Wɔ amanneɛbɔ a ɛfa mogya mu nhwehwɛmu bi a woyɛɛ wo nnansa yi ho no, so oduruyɛfo no ka kyerɛɛ wo sɛ " wo asikre akɔ soro kakra, ennya nnyaa asikreyare , nanso ɛwɔ borderline level"? Anaasɛ woate biribi a ɛte saa pɛn? Nokwarem no, saa ‘borderline’ tebea yi ne nea yɛfrɛ no wɔ aduruyɛ mu ` Prediabetes `. Eyi te sɛ kɔkɔbɔ sɛnkyerɛnne ketewaa bi a ɛba ansa na asikreyare ho haw kɛse no aba. Enti, momma yɛnka biribiara ho asɛm tiawa koraa nnɛ.
Dɛn ne asikreyare a edi kan?
Sɛ yɛbɛka no tiawa a, `Prediabetes` yɛ mfinimfini fã a wo mogya mu asikre dodow kɔ soro sen sɛnea ɛte daa, nanso ɛnkɔ soro sɛnea ɛbɛyɛ a wɔbɛfrɛ no asikreyare. Ɛte sɛ kanea kɔkɔɔ a ɛwɔ kar kanea so. Ɛnyɛ kanea kɔkɔɔ a ɛsɛ sɛ wugyina, na ɛnyɛ kanea a ɛyɛ ahabammono a ɛsɛ sɛ wokɔ. Nanso ɛyɛ kɔkɔbɔ sɛ ɛreyɛ ayɛ kɔkɔɔ.
Ɛkame ayɛ sɛ obiara a onya Asikreyare a Ɛto so 2 no fa tebea bi a wɔfrɛ no ‘Prediabetes’ mu. Nanso adeɛ a ɛyɛ hu ne sɛ nnipa bɛboro 80% a wɔwɔ saa tebea yi no nnim mpo sɛ wɔwɔ bi. Ɛte saa efisɛ mpɛn pii no ɛmma obi nnya yare no ho sɛnkyerɛnne biara.
Nanso asɛmpa no ne sɛ, sɛ wuhu na woyɛ ho biribi bere a wowɔ asikreyare a edi kan no a, wubetumi asiw asikreyare a ɛto so abien no ano anaasɛ wobɛtwentwɛn so. Wubetumi nso akwati nsɛnnennen a emu yɛ den te sɛ komayare, mogya ntini mu haw, ne w’ani ne w’asaabo a ɛsɛe. Wo duruyɛfo betumi afrɛ saa tebea yi nso sɛ Impaired Glucose Tolerance (IGT) anaa Impaired Fasting Glucose (IFG).
So asikreyare a edi kan nso wɔ sɛnkyerɛnne ahorow?
Ɛwom sɛ nnipa dodow no ara nni sɛnkyerɛnne biara de, nanso ɛtɔ mmere bi a wubetumi anya nneɛma te sɛ:
- Sukɔm a wɔte nka kɛse sen sɛnea ɔtaa yɛ.
- Ɛho hia sɛ wɔtaa tow nsu .
- M’aniso te sɛ nea ɛyɛ mmerɛw kakra .
- Ɔbrɛ a wɔte nka kɛse sen sɛnea ɔtaa yɛ.
- Wora a ɛwɔ abasa anaa kɔn mu no ayɛ tuntum na ayɛ den .
- Honam ani nsensanee nketenkete paa ayɛ wɔ saa mmeae koro no ara.
Su ahorow a ɛfa mmea ho pɔtee
Ɛtɔ mmere bi a mmea betumi anya sɛnkyerɛnne afoforo aka tebea yi ho. Nhwɛsoɔ:
- Mmɔkaw a wɔtaa nya anaasɛ nsu mu yare (UTIs).
- Brayɛ a ɛnkɔ so daa anaasɛ mogya a ɛtɔ kɛse.
- Ɔbarima ne ɔbea nna ho anigye a ɛso tew.
- Ɛyɛ den sɛ wubenyinsɛn.
Dɛn nti na yenya asikreyare a edi kan?
Ade titiriw nti a eyi ba ne tebea bi a wɔfrɛ no `Insulin Resistance.` Afei ma yɛnhwɛ nea ɛyɛ.
Aduan a yedi, titiriw carbohydrates ( starches ) de asikre (glucose) ka yɛn mogya ho. Sɛnea ɛbɛyɛ a yɛn nipadua mu nkwammoaa betumi de asikre yi adi dwuma sɛ ahoɔden no, hormone bi a wɔfrɛ no `Insulin` ho hia. `Insulin` te sɛ safe a ebue nkwammoaa apon na ɛma asikre no kɔ mu.
`Insulin Resistance` kyerɛ sɛ ɛwom sɛ yɛn nipadua no yɛ `Insulin` de, nanso yɛn nkwammoaa no nyɛ wɔn ade yiye wɔ saa `Insulin` no ho. Ɛte sɛ nea safe no ntumi mmue ɔpon no. Dɛn na ɛba saa bere no? Asikre ntumi nkɔ nkwammoaa no mu na ɛboaboa ano wɔ mogya no mu. Eyi ne sɛnea `Prediabetes` ba bere a asikre dodow kɔ soro wɔ mogya mu no.
Nneɛma pii wɔ hɔ a ebetumi de saa `Insulin Resistance` tebea yi aba:
- Awosu mu nkɛntɛnso fi awo ntoatoaso so kɔ awo ntoatoaso so .
- Nipadua mu duru a ɛboro so , titiriw srade a ɛboaboa ano wɔ yafunu no mu.
- Adwennwen a ɛtra hɔ kyɛ .
- Dae a ɛnnɔɔso .
- Ɛnyɛ apɔw-mu-teɛteɛ .
- Nnuan a wɔayɛ, anonne a ɛyɛ dɛ, ne nnuan a srade wom a wɔnom boro so.
- Tebea ahorow bi a ɛfa hormone ho te sɛ PCOS (Polycystic Ovary Syndrome).
Wobɛyɛ dɛn ahu sɛ wowɔ asikreyare a edi kan anaa?
Nea ɛbɛyɛ na woasi eyi so dua no, ɛda adi sɛ wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii. Saa pon yi bɛboa wo ma woate sɔhwɛ ahorow yi ne nea efi mu ba no ase.
| Sɔhwɛ Edin | Normal Range a Ɛyɛ Fɛ | Prediabetes dodow a obi anya | Asikreyare dodow |
|---|---|---|---|
| Mogya mu Asikre a Wɔde Di Dwumadi (FBS) . (Sɔhwɛ a wɔyɛ wɔ nnɔnhwerew 8 a wɔde adi mmuada akyi) | Ennu 100 mg/dL | 100 - 125 mg/dL na ɛyɛ adwuma | 126 mg/dL anaa nea ɛboro saa |
| Glucose a Wɔde Ma Anom Ho Nhwehwɛmu (OGTT) . (Nsɔhwɛ a wɔyɛ no nnɔnhwerew 2 bere a wɔanom glucose anonne akyi) | Ennu 140 mg/dL | 140 - 199 mg/dL na ɛyɛ adwuma | 200 mg/dL anaa nea ɛboro saa |
| HbA1c Nhwehwɛmu (Sɔhwɛ a ɛkyerɛ sɛ asikre dodow a ɛwɔ asram 2-3 a atwam no mu) | 5.6% anaa nea ennu saa | 5.7% - 6.4% na ɛwɔ hɔ. | 6.5% anaa nea ɛboro saa |
Nea ɛho hia: Sɛ nea efi nhwehwɛmu yi mu biako mu ba no san ba sɛ `Prediabetes` a, wo duruyɛfo betumi akamfo nhwehwɛmu foforo akyerɛ de asi so dua.
Dɛn na ɛsɛ sɛ yɛyɛ na yɛatumi afi tebea yi mu?
Asɛmpa no ne sɛ asikreyare a edi kan no yɛ tebea a wotumi sesa. Nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu no betumi ama nsakrae kɛse aba.
