Uhlobo 2 sikashukela: izindlela zokwelapha

Isifo sikashukela sohlobo 2 sitholakala kuma-90-95% wabo bonke abanesifo sikashukela. Ngakho-ke, lesi sifo sivame kakhulu kunokuba sikashukela sohlobo 1. Cishe i-80% yeziguli ezinesifo sikashukela sohlobo 2 zikhuluphele, okusho ukuthi, isisindo somzimba wazo seqa okungcono okungenani ngama-20%. Ngaphezu kwalokho, ukukhuluphala kwabo kuvame ukubonakala ngokuvela kwezicubu ze-adipose esiswini nasemzimbeni ophezulu. Isibalo siba njengehabhula. Lokhu kubizwa ngokuthi ukukhuluphala esiswini.

Umgomo oyinhloko wewebhusayithi yeDiabetes-Med.Com ukuhlinzeka ngohlelo olusebenzayo nolunengqondo lokwelapha isifo sikashukela sohlobo 2. Kuyaziwa ukuthi ukuvivinya umzimba kanzima nokuzikhandla amahora amaningi ngosuku kuyasiza kulokhu kugula. Uma usukulungele ukugcina irejimeni esindayo, khona-ke nakanjani ngeke udinge ukufaka injulin. Noma kunjalo, iziguli azifuni ukulamba noma "ukusebenza kanzima" emakilasini emfundo yokuzivocavoca, noma ngaphansi kobuhlungu bokufa obuhlungu ngenxa yesifo sikashukela. Sinikezela ngezindlela ezinobuntu zokwehlisa ushukela wegazi kube ngokujwayelekile futhi ukuze kuzinze kuphansi. Zimnene ngokuqondene neziguli, kepha ngasikhathi sinye kakhulu.

Amaresiphi wokudla okuphansi kwe-carbohydrate yohlobo 2 lwesifo sikashukela ayatholakala lapha.

Ngezansi kwendatshana uzothola uhlelo olusebenzayo lokwelapha isifo sikashukela sohlobo 2:

• ngaphandle kokubulawa yindlala;
• ngaphandle kokudla okunama-kilojoule amancane, kubuhlungu ngisho nangaphezu kokulamba ngokuphelele;
• ngaphandle kokuzikhandla.

Funda kithi ukuthi ungasilawula kanjani isifo sikashukela sohlobo 2, somshuwalense ngokumelene nezinkinga zaso futhi ngasikhathi sinye sizizwe sigcwele. Akumele ulambe. Uma udinga imijovo ye-insulin, khona-ke funda ukuyenza ngaphandle kobuhlungu, futhi imithamo izoba mincane. Izindlela zethu zivumela amacala angama-90% ukwelapha ngempumelelo isifo sikashukela esingu-2 ngaphandle kwemijovo ye-insulin.

Isisho esaziwayo esithi: "wonke umuntu unesifo sakhe sikashukela," okusho esigulini ngasinye, siqhubeka ngendlela yaso. Ngakho-ke, uhlelo olusebenzayo lokwelapha isifo sikashukela lungahunyushwa kuphela. Kodwa-ke, isu elijwayelekile lokwelapha isifo sikashukela sohlobo 2 lichazwe ngezansi. Kunconywa ukuyisebenzisa njengesisekelo sokwakha uhlelo lomuntu ngamunye.

Lo mbhalo ungukuqhubeka kwendatshana ethi “Uhlobo 1 noma isifo sikashukela 2: Uzoqala Kanjani.” Sicela ufunde i-athikili eyisisekelo kuqala, ngaphandle kwalokho kungenzeka okuthile kungacaci lapha. Ama-nuances wezokwelashwa okusebenzayo achazwe ngezansi, lapho kutholakala isifo sikashukela sohlobo 2 ngokunembile. Uzofunda ukuthi ungakulawula kanjani kahle lokhu kugula okungathi sína. Ezigulini eziningi, izincomo zethu ziyithuba lokwenqaba imijovo ye-insulin. Uhlobo 2 lwesifo sikashukela, ukudla, ukuvivinya umzimba, ukuthatha amaphilisi kanye / noma i-insulin kuqala kuthathwa isiguli, kucatshangelwa ubunzima besifo sakhe. Ngemuva kwalokho kulungiswa ngaso sonke isikhathi, kuya ngemiphumela etholwe ngaphambili.

Ungaselapha kanjani ngempumelelo isifo sikashukela sohlobo 2

Okokuqala, funda isigaba esithi "Ukuqala kuphi ukwelashwa kwesifo sikashukela" esihlokweni esithi "Uhlobo 1 noma 2 isifo sikashukela: ukuqala kuphi". Landela uhlu lwezenzo ezikleliswe lapho.

Isu elisebenzayo lokwelapha isifo sikashukela sohlobo 2 liqukethe amazinga 4:

• Izinga 1: Ukudla Okuphansi Kwe-carbohydrate
• Izinga 2: Ukudla okuphansi kwe-carbohydrate kanye nokuzivocavoca ngokomzimba ngokwendlela yokuzivocavoca yemfundo yokuzivocavoca ngentokozo.
• Izinga 3. Ukudla okuphansi kwe-carbohydrate kanye nokuzivocavoca kanye namaphilisi kashukela akhulisa ukuzwela kwezicubu kwe-insulin.
• Level 4 Izimo ezinzima, ezinganakwa. Ukudla okuphansi kwe-carbohydrate kanye nokuzivocavoca kanye nemijovo ye-insulin, kuhlangene noma namaphilisi kashukela.

Uma ukudla okune-carbohydrate ephansi kushukela ushukela wegazi, kodwa akwanele, okungukuthi, kungafinyelela kokujwayelekile, khona-ke izinga lesibili lixhunyiwe. Uma owesibili engavumeli ukunxephezela ngokuphelele ushukela, bashintshela kolwesithathu, okungukuthi, banezela amaphilisi. Ezimweni eziyinkimbinkimbi futhi ezinganakwa, lapho onesifo sikashukela eqala ukuthatha impilo yakhe sekephuze kakhulu, babamba iqhaza lesine. I-insulin eningi ifakiwe njengoba kudingeka ukubuyisa ushukela wegazi kokujwayelekile. Ngasikhathi sinye, baqhubeka ngenkuthalo bedla ekudleni okune-carbohydrate ephansi kancane. Uma umuntu onesifo sikashukela elandela ngentshiseko yokudla nokuzivocavoca ngentokozo, khona-ke imithamo emincane ye-insulin iyadingeka.

Ukudla okuphansi kwe-carbohydrate kubaluleke kakhulu kuzo zonke iziguli ezinesifo sikashukela sohlobo lwe-2. Uma uqhubeka nokudla ukudla okugcwele ama-carbohydrate, khona-ke akukho lutho ongaphupha ngalo ukuthatha ushukela olawulwa. Imbangela yesifo sikashukela sohlobo 2 ukuthi umzimba awubekezeleli ama-carbohydrate owadlayo. Ukudla okuvinjelwe i-carbohydrate kwehlisa ushukela wegazi ngokushesha nangamandla. Kodwa noma kunjalo, kubantu abaningi abanesifo sikashukela, akwanele ukugcina ushukela wegazi ojwayelekile, njengabantu abanempilo. Kulokhu, kunconywa ukuhlanganisa isidlo kanye nomsebenzi womzimba.

