Uma unesifo sikashukela, akunandaba ukuthi uluhlobo luni, kubalulekile ukugcina idayari ezokusiza wena nodokotela wakho ukuthi ukhethe izindlela zokwelapha nezondlamzimba ezilungile futhi uthathe ushukela olawulwa yithemba. Kunconywe ngokuningiliziwe kusuka ku-endocrinologist yethu onguchwepheshe u-Olga Pavlova.
Udokotela endocrinologist, isifo sikashukela, isazi sezempilo, isazi sezempilo u-Olga Mikhailovna Pavlova
Ngithweswe iziqu eNovosibirsk State Medical University (NSMU) ngeziqu kwiGeneral Medicine ngezindondo
Uthole iziqu zokuhlonishwa kusuka ekubeni ngumhlali kwi-endocrinology e-NSMU
Uthole iziqu zemfundo ephakeme kwi-Special Dietology e-NSMU.
Ubuye waphumelela ekuqeqesheni kabusha kwezemidlalo e-Sports Dietology e-Academy of Fitness and Exercise eMoscow.
Kudlule ukuqeqeshwa okuqinisekisiwe kwi-psychocorrection of ngokweqile.
Kungani ngidinga idayari kashukela?
Ngokuvamile, iziguli ezinoshukela azinayo idayari kashukela. Kumbuzo othi: "Kungani ungarekhodi ushukela?", Umuntu uphendula athi: "Sengikukhumbule konke konke," nomuntu athi: "Kungani ukurekhoda, akuvamile ukukala, futhi kuvame ukuba kuhle." Ngaphezu kwalokho, "ushukela omuhle" ezigulini zombili ushukela ongu-5-6 no-11-12 mmol / l - "Hhayi-ke, ngiphule, okwenzekile kuye". Maye, abaningi abaqondi ukuthi ukuphazamiseka okuvamile kokudla noshukela okudlula ngaphezu kwe-10 mmol / l kulimaza izindonga zemithambo yegazi nezinzwa futhi kuholele ezinkingeni zesifo sikashukela.
Ukuze kulondolozwe isikhathi eside kakhulu ngemikhumbi enempilo nezinzwa kushukela, LONKE ushukela kufanele lube yinto evamile - ngaphambi kokudla nangemva kwalokho - DAILY. Ushukela ofanelekile usuka ku-5 kuye ku-8-9 mmol / l. Ushukela omuhle - kusuka ku-5 kuye ku-10 mmol / l (lezi zinombolo esizikhombisayo njengezinga leshukela likashukela egazini kwiziguli eziningi ezinesifo sikashukela).
Lapho sicabangela glycated hemoglobin, kufanele uqonde ukuthi yebo, uzosikhombisa ushukela ezinyangeni ezi-3. Kepha yini kubalulekile ukukhumbula?
I-Glycated hemoglobin inikezela ngemininingwane mayelana okwesibili ushukela ezinyangeni ezi-3 ezedlule, ngaphandle kokunikeza imininingwane ngokuhlukahluka (kokuhlakazeka) koshukela. Okusho ukuthi, i-glycated hemoglobin izoba ngu-6.5% kuzo zombili isiguli esinoshukela u-5-6-7-8-9 mmol / l (sinxephezelwe isifo sikashukela) nakwisiguli esinoshukela i-3-5-15-2-18-5 mmol / l (isifo sikashukela esibolile) .Kukuthi, umuntu oneshukela egxuma ezinhlangothini zombili - kungaba yi-hypoglycemia, lapho-ke ushukela ophakeme, futhi angaba ne-hemoglobin enhle ye-glycated, ngoba ushukela we-arithmetic usho ukuthi izinyanga ezintathu zilungile.
Ngakho-ke, ngaphezu kokuhlolwa okujwayelekile, iziguli ezinesifo sikashukela kudingeka zigcine idayari kashukela nsuku zonke. Kungaleso sikhathi lapho samukelwa khona ukuthi sikwazi ukuhlola isithombe sangempela se-carbohydrate metabolism futhi silungise kahle ukwelashwa.
Uma sikhuluma ngeziguli ezelulekiwe, khona-ke iziguli ezinjengalezi zigcina idayari yeshukela impilo yonke, futhi ngesikhathi sokulungiswa kokulashwa nazo zigcina idayari yokudla (cabanga ukuthi zingaki izikhathi zokudla ngasikhathi sini ngosuku ezidliwe ngalo, cabanga nge-XE), nasekwamukeleni sihlaziya sobili idayari noshukela , kanye nokudla.
Lezi ziguli ezinomthwalo wemfanelo zishesha ukwedlula ezinye ukunxephezela isifo sikashukela, futhi kuziguli ezinjalo ukuthi kungenzeka ukufezekisa ushukela ofanele.
Iziguli zigcina idayari kashukela nsuku zonke, futhi lokhu zilungele zona ngokwazo - isiyalo, futhi asichithi isikhathi sokuthatha ushukela.
Ungayigcina kanjani idayari kashukela?
Amapharamitha esiwabonisa kudayari yeshukela:
- Usuku okalwe ngalo i-glycemia (Silinganisa ushukela nsuku zonke, ngakho-ke kudayari kuvame ukusakazwa okunamakhasi angama-31, izinsuku ezingama-31, okungukuthi, ngenyanga).
- Isikhathi sokulinganisa ushukela wegazi ngaphambi noma ngemuva kokudla.
- I-Diabetes Therapy (Imvamisa kunendawo emadayilini okurekhoda ukwelashwa. Kwamanye amadayari, sibhala ukwelashwa ngaphezulu noma phansi kwekhasi, kwezinye ngakwesobunxele sokusabalala - ushukela, ngakwesokudla - ukwelashwa).
Ulinganisa ushukela kangaki?
Ngohlobo 1 sikashukela sikala ushukela okungenani izikhathi ezi-4 ngosuku - ngaphambi kokudla okuyinhloko (ibhulakufesi, isidlo sasemini, isidlo sakusihlwa) ngaphambi kokulala.
Ngohlobo 2 sikashukela sikala ushukela okungenani isikhathi esingu-1 ngosuku nsuku zonke (ngezikhathi ezahlukahlukene zosuku), futhi okungenani isikhathi esingu-1 ngeviki, sihlela iphrofayili ye-glycemic - sikala ushukela izikhathi ezi-6 - 8 ngosuku (ngaphambi kwamahora ama-2 emva kokudla okuyinhloko), ngaphambi kokulala futhi ebusuku.
Ngesikhathi sokukhulelwa Ama-Sugars alinganiswa ngaphambi, ihora elilodwa namahora ama-2 ngemuva kokudla.
Ngokulungiswa kwezokwelapha sikala ushukela kaningi: ngaphambi nangamahora ama-2 ngemuva kokudla okuyinhloko, ngaphambi kokulala futhi kaningana ebusuku.
Lapho ulungisa ukwelashwa, ngaphezu kwidayari yeshukela, udinga ukugcina idayari yokudla okunempilo (bhala phansi esikudlayo, nini, malini futhi ubale i-XE).
Ngakho-ke ngubani ngaphandle kwidayari - qala ukubhala! Thatha igxathu elibheke empilweni!
Ezempilo, ubuhle kanye nenjabulo kuwe!
