athatha i-glucose kumaseli.

I-insulin ilawula kanjani ushukela wegazi

Uhla lwamazinga kashukela ajwayelekile ancishane kakhulu. Kodwa-ke, i-insulin ejwayelekile cishe igcina ushukela wegazi kuyo. Lokhu kungenxa yokuthi isebenza kumaseli wemisipha nesibindi, athinta kakhulu i-insulin. Amangqamuzana emisipha futhi ikakhulukazi isibindi ngaphansi kwesenzo se-insulin athatha ushukela egazini bese ewguqula abe yi-glycogen. Le nto iyafana nokubukeka kwesitashi, esigcinwa emangqamuzaneni esibindi bese siguqulwa sibuyele ku-glucose uma izinga likashukela wegazi lihlehla ngokujwayelekile.

I-Glycogen isetshenziswa, ngokwesibonelo, ngesikhathi sokuvivinya umzimba noma ukuzila ukudla okufushane. Ezimweni ezinjalo, amanyikwe akhipha enye i-hormone ekhethekile, i- glucagon, egazini. Le hormone inikeza isibonakaliso kumaseli omzimba kanye nesibindi ukuthi sekuyisikhathi sokuguqula i-glycogen ibuyele ku-glucose futhi ngaleyo ndlela iphakamise ushukela wegazi (inqubo ebizwa ngokuthi i-glycogenolysis). Eqinisweni, i-glucagon inomphumela ophambene we-insulin. Lapho izitolo ze-glucose ne-glycogen ziphela emzimbeni, amaseli wesibindi (futhi, ngezinga elincane, izinso namathumbu) ziqala ukukhiqiza ushukela obalulekile ophuma kumaprotheni. Ukusinda ngesikhathi sokudla, umzimba uphula amaseli emisipha, kuthi lapho kuphela, bese kuthi izitho zangaphakathi, ziqale ngokubaluleke kakhulu.

I-insulin inomunye umsebenzi obalulekile, ngaphezu kokuvuselela amaseli ukudweba ushukela. Unikeza umyalo wokuguqula i-glucose namafutha acid asuka egazini ayise izicubu ze-adipose, ezigcinwa ukuqinisekisa ukusinda komzimba uma kwenzeka ulamba. Ngaphansi kwethonya le-insulin, ushukela uphenduka abe ngamafutha, obekiwe. I-insulin futhi ivimbela ukuqubuka kwezicubu ze-adipose.

Ukudla okune-carbohydrate ephezulu kuvusa i-insulin ngokweqile egazini. Kungakho kunzima kakhulu ukwehlisa isisindo ekudleni okujwayelekile kwekhalori. I-insulin yi-anabolic hormone. Lokhu kusho ukuthi kuyadingeka ekukhuleni kwezicubu eziningi nezitho zomzimba. Uma ijikeleza egazini ngokweqile, khona-ke ikhuthaza ukukhula kwamaseli amboza imithambo yegazi kusuka ngaphakathi. Ngenxa yalokhu, i-lumen yemikhumbi iyancipha, i-atherossteosis iyakhula.

Bheka futhi isihloko esithi “I-insulin ilawula kanjani ushukela wegazi kubantu abanempilo nokuthi yini eshintsha nesifo sikashukela.”

Ukubeka izinhloso zesifo sikashukela

Uyini umgomo wokwelapha isifo sikashukela sohlobo 1 nohlobo 2? Yiliphi izinga loshukela wegazi esilibheka njengejwayelekile futhi sililwela? Impendulo: ushukela onjalo obonwa kubantu abanempilo ngaphandle kwesifo sikashukela. Ucwaningo olwenziwa ngamanani amakhulu luveze ukuthi kubantu abaphilile, ushukela wegazi uvamisile ukuguquguquka ebangeni elincanyana le-4.2 - 5.0 mmol / L. Ikhuphuka kancane kuphela uma udle ukudla okuningi okune-carbohydrate “okusheshayo”. Uma kukhona amaswidi, amazambane, imikhiqizo yokubhaka, khona-ke ushukela wegazi ukhuphuka ngisho nakubantu abaphilile, futhi ezigulini ezinesifo sikashukela ngokuvamile “sidlula”.

