Ukukhuluphala kuyinto engozini enkulu ekuthuthukiseni isifo sikashukela sohlobo lwe-2 , ngakho-ke kubalulekile ukwazi ukuthi uhlolwe nini uketshezi lwegazi lakho ukuze ubone ukuthi unesifo sikashukela noma isifo sikashukela .
Ukuhlolwa kwe-Blood Sugar
Ishukela legazi liyaziwa ngokuthi i-blood glucose kumagama asetshenziswa kwezokwelapha, futhi i-US Preventive Services Task Force (USPSTF) ikhishwe imihlahlandlela emisha mayelana nokuhlolwa kwegazi nge-glucose ngo-Okthoba 2015.
Ngokusho kwe-USPSTF, ukuhlolwa kwe-glucose yegazi kunconywa ngabantu abadala ngokweqile noma abakhuluphele abaneminyaka engama-40 kuya kwengu-70. Okufanelekile, lokhu kuzokwenziwa minyaka yonke njengengxenye yokuhlolwa kwezempilo njalo nokuhlolwa kwengozi yempilo.
Lesi sincomo sanikezwa ngesilinganiselo B, kanye nemigomo ye- Care Affordable yezincomo ukuthi izincomo ezinesilinganiso se-A noma B kufanele zihlanganiswe nomshuwalense wezempilo (ngezingekho ezimbalwa).
Ngaphezu kwalokho, ngokusho kwe- American Diabetes Association sika-Medical of Medical Care ku-Diabetes-2015 , lokhu kulandela ukukhomba amaphuzu okugcoba okumele kusetshenziselwe ukukhomba labo abasengozini yokuthola isifo sikashukela nesifo sikashukela sohlobo lwe-2:
- Kubantu baseCaucasus nabase-Afrika, iphuzu lokunqunywa kwe-BMI liyi-25 kg / m 2 noma ngaphezulu.
- Kubantu base-Asia baseMelika, iphuzu lokunqunywa kwe-BMI liyi-23 kg / m 2 noma ngaphezulu.
Ukwengeza, i-American Diabetes Association (ADA) isincoma ukucubungula ukuhlolwa kwesifo sikashukela ngohlobo lwezingane 2 nabantwana abasha abangaphezu komzimba noma abakhuluphele futhi abanezinkinga ezimbili noma ngaphezulu ezengeziwe zokuthuthukisa isifo sikashukela.
Ukuthola Ukukhuluphala Kwisifo Sikashukela Kanjani?
Umqondo we- insulin ukumelana , lapho izitho zomzimba zikwazi ukumelana nemiphumela ye-insulini ukuthi i- pancreas ikhiqiza, ibaluleke kakhulu ekuqondeni inqubo eholela ku-Type 2 yesifo sikashukela. Ukwanda ngokweqile kubangela ukumelana nesifo se-insulin, okwathi ngokuhamba kwesikhathi kuholela esandulela isifo sikashukela bese u-Type 2 isifo sikashukela, njengoba ama-pancreas aphuma futhi akakwazi ukwenza enye i-insulin emzimbeni ongenamandla "osetshenziselwe" izitolo ze-insulin nokukwazi ukukhiqiza.
Izidingo zokudla ngokweqile zokugcoba zibeka ukucindezeleka okukhulu kwi-pancreas, okungaholela ku-Type 2 yesifo sikashukela.
Liyini i-Normal Blood Glucose Level?
Izinga lokugaya igazi elivamile lokudla ngegazi lingaphansi kuka-100 mg / dL. Kodwa-ke, ochwepheshe abaningi batusa ukugcina izinga lokugcoba igazi lokuzila ukudla ngaphansi kwe-90 mg / dL ukucaca ngokuphelele isandulela-sikashukela.
Incazelo esemthethweni ye-pre-diabetes, ebonisa ukuthi ingozi yesifo sikashukela ikhuphuke, inesifo se-diabetes esisheshayo se-100 mg / dL kuya ku-125 mg / dL noma i- hemoglobin A1c ( isilinganiso seminyaka eyi-3 isilinganiso) ku-5.7% 6.4%, ngokusho kwesitatimende se-ADA. Isivivinyo somlomo we-glucose ukubekezelelana (OGTT) singasetshenziselwa ukuxilongwa.
Ukuze kutholakale ukuthi isifo sikashukela siphelile, izinyathelo eziningana zingasetshenziswa, kodwa ngezinhloso zokuhlola, lezo ezisetshenziswa kakhulu zizila ukudla kwegazi noma i- hemoglobin A1c. Kulezo zimo, i-glucose yegazi yokuzila ephakeme kakhulu kune-125 mg / dL noma i-hemoglobin A1c ye-6.5% noma ngaphezulu yenza ukuxilongwa kwesifo sikashukela.
I-ADA iphawula ukuthi ngenxa yokulinganisa kwegazi le-glucose, "ukuzila ukudla kuchazwa njengokungenjalo ukudla kwe-caloric okungenani amahora angu-8."
Imithombo:
Association of American Diabetes Association. Izinga lokunakekelwa kwezokwelapha ngesifo sikashukela-2015. Ukunakekelwa yisifo sikashukela 2015; 38: S1-S94.
I-Seaquist ER. Ukukhuluma ngomthwalo wesifo sikashukela. I-JAMA 2014; 311: 2267-68.
Siu AL; I-US Preventive Services Task Force. Ukuhlolwa kwegazi elingavamile kwegazi futhi uthayiphe isifo sikashukela sesi-2: Isitatimende sokuncoma se-US Preventive Services Task Force. Ann Intern Med 2015; 163: 861-8.