Asikreyare ho kɔkɔbɔ sɛnkyerɛnne a ɛyɛ komm: Sua insulin a ɛko tia ho ade

So wusuro asɛmfua asikreyare no kakra? Anaasɛ wo duruyɛfo aka akyerɛ wo pɛn sɛ wowɔ insulin a ɛko tia, na w’adwene atu afra wɔ nea ɛyɛ ho? Nha wo ho. Ɛnnɛ, yɛbɛka tebea yi a wɔfrɛ no insulin resistance ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so. Ɛte sɛ kɔkɔbɔ a ɛyɛ komm a yɛn nipadua de ma yɛn ansa na asikreyare afi ase.

Sɛ yɛbɛka no tiawa a, dɛn ne insulin a ɛko tia?

Susuw ho hwɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no te sɛ afie nketewa. Saa afie yi hia ahoɔden na ama wɔatumi ayɛ adwuma. Saa ahoɔden no fi asikre a wɔfrɛ no glucose a wɔde aduan a yedi na ɛyɛ no mu. Sɛnea ɛbɛyɛ a saa glucose yi betumi afi mogya no mu akɔ afie a wɔfrɛ no nkwammoaa mu no, ehia safe a ɛbɛma wɔabue ɔpon no. Saa ade titiriw no ne hormone a wɔfrɛ no insulin . Yɛn dwensɔtwaa na ɛyɛ insulin safe yi.

Sɛ wudidi a, glucose hyɛn mogya no mu. Bere koro no ara mu no, dwensɔtwaa no yi safe bi a wɔfrɛ no insulin gu mogya no mu. Sɛ insulin bue nkwammoaa no apon a, glucose hyɛn nkwammoaa no mu na ɛbɛyɛ ahoɔden.

Afei hwɛ nea ɛto obi a insulin tumi ko tia no.

Wo nkwammoaa no ntumi nyɛ insulin safe yi ho biribi yiye. Ɛte sɛ ɔpon ano apon a ayɛ nwunu. Safe no rentumi mmue ɔpon no yiye. Enti glucose a entumi nkɔ nkwammoaa no mu no fi ase boaboa ano wɔ mogya no mu.

Saa bere yi de, amemene no susuw sɛ, "Oh, asikre pii wɔ mogya no mu, mihia nsafe pii." Enti dwensɔtwaa no nya nkrasɛm bi a ɛka kyerɛ no sɛ ɔnyɛ insulin pii. Bere kɔ so no, dwensɔtwaa no brɛ, ɛyɛ insulin pii, na awiei koraa no, ne dwumadi tumi so tew. Ɛno na asikre dodow a ɛwɔ mogya mu no fi ase kɔ soro.

Nsonsonoe a ɛda insulin a wɔko tia, asikreyare a edi kan, ne asikreyare ntam

Ɛwom sɛ saa baasa yi wɔ abusuabɔ de, nanso wɔnyɛ pɛ. Momma yenfi pon bi so nhwɛ.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Ɔhaw kɛse a ɛwɔ ha ne sɛ insulin a ɛko tia no yɛ tebea a ɛyɛ komm . Wubetumi anya bi wɔ wo nipadua mu mfe pii a wunnim mpo. Ɔkwan biako pɛ a wobɛfa so ahu no yiye ne sɛ wobɛyɛ mogya mu nhwehwɛmu.

Nanso, abɔnten so sɛnkyerɛnne ne sɛnkyerɛnne ahorow bi wɔ hɔ a ɛne tebea yi wɔ abusuabɔ. Hwɛ sɛ wowɔ eyinom nso anaa:

• Asen ntwemu a ɛkɔ soro: Asen ntwemu boro nsateakwaa 40 wɔ mmarima mu na ɛboro nsateakwaa 35 wɔ mmea mu.
• Mogya mmoroso: Mogya mmoroso yɛ 130/80 mmHg anaa nea ɛboro saa.
• Nneɛma a ɛnteɛ wɔ mogya mu nhwehwɛmu mu:
• Asikre dodow a ɛwɔ mogya mu wɔ mmuadadi mu a ɛboro 100 mg/dL.
• Triglyceride dodow a ɛwɔ mmuadadi mu a ɛboro 150 mg/dL.
• Cholesterol pa (HDL cholesterol) dodow a ennu 40 mg/dL wɔ mmarima mu na ennu 50 mg/dL wɔ mmea mu.
• Nsakrae a ɛba honam ani:
• Wora a ɛwɔ kɔn ne abasa no so no yɛ tuntum na ɛyɛ velvet. Wɔfrɛ eyi wɔ aduruyɛ mu sɛ Acanthosis Nigricans .
• Nwansena nketewa (skin tags) a ɛte sɛ nea ɛsensɛn honam ani no a ɛba.

Dɛn ne nneɛma a ɛde insulin a ɛko tia no ba?

Ɛyɛ den sɛ wobɛkyerɛ ade biako pɛ a ɛde eyi ba, nanso abenfo ahu nneɛma pii a ɛma asiane no yɛ kɛse.

• Nipadua mu duru a ɛboro so: Srade a ɛboaboa ano, titiriw wɔ yafunu no fã (yafunu mu srade).
• Apɔw-mu-teɛteɛ a wɔnyɛ ne asetra a wɔtra ase tra hɔ: Apɔw-mu-teɛteɛ a wɔnyɛ.
• Nnuan a carbohydrates pii wom: Abodoo, aburow, nnuan a ɛyɛ dɛ, ne anonne a ɛyɛ dɛ a wɔnom boro so.
• Abusua abakɔsɛm: Obi a ɔwɔ abusua no mu wɔ asikreyare.
• Mfe a obi adi: Asiane no kɔ soro wɔ mfe 45 akyi.
• Nyinsɛn mu Asikreyare: Ɛnanom a wonya asikreyare bere a wɔyem no wɔ asiane kɛse mu sɛ wobenya saa tebea yi akyiri yi.
• Tebea afoforo: mmerɛbo mu yare a srade wom a ɛnyɛ nsa ne Polycystic Ovary Syndrome (PCOS).
• Sigaretnom.
• Nnuru bi: Nnuru bi te sɛ steroid a wɔde di dwuma bere tenten.
• Dae mu haw ahorow: Tebea horow te sɛ obi a ne menewa bere a wada (dae mu ahomegye).

Abusuabɔ a ɛda insulin a wɔko tia ne PCOS ntam

Abusuabɔ a emu yɛ den da polycystic ovary syndrome (PCOS), tebea bi a ɛka mmea pii, ne insulin a wɔko tia no ntam. Mmea pii a wɔwɔ PCOS nso wɔ insulin a ɛko tia. Wɔda so ara reyɛ abusuabɔ pɔtee a ɛda abien no ntam ho nhwehwɛmu.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Nhwehwɛmu biako biara nni hɔ pɔtee a ɛkyerɛ sɛnea insulin tumi ko tia. Wo duruyɛfo bɛhwɛ nneɛma ahorow a wɔaka abom de ahu tebea no.

1. Worebisabisa wo nsɛm: Wobebisa w’abusua akwahosan ho abakɔsɛm ne w’asetra kwan ho asɛm.

2. Nipadua mu nhwehwɛmu: Wɔbɛsusuw wo mu duru, wo tenten, wo BMI. Wɔbɛsusuw wo mogya mmoroso.

3. Mogya mu nhwehwɛmu: Eyinom ne nea ɛho hia sen biara.

• Fasting Plasma Glucose (FPG): Mogya mu nhwehwɛmu a wɔyɛ bere a wɔadi mmuada anyɛ yiye koraa no nnɔnhwerew 8 akyi.
• Oral Glucose Tolerance Test (OGTT): Nea edi kan no, wɔfa mmuadadi mogya, afei wɔma nsu a asikre wom ma wɔnom, na wɔsan sɔ mogya no mu nhwehwɛmu wɔ nnɔnhwerew abien akyi.
• Hemoglobin A1c (HbA1c): Eyi ma wunya adwene wɔ asikre dodow a ɛwɔ wo mogya mu wɔ asram 2-3 a atwam no mu ho.
• Lipid Panel: Ɛhwɛ srade ne triglyceride dodow a ɛwɔ mogya no mu.

