Dɛn ankasa ne A1C nhwehwɛmu a ɛkyerɛ wo asikre dodow a ɛwɔ wo mogya mu no? Momma yɛnka ho asɛm!

Ebia woate sɛ nnuruyɛfo ka sɛ, "Ɛsɛ sɛ woyɛ A1C nhwehwɛmu." Anaasɛ sɛ obi a ɔwɔ w’abusua mu wɔ asikreyare a, ebia woate A1C nhwehwɛmu yi ho asɛm. Dɛn ankasa ne A1C sɔhwɛ yi? Dɛn na yebetumi asua afi mu? Ɛnnɛ, yɛbɛka A1C sɔhwɛ yi ho asɛm wɔ ɔkwan a ɛnyɛ den so a wobɛtumi ate aseɛ.

Dɛn ne A1C sɔhwɛ no?

Sɛ yɛbɛka no tiawa a, A1C sɔhwɛ no yɛ sɔhwɛ a ɛkyerɛ wo mogya mu asikre, anaa ``Glucose'', dodow wɔ asram abiɛsa a atwam no mu. Wɔde nea efi mu ba no ama sɛ ɔha biara mu nkyem 100. Dodow a ɔha biara mu nkyem 100 no kɔ soro no, dodow no ara na asikre dodow a ɛwɔ wo mogya mu no kɔ soro.

Nnuruyɛfo de A1C nhwehwɛmu no di dwuma esiane nneɛma atitiriw pii nti:

• Kyerɛ ɔkwan a ɛkɔ so ansa na asikreyare aba (`(Prediabetes)`). Ɛne sɛ, ɔfã bi a ɛbɛn asikreyare a obenya.
• Hwehwɛ sɛ ebia wowɔ asikreyare a ɛto so abien anaa.
• Sɛ wowɔ asikreyare a ɛto so abien anaa asikreyare a ɛto so 1 a, ɛho hia sɛ wote sɛnea w’ayaresa nhyehyɛe no reyɛ adwuma yiye no ase. Wo A1C dodow betumi aboa wo ne wo duruyɛfo ma woasi gyinae sɛ ebia ɛsɛ sɛ woyɛ nsakrae wɔ w’ayaresa nhyehyɛe no mu anaa.

Ɔkwan bɛn so na wɔyɛ A1C sɔhwɛ no?

Nnuruyɛfo de akwan abien so sɔ A1C hwɛ:

• Mpɛn pii no, wɔtwe mogya kakraa bi fi ntini bi mu na wɔde kɔ aduruyɛdan mu ma wɔyɛ ho nhwehwɛmu. Eyi ne ɔkwan a wɔtaa fa so. Wɔfrɛ eyi sɛ ``Phlebotomist'' a ɔtwe mogya.
• Ɔkwan foforo ne sɛ wobɛfa mogya a ɛtɔ fi wo nsateaa ano na woasɔ ahwɛ. Eyi betumi ama woanya nea efi mu ba wɔ simma kakraa bi mu. Nanso, wɔde saa kwan yi di dwuma de hwɛ sɛnea w’ayaresa no rekɔ so nkutoo, na wɔmfa nhu yare foforo bi.

Mpɛn pii no, sɔhwɛ a wɔde ntini di dwuma no yɛ pɛpɛɛpɛ sen nsateaa a wɔde twitwiw sɔhwɛ.

Edin afoforo bɛn na wɔde frɛ A1C sɔhwɛ no?

Wɔde din afoforo pii frɛ saa A1C sɔhwɛ yi. Ebia wobɛte saa din ahorow yi nso:

• Hemoglobin A1C `(Hemoglobin A1C)`
• HbA1c `(HbA1c)`
• Hemoglobin a wɔde glycae ayɛ
• Glycohemoglobin sɔhwɛ `(Glycohemoglobin sɔhwɛ)`

Dɛn ne asikre a ɛwɔ mogya mu (Glucose)?

