Ðe sukli si le ʋu me dzi ɖena kpɔtɔna zi ɖeka hãa? Mina míaƒo nu tso suklidɔ ƒe ɖiɖi ŋu!

Ðe nèsena le ɖokuiwò me zi ɖeka be yeʋuʋua? Fifia, taɖuame, kple dɔ le wuwòm vevie? Esiawo ate ŋu anye dzesi siwo fia be sukli ƒe agbɔsɔsɔ le wò ʋu me le ʋɛ wu esi le lãmesẽ me. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be suklidɔ . Esia bɔ ŋutɔ le suklidɔlélawo dome. Gake ɣeaɖewoɣi la, ate ŋu adzɔ ɖe amesiwo ŋu suklidɔ mele o hã dzi. Eyata, mègatsi dzodzodzoe o. Mina míaƒo nu tso esia ŋu bɔbɔe eye eme nakɔ.

Kpuie ko la, nukae nye suklidɔ?

Suklidɔ nye ne sukli, alo sukli si míeyɔna zi geɖe, si le wò ʋu me ƒe agbɔsɔsɔ ɖiɖi wu agbɔsɔsɔ si le lãmesẽ me si ŋutilãa hiã.

• Le suklidɔléla akpa gãtɔ gome la, wobua sukli ƒe agbɔsɔsɔ si mede 70 mg/dL (milligram le deciliter ɖeka me) alo 3.9 mmol/L (millimoles le lita ɖeka me o) be enye suklidɔ.
• Le amesi me suklidɔ mele o gome la, zi geɖe la, woɖea suklidɔ ƒe agbɔsɔsɔ si mede 55 mg/dL (3.1 mmol/L) o gɔme.

Ne nɔnɔme sia do mo ɖa la, ele be woadae enumake to nane si me sukli alo carbohydrates le ɖuɖu alo nono me. Ɣeaɖewoɣi la, esia ate ŋu ahe nɔnɔme sesẽ aɖe vɛ (suklidɔ sesẽ). Ne edzɔ alea la, ate ŋu ade ame ƒe agbe afɔku me eye ahiã be woakpɔ egbɔ enumake.

Nukatae sukli le vevie na míaƒe ŋutilã alea gbegbe ɖo?

Míaƒe ŋutilã xɔa sukli (sukli) tso carbohydrates siwo míeɖuna me. Esiae nye míaƒe ŋutilã ƒe ŋusẽtsoƒe vevitɔ. Ele abe mɔ̃memi na ʋu ene. Vevietɔ sukli le vevie be míaƒe ahɔhɔ̃ nate ŋu awɔ dɔ. Ahɔhɔ̃a hiã sukli ƒe agbɔsɔsɔ ɣesiaɣi.

Ne suklidɔ mele ŋuwò o la, míaƒe ŋutilã nana sukli ƒe agbɔsɔsɔ le ʋu me nɔa agbɔsɔsɔ aɖe me to dzɔdzɔmenu vovovowo dzi. Lãmetsiŋusẽ vevitɔ si kpena ɖe esia ŋue nye insulin, si dɔgboa wɔna. Lãmetsiŋusẽ aɖe si woyɔna be glucagon hã le vevie na esia.

Gake le amesiwo ŋu suklidɔ le gome la, ɖoɖo sia mewɔa dɔ nyuie o. Eyata ele be woakpɔ woƒe sukli ƒe agbɔsɔsɔ dzi to atikewo (le kpɔɖeŋu me, insulin dodo) kple agbenɔnɔ ƒe tɔtrɔ me. Nu vevitɔ si ta sukli si le ʋu me dzi ɖena kpɔtɔnae nye insulin ƒe agbɔsɔsɔ si le ŋutilãa me ƒe dzidziɖedzi.

Nukawoe ɖea sukli ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo?

Suklidɔ ƒe dzesiwo ate ŋu adze egɔme kpata. Eye woate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Togbɔ be dzesi siawo ate ŋu ana míaɖe dzi ɖi vie hã la, wonye nuxlɔ̃ame nyui aɖe si gblɔna na mí be, "Wò sukli mesɔ gbɔ o, wɔ nane kaba."

Sukli si le ʋu me ƒe ɖiɖi ne wole alɔ̃ dɔm (Nocturnal Hypoglycemia) .

Ɣeaɖewoɣi la, sukli ƒe agbɔsɔsɔ le ʋu me ate ŋu aɖiɖi ne míele alɔ̃ dɔm gɔ̃ hã. Dzesiawo dometɔ aɖewoe nye esi:

• Avuwɔwɔ kple alɔ̃dɔdɔ
• Fifia ale gbegbe be agbalẽawo xɔ dzo
• Ɣlidodo le wò alɔ̃ me
• Drɔ̃e baɖawo
• Ðeɖiteameŋu kple tɔtɔ si gbɔ eme ne yefɔ le ŋdi me

Ðe sukli si le ʋu me ate ŋu aɖiɖi evɔ maɖe dzesi aɖeke afia oa? (Suklidɔ ƒe Dzidziɖeamedzi ƒe Numanyamanya) .

