I-prediabetes yisignali enkulu yokuxwayisa. Kusho ukuthi ama-sugars akho egazini aphezulu, kodwa aphezulu ngokwanele okwamanje angatholakala ukuthi unesifo sikashukela.
Ukuzwa ukuthi ukuxilongwa kungasabeka; kusho ukuthini lokhu ngekusasa lakho? Uma utshelwe ukuthi une-prediabetes, kubalulekile ukwazi ukuthi usezingeni elibalulekile ngokuqondene nempilo yakho-ukuthi ungathonya kakhulu.
Ungakwazi ukuvimbela noma ukubambezela ukuthuthukisa isifo sikashukela ngokwenza izinguquko zokusebenzisa okuningi, ukuncipha umzimba , nokudla okunempilo. Ukungabali imali kulezi zinguquko zokuphila, noma kunjalo, kungaphakamisa izilinganiso futhi kungaholeli isifo sikashukela kuphela, kodwa isifo senhliziyo nesifo sohlangothi.
Umzimba wakho uveza i- insulini ukukuvumela ukuba uguqule i-glucose (ushukela kusuka kuma-carbohydrate) ube namandla futhi ugcine izinga lakho likashukela endaweni ephilile. Ama-prediabetes aqala ngokuyinhloko ngoba umzimba wakho uyawuphikisana nale insulini, ikakhulu ngenxa yesisindo esiningi, ikakhulukazi endaweni yesisu.
Udokotela wakho angasebenzisa incazelo ehlelekile yama-prediabetes uma echaza yona, okungukuthi i-glucose yokuzila ukudla okungafaneleki noma ukubekezelelana kwe-glucose ukukhubazeka. Lokhu kusho ukuthi uneshukela legazi lokuzila lika 100 mg / dL kuya ku-125 mg / dL (evamile lingaphansi kuka-100) kanye / noma i- hemoglobin yakho A1c (isilinganiso seminyaka emithathu yeshukela egazini lakho) lingamaphesenti angu-5.7 kuya kumaphesenti angu-6.4 (evamile angaphansi kwamaphesenti angu-5.7).
Ubani Osemngciphekweni We-prediabetes?
Kunezici ezithile ezingozini ongazilawula futhi abanye ongakwazi:
- Ubudala: Njengoba ukhula, ama-pancreas akho akhathele futhi angenza i-insulin encane, okwandisa ingozi yokuba nesifo sikashukela.
- Umlando Womndeni: Uma unomlando womndeni wesifo sikashukela, usengozini enkulu yokwenza isifo sikashukela, kodwa ukuthuthukisa isifo sikashukela esiphelele. Ingozi yakho iyanda uma unomthelela wezinto zokuphila, njengokudla okubi, ukungasebenzi, ukubhema, ukucindezelwa kwegazi, njll.
- Ubuhlanga: Izinhlanga ezithile zinengozini enkulu yokuthuthukisa ama-prediabetes nesifo sikashukela. Lezi zihlanganisa i-Latinos, amaNdiya aseMelika, ama-Pacific Islands, ama-Asia aseMelika namnyama angewona amaSpanishi.
- Umlando weSifo Sikashukela : Uma usuphethe isifo sikashukela (isifo sikashukela esivela lapho ukhulelwe) lokhu kungandisa ingozi yokuthuthukisa isifo sikashukela.
- I-Belly Fat kanye / noma ukukhuluphala: Uma uphatha isisindo sakho esiswini esiswini sakho, usengozini enkulu yokuthuthukisa ama-prediabetes. Isizathu siwukuthi amafutha e-belly, abizwa ngokuthi "amafutha a-visceral" akhulisa ukukhululwa kwe-fatty acids yamahhala, okungabangela ukumelana ne-insulin. Ngaphezu kwalokho, i-fat belly nayo ingandisa ingozi yesifo senhliziyo, kanye ne-cholesterol ephakeme, ingcindezi yegazi kanye ne-triglycerides. Ukukhuluphala ngokweqile kuyimbangela enkulu engozini yokuthuthukisa isifo sikashukela ngenxa yezizathu ezifanayo (ngaphezulu ngalokhu ngezansi).
- Indlela yokuphila yama-Sedentary: Ukuzivocavoca umzimba kusiza umzimba wakho ukuba usebenzise i-insulin. I-insulini yi-hormone ethatha i-glucose egazini ukuya kumaselini okuzosebenzisa amandla. Ukuphila ngokwemvelo kungaholela ekumiseni i-insulin.
