Anthu omwe ali ndi matenda a shuga kapena prediabetes ali ndi udindo wambiri wosamalira, zomwe zingakhale zovuta. Komabe, kudzikonda kungapangidwe mosavuta poika cholinga cha shuga chifukwa cha shuga la magazi, kulemera kwa thupi, kuchita masewera olimbitsa thupi komanso kuthana ndi mavuto ena azaumoyo.
Zolinga za Sug Sugar
Bungwe la International Diabetes Center ku Minneapolis, Minn., Limapereka kuika zokhudzana ndi shuga kwa anthu omwe ali ndi matenda a shuga ndi shuga, monga momwe amawerengera mu milligrams per deciliter (mg / dL).
Mipangidwe yowonjezera, mwachidule pa webusaiti ya National Guideline Clearinghouse Webusaiti, ili motere:
- Musanadye chakudya: 70 mg / dL kwa 140 mg / dL
- Maola awiri atatha kudya: Pasanathe 160 mg / dL
- Pa nthawi yogona: 100 mg / dL kufika 160 mg / dL
- Hemoglobin A1c mlingo: Osachepera 1% kuposa apamwamba kwambiri a labu
Zikuwonetsanso kuti zoposa theka la kuyesedwa kwa shuga m'magazi kumakhala m'magulu omwe akuwunikira komanso kuti alibe dzuwa lakutsika kwa dzuwa kapena dzuwa lochepa lomwe limafuna kuloĊµerera.
Komabe, zolingazi zikuluzikulu zingafunikire kusinthidwa mwachindunji kwa anthu, akuti Sandra Krafsig, namwino wovomerezeka, komanso mphunzitsi wodziwika ndi shuga ku chipatala cha Marlborough ku Massachusetts. "Zolinga zingasinthe malinga ndi zinthu zina zoopsa, monga msinkhu, matenda a mtima, ndi mavuto ena."
Zolinga zolemera
Kukhala wolemera kwambiri ndizoopsa kwa matenda a shuga. Kuwonjezera apo, kulemera kwakukulu kungapangitse kuti thupi likhale lovuta kugwiritsa ntchito insulini.
Ambiri ogwira ntchito zachipatala amanena kuti odwala matenda a shuga amawunikira kulemera kwake kwa thupi lawo. Nambala imeneyi nthawi zambiri imachokera ku mndandanda wa thupi la munthu (pakati pa 18.5 ndi 24.9 amaonedwa kuti ali wathanzi), chiuno chozungulira (osachepera 40 masentimita amuna, osachepera 35 kwa akazi) ndi chimango.
Ngati mayi ali ndi mimba, wothandizira zaumoyo wake angapereke malangizo othandiza kuti apewe kulemera kwake panthawi yomwe ali ndi mimba, malinga ndi msinkhu wake, komanso ngati ali ndi matenda a shuga.
Mfundo izi ndizo:
- Mapaundi atatu kapena asanu pa miyezi itatu yoyamba ya mimba
- Pakati pa theka ndi phim imodzi mlungu uliwonse kwa miyezi isanu ndi umodzi yapitayi
Zolinga za Mtima
Ma National Institutes of Health amaikiranso mapepala ofunikira kuti magazi azitha kupanikizika ndi ziwalo za lipid kuchokera pamene aliyense angathe kuika chiopsezo cha matenda a mtima:
- Kupanikizika kwa magazi: Osakwana 130/80
- Kachilombo koyambitsa lipoprotein (LDL kapena "choipa" cholesterol): Pasanathe 100 mg / dL;
- Kachilombo kake (HDL kapena "cholesterol"): Ambiri kuposa 40 mg / dL kwa amuna komanso oposa 50 kwa akazi
- Triglycerides: Osakwana 150 mg / dL
Kupeza Zolinga Zanu Zokhudzana ndi Shuga
Cholinga cha zolinga chiyenera kukhala mgwirizano pakati pa wodwala ndi gulu lake la zaumoyo, monga Theresa Garnero, chithandizo chapamwamba cholembetsa namwino ndi aphunzitsi odziwa shuga. "Ntchito yathu ndi kutsatira ndondomeko ya wodwalayo. Inde, tili ndi zokhazokha, koma izi sizikhala zabwino ngati wodwalayo sakonzekera," anatero Garnero.