Nneɛma a edidi so yi betumi aboa wo ma woahu sɛ ebia wowɔ asikreyare a edi kan anaa :

• FPG: 100-125 mg/dL na ɛwɔ hɔ
• OGTT (wɔ nnɔnhwerew 2 akyi): 140-199 mg/dL
• A1c: 5.7% - 6.4% na ɛwɔ hɔ.

Yɛbɛyɛ dɛn adi tebea yi so?

Asɛmpa no ne sɛ mpɛn pii no wobetumi asan insulin a wɔko tia no! Ade titiriw a ɛbɛma yɛatumi ayɛ saa ne sɛ yɛbɛyɛ nsakrae wɔ asetra mu. Saa nneɛma yi wɔ tumi kɛse sen nnuru.

1. Apɔw-mu-teɛteɛ

Sɛ woyɛ nnam a, wo ntini hia ahoɔden. Wɔbɛyɛ wɔn a wɔte nka kɛse wɔ insulin ho na wofi ase de glucose a ɛwɔ wo mogya mu no di dwuma. Apɔw-mu-teɛteɛ a ɛnyɛ den te sɛ nantew a ɛyɛ ntɛmntɛm simma 30 da biara, anyɛ yiye koraa no nnafua 5 dapɛn biara mpo betumi ama nsakrae kɛse aba.

2. Mu duru a ɛfata a wobɛkɔ so akura mu

Sɛ wo nipadua mu duru so tew 5% kosi 7% mpo a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya asikreyare no so kɛse. Sɛ nhwɛso no, sɛ wo mu duru yɛ kilogram 100 a, kilogram 5-7 a wobɛtew no yɛ ade kɛse. Kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu wɔ eyi ho.

3. Aduan a wɔsakra no

"Nkonyaayi" aduan pɔtee biara nni hɔ a wɔde bɛyɛ eyi, nanso ɛho hia sɛ wohu nneɛma bi.

• Nnuan a ahoɔdennuru pii wom: Nnuan te sɛ aburow a wɔayam, atoko, nhabannuru, ne nnuaba ma te nka sɛ obi ayɛ ma na ɛma asikre a ɛkɔ mogya no mu no brɛ ase.
• Nnuan a glycemic index (GI) sua: Sɛ yɛbɛka no tiawa a, eyinom yɛ nnuan a ɛmma asikre dodow nkɔ soro ntɛm wɔ mogya mu bere a wɔadi akyi.
• Didi mpɛn pii (Low-GI): Nnuadewa ne nnuaba pii, aburow a ɛyɛ bruu, chickpeas, lentils, yogurt.
• Di bere ne bere mu (Medium-GI): Abodoo a wɔde aburow ayɛ, banana, atoko.
• Tew so sɛnea wubetumi (High-GI): paanoo fitaa, aburow fitaa, keeki, bisket, anonne a ɛyɛ dɛ, ɛmo.

4. Nneɛma afoforo a ɛho hia

• Kwati sigaretnom.
• Adwennwen a wobedi so.
• Da sɛnea ɛsɛ (anyɛ yiye koraa no nnɔnhwerew 7 da biara).

Momma yensua nnuru nso ho ade: Aduru pɔtee biara nni hɔ a wɔde siw insulin ano. Nanso, sɛ asiane kɛse wom sɛ wubenya asikreyare a, ebia wo duruyɛfo bɛkyerɛw aduru bi te sɛ Metformin . Nanso oduruyɛfo nkutoo na obetumi asi gyinae.