Njengomthetho, lapho onesifo sikashukela esanda kuqala ukwelashwa, ushukela wakhe uphezulu kakhulu. Ngakho-ke, okokuqala udinga ukwehlisa ushukela wegazi ukusuka eziphakemeni ze- "cosmic" kuya kokuhle noma okuncane. Uma lokhu sekwenziwe, khona-ke sincoma ukubeka umgomo wokwelashwa ukuze ushukela wegazi abe ngu-4.6 ± 0.6 mmol / l wonke amahora angama-24 ngosuku. Nakulokhu futhi, ngoba kubalulekile. Sizama ukugcina ushukela wegazi cishe ngo-4.6 mmol / L. ngokuqhubekayo. Lokhu kusho - ukuqinisekisa ukuthi ukuphambuka kusuka kulesi sibalo kuncane ngangokunokwenzeka.

Funda futhi i-athikili esetshenzisiwe enemininingwane, "Izinjongo zokwelashwa kohlobo 1 no-2 sikashukela. Ungakanani ushukela wegazi odinga ukuwufinyelela. ” Ikakhulu, ichaza ukuthi yiziphi izigaba zeziguli ezinesifo sikashukela okudingeka zilondoloze ushukela wegazi ophakeme kunabantu abaphilile. Futhi uzothola ukuthi yiziphi izinguquko ezingalindelwa esimweni sempilo ngemuva kokubuyisela ushukela wakho wegazi kokujwayelekile.

Isigaba esikhethekile seziguli ezinesifo sikashukela sohlobo 1 yilezo ezisungule i-gastroparesis enzima - ukubambezeleka kwesisu ngemuva kokudla. Lokhu kukhubazeka okuyingxenye kwesisu - ukuhlanganiswa kwesifo sikashukela esenzeka ngenxa yokulimazeka kwenzalo. Ezigulini ezinjalo, ingozi ye-hypoglycemia iyanda. Ngakho-ke, ngenhloso yokuphepha, uDkt Bernstein uphakamisa ushukela wegazi labo abe ngu-5.0 ± 0.6 mmol / L. Isifo sikashukela se-gastroparesis siyinkinga elawula kakhulu isifo sikashukela. Noma kunjalo, futhi ingaxazululwa. Maduze sizoba ne-athikili ehlukile enemininingwane ngale ndaba.

Ungayilawula kanjani impumelelo yokwelashwa

Kuyo yonke isonto lokuqala lohlelo lwesifo sikashukela, kunconywa ukulawulwa ngokuphelele koshukela egazini. Lapho imininingwane inqwabelana, ingahlaziywa futhi inqume ukuthi ushukela wakho uziphatha kanjani ngaphansi kwethonya lokudla okuhlukahlukene, i-insulin nezinye izimo. Uma uqale ukwelapha isifo sikashukela nge-insulin, khona-ke qiniseka ukuthi ushukela awukaze wehle ngaphansi kuka-3.8 mmol / l isonto lonke. Uma lokhu kwenzeka - umthamo we-insulin kufanele wehliswe ngokushesha.

Kungani ukuguquguquka kweshukela egazini kuyingozi?

Ake sithi isiguli siyakwazi ukugcina ushukela wegazi “ngokwesilinganiso” cishe ngo-4.6 mmol / L, futhi sikholelwa ukuthi uyakwazi ukulawula ushukela onaso. Kepha lokhu kuyingozi eliyingozi. Uma ushukela "weqa" ukusuka ku-3.3 mmol / l kuya ku-8 mmol / l, khona-ke ukushintshashintsha okunamandla okunjalo kuyenza ibe nzima impilo yomuntu. Zibangela ukukhathala okungamahlalakhona, ukufutheka okuvame ukufutheka nezinye izinkinga eziningi. Futhi okubaluleke kakhulu, ngalezo zikhathi lapho ushukela uphakanyiswa, kube nezinkinga zikashukela, futhi maduze bazenze bazizwe.

Umgomo ofanele wesifo sikashukela ukugcina ushukela wakho ungapheli. Lokhu kusho - ukuqeda ngokuphelele kuzuba kumazinga kashukela egazini. Inhloso yewebhusayithi yeDiabetes-Med.Com ukuthi sinikezela ngamasu namaqhinga wokwelapha isifo sohlobo 1 nohlobo 2, okusivumela ngempela ukufeza le nhloso. Ukwenza kanjani lokhu kuchazwe ngokuningiliziwe ezihlokweni ezilandelayo:

• Isu namasu wokwelapha isifo sikashukela sohlobo 1.
• Thayipha isifo sikashukela sohlobo 2: uhlelo olunemininingwane yokwelashwa.

