Prediabetes ndi chizindikiro chachikulu chenjezo. Zimatanthawuza kuti shuga lanu lamagazi ndi lapamwamba, koma osati lokwanira mokwanira komabe likupezeka ndi matenda a shuga.
Kumva kuti matendawa ndi oopsa; kodi izi zikutanthauza chiyani za tsogolo lanu? Ngati mwauzidwa kuti muli ndi matenda a shuga, ndikofunika kudziŵa kuti muli pachimake chofunika kwambiri pa thanzi lanu-kuti mutha kukhala ndi mphamvu zambiri.
Mukhoza kupewa kapena kuchepetsa matenda a shuga mwa kusintha kusintha kwambiri, kulemera thupi , ndi kudya thanzi. Ngakhale kuti simungayambe kugwiritsira ntchito moyo wanu kusintha, mungathe kumaliza mamba ndikuwongolera osati matenda okha a shuga, koma matenda a mtima ndi matenda a sitiroko.
Thupi lanu limapanga insulini kuti mulowetse kusintha kwa shuga (shuga kuchokera ku chakudya) mu mphamvu ndikusunga shuga lanu bwino. Matenda a prediabetes amayamba chifukwa thupi lanu likutsutsana ndi insulini, makamaka chifukwa cholemera kwambiri, makamaka m'mimba.
Dokotala wanu angagwiritse ntchito tanthawuzo lovomerezeka la prediabetes pamene akukufotokozerani, lomwe liri ndi vuto losala kudya kapena kusagwirizana ndi shuga. Izi zikutanthauza kuti muli ndi shuga ya magazi ya 100 mg / dL mpaka 125 mg / dL (yachibadwa ndi yosakwana 100) ndipo / kapena hemoglobini yanu A1c (miyezi itatu ya shuga lanu la magazi) ili ndi 5.7 peresenti mpaka 6.4 peresenti (yachibadwa ndisafupi ndi 5.7 peresenti).
Ndani Ali Pangozi Yogonana ndi Prediabetes?
Pali zina mwazifukwa zomwe mungathe kuzilamulira ndi zina zomwe simungathe:
- Ukalamba: Pamene ukalamba, mapangidwe anu amatha kutopa ndipo akhoza kuchepetsa kuchepa kwa shuga, kuwonjezera chiopsezo chanu cha matenda a shuga.
- Mbiri ya Banja: Ngati muli ndi matenda a shuga m'banja lanu, muli ndi chiopsezo chowonjezereka chokha osati kukhala ndi matenda odwala matenda a shuga, komabe mukudwala matenda a shuga. Zowopsa zanu zimawonjezeka mukakhala ndi zowonjezera, monga zakudya zoperewera, kusagwira ntchito, kusuta fodya, kuthamanga kwa magazi, ndi zina zotero.
- Kusiyana kwa mitundu: Mitundu ina ili ndi chiopsezo chachikulu chokhala ndi matenda a shuga ndi shuga. Izi zikuphatikizapo Latinos, Amwenye a ku America, Achilumba cha Pacific, Asiya Achimereka ndi akuda omwe si Afilia.
- Mbiri ya Gestational Diabetes : Ngati mwadwala matenda a shuga (matenda a shuga omwe amayamba pamene muli ndi pakati) izi zikhoza kuonjezera chiopsezo cha matenda a shuga.
- Mafuta a Belly ndi / kapena Kunenepa Kwambiri: Ngati mumakhala ndi zolemetsa zambiri mumimba yanu, muli ndi chiopsezo chowonjezereka chokhala ndi matenda a shuga. Chifukwa chake ndi chifukwa mafuta a mimba, omwe amatchedwa "mafuta a visceral" amachititsa kumasulidwa kwa mafuta a mafuta, omwe amachititsa kuti insulini ikanike. Kuonjezera apo, mafuta amimba amatha kuwonjezera chiwopsezo cha matenda a mtima, komanso cholesterol, kukhetsa magazi, ndi triglycerides. Kulemera kwambiri ndi chinthu chachikulu chomwe chingayambitse matenda a shuga chifukwa cha zomwezi (zambiri pamunsimu).
- Kukhalira moyo: Kuchita masewera olimbitsa thupi kumathandiza thupi lanu kugwiritsira ntchito insulini. Insulini ndiyo hormone yomwe imatenga shuga kuchokera ku magazi kupita ku maselo kuti igwiritse ntchito mphamvu. Kukhala ndi moyo wokhayokha kungachititse kuti insulin isamatsutse.
