Asanga (wadi mfe 38), a ɔyɛ aguadi ho adwumayɛfo panyin, baa m’ayaresabea Fida anwummere a etwaam no. Ná ɛhaw no paa.
"Oduruyɛfo Priya, me ne me nnamfonom nom beer nkotoku abien Fida a etwaam no. Bɛyɛ simma 20 akyi a menom no, metee nka sɛ me ho popoe a ɛyɛ nwonwa na me nipadua nyinaa fii ase wosow. Nea ɛka ho no, fifiri a ɛyɛ nwini paee me. Misusuwii sɛ ɛyɛ nsa a wɔnom daa no dɛ a emu yɛ den. Nanso mantumi mpo anantew abɔnten so na mifii ase totɔ piti. Bere a mede glucometer hwɛɛ sɛ m'adamfo bi." na, na asikre dodow a ɛwɔ me mogya mu no so atew akodu 55 mg/dL Meyɛ asikreyarefo Dɛn nti na eyi too me, oduruyɛfo? Asanga bisae sɛ.
Mekyerɛkyerɛɛ mu kyerɛɛ Asanga sɛ: "Asanga, worehyia hypoglycemia , asikre dodow a ɛba fam wɔ mogya mu a asiane wom. Mpɛn pii no, sɛ yɛn nipadua mu asikre dodow so tew a, mmerɛbo no dan asikre a wɔakora so, anaa glycogen, no san kɔ glucose mu na ɛma ɛkɔ mogya no mu. Nanso sɛ wonom nsa a, ɛsɛ sɛ mmerɛbo no di adwuma a ɛne sɛ ɛbɛhyew na ayi nsa a ɛyɛ awuduru ma nipadua no di kan. Saa bere no, mmerɛbo no dan asikre a wɔakora so, anaa glycogen, no san kɔ mogya no mu. Nanso sɛ wonom nsa a, ɛsɛ sɛ mmerɛbo no de adwuma a ɛne sɛ ɛbɛhyew na ayi afi mu no di kan mmerɛbo no gyae asikre a ɛba bere tiaa bi Enti, sɛ obi a ɔnom asikreyare nnuru nom nsa bere a ne yafunu da mpan anaasɛ onni aduan a ɛdɔɔso a, asikre dodow a ɛwɔ ne mu no bɛkɔ fam ntɛmntɛm."
🚨 Red Flags a ɛhia ayaresa ntɛm ara
Nnipa pii di mfomso wɔ mogya mu asikre a ɛba fam (hypoglycemia) ho sɛnkyerɛnne a ɛba bere a wɔanom nsa akyi no ho sɛ ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ obi bow nsa sɛnea ɛsɛ (e.g., sɛ obi te nka sɛ ne ti ayɛ no basaa). Nanso, sɛ sɛnkyerɛnne ahorow a edidi so yi ba a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ na ɛsɛ sɛ wɔsa no ntɛm ara:
- Nipadua a ɛwosow kɛse a wontumi nni so ne fifiri a ɛyɛ nwini.
- Ɔkasa a ɛyɛ mmerɛw (nsɛmfua a ɛyɛ mmerɛw) ne adwene a ɛyɛ basaa kɛse.
- Sɛ obi ntumi nnantew, onhu ade yiye, na ɔtotɔ piti.
- Nsɛnkyerɛnne te sɛ adwene a ɛyera anaasɛ akisikuru.
Sɛnea nsa ka asikreyarefo
Nsã a wɔnom ka asikre dodow ne akwahosan wɔ mogya mu tẽẽ wɔ akwan a edidi so yi so:
1. Nnuru a ɛne ne ho di nkitaho a enye: Asikreyare nnuru te sɛ sulfonylureas ne meglitinides kanyan dwensɔtwaa no ma ɛyɛ insulin pii. Sɛ obi nom nsa bere a ɔnom nnuru yi a, ebetumi ama asikre dodow a ɛwɔ mogya mu no so atew ntɛmntɛm.
2. Asikre a ɛkɔ fam a ɛkyɛ: Asiane wɔ hɔ sɛ asikre dodow a ɛwɔ mogya mu no bɛkɔ fam wɔ simma kakraa bi kosi nnɔnhwerew 12-24 akyi wɔ nsa a wɔnom akyi. Titiriw sɛ wonom nsa anadwo na woda a, asikre dodow a ɛwɔ wo mogya mu betumi akɔ fam bere a woada no.