Ẽ, esia nye nɔnɔme si me afɔku le vie. Le ame aɖewo, vevietɔ suklidɔléla siwo ƒe ʋumesukli dzi ɖena kpɔtɔna enuenu gome la, le ɣeyiɣi aɖe megbe la, woƒe ʋumesukli ƒe agbɔsɔsɔ ate ŋu aɖiɖi evɔ womaɖe dzesi aɖeke afia o. Sukli ƒe agbɔsɔsɔ si le ʋu me la va zu numame na ŋutilãa eye wòdzudzɔa nuxlɔ̃amedzesiwo nana. Woyɔa esia be suklidɔ ƒe ɖiɖi ƒe manyamanya .

Anɔ bɔbɔe be amesiwo ŋu dɔléle sia le la dzea dɔ vevie zi ɖeka. Ne esia dzɔ ɖe dziwò la, ele vevie ŋutɔ be nàgblɔ nya sia na wò ƒometɔwo kple xɔlɔ̃wo. Eyata woate ŋu akpe ɖe ŋuwò le nɔnɔme kpata aɖe me. Hã,

• Mɔ̃ si dzidzea sukli ƒe agbɔsɔsɔ ɣesiaɣi (Continuous Glucose Monitoring - CGM) zazã ate ŋu akpe ɖe ŋuwò nànya ɣeyiɣi si me sukli si le ʋu me dzi ɖe kpɔtɔ.
• Anyo hã be nàtsɔ suklidzidzenu si wozãna edziedzi akpɔ wò ʋumesukli zi geɖe gbesiagbe.

Nukawoe hea sukli ƒe agbɔsɔsɔ si medea ʋu me vɛ?

Woate ŋu ama susuawo ɖe hatsotso eve me: amesiwo ŋu suklidɔ le kple amesiwo ŋu suklidɔ mele o.

Susu siwo tae suklidɔléla ƒe ʋumesukli ate ŋu aɖiɖi ɖo

Esia dzɔna ne nuɖuɖu, kamedede, kple suklidɔtikewo meda sɔ o.

• Insulin zazã fũu akpa: Insulin dodo ɖe lãme na ame wu alesi wòhiã.
• Vodada le atikewo zazã kple nuɖuɣi ŋu: Insulin nono kple nuɖuɖumaɖumaɖu ɣeyiɣi didi.
• Suklidɔtike siwo mesɔ o nono: Suklidɔtike aɖewo (e.g. sulfonylureas) nono fũ ate ŋu ana sukli naɖiɖi le ʋu me.
• Kamedede geɖe wu alesi wònɔna ɖaa: Kamedede geɖe wu kple nuɖuɖu si sɔ gbɔ maɖumaɖu be woatsɔ axe fe ɖe eta o.
• Ahanono le ƒodo ƒuƒlu me: Ahanono nu maɖumaɖu.
• Nuɖuɖu dzi ɖeɖe kpɔtɔ: Nu ɖuɖu ɖe game dzi mawɔmawɔ.

Nukatae suklidɔ le ame si si suklidɔ mele o ƒe ʋu me?

Esia mebɔ vie o. Wole ƒomevi vevi eve me.

1. Suklidɔ si me nunyiame le: Esia dzɔna le gaƒoƒo eve va ɖo ene le nuɖuɖu vɔ megbe . Vevietɔ ne èɖu nuɖuɖu siwo me carbohydrates bɔbɔewo sɔ gbɔ ɖo abe bli, abolo, kple mɔli ene la, kasia ŋutilãa wɔa insulin geɖe wu, si wɔnɛ be wò ʋumesukli dzi ɖena kpɔtɔna.

2. Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me ne èle nu dɔ wɔm (Fasting Hypoglycemia): Esia ate ŋu atso nu geɖe gbɔ.

• Ahanono fũu akpa: Ahanono fũu akpa evɔ womeɖua nu nyuie o ŋkeke geɖe.
• Dɔléle sesẽwo: Nɔnɔmewo abe aklã alo ayiku ƒe dɔmawɔmawɔ nyuie ene.
• Lãmetsiŋusẽ ƒe kuxiwo: Nɔnɔmewo abe adrenal insufficiency ene.
• Dɔdzẽ: Dɔdzẽ siwo mebɔ o le dɔgboa me, abe insulinoma ene, nana insulin wɔa dɔ wògbɔa eme.