Yɛn nipadua nya saa `(Glucose)` anaa asikre yi titiriw fi carbohydrates a ɛwɔ nnuan a yedi mu. Eyi ne ahoɔden fibea titiriw ma yɛn nipadua mu nkwammoaa. Yɛn mogya de saa `(Glucose)` yi kɔ nkwammoaa a ɛwɔ nipadua no nyinaa mu.

Nneɛma pii a ɛkɔ so wɔ yɛn nipadua mu boa ma asikre dodow a ɛwɔ mogya mu no kɔ so tra baabi pɔtee bi. Dwuma a ɛho hia sen biara wɔ eyi mu ne hormone ``Insulin``, a yɛn dwensɔtwaa na ɛyɛ.

Sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro bere nyinaa (hyperglycemia), a ɛkyerɛ sɛ wo A1C nso dɔɔso a, ɛtaa kyerɛ sɛ wowɔ asikreyare. Asikreyare ba bere a dwensɔtwaa no ntumi nyɛ insulin a ɛdɔɔso, anaasɛ insulin dodow a ɛyɛ no nnɔɔso, anaasɛ bere a nipadua no ntumi mfa insulin nni dwuma yiye.

Bere bɛn na ɛsɛ sɛ meyɛ A1C sɔhwɛ?

Sɛ wowɔ asikreyare a, anyɛ yiye koraa no, ɛsɛ sɛ woyɛ A1C nhwehwɛmu mprenu afe biara de hwɛ sɛnea w’ayaresa nhyehyɛe no reyɛ adwuma yiye. Wo duruyɛfo bɛkyerɛ wo mpɛn dodow pɔtee a ɛsɛ sɛ woma wɔyɛ eyi.

Sɛ wɔanhu sɛ wowɔ asikreyare, nanso wowɔ sɛnkyerɛnne a edidi so yi a, oduruyɛfo betumi ahyɛ sɛ wɔnyɛ A1C nhwehwɛmu:

• Sukɔm a ɛtra so bere nyinaa (`(Polydipsia)`) .
• Nsu a wɔtow boro so
• Anisoadehu a ɛyɛ kusuu
• Ɔbrɛ a wɔte nka bere nyinaa (`(Ɔbrɛ)`) .

Wubetumi nso ayɛ A1C nhwehwɛmu ahwɛ sɛ ebia wowɔ asiane mu sɛ wubenya asikreyare a ɛto so abien anaa. Nneɛma a ɛde asiane ba no bi ne:

• Abusua muni bi a ɔwɔ asikreyare a ɛto so abien a wobenya.
• Sɛ woadi kan anya nyinsɛn mu asikreyare a.
• Obolo.
• Apɔw-mu-teɛteɛ anaa apɔw-mu-teɛteɛ a wɔnyɛ.
• Sɛ́ wadi boro mfe 35.

Ɔkwan bɛn so na wobu A1C ho akontaa?

A1C nhwehwɛmu no gyina biribi a wɔfrɛ no hemoglobin so . Hemoglobin yɛ yɛn mogya mu nkwammoaa kɔkɔɔ no fã a ɛde mframa pa kɔ nipadua no mu nyinaa. Sɛ glucose wɔ wo mogya mu a, ɛbata saa hemoglobin yi ho. Wɔfrɛ eyi glycation . Dodow a glucose dɔɔso wɔ wo mogya mu no, dodow no ara na saa a ɛbata wo ho yi kɔ soro. Na, saa abatadeɛ yi tumi di bɛyɛ asram mmiɛnsa – a ɛyɛ bɛyɛ mogya mu nkwammoaa kɔkɔɔ nkwa nna.

Sɛ wɔkyekyem pɛpɛɛpɛ a, A1C sɔhwɛ no susuw glucose dodow a ɛbata hemoglobin ho bere tenten. Esiane sɛ ɛkyerɛ asikre dodow a ɛwɔ mogya mu bere tenten nti, A1C nhwehwɛmu no betumi aka w’akwahosan ho asɛm pii akyerɛ yɛn sen asikre a ɛwɔ mogya mu pɛnkoro.

So ɛsɛ sɛ midi mmuada ansa na wɔayɛ A1C sɔhwɛ no?

Dabi, ɛho nhia sɛ wudi mmuada ansa na woayɛ A1C nhwehwɛmu.

Sɛ woyɛ A1C sɔhwɛ a, dɛn na ɛba?

Nea wubetumi ahwɛ kwan afi A1C nhwehwɛmu a ɛfa mogya a wubegye afi ntini bi mu ho ni:

• Bere a wote akongua so no, phlebotomist (onipa a ɔtwe mogya) bɛhwehwɛ ntini bi wɔ wo basa mu a ɛnyɛ den sɛ wobɛtwe mogya afi mu. Mpɛn pii no, wɔtwe mogya no fi wo nsa no mu, wo nsateaa akyi pɛɛ.
• Sɛ wohu ntini bi pɛ a, wɔhohoro baabi a ɛwɔ no na wɔde nnuru a ekum mmoawa gu mu.
• Afei wɔde ade ketewaa bi hyɛ ntini no mu na wogye mogya. Ebia eyi bɛyɛ te sɛ nea wɔabɔ no kakra.
• Bere a wɔde ade no hyɛ mu wie no, wɔboaboa mogya kakra ano wɔ afiri bi a wɔde sɔ hwɛ mu.
• Sɛ wɔboaboa mogya a ɛdɔɔso ano ma nhwehwɛmu no wie a, woyi ade no na wogyae mogya a ɛretu no denam kotoku anaa gauze a wɔde hyɛ beae no so.
• Awiei koraa no, fa plaster gu beae no na woawie.

Wɔ A1C nhwehwɛmu a wɔyɛ denam mogya a wogye fi nsateaa mu so no, nneɛma a edidi so yi sisi:

• Oduruyɛfo bi bisa wo nsateaa ko a ɛsɛ sɛ wugye mogya fi mu.
• Wɔde nsa bɛpopa wo nsateaa ano na wɔde ade ketewa bi a wɔfrɛ no ``Lancet'' (eyi taa wɔ plastic afiri ketewa bi mu) ayɛ akuturuku ketewaa bi.
• Wɔbɛpiapia wo nsateaa ano, ayi mogya bi, na wɔaboaboa ano wɔ plastic ade ketewa bi mu.
• Sɛ wɔgye mogya a ɛdɔɔso ma nhwehwɛmu no wie a, wɔbɛma wo kotoku anaa gauze bi a wode bɛkura wo nsateaa ano na ama mogya no agyae.
• Mpɛn pii no, wobetumi anya nea efi mu ba no wɔ simma kakraa bi mu.

So asiane bi wɔ A1C sɔhwɛ no mu?

Mogya mu nhwehwɛmu yɛ ade a abu so yiye na ɛho hia wɔ aduruyɛ mu nhwehwɛmu mu. Asiane a ɛwɔ A1C nhwehwɛmu ahorow abien no nyinaa mu no sua koraa. Ebia wubenya akuru anaa ɛyaw bi wɔ baabi a wɔtwe mogya no anaasɛ wo nsateaa no, nanso eyi bɛsa ntɛm.

Dɛn na me A1C bo no kyerɛ?

Wɔde nea efi A1C sɔhwɛ mu ba no ma sɛ ɔha biara mu nkyem 100. Saa nɔma yi kyerɛ wo sɛnea hemoglobin protein no mu dodow yɛ glycated, a ɛkyerɛ sɛ ɛbata glucose ho. Dodow a ɔha biara mu nkyem 100 no kɔ soro no, dodow no ara na asikre dodow a ɛwɔ wo mogya mu no akɔ soro wɔ asram kakraa a atwam no mu.

A1C dodow a wɔde hu yare no te sɛ nea edidi so yi:

• Sɛ ennu 5.7% a, ɛkyerɛ sɛ wunni asikreyare. (Akwahosan gyinabea) .
• Sɛ ɛyɛ 5.7% kosi 6.4% a, wobu no sɛ ɛyɛ asikreyare a edi kan. Eyi kyerɛ sɛ asikreyare abɛn sɛ ebenya.
• Sɛ ɛyɛ 6.5% anaa nea ɛboro saa a , ɛtaa kyerɛ asikreyare a ɛto so abien (`(Asikreyare a ɛto so abien)`) anaa asikreyare a ɛto so 1 (`(Asikreyare a ɛto so 1)`).

Sɛ wowɔ asikreyare dedaw a, nea efi A1C mu ba no kyerɛ sɛnea w’ayaresa nhyehyɛe no ayɛ adwuma yiye wɔ asram abiɛsa a atwam no mu. Ebia saa ayaresa yi bi ne nnuru a wɔde sa yare, insulin a wɔde twitwiw nipadua mu, asikre a wɔtaa yɛ wɔ mogya mu, ne asetra mu nsakrae (te sɛ aduan ne apɔw-mu-teɛteɛ). Wo ne wo duruyɛfo betumi agyina wo A1C bo so asi gyinae sɛ ebia nsakrae biara ho hia wɔ w’ayaresa nhyehyɛe no mu anaa.

Ade a ɛho hia sen biara a ɛsɛ sɛ wokae ne sɛ wo A1C (sɛ wowɔ asikreyare a) yɛ asikre dodow a ɛwɔ wo mogya mu wɔ asram kakraa bi mu no ara kwa. Ɛnyɛ w’akwahosan ho sɛnkyerɛnne anaasɛ gyinaesi a etwa to a ɛfa sɛ ebia worebɔ bra pa ho. Kae sɛ wo A1C betumi asesa wɔ w’asetra nyinaa mu, na nneɛma bi wɔ hɔ a wubetumi ayɛ de adi wo asikreyare no ho dwuma na ama wo A1C dodow atu mpɔn, sɛ ɛho hia a.

Dɛn ne A1C ne glucose a wɔabu akontaa sɛ ɛyɛ nea ɛfata (eAG)?

Labs binom ma A1C aba sɛ ɔha biara mu nkyem, ne nea ɛne no hyiaWɔde glucose (eAG) bo a wɔabu akontaa nso ama.

`(eAG)` akontabuo no dane A1C ɔha mu nkyekyɛmu no kɔ units korɔ no ara (milligrams per deciliter - mg/dL anaa millimoles per liter - mmol/L) a wode di dwuma wɔ wo fie glucose mita mu. Sɛnea wo A1C yɛ nkyɛmu no, `(eAG)` yɛ boɔ baako a ɛkyerɛ wo mogya mu asikre dodoɔ a ɛwɔ asram mmiɛnsa a atwam no mu.

Sɛ nhwɛso no, A1C a ɛyɛ 7% no ne `(eAG)` 154 mg/dL (8.6 mmol/L) yɛ pɛ. A1C a ɛyɛ 9% no ne `(eAG)` 212 mg/dL (11.8 mmol/L) yɛ pɛ.

Dɛn ne A1C bo a ɛyɛ daa?

Wɔ obi a onni asikreyare fam no, A1C dodow a ɛfata no nnu 5.7%.

Nea wobu no sɛ "ɛyɛ nea ɛfata" na ɛyɛ apɔwmuden ma nnipa a wɔwɔ asikreyare no gyina wo botae ahorow ne asikreyare ano aduru ne nnwinnade a wubenya so. Wo ne wo duruyɛfo no bɛyɛ adwuma abom de ahu A1C dodow a wopɛ sɛ wokɔ. Eyi betumi asesa wɔ w’asetra nyinaa mu.

Mpɛn pii no, Amerika Asikreyare Fekuw no kamfo kyerɛ sɛ mpanyimfo a wɔwɔ asikreyare dodow no ara de wɔn ani nsi wɔn ani so sɛ wobenya A1C a ɛyɛ 7% anaa nea ennu saa .

Ebia wo A1C botae no bɛboro 7% wɔ tebea horow yi mu:

• Sɛ nkwa nna sua a.
• Sɛ wotaa nya asikre a ɛba fam kɛse wɔ mogya mu (`(Hypoglycemia)`) anaasɛ wunnim nsɛm a ɛte saa (`(Hypoglycemia unawareness)`).
• Sɛ wowɔ nsɛnnennen a emu yɛ den a efi asikreyare mu ba (te sɛ asaabo mu yare a enni sabea, ntini a ɛsɛe, anaa koma ne ntini mu yare).

