Nukae nye sukli? Aleke wòdo ƒome kple suklidɔ?

Ne èle nu ƒom tso suklidɔ ŋu la, ɖewohĩ èsea nya siwo nye ‘Ʋu Sukli’ alo ‘Glucose’ ɣesiaɣi, alo? Ele vevie ŋutɔ be míanya nusi tututu sukli nye, ŋusẽtsoƒe na míaƒe ŋutilã tso nuɖuɖu siwo míeɖuna me, vevietɔ ne suklidɔ le ŋuwò alo suklidɔ le afɔku me. Eyata egbea, mina míaƒo nu tso eŋu kpuie, A vaseɖe Z.

Nukae nye Glucose kple Insulin?

Kpuie ko la, sukli nye sukli ƒomevi aɖe . Míekpɔnɛ tso nuɖuɖu siwo míeɖuna me, vevietɔ nuɖuɖu siwo me carbohydrates sɔ gbɔ ɖo. Míaƒe ŋutilã zãa sukli sia tsɔ naa ŋusẽ lãmenugbagbeviawo. Ne sukli sia zɔ mɔ to ʋua me la, míeyɔnae be "ʋu me sukli" alo 'ʋu me sukli'.

Fifia afisiae insulin ƒe akpa si wòwɔna le.Insulin nye lãmetsi aɖe si wowɔna le míaƒe dɔgbo me. Abe safui ene la, insulin siae ʋua míaƒe ŋutilã ƒe lãmenugbagbeviwo eye wòkpena ɖe sukli si le ʋua me ŋu wògena ɖe lãmenugbagbevi mawo me hewɔa ŋusẽ.

Ne wokpɔ Suklidɔ le ŋuwò la, efia be sukli si le wò ʋu me sɔ gbɔ wu alesi wòle dzɔdzɔmee. Susu eve li siwo tae wòle alea ɖo:

1. Wò ŋutilã mewɔa insulin si sɔ be wòatsɔ sukli si le ʋua me ayi lãmenugbagbeviwo me o.

2. Alo, togbɔ be insulin le eme hã la, wò ŋutilã ƒe lãmenugbagbeviwo mewɔa nu ɖe ​​eŋu nyuie o (Insulin Resistance).

Aleke míewɔna be sukli nage ɖe míaƒe ŋutilã me?

Sukli le nuɖuɖu siwo míeɖuna dometɔ geɖe me, vevietɔ esiwo me carbohydrates sɔ gbɔ ɖo abe abolo, bli, mɔli, kple atikutsetse ene. Ne míeɖu nu vɔ la, nuɖuɖua yia dɔgboa me eye enzyme kple acid mãnɛ ɖe akpa suewo me. Dɔwɔwɔ sia ɖea sukli si le lãme na ame la dona.

Emegbe, sukli sia yia dɔgboa me eye wògena ɖe ʋua me. Ɣemaɣie lãmetsi si nye insulin gena ɖe eme eye wòkpena ɖe ame ŋu wòɖoa sukli sia ɖe lãmenugbagbeviwo me.

Ŋusẽ kple nudzraɖoƒe: Nukae dzɔna ɖe sukli si le ŋutilãa me dzi?

Wotrɔ asi le míaƒe ŋutilã ŋu be sukli nanɔ ʋua me ɣesiaɣi. Ne sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi le nuɖuɖu vɔ megbe la, lãmenugbagbevi tɔxɛwo (beta cells) siwo le dɔgboa me wɔa insulin. Insulin sia ʋua ʋɔtru be sukli nage ɖe lãmeka, ami, kple aklã me lãmenugbagbeviwo me.

Ahɔhɔ̃a ƒe mɔ̃memi vevitɔ

Togbɔ be lãmenugbagbevi akpa gãtɔ siwo le míaƒe ŋutilã me zãa sukli, amino acid (siwo nye proteinwo ƒe xɔtunu), kple ami hena ŋusẽ hã la, míaƒe ahɔhɔ̃ ƒe mɔ̃memi vevitɔe nye sukli.Glucose le vevie ŋutɔ na nyatakaka siwo woatsɔ awɔ dɔ tso lãmekawo ƒe lãmenugbagbeviwo kple atikewo ƒe dɔlawo ŋu le ahɔhɔ̃a me. Sukli manɔmee la, míaƒe ahɔhɔ̃ mate ŋu awɔ dɔ nyuie o.