Ngokwesifo sikashukela sohlobo 2, kuyadingeka ukwenza izinyathelo ezinamandla zokwelapha ukunciphisa umthwalo kumanyikwe. Ngenxa yalokhu, inqubo "yokutsha" yamaseli ayo e-beta ivinjelwe. Zonke izindlela kuhloswe ngazo ukwenza ngcono ukuzwela kwamaseli esenzweni se-insulin, i.e., ukunciphisa ukumelana ne-insulin. Isifo sikashukela sohlobo 2 singalashwa ngemijovo ye-insulin kuphela ezimweni ezinzima kakhulu, hhayi ngaphezu kwezi-5-10% zeziguli. Lokhu kuzochazwa ngokuningiliziwe ekugcineni kwendatshana.

Ongakwenza:

• Funda i-athikili "I-Insulin Resistance". Sichaza nokuthi singayisingatha kanjani le nkinga.
• Qiniseka ukuthi unemitha ye-glucose enembile (ukuthi ungakwenza kanjani lokhu), bese ulinganisa ushukela wakho wegazi izikhathi eziningana nsuku zonke.
• Naka ngokukhethekile ukulawula ushukela wegazi lakho ngemuva kokudla, kodwa futhi nesisu esingenalutho.
• Shintshela ekudleni okuphansi kwe-carbohydrate. Yidla kuphela ukudla okuvunyelwe, vikela ngokuqinile ukudla okwenqatshelwe.
• Ukuzivocavoca. Kuhle ukwenza ukugijimela ngokuya ngenqubo yokujaha kakhulu, ikakhulukazi ezigulini ezinesifo sikashukela sohlobo 2. Ukuzivocavoca kubalulekile kuwe.
• Uma ukudla okune-carbohydrate ephansi okuhambisana nemfundo yenyama akwanele, okungukuthi, usenawo ushukela ophakeme ngemuva kokudla, bese ufaka amaphilisi weSiofor noma we-Glucofage kuwo.
• Uma konke ndawonye - ukudla, ukuvivinya umzimba kanye noSiofor - kungasizi ngokwanele, khona-ke kuphela kuleli cala lapho kuyofanele ufake umjovo we-insulin ebusuku kanye / noma ekuseni esiswini esingenalutho. Kulesi sigaba, awunakwenza ngaphandle kodokotela. Ngoba uhlelo lokwelashwa kwe-insulin luyi-endocrinologist, hhayi eyabo.
• Akunjalo, yenqaba ukudla okune-carbohydrate ephansi, noma ngabe uthini udokotela, ngubani ozokunikeza i-insulin. Funda ukuthi ulingisa kanjani i-insulin therapy. Uma ubona ukuthi udokotela ubeka imithamo ye-insulin “ophahleni”, futhi angabheki amarekhodi akho ezilinganiso zikashukela wegazi, ungasebenzisi izincomo zawo, kepha thintana nenye uchwepheshe.

Khumbula ukuthi ezimweni eziningi, i-insulin kufanele ihlaselwe kuphela kulabo abaguli abanesifo sikashukela sohlobo 2 abanamavila kakhulu ukuzivocavoca.

Okungafanele ukwenze

Ungathathi izinto ezithathwa yi-sulfonylurea. Bheka ukuthi amaphilisi sikashukela owabelwe wona angokuphuma ku-sulfonylurea. Ukuze wenze lokhu, funda ngokucophelela imiyalo, isigaba "Izinto ezisebenzayo". Uma kuvela ukuthi uthatha okuphuma ku-sulfonylurea, bese uyilahle.

Kungani le mishanguzo iyingozi ichazwa lapha. Esikhundleni sokuwaphuza, lawula ushukela wegazi lakho ngokudla okuphansi kwe-carbohydrate, ukusebenza ngokomzimba, amaphilisi weSiofor noma i-Glucofage, futhi uma kunesidingo, yi-insulin. Ama-endocrinologists athanda ukunquma amaphilisi wokuhlanganisa aqukethe i-sulfonylureas + metformin derivatives. Shintsha kusuka kubo ungene ku-metformin "emsulwa", okungukuthi, iSiofor noma iGlucofage.

Funda ngokucophelela i-athikili ethi “Ungayinciphisa kanjani imithamo ye-insulin. Yini ama-carbohydrate asheshayo futhi ahamba kancane. " Uma kufanele ukhuphule kakhulu umthamo we-insulin - kusho ukuthi wenza okungalungile. Udinga ukuma, ucabange futhi ushintshe okuthile emisebenzini yakho yezokwelapha.

Izifundo zomzimba namaphilisi okwehlisa ushukela

Umqondo obalulekile ukukhetha izivivinyo ezikunikeza injabulo. Uma wenza lokhu, uzozivocavoca njalo ukuze ujabule. Futhi ukuguqula ushukela wegazi kanye nokwenza impilo ibe ngcono “yimiphumela emibi.” Inketho engabizi yemfundo yokuzivocavoca ngentokozo ukugijimela ngokusho kwencwadi ethi “Chi-jogging. Indlela yokuguqula - ukujabulisa, ngaphandle kokulimala nokuhlukunyezwa. " Ngiyincoma kakhulu.

Ekwelashweni kwesifo sikashukela sohlobo 2, kukhona izimangaliso ezimbili:

• Ukudla okuphansi kwe-carbohydrate
• Ukugijimela ukuzijabulisa ngokuya ngendlela yencwadi ethi “Chi-jogging”.

Sixoxa ngokudla okune-carbohydrate okuningi lapha. Kukhona izindatshana eziningi ngalesi sihloko kwiwebhusayithi yethu ngoba kuyindlela enkulu yokulawula isifo sikashukela sohlobo 1 nohlobo 2. Ngokuqondene nokugijima, isimangaliso ukuthi ungagijima ungazihluphi, kodwa kunalokho ujabule. Udinga nje ukufunda ukuthi ungagijima kanjani kahle, futhi le ncwadi izokusiza kakhulu kulokhu. Ngesikhathi kugijima, kukhiqizwa “ama-hormone enenjabulo” emzimbeni, anikeza njengezidakamizwa. Ukugijimela ukuzijabulisa ngokuya ngendlela yeChi-jogu kufanelekile ngisho nakubantu abanezinkinga ezihlanganyelwe. Kuhle ukushintshanisa ukugijimela ngezifundo kuma-simulators ejimini. Uma ukhetha ukungasebenzi, kepha ukubhukuda, ithenisi noma ukuhamba ngamabhayisekili, futhi uyakwazi ukukukhokhela, kuhle empilweni yakho. Kumane ukubandakanyeka njalo.