Izindlela zethu zokwelapha “ezinobuqili” zingasusa ukuguquguquka kushukela wegazi ngohlobo 1 bese uthayipha 2 isifo sikashukela. Lokhu ngumehluko omkhulu ezindleleni zokwelashwa “zesiko”, lapho ushukela wegazi ezigulini ezinesifo sikashukela uhlukahluka kakhulu, futhi lokhu kubhekwa njengokujwayelekile.

Ukwelashwa abanesifo sikashukela esithuthukile

Ake sithi unoshukela wegazi ophakeme iminyaka eminingi. Kulokhu, ushukela ngeke wehliswe ngokushesha ube ojwayelekile, ngoba uzothola izimpawu ze-hypoglycemia enzima. Cabanga ngesibonelo esithile. Kwaphela iminyaka eminingi, umuntu onesifo sikashukela elashwa ngemuva kwemikhono, umzimba wakhe ubejwayele ushukela wegazi 16-17 mmol / l. Kulokhu, izinkomba ze-hypoglycemia zingaqala lapho ushukela sehliselwa ku-7 mmol / L. Lokhu kwenziwa yize iqiniso lokuthi okujwayelekile kubantu abaphilile akuyona ngaphezu kwe-5.3 mmol / L. Ezimweni ezinjalo, kunconyelwa ukusetha ithagethi yokuqala esifundeni se-8-9 mmol / L emasontweni ambalwa okuqala. Futhi noma kunjalo kuzodingeka ukunciphisa ushukela ube ojwayelekile kancane kancane, ngaphezulu kwezinye izinyanga ze-1-2.

Akuvamile kwenzeka ukuthi uhlelo lokwelapha isifo sikashukela lukuvumela ngokushesha ukuthi usethe ushukela wakho wegazi ube yinto evamile ngokuphelele. Imvamisa, abantu banokuphambuka, futhi kufanele uhlale wenza izinguquko ezincane kwirejimeni. Lezi zinguquko zincike emiphumeleni yokulawulwa ngokuphelele koshukela wegazi ezinsukwini zokuqala, kanye nasekuthandweni komuntu siqu kwesiguli. Izindaba ezimnandi ukuthi izinhlelo zethu zokwelapha ushukela zikhombisa imiphumela esheshayo. Ushukela wegazi uqala ukwehla ezinsukwini zokuqala kakhulu. Ngaphezu kwalokho kukhuthaza iziguli ukuthi zithobele irejimeni, zingazivumeli ukuthi "zingene shi."

Kungani abanesifo sikashukela belashwa ngenkuthalo ngezindlela zethu

Iqiniso lokuthi ushukela wegazi uzokwehla futhi nempilo izothuthuka ingabhekwa ngokushesha okukhulu, ngemuva kwezinsuku ezimbalwa. Lesi isiqinisekiso esihle kakhulu sokuthi uzohlala uzibophezele ohlelweni lwethu likashukela. Ezincwadini zezokwelapha, kuningi okubhaliwe ngesidingo "sokuzibophezela" kweziguli ekwelashweni ngempumelelo kwesifo sikashukela. Bathanda ukusho imiphumela ehlulekile yokwelashwa ukuthi iziguli azikhombisanga ukunamathela okwanele, okungukuthi, bezivilapha ukulandela izincomo zikadokotela.

Kepha kungani iziguli kufanele zizinikele ezindleleni “zesiko” zokwelapha isifo sikashukela uma zingasebenzi? Abakwazi ukuqeda ama-surges kushukela wegazi nemiphumela yabo ebuhlungu. Ukufakwa komthamo omkhulu we-insulin kuholela ezimweni ezivame kakhulu ze-hypoglycemia. Iziguli ezinesifo sikashukela sohlobo 2 azifuni ukwenza ukudla “okulambile”, noma zisengozini yokufa. Hlola uhlelo lwe-1 yesifo sikashukela sohlobo kanye nezindlela zokwelapha isifo sikashukela sohlobo 2 - futhi uqiniseke ukuthi izincomo zethu ziyatholakala, zingalandelwa noma ngabe uhlanganisa ukwelashwa ngokuzikhandla, kanye nemithwalo yemindeni kanye / noma yomphakathi.

