Suklidɔ ƒe nuxlɔ̃amedzesi si le ɖoɖoezizi me: Srɔ̃ nu tso insulin ƒe dɔlélenutsiŋutete ŋu

Ðe nya suklidɔ le vɔvɔ̃m na wò viea? Alo ɖe wò ɖɔkta gblɔ na wò kpɔ be insulin ƒe dɔlélenutsiŋutete le ŋuwò, eye nètɔtɔ le nusi wònye ŋua? Mega tsi dzi o. Egbea, míaƒo nu tso nɔnɔme sia si woyɔna be insulin ƒe dɔlélenutsiŋutete ŋu le mɔ bɔbɔe ŋutɔ si me xɔlɔ̃wɔwɔ le nu. Ele abe nuxlɔ̃ame si míaƒe ŋutilã nana mí le ɖoɖoezizi me hafi suklidɔ dzea egɔme ene.

Kpuie ko la, nukae nye insulin ƒe dɔlélenutsiŋutete?

Bu eŋu kpɔ, lãmenugbagbevi siwo le míaƒe ŋutilã me le abe aƒe suewo ene. Aƒe siawo hiã ŋusẽ hafi woate ŋu awɔ dɔ. Ŋusẽ ma tsoa sukli si woyɔna be glucose, si wotsɔa nuɖuɖu siwo míeɖuna la me. Be sukli sia nate ŋu atso ʋua me ayi aƒe siwo woyɔna be lãmenugbagbeviwo me la, ehiã safui si aʋu ʋɔa. Nu vevi mae nye lãmetsi si woyɔna be insulin . Míaƒe dɔgboe wɔa insulin safui sia.

Ne èɖu nu la, sukli gena ɖe ʋua me. Le ɣeyiɣi ma ke me la, dɔgboa ɖea safui aɖe si woyɔna be insulin ɖe ʋua me. Ne insulin ʋu lãmenugbagbeviawo ƒe ʋɔtruwo la, sukli gena ɖe lãmenugbagbeviawo me eye wòzua ŋusẽ.

Azɔ lé ŋku ɖe nusi dzɔna ɖe amesi ŋu insulin ƒe dɔlékuiwo ƒe dɔlélenutsiŋutete mele o dzi ɖa.

Wò lãmenugbagbeviwo mewɔa nu nyuie ɖe insulin ƒe safui sia ŋu o. Ele abe ʋɔtruti si xɔ dzo ene. Safuia maʋu ʋɔa nyuie o. Eyata sukli si mete ŋu gena ɖe lãmenugbagbeviawo me o la dzea ƒoƒo ƒu ɖe ʋua me.

Le ɣeyiɣi sia me la, ahɔhɔ̃a susuna be, "Oo, sukli geɖe le ʋua me, mehiã safui geɖe." Eyata gbedasi aɖe xɔa dɔgboa si gblɔna nɛ be wòawɔ insulin geɖe wu. Le ɣeyiɣi aɖe megbe la, ɖeɖi tea dɔgboa ŋu, ewɔa insulin geɖe wu, eye mlɔeba eƒe dɔwɔwɔ ate ŋu aɖe akpɔtɔ. Ɣemaɣie sukli ƒe agbɔsɔsɔ le ʋu me dzea dzidziɖedzi gɔme.

Vovototo si le insulin ƒe dɔlélenutsiŋutete, do ŋgɔ na suklidɔ, kple suklidɔ dome

Togbɔ be ame etɔ̃ siawo do ƒome hã la, womesɔ o. Mina míalé ŋku ɖe eŋu tso kplɔ̃ dzi.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Kuxi gãtɔ kekeake si le afisiae nye be insulin ƒe dɔlélenutsiŋutete nye nɔnɔme si me ɖoɖoezizi le . Àte ŋu anɔ wò ŋutilã me ƒe geɖe evɔ mànyae gɔ̃ hã o. Mɔ ɖeka kolia si dzi nàto anyae kple kakaɖedzie nye be woado ʋu kpɔ.

Gake gotagome dzesi kple dzesi aɖewo li siwo do ƒome kple nɔnɔme sia. Kpɔe ɖa be esiawo hã le asiwò hã:

• Akɔta ƒe gotagome ƒe dzidziɖedzi: Akɔta ƒe gotagome si wu sentimeta 40 le ŋutsuwo gome eye wòwu sentimeta 35 le nyɔnuwo gome.
• Ʋusɔgbɔdɔ: Ʋu ƒe sisi nye 130/80 mmHg alo esi wu nenema.
• Nusiwo mesɔ o le ʋudodokpɔ me:
• Sukli si le ʋu me le nutsitsidɔ me si wu 100 mg/dL.
• Nutsitsidɔ me triglyceride ƒe agbɔsɔsɔ si wu 150 mg/dL.
• Lãmetsi nyui (HDL cholesterol) ƒe agbɔsɔsɔ si mede 40 mg/dL le ŋutsuwo me o eye mede 50 mg/dL le nyɔnuwo me o.
• Ŋutilã ƒe tɔtrɔ:
• Kɔ kple akɔta ƒe ŋutigbalẽ doa viviti eye wòzua velvet. Woyɔa esia le atikewɔwɔ me be Acanthosis Nigricans .
• Akpɔkplɔ suesuesuewo (ŋutilã ƒe dzesiwo) siwo dze abe ɖe wole xɔxlɔ̃m le ŋutigbalẽa ŋu ene ƒe dzedzeme.

Nukawoe hea insulin ƒe dɔlélenutsiŋutete vɛ?

Esesẽ be woade dzesi nu ɖeka aɖe si gbɔ esia tso, gake eŋutinunyalawo de dzesi nu geɖe siwo nana afɔkua dzina ɖe edzi.

• Ŋutilã ƒe kpekpeme si gbɔ eme: Ami ƒe ƒuƒoƒo, vevietɔ le ƒodo ƒe akpa si (ƒodo me ami).
• Kamedede kple anyinɔƒe nɔnɔ ƒe anyimanɔmanɔ: Kamedede manɔmee.
• Nuɖuɖu siwo me carbohydrates sɔ gbɔ ɖo: Abolo, bli, nuɖuɖu viviwo, kple aha viviwo ɖuɖu fũ akpa.
• Ƒome ŋutinya: Suklidɔ le ame aɖe ŋu le ƒomea me.
• Ƒe: Afɔkua dzina ɖe edzi le ƒe 45 xɔxɔ vɔ megbe.
• Fufɔfɔ ƒe Suklidɔ: Vidada siwo ŋu suklidɔ le le fufɔɣi la le afɔku me be woaxɔ dɔléle sia emegbe.
• Nɔnɔme bubuwo: Aklãdɔ si me ami mele o kple Polycystic Ovary Syndrome (PCOS).
• Sigaretnono.
• Atike aɖewo: Atike aɖewo, abe steroid ene, zazã ɣeyiɣi didi.
• Alɔ̃dɔdɔ ƒe kuxiwo: Nɔnɔmewo abe gbɔgbɔtsixetsixe le alɔ̃ me (alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe).

Ƒomedodo si le insulin ƒe dɔlélenutsiŋutete kple PCOS dome

Kadodo sẽŋu aɖe le polycystic ovary syndrome (PCOS), si nye dɔléle si dzea nyɔnu geɖe dzi, kple insulin ƒe dɔlélenutsiŋutete dome. Nyɔnu geɖe siwo ŋu PCOS le hã ƒe insulin ƒe dɔlélenutsiŋutete mete ŋu nɔa te ɖe dɔlékuiwo nu o. Wogale numekuku wɔm tso kadodo si tututu le wo ame evea dome ŋu.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Dodokpɔ ɖeka aɖeke meli koŋ na insulin ƒe dɔlélenutsiŋutete o. Wò ɖɔkta alé ŋku ɖe nu vovovowo ŋu atsɔ anya dɔlélea.

1. Nyabiase na wò: Biabia tso wò ƒomea ƒe lãmesẽ ŋutinya kple wò agbenɔnɔ ŋu.

2. Lãmesẽdodokpɔ: Woadzidze wò kpekpeme, kɔkɔme, BMI. Woadzidze wò ʋu ƒe sisi.

3. Ʋudodokpɔ: Esiawoe nye esiwo le vevie wu.

• Nutsitsidɔ ƒe Plasma Glucose (FPG): Ʋudodokpɔ si wowɔna le nutsitsidɔ gaƒoƒo 8 ya teti megbe.
• Oral Glucose Tolerance Test (OGTT): Gbã la, woɖea nutsitsidɔ ƒe ʋu, emegbe wonaa tsi si me sukli le be woano, eye wogadoa ʋua kpɔ le gaƒoƒo eve megbe.
• Hemoglobin A1c (HbA1c): Esia naa nèkpɔa sukli si le wò ʋu me le mama dedie nu le ɣleti 2-3 siwo va yi me.
• Lipid Panel: Eléa ŋku ɖe ʋumemi kple triglyceride ƒe agbɔsɔsɔ si le ʋua me ŋu.

Dzidzenu siwo gbɔna ate ŋu akpe ɖe ŋuwò nànya ne suklidɔ do ŋgɔ na suklidɔ le ŋuwò :

• FPG: 100-125 mg/dL
• OGTT (le gaƒoƒo 2 megbe): 140-199 mg/dL
• A1c: 5.7% - 6.4% ƒe xexlẽme.

Aleke míawɔ aɖu nɔnɔme sia dzi?

Nya nyuiae nye be zi geɖe la, woate ŋu atrɔ insulin ƒe dɔlélenutsiŋutete! Nu vevitɔ si ana esiae nye tɔtrɔwo wɔwɔ le agbenɔnɔ me. Ŋusẽ le nu siawo ŋu sã wu atikewo.

1. Kamedede

Ne èle dɔ wɔm la, wò lãmekawo hiãa ŋusẽ. Wova sea nu gɔme na insulin wu eye wodzea sukli si le wò ʋu me zazã gɔme. Kamedede bɔbɔe abe azɔlizɔzɔ sesĩe aɖabaƒoƒo 30 gbesiagbe, ŋkeke 5 ya teti le kwasiɖa me ene gɔ̃ hã ate ŋu ana tɔtrɔ gã aɖe nava.

2. Kpekpeme si sɔ me léle ɖe asi

Ne èɖe wò kpekpeme ƒe 5% va ɖo 7% gɔ̃ hã la, ate ŋu aɖe suklidɔ xɔxɔ ƒe afɔkua dzi akpɔtɔ ŋutɔ. Le kpɔɖeŋu me, ne wò kpekpeme nye kilogram 100 la, kilogram 5-7 dzi ɖeɖe kpɔtɔ nye nya gã aɖe. Kpɔ wò ɖɔkta gbɔ hena aɖaŋuɖoɖo le esia ŋu.

3. Nuɖuɖu ƒe tɔtrɔ

"Akunyawɔwɔ" ƒe nuɖuɖu tɔxɛ aɖeke meli na esia o, gake ele vevie be nànya nu aɖewo.

• Nuɖuɖu siwo me fibre sɔ gbɔ ɖo: Nuɖuɖuwo abe nukuwo, mɔli, amagbewo, kple atikutsetsewo ene nana ame sena le eɖokui me be yeɖi ƒo eye wònana sukli ƒe gege ɖe ʋua me nɔa blewu.
• Nuɖuɖu siwo me sukli ƒe agbɔsɔsɔme (GI) mede o: Kpuie ko la, esiawo nye nuɖuɖu siwo menaa sukli ƒe agbɔsɔsɔ le ʋu me dzina kabakaba le nuɖuɖu vɔ megbe o.
• Ðu enu enuenu (Low-GI): Amagbe kple atikutsetse gbogbo aɖewo, bli dzẽ, chickpeas, lentils, yogurt.
• Ƒo nu ɣeaɖewoɣi (Medium-GI): Abolo si wotsɔ nuku blibo wɔe, akɔɖu, bli.
• Ðe edzi alesi nàte ŋui (High-GI): abolo ɣi, bli ɣi, abolo, bisiklet, aha viviwo, mɔli.

4. Nu vevi bubuwo

• Ƒo asa na atamanono.
• Nuteɖeamedzi dzi ɖuɖu.
• Dɔ alɔ̃ nyuie (gaƒoƒo 7 ya teti gbesiagbe).

Mina míasrɔ̃ nu tso atikewo hã ŋu: Atike aɖeke meli koŋ na insulin ƒe dɔlélenutsiŋutete o. Gake ne suklidɔ xɔxɔ le afɔku gã aɖe me la, wò ɖɔkta ate ŋu aŋlɔ atike aɖe abe Metformin ene na wò. Gake ɖɔkta koe ate ŋu atso nya me.