Koj cov ntshav qab zib puas qis? (Hypoglycemia) Cia peb tham txog qhov no kom meej!

Niaj hnub no peb yuav tham txog ib qho mob uas tuaj yeem cuam tshuam rau ntau tus neeg, tshwj xeeb tshaj yog cov neeg uas muaj ntshav qab zib, thiab qee zaum txawm tias cov neeg uas tsis muaj ntshav qab zib. Qhov ntawd yog ntshav qab zib tsawg, lossis hauv kev kho mob, hypoglycemia. Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no vim tias nws tuaj yeem ua rau mob hnyav heev.

Ntshav qab zib qis yog dab tsi? Cia peb nkag siab yooj yim.

Hais yooj yim xwb, qhov mob ntshav qab zib qis qis tshwm sim thaum koj cov piam thaj hauv cov ntshav, lossis glucose, poob qis dua qib zoo. Peb kuj hu qhov no tias 'qab zib hauv cov ntshav qis.' Qhov no yog ib qho mob uas pom ntau rau cov neeg uas muaj ntshav qab zib, tshwj xeeb tshaj yog cov neeg uas muaj ntshav qab zib hom 1.

Feem ntau, rau ib tus neeg uas muaj ntshav qab zib, hypoglycemia yog thaum cov ntshav qab zib poob qis dua 70 mg/dL (milligrams ib deciliter) lossis 3.9 mmol/L (millimoles ib liter). Rau ib tus neeg uas tsis muaj ntshav qab zib, hypoglycemia yog thaum cov ntshav poob qis dua 55 mg/dL (3.1 mmol/L). Thaum lub sijhawm zoo li no, koj yuav tsum noj lossis haus ib yam dab tsi uas muaj suab thaj lossis carbohydrates sai li sai tau. Txawm li cas los xij, yog tias qhov mob no hnyav zuj zus (hypoglycemia hnyav), nws tuaj yeem ua rau tuag taus. Yog li ntawd, kev kho mob glucagon thaum muaj xwm txheej ceev lossis kev pab kho mob tam sim ntawd.

Vim li cas 'qab zib hauv cov ntshav' thiaj li tseem ceeb rau peb lub cev?

Peb lub cev tau txais glucose, lossis qab zib, los ntawm cov khoom noj uas peb noj, tshwj xeeb tshaj yog los ntawm cov khoom noj uas muaj carbohydrates. Cov glucose no yog peb lub cev lub zog tseem ceeb. Nws zoo li roj av rau lub tsheb. Cov glucose no raug nqa los ntawm peb cov ntshav mus rau txhua lub cell hauv lub cev kom tsim lub zog. Cov glucose no yog qhov tseem ceeb rau peb lub hlwb. Rau lub hlwb kom ua haujlwm tau zoo, nws xav tau cov glucose tas li.

Yog koj tsis muaj mob ntshav qab zib, koj lub cev yuav pab tswj koj cov ntshav qab zib kom nyob rau hauv qhov zoo los ntawm ntau txoj kev ua haujlwm. Cov tshuaj insulin - uas peb lub pancreas tsim tawm - yog qhov tseem ceeb tshaj plaws rau qhov no. Glucagon yog lwm yam tshuaj hormones tseem ceeb hauv txoj kev ua haujlwm no.

Txawm li cas los xij, cov neeg uas muaj tus kab mob ntshav qab zib yuav tsum tau noj cov tshuaj kho mob ntshav qab zib thiab cov tshuaj insulin tsim los tswj lawv cov ntshav qab zib. Lawv kuj yuav tsum tau hloov pauv lawv txoj kev ua neej. Cov ntshav qab zib qis feem ntau yog vim muaj insulin ntau dhau hauv lub cev - vim nws tsim tawm ntuj lossis vim koj noj insulin ntau dhau. Cov ntshav qab zib qis kuj tseem tuaj yeem yog vim lwm yam teeb meem hormonal thiab metabolic.

Yog koj cov ntshav qab zib poob qis dua qib noj qab haus huv, koj pib muaj cov tsos mob xws li tshee hnyo thiab lub plawv dhia ceev. Yog tias nws poob qis dhau, nws tuaj yeem ua rau tuag taus. Vim tias, zoo li kuv tau hais ua ntej, lub hlwb xav tau cov piam thaj tas li kom ua haujlwm tau zoo. Yog tias tsis muaj piam thaj txaus, lub hlwb yuav tsis ua haujlwm tau.

