So wo nso wowɔ Asikreyare a Ɛto so Abien? Momma yɛnka ho asɛm tiawa.

So wo nso wote nka sɛ woabrɛ bere nyinaa, sukɔm de wo? Anaasɛ ɛsɛ sɛ wotaa tow wo ho? Ebia wubesusuw sɛ eyinom yɛ nneɛma a ɛfata. Nanso, eyinom betumi ayɛ nsakrae kɛse bi a ɛrekɔ so wɔ yɛn nipadua mu, a ɛne Asikreyare a Ɛto so Abien no ho sɛnkyerɛnne. Mma ɛnhaw wo, eyi yɛ tebea a abu so kɛse wɔ yɛn mu wɔ Sri Lanka. Momma yɛnka eyi ho asɛm tiawa na yɛmfa adamfofa kwan so nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne Asikreyare a Ɛto so Abien?

Eyi yɛ tebea a ɛkɔ so wɔ wo nkwa nna nyinaa mu, nanso sɛ wodi ho dwuma yiye a, biribiara nsiw wo kwan sɛ wobɛtra ase a ɛfata koraa, na apɔwmuden wom.

Susuw ho saa kwan yi so, hormone bi wɔ yɛn nipadua mu a ɛboa nkwammoaa no ma asikre (glucose) a ɛwɔ aduan a yedi mu no dan ahoɔden, na wɔfrɛ no insulin . Akwaa bi a wɔfrɛ no yɛn dwensɔtwaa na ɛyɛ insulin yi. Wɔ asikreyare a ɛto so abien mu no, nneɛma atitiriw abien na ɛba:

1. Insulin a ɛko tia: Ɛwom sɛ wo nipadua no yɛ insulin de, nanso wo nkwammoaa no ntumi nyɛ ho hwee yiye. Ɛte sɛ nea safe bi wɔ hɔ, nanso safe no akɔhyɛ w’anom. Enti asikre a ɛwɔ wo mogya mu no ntumi nkɔ wo nkwammoaa mu na ɛdɔɔso wɔ wo mogya mu.

2. Insulin a ɛnnɔɔso: Bere kɔ so no, insulin a ɛko tia yi ma dwensɔtwaa no yɛ adwumaden na ɛma insulin pii. Bere bi akyi no, dwensɔtwaa no "brɛ" na entumi nyɛ insulin a ɛdɔɔso.

Bere bi a atwam no, na wɔfrɛ eyi sɛ “asikreyare a efi ase wɔ mpanyimfo mu.” Nanso ɛnnɛ, titiriw esiane mmofra a wɔyɛ kɛse mmoroso nti, saa tebea yi betumi aba mmerante ne mmabaa, mmofra nkumaa mpo mu.

So wo nso wowɔ saa sɛnkyerɛnne ahorow yi? Hwɛ.

Ɛtɔ mmere bi a asikreyare a ɛto so abien ho sɛnkyerɛnne yɛ anifere kɛse. Ɛno nti na nnipa binom nnim mpo sɛ wɔwɔ asikreyare no. Hwɛ saa sɛnkyerɛnne ahorow yi yiye.

Dɛn ne nneɛma a ɛde asikreyare a ɛto so abien ba ne nneɛma a ɛde asiane ba?

Biribiara nni hɔ a ɛde eyi ba. Nneɛma ahorow a wɔaka abom na ɛde ba. Sɛ wowɔ asiane ahorow yi pii a, ɛda adi sɛ wubenya asikreyare.

Nneɛma a wuntumi nsakra

• Mfeɛ:Asiane no yɛ kɛse sɛ woadi boro mfe 45 a.
• Abusua abakɔsɛm: Sɛ wo maame, wo papa, wo nuabarima, anaa wo nuabea wɔ asikreyare a, wo nso wowɔ asiane kɛse mu.
• Awosu mu nkwaadɔm: Awosu mu nkɛntɛnso ahorow bi betumi asiw insulin a wɔyɛ ne ne dwumadi kwan.

Nneɛma a wubetumi asesa (eyinom ne nea ɛho hia sen biara!) .

• Mu duru boro so anaa kɛseyɛ mmoroso: Dodow a wo mu duru dɔɔso no, dodow no ara na asiane a ɛwɔ hɔ sɛ wubenya insulin a ɛko tia no yɛ kɛse.
• Apɔw-mu-teɛteɛ a wɔnyɛ: Apɔw-mu-teɛteɛ a wɔnyɛ no ma obi nya asikreyare.
• Mogya Nhyɛso: Sɛ wɔde nnuru siw ano mpo a, mogya mmoroso yɛ ade a ɛde asiane ba.
• Cholesterol dodow: Cholesterol "pa" (HDL) dodow a ɛso tew wɔ mogya mu na triglycerides dodow a ɛkɔ soro.
• Aduandi: Nnuan a asikre, ngo, ne esiam pii wom a wɔtaa di.
• Sigaretnom.
• Adwennwen ne nna a wonnya.

Akwahosan tebea afoforo

• Asikreyare a edi kan: Tebea a asikre dodow a ɛwɔ mogya mu no dɔɔso sen sɛnea ɛte daa, nanso ɛnnɔɔso sɛnea ɛbɛyɛ a wobebu no sɛ asikreyare. Eyi te sɛ kɔkɔbɔ a etwa to.
• Nyinsɛn mu Asikreyare: Sɛ wunya asikreyare bere a wonyinsɛn a, asiane kɛse wom sɛ wubenya asikreyare a ɛto so abien akyiri yi.
• Polycystic Ovary Syndrome (PCOS): Saa tebea yi a ɛtaa ba mmea mu no nso ne insulin a wɔko tia no wɔ abusuabɔ.

Ɔkwan bɛn so na wohu asikreyare pɛpɛɛpɛ?

Sɛ wowɔ atifi hɔ sɛnkyerɛnne anaa nneɛma a ɛde asiane ba a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔyɛ wo mogya mu nhwehwɛmu. Mpɛn pii no, nhwehwɛmu no gye nna abien na ama wɔahu sɛ obi anya yare no.

• A1c nhwehwɛmu: Eyi kyerɛ asikre dodow a ɛwɔ wo mogya mu wɔ asram 2-3 a atwam no mu. Eyi ne sɔhwɛ a wɔtaa de di dwuma.
• Fasting Plasma Glucose (FPG): Eyi yɛ mogya mu nhwehwɛmu a wɔyɛ bere a wɔadi mmuadadi akyi (wɔnni biribiara bɛyɛ nnɔnhwerew 8, wɔnom nsu nkutoo).
• Oral Glucose Tolerance Test (OGTT): Wɔ sɔhwɛ yi mu no, wodi kan fa mogya bere a wɔadi mmuada, afei wɔma anonne a asikre wom, na wɔsan fa mogya nnɔnhwerew abien akyi de hwɛ sɛnea nipadua no yɛ n’ade wɔ asikre no ho.

Ayaresa ne Nneɛma a Wɔde Di Dwuma: Eyi ne ɔkwan a yɛfa so di eyi so nkonim!

Asikreyare a ɛto so abien a wobedi ho dwuma no yɛ asetra mu nsakrae ne sɛ ɛho hia a, nnuru a wɔde ka bom.

1. Asetra mu nsakrae (eyi ne fapem!) .

Ebia wubetumi adi asikre dodow a ɛwɔ wo mogya mu no so a wunnom nnuru, denam asetra mu nsakrae a wobɛyɛ ara kwa so.

