Sɛ wowɔ asikreyare a, atiridii ketewaa bi mpo betumi ayɛ nea ɛhaw wo. Adɛn? Yare biara te sɛ atiridiinini, atiridiinini, yafunu mu yaw, anaa ɔfe betumi ama asikre dodow a ɛwɔ wo mogya mu no akɔ soro. Ɛnyɛ ɛno nko, na mmom sɛ wunya ɔyare mmoawa a, ebetumi aba nso. Sɛ yɛn nipadua no reko atia yare bi a, ɛma hormone ahorow fi adi esiane adwennwen nti, na ɛno betumi ama asikre dodow a ɛwɔ mogya mu no akɔ soro. Enti, mmere a ɛte sɛ eyinom mu no, ɛsɛ sɛ yɛhwɛ yiye wɔ asikre a ɛwɔ yɛn mogya mu ho sen sɛnea yɛtaa yɛ no.
Sɛ woyare a, dɛn na ɛsɛ sɛ woyɛ?
Mma wo ho nnpopo bere a woyare no. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi saa nneɛma yi akyi na ama woadi wo asikreyare so. Yɛsan frɛ eyi "yare da nhyehyɛe." Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa na woadi kan ayɛ nhyehyɛe a ɛte saa.
- Hwɛ asikre a ɛwɔ wo mogya mu daa: Hwɛ asikre dodow a ɛwɔ wo mogya mu nnɔnhwerew 4 biara . Eyi bɛboa wo ma woate ase sɛ ebia asikre dodow a wowɔ no rekɔ soro, ɛrekɔ fam, anaasɛ ɛda so ara yɛ nea ɛfata.
- Hwɛ yiye wɔ ketones ho: Sɛ wowɔ Asikreyare a Ɛto so 1 na asikre dodow a ɛwɔ wo mogya mu boro 240mg/dL, anaasɛ wo duruyɛfo tu wo fo sɛ yɛ saa a, ɛsɛ sɛ wo nso wohwɛ wo nsu mu sɛ ketones anaa. Sɛ yɛbɛka no tiawa a, ketones yɛ ade a wɔsɛe no a ɛba bere a yɛn nipadua ntumi mfa glucose nni dwuma mma ahoɔden na mmom ɛhyew srade mfa nnya ahoɔden no. Eyi betumi asi wɔ mmere a adwennwen te sɛ yare mu. Sɛ wuhu sɛ ketones wɔ wo nsu mu a, frɛ wo duruyɛfo ntɛm ara. Ɛdenam wo tebea so no, wobetumi de wo akɔ Emergency Department (ETU).
- Hwɛ wo hyew: Hwɛ wo hyew mpɛn pii da biara. Atiridii yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu.
- Nom nsu pii: Sɛ wuntumi nni nnuan a ɛyɛ den a, nom nsu pii. Nea ɛbɛyɛ na nsu atɔ wo mu no, anyɛ yiye koraa no, ɛsɛ sɛ wonom nsu kuruwa biako dɔnhwerew biara a wobɛda no. Eyi ho hia titiriw sɛ wofe anaasɛ wo yafunu ayɛ wo yaw a. Sɛ wuntumi mma nsu no nkɔ fam a, ebia ɛho behia sɛ wɔde wo kɔ ayaresabea anaasɛ wokɔ ETU.
Ade a ɛho hia sen biara ne sɛ wobɛma nsu a ɛwɔ wo nipadua mu. Nsu a wɔnom, nkyene akutu, Jeevani, ne soup broth nyinaa ye.
- Nnyae insulin nom: Eyi yɛ mfomso a nnipa pii di. Sɛ wuntumi nni nnuan a ɛyɛ den mpo a, nnyae wo insulin nonom.Sɛ woyare a, asikre a ɛwɔ wo mogya mu betumi akɔ soro esiane adwennwen a ɛwɔ wo nipadua so nti, enti ebia wubehia insulin. Nanso, wo ne wo duruyɛfo nkasa mfa sɛnea wobɛsesa insulin dodow a wode di dwuma no ho. Ebia ebehia sɛ wudi anaa wonom biribi a asikre wom na amma asikre a ɛba wo mogya mu no ankɔ fam.
- Hwɛ yiye wɔ nnuru a wɔnom ho: Sɛ wowɔ Asikreyare a Ɛto so Abien a, ebia ebehia sɛ wugyae nnuru bi a wɔnom (e.g., Metformin) bere a woyare no. Sɛ wunnim nea wobɛyɛ a, hwɛ hu sɛ wubebisa wo duruyɛfo.