Ungaqala kanjani ukwelashwa kwesifo sikashukela

Namuhla, akunakwenzeka ukuthi uthole i-endocrinologist ekhuluma isiRussia eyayizokwelapha isifo sikashukela ngokudla okuphansi kwe-carbohydrate. Ngakho-ke, kuzodingeka ukuthi wakhe uhlelo lokusebenza ngokwakho, usebenzisa imininingwane ekuwebhusayithi yethu. Ungabuza futhi imibuzo emazwaneni, abaphathi besayithi bayaphendula ngokushesha nangokuningiliziwe.

Ungaqala kanjani ukwelashwa kwesifo sikashukela:

1. Nikeza izivivinyo zaselabhoratri ezifakwe kuhlu kule ndatshana.
2. Kubalulekile! Funda ukuthi ungaqiniseka kanjani ukuthi une-glucose yemitha enembile futhi uyenze.
3. Qala ukulawulwa ngokuphelele koshukela.
4. Iya ekudleni okuphansi kwe-carbohydrate, okungcono kakhulu nomndeni wakho wonke.
5. Qhubeka nokulawulwa kweshukela eliphelele. Hlaziya ukuthi izinguquko zokudla zikuthinta kanjani ushukela wakho.
6. Phrinta uhlu lokudla okuvunyelwe kokudla okuphansi kwe-carbohydrate. Bopha omunye ekhishini bese ugcine okunye kuwe.
7. Funda i-athikili "Okudingayo ukuze ube nesifo sikashukela ekhaya kanye nawe" futhi uthenge konke okudingayo.
8. Uma unezinkinga nge-gland yegilo, thintana nodokotela wakho we-endocrinologist. Ngasikhathi sinye, ungazinaki izeluleko zakhe zokugcina ukudla okunesilinganiso sikashukela kungalingani.
9. Kubalulekile! Funda ukuthatha isibhamu se-insulin ngaphandle kobuhlungu, noma ngabe ungaliphathi isifo sikashukela nge-insulin. Uma unoshukela omningi ngesikhathi sesifo esithathelwanayo noma ngenxa yokuthatha noma imuphi umuthi, kuzofanela ukuthi ufake i-insulin okwesikhashana. Zilungiselele lokhu ngaphambi kwesikhathi.
10. Funda futhi ulandele imithetho yokunakekelwa kwezinyawo sikashukela.
11. Kubantu abanesifo sikashukela esincike ku-insulin - thola ukuthi i-1 UNIT ye-insulin yehlisela kanjani ushukela wegazi lakho, nokuthi igremu elilodwa lama-carbohydrate lilonyusa kanjani.

Njalo lapho ngibhala ngezinkomba zoshukela wegazi, ngiqonde izinga le-glucose ku-plasma yegazi le-capillary elithathwe emunweni. Lokho wukuthi, empeleni imitha yakho ilinganisa. Amanani ajwayelekile kashukela wegazi yizindinganiso ezibonwa kubantu abaphilile, abanciphile ngaphandle kwesifo sikashukela, ngesikhathi esingahleliwe, noma ngabe kuthathwa kanjani ukudla. Uma imitha ilungile, khona-ke ukusebenza kwayo ngeke kwehluke kakhulu emiphumeleni yokuhlolwa kwegazi kwelebhu ushukela.

Yiluphi ushukela wegazi ongafinyelelwa

UDkt Bernstein uchithe isikhathi esiningi nomzamo ukuthola ukuthi yini ushukela obonwa kubantu abanempilo, abanempilo enhle ngaphandle kwesifo sikashukela. Ukuze enze lokhu, wancenga ukukala ushukela wegazi lomlingani nezihlobo zabanesifo sikashukela abeza kwakhe. Futhi, abathengisi abajikelezayo bavame ukumvakashela, bezama ukubenza bakholwe ukuthi basebenzise ama-glucometer alolunye noma olunye uphawu. Ezimweni ezinjengalezi, uhlala egcizelela ukuthi balinganisa ushukela wabo besebenzisa i-glucometer abayikhangisayo, futhi masinyane bathathe igazi emithanjeni yabo ukuze bayihlole i-laboratory futhi ihlole ukunemba kwe-glucometer.