Ŋusẽ si sɔ gbɔ wu dzadzraɖo

Ne ŋutilãa zã ŋusẽ si hiã vɔ la, sukli si susɔ la dzrana ɖo ɖe aklã kple lãmekawo me abe babla sue siwo woyɔna be glycogen ene . Míaƒe ŋutilã ate ŋu adzra ŋusẽ si wòhiã na ŋkeke ɖeka ɖo le mɔ sia nu.

Tsɔe be gaƒoƒo ʋɛ aɖewoe nye esia mèɖu nu o. Wò ʋumesukli ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Le ɣeyiɣi ma me la, dɔgboa dzudzɔa insulin wɔwɔ eye wòdzea lãmetsi bubu si woyɔna be glucagon wɔwɔ gɔme. Glucagon sia naa dzesi aklãa be wòatrɔ glycogen si wodzra ɖo la wòagazu sukli. Emegbe sukli ma gena ɖe ʋukawo me, si naa ŋusẽ ŋutilãa vaseɖe esime nàgaɖu nu ake.

Ʋumesukli Kple Suklidɔ

Esɔ be sukli ƒe agbɔsɔsɔ le ʋu me nadzi ɖe edzi le nuɖuɖu vɔ megbe eye emegbe wòagaɖiɖi le gaƒoƒo ʋɛ aɖewo megbe. Ele be ame si le lãmesẽ me ƒe sukli si le ʋu me le nutsitsidɔ me nade 100 mg/dL.

Gake ne suklidɔ le ŋuwò la, wò ŋutilã mate ŋu awɔ dɔ tso esia ŋu nyuie o.

Suklidɔ ƒomevi vevi eve li:

• Suklidɔ Ƒomevi 1: Le suklidɔ sia ƒomevi me la, ŋutilã ƒe dɔlélenutsiŋutete gblẽa lãmenugbagbevi siwo wɔa insulin le dɔgboa me la vodadatɔe, si wɔnɛ be ŋutilãa mewɔa insulin si sɔ o.
• Suklidɔ Ƒomevi 2: Le nɔnɔme sia me la, ŋutilãa ƒe lãmenugbagbeviwo mewɔa nu ɖe ​​insulin ŋu nyuie o. Esia wɔe be ele be dɔgboa nawɔ insulin geɖe wu be sukli nate ŋu age ɖe lãmenugbagbeviwo me. Le ɣeyiɣi aɖe megbe la, dɔgboa ate ŋu agbɔdzɔ eye mate ŋu awɔ insulin si sɔ o.

Ne insulin mesɔ gbɔ o la, sukli ƒoa ƒu ɖe ʋua me le esi teƒe be wòage ɖe lãmenugbagbeviwo me. Woyɔa suklidɔ si sɔ gbɔ wu 200 mg/dL le ʋu me le gaƒoƒo 2 le nuɖuɖu vɔ megbe alo wu 125 mg/dL ne wotsi nu dɔ .

Aleke woadzidze sukli ƒe agbɔsɔsɔ le ʋu me?

Mɔnu eve siwo bɔ wue nye:

1. Asibidɛ Dodokpɔ: Wozãa aŋe tsɔ ɖea ʋu sue aɖe tso asibidɛa ƒe nugbɔ, tsɔa wo dana ɖe dodokpɔmɔ̃ dzi, eye wotsɔa suklidzidzenu dzidzenɛ. Àte ŋu akpɔ sukli si le wò ʋu me fifia le sɛkɛnd ʋɛ aɖewo me.

2. Continuous Blood Glucose Monitor (CGM): Wotsɔa sensor sue aɖe dea ŋutigbalẽa te, zi geɖe la, wodea alɔnu alo ƒodo me. Edzidzea wò ʋumesukli ƒe agbɔsɔsɔ ɣesiaɣi to ŋkuléle ɖe tsi si le lãmenugbagbeviwo dome ŋu me eye wòɖoa nyatakakaawo ɖe mɔ̃ aɖe abe telefon dzi dɔwɔnu aɖe ene dzi.