Qe ntshav qis (hypoglycemia) feem ntau tshwm sim li cas?

Cov neeg uas muaj ntshav qab zib feem ntau yuav muaj ntshav qab zib tsawg tsawg, tshwj xeeb yog cov uas siv insulin. Ib txoj kev tshawb fawb pom tias 4 ntawm 5 tus neeg uas muaj ntshav qab zib hom 1, thiab kwv yees li ib nrab ntawm cov neeg uas muaj ntshav qab zib hom 2 uas siv insulin, tau tshaj tawm tias lawv cov ntshav qab zib tsawg tsawg ib zaug hauv plaub lub lis piam.

Cov neeg uas noj tshuaj meglitinides lossis sulfonylureas rau hom ntshav qab zib 2 kuj muaj feem yuav muaj ntshav qab zib tsawg dua. Koj tuaj yeem muaj ntshav qab zib qis txawm tias koj tsis muaj ntshav qab zib los xij, tab sis nws tsis tshua muaj.

Cov tsos mob ntawm hypoglycemia (qab zib qis hauv cov ntshav) yog dab tsi?

Cov tsos mob ntawm tus mob ntshav qab zib qis tuaj yeem pib sai heev. Lawv kuj tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Txawm tias yog tib tus neeg los xij, cov tsos mob tuaj yeem sib txawv ntawm ib qho mob mus rau lwm qhov.

Cov tsos mob no nyuaj me ntsis. Tab sis lawv ceeb toom koj kom ua ib yam dab tsi ua ntej koj cov ntshav qab zib poob qis dua. Nov yog qee cov tsos mob:

• Ib qho xwm txheej tshee hnyo lossis tshee hnyo.
• Ib lub cev tsis muaj sia.
• Tawm hws thiab hnov ​​txias.
• Kev tshaib plab heev (polyphagia).
• Lub plawv dhia nce ntxiv.
• Kiv taub hau los yog xav tias tig ib ncig.
• Nyuaj siab rau kev tsom ntsoov lossis kev tsis meej pem.
• Kev ntxhov siab tas li lossis kev chim siab.
• Daim tawv nqaij tsis zoo nkauj (pallor).
• Xav tias koj daim di ncauj, tus nplaig, lossis sab plhu tsis muaj zog.

Cov tsos mob ntawm hypoglycemia hnyav muaj xws li:

• Pom kev tsis meej los yog pom ob sab.
• Kev hais lus tsis meej.
• Tsis muaj zog sib npaug lossis ua tsis tau haujlwm.
• Ua tsis meej pem.
• Qaug dab peg.
• Poob siab.

Kev mob ntshav qab zib ntau dhau ua rau muaj kev phom sij rau lub neej! Nws yuav tsum tau mus kho mob tam sim ntawd. Txawm hais tias tsis tshua muaj, yog tias tsis kho, nws tuaj yeem ua rau tsis nco qab thiab tuag tau.

Qee zaum koj cov ntshav qab zib tuaj yeem poob qis thaum koj pw tsaug zog. Peb hu qhov no tias nocturnal hypoglycemia. Cov tsos mob tuaj yeem suav nrog:

• Tsis tsaug zog los yog pw tsis taus.
• Cov khaub ncaws lossis cov ntaub pua chaw pw ntub vim hws.
• Qw nrov thaum koj pw tsaug zog.
• Npau suav phem.
• Xav tias nkees heev, tsis meej pem, lossis tsis nco qab thaum sawv.

Thaum twg cov tsos mob ntawm hypoglycemia tshwm sim?

Cov tsos mob ntawm cov neeg uas muaj ntshav qab zib pib txawv ntawm ib tus neeg mus rau ib tus neeg. Feem ntau, cov neeg uas muaj ntshav qab zib pib muaj cov tsos mob thaum lawv cov ntshav qab zib poob qis mus txog 70 mg/dL lossis qis dua. Txawm li cas los xij, yog tias koj cov ntshav qab zib poob qis sai, koj yuav muaj cov tsos mob ua ntej dua.

Txawm tias cov neeg mob ntshav qab zib muaj cov tsos mob ntawm hypoglycemia los xij, txawm tias cov piam thaj hauv cov ntshav siab heev los xij. Qhov no yog vim tias thaum cov piam thaj hauv cov ntshav siab ntev heev (chronic hyperglycemia), lub cev yuav siv rau cov qib 'ib txwm'. Cov tsos mob ntawm cov piam thaj hauv cov ntshav qis hloov pauv.