• Aduan a ahoɔden wom:
• Tew calories a ɛwɔ nipadua mu no so:Di aduan dodow a wudi so. Ma yɛn aburow kuruwa no nyɛ ketewaa kakra na fa nhabannuru, nhabannuru, ne nnuaba hyɛ mu ma.
• Tew nnɔkɔnnɔkɔwade ne esiam so: Tow nneɛma te sɛ asikre, anonne a ɛyɛ dɛ, keeki, bisket, ne paanoo ano hye sɛnea wubetumi biara.
• Nnuan a ahoɔdennuru wom: Di nnuaba, nhabannuru, aburow a wɔayam, oats, ne nnuaba pii.
• Dwumadie:
• Yɛ biribi te sɛ nantew a ɛyɛ ntɛmntɛm, sakre so a wobɛtra, anaa asuguare anyɛ yiye koraa no simma 30 da biara.
• Nea ɛka eyi ho no, ɛbɛyɛ papa sɛ wubetumi de nna kakraa bi apɔw-mu-teɛteɛ a ɛma ahoɔden te sɛ yoga ne mu duru a wɔma so aka ho dapɛn biara.
• Mu duru a wɔtew so:
• Sɛ wo nipadua mu duru so tew 5% - 7% mpo a, ebetumi anya nkɛntɛnso pa kɛse wɔ asikre dodow, srade, ne mogya mmoroso so.

2. Nnuru a wɔde ma

Sɛ asetra mu nsakrae nkutoo ntumi nni asikre dodow a ɛwɔ wo mogya mu no so a, wo duruyɛfo bɛkyerɛw nnuru ama wo.

Nnuru a wɔtaa de di dwuma no bi:

• Metformin: Mpɛn pii no, eyi ne aduru a edi kan a wɔkyerɛw ma. Ɛtew asikre a mmerɛbo no yɛ so na ɛboa ma nipadua no yɛ n’ade yiye wɔ insulin ho.
• Sulfonylureas: Eyinom boa nipadua no ma ɛyɛ insulin pii.
• DPP-4 inhibitors, SGLT2 inhibitors, GLP-1 receptor agonists: Eyinom yɛ nnuru foforo na ɛboa ma wɔhwɛ asikre dodow a ɛwɔ mogya mu so wɔ akwan horow so.
• Insulin: Wɔ tebea horow bi mu no, sɛ nnuru afoforo nnɔɔso a, ebia ɛho behia sɛ wɔde insulin gu nipadua no mu. Eyi nyɛ asikreyare awiei, na mmom anammɔn foforo a wɔfa so di ne so ara kwa.

Momma yensiw nsɛnnennen a asikreyare de ba no ano.

Dɛn nti na yɛyere yɛn ho saa de si asikreyare ano? Efisɛ asikre dodow a ɛkɔ soro wɔ mogya mu bere tenten no betumi asɛe yɛn nipadua mu akwaa ahorow a ɛho hia.

• Koma ne mogya ntini: Asiane a ɛwɔ hɔ sɛ obi benya komayare ne akisikuru no yɛ mmɔho abien.
• Asaabo: Asiane wɔ hɔ sɛ asaabo bɛsɛe na adi nkogu.
• Aniwa: Mogya ntini a ɛwɔ aniwa no mu no betumi asɛe na mpo ama obi ntumi nhu ade yiye (Diabetic Retinopathy).
• Ntini: Sɛ ntini no sɛe a, ebetumi ama akwaa no ayɛ mmerɛw na wanya aduan mu haw (Diabetic Neuropathy).
• Anan: Esiane mogya a ɛkɔ nipadua no mu a ɛso tew ne ntini ahorow a ɛsɛe nti, hokwan kɛse wɔ hɔ sɛ akuru a ɛwɔ nan ho no rensa na ebetumi anya ɔyare mmoawa.

Nsuro eyinom mu biara. Sɛ wudi wo asikreyare so yiye a, wubetumi asiw ɔhaw ahorow yi pii ano. Nneɛma bi a wubetumi ayɛ ni:

• Nnuru a wɔnom wɔ bere ano.
• Aduan pa a wobɛkɔ so akura mu.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa.
• Hwɛ asikre dodow a ɛwɔ wo mogya mu daa sɛnea wo duruyɛfo kyerɛ no.
• Hwɛ w’ani, w’asaabo, ne wo nan daa sɛnea wo duruyɛfo de afotu ma no.