Ngakho-ke, kunoma yikuphi, bathi, ososayensi baseSweden nabaseFinland, ababekwazi ukuhlukanisa uhlobo 1 nohlobo 2 lwesifo sikashukela esaziwa ngalo saba ngamaqembu amancane ayi-5, ngamunye angafuna ukwelashwa okuhlukile.
Isifo sikashukela sihlasela umuntu oyedwa kwabangu-11 emhlabeni jikelele, ijubane esiqala ngalo likhula. Lokhu kudinga ukuthi odokotela banake kakhudlwana ekwelashweni okusetshenziswayo futhi batadishe inkinga ngokucophelela.
Ezimweni zokwelapha zesimanje, kuvame ukwamukelwa ukuthi uhlobo 1 sikashukela yisifo samasosha omzimba ahlasela amaseli we-beta akhiqiza i-insulin, ngakho-ke leli hormone lishoda kakhulu noma alikho emzimbeni. Isifo sikashukela sohlobo 2 sibhekwa njengomphumela wendlela engafanele, ngenxa yokuthi amafutha athe xaxa evimbela umzimba ekuphenduleni ngokwanele ku-insulin ekhiqizwayo.
NgoMashi 1, iphephabhuku lezokwelapha i-Lancet Diabetes kanye ne-Endocrinology lashicilela imiphumela yocwaningo olwenziwe ososayensi abavela eSweden Diabetes Center eLund University kanye naseFinland Institute of Molecular Medicine, abahlola ngokucophelela iqembu labantu abacishe babe yi-15,000 abanesifo sikashukela sohlobo 1 noma uhlobo 2. Kwavela ukuthi esasijwayele ukucubungula isifo sikashukela sohlobo 1 noma 2, empeleni, kungahlukaniswa saba amaqembu amancane nabaningi, okwaba ngama-5:
Iqembu 1 - iziguli ezigula kakhulu ezinesifo sikashukela se-autoimmune, ngokuvamile ziyefana nohlobo lwakudala 1. Lesi sifo sakhula kubantu abasha futhi ngokusobala abanempilo futhi sabashiya bengakwazi ukukhiqiza i-insulin.
Iqembu 2 - abaguli abagula kakhulu abanesifo se-insulin, ekuqaleni ababefana kakhulu nabantu abaseqenjini 1 - babesebancane, benesisindo esinempilo, futhi nomzimba wabo wazama futhi behluleka ukukhiqiza i-insulin, kepha amasosha omzimba kwakungamelwe asolwe
Iqembu 3 - iziguli ezilwa ne-insulin ezinzima ezinesifo sikashukela ezazikhuluphele futhi zikhiqiza i-insulin, kodwa imizimba yazo yayingasasabeli kuzo
Iqembu 4 - isifo sikashukela esilinganiselwe esihambisana nokukhuluphala sasibonakala ikakhulu kubantu abakhuluphele ngokweqile, kodwa ngokomqondo womzimba babusondele kakhulu kunokwejwayelekile kuneqembu 3
Iqembu 5 - isifo sikashukela esilinganiselwe, esidala esihlobene, izimpawu zazo eziye sakhula kakhulu kunakwamanye amaqembu, sazibonakalisa sinobungcweti kakhulu
Omunye wabaphenyi, uSolwazi Leif Group, engxoxweni nesiteshi sabezindaba iBrithani ngokutholwa kwakhe uthe: "Lokhu kubaluleke kakhulu, ngoba kusho ukuthi sisendleleni eya emithini elungile kakhulu. Ngokufanele, le mininingwane kufanele icatshangelwe ngesikhathi sokuxilongwa nangokuhambisana anikeze ukwelashwa okuqondile ngabo. Isibonelo, iziguli eziqhamuka emaqenjini amathathu okuqala kufanele zithole ukwelashwa okuqine kakhulu kunokwezinsizakalo ezimbili ezisele. Futhi iziguli ezivela eqenjini 2 kufanele zichazwe ngokufanele iziguli ezinesifo sikashukela sohlobo 2, ngoba isifo sazo asicasulwa amasosha omzimba, yize amasu ebaphatha ilungele uhlobo 1. Eqenjini 2, kunobungozi obukhulu bokungaboni, futhi iqembu 3 livame ukuba nezinkinga ezinso, ngakho-ke ukufakwa kwethu kusiza ekuboneni imiphumela engaba khona yesifo sikashukela ngaphambili nangokunembe kakhudlwana. "
UDkt Victoria Salem, onguchwepheshe kwezokwelashwa e-Imperial College London, akahlukaniswa ngokwezigaba: "Iningi labachwepheshe selivele lazi ukuthi kunezinhlobo eziningi kune-1 no-2, futhi ukubekwa njengamanje akulona iqiniso. Kusasekuseni kakhulu ukukusebenzisa, kepha lolu cwaningo kufanele lunqume isifo sikashukela esizayo. " Udokotela ubuye afune ukuthi kubhekwe isici sendawo: ucwaningo lwenziwa kuma-Scandinavians, futhi izingozi zokuthuthuka kanye nezimpawu zesifo zihlukile kakhulu ezizweni ezihlukene ngenxa yemetabolism ehlukene. "Lokhu kuseyindawo engabanjwanga muntu. Kungabonakala ukuthi azikho ezi-5, kepha izinhlobo ezingama-500 zesifo sikashukela emhlabeni wonke, kuya ngofuzo lwefa kanye nezimpawu zokuphila kwendalo," kusho udokotela.
UDkt. Emily Burns weBritish Diabetes Association uthi ukuqonda kangcono ngalesi sifo kuzokwenza uqobo irejimeni yokwelashwa futhi kunciphise nengozi yezinkinga ezinkulu ngokuzayo. "Lesi sinyathelo siyisinyathelo esithembisayo esisemgwaqweni wokucwaninga ngesifo sikashukela, kepha ngaphambi kokuthatha noma isiphi isiphetho sokugcina, sidinga ukuzwisisisa kahle lezi zingxenye," egcizelela.