Muaj ib txhia neeg muaj cov ntshav qab zib qis tab sis tsis muaj cov tsos mob, lossis lawv tsis pom lawv. Cov kws kho mob hu qhov no tias hypoglycemia unawareness . Cov neeg no feem ntau yuav muaj hypoglycemia hnyav thiab yuav tsum tau kev kho mob ntau dua.

Cov neeg mob ntshav qab zib uas tsis muaj ntshav qab zib ntev lawm tsis paub tias lawv muaj ntshav qab zib tsawg, lawv lub cev tsis qhia cov tsos mob thaum lawv cov ntshav qab zib poob qis.

Yog tias koj tsis paub tias koj muaj ntshav qab zib qis dhau, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj cov phooj ywg thiab tsev neeg txog qhov no kom lawv thiaj li pab tau koj yog tias koj cov ntshav qab zib qis dhau. Tej zaum koj yuav pom cov no pab tau:

• Siv lub cuab yeej saib xyuas ntshav qab zib tas mus li (CGM) uas ceeb toom rau koj thaum koj cov ntshav qab zib qis.
• Xyuas koj cov ntshav qab zib ntawm koj tus kheej tsis tu ncua.
• Dev ceeb toom txog ntshav qab zib - Cov dev no tau kawm tshwj xeeb los ceeb toom koj thaum koj cov ntshav qab zib qis.

Vim muaj cov ntshav qab zib tsawg, yuav muaj teeb meem dab tsi tshwm sim?

Kev mob ntshav qab zib qis heev uas kav ntev mus ntev tuaj yeem ua rau tuag taus. Nws kuj tseem tuaj yeem ua rau muaj teeb meem xws li:

• Kev ua tsis tiav ntawm ntau lub cev.
• Cov kab mob plawv dhia tsis xwm yeem.
• Lub plawv nres.
• Kev puas tsuaj rau lub hlwb mus tas li.
• Coma xeev.
• Kev tuag.

Tsis tas li ntawd xwb, kev siv cov tshuab hnyav, xws li kev tsav tsheb, thaum koj cov ntshav qab zib qis yog qhov txaus ntshai heev. Koj yuav muaj feem ntau dua rau qhov xwm txheej. Yog tias koj muaj ntshav qab zib, ib txwm xyuas koj cov ntshav qab zib ua ntej siv cov tshuab hnyav.

Dab tsi ua rau hypoglycemia (qab zib qis hauv cov ntshav) rau cov neeg uas muaj ntshav qab zib?

Kev mob ntshav qab zib tsawg tshwm sim thaum koj cov ntshav qab zib poob qis dua qib zoo. Qhov no tuaj yeem tshwm sim rau ntau yam laj thawj rau cov neeg uas muaj ntshav qab zib. Kev mob ntshav qab zib tsawg tuaj yeem tshwm sim yog tias koj cov zaub mov noj, kev tawm dag zog, thiab cov tshuaj kho mob ntshav qab zib tsis sib npaug.

Nov yog cov xwm txheej feem ntau uas cov neeg muaj ntshav qab zib tuaj yeem muaj hypoglycemia:

• Noj tshuaj insulin ntau dhau, noj hom insulin tsis raug, lossis txhaj tshuaj insulin rau hauv cov leeg nqaij es tsis txhob txhaj rau hauv cov rog.
• Tsis teem sijhawm insulin thiab carbohydrate noj kom raug (piv txwv li, tos ntev dhau los noj tom qab noj insulin rau pluas mov).
• Noj tshuaj ntshav qab zib ntau dhau los yog ntau dua li qhov tau teev tseg.
• Ua kom nquag (ua si) ntau dua li niaj zaus.
• Haus cawv tsis noj mov.
• Noj lig los yog tsis noj mov.
• Cov pluas noj tsis muaj qhov sib npaug ntawm cov rog, protein, thiab fiber.

Yog tias koj cev xeeb tub thiab muaj ntshav qab zib hom 1, koj yuav muaj ntshav qab zib tsawg dua thaum lub sijhawm peb lub hlis thawj zaug vim yog kev hloov pauv ntawm cov tshuaj hormones.

Dab tsi ua rau hypoglycemia rau cov neeg uas tsis muaj ntshav qab zib?

Muaj ob hom ntshav qab zib tsawg hauv cov neeg uas tsis muaj ntshav qab zib: reactive hypoglycemia thiab fasting hypoglycemia.