Kuzo zonke lezi zimo, ushukela ngu-4.6 mmol / L ± 0.17 mmol / L. Ngakho-ke, inhloso yokwelashwa kwesifo sikashukela ukugcina ushukela wegazi ozinzile ongu-4,6 ± 0,6 mmol / l, nganoma yisiphi ubudala, ngaphambi nangemva kokudla, ukuyeka “ukugxuma” kwakhe. Hlola uhlelo lwethu lokwelashwa kwesifo sikashukela sohlobo 1 kanye nohlobo 2 lokuthola isifo sikashukela. Uma uzigcwalisa, khona-ke ukufeza le nhloso kuyinto enengqondo, futhi ngokushesha. Ukwelashwa kwesifo sikashukela kwendabuko - “ukudla okulinganiselayo” nemithamo ephezulu ye-insulin - ngeke kuqhoshe ngemiphumela enjalo. Ngakho-ke, amazinga ashukela asemthethweni asetshenziswa ngokweqile. Vumela izingqinamba zesifo sikashukela zikhule.

Ngokuqondene ne-hemoglobin ye-glycated, kubantu abanempilo, abanempilo imvama iba ngu-4.2-4.6%. Ngakho-ke, kudingeka siwulwele. Qhathanisa nenqubo esemthethweni ye-hemoglobin esemthethweni - efinyelela ku-6.5%. Lokhu kucishe kuphindeke ka-1.5 kunabantu abaphilile! Ngaphezu kwalokho, isifo sikashukela siqala ukwelashwa kuphela uma le nkomba ifinyelela ku-7.0% noma ngaphezulu.

Imihlahlandlela ye-American Diabetes Association ithi "ukulawula isifo sikashukela" kusho:

• ushukela wegazi ngaphambi kokudla - kusuka ku-5.0 kuya ku-7.2 mmol / l;
• ushukela wegazi amahora ama-2 ngemuva kokudla - hhayi ngaphezu kwe-10.0 mmol / l;
• i-glycated hemoglobin - 7.0% nangaphansi.

Sifanelekela le miphumela "njengokwehluleka ngokuphelele ukulawula isifo sikashukela." Kuvelaphi lokhu kungafani emibonweni yabachwepheshe? Iqiniso ukuthi imithamo ephezulu ye-insulin iholela ekwandeni kwe-hypoglycemia. Ngakho-ke, i-American Diabetes Association yeqisa amazinga kashukela wegazi emzamweni wokunciphisa ubungozi. Kepha uma isifo sikashukela siphathwa ngokudla okuphansi kwe-carbohydrate, khona-ke imithamo ye-insulin iyadingeka kaninginingi. Ingozi ye-hypoglycemia iyancishiswa ngaphandle kwesidingo sokugcina ushukela wegazi ophakeme owenziwe kanye nezinkinga zikashukela.

Ukuqopha Izinjongo Zokulawula Isifo Sikashukela Eside

Ake sithi ufundile uhlelo lokutholwa kwesifo sikashukela sohlobo 1 noma uhlobo 2 lokuthola isifo sikashukela futhi usukulungele ukuluqala. Okwamanje, kusiza kakhulu ukubhala uhlu lwezinhloso zesifo sikashukela.

Yini esifuna ukuyifinyelela, ngasikhathi sini futhi sihlela kanjani ukwenza lokhu? Nalu uhlu olujwayelekile lwezinhloso zesifo sikashukela:

