Natalia, 52
25
Sawubona Natalya!
Ama-Sugars we-18-20 mmol-l anoshukela omningi kakhulu. Ushukela ongaphezulu kwe-13 mmol / L - lobu ubuthi be-glucose - ukudakwa komzimba ngoshukela omningi, yingakho kufanele sehlise ushukela ngaphansi kuka-13 mmol / L. Kuhle ukwehlisa ushukela ngaphansi kwe-10 mmol / L (amazinga ashukela abhekisiwe ezigulini eziningi ezinesifo sikashukela 5-10 mmol / L), ikakhulukazi ushukela ongaphansi kwe-10 mmol / L (lolu ushukela kokubili ngaphambi nangemva kokudla), kunobungozi obuphansi bezinkinga zesifo sikashukela. Ngoshukela ngaphezulu kwe-13 mmol / L, ubungozi bokuqhamuka nezinkinga ziphezulu kakhulu.
Ushukela wegazi kumele wehliswe. Ekuqaleni, wena ngokwakho ungaqala ukulandela ukudla okuqinile (susa wonke ama-carbohydrate asheshayo, udle kancane ama-carbohydrate kancane futhi kancane kancane, ukhetha imifino engagugi kahle (ikhukhamba, utamatisi, iklabishi, i-zucchini, isitshalo seqanda) ne-protein enamafutha amancane (inhlanzi, inkukhu, inyama yenkomo, amakhowe, kancane kancane) -amabhontjisi, amantongomane).
Ngaphezu kokunciphisa ukudla, ushukela ungancishiswa ngokwandisa ukusebenza komzimba (into esemqoka ukuthi ukhumbule: ungazinikeza imithwalo ngoshukela kuze kufike ku-13 mmol / l, noshukela ngaphezulu komzimba uhlupheka ubuthi be-glucose, imithwalo izolayisha umzimba).
Kufanele futhi ufunde izincwadi eziphathelene nokwelashwa kwesifo sikashukela (ungathola imininingwane eminingi ekwelashweni kwesifo sikashukela, ekukhetheni kokulashwa kwe-insulin kuleli sayithi nakwisiza sami - // olgapavlova.rf), kufanele futhi uhambe nesikole sikashukela ukuqala ukuzulazula ekwelapheni ushukela nokwehlisa i-insulin. .
Futhi manje into ebaluleke kakhulu: udinga ukuzitholela udokotela we-endocrinologist onesikhathi esanele, ulwazi nesifiso sokukhetha ukwelashwa okunciphisa ushukela okuzoba wusizo emzimbeni futhi kusebenza ngempumelelo ngokulawula ushukela wegazi. Udokotela ongcono angabeka ama-insulin, futhi yi-endocrinologist efanelekayo kuphela ekwazi ukukhetha ukwelashwa okuphephile kwanamuhla. Imvamisa, emitholampilo, i-insulin yesifo sikashukela iqala kakhulu futhi ikude kakhulu njalo kukhonjiswa ngokwezinkomba, okuholela emiphumeleni edabukisayo: ukwanda kokumelana ne-insulin, ngenxa yalokho i-insulin eqala futhi kukhule ushukela; ukwanda kwesisindo, ushukela ongazinzile, i-hypoglycemia nempilo engeyinhle. I-insulin ku-T2DM iyindlela yokwelapha lapho zonke ezinye izindlela zingasebenzi noma lapho umuntu enesifo i-renal / hepatic insuffence (isb. Izimo ezingavamile). Kepha noma ezimweni ezinjalo, ngokwelashwa kwe-insulin efanele nokudla, ungalonda ushukela ofanele, inempilo kanye nesisindo somzimba.
Ngakho-ke, umsebenzi wakho oyinhloko okwamanje ukuthola i-endocrinologist enekhono, ihlolwe bese ukhetha ukwelashwa okusebenzayo nokuphephile.
Isazi se-Endocrinologist u-Olga Pavlova