Ne dzesi siawo le ŋuwò evɔ suklidɔ mele ŋuwò o la, ele be nàkpɔ ɖɔkta godoo be nànya nusi gbɔ wòtso.

Nukae woawɔ ne sukli mesɔ gbɔ o? Dɔdamɔnu siwo wozãna

Nusi koŋ míele wɔwɔm le afisiae nye be míana sukli (carbohydrates) ŋutilãa kaba.

Le nɔnɔme siwo sɔ me la, "15-15 Se".

Esia nye mɔnu bɔbɔe aɖe ŋutɔ si dzi woaɖo ŋkui bɔbɔe.

1. Afɔɖeɖe 1: Ƒo alo no carbohydrates siwo wɔa dɔ kabakaba gram 15 .

2. Afɔɖeɖe 2: Lala miniti 15 .

3. Afɔɖeɖe 3: Gatsɔ wò suklidzidzenu dzidze sukli ƒe agbɔsɔsɔ le ʋu me.

4. Afɔɖeɖe 4: Ne sukli ƒe agbɔsɔsɔme gakpɔtɔ le 70 mg/dL teƒe la, gbugbɔ wɔ afɔɖeɖe 1, 2, 3.Wɔ esia vaseɖe esime wò sukli ƒe agbɔsɔsɔ nagatrɔ ava nɔ abe tsã ene.

Nuɖuɖu kawoe me carbohydrates gram 15 le?

• Sukli ƒe atikekui 3-4
• Atikutsetse me tsi vivi alo aha fafɛ kplu afã (kplu 1/2).
• Sukli, anyitsi, alo maple-tsi agbɔsɔsɔme ɖeka
• Akɔɖu sue aɖe ƒe afã

Atikewɔwɔ le dɔléle sesẽwo me (Severe Hypoglycemia) .

Ne sukli si le ame aɖe ƒe ʋu me mesɔ gbɔ o eye wòtɔtɔ, mete ŋu le nu ƒom o, alo eƒe susu megale dɔ wɔm o la, mègana nuɖuɖu alo nunonoe to nu me gbeɖe o! Esia wɔwɔ ate ŋu ana woatsi yaƒoƒomɔ̃a me.

1. Glucagon Dodo: Le suklidɔlélawo gome la, ɖewohĩ wò ɖɔkta ŋlɔ glucagon dodo na wò na nɔnɔme kpatawo. Kpɔ egbɔ be wò ƒomea nya alesi woazãe.

2. Yi kɔdzi enumake!: Ne suklidɔ mele asiwò o alo mènya alesi nàzãe o la, ƒo ka na ƒe 1990 ƒe dɔnɔdzikpɔƒe enumake alo nàkplɔ amea ayi kɔdzi si te ɖe ŋuwò ƒe Atikewɔwɔ Kpata (ETU) gbɔ.

3. Trɔ dɔnɔa ɖe axadzi: Dɔnɔa ate ŋu aɖu aɖuɖɔ ne eƒe susu gaɖo eŋu. Eyata trɔ dɔnɔa ɖe axadzi be wòagatsi o.

Nukae woate ŋu awɔ atsɔ axe mɔ ɖe nɔnɔme sia nu?

Ate ŋu asesẽ na suklidɔléla be wòaxe mɔ ɖe esia nu keŋkeŋ, gake anya wɔ be woaɖe nɔnɔme sia ƒe dzɔdzɔ zi geɖe dzi akpɔtɔ.

• Wɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo dzi: No atike si wò ɖɔkta ŋlɔ na wò pɛpɛpɛ eye nànoe le ɣeyiɣi nyuitɔ dzi.
• Kpɔ nyuie le nuɖuɖu kple kamedede ŋu: Mègado kpo nuɖuɖu o. Ne èle kame dem la, ƒo nu tso eŋu na wò ɖɔkta eye nàwɔ tɔtrɔ le wò nuɖuɖu ŋu ne ehiã.
• Kpɔ wò ʋumesukli ƒe agbɔsɔsɔ ɖa edziedzi: Ele vevie ŋutɔ be nàlé ŋku ɖe wò ʋumesukli ƒe agbɔsɔsɔ ŋu do ŋgɔ na nuɖuɖu kple le nuɖuɖu vɔ megbe, do ŋgɔ na kamedede kple le kamedede vɔ megbe, kple hafi amlɔ anyi.
• Wɔ nuŋlɔɖi: Ɣesiaɣi si sukli ƒe agbɔsɔsɔ le ʋu me na wò la, ŋlɔ ɣeyiɣia, sukli ƒe agbɔsɔsɔ si le ʋu me, nusi nèɖu do ŋgɔ, kple ne ède kame. Esia akpe ɖe wò ɖɔkta ŋu wòawɔ atikewɔwɔ ƒe ɖoɖo na wò.