Sɛ wowɔ asikreyare a, ebia wɔtaa bisa wo sɛ, "So woahwɛ asikre a ɛwɔ wo mogya mu?" Bere a ɛtɔ mmere bi a ebetumi ayɛ te sɛ ɔhaw no, nokwarem no, ɛyɛ nneɛma atitiriw a ɛho hia sen biara a ɛbɛma woadi wo asikreyare ho dwuma no mu biako. Te sɛ kar dashboard no, ɛkyerɛ wo nea ɛrekɔ so wɔ wo nipadua mu. Sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu daa a, ebetumi aboa wo ne wo duruyɛfo ma woate sɛnea wo ayaresa nhyehyɛe no reyɛ adwuma yiye no ase.
Dɛn nti na ɛsɛ sɛ mehwɛ asikre a ɛwɔ me mogya mu daa?
Susuw wo mogya mu asikre dodow ho sɛ "amanneɛbɔ krataa" a ɛkyerɛ sɛnea woredi wo asikreyare no ho dwuma yiye. Ɛyɛ ɔkwan biako pɛ a wobɛfa so ahu sɛnea asikre dodow resakra wɔ wo mogya mu denam nneɛma te sɛ aduan a wudi, apɔw-mu-teɛteɛ a woyɛ, nnuru a wonom, ne adwennwen a wowɔ so. Eyi ho hia titiriw sɛ worenom insulin a.
Asikre dodow a ɛwɔ mogya mu betumi asakra esiane nneɛma ahorow a ɛwɔ yɛn asetra mu nti. Nneɛma bi a yebetumi afa osuahu so adi so. Nanso nneɛma bi yɛ den yiye sɛ wobedi so. Ɛno nti na ɛho hia sɛ wohwɛ asikre a ɛwɔ wo mogya mu daa, sɛnea wo duruyɛfo ka no.
Hwɛ, mpɛn pii no nneɛma a ɛte sɛ eyinom betumi ama asikre a ɛwɔ wo mogya mu akɔ soro :
- Nnuan a carbohydrates wom a wubedi: Sɛ wudi nnuan a starch wom te sɛ aburow, paanoo, ne ɛmo a.
- Asikreyare aduru anaa insulin a wobɛhuruw anaasɛ worennom sɛnea ɛsɛ: Nnuru a wonnom wɔ bere ano.
- Apɔw-mu-teɛteɛ a wonnya: Bere a nipadua no nteɛteɛ n’apɔw mu kakraa bi sen sɛnea ɛtaa yɛ no.
- Nnuru bi: Titiriw bere a worenom steroid (corticosteroids) no.
- Yare, oprehyɛn, anaa adwennwen: Wɔ mmere a ɛte sɛɛ mu no, asikre dodow kɔ soro esiane nkwaadɔm a ɛsakra wɔ nipadua no mu nti.
- Dawn phenomenon: Eyi yɛ ade a ɛyɛ nwonwa kakra. Wɔfrɛ no abɔde mu nkwaadɔm mu nsakrae a ɛba yɛn nipadua mu a ɛma asikre dodow a ɛwɔ yɛn mogya mu no kɔ soro anɔpa.
- Sigaretnom.
- Nsu a ɛho ntew.
- Mmabunbere: Wobetumi ahu tebea yi bere a mmofra nkumaa hormone mu nsakrae ba.
Afei nso, nneɛma te sɛ eyinom betumi ama asikre a ɛwɔ wo mogya mu no so atew :
- Adidi a wohuruw.
- Nnuru anaa insulin a wɔnom dodo ma asikreyare.
- Apɔw-mu-teɛteɛ: Mpɛn pii no, apɔw-mu-teɛteɛ ma asikre dodow a ɛwɔ mogya mu no so tew.
Ɛtɔ mmere bi a, asikre a ɛwɔ wo mogya mu betumi akɔ soro na akɔ fam . Egyina wo nipadua ne nneɛma afoforo so.
- Brayɛbea a ɛba mmea mu.
- Abusuabɔ a ɛda aduan ne nnuru/insulin bere a wɔde di dwuma ntam.
- Nsã a wɔnom.
- Nnuru a wɔnom ma nyarewa afoforo.
Sɛ wususuw eyinom nyinaa ho a, ebia wobɛte sɛnea ɛho hia sɛ wohwɛ wo mogya mu asikre daa no ase. Ɛno nkutoo ne ɔkwan a wobɛfa so ahu sɛnea asikre dodow resakra wɔ wo mogya mu no ankasa.
Akwan bɛn na wɔfa so hwɛ asikre a ɛwɔ mogya mu wɔ fie?