David Spero, namwino wachiwerengero komanso wolemba "Matenda a shuga: Crisis-coated-Crisis," akuvomereza. Iye akuti ndi bwino kuti munthu ayambe ndi kusintha kwakukulu komwe kungakhale njira zothetsera zolinga zake zonse.
"Sankhani chinachake chimene mukufuna kuchita ndi chinachake chimene mungathe kuchita," anatero Spero.
"Yambani ndi kusintha kochepa ndi kumanga."
Amanenanso kuti anthu omwe ali ndi matenda a shuga adzipanga kuti akwaniritse zolinga zawo. Asanasankhe zolinga, ayenera kudzifunsa okha kuti ali ndi chidaliro chotani kuti angathe kuchikwaniritsa.
"Mwinanso mungafune kulemba zifukwa zomwe zimapangitsa kusintha kukhala kofunikira kwa inu," anatero Spero. "Lembani zolepheretsa zomwe zingayende mwanjira yanu ndikupeza njira zomwe mungagonjetsere." Amanena kuti kuthandizidwa ndi banja, bwenzi kapena munthu wina yemwe ali ndi shuga angakhale othandiza.
Spero akunena kuti imodzi mwa njira zazikulu zopindulira zolinga ndiyo kuyamba ndi kusintha. "Sinthani chinachake pamoyo chomwe chimakuwonongani," akutero.
Zikhoza kukhala m'mawa kapena kuperewera. "Ziribe kanthu kusintha kumeneku, kusintha kulikonse kumapangitsa kudzidalira kwanu ndipo kumapangitsa kusintha kosavuta kukhala kosavuta."
Garnero ndi wokhulupirira wamphamvu mu luso la kuseketsa kuti athandize kukwaniritsa zolinga. Mayiyu adatchedwa mliri wa shuga m'chaka cha 2004 ndi American American Diabetes Association, ndipo ntchito zake zambiri ndi zojambulajambula. "Ichi ndi matenda aakulu," akutero. "Makamaka makumi asanu ndi anayi mphambu zisanu ndi asanu aliwonse a matenda a shuga ndi kudzikonda." Zimenezi zimapangitsa kuti munthu asamapanikizidwe komanso azivutika maganizo, koma ngati mutakumbukira kuseka, mungathe kuchepetsa nkhawa. "
Zotsatira:
Clarke, MD, Charles M., Judith E. Fradkin, MD, Roland G. Hiss, MD, Rodney A. Lorenz, MD, Frank Vinicor, MD, MPH5 ndi Elizabeth Warren-Boulton, RN, MSN. "National Diabetes Education Program, Kusintha Njira ya Shuga Kumayendera." Chisamaliro cha shuga. 24 (2001): 617-618.
Padziko Lonse. "Gwiritsani Ntchito Malangizo Otsatira a shuga 2." Minneapolis: Chilumba cha Mdziko lachigawenga, 2003.
Krafsig, Sandra. Kuyankhulana kwa imelo. 29 Aug. 2007.
"Kodi Ndichite Chiyani Ngati Ndili ndi Matenda a Shuga?" National Institute of Child Health & Human Development. 16 Aug. 2006. Ma Institutes of Health.
Spero, David. Kuyankhulana kwa imelo. 22 Aug 2007.
"Kodi Shuga N'chiyani?" National Clearinghouse Clearinghouse. Oct. 2006. National Institute of Diabetes ndi Matenda a Kumimba ndi a Impso. 1 Sep. 2007.