Ɔkwan foforo so no, wɔ mmea a wɔwɔ asikreyare a ɛto so 1 bere a wɔyem no fam no, nnuruyɛfo taa kamfo kyerɛ sɛ wɔmfa A1C dodow nkɔ so nyɛ 6.5% anaa nea ɛba fam wɔ nyinsɛn no nyinaa mu. Wɔyɛ eyi de tew akwahosan ho asiane ahorow a ɛwɔ akokoaa no so no so na wɔasiw awotwaa no nyin dodo (fetal macrosomia) ano.

Dɛn ne A1C dodow a ɛyɛ hu?

Bere a wo A1C dodow kɔ soro, titiriw sɛ ɛkɔ so yɛ kɛse mfe pii a, ɛda adi sɛ wubenya nsɛnnennen te sɛ:

• Aniwa mu yare (`(Retinopathy)`) .
• Asaabo mu haw (`(Nephropathy)`) .
• Ntini mu haw ahorow (`(Neuropathy)`) .
• Yafunu a ɛnyɛ adwuma yiye (Gastroparesis) .
• Koma mu yare
• Nnwodwoɔ

Nhwehwɛmu ada no adi sɛ nnipa a wɔwɔ asikreyare betumi atew asiane a ɛwɔ hɔ sɛ wobenya asikreyare ho nsɛnnennen so denam A1C dodow a wɔbɛma akɔ so ayɛ nea ɛba fam sen 7% so .

Nanso kae sɛ nneɛma afoforo te sɛ awosu mu nneɛma ne bere tenten a woanya asikreyare nso betumi aka asikreyare ho nsɛnnennen a ɛbɛba no.

So A1C sɔhwɛ no yɛ nokware ankasa?

Nneɛma bi betumi aka sɛnea A1C sɔhwɛ ahorow no yɛ pɛpɛɛpɛ, a nea ɛka ho ne:

• Sɛ nhwɛso no, awosu mu nneɛma, hemoglobin ahorow
• Ayaresa mu tebea afoforo
• Nnuru bi ne aduannuru a wɔde ma
• Mfomso a ɛba bere a wɔreboaboa nhwɛsode ahorow ano, de akɔ baabiara, anaasɛ wɔreyɛ ho adwuma de asɔ ahwɛ

Saa nneɛma yi betumi ama wo aba no ayɛ `atoro a ɛba fam` anaasɛ `atoro so`. Nneɛma yi mu pii fi nsakrae a ɛba wo mogya mu nkwammoaa kɔkɔɔ nkwa nna ne akwahosan mu.

Hemoglobin Nsonsonoe ne A1C Nea Efi Mu Ba

Hemoglobin ahorow betumi aka nea efi A1C nhwehwɛmu ahorow bi mu ba no.

Nea wunya fi w’awosu mu no na ɛkyerɛ hemoglobin ko a ɛwɔ wo mogya mu. Ahorow ahorow na ɛwɔ hɔ. Nea abu so sen biara ne hemoglobin A. Wɔfrɛ hemoglobin ahorow afoforo a ɛntaa nsi no hemoglobin ahorow.

Sɛ wowɔ hemoglobin soronko bi a, ɛmma asiane a ɛwɔ hɔ sɛ wubenya asikreyare no nkɔ soro, nanso ebetumi aka nea efi A1C mu ba no. Lab ahorow wɔ akwan horow a wɔfa so de hemoglobin foforo bi sɔ A1C hwɛ wɔ mogya so.

Ahorow a wɔtaa hu no bi ne:

• Hemoglobin C su : Eyi taa ba abibifo, nnipa a wofi Afrika Atɔe fam, ne nnipa a wofi Amerika Kesee Fam ne Mfinimfini, Caribbean, ne Europa mu.
• Hemoglobin D su : Eyi abu so wɔ nnipa a wɔte China, India, Turkey, Brazil, ne Europa mmeae bi mu.
• Hemoglobin E su : Eyi abu so wɔ Asiafo Amerikafo mu, titiriw wɔn a wofi Asia Kesee Fam Apuei no.
• Hemoglobin S su : Eyi abu so kɛse wɔ abibifo ne Hispanic Amerikafo mu.

Mogya mu nhwehwɛmu betumi ahu hemoglobin ahorow a ɛsono emu biara. Sɛ wususuw sɛ ebia wowɔ hemoglobin bi a ebetumi aka wo A1C aba no a, wo ne wo duruyɛfo nkasa.

Ntease ahorow a enti ebia wo A1C no bɛba fam sen sɛnea ɛte ankasa

Saa tebea ne tebea horow yi betumi ama wo A1C aba no akɔ fam asen wo dodow ankasa:

• Nsã a wɔnom boro so (`(Asanom a wɔnom ho haw)`) .
• Mogya a wɔde ma
• Asaabo a entumi nyɛ adwuma yiye (`(Asaabo a entumi nyɛ adwuma yiye)`)
• Nnuru a ɛkanyan erythropoietin (ESAs) .
• Mogya a ɛtɔ dodo (`(Mogya a ɛtɔ)`) .
• Sɛ wɔtra mmeae a ɛkorɔn
• Dade a wɔde ma a wɔnom
• Mmerɛbo mu yare (`(Mmerɛbo mu yare)`) .
• Nyinsɛn a wɔde di dwuma
• Sickle cell mogya a ɛtɔ (`(Sickle cell mogya a ɛtɔ kɔ nipadua mu)`) .
• Spherocytosis ne mogya a ɛtɔ kɔ mogya mu (`(Spherocytosis ne mogya a ɛtɔ kɔ mogya mu)`)

Ntease ahorow a enti ebia A1C gyinapɛn ahorow no korɔn sen sɛnea ɛte ankasa

Saa tebea ne tebea horow yi betumi ama wo A1C aba no akɔ soro sen sɛnea ɛte ankasa:

• Mogya a ɛtɔ kɔ nipadua mu, sɛ nhwɛso no, mogya a ɛtɔ kɔ nipadua mu a dade nni mu, mogya a ɛtɔ kɔ nipadua mu a ɔyare mmoawa de ba, anaa mogya a ɛtɔ kɔ nipadua mu a kokoram de ba.
• Nnuru bi, te sɛ nnuru a ɛma nipadua no tumi ko tia nyarewa ne nnuru a esiw protease ano.
• Triglycerides a ɛkɔ soro wɔ mogya mu (`(Hypertriglyceridemia)`) .
• Akwaa a wɔde si ananmu
• Thalassemia (`(Thalassemia)`) .
• Vitamin B12 a enni nipadua mu (`(Vitamin B12 a enni nipadua mu)`) .

So wobetumi asa asikreyare sɛ A1C dodow dɔɔso mpo a?

Yiw, wubetumi. Esiane sɛ wowɔ A1C a ɛkɔ soro (boro 6.5%) nti, ɛnkyerɛ sɛ wowɔ asikreyare. Nnuru bi te sɛ steroid, anaa nneɛma afoforo te sɛ yare betumi ama asikre a ɛwɔ wo mogya mu no akɔ soro bere tiaa bi. Tebea afoforo te sɛ mogya a ɛtɔ kɔ nipadua mu no betumi ama wo A1C aba no ayɛ te sɛ nea ɛkorɔn sen sɛnea ɛte ankasa. Hokwan nso wɔ hɔ sɛ ebia sɔhwɛ no nyɛ nokware.

Nnuruyɛfo de nhwehwɛmu bɛboro biako di dwuma de hu asikreyare. Sɛ nhwɛso no, ebia wɔbɛka akyerɛ wo sɛ yɛ mmuadadi mogya mu glucose nhwehwɛmu anaa A1C nhwehwɛmu. Nanso, wo duruyɛfo no bɛhwɛ nea afi mu aba no mu yiye na ɔne wo asusuw ho.

So A1C ka asikreyare a wɔde di dwuma ho asɛm kyerɛ wo pɛpɛɛpɛ?

Mfe du du pii ni no, nnuruyɛfo ne nnipa a wɔwɔ asikreyare de A1C nhwehwɛmu no adi dwuma titiriw de asusuw sɛnea wɔn ayaresa no reyɛ adwuma yiye no ho.

Nanso, titiriw wɔ nnipa a wɔwɔ asikreyare a ɛto so 1 fam no, asikre dodow a ɛwɔ mogya mu betumi asakra kɛse wɔ nna, adapɛn, ne asram pii mu. Enti, A1C gyina mfimfini so na ɛnyɛ bere nyinaa na ɛma wonya adwumayɛ ho mfonini a edi mu.

Sɛ nhwɛso no, susuw eyi ho hwɛ: Obi mogya mu asikre dodow sakra bere nyinaa, nanso ebia ne A1C bɛyɛ 7%. Obi foforo mogya mu asikre dodow bɛyɛ 154 mg/dL bere nyinaa, na wɔn A1C nso betumi ayɛ 7%.

Nnansa yi, bere a wɔde mfiri a wɔde hwɛ glucose a ɛkɔ so (CGM) bae no , nnuruyɛfo ne nnipa a wɔwɔ asikreyare ahu sɛ Time in Range (TIR) ​​ma wonya asikreyare a wɔde di dwuma ho mfonini a mfaso wɔ so na ɛyɛ pɛpɛɛpɛ.

TIR yɛ bere dodow a asikre dodow a ɛwɔ wo mogya mu no wɔ dodow a wɔkamfo kyerɛ no mu. Wɔsusuw TIR no sɛ ɔha biara mu nkyem 100. Mogya mu asikre dodow a wɔde si hɔ no betumi ayɛ soronko wɔ onipa biara ho, nanso nea wɔtaa de si asikre a wɔde si hɔ no yɛ 70 kosi 180 mg/dL. Wɔ mpanyimfo dodow no ara a wɔwɔ asikreyare a ɛto so 1 anaa nea ɛto so abien fam no, nnuruyɛfo kamfo kyerɛ sɛ wɔmmɔ mmɔden sɛ wɔbɛma TIR no akɔ soro asen 70% (bɛyɛ nnɔnhwerew 17 wɔ nnɔnhwerew 24 da biara mu).

Sɛ wɔde `(CGM)` ne `(TIR)` di dwuma a, nnuruyɛfo ne nnipa a wɔwɔ asikreyare betumi ahu mpɛn dodow a wɔn mogya mu asikre dodow kɔ soro anaasɛ ɛba fam. Eyi boa wɔn ma wɔyɛ wɔn ayaresa nhyehyɛe ahorow no pɛpɛɛpɛ.

Awiei koraa no, ɛsɛ sɛ woka sɛ...

Ebetumi ayɛ basaa bere a wo A1C aba no nyɛ nea wɔhwɛ kwan anaasɛ ɛboro nea wɔhwɛ kwan no so no. Nanso kae sɛ A1C a ɛkɔ soro no nkyerɛ ankasa sɛ wowɔ asikreyare. Nneɛma pii wɔ hɔ a ebetumi ama nea efi mu ba no nyɛ nokware. Wo duruyɛfo bɛkyerɛ wo sɛ wuhia nhwehwɛmu pii a. Nsuro sɛ wubebisa wo duruyɛfo nsɛm. Wɔwɔ hɔ sɛ wɔbɛboa wo.

Sɛ wowɔ asikreyare a, ɛho hia sɛ wokae sɛ wo A1C yɛ asikre dodow a ɛwɔ wo mogya mu bere tiaa bi mu. Nneɛma bi wɔ hɔ a wubetumi ayɛ de ama wo A1C dodow atu mpɔn. Sɛ wote nka sɛ ɛyɛ wo den sɛ wubedi wo asikreyare no ho dwuma a, wo ne wo duruyɛfo nkasa. Mobɛbom ayɛ nhyehyɛe bi a mode bedi mo asikreyare ho dwuma na moadu mo A1C botae ahorow ho.

` A1C, HbA1c, asikreyare, asikre a ɛwɔ mogya mu, glucose, hemoglobin, asikreyare ho nhwehwɛmu