1. Aduan a ahoɔden wom
"Adidi" pɔtee biara nni hɔ a ɛfa eyi ho. Nanso bɔ mmɔden sɛ wode nsakrae a ɛnyɛ den yi bɛka w’asetra ho:
- Sɛ́ anka wubedi nnuan a wɔde esiam fitaa te sɛ paanoo, aburow, ne noodles ayɛ no, bɔ mmɔden sɛ wubedi nnuan a wɔde aburow a wɔayam te sɛ aburow a ɛyɛ bruu, buckwheat, oats, ne aburow a ɛyɛ bruu ayɛ .
- Nom nsu, tii, ne kɔfe (a asikre nnim) sen sɛ wobɛnom anonne a ɛyɛ dɛ ne nnuaba mu nsu .
- Sɛ́ anka wubedi nam kɔkɔɔ (nantwinam, mprako nam) ne nam a wɔayɛ ho adwuma te sɛ soseji , di mpataa, akokɔnam, nnuaba, ne atoko .
- Sɛ́ anka wode deep-frying , tow/roast anaa noa nnuan.
- Tew ɔfã no kɛse so kakra na fa nhabannuru ne nnuaba pii ka ho.
2. Yɛ apɔw-mu-teɛteɛ daa
Sɛ woteɛteɛ w’apɔw mu a, wo ntini hia ahoɔden. Wɔde asikre a ɛwɔ wo mogya mu na ɛyɛ saa. Enti apɔw-mu-teɛteɛ ma asikre dodow a ɛwɔ wo mogya mu no so tew. Anyɛ yiye koraa no, simma 150 dapɛn biaraYɛ biribi te sɛ nantew a ɛyɛ ntɛmntɛm, sakre so a wobɛtra, anaa asuguare (e.g., simma 30 da biara, nnafua 5 dapɛn biara).
3. Nipadua mu duru a wɔbɛhwɛ so
Sɛ wo mu duru boro so a, sɛ wo so tew wo nipadua mu duru 5% - 10% pɛ a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya asikreyare no so bɛboro 50%.
4. Kwati sigaretnom na di nsanom so
Sigaretnom ma insulin a wɔko tia no yɛ kɛse. Enti sɛ wonom sigaret a, hwehwɛ mmoa na ama woagyae. Ɛho hia nso sɛ wobɛtew nsa a wobɛnom so.
5. Aduruyɛ mu afotu a wubedi akyi
Wɔ nnipa binom fam no, nea ɛka asetra mu nsakrae ho no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wubefi ase anom aduru te sɛ Metformin (Glucophage). Mma w’ankasa mfi ase anaasɛ nnyae nnuru nom da. Bere nyinaa wo ne wo duruyɛfo nkasa ansa na woasi gyinae biara.
Nkrasɛm a Wɔde Kɔ Fie
- `Prediabetes` yɛ kɔkɔbɔ sɛnkyerɛnne a anibere wom a edi asikreyare anim. Mfa no adewa.
- Eyi yɛ tebea a ɛkame ayɛ sɛ wotumi dannan no koraa. Woda so ara wɔ hokwan sɛ wubesiw asikreyare ano.
- Nnuru atitiriw a wode di dwuma ne: aduan pa, apɔw-mu-teɛteɛ, ne wo mu duru a wobɛhwɛ so .
- Sɛ wunni sɛnkyerɛnne biara mpo a, sɛ wowɔ asiane mu sɛ wubenya asikreyare (sɛ obi wɔ w’abusua mu, sɛ wo mu duru boro so a), hwɛ asikre dodow a ɛwɔ wo mogya mu daa.
- Nsuro eyi. Wo ne wo duruyɛfo nkasa na fi ase yɛ nsakrae nnɛ. Ɛbɛyɛ sika a eye sen biara a wubetumi de ahyɛ wo ho mu.
Asikreyare a edi kan, Asikreyare, Asikre dodow, Insulin a ɛko tia, Mogya mu asikre, HbA1c, Asikreyare ho Nsɛnkyerɛnne
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