- Sɛ worenom nnuru afoforo a: Sɛ ɛho hia sɛ wotɔ aduru bi fi nnurutɔnbea hɔ na ama woatumi asiw yare no ho sɛnkyerɛnne te sɛ ɔfe ne akisikuru ano a, ebia asikre wom. Enti, bisa wo duruyɛfo nneɛma a asikre nnim ho asɛm.
Sɛ woyare a, dɛn na ɛsɛ sɛ wudi?
Mma nntwa adidi so efisɛ ɛyɛ den sɛ wubedi. Sɛ woyɛ saa a, wubetumi akowie sɛ asikre a ɛwɔ wo mogya mu no so atew mpofirim (hypoglycemia), a ebetumi ayɛ ɔhaw. Enti, di biribi a ɛnyɛ den sɛ wubedi, ɛnyɛ nea ɛyɛ nnuhwam dodo, na ɛnyɛ den ma yafunu. Fa yɛ wo botae sɛ wubedi carbohydrates bɛyɛ gram 30-50 nnɔnhwerew 3-4 biara . Eyi bɛma wo nipadua no anya ahoɔden a ehia, agyae ketones a ɛba no, na asikre a ɛwɔ wo mogya mu no ankɔ fam dodo.
Sɛ worehyia ɔhaw wɔ adidi ho a, sɔ eyinom hwɛ. Wɔn mu biara wɔ carbohydrates bɛyɛ gram 15.
| Aduan/anomde ahorow | Nea ɛne carbohydrates gram 15 yɛ pɛ |
|---|---|
| Gelatin a wɔde di dwuma daa | 1/2 kuruwa |
| Nsã a ɛyɛ dɛ a wɔnom daa (e.g. Sprite) . | 1/2 kuruwa |
| Popsicle a wɔde bɔ nnwom | 1/2 a |
| Applesauce a wɔanhyɛ mu dɛ | 1/2 kuruwa |
| Apɔw-mu-teɛteɛ nsu | 1/3 kuruwa |
| Agumadi mu Nsã (e.g. Gatorade) . | 1/2 kuruwa |
Nea ɛka ho no, wubetumi anom nsu a calorie nnim (sɛ nhwɛso no, nsu, diet soda, ne soup broth a nkyene nnim) na ama wo nipadua no mu nsu akɔ so ayɛ kɛse.
Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no?
Ɛtɔ mmere bi a, ebetumi ayɛ den sɛ wubefi fie adi saa nneɛma yi ho dwuma. Sɛ wowɔ tebea horow a edidi so yi mu biara a, wo ne wo duruyɛfo nkasa a ɛnkyɛ. W’akwahosan ne ade a ɛho hia sen biara.
| Feature a ɛsɛ sɛ wode w’adwene si so | Nkyerɛmu |
|---|---|
| Asikre dodow a ɛwɔ mogya mu a wontumi nni so | Asikre a ɛwɔ wo mogya mu no boro 180 mg/dL anaasɛ ɛba fam sen 70 mg/dL bere nyinaa. |
| Nsu anaa aduan a wontumi mfa nkɔ fam | Nnɔnhwerew pii a wobɛkɔ so afe anaasɛ wuntumi mma biribiara nkɔ fam. |
| Atiridiinini a emu yɛ den | Nipadua mu hyew boro Fahrenheit 101 (101°F) anaa Celsius 38.3 (38.3°C). |
| Ɔfe anaa akisikuru | Ɔfe anaa akisikuru a ɛkɔ so (ɔfe) bɛboro nnɔnhwerew 6. |
| Ketones a ɛwɔ hɔ | Ketones a wobehu wɔ nsu mu nhwehwɛmu mu. |
Nkrasɛm a Wɔde Kɔ Fie
- Obi a ɔwɔ asikreyare betumi anya mogya mu asikre dodow a ɛkɔ soro mpofirim wɔ yare biara a ɛtaa ba no mu.
- Sɛ woyare a, hwɛ asikre a ɛwɔ wo mogya mu nnɔnhwerew 4 biara na yɛ ho kyerɛwtohɔ.
- Nom nsu pii (nsu, soup, akutu a nkyene wom) sɛnea wubetumi na amma wo ho atɔ wo.
- Nnyae insulin a wobɛnom da a wunnyaa wo duruyɛfo afotu.
- Sɛ wofe, wo ho yɛ wo hyew kɛse, wo ho yɛ wo yaw bere nyinaa, anaasɛ wo mogya mu asikre dodow a wuntumi nhyɛ so a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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