Kodi Kutaya Kwambiri Kwambiri Kumayambiriro a Prediabetes N'kutani?
Kunenepa kwambiri kumathandiza kwambiri kuti mukhale ndi matenda a shuga ndi shuga chifukwa mafuta owonjezera angapangitse insulini kukana.
Insulin kukana ndi matenda omwe maselo ambiri, m'mimba, chiwindi, ndi mafuta samagwiritsa ntchito insulini moyenera. Anthu omwe ali ndi matenda a shuga kapena shuga amathabe kutulutsa insulini, koma sangathe kugwiritsa ntchito insulini momwe thupi liyenera kukhalira. Zotsatira zake, thupi limapitiriza kuwonjezera insulini, kuganiza kuti likufunikira.
Mankhwalawa amayamba kugwira ntchito mopitirira malire ndipo, patapita nthawi, amatha kutulutsa insulini yofanana. Maselo akutsutsana ndi zomwe insulini ikupangidwira. Ndipo ngati palibe kusintha komwe kumapangidwira-ngati munthu sakuchepetsetsa thupi, amachepetsa chakudya chawo, kapenanso kuchita masewera olimbitsa thupi-shuga ya magazi imapitirira kwambiri, zomwe zimayambitsa matenda a shuga.
Kodi Pali Zizindikiro Zowonetsera za Prediabetes?
Kawirikawiri, palibe zizindikiro zowonetsera za prediabetes. Mwinamwake mukumverera wotopa kapena mukukodza mobwerezabwereza, koma kawirikawiri simungamveke mosiyana ndikuganiza kuti kutopa kwanu kusagona bwino kapena kusachitapo kanthu. Kumbukirani kuti: Pochitapo kanthu-kutaya thupi, kudya zakudya zathanzi, ndi kusuntha kwambiri- mukhoza kuchepetsa kapena kupewa matenda a shuga.
Ndani Ayenera Kuwonetseredwa Kuti Akhale ndi Prediabetes? Kodi Amadziwika Bwanji?
Malingana ndi American Diabetes Association, munthu aliyense amene ali ndi zifukwa zotsatirazi ayenera kuyesedwa matenda a shuga:
- Onse akulu omwe ali olemera kwambiri ndi BMI> 25kg / m2; Mitundu ya BMI yodulidwa ku Asia America ndi yotsika (23kg / m2).
- Kukhalapo kwa zifukwa zina zoopsa monga chiwerengero choyamba cha matenda a shuga; mpikisanowu; A1c 5.7%; Kusakanikirana kwa shuga kapena kusasamala shuga; kuchepa kwa thupi; Kuthamanga kwa magazi ndi kuthamanga kwa magazi kwakukulu kapena kofanana ndi (140/90); HDL pansi pa 35 kapena triglyceride mlingo 250 mg / dL; chiwopsezo cha shuga; matenda a polycystic ovarian; kapena matenda ena okhudzana ndi insulini kukana (kunenepa kwakukulu, acanthosis nigricians , mbiri ya matenda a mtima).
- Ana ndi achinyamata omwe ali olemera kwambiri ndipo ali ndi zifukwa zina ziwiri zoonjezera (onani pamwambapa).
- Aliyense amene ali ndi zaka zoposa 45: Ngati zotsatira zake ndi zachilendo, kuyesedwa kumafunika kubwerezedwa zaka zosachepera zaka zitatu, poganizira zoyesedwa kawirikawiri malinga ndi zotsatira zoyambirira (mwachitsanzo, omwe ali ndi matenda a shuga ayenera kuyesedwa chaka chilichonse).
Madokotala amatha kudziwa kuti matenda a shuga amawoneka ngati momwe amachitira matenda a shuga: pogwiritsa ntchito kusuta shuga m'magazi (komwe simunadyepo maola asanu ndi atatu), mayeso a maola awiri a m'magazi , kapena mayeso a magazi omwe amayesa A1c (mukuchita osasowa kusala mayeso).
Kodi Mungapewe Prediabetes?
