Yiziphi Izinombolo Ezifanele?
Kuye lapho ubheka khona, amazinga weglucose wegazi aphakanyisiwe angahluka . Izinombolo ze-American Diabetes Association (ADA) zihluke emibhalweni ye-American College of Endocrinology (ACE). Izincomo ze-ACE zenzeka kakhulu kunzima kakhulu kune-ADA's. Uma ungumuntu onesifo sikashukela, wazi kanjani okumele ulandele?
Qiniseka ukuthi ubuza umhlinzeki wakho wezempilo ukuthi yimiphi imigomo efanele kuwe.
Amasu okushukela egazini kufanele abe ngabanye ngokusekelwe ezinhlobonhlobo zezici, kufaka phakathi izinto ezinjengalezi, iminyaka, isikhathi sokuphila, ukulawulwa ushukela egazini, imithi, nezinye izinkinga zezempilo, njll. Ithebula elingezansi lifanisa izincomo ezijwayelekile zezigcawu ezimbili zeziqondiso zombili igazi i-glucose ngaphambi kokudla kanye nokudliwa kokudla kanye ne-hemoglobin A1C (inyanga ezintathu isilinganiso seshukela egazini).
Zingaki Izikhathi Ngosuku Kufanele Uhlole Izinga Lakho Legazi Le-Glucose?
Ukuhlola amazinga weglucose egazini lakho lonke usuku kuzokusiza ukuthi ufunde ukuthi ungagcina kanjani ushukela wakho wegazi kahle. Izinombolo zakho zingakusiza ukuthi uphathe iphethini futhi ufunde indlela yokubona ukuthi ukudla, ukuvivinya umzimba, ukucindezeleka, nokugula, ukubiza abambalwa, kuthinta kanjani ukuphathwa kweshukela egazini lakho. Into yokuqala ekuseni (lapho uzila ukudla okungenani amahora angu-8) ngaphambi kokudla kwasekuseni, amahora amabili emva kokudla nangaphambi kokulala ziyisikhathi esihle sokuhlola. Ezinye izikhathi ezinconywayo zifaka ngaphambi, ngesikhathi, nangemva kokuzivocavoca, ikakhulukazi uma kunzima noma uma uzizwa sengathi ushukela wegazi lakho liphansi noma liphakeme.
Umfundisi wakho oqinisekisiwe wesifo sikashukela noma umhlinzeki wezokunakekelwa kwezempilo uzokusiza ukuba uhlakulele isimiso esinengqondo kuwe. Ngokuvamile, abantu abathwala i-insulini noma kwezinye izifo zomlomo ezinciphisa i-glucose ezingabangela u-hypoglycemia (ushukela wegazi ophansi), noma labo abane-poor glucose control, kufanele bahlole ushukela wabo wegazi kaningi.
Esinye Isilinganiso Segazi I-Sugar-Iyini i-A1C?
Ukuhlolwa kwe-A1C ye-hemoglobin yindlela yokuhlolwa kwegazi okusiza wena nodokotela wakho ukuqapha ukulawulwa kwakho kwe- glucose jikelele. Inika isilinganiso se-glucose egazini lakho ezinyangeni ezimbalwa. Kuvame ukulayishwa izikhathi ezimbili kuya kwezi-4 ngonyaka. Uma usanda kutholakala noma unenkinga yokugcina ukulungiswa kokusebenza kwansuku zonke, kungenzeka ukuthi ilayishwe kaningi. I-American Diabetes Association Standards of Care ibonisa:
Umgomo ofanele we-A1C kubantu abadala abaningi abangakhulelwe yi: <7%
Imigomo e-A1C eningi kakhulu (iziguli ezingenayo imithi noma imithi yomlomo kuphela, enesikhathi eside sokuphila, noma ayikho isifo esibalulekile senhliziyo); <6.5%
- Ukulawulwa kwe-glucose encane emilenzeni yeziguli ezinomlando we-hyperglycemia, ukulinda kwesikhathi sokuphila okulinganiselwe, isifo esiphambili sempilo noma isifo sochungechunge): <8%
Izinjongo ze-Blood Sugar nezinye Izinombolo Ezibalulekile Kufanele zibe ngabanye
Ukwelashwa kwesifo sikashukela kumele kube yindlela yokugulisa isiguli, kucatshangelwa izinto ezihlukahlukene ezihlukahlukene, kufaka phakathi izinto ezifana nobudala, ubude bokuxilongwa, ezinye izinkinga zezempilo, indlela yokuphila, njll. Abanye abantu bazuza ngokuba neshukela egazini legazi kanye nemigomo ye-A1C, kuyilapho abanye bazuza ngokuthola izinhloso ezithandekayo.Ishadi elilandelayo liyisiqondiso jikelele kubantu abaningi abane-type 2 yesifo sikashukela.
Khumbula ukuthi lezi zindinganiso azimeleli izinhloso zezingane noma abesifazane abanesifo sikashukela sokugaya.
Ukuqhathanisa Amanani Kusuka ku-ADA ne-ACE
| Amanani | I-ADA | I-ACE |
| A1C | ngaphansi noma elingana no-7% | ngaphansi noma okulingana no-6.5% |
| Ngaphambi kokudla | 80-130mg / dL | ngaphansi kuka-110mg / dL |
| 1-2 Amahora Ngemva kokudla | ngaphansi kuka 180mg / dL | ngaphansi kuka-140mg / dL |
Imithombo:
Association of American Diabetes Association. Konke Mayelana neGlucose Yegazi.
Association of American Diabetes Association. Izilinganiso Zokunakekela Isifo Sikashukela 2017 Jan; 40 (Ukwengeza 1). S3-S130.
> Association of American of Endocrinologists Clinic kanye American College of Endocrinology. Isitatimende sokubambisana sika-American Association of Endocrinologists Clinic kanye ne-American College of Endocrinology kwi-Comprehensive Type 2 Diabetes Management Management Algorith-2017 Summary Executive.