Kev Mob Ntshav Qab Zib Tsis Zoo

Reactive hypoglycemia yog qhov ntshav qab zib qis tom qab noj mov. Feem ntau nws tshwm sim li ntawm ob mus rau plaub teev tom qab noj mov.

Cov kws tshawb nrhiav tsis paub meej tias vim li cas qhov no thiaj tshwm sim, tab sis lawv xav tias nws yog vim noj qee yam khoom noj, tshwj xeeb yog cov carbohydrates yooj yim xws li mov dawb, qos yaj ywm, mov ci, ncuav mog qab zib, thiab khoom qab zib, ua rau cov ntshav qab zib nce siab sai sai, ua raws li qhov poob qis sai sai.

Tsis tas li ntawd xwb, qee qhov kev phais mob kom poob phaus (kev phais mob bariatric) tuaj yeem ua rau muaj ntshav qab zib qis dua. Tom qab kev phais mob xws li kev phais mob gastric bypass, lub cev nqus cov piam thaj sai heev. Qhov no ua rau muaj insulin ntau dua. Qhov no tuaj yeem ua rau muaj ntshav qab zib qis dua.

Feem ntau lub cev kho qhov mob no ntawm nws tus kheej, tab sis kev noj qee cov carbohydrates tuaj yeem txo cov tsos mob sai sai.

Kev yoo mov hypoglycemia

Feem ntau cov neeg uas tsis muaj ntshav qab zib tsis muaj ntshav qab zib txawm tias tom qab yoo mov ntev lawm los xij. Qhov no yog vim lub cev cov tshuaj hormones thiab cov piam thaj khaws cia tswj cov ntshav qab zib.

Txawm li cas los xij, qee yam kab mob thiab tej yam mob tuaj yeem ua rau cov neeg uas tsis muaj ntshav qab zib tsis qab zib thaum lawv yoo mov. Cov no suav nrog:

• Kev haus dej cawv ntau dhau:Cawv ua rau lub cev tsis muaj peev xwm tsim cov qe ntshav qab zib tshiab (gluconeogenesis). Yog tias koj tsis noj mov kom zoo rau ob peb hnub thiab haus dej ntau, koj lub cev tuaj yeem siv nws cov glucose (glycogen) uas khaws cia kom tag. Qhov no tuaj yeem ua rau hypoglycemia, uas yog thaum koj lub cev tsis tuaj yeem tswj koj cov ntshav qab zib kom zoo.
• Mob Hnyav: Cov ntshav qab zib qis tuaj yeem tshwm sim hauv cov mob hnyav, xws li mob siab kawg, sepsis, kev yoo mov, lossis lub raum tsis ua haujlwm. Qhov no yog vim koj lub cev siv cov piam thaj uas twb muaj lawm rau lub zog sai dua li nws tuaj yeem tsim cov piam thaj tshiab los ntawm cov khoom noj uas koj noj.
• Tsis Muaj Peev Xwm Ua Haujlwm ntawm Adrenal: Hauv qhov xwm txheej no, cov qib cortisol qis dua li qub. Vim tias cortisol pab tswj cov ntshav qab zib los ntawm kev ua kom nws nce ntxiv, cov qib cortisol qis tuaj yeem ua rau hypoglycemia.
• Mob qog ntshav qis qis (NICTH): Qhov no yog ib qho mob tsis tshua muaj tab sis mob hnyav. Hauv qhov mob no, lub qog tso tawm ntau dhau ntawm cov tshuaj hormones hu ua Insulin-like Growth Factor 2 (IGF-2). Cov tshuaj hormones no ua haujlwm zoo li insulin. Thaum IGF-2 siab, hypoglycemia tshwm sim. NICTH tuaj yeem tshwm sim los ntawm ntau yam mob qog ntshav (tsis yog mob qog noj ntshav) thiab mob qog ntshav (mob qog noj ntshav).
• Insulinoma: Qhov no yog ib hom mob qog nqaij hlav uas tsis tshua muaj uas tshwm sim hauv lub txiav pancreas. Nws tsim cov insulin ntau dhau, uas ua rau cov ntshav qab zib qis - feem ntau yog thaum sawv ntxov.

Txawm hais tias tsis tshua muaj, hypoglycemia kuj tuaj yeem tshwm sim los ntawm cov tshuaj uas tsis muaj feem cuam tshuam nrog ntshav qab zib, xws li beta-blockers thiab qee cov tshuaj tua kab mob.

Yog tias koj muaj mob hypoglycemia yam tsis muaj ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob.