Ngati muli ndi achibale omwe ali ndi matenda a shuga, palibe yankho lothandiza kuti musateteze matenda a shuga. Zovuta ndizo, ngati mumakhala ndi kulemera kwabwino; chochita; idyani zakudya zokwanira zomwe zimakhala ndi masamba, zowononga mapuloteni, mafuta abwino, ndi zakudya zamtundu wambiri zomwe mungathe kuziletsa komanso / kapena kuchepetsa prediabetes. Monga momwe mwakhalira kale, kusintha moyo kumathandiza kwambiri popewera.
Zimene Mungachite Mukakhala Mukudziwitsirani Muli Ndi Matenda Oyamba
- Kutaya Kunenepa: Kafukufuku wasonyeza kuti ngakhale kuperewera pang'ono-5 peresenti mpaka 7 peresenti ya kulemera kwa thupi lanu-kumatha kuchepetsa kapena kuchepetsa kupitirira kwa matenda a shuga. Mwachitsanzo, ngati ndinu munthu wolemera makilogalamu 200, kutaya mapaundi 10 mukhoza kuchepetsa chiopsezo cha matenda a shuga.
- Kuchepetsa Mtengo Wanu Wopangira Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zam'madzi: Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zam'madzi Mukhoza kuchepetsa shuga ndi magazi komanso kudya ochepa. Pewani zakudya zokonzedwa bwino monga mkate woyera, pasta, mpunga, ndi zakudya zopanda pake. Chotsani madzi ndi zakumwa zina zotsekemera, ndipo yonjezerani kudya kwa masamba osakhala wowuma.
- Kudya Zakudya za Mediterranean: Zakudya za ku Mediterranean ndi zakudya zomwe zimakhala ndi zipatso, ndiwo zamasamba, ndi zofunika kwambiri, mafuta okoma, monga mtedza, mbewu, ndi mafuta. Kafukufuku wina amasonyeza kuti mafuta omwe mumadya ndi ofunika kwambiri kuposa kuchuluka kwa mafuta. Mwina ndi chifukwa chake maphunziro ena asonyeza mgwirizano ndi kudya zakudya za Mediterranean ndi kupewa mtundu wa shuga wa mtundu wa 2.
- Kuchita masewera olimbitsa thupi: Kuchita zinthu zolimbitsa thupi sikungakuthandizeni kuchepetsa kulemera kwanu, komanso kumakuthandizani kuti muzigwiritsa ntchito insulini. Insulin imalola maselo anu kuti agwiritse ntchito shuga (shuga), zomwe zimalepheretsa kumanga m'magazi. Kuchulukitsa zochitika zanu za thupi kungathandize kuchepetsa chiopsezo cha shuga ndi theka.
Mawu Ochokera
Sitikukayikira kuti munthu akudziŵa kuti ali ndi matenda oyenera, koma tikukulimbikitsani kuti mugwiritse ntchito izi monga kudzoza kuti musinthe mbali iliyonse ya moyo wanu yomwe ingasokoneze thanzi lanu. Kudya thanzi, kutaya thupi, ndi kuchita zambiri sikungokupangitsani kukhala ndi thanzi labwino popewa chiopsezo cha matenda, kudzakuthandizani kuwonjezera mphamvu zanu, kukuthandizani kugona bwino, ndi kusintha maganizo anu. Mukhoza kusintha moyo wanu kuti ukhale wabwino.
> Zotsatira:
> Chigwirizano cha ku America cha shuga. Malamulo a Zamankhwala pa Matenda a Shuga. http://care.diabetesjournals.org/content/39/Supplement_1 Yapezeka pa July 12, 2016.
> Chigwirizano cha ku America cha shuga. Ziwerengero Zokhudza Shuga. http://www.diabetes.org/diabetes-basics/statistics/. Inapezeka pa July 11, 2016.
> Kutsegula, Nidhi. Matenda a Prediabetes ndi Chithandizo. World Journal ya Chiwindi. 2015; 6 (2): 296-303. do: 10.4239 / wjd.v6.i2.296.
> Busko, Marlene. Zakudya Zakudya Zam'mwamba Zowonjezereka Zowonjezera Kupewa Kachilombo Kowopsa Kwambiri. Kusaka. http://www.medscape.com/viewarticle/865525?src=wnl_mdplsnews_160701_mscpedit_wir&uac=86320AJ&impID=1144673&faf=1 Inapezeka pa July 10, 2016.
> Chithandizo cha Kudwala kwa Matenda. Zina zambiri. http://www.cdc.gov/diabetes/pdfs/data/2014-report-generalinformation.pdf. Inapezeka pa July 10, 2016.