Umphumela Wokwenza Ukukhuluphala Kanjani Ngempela Ngama-Prediabetes?
Ukukhuluphala kunendima ebalulekile ekuthuthukiseni ama-prediabetes nesifo sikashukela ngoba amafutha amaningi angabangela ukuvimbela i-insulin.
Ukuphikiswa kwe-insulini yinkinga lapho amangqamuzana ikakhulukazi ngaphakathi kwamathunjwa, isibindi, namafutha angasebenzisi ama-insulin ngendlela efanele. Abantu abane-prediabetes noma isifo sikashukela namanje bayakwazi ukukhiqiza i-insulin, kodwa abakwazi ukusebenzisa i-insulin ngendlela umzimba okufanele ngayo. Ngenxa yalokho, umzimba uqhubeka wenza insulin engaphezulu, ucabanga ukuthi uyayidinga.
Ama-pancreas asebenza ngokweqile futhi, ngokuhamba kwesikhathi, alahlekelwa ikhono lokwenza inani elifanayo le-insulin. Amaseli aphikisana nalokho okushiwo i-insulin. Futhi uma kungenjalo izinguquko zenziwa-uma umuntu engapheli isisindo, ukunciphisa ukudla kwazo, noma ukuzivocavoca okuningi-ushukela wegazi uya phezulu nakakhulu, okuholela ekuhloleni kwesifo sikashukela.
Ingabe Kunezibonakaliso Zokuxwayisa Zama-prediabetes?
Ngokujwayelekile, azikho izimpawu zokuxwayisa ze-prediabetes. Ungase uzizwe ukhathele noma ugijime kaningi, kodwa ngokuvamile uyozizwa uhlukile futhi ubonise ukukhathala kwakho ukuba ungalali kahle noma ungasebenzi. Khumbula-ke: Ngokuthatha isinyathelo-ukunciphisa umzimba, ukudla ukudla okunempilo, nokuhamba phambili- ungabambezela noma uvimbele isifo sikashukela.
Ubani Okufanele Ahlolwe I-prediabetes? Uhlolwe kanjani?
Ngokusho kwe-American Diabetes Association, noma yiliphi umuntu onenqubo elandelayo kufanele ihlolwe isifo sikashukela:
- Bonke abadala abakhuluphele kakhulu nge-BMI> 25kg / m2; Ukunqunywa kwe-BMI kwabase-Asia aseMelika kuncane (23kg / m2).
- Ubukhona bezinto eziyingozi ezingeziwe njengesihlobo esiphezulu se-diabetes; inhlekelele enkulu / ubuhlanga; A1c 5.7%; ukukhubazeka kwe-glucose ukubekezelelana noma ukukhubazeka kokudla kwegazi; izinga eliphansi lokungasebenzi; I-hypertension nge-blood pressure enkulu kakhulu noma elingana nayo (140/90); I-HDL ephansi kuka-35 noma izinga le-triglyceride 250 mg / dL; isifo sikashukela sokukhulelwa; i-polycystic ovarian syndrome; noma ezinye izimo zomtholampilo ezihlobene nokushukela kwe-insulin (ukukhuluphala okukhulu, ama- acanthosis nigricians , umlando wesifo senhliziyo).
- Izingane nezingane ezisakhula ezinamandla kakhulu futhi zinezici ezinobungozi ezimbili noma ngaphezulu (bheka ngenhla).
- Noma ubani oneminyaka engaphezu kwengu-45 ubudala: Uma imiphumela ejwayelekile, ukuhlolwa kufanele kuphindwe okungenani okungenani kweminyaka emithathu, ngokucubungula ukuhlolwa okuvame ngokwengeziwe ngemiphumela yokuqala (isib. Labo abane-prediabetes kufanele bahlolwe ngonyaka).
Odokotela bangakwazi ukuhlolisisa i-prediabetes ngendlela efanayo yokuthola isifo sikashukela: ngokusebenzisa ukuhlolwa kweshukela egazini (lapho ungadli lutho emahoreni ayisishiyagalombili), ukuhlolwa kwe -plasma ye-glucose yamahora amabili , noma ukuhlolwa kwegazi okulinganisa i-A1c yakho (oyenzayo akudingeki ukuzila ukudla kuloluhlolo).
Ungakuvimbela Ama-prediabetes?
Uma ungumuntu onomlando womndeni wesifo sikashukela, ayikho impendulo ecacile yokuthi ungakuvimbela yini noma ungavimbela ama-prediabetes. Izimo, uma ugcina isisindo esinempilo; ukuvivinya umzimba; udle ukudla okunomsoco ocebile emifino, amaprotheni aphilile, amafutha enempilo, kanye nama-carbohydrate aphethwe yi-fibre ongakwazi ukuvimbela kanye / noma ngokuqinisekile ukubambezeleka kwe-prediabetes. Njengoba cishe usuqoqile kakade, ukuguqula indlela yokuphila kudlala indima enkulu ekuvimbeleni.
Ongakwenza Uma Utshelwe Ukuba Unayo I-prediabetes
- Yehlisa isisindo: Ucwaningo luye lwabonisa ukuthi ngisho nokulahlekelwa kwesisindo esincane-amaphesenti angu-5 kuya ku-7 amaphesenti wesisindo somzimba wakho-angavimbela noma aphuze ukuqhubeka kwesifo sikashukela. Isibonelo, uma umuntu olinganisa amapremu angu-200, ukulahlekelwa amakhilogremu angu-10 kunganciphisa ingozi yakho yokuthuthukisa isifo sikashukela.
- Ukunciphisa I-Carbohydrate Yakho: I- Carbohydrate yiyona izakhi ezithinta ushukela wegazi kakhulu. Unganciphisa ushukela wegazi lakho futhi ulahle isisindo ngokudla ama-carbs ambalwa. Gwema ama-carbohydrate ahlanzekile, njengezinkwa ezimhlophe, i-pasta, ilayisi, nokudla okudla. Nciphisa ijusi nezinye iziphuzo eziphuzoziwe, futhi ukwandise ukudla kwakho kwemifino engekho isitashi.
- Yidla Ukudliwa KweMedithera: Ukudliwa kweMedithera ukudla okucebile izithelo, imifino, futhi okubaluleke kakhulu, amafutha enempilo, njengamantongomane, imbewu, namafutha omnqumo. Ucwaningo oluthile lubonisa ukuthi izinga lamafutha oyidlayo libaluleke kakhulu kunanani lamanoni. Mhlawumbe yingakho ezinye izifundo zibonise ukuzihlanganisa nokudla ukudla kwaseMedithera nokuvimbela uhlobo lwesifo sikashukela sohlobo lwesibili.
- Ukuzivocavoca: Umsebenzi womzimba akusizi nje ukugcina isisindo sakho isheke, kodwa futhi kukusiza ukuthi usebenzise i-insulin engcono. I-insulin ivumela amangqamuzana akho ukuthi asetshenzishe ushukela (i-glucose), okuyivimbela ekwakheni kwegazi. Ukwandisa umsebenzi wakho womzimba kungakusiza ukusika ingozi yesifo sikashukela ngesigamu.
Izwi elivela
Ukuxilongwa kwama-prediabetes ngokungangabazeki okuphathelene, kodwa sikukhuthaza ukuba usebenzise lokhu njengokuphefumulelwa ukushintsha noma yiziphi izici zokuphila kwakho okungase ziphazamise impilo yakho. Ukudla okunempilo, ukunciphisa umzimba nokusebenzisa okuningi ngeke kungenze ube nempilo enhle ngokuvimbela ingozi yakho yezifo, kuzokwandisa amazinga akho wamandla, kukusize ulale kahle, futhi uthuthukise isimo sakho sengqondo. Ungashintsha impilo yakho ibe ngcono.
> Imithombo:
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela. http://care.diabetesjournals.org/content/39/Supplement_1 Ifinyelelwe ngoJulayi 12, 2016.
> I-American Diabetes Association. Izibalo NgeSifo Sikashukela. http://www.diabetes.org/diabetes-basics/statistics/. Ifinyelele ngo-Julayi 11, 2016.
> Bansal, Nidhi. I-Prediabetes Ukuxilongwa Nokunakekelwa. World Journal of Diabetes. 2015; 6 (2): 296-303. doi: 10.4239 / wjd.v6.i2.296.
> Busko, uMarlene. Ukudla okunamafutha aphakeme kakhulu okuphephile ekuvimbeleni isifo sikashukela ekudleni okwenziwe ngokweqile. I-Medscape. http://www.medscape.com/viewarticle/865525?src=wnl_mdplsnews_160701_mscpedit_wir&uac=86320AJ&impID=1144673&faf=1 Kufinyelelwe ngoJulayi 10, 2016.
> Isikhungo Sokulawula Izifo. Ulwazi oluvamile. http://www.cdc.gov/diabetes/pdfs/data/2014-report-generalinformation.pdf. Ifinyelele ngo-Julayi 10, 2016.