1. Ukuhlelwa ngokwejwayelekile ushukela wegazi. Ikakhulu, ukwenziwa okujwayelekile kwemiphumela yokulawulwa ngokuphelele koshukela.
2. Ukuthuthukiswa noma ukwenziwa okujwayelekile kwemiphumela yokuhlolwa kwelebhu. Okubaluleke kakhulu kuzo yi-glycated hemoglobin, "enhle" ne-"embi" cholesterol, triglycerides, protein-C-seactive, fibrinogen, kanye nokuhlolwa kwezinso. Ukuthola imininingwane engaphezulu, bheka isihloko esithi "Isifo Sikashukela".
3. Ukuthola isisindo esifanele - ukunciphisa isisindo noma ukuthola isisindo, noma ngabe yikuphi okudingekayo. Ukuze uthole okuningi kuleli nothi, Ukukhuluphala Kwesifo Sikashukela. Unganciphisa kanjani isisindo ngohlobo 1 no-2 sikashukela. "
4. Ukuvinjwa okuphelele kokuthuthukiswa kwezinkinga zesifo sikashukela.
5. Ukuxolelwa okuphelele noma okuyingxenye kwezinkinga zesifo sikashukela esezivele sakhiwe. Lezi yizinkinga emilenzeni, izinso, iso, izinkinga nge-potency, ukutheleleka esithweni sangasese kwabesifazane, izinkinga ngamazinyo, nakho konke ukuhlukahluka kwesifo sikashukela. Sikunaka kakhulu ekwelashweni kwe-gastroparesis yesifo sikashukela.
6. Ukunciphisa imvamisa nobunzima beziqephu ze-hypoglycemia (ukube bebenjalo ngaphambili).
7. Ukuqeda ukukhathala okungamahlalakhona, kanye nezinkinga zememori zesikhashana esifushane ngenxa kashukela omkhulu wegazi.
8. Ukuhlelwa ngokwejwayelekile kwengcindezi yegazi, uma yayiphezulu noma iphansi. Ukugcina ingcindezi ejwayelekile ngaphandle kokuthatha izidakamizwa "zamakhemikhali" ze-hypertension.
9. Uma amaseli we-beta ehlala kuma-pancreas, bese uwagcina ephila. Kuhlolwa kusetshenziswa ukuhlolwa kwegazi kwe-C-peptide. Lo mgomo ubaluleke kakhulu kwisifo sikashukela sohlobo 2 uma isiguli sifuna ukugwema imijovo ye-insulin futhi siphile impilo ejwayelekile.
10. Ukwanda kwamandla, amandla, ukukhuthazela, ukusebenza.
11. Ukushintshwa ngokwejwayelekile kwezinga lama-thyroid egazini, uma ukuhlaziya kukhombisile ukuthi akwanele. Lapho lo mgomo usufeziwe, kufanele silindele ukuwohloka kwezimpawu ezingemnandi: ukukhathala okungapheli, ukubanda okubandayo, ukuthuthukisa iphrofayili ye-cholesterol.

Uma uneminye imigomo yomuntu siqu, engeza kulolu hlu.

Izinzuzo zokubambelela ngokucophelela

KuDiabetes-Med.Com, sizama ukwethula uhlelo lokwelashwa lohlobo 1 nohlobo 2 lwesifo sikashukela olungasungulwa ngempela. Lapha ngeke uthole imininingwane mayelana nokwelashwa ngokudla okunama-khalori aphansi. Ngoba zonke iziguli kungekudala “zihlehla” futhi isimo sazo siba sibi kakhulu. Funda ukuthi ungayifaka kanjani i-insulin ngaphandle kobuhlungu, ulinganisa kanjani ushukela wegazi nokuthi wehlisela kanjani kokujwayelekile ngokudla okune-carbohydrate ephansi.

Akunandaba ukuthi umbuso uchithe isikhathi kangakanani, usadinga ukuhlonishwa, futhi ngokuqinile. Vumela ukunqotshwa okuncane - noshukela wegazi uzokwenyuka. Ake sibhale izinzuzo ozithola uma usebenzisa ngokucophelela uhlelo lokwelapha isifo sikashukela olusebenzayo:

• ushukela wegazi uzobuyela kokujwayelekile, izinombolo ezikule mitha ziyojabulisa;
• ukuthuthukiswa kwezinkinga zesifo sikashukela kuzoma;
• Izinkinga eziningi esezivele zivele zizophela, ikakhulukazi phakathi kweminyaka embalwa;
• isimo sezempilo nezengqondo sizothuthuka, kuzofakwa ubungqabavu;
• uma ukhuluphele, khona-ke ngamathuba aphezulu uzokwehla isisindo.

Bheka futhi isigaba esithi “Ongakulindela lapho ushukela wakho wegazi ubuyela kwesejwayelekile” esihlokweni esithi “Izinjongo zokwelapha isifo sikashukela sohlobo 1 nohlobo 2.” Kumazwana ongawabuza imibuzo abaphathi besayithi bayaphendula ngokushesha.