Nukae nye A1c dodokpɔa?

A1c dodokpɔ (HbA1c dodokpɔ) nye ʋudodokpɔ si ɖea wò ʋumesukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti 2-3 siwo va yi me fiana.

Ne sukli ge ɖe ʋukawo me la, eléna ɖe hemoglobin, si nye ʋumenugbagbevi dzĩwo ƒe akpa si tsɔa ɔksidzin yia ʋua me la ŋu. A1c dodokpɔa dzidzea ʋumenugbagbeviɣi si le wò ʋu me ƒe agbɔsɔsɔ si sukli (glycated) xɔ. Zi alesi sukli si le ʋu me sɔ gbɔe la, zi nenemae wò A1c ƒe xexlẽme dzina ɖe edzii.

Nukawoe hea sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me vɛ (Hypoglycemia)?

Suklidɔ nye nɔnɔme si me sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖena kpɔtɔna wu 70 mg/dL. Esia ate ŋu ava zu atikewɔwɔ kpata kaba. Susu geɖewo li siwo tae esia ate ŋu adzɔ ɖo.

• Ahanono le ƒodo ƒuƒlu me.
• Insulin alo suklidɔtike bubuwo nono wu alesi wòhiã.
• Nuɖuɖu dzi ɖeɖe kpɔtɔ.
• Kamedede wu alesi wònɔna ɖaa.
• Lãmetsiŋusẽ ƒe tɔtrɔ (e.g. dzinukpɔkpɔ ɣleti sia ɣleti).

Nukae nèwɔna ne wò sukli ƒe agbɔsɔsɔ ɖiɖi?

Àte ŋu awɔ ɖe "15-15 ƒe se" si Amerika Suklidɔ Habɔbɔ kafu dzi:

1. Ƒo alo no carbohydrates siwo wɔa dɔ kabakaba gram 15 (e.g. sukli/glucose teaspoon 3, anyitsi agbɔsɔsɔme 1).

2. Lala miniti 15 .

3. Galé ŋku ɖe wò ʋumesukli ŋu ake. Ne egakpɔtɔ le 70 mg/dL teƒe la, no carbohydrates gram 15 bubu.

4. Gbugbɔ wɔ esia vaseɖe esime sukli ƒe agbɔsɔsɔme natrɔ ava nɔ abe tsã ene.

Nukawoe hea sukli ƒe agbɔsɔsɔ fũ le ʋu me (Hyperglycemia) vɛ?

Woyɔa sukli ƒe agbɔsɔsɔ si wu 180 mg/dL le ʋu me be suklidɔ. Susu geɖewo tae wòle alea ɖo.

• Insulin alo atike bubuwo nono wòsɔ gbɔ o.
• Kamedede ƒe anyimanɔmanɔ.
• Dɔléle (e.g. vuvɔ, dzamezã) alo dɔlékui aɖe.
• Nuteɖeamedzi.
• Nuɖuɖu wu alesi woɖoe.

Ɣekaɣie wòle be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU)?

Ne sukli ƒe agbɔsɔsɔ le wò ʋu me nye 300 mg/dL alo esi wu nenema zi eve ɖe wo nɔewo yome , yɔ wò ɖɔkta enumake.

Suklidɔ ƒe agbɔsɔsɔ si gbɔ eme si womeda dɔ na o ate ŋu ana ame naxɔ ketoacidosis , alo suklidɔ ƒe alɔ̃madɔmadɔ si ate ŋu ade ame ƒe agbe afɔku me. Yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake ne dzesi siwo gbɔna dometɔ aɖe dze ŋuwò:

• Atikutsetse ƒe ʋeʋẽ aɖe le gbɔgbɔa dzi.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Nu ƒe ƒuƒu fũ akpa.
• Yagbɔgbɔ sesẽ.

Ele vevie ŋutɔ be nàna wò ʋumesukli ƒe agbɔsɔsɔ nanɔ agbɔsɔsɔ si sɔ me. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi. Kpɔ sukli ƒe agbɔsɔsɔ le wò ʋu me ɖa edziedzi. Ne ède kame, nuɖuɖu si da sɔ, kple atike siwo woŋlɔ na wò la, àte ŋu anɔ agbe si me lãmesẽ le.