Cov neeg uas muaj ntshav qab zib paub li cas txog hypoglycemia?

Tib txoj kev kom paub tseeb tias koj puas muaj ntshav qab zib qis yog siv lub cuab yeej ntsuas ntshav qab zib los ntsuas koj cov ntshav qab zib. Feem ntau ntawm cov khoom siv no siv rab koob me me hu ua lancet los rho ib tee ntshav ntawm koj tus ntiv tes.

Lub cuab yeej saib xyuas cov piam thaj tas mus li (CGM) yog ib qho cuab yeej zoo heev los pab koj txheeb xyuas thiab tiv thaiv cov ntshav qab zib qis. Vim tias koj tuaj yeem teeb tsa nws kom ceeb toom koj thaum koj cov ntshav qab zib qis. Cov kev ceeb toom CGM no muaj txiaj ntsig zoo rau cov xwm txheej uas cov ntshav qab zib qis tuaj yeem ua rau muaj kev phom sij, xws li thaum koj pw tsaug zog lossis tsav tsheb.

Yog tias koj muaj cov tsos mob ntawm hypoglycemia, tab sis tsis muaj txoj hauv kev los xyuas koj cov ntshav qab zib, kho qhov hypoglycemia.

Cov neeg uas tsis muaj ntshav qab zib paub li cas txog qhov hypoglycemia?

Yog koj tus kws kho mob xav tias koj muaj ntshav qab zib qis, nws yuav kuaj koj cov ntshav qab zib txhua ob peb teev thaum koj yoo mov ob peb hnub. Tej zaum yuav muaj lwm yam kev kuaj mob los nrhiav qhov ua rau ntshav qab zib qis. Piv txwv li, tej zaum yuav muaj kev kuaj duab los saib seb puas yog mob qog noj ntshav ua rau ntshav qab zib qis.

Yog koj muaj tus mob ntshav qab zib qis (reactive hypoglycemia), koj tus kws kho mob yuav pom zoo kom kuaj ntshav hu ua Mixed-Meal Tolerance Test (MMTT). Hauv MMTT no, koj yuav tsum haus ib khob dej tshwj xeeb uas muaj protein, rog, thiab qab zib ua ntej. Cov dej haus no yuav ua rau koj cov ntshav qab zib nce siab, uas ua rau koj lub cev tsim cov insulin ntau dua. Tom qab ntawd, tus kws kho mob yuav kuaj koj cov ntshav qab zib ntau zaus hauv tsib teev tom ntej.

Yuav kho tus mob hypoglycemia (qab zib qis hauv cov ntshav) li cas?

Kev kho mob ntshav qab zib qis me ntsis thiab nruab nrab yog los ntawm kev noj lossis haus ib yam dab tsi uas muaj suab thaj (carbohydrates).

Lub Koom Haum Kab Mob Ntshav Qab Zib Asmeskas pom zoo kom siv txoj cai "15-15" los kho qhov mob ntshav qab zib me me lossis nruab nrab:

• Noj los yog haus 15 grams ntawm cov carbohydrates uas ua haujlwm sai kom ua rau koj cov ntshav qab zib nce ntxiv.
• Tom qab 15 feeb, xyuas koj cov ntshav qab zib.
• Yog tias nws tseem qis dua 70 mg/dL, noj ntxiv 15 grams ntawm cov carbohydrates uas ua haujlwm sai.
• Rov ua qhov no kom txog thaum koj cov piam thaj hauv cov ntshav tsawg kawg yog 70 mg / dL.

Yog xav paub seb muaj pes tsawg carbohydrates nyob rau hauv cov khoom noj uas koj noj, nyeem cov ntawv qhia txog khoom noj khoom haus. Nov yog qee cov khoom noj uas muaj li ntawm 15 grams ntawm cov carbohydrates uas ua haujlwm sai:

• Ib daim txiv hmab txiv ntoo me me, piv txwv li ib nrab txiv tsawb.
• 4 ooj (ib nrab khob) kua txiv hmab txiv ntoo los yog dej qab zib ib txwm (tsis yog dej haus kom poob phaus).
• Ib diav suab thaj, zib ntab los yog kua txiv hmab.
• Ib lub raj mis ntawm cov kua nplaum qab zib tam sim ntawd (saib cov lus qhia).
• 3 lossis 4 lub tshuaj glucose (saib cov lus qhia).

Yog tias koj muaj cov tsos mob ntawm hypoglycemia, tab sis tsis muaj txoj hauv kev los kuaