Nukae ‘Ɣeyiɣi si le didime nu (TIR)’ fia na wò amesiwo ŋu suklidɔ le? Mina míaɖe eme bɔbɔe!

Abe suklidɔléla ene la, aleke gbegbee nèbua sukli ƒe agbɔsɔsɔ le wò ʋu me le ŋkekea me katã ŋu? Aleke wole le ŋdi me, aleke wole le ŋdɔnuɖuɖu vɔ megbe, aleke wole hafi mlɔ anyi, kple bubuawo. Nusiwo nèsena zi geɖe ne èle nu ƒom na wò ɖɔkta dometɔ ɖekae nye nya ‘A1C’. Zi geɖe la, wozãnɛ tsɔ nyaa nenye be woɖu wò suklidɔa dzi. Gake ɖe A1C ye nye ŋutinya bliboaa? Egbea míele nu ƒom tso mɔnu yeye aɖe si ŋu viɖe le wu sã si ana nàse wò suklidɔ gɔme nyuie wu A1C ŋu. Míeyɔa esia be ‘Ɣeyiɣi si le Afisi Wole’ alo ‘TIR’.

Nukae Nye Ɣeyiɣi si Woatsɔ Awɔ Dɔe (TIR)?

Kpuie ko la, Time in Range (TIR) ​​nye ɣeyiɣi agbɔsɔsɔme si wò ʋumesukli ƒe agbɔsɔsɔ nɔa wò "taɖodzinu" me le ŋkekea me. Zi geɖe la, wodzidzea esia abe alafa memamã ene.

Fifia ɖewohĩ èle eŋu bum be nukae nye "taɖodzinu ƒe didime" sia hã. Le ame tsitsi akpa gãtɔ siwo ŋu suklidɔ Ƒomevi 1 alo 2 le gome la, gake menye wo katãe o la, suklidɔ ƒe agbɔsɔsɔ si le ʋu me si anɔ 70 mg/dL va ɖo 180 mg/dL .

Zi geɖe la, ɖɔktawo kafui be nàna wò TIR nade 70% . Ðeko esia fia be ele be wò sukli ƒe agbɔsɔsɔ nanɔ agbɔsɔsɔ ma me gaƒoƒo 17 ya teti le gaƒoƒo 24 me gbesiagbe.

Aleke míedzidzea TIR siae?

Mɔ nyuitɔ si le bɔbɔe wu si dzi nàto adzidze wò TIR pɛpɛpɛe nye be nàzã mɔ̃ aɖe si woyɔna be Continuous Glucose Monitor (CGM) . Esia nye mɔ̃ sue aɖe si nèdona ɖe wò ŋutilã ŋu. Edzidzea sukli ƒe agbɔsɔsɔ si le tsi si le wò ŋutigbalẽ te me heŋlɔnɛ ɖi gaƒoƒo 24 gbesiagbe. Emegbe àte ŋu awɔ nyatakaka mawo ƒe kɔpi ɖe dɔwɔnu alo kɔmpiutadziɖoɖo aɖe dzi be nàkpɔ nusi tututu wò TIR nye.

Le nyateƒe me la, mɔnu si wozãna ɖaa tsɔ ɖea ʋu tso asibidɛ me hã ate ŋu ana woanya TIR la ƒe susu aɖe. Gake le ema ta la, ele be nàlé ŋku ɖe wò sukli ŋu zi geɖe gbesiagbe. Gake nyatakaka agbɔsɔsɔme si woxɔna tso CGM me sɔ gbɔ wu ema sã. Eyata TIR ƒe asixɔxɔ si wokpɔ hã de pɛpɛpɛ ŋutɔ.

To CGM mɔ̃ɖaŋununya sia dzi la, suklidɔléla geɖe kple woƒe ɖɔktawo léa ŋku ɖe TIR ƒe asixɔxɔ sia ŋu fifia be yewoakpɔ alesi yewoƒe suklidɔ dzi kpɔkpɔ le dɔ wɔm nyuie. Mia kple wò ɖɔkta miate ŋu azã nyatakaka siawo atsɔ aɖo taɖodzinu yeyewo eye miawɔ tɔtrɔ siwo hiã le miaƒe atikewɔwɔ ƒe ɖoɖoa me.

Aleke mabu Time in Range ƒe nyatakaka?

Ne èzã CGM la, zi geɖe la, TIR ƒe nyatakakaa ɖea amadede ƒe fli si le tsitrenu fiana wò. Esia gɔmesese le bɔbɔe. Amadede dzẽ fia ɣeyiɣi si me sukli ƒe agbɔsɔsɔ si le wò ʋu me nɔ eƒe xexlẽme nu. Amadede bubuwo (yibɔ, aŋutiɖiɖi, dzĩ) fiaa ɣeyiɣi si me sukli si le wò ʋu me mesɔ gbɔ o (si bɔbɔ alo sɔ gbɔ).

Mina míalé ŋku ɖe alesi CGM ƒe nyatakaka si bɔ ɖea nyatakakawo fianae ŋu.

Wò CGM nyatakaka ate ŋu aɖe nyatakaka siawo afia le mɔ bubu nu. Ne nya aɖe le asiwò ku ɖe esia ŋu la, bia wò ɖɔkta be wòana eme nakɔ wò.

Ɣeyiɣi didi kae wòle be nye Ɣeyiɣi si metsɔ le Adzɔge naxɔ?

Mia kple wò ɖɔkta miatso nya me le taɖodzinu siwo nyo na wò ŋu ɖekae . Azɔ hã, taɖodzinu siawo menɔa ɖeka le wò agbemeŋkekewo katã me o eye ate ŋu atrɔ le ɣeyiɣi aɖe megbe.

Nu siawo tɔgbe va nɔa vevie ne èle wò taɖodzinuwo ɖom:

• Ɣeyiɣi didi kae suklidɔ le ŋuwò?
• Wò ƒexɔxɔ kple wò agbenɔƒe.
• Ðe atikewɔwɔ me dɔléle bubu aɖewo le ŋuwò siwo gblẽa nu le wò ʋumesukli ƒe agbɔsɔsɔ ŋua? (e.g., ayiku ƒe dɔmawɔmawɔ nyuie, gastroparesis) .
• Ðe dzitodzito me dɔléle le ŋuwòa?
• Ðe suklidɔ ƒe ɖiɖi ƒe manyamanya, si nye nɔnɔme si me mèsea sukli ƒe agbɔsɔsɔ si mede ame dzi o ƒe dzesiwo o (hypo) le ŋuwòa?
• Ðe nèfɔ fu loo alo nèle mɔ kpɔm be yeafɔ fua?

Enyo, eyata mina míalé ŋku ɖe TIR ƒe taɖodzinu aɖewo siwo dzi ame geɖe da asi ɖo ŋu. Le afisia hã la, kafukafunya siwo wogblɔna le mɔ gbadza nu koe esiawo nye. Ðewohĩ wò taɖodzinua ato vovo na esia.

Taɖodzinu siwo woɖo ɖe fufɔfɔ me suklidɔ kple suklidɔ ƒomevi evelia ŋu le fufɔɣi ate ŋu ato vovo, eyata ele vevie be nàdzro taɖodzinu siwo akpe ɖe ŋuwò wu eye woate ŋu asɔ na wò wu la me kple wò ɖɔkta.

Ƒomedodo kae le A1C kple TIR dome?

Ele vevie ŋutɔ be míase vovototo si le eve siawo dome gɔme.

• TIR (Time in Range) nye dzidzenu si naa nyatakaka tso wò sukli ƒe agbɔsɔsɔ ƒe tɔtrɔ le gaƒoƒo alo ŋkeke aɖewo me ŋu.
• A1C nye ʋudodokpɔ si ɖea wò ʋumesukli ƒe agbɔsɔsɔ le mama dedie nu le ɣleti 2-3 siwo va yi me fiana .

Bu A1C be enye agbalẽ aɖe ƒe ta aɖe ƒe kpukpui xexlẽ. Enaa nèkpɔa susu vi aɖe. Gake TIR le abe ta bliboa, nya ɖesiaɖe, nyagbe ɖesiaɖe xexlẽ ene. Èkpɔa nya sia nya tsitotsito nyuie. A1C menaa nyatakaka aɖeke wò tso alesi wò sukli sɔ gbɔ alo le sue ŋu o.

Nukatae A1C ate ŋu aflu ame?

Bu ame eve siawo ŋu kpɔ.

1. Ame gbãtɔ: Sukli si le eƒe ʋu me trɔna le ŋkekea me katã. Ɣeaɖewoɣi la, wobɔbɔna ŋutɔ (hypo), ɣeaɖewoɣi la, wokɔna ŋutɔ.

2. Ame evelia: Sukli ƒe agbɔsɔsɔ si le eƒe ʋu me nɔa te nyuie le ŋkekea me katã, anɔ abe 154 mg/dL ene.

Ame siawo evea siaa ƒe A1C ate ŋu anye 7%. Elabena A1C nye mamã dedie ko. Gake woƒe TIR ƒe asixɔxɔwo to vovo kura. Ame gbãtɔ ƒe TIR le ʋɛ wu kura. Ema fia be woƒe ŋutilã le afɔku gã aɖe me be suklidɔ ƒe nugbegblẽ le ame ŋu nadze wo dzi.

Azɔ hã, A1C ƒe xexlẽme siwo mesɔ o ate ŋu anɔ amesiwo ŋu nɔnɔme siawo le ŋu:

• Ʋusɔgbɔdɔ
• Hemoglobin ƒe vovototowo
• Iron ƒe anyimanɔmanɔ
• Fufɔfɔ
• Aklãdɔléle

Fifia la, TIR maxɔ ɖe A1C dodokpɔa teƒe keŋkeŋ o. Numekuku siwo wowɔ ƒe bla nanewo ɖee fia be A1C ƒe agbɔsɔsɔ ate ŋu agblɔ alesi wòate ŋu adzɔe be suklidɔ ƒe kuxiwo nadze dziwò. Esia tae ɖɔktawo zãa A1C kple TIR siaa ɖekae be woakpɔ wò suklidɔ dzi kpɔkpɔ ƒe nɔnɔmetata si de blibo wu eye wòde pɛpɛpɛ wu.

Nukatae Time in Range (TIR) ​​le vevie?

TIR naa nèkpɔa tɔtrɔ siwo vaa suklidɔ ƒe agbɔsɔsɔ le ʋu me la nyuie wu. Nuwo abe nuɖuɖu si míeɖuna, kamedede si míewɔna, atike siwo míenona, kple míaƒe nuteɖeamedzi ƒe agbɔsɔsɔ ene katã kpɔa ŋusẽ ɖe sukli ƒe agbɔsɔsɔ le ʋu me dzi. Ne èlé ŋku ɖe wò TIR nyatakakawo ŋu la, àte ŋu ase alesi nu siawo dometɔ ɖesiaɖe kpɔa ŋusẽ ɖe wò ʋumesukli ƒe agbɔsɔsɔ dzi tẽe gɔme.

Le kpɔɖeŋu me, tsɔe be asrã nɔ ŋuwò kwasiɖa ɖeka. Ne èlé ŋku ɖe wò TIR ƒe nyatakaka ŋu le kwasiɖa ma me la, àkpɔe be wò TIR ƒe asixɔxɔ ɖiɖi ŋutɔ. Emegbe ɣebubuɣi si nàdze dɔ la, àte ŋu aƒo nu kple wò ɖɔkta tso ale si nàdzra ɖo ɖe eŋu ahakpɔ wò suklidɔa gbɔ do ŋgɔ ŋu.

TIR kple suklidɔ ƒe kuxiwo

Numekukuwo ɖee fia be kadodo le TIR ƒe agbɔsɔsɔ si bɔbɔ kple kuxi siwo suklidɔ hena vɛ dome.

Glycemic ƒe tɔtrɔ ate ŋu ana oxidative stress kple inflammation nadzi ɖe edzi le ŋutilã me, si ate ŋu agblẽ nu le lãmenugbagbeviwo ŋu le ŋutilãa me. Numekukuwo ɖee fia be sukli ƒe agbɔsɔsɔ si le ʋu me ƒe tɔtrɔ gã sia dzia afɔku si le:

• Suklidɔ ƒe dzidziɖedzi.
• Dzitodzito me dɔléle ƒe afɔku si dzina ɖe edzi.
• Susu kple susu ƒe dɔwɔwɔ ƒe gbegblẽ (sidzedze ƒe dɔwɔwɔ).
• Agbenɔnɔ ƒe nyonyome si le to yim.

Gakpe ɖe eŋu la, numekuku aɖe ɖee fia be suklidɔ Ƒomevi 2 lia siwo ƒe TIR mebɔ o eye sukli ƒe tɔtrɔ le ʋu me sɔ gbɔ la ate ŋu axɔ ŋkudɔ sesẽ si do ƒome kple suklidɔ. Numekuku bubu ɖee fia be kadodo sẽŋu aɖe le TIR si bɔbɔ kple dzitodzito me dɔléle si nye autonomic neuropathy dome.

Esiawo katã ɖe alesi wòle vevie be nàna wò TIR ƒe asixɔxɔ nanɔ ɖoƒe si sɔ gbɔ wu la fia.

Aleke mawɔ ana nye Ɣeyiɣi si metsɔna Le Adzɔge Nanyo ɖe edzi?

Mɔ vevitɔ si dzi nàto ana wò TIR nanyo ɖe edzi enye be nàde dzesi nusiwo tututu le ŋusẽ kpɔm ɖe wò sukli ƒe agbɔsɔsɔ dzi. Esia ate ŋu axɔ ɣeyiɣi aɖe. Ate ŋu ase le eɖokui me ŋutɔŋutɔ abe dzɔdzɔmeŋutinunya me dodokpɔ si nuwuwu meli na o ene.

Tsɔe be ède dzesii be ne èɖu ŋdinu gbesiagbe ko hafi wò ʋumesukli ƒe agbɔsɔsɔme nu yina. Eyata, lé ŋku ɖe wò numamewo kple dɔwɔnawo ŋu ɣemaɣi.

Le kpɔɖeŋu me, nu siawo tɔgbe ate ŋu ana sukli nadzi ɖe edzi le ʋu me le ŋdi nuɖuɖu vɔ megbe:

• Ɣeyiɣia de be nàno wò suklidɔtike (abe insulin ene).
• Atikea ƒe agbɔsɔsɔme.
• Nuɖuɖu siwo nèɖuna kple nunyiame siwo le wo me (carbohydrates, fats, proteins) ƒe dadasɔ.
• Atike bubu siwo woano le ŋdi me.
• Nane si me caffeine le, abe kɔfi ene, nono le ŋdi me.

Esia nye kpɔɖeŋu ɖeka ko. Suklidɔ nye nɔnɔme sesẽ aɖe ŋutɔ. Mɔ geɖe li siwo dzi nàto akpe ɖe ŋuwò nàna wò TIR nanyo ɖe edzi. Ðo ŋku edzi ɣesiaɣi be hafi nàwɔ tɔtrɔ aɖeke le wò atikewɔwɔ ƒe ɖoɖoa ŋu la, ƒo nu kple ame aɖe si bi ɖe suklidɔ me, abe lãmenugbagbeviwo ƒe dɔwɔwɔ ŋuti nunyala alo suklidɔ ŋuti beléle kple hehenana ŋuti nunyala si ŋu woɖo kpee (CDCES), alo wò ɖɔkta si nèzãna edziedzi ya teti ene.

Time in Range (TIR) ​​nye metrik yeye si ŋu viɖe le ŋutɔ hena suklidɔ dzi kpɔkpɔ dzidzedze. Gbã la, adze abe asesẽ vie be woase TIR ŋuti nyatakaka kple nyatakaka siawo katã gɔme ene. Gake mègatsi dzi o. Wò ɖɔkta aɖe wo katã me eye wòakpe ɖe ŋuwò nàzã TIR ƒe asixɔxɔ sia wòaɖe vi na wò. Miate ŋu awɔ ɖeka akpɔ alesi miaƒe TIR trɔnae le ɣeyiɣi aɖe megbe eye miatrɔ asi le miaƒe dɔdzikpɔkpɔ ƒe ɖoɖoa ŋu wòasɔ ɖe enu.