Wubetumi afa akwan atitiriw abien so ahwɛ asikre a ɛwɔ wo mogya mu wɔ fie.
1. Glucose mita ne sɔhwɛ nhama a wɔde bedi dwuma: Eyi ne nea yɛfrɛ no "nsateaa dua nhwehwɛmu." Ɔkwan a wɔfa so yɛ no hwehwɛ sɛ wode ade twitwiw wo nsateaa na wofa mogya bi.
2. Continuous Glucose Monitor (CGM) a Wɔde Di Dwuma: Eyi yɛ ɔkwan foforo a wɔfa so hwɛ asikre dodow nnɔnhwerew 24 da biara denam sensor ketewaa bi a wɔde ahyɛ honam ani.
Sɛ́ ebia wobɛpaw akwan yi mu biako anaa abien no nyinaa no yɛ biribi a ɛsɛ sɛ wo ne wo duruyɛfo susuw ho. Nneɛma pii wɔ hɔ a ɛka eyi. Sɛ nhwɛso no, nnwinnade no ho ka, asikreyare ko a wowɔ, ne mpɛn dodow a wo duruyɛfo kamfo kyerɛ sɛ wɔnhwɛ wo.
Glucose mita ne nneɛma a wɔde sɔ hwɛ
Eyi ne atetesɛm kwan a yɛn nyinaa nim na yɛde di dwuma. Wode ade ketewaa bi a wɔfrɛ no lancet twitwa wo nsateaa ano na wofa mogya bi. Afei, wode saa mogya a ɛtɔ gu fam no gu sɔhwɛ krataa bi so wɔ glucose mita so. Wɔ sikɔne kakraa bi mu no, asikre dodow a ɛwɔ wo mogya mu no bɛda adi wɔ mita no screen so.
Esiane sɛ saa kwan yi ma wonya mfaso bere a wɔrehwɛ no nkutoo nti, ɛsɛ sɛ nnipa binom, titiriw wɔn a wɔnom insulin no, hwɛ saa kwan yi so mpɛn pii da biara.
CGM (Glucose a Ɛkɔ So Hwɛ) .
Eyi yɛ mfiridwuma mu nimdeɛ foforo koraa. Ɛte sɛ nea wode sensor ketewaa bi abata wo nipadua ho na woahwɛ asikre dodow a ɛwɔ wo mogya mu nnɔnhwerew 24 da biara. Eyi ma wutumi hu sɛnea asikre dodow a ɛwɔ wo mogya mu sesa da mũ no nyinaa wɔ mfonini bi mu.
Nanso kae sɛ, ɛmfa ho sɛnea saa mfiridwuma yi ye no, ɛtɔ mmere bi a ebetumi ama akenkan a ɛnteɛ. Sɛ wote nka sɛ worenya asikre a ɛba fam ho sɛnkyerɛnne, nanso wo CGM reda akenkan a ɛfata adi a, hwɛ hu sɛ wobɛfa nsateaa na wode mita a wɔde di dwuma daa asan ahwɛ.
Ɔkwan a ɛteɛ a wɔfa so hwɛ asikre a ɛwɔ mogya mu
Sɛ wode glucose mita rehwɛ asikre a ɛwɔ wo mogya mu a, mpɛn pii no di anammɔn yi akyi.
1. Nea edi kan no, fa samina ne nsu hohoro wo nsa yiye. Sɛ wo nsateaa ho agu fĩ wɔ aduan mu nneɛma nketenkete ho a, ebia nea ebefi mu aba no nyɛ nokware. Fa samina ne nsu anaa nsa popa popa wo nsateaa.
2. Fa sɔhwɛ krataa bi hyɛ mita no mu.
3. Fa afiri a wɔde yɛ lancet twitwiw wo nsateaa ano nkyɛn.Sɛ wode gu nkyɛnkyɛn a, ɛnyɛ yaw kɛse sen mfinimfini.
4. Ka mogya a ɛtɔ gu fam no kɔ sɔhwɛ krataa no ano. Mita no bɛtwe mogya dodow a wɔhwehwɛ no ara kwa.
5. Nea ebefi mu aba no bɛda adi wɔ screen no so wɔ sikɔne kakraa bi mu.
Glucose mita biara betumi anya nsakrae kakra, enti kenkan akwankyerɛ nhoma a ɛka wo mita no ho no yiye. Afei nso, kyerɛw asikre dodow a ɛwɔ wo mogya mu no gu nhoma bi mu anaa app bi a ɛwɔ wo fon so so. Mma wo werɛ mmfi sɛ wode nhoma no bɛka wo ho bere a worekɔ wo duruyɛfo nkyɛn no.