3. Nsɛnnennen a ɛkɔ soro: Nsa a wɔtaa nom no ma asiane a ɛwɔ hɔ sɛ obenya koma ne ntini mu yare , asikreyare ho haw atitiriw no yɛ kɛse.Tebea no resɛe ntɛmntɛm.
Anamɔn a ɛsɛ sɛ wɔyɛ bere a asiane bi asi (Mmara a Ɛto so 15) .
Sɛ asikre dodow a ɛwɔ wo mogya mu no so tew sen 70 mg/dL bere a woanom nsa awie a, yɛ nneɛma a edidi so yi ntɛm ara:
1. Ntɛm ara ma asikre gram 15 ma nipadua no: glucose aduru 3-4, nnuaba nsu kuruwa fã, anaa asikre tablespoon biako a wɔde apete nsu mu na nom.
2. Twɛn simma 15: Twɛn simma 15 a wunnni hwee na afei susuw asikre a ɛwɔ wo mogya mu bio.
3. Sɛ asikre dodow da so ara nnu 70 mg/dL a: Fa asikre gram 15 san ma na susuw asikre dodow no wɔ simma 15 foforo mu.
4. ⚠️ Nea ɛho hia: Sɛ ɔyarefo no nnim hwee anaasɛ ɛyɛ den ma no sɛ ɔbɛmene a, mfa n’ano mma biribiara na fa wɔn kɔ ayaresabea ntɛm ara. Glucagon a wɔde twitwiw nipadua no mu a wɔde ma asikre dodow a ɛwɔ mogya mu bere a wɔanom nsa awie no rentumi nyɛ adwuma (efisɛ mmerɛbo no nni adagyew sɛ ɛbɛpopa nsa no).
Nea Wobɛyɛ & Nea Ɛnsɛ sɛ Woyɛ
| ✔️ Nneɛma a ɛsɛ sɛ woyɛ (Yɛ) . | ❌ Ɛnsɛ sɛ woyɛ saa |
|---|---|
| Hwɛ hu sɛ wobɛhwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woanom nsa ne bere a woanom awie no. | Mma nnom nsa bere a wo yafunu da mpan da. Di aduan a carbohydrates wom bere a worenom nsa no. |
| Sɛ worenom nsa a, fa soda, nsu, anaa nnuru a wɔde fra aduan a asikre nnim di dwuma. | Kwati anonne a asikre wom te sɛ soda, bobesa a ɛyɛ dɛ, anaa beer a wobɛnom. |
| Hyɛ krataa anaa abɔso a ɛkyerɛ sɛ wowɔ asikreyare. | Nnom nsa anadwo, hwɛ asikre dodow a ɛwɔ wo mogya mu, na kɔda a wunnni aduan foforo biara. |
❓ Nsɛmmisa afoforo bi a ebia wowɔ (FAQ) .
Dɛn ne nsa dodow a ɛsen biara ma obi a ɔwɔ asikreyare?▼
Akwahosan anohyeto ne nsa biako (1 unit) da biara ma mmea a wɔwɔ asikreyare ne anonne abien (2 units) da biara ma mmarima. Ɛnsɛ sɛ nsa boro unit 14 dapɛn biara na ɛho hia sɛ wonya nna pii a nsa nnim dapɛn biara.
So beer a wɔnom ma asikre dodow kɔ soro wɔ mogya mu? ▼
Esiane sɛ carbohydrates pii wɔ beer mu nti, mfiase no ebetumi ama asikre dodow akɔ soro wɔ mogya mu. Nanso bere a nipadua no fi ase sɛe nsa no mu (titiriw wɔ nnɔnhwerew kakraa bi akyi) no, asikre dodow a ɛwɔ mogya mu no fi ase so tew ntɛmntɛm.
So metumi anom nsa bere a merenom metformin no? ▼
Sɛ obi nom nsa pii bere a ɔnom metformin a, ebetumi ayɛ asiane kɛse. Ebetumi ama obi anya tebea bi a ɛntaa nsi nanso edi awu a wɔfrɛ no lactic acidosis, a ɛyɛ acid a epira a ɛboaboa ano wɔ nipadua no mu.
Ɔkwan bɛn so na wobetumi asiw asikre a ɛkɔ soro anadwo ano? ▼
Hwɛ hu sɛ wode glucose mita bɛhwɛ asikre dodow a ɛwɔ wo mogya mu ansa na woada bere a woanom nsa awie no. Sɛ ɛyɛ nea ɛfata mpo a, di aduan a carbohydrates a ɛhyew nkakrankakra te sɛ sandwich anaa oats wom ansa na woada.
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