Uma uzame ukudla okuphansi kwe-carbohydrate ngokusho izincomo zethu futhi waqiniseka ukuthi kuyasiza ngempela, bese uzama futhi u- “Chi-run”. Hlanganisa ukudla okune-carbohydrate okuphansi nokuzivocavoca. Lokhu kwanele ukuthi ama-90% eziguli ezinesifo sikashukela sohlobo 2 azenze ngaphandle kwe-insulin namaphilisi. Ungagcina amazinga akho kashukela egazini evamile ngokujwayelekile. Lokhu kubhekise ushukela ngemuva kokudla kungabi ngaphezu kuka-5.3-6.0 mmol / L ne-hemoglobin ye-glycated engekho ngaphezulu kuka-5.5%. Lokhu akuyona inganekwane, kepha umgomo wangempela ongatholakala ezinyangeni ezimbalwa.

Ukuzivocavoca kwandisa ukuzwela kwamaseli omzimba kuyi-insulin. Lokhu kubaluleke kakhulu ezigulini ezinesifo sikashukela sohlobo 2. Ithebhulethi uSiofor noma i-Glucofage (i-metformin esebenzayo yezinto) inomphumela ofanayo, kepha izikhathi eziningi buthaka. Lawa mathebhulethi ngokuvamile kufanele anikezwe abanesifo sikashukela abavila kakhulu ukuzivocavoca, yize bekukho konke ukukholisa. Sisebenzisa futhi i-metformin njengekhambi lesithathu uma ukudla okune-carbohydrate ephansi kanye nokuzivocavoca kunganele. Lona umzamo wakamuva ezimweni eziphambili zesifo sikashukela sohlobo 2 sokuhambisa nge-insulin.

Lapho kudingeka isibhamu se-insulin

Thayipha isifo sikashukela ngo-90% wamacala angalawulwa ngokuphelele ngaphandle kwemijovo ye-insulin. Amathuluzi nezindlela esizibalile ngenhla zisiza kakhulu. Kodwa-ke, uma umuntu onesifo sikashukela sekwephuze kakhulu “ethatha ingqondo”, lokhobe sekuvele ukuthi umdlavuza wakhe usuvele ukhubazekile, kanti ne-insulin yakhe ayikhiqizwa ngokwanele. Ezimweni ezinjalo ezinganakwa, uma ungayifaki i-insulin, ushukela wegazi usazophakanyiswa, futhi nezinkinga zesifo sikashukela zimile nje ekhoneni.

Ekwelashweni kwesifo sikashukela sohlobo 2 nge-insulin, kunamaphuzu alandelayo abalulekile. Okokuqala, i-insulin ngokuvamile kufanele ifakwe kwiziguli ezingamavila. Njengomthetho, ukukhetha yilokhu: i-insulin noma imfundo yomzimba. Ngiyaphinda ngiyanincenga ukuthi nihlanganyele ubumnandi. Ukuqeqeshwa okuqina ejimini kuyasiza futhi ngoba kukhulisa ukuzwela kwamangqamuzana ukuya ku-insulin. Ngokuthola okuphezulu, ngenxa yemfundo yomzimba, i-insulin ingakhanselwa. Uma kungenzeki ukulahla ngokuphelele imijovo, khona-ke umthamo we-insulin nakanjani uzoncipha.

Okwesibili, uma uqala ukwelapha isifo sakho sikashukela sohlobo lwakho 2 nge-insulin, lokhu akusho ukuthi manje usungayeka ukudla. Ngokuphambene nalokho, bambelela ngokuqinile ekudleni okuphansi kwe-carbohydrate ukuze uhambe ngemithamo emincane ye-insulin. Uma usafuna ukunciphisa umthamo we-insulin - zivocavoce bese uzama ukwehlisa isisindo. Ukuze uqede isisindo ngokweqile, kungadingeka ukuthi unciphise ukungena kwamaprotheni ekudleni okuphansi kwe-carbohydrate. Funda izinto zethu zokusebenzisa imijovo ye-insulin ngaphandle kobuhlungu nokuthi wehlisa kanjani ishukela.

Okwesithathu, iziguli ezinesifo sikashukela sohlobo 2 zivame ukuhlehlisa ukuqala kokulashwa kwe-insulin ekugcineni, futhi lokhu kuyisiwula kakhulu. Uma isiguli esinjalo singazelele futhi sisheshe sife ngenxa yokuhlaselwa yisifo senhliziyo, singasho ukuthi waba nenhlanhla. Ngoba kunezinketho ezimbi kakhulu:

• Ukuqunjelwa kwe-gangrene kanye nomlenze;
• Ubumpumputhe;
• Ukufa kabuhlungu ngenxa yokwehluleka kwezinso.

Lezi yizinkinga zesifo sikashukela isitha esibi kakhulu esingeke sazifuna. Ngakho-ke, i-insulin iyithuluzi elihle elisindisa ekujwayelaneni nabo. Uma kusobala ukuthi i-insulin ayikwazi ukusatshalaliswa ngayo, bese uqala ukuyifaka ngokushesha, ungachithi isikhathi.

Uma kwenzeka ubumpumputhe noma ukunqunywa kwengalo, umuntu onesifo sikashukela uneminye iminyaka embalwa yokukhubazeka. Ngalesi sikhathi, ukwazile ukucabangisisa kahle ukuthi wayengumuntu onjani lapho eqala ukujova i-insulin ngesikhathi ... Ukwelapha lolu hlobo lokwelashwa kwesifo sikashukela mellitus 2 akuyona "oh, insulin, kunjani ubusuku", kepha "shesha, insulin!"

Thayipha izinhloso ezimbili zesifo sikashukela

Ake sibheke izimo ezimbalwa ezejwayelekile ukuze sikhombise ukuthi kungaba yini umgomo wangempela wokwelashwa. Sicela ufunde isihloko esithi “Izinjongo Zokwelapha Isifo Sikashukela” Okokuqala. Inolwazi oluyisisekelo. Ama-nuances wokubeka izinhloso zokwelashwa zesifo sikashukela sohlobo 2 achazwe ngezansi.

Ake sithi sinesiguli sesifo sikashukela sohlobo 2 esikwazi ukulawula ushukela wegazi ngokudla okuphansi kwe-carbohydrate futhi sivivinya injabulo. Angakwenza ngaphandle koshukela namaphilisi e-insulin. Isifo sikashukela esinjalo kufanele silwele ukugcina ushukela wegazi lakhe ku-4.6 mmol / L ± 0,6 mmol / L ngaphambi, phakathi nangemva kokudla. Uzokwazi ukufeza le nhloso ngokuhlela ukudla ngaphambi kwesikhathi. Kufanele azame ukudla ngamanani ahlukahlukene we-carbohydrate yokudla aze anqume usayizi ofanele wokudla kwakhe. Udinga ukufunda ukwenza imenyu yokudla okuphansi kwe-carbohydrate. Izingxenye kufanele zibe ngosayizi wokuthi umuntu asukume esuka etafuleni ligcwele, kepha angadli ngokweqile, futhi ngasikhathi sinye ushukela wegazi uphenduka uvamile.

Imigomo okudingeka uyilwele:

• Ushukela ngemuva kwamahora 1 no-2 ngemuva kokudla ngakunye - akukho okuphezulu kune-5.2-5.5 mmol / l
• Ushukela wegazi ekuseni esiswini esingenalutho ongabi ngaphezu kuka-5.2-5,5 mmol / l
• I-Glycated hemoglobin HbA1C - ngaphansi kuka-5.5%. Ngokufanele - ngaphansi kwe-5.0% (ukufa okuncane kakhulu).
• Izinkomba ze-cholesterol "embi" ne-triglycerides esegazini zingaphakathi kwemingcele evamile. I-cholesterol “enhle” ingaba phezulu kunokwejwayelekile.
• Umfutho wegazi ngaso sonke isikhathi awukho ngaphezu kwe-130/85 mm RT. Ubuciko., Azikho izingqinamba zegazi elinamandla amakhulu (ungadinga futhi ukuthatha izithasiselo zomfutho wegazi).
• I-Atherossteosis ayikhuli. Isimo semithambo yegazi asisi sibi kakhulu, kufaka phakathi emilenzeni.
• Izinkomba ezinhle zokuhlolwa kwegazi ngengozi yenhliziyo (i-C-reactive protein, fibrinogen, homocysteine, ferritin). Lezi zivivinyo ezibaluleke kakhulu kune-cholesterol!
• Ukulahleka kombono kuyama.
• Imemori ayonakalisi, kepha kunalokho iyathuthuka. Umsebenzi wengqondo nawo.
• Zonke izimpawu ze-neuropathy yesifo sikashukela ziphela zingapheli izinyanga ezimbalwa. Kubandakanya unyawo lwesifo sikashukela. I-Neuropathy iyinkinga evuselelwa ngokuphelele.

Ake sithi uzame ukudla ekudleni okuphansi kwe-carbohydrate, futhi ngenxa yalokho, ushukela wegazi ngemuva kokudla u-5.4 - 5.9 mmol / L. Isazi se-endocrinologist sithi lokhu kuhle kakhulu. Kepha sizosho ukuthi lokhu kusengaphezu kokujwayelekile. Ucwaningo lwango-1999 lwabonisa ukuthi esimweni esinjalo, ubungozi bokuhlaselwa yisifo senhliziyo lenyuka ngo-40%, uma kuqhathaniswa nabantu oshukela wegazi labo ngemuva kokudla ungeqi ku-5.2 mmol / L. Sincoma kakhulu isiguli esinjalo ukuba senze ukuzivocavoca ngokomzimba ngenjabulo ukuze sehlise ushukela wegazi lakhe futhi silethe ezingeni labantu abaphilile. Ukusebenza kahle kuyinto enhle kakhulu, futhi kusebenza futhi ezimweni ezijwayelekile kukwenza ushukela wegazi.

Uma ungakwazi ukukholisa isiguli esinesifo sikashukela sohlobo 2 ukuthi sizivivinya, siyobe sinikezwa amaphilisi weSiofor (metformin) ngaphezu kokudla okune-carbohydrate ephansi. I-Glucophage yezidakamizwa yiSiofor efanayo, kodwa yesenzo eside. Mancane amathuba okuba nemiphumela emibi - ukuqhakaza nohudo. UDkt Bernstein futhi ukholelwa ukuthi i-Glucofage yehlisa ushukela wegazi izikhathi eziphindwe ka-1,5 kahle kuneSiofor, futhi lokhu kuthethelela intengo yayo ephakeme.

Iminyaka eminingi yesifo sikashukela: icala elinzima

Cabanga ngendaba eyinkimbinkimbi yesifo sikashukela sohlobo 2. Isiguli, isifo sikashukela esijwayelekile, silandela ukudla okune-carbohydrate ephansi, sithatha i-metformin, futhi senza nemfundo yomzimba. Kepha ushukela wakhe wegazi ngemuva kokudla usaphakanyisiwe. Esimweni esinjalo, ukuze wehlise ushukela wegazi ube ojwayelekile, okokuqala kufanele uthole ukuthi yikuphi ukudla ushukela wegazi okhuphuka kakhulu kuye. Ukuze wenze lokhu, phatha ngokuphelele ushukela wegazi amaviki angu-1-2. Bese uzama isikhathi sokuthatha amaphilisi, futhi uzame ukufaka uSiofor nge-Glucofage. Funda lapha ukuthi ungalawula kanjani ushukela ophakeme ekuseni esiswini esingenalutho nangemva kokudla. Ungenza ngendlela efanayo uma ushukela wakho uvama ukungavuki ekuseni, kodwa kwasemini noma kusihlwa. Futhi kuphela uma zonke lezi zinyathelo zisiza kabi, lapho-ke kufanele uqale ngokufaka i-insulin “enwetshiwe” noma izikhathi ezi-2 ngosuku.

Ake sithi isiguli esinesifo sikashukela sohlobo 2 kusadingeka silashwe nge-insulin “ende” ebusuku kanye / noma ekuseni. Uma elandela ukudla kwe-carbohydrate ephansi, khona-ke uzodinga imithamo emincane ye-insulin. I-pancreas iyaqhubeka nokukhiqiza i-insulin yayo uqobo, yize inganele. Kodwa uma ushukela wegazi wehla kakhulu, khona-ke ama-pancreas azocima ngokuzenzakalelayo ukukhiqizwa kwe-insulin. Lokhu kusho ukuthi ingozi ye-hypoglycemia enobunzima isezingeni eliphansi, futhi ungazama ukwehlisa ushukela wegazi uye ku-4.6 mmol / L ± 0,6 mmol / L.

Ezimweni ezimbi kakhulu, lapho ama-pancreas esevele “eseqediwe” ngokuphelele, iziguli ezinesifo sikashukela sohlobo 2 azidingi imijovo ye-insulin “ende” nje kuphela, kodwa futhi nezijovo ze-insulin “emfishane” ngaphambi kokudla. Iziguli ezinje zinesimo esifanayo nesifo sikashukela sohlobo 1. Uhlelo lokwelashwa kwesifo sikashukela sohlobo 2 nge-insulin luqokwa kuphela yi-endocrinologist, ungazenzi ngokwakho. Yize ukufunda i-athikili ethi "Izikimu zokwelapha nge-insulin" noma kunjalo kuzosiza.

Izimbangela zesifo sikashukela esizimele - ngokuningiliziwe

Ochwepheshe bayavuma ukuthi imbangela yohlobo 2 sikashukela ngokuyinhloko ukumelana ne-insulin - ukuncipha kokuzwela kwamaseli esenzweni se-insulin. I-pancreas ilahlekelwa amandla ayo okukhiqiza i-insulin kuphela ezigabeni zokugcina zesifo. Ekuqaleni kwesifo sikashukela sohlobo 2, i-insulin ijikeleza egazini. Kepha yehlisa ushukela wegazi kabi, ngoba amangqamuzana awazwela kakhulu esenzweni sawo. Ukukhuluphala ngokweqile kucatshangwa ukuthi kubangela ukumelana ne-insulin. Futhi okuphambene nalokho - lapho amandla e-insulin emelana namandla, i-insulin ijikeleza egazini futhi ngokushesha izicubu ezinamafutha ziqongelela.

Ukukhuluphala kwesisu uhlobo olukhethekile lokukhuluphala lapho okunqwabelana khona amafutha esiswini, emzimbeni ophezulu. Kumuntu okhule ukukhuluphala esiswini, ukujikeleza okhalweni kuzoba kukhudlwana kunokujikeleza okhalweni. Owesifazane onenkinga efanayo uzoba nokujikeleza okhalweni okungama-80% noma ngaphezulu okhalweni.Ukukhuluphala kwesisu kubangela ukumelana ne-insulin, futhi baqinisana. Uma i-pancreas ingakwazi ukukhiqiza i-insulin eyanele ukumboza isidingo esengeziwe sayo, kuvela isifo sikashukela sohlobo 2. Ngohlobo 2 lwesifo sikashukela, i-insulin emzimbeni ayanele, kodwa ngakolunye uhlangothi izikhathi eziphindwe izikhathi ezi-2 kuya kwezijwayelekile. Inkinga ukuthi amangqamuzana awasabeli kahle kuwo. Ukushukumisa ama-pancreas ukukhiqiza i-insulin ethe xaxa kungukufa okuphelele.

Iningi labantu ngokwesimo sokudla kwanamuhla kokuphila nendlela yokuphila yokuthambekela bathambekele ekuthuthukiseni ukukhuluphala kanye nokumelana ne-insulin. Njengoba amanoni eqongelela emzimbeni, umthwalo kumanyikwe kancane kancane. Ekugcineni, amaseli we-beta awakwazi ukubhekana nokukhiqizwa kwe-insulin eyanele. Amazinga kashukela egazini angaphezulu kokujwayelekile. Lokhu kube nethonya elinobuthi ngokwengeziwe kumaseli we-beta we-pancreas, futhi abulawa kakhulu. Yile ndlela uhlobo 2 lwesifo sikashukela ekhula ngalo.

Bheka futhi isihloko esithi “Indlela i-insulin elawula ngayo ushukela wegazi kubantu abanempilo nokuthi yini eshintsha nesifo sikashukela.”

Umehluko phakathi kwalesi sifo kanye nohlobo 1 sikashukela

Ukwelashwa kwesifo sikashukela sohlobo 1 nohlobo 2 kuyafana ngezindlela eziningi, kodwa futhi kunokwehluka okukhulu. Ukuqonda lo mehluko kubalulekile ekulawuleni ushukela wakho wegazi ngempumelelo. Isifo sikashukela sohlobo 2 sikhula kancane futhi ngobumnene kunesifo sikashukela sohlobo 1. Ushukela wegazi ngohlobo 2 sikashukela akuvamile ukukhuphuka ube “phezulu”. Kodwa noma kunjalo, ngaphandle kokwelashwa ngokucophelela, ihlala iphakeme, futhi lokhu kudala ukukhula kwezinkinga zesifo sikashukela eziholela ekukhubazekeni noma ekufeni.

Ukwanda koshukela wegazi ngohlobo 2 sikashukela kuphazamisa ukuhanjiswa kwezinzwa, kulimaze imithambo yegazi, inhliziyo, amehlo, izinso nezinye izitho zomzimba. Njengoba lezi zinqubo zivame ukungazibangeli zimpawu ezisobala, uhlobo 2 sikashukela lubizwa ngokuthi “umbulali buthule”. Izimpawu ezikhohlisayo zingavela noma izilonda zingaphenduki - ngokwesibonelo, ukwehluleka kwezinso. Ngakho-ke, kubalulekile ukuthi ungabi lazy ukugcina uhlelo futhi wenze izindlela zokwelapha, noma ngabe akukho okulimazayo kuze kube manje. Lapho kugula, kuzoba sekwephuze kakhulu.

Ekuqaleni, uhlobo 2 sikashukela yisifo esibi kangako kunesifo sikashukela sohlobo 1. Okungenani isiguli asinasongo "sokuncibilikisa" ushukela namanzi futhi sife ngobuhlungu emavikini ambalwa. Njengoba kungekho zimpawu ezibucayi ekuqaleni, lesi sifo singasho ngobuqili, siwubulale kancane kancane umzimba. Isifo sikashukela sohlobo 2 siyimbangela ehamba phambili yokwehluleka kwezinso, ukunqanyulwa kwezitho eziphansi, namacala obumpumputhe emhlabeni jikelele. Inomthelela ekuthuthukisweni kokuhlaselwa yisifo senhliziyo kanye nemivimbo kubashukela. Zivame ukuhambisana nokutheleleka kwabesifazane kwabesifazane nokuntuleka kwamandla emadodeni, yize kuyiziphikiso eziqhathaniswa nokuhlaselwa yinhliziyo noma unhlangothi.

Ukumelana ne-insulin kusezinhlotsheni zethu

Sonke siyinzalo yalabo abasinda esikhathini eside sendlala. Izakhi zofuzo ezinquma ukuthambekela okwandayo kokukhuluphala nokungamelana ne-insulin ziwusizo kakhulu uma kwenzeka kunokuntuleka kokudla. Kufanele ukhokhele lokhu ngomkhuba owandayo wokuthayipha isifo sikashukela 2 ngesikhathi esondlekile lapho kuhlala khona isintu manje. Ukudla okune-carbohydrate kaningana kunciphisa ubungozi besifo sikashukela sohlobo 2, futhi uma sekuqalile, kubambezela ukukhula kwayo. Ngokuvimbela kanye nokwelashwa kwesifo sikashukela sohlobo 2, kungcono ukuhlanganisa lokhu kudla nemfundo yomzimba.

Ukumelana ne-insulin kubangelwa ingxenye yezimbangela zofuzo, isb., Ifa, kodwa hhayi zona kuphela. Umuzwa we-insulin wamaseli uyancipha uma amafutha ngokweqile ngesimo se-triglycerides ejikeleza egazini. Ukuqina kwe-insulin okunamandla, noma kunjalo okwesikhashana, ezilwaneni zaselabhoratri kubangelwa imijovo ye-triglycerides ye-intravenous. Ukukhuluphala kwesisu kuyimbangela yokuvuvukala okungapheli - enye indlela yokwandisa ukumelana ne-insulin. Izifo ezithathelanayo ezibangela izinqubo zokuvuvukala zenza ngendlela efanayo.

Umshini wokuthuthukisa lesi sifo

Ukumelana ne-insulin kukhulisa isidingo somzimba se-insulin. Amazinga aphakeme we-insulin egazini abizwa ngokuthi yi-hyperinsulinemia. Kuyadingeka "ukusunduza" ushukela kumaseli ngaphansi kwezimo zokumelana ne-insulin. Ukunikeza i-hyperinsulinemia, ama-pancreas asebenza ngokuxineka okukhulu. I-insulin engaphezulu egazini inale miphumela emibi elandelayo:

• kwandisa umfutho wegazi;
• kulimaza imithambo yegazi kusuka ngaphakathi;
• kuthuthukisa futhi ukumelana ne-insulin.

I-Hyperinsulinemia kanye nokumelana ne-insulin kwakha umbuthano omubi, kuqinisana ngokuqinisana. Zonke izinkomba ezibhalwe ngenhla zibizwa ngokuthi yi-metabolic syndrome. Kuhlala iminyaka eminingana, kuze kube yilapho amaseli we-beta we-pancreas “ephela” ngenxa yomthwalo omningi. Ngemuva kwalokhu, ushukela wegazi owengeziwe ufakwa kwizimpawu ze-metabolic syndrome. Futhi usuqedile - ungahlonza isifo sikashukela sohlobo 2. Ngokusobala, kungcono ukungalethi isifo sikashukela ekuthuthukisweni, kodwa ukuqala ukuvimbela kusenesikhathi, ngisho esiteji se-metabolic syndrome. Izindlela ezinhle kakhulu zokuvimbela lokhu kungukudla okune-carbohydrate ephansi, kanye nemfundo yenyama ngentokozo.

Uhlobo 2 sikashukela lukhula kanjani - ukufingqa. Izakhi zofuzo + izinqubo zokuvuvukala + ama-triglycerides egazini - konke lokhu kubangela ukumelana ne-insulin. Futhi, kubangela i-hyperinsulinemia - izinga elikhulayo le-insulin egazini. Lokhu kuvuselela ukunqwabelana okwandayo kwezicubu ze-adipose esiswini nase okhalweni. Ukukhuluphala kwesisu kukhulisa ama-triglycerides egazini futhi kuthuthukisa ukuvuvukala okungamahlalakhona. Konke lokhu kubuye kunciphise ukuzwela kwamangqamuzana ku-insulin. Ekugcineni, amaseli we-pancreatic beta ayeka ukubhekana nomthwalo owandayo futhi kancane kancane afe. Ngenhlanhla, ukwephula umjikelezo onobudlova oholela kuhlobo 2 sikashukela akunzima kangako. Lokhu kungenziwa ngokudla okuphansi kwe-carbohydrate nokuzivocavoca ngentokozo.

Into ethokozisayo kakhulu esiyigcinile ekugcineni. Kuyavela ukuthi amafutha angenampilo ajikeleza egazini ngesimo se-triglycerides akuyona uhlobo lwamafutha owadla nhlobo. Izinga elikhulayo lama-triglycerides egazini alenzeki ngenxa yokudla kwamafutha okudla, kodwa ngenxa yokudla ama-carbohydrate kanye nokuqongezwa kwezicubu ze-adipose ngesimo sokukhuluphala esiswini. Ukuze uthole imininingwane engaphezulu, bheka isihloko esithi “Amaprotheni, Amafutha, Ne-Carbohydrate Esekudleni Sikashukela.” Emangqamuzaneni e-adipose izicubu, hhayi lawo mafutha esiwadingayo ayanqwabelana, kodwa lawo womzimba owakhiqiza emithanjeni yokudla engaphansi kwethonya le-insulin. Amafutha emvelo adliwayo, kufaka namafutha ezilwane anele, abalulekile futhi alungele impilo yakho.

Thayipha ukukhiqizwa kwe-insulin yesifo sikashukela

Iziguli ezinesifo sikashukela sohlobo 2 ezisanda kutholakala, njengomthetho, zisaqhubeka nokukhiqiza i-insulin yazo ngobuningi. Ngaphezu kwalokho, eziningi zazo empeleni zikhiqiza i-insulin eningi kunabantu abalenza ngaphandle kwesifo sikashukela! Kumane nje ukuthi umzimba wabantu abanesifo sikashukela awusenayo i-insulin yayo ngokwayo ngenxa yokuqalwa ukumelana kanzima kwe-insulin. Ukwelashwa okujwayelekile kwesifo sikashukela sohlobo 2 kulesi simo ukukhuthaza ama-pancreas ukuze akhiqize i-insulin engaphezulu. Esikhundleni salokho, kungcono ukwenza okuthile ukuze wandise ukuzwela kwamangqamuzana esenzweni se-insulin, i.e., ukwenza lula ukumelana ne-insulin (ukwenza kanjani).

Uma belashwa kahle futhi baphethwe kahle, khona-ke iziguli eziningi ezinesifo sikashukela sohlobo 2 zizokwazi ukubuyisela ushukela wazo kujwayelekile ngaphandle kwemijovo ye-insulin. Kepha uma ishiywe ingalashwa noma iphathwa ngezindlela “zesiko” zangaphakathi ze-endocrinologists (ukudla okunama-carbohydrate amaningi, amaphilisi we-sulfonylurea derivatives), kungekudala amaseli we-beta we-pancreatic "azokuqothuka" ngokuphelele. Futhi-ke imijovo ye-insulin izodingeka ngokuphelele ekusindeni kwesiguli. Ngakho-ke, thayipha isifo sikashukela esingu-2 esiguqula ngokushelelayo sibe uhlobo olubi lwesifo sikashukela. Funda ngezansi ukuthi ungaziphatha kanjani kahle ukuvimba lokhu.

Izimpendulo zeziguli ezibuzwa njalo

Ukwelashwa okukhulu kwesifo sikashukela sohlobo 2 ekudleni okune-carbohydrate ephansi kancane. Uma ungayilandeli, kepha yidla ekudleni “okunokulinganisela,” okugcwala kakhulu kuma-carbohydrate ayingozi, ngeke kube nomqondo. Awekho amaphilisi noma ama-droppers, amakhambi, uzungu, njll. Azosiza .. I-Milgamma ngama-B amavithamini emithamo emikhulu. Ngokubona kwami, ziletha izinzuzo zangempela. Kepha zingathathelwa indawo ngamavithamini B-50 ezibhebheni. I-Berlition iyi-dropper ene-alpha lipoic acid. Bangazanywa nge-neuropathy yesifo sikashukela, ngaphezu kokudla okuphansi kwe-carbohydrate, kepha akunakwenzeka endaweni yabo. Funda i-athikili ku-alpha lipoic acid. Isebenza kangakanani i-Actovegin neMexidol - angazi.

I-Diaglazide ibhekisela kokuphuma kwe-sulfonylurea. Lawa amaphilisi ayingozi aqediwe (aphelile, “asha”) ama-pancreas akho. Ngenxa yalokhu, isifo sakho sikashukela sohlobo 2 sesiphenduke uhlobo olubi lwesifo sikashukela. Ku-endocrinologist obeke la mapilisi, yithi sawubona, intambo kanye nensipho. Esimweni sakho, awukwazi ukwenza ngaphandle kwe-insulin. Qala ukuyigwaza ngokushesha kuze kube yilapho izinkinga zingaphenduki. Funda futhi ulandele uhlelo lokwelapha isifo sikashukela sohlobo 1. Khansela i-diaformin futhi. Ngeshwa, uthole isayithi lethu liphuze kakhulu, manje uzofaka i-insulin kuze kube sekupheleni kwempilo yakho. Futhi uma uvila kakhulu, lapho kungakapheli iminyaka embalwa uzobe ukhubazeka ezinkingeni zesifo sikashukela.

Udokotela wakho uqinisile - lokhu prediabetes. Kodwa-ke, esimweni esinjalo, ukusabalalisa ngamaphilisi kungenzeka futhi kube lula. Qhubeka nokudla okunama-carbohydrate aphansi ngenkathi uzama ukwehlisa isisindo. Kepha ungalambi. Funda izindatshana eziphathelene ne-metabolic syndrome, ukumelana ne-insulin nendlela yokunciphisa umzimba. Ngokufanelekile, wena, kanye nokudla, futhi yenza ukuzivocavoca umzimba ngenjabulo.

Okuchazayo akusekho okujwayelekile noma okuncane, kepha akukuhle. Ngoba emaminithini nase amahora lapho ushukela wegazi ugcina ephezulu, izinkinga zesifo sikashukela ziqala ukuswakama okugcwele. I-glucose ibopha amaprotheni futhi iphazamise umsebenzi wayo. Uma phansi kuthululelwa ushukela, kuzoba okunamathelayo futhi kube nzima ukuhamba phezu kwawo. Ngendlela efanayo, amaprotheni e-glucose ahlanganiswe “anamathele ndawonye”. Noma ungenalo unyawo lwesifo sikashukela, ukwehluleka kwezinso noma ubumpumputhe, ingozi yokuhlaselwa yinhliziyo ngokungazelelwe noma unhlangothi isephezulu kakhulu. Uma ufuna ukuhlala, bese ulandela ngokucophelela uhlelo lwethu lokwelashwa kwesifo sikashukela sohlobo 2, ungabi ngamavila.

Awuzange ubhale into esemqoka. Ushukela ongekho ngaphezulu kuka-6.0 - esiswini esingenalutho noma ngemuva kokudla? Ushukela wokuzila awunamqondo. Ushukela ngemuva kokudla kuphela ofanele. Uma ulawula ushukela kahle ngemuva kokudla nokudla, bese uqhubeka kumthambo ofanayo. Akudingeki amaphilisi noma i-insulin. Ukube isiguli besingatholanga ekudleni "okulambile". Uma ukhombe ushukela esiswini esingenalutho, futhi ngemuva kokudla wesaba ukukala, lokhu-ke kunamathela ekhanda lakho esihlabathini, njengoba kwenza izintshe. Futhi imiphumela izoba efanele.

Ukuhlala ekudleni "okulambile", wehlise umthwalo kumanyikwe akho. Ngenxa yalokhu, walulama ngandlela thile futhi wakwazi ukubekezelela ukushaywa. Kodwa uma ubuyela ekudleni okungenampilo, khona-ke ukuxolelwa kwesifo sikashukela kuzophela maduze. Ngaphezu kwalokho, ayikho imfundo yokuzivocavoca izokusiza uma udla kakhulu nge-carbohydrate. Isifo sikashukela sohlobo 2 singalawulwa ngokuqinile hhayi ngekhalori ephansi, kepha ukudla okune-carbohydrate ephansi. Ngincoma ukuthi uye kuyo.

Kungenzeka ukulawula isifo sikashukela sohlobo lwe-2 impilo yami yonke ngokudla ngaphandle kwamaphilisi ne-insulin. Kepha kulokhu udinga ukulandela ukudla okune-carbohydrate eningi, hhayi i-calorie ephansi "eklanyelwe ngomuthi osemthethweni." Ngokudla okulambile, iningi leziguli lehluleka. Njengomphumela walokhu, isisindo somzimba wabo namanyikwe “ayasha”. Ngemuva kokugxuma okuningi okunjalo, akunakwenzeka ngempela ukwenza ngaphandle kwamaphilisi ne-insulin. Ngokuphambene nalokho, ukudla okune-carbohydrate ephansi kunenhliziyo, kuyamnandi futhi kunokunethezeka. Abanesifo sikashukela ngentokozo bayasigcina, bangehli phansi, baphila ngokujwayelekile ngaphandle kwamaphilisi ne-insulin.

Uwumzimba omncane, asikho isisindo ngokweqile. Abantu abathobekile abanalo uhlobo 2 lwesifo sikashukela! Isimo sakho sibizwa ngokuthi yi-LADA, thayipha isifo sikashukela esingu-1 ngendlela emnene. Ushukela empeleni awuphezulu kakhulu, kepha uphakeme kakhulu kunokujwayelekile. Shiya le nkinga inganakekelwa. Qala ukwelashwa ukuze izinkinga ezenzeka emilenzeni, izinso, ukubona kwamehlo kungakhuli. Ungavumeli isifo sikashukela sonakalise iminyaka yegolide eseza.

Udokotela wakho akafundile ngesifo sikashukela, njengabo abaningi abasebenza nabo. Abantu abanjalo baphatha i-LADA ezigulini zabo ngendlela efanayo nesifo sikashukela sohlobo 2. Ngenxa yalokhu, minyaka yonke amashumi ezinkulungwane zeziguli afa ngaphambi kwesikhathi. IManinil yiphilisi elimazayo, futhi kuwe ziyingozi izikhathi eziningana kunaleziguli ezinesifo sikashukela sohlobo 2. Funda i-athikili enemininingwane, "Isifo Sikashukela se-LADA: Ukuxilongwa kanye Ne-algorithm Yokwelashwa."

Ngakho-ke awulangazeleli amaswidi, ngikweluleka ukuthi uthathe izithasiselo. Okokuqala, i-chromium picolinate, njengoba kuchazwe lapha. Futhi kukhona isikhali sami esiyimfihlo - lo yi-L-glutamine powder. Kuthengiswa ezitolo ezondlekile zemidlalo. Uma u-oda usuka e-USA ngesixhumanisi, kuzophumelela kube okushibhile kanye nesigamu. Hlakaza isipuni ngesilayidi engilazini yamanzi neziphuzo. Imizwa ikhuphuka ngokushesha, isifiso sobudlova siyadlula, futhi konke lokhu akunangozi, futhi kuyasiza ngomzimba.Funda kabanzi nge-L-glutamine encwadini yama-Atkins ethi "Supplements." Thatha lapho uzizwa unesifiso esikhulu sokwenza "isono" noma prophylactically, 1-2 izinkomishi zekhambi nsuku zonke, ngokuqinile esiswini esingenalutho.

Umama wakho usenesifo sikashukela sohlobo 2 futhi usuvele waba uhlobo 1 lwesifo sikashukela esibi. Qala ngokujova i-insulin ngokushesha! Ngiyethemba ukuthi akukephuzi kakhulu ukusindisa umlenze ekuqunjweni. Uma umama efuna ukuphila, makamfundele uhlobo lwe-1 uhlobo lokwelashwa sikashukela futhi alusebenzise ngenkuthalo. Yenqaba imijovo ye-insulin - ungalokothi uphuphe! Odokotela abasesimweni sakho bakhombisa ukunganaki. Ngemuva kokushintsha ushukela ngokwejwayelekile ngemijovo ye-insulin, kungakuhle ukuthi ukhononde kwiziphathimandla eziphakeme. Khansela ama-glucovans ngokushesha.