Bere bɛn na ɛsɛ sɛ wohwɛ asikre a ɛwɔ wo mogya mu?
Wo duruyɛfo no besi mpɛn dodow ne bere a ɛsɛ sɛ wohwɛ asikre a ɛwɔ wo mogya mu no ho gyinae. Ɛsono nnipa biara. Nanso, ɛho hia sɛ wohwɛ asikre a ɛwɔ wo mogya mu bere biara a wobɛte nka sɛ asikre a ɛwɔ wo mogya mu no sua anaa ɛdɔɔso.
Pon a ɛwɔ ase ha no bɛboa wo ma woate hia a ɛho hia sɛ wohwɛ asikre a ɛwɔ wo mogya mu wɔ mmere ahorow mu wɔ da no mu ase.
| Bere a ɛsɛ sɛ wohwɛ | Dɛn na yebetumi asua afi mu? |
|---|---|
| Sɛ wosɔre anɔpa ara pɛ (ansa na wudidi) . | Wɔfrɛ eyi "Fasting Glucose." Eyi betumi ama woanya sɛnea na asikre dodow a ɛwɔ wo mogya mu no te anadwo mũ no nyinaa ho adwene pa. |
| Ansa na wobedi nnuan atitiriw | Eyi bɛboa wo ma woayɛ w’aduan ho nhyehyɛe na woahu insulin dodow a ɛsɛ sɛ wofa sɛ wonom a. |
| Nnɔnhwerew 2 wɔ adidi akyi | Wubetumi ahu sɛnea aduan a wudii no kaa asikre dodow a ɛwɔ wo mogya mu no pɛpɛɛpɛ. Eyi ho hia sɛ wusi gyinae sɛ ebia ɛsɛ sɛ wosakra w’aduru/insulin dodow a wode di dwuma anaa. |
| Ansa na woreyɛ apɔw-mu-teɛteɛ ne bere a woawie no | Te nkɛntɛnso a apɔw-mu-teɛteɛ nya wɔ asikre dodow a ɛwɔ mogya mu so no ase. Ɛwom sɛ mpɛn pii no apɔw-mu-teɛteɛ ma asikre a ɛwɔ mogya mu no so tew de, nanso ɛtɔ mmere bi a ebetumi ama ayɛ kɛse. |
| Ansa na wobɛda anadwo | Eyi boa ma asikre a ɛwɔ mogya mu a ɛba fam wɔ ɔkwan a ɛyɛ hu so bere a wɔada no ano. Afei nso, sɛ woda a asikre dɔɔso wɔ wo mogya mu a, epira w’akwahosan bere tenten. |
Dɛn na akontaabu ahorow yi kyerɛ?
Asikre dodow a ɛwɔ wo mogya mu (target range) yɛ biribi a ɛyɛ soronko ma wo. Ɛsɛ sɛ wosi ho gyinae denam wo duruyɛfo a wo ne no bɛkasa so. Egyina nneɛma pii so, te sɛ mfe a woadi, bere tenten a woanya asikreyare, ne sɛ ebia wowɔ ayaresa mu tebea afoforo anaa.
Nanso, nea edidi so yi ne gyinapɛn ahorow a Amerika Asikreyare Fekuw no kamfo kyerɛ wɔ mpanyimfo a wonnyinsɛn mu:
- Ansa na wobedidi: Ɛwɔ 80 - 130 mg/dL ntam.
- Nnɔnhwerew 1-2 wɔ adidi akyi: Ennu 180 mg/dL.
Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew a (Hypoglycemia) .
Saa tebea yi taa ba bere a asikre dodow a ɛwɔ mogya mu no so tew ba fam sen 70 mg/dL no. Eyi betumi ayɛ asiane, enti ɛho hia sɛ woyɛ ho biribi bere a woahu sɛnkyerɛnne ahorow no ara pɛ.
| Nsɛnkyerɛnne a ɛkyerɛ sɛ asikre a ɛwɔ mogya mu sua (Hypoglycemia) . | |
|---|---|
| - a wote nka se woabre, woabre | - a wote nka se wo nipadua rewosow |
| - a wote nka se wo ho ye | - a ɛyɛ fifiri a ɛyɛ hare |
| - a ewo ho dodoo | - a ewo akoma a ewo ntɛmntɛm |
| - a wote nka sɛ wosuro, wo ho nyɛ no dɛ | - a wo bo fuw |
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, di biribi a asikre kakra wom ntɛm ara (e.g. glucose toffee, banana, nnuaba mu nsu bi). Sɛ asikre a ɛwɔ wo mogya mu no so tew dodo a, ebia w’adwene mu bɛtew mpo. Eyi yɛ asɛm a egye ntɛmpɛ.
Sɛ asikre dodow kɔ soro a (Hyperglycemia) .
Saa tebea yi taa ba bere a asikre dodow a ɛwɔ mogya mu boro 180 mg/dL no. Nanso, nnipa pii fi ase nya yare no ho sɛnkyerɛnne bere a wɔboro 250 mg/dL no.
| Asikre a ɛwɔ mogya mu a ɛkɔ soro ho sɛnkyerɛnne (Hyperglycemia) . | |
|---|---|
| - sukɔm ne ɔkɔm a ɛboro so | - a wotaa toto nsuo |
| - Tipaeɛ | - a ewo anisoadehunu a enni mu |
| - a ɛyɛ abufuw, ahomegye a enni hɔ | - a ewo ho dodo |
Sɛ worenom insulin a, ɛsɛ sɛ wofa insulin dodow no sɛnea wo duruyɛfo akyerɛ wo no. Ɛtɔ mmere bi a, sɛ sɛnkyerɛnne ahorow te sɛ ɔfe ne ɔbrɛ kɛse ka asikre a ɛkɔ soro ho wɔ mogya mu a, ebetumi ayɛ tebea a asiane wom a wɔfrɛ no Asikreyare Ketoacidosis (DKA). Sɛ eyi ba a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).
Nsɛnnennen a eyi de ba ne wɔn ano aduru
Ɛwom sɛ mfaso pii wɔ asikre a ɛwɔ mogya mu a wɔbɛhwɛ so de, nanso ebetumi ama nnipa binom ayɛ basaa kakra.
- Nsateaa ano a ɛyɛ yaw: Nsateaa ano yaw betumi aba bere a wobɔ wo nsateaa mpɛn pii no. Sɛnea ɛbɛyɛ a wubedi eyi ho dwuma no, bɔ wo nsateaa no wɔ nkyɛn sen sɛ wode bɛbɔ mfinimfini. Afei nso, mfa lancet (needle) koro no ara nni dwuma mpɛn pii, na mmom fa foforo di dwuma bere nyinaa.
- Ɛka: Ɛka a wɔbɔ wɔ sɔhwɛ nhama ne CGM nhyehyɛe ahorow ho no betumi ayɛ den ama nnipa binom sɛ wɔbɛtua. Wo ne wo duruyɛfo nka eyi ho asɛm. Ebia obetumi atu wo fo wɔ akwan a wobɛfa so atew ɛka so.
- Adwene mu nkɛntɛnso: Ɛyɛ ade a ɛfata sɛ wubedi awerɛhow, abufuw, anaa abasamtu bere a wuhu asikre dodow a ɛwɔ wo mogya mu nna bi no.
Adeɛ a ɛho hia paa sɛ wobɛkae ne sɛ: Mogya mu Asikre gyinapɛn nyɛ "sɛnkyerɛnneɛ" a wɔde ama wo, na saa ara nso na ɛnyɛ wo mfomsoɔ. Wɔyɛ akontaahyɛde ahorow ara kwa. Wɔyɛ data ara kwa a ɛbɛboa wo ma woate sɛnea w’ayaresa nhyehyɛe no reyɛ adwuma no ase. Mma eyi nhaw wo ho pii. Sɛ wote adwennwen nka saa a, wo ne wo duruyɛfo nka ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Asikre a ɛwɔ wo mogya mu a wobɛhwɛ daa no yɛ nnwinnade a tumi wom sen biara a ɛsɛ sɛ wode si asikreyare so no mu biako.
- Bisa wo duruyɛfo ma ɔmma wo mogya mu asikre dodow pɔtee a wɔde asi wɔn ani so (gyinabea a wɔde asi wɔn ani so) a ɛfata wo.
- Hu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asikre dodow a ɛwɔ wo mogya mu no so tew (Hypoglycemia) ne asikre dodow a ɛkɔ soro wɔ mogya mu (Hyperglycemia).
- Mogya mu asikre dodow yɛ data a ɛbɛboa wo ma woayɛ w’ayaresa ho nhyehyɛe ara kwa. Mfa so nsi gyinae bɔne wɔ wo ho.
- Wo ne wo duruyɛfo nka asikre dodow a ɛwɔ wo mogya mu ne sɛnea wote nka ho asɛm pefee. Ɔwɔ hɔ sɛ ɔbɛboa wo.
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