Uma unesifo sikashukela sohlobo 2, kungenzeka ukuthi uthathe imishanguzo eyehlisa ushukela ukuyilawula.
Kepha uma izinga leglucose legazi lakho liphezulu kakhulu noma liphansi kakhulu noma unemiphumela emibi engemihle - ukusuka kubuhlungu besisu kuya ekuzuzeni isisindo noma isiyezi, ungenza elinye lamaphutha ama-5 aqakathekileyo lapho uphuza umuthi.
Awuphuzi i-metformin ngenkathi udla
IMetformin isetshenziswa kakhulu ukwehlisa ushukela wegazi ngokunciphisa inani lama-carbohydrate umzimba owuthola ekudleni. Kepha kwabaningi, kubangela ubuhlungu besisu, ukugayeka, igesi ekhuphukayo, isifo sohudo, noma ukuqunjelwa. Uma kudliwa nokudla, lokhu kuzosiza ukunciphisa ukungaphatheki kahle. Kungaba yinzuzo ukuxoxa nodokotela wakho ngokunciphisa umthamo wakho. Ngendlela, isikhathi eside uthatha i-metformin, kulapho uzizwa khona "imiphumela" emibi.
Udla kakhulu emzameni wokuvikela i-hypoglycemia
Ngokusho kwe-American Diabetes Association (ADA), ama-sulfonylureas avame ukubangela ukukhuluphala kwesisindo, futhi lokhu kungenxa yokuthi abantu abazisebenzisayo bangadla ukudla okuningi ukugwema izimpawu ezingemnandi zoshukela olusezingeni eliphansi. Khuluma nodokotela wakho uma ubona ukuthi udla ngaphezulu, ukhuluphele, noma uzizwa unesiyezi, ubuthakathaka, noma ulambile phakathi kokudla. Imithi yeqembu le-meglitinide ekhulisa ukukhiqizwa kwe-insulin, njenge-nateglinide ne-repaglinide, mancane amathuba okubangela ukuzuza kwesisindo, ngokusho kwe-ADA.
Ingabe ulahlekile noma uwushiye ngokuphelele umuthi wakho obekiwe?
Bangaphezu kwama-30% abantu abanesifo sikashukela sohlobo 2 abathatha imishanguzo enconywa udokotela wabo kaningi kunesidingo. Amanye ama-20% awawemukeli nhlobo. Abanye besaba imiphumela emibi, abanye bakholelwa ukuthi uma ushukela usebuyele kwesejwayelekile, khona-ke ayidingi umuthi owengeziwe. Eqinisweni, imishanguzo yesifo sikashukela ayisiqedi isifo sikashukela, kumele iphuzwe njalo. Uma ukhathazekile ngemiphumela emibi engenzeka, khuluma nodokotela wakho ngokushintshwa kwezidakamizwa.
Ungamtsheli udokotela wakho ukuthi imithi ebekiwe ibiza kakhulu kuwe.
Kuze kufike kuma-30% abantu abanesifo sikashukela abangayiphuthi umuthi, ngoba nje bengakwazi ukuyikhokhela. Izindaba ezimnandi ukuthi ezinye izidakamizwa ezingabizi kakhulu futhi hhayi kangako nazo zingasiza. Cela udokotela wakho ukuthi akhethe okungabizi kakhulu.
Udla ama-sulfonylureas futhi weqa ukudla
Ama-Sulfonylureas, anjenge-glimepiride noma i-glipizide, ashukumisa ama-pancreas akho ukuthi akhiqize i-insulin eningi usuku lonke, esiza ukulawula isifo sikashukela sakho. Kodwa ukweqa ukudla kungaholela ezingazwisisekeni noma ngisho nangamazinga kashukela amancane ayingozi. Umphumela we-glybiride ungaba namandla kakhulu, kepha ngokomqondo, noma yikuphi ukulungiswa kwe-sulfonylurea kungona lokhu. Kuhle ukufunda izimpawu ze-hypoglycemia - isicanucanu, isiyezi, ubuthakathaka, indlala, ukuze umise ngokushesha lesi siqephu ngethebhulethi likashukela, i-lollipop, noma ingxenye encane yejusi yezithelo.