Ngikweluleka ukuthi ushintshele ngokushesha ekudleni okune-carbohydrate futhi ukugcine ngokuqinile. Yenza nokuzivocavoca umzimba ngenjabulo. Qhubeka nokuthatha i-Diaformin, kepha ungaqali isifo sikashukela. Kungani i-Diabeteson iyingozi, funda lapha. Kuphela uma ngemuva kwamaviki ama-2 ekudleni okuphansi kwe-carbohydrate ushukela wakho ngemuva kokudla uhlala ngaphezulu kwe-7.0-7.5, bese uqala ukujova i-insulin enwetshiwe - iLantus noma Levemir. Futhi uma lokhu akwanele, kuzodingeka futhi ufake imijovo ye-insulin ngokushesha ngaphambi kokudla. Uma uhlanganisa ukudla okune-carbohydrate ephansi nemfundo yokuzivocavoca umzimba futhi ulandela umbuso ngenkuthalo, khona-ke ngamathuba angama-95% uzowenza ngaphandle kwe-insulin nakancane.

Izindinganiso ezisemthethweni zoshukela ezigulini ezinesifo sikashukela ziphakeme izikhathi eziphindwe ka-1.5 kunabantu abanempilo. Lokhu kungenzeka ukuthi kungani ukhathazekile. Kepha thina eDiabetes-Med.Com sincoma ukuthi bonke abantu abanesifo sikashukela balwele ukugcina ushukela wabo ufana ncamashi nabantu abanempilo ye-carbohydrate metabolism. Funda ngezinhloso zesifo sikashukela. Isebenza nje kuwe. Ngalo mqondo, akukho lutho okufanele sikhathazeke ngalo. Omunye umbuzo ukuthi uzohlala isikhathi esingakanani? Ulandela umbuso onzima kakhulu. Lawula isifo sikashukela ngendlala enkulu. Ngibheja ukuthi maduze nje uzowa, bese kuthiwe “kabusha” kube yinhlekelele. Noma ungahlephuki, yini elandelayo? I-1300-1400 kcal ngosuku - lokhu kuncane kakhulu, akubheki izidingo zomzimba. Kuzofanele ukhuphule ukungena nsuku zonke kilojoule noma uzoqala ukudingida indlala. Futhi uma ufaka amakhalori ngama-carbohydrate, khona-ke umthwalo kumanyikwe uzonyuka futhi ushukela uzokhuphuka. Ngamafuphi, shintshela ekudleni okuphansi kwe-carbohydrate. Faka amakhalori nsuku zonke ngamaprotheni namafutha. Futhi-ke impumelelo yakho izohlala isikhathi eside.

Ukulawulwa kweshukela egazini: izincomo zokugcina

Ngakho-ke, ufunda ukuthi uluphi uhlelo olusebenzayo lokwelashwa kwesifo sikashukela 2. Ithuluzi eliyinhloko ukudla okuphansi kwe-carbohydrate, kanye nokusebenza ngokomzimba ngokwendlela yokufunda ngokomzimba ngentokozo. Uma ukudla okulungile nemfundo yomzimba akwanele, khona-ke ngaphezu kwabo, kusetshenziswa izidakamizwa, futhi ezimweni ezimbi kakhulu, imijovo ye-insulin.

Sinikeza izindlela zobuntu zokulawula ushukela wegazi, ngenkathi zisebenza. Banikeza ithuba elikhulu lokuthi isiguli esinohlobo 2 sikashukela sizolandela izincomo. Noma kunjalo, ukuze uthole ukwelashwa okusebenzayo kwesifo sakho sikashukela, uzodinga ukuchitha isikhathi futhi ushintshe kakhulu impilo yakho. Ngingathanda ukuncoma incwadi ethi, yize ingahlobene ngqo nokwelashwa kwesifo sikashukela, izokwandisa ugqozi lwakho. Le yincwadi "Encane njalo ngonyaka."

Umlobi wayo, uChris Crowley, ungummeli wakudala, ngemuva kokuthatha umhlalaphansi, wafunda ukuphila ngendlela athanda ngayo, ngaphezu kwalokho, embusweni wokugcina imali ngokuqinile. Manje usezibandakanya ngenkuthalo emfundweni yomzimba, ngoba unesikhuthazo sempilo. Ekuboneni kokuqala, le yincwadi ekhuluma ukuthi kungani kululeka ukuzivocavoca ekwehliseni ukuze unciphise ukuguga, nokuthi ungayenza kanjani kahle. Okubaluleke kakhulu, uyatshela kungani phila impilo enempilo nokuthi yiziphi izinzuzo ongazithola kukho. Incwadi isiphendule ideskithophu yamakhulu ezinkulungwane zabantu asebethathe umhlalaphansi eMelika, futhi umbhali - iqhawe lesizwe. Kubafundi bewebhusayithi yeDiabetes-Med.Com, "imininingwane yokucabanga" evela kule ncwadi nayo izoba wusizo olukhulu.

Ezigulini ezinesifo sikashukela sohlobo 2, ezigabeni zokuqala, “kuzuba” kushukela wegazi kusuka phezulu kuya phansi kakhulu kungabonakala. Imbangela ngqo yale nkinga ayicatshangelwa. Ukudla okunama-carbohydrate “ngokweqile” kwenza lokhu, okwenza iziguli zizizwe kangcono ngokushesha. Kodwa-ke, ngezikhathi ezithile, ushukela wegazi ungahle wehle ufike ku-3.3-3.8 mmol / L. Lokhu kusebenza nakwiziguli ezinesifo sikashukela sohlobo 2 ezingalashwa nge-insulin.

Uma ushukela wegazi uphenduka waba ngu-3.3-3.8 mmol / l, khona-ke lokhu akuyona i-hypoglycemia enzima, kepha kusengadala ukunganakwa kanye nezikhathi zokungabekezeleleki. Ngakho-ke, kunconywa ukuthi ufunde ukuthi ungayimisa kanjani i-hypoglycemia, futhi njalo uphathe amaphilisi we-glucometer kanye ne-glucose kuleli cala. Funda isihloko esithi “Ikhithi Losizo Lokuqala. Okudingayo ukuze ube nesifo sikashukela ekhaya futhi nawe. "

Uma usukulungele ukwenza noma yini ngesifo sikashukela sohlobo 2, ukube bekungafanele "uhlale phansi" nge-insulin - kuhle kakhulu! Landela ngokucophelela ukudla okune-carbohydrate ephansi ukuze unciphise ukucindezela kumanyikwe futhi ugcine amaseli akho e-beta ephila. Funda ukuthi ungazivocavoca kanjani ngentokozo, ukwenze. Enze okuphelele kokuhlola ushukela wegazi ngezikhathi ezithile. Uma ushukela wakho usalokhu uphakanyisiwe ekudleni okuphansi kwe-carbohydrate, zama i-Siofor ne-Glucofage amaphilisi.

Ukusebenza kahle, ukubhukuda, ukuhamba ngamabhayisekili noma ezinye izinhlobo zokuzivocavoca - kusebenza ngempumelelo ephindwe kayishumi kunanoma yiliphi iphilisi lokunciphisa ushukela. Esikhathini esiningi samacala, ukujova kwe-insulin kudingekile kuphela kulezi ziguli ezinesifo sikashukela sohlobo 2 ezivilapha ukuzivocavoca. Ukuzivocavoca umzimba kuyajabulisa, kanti imijovo ye-insulin ingumqondo. Ngakho-ke "zicabange wena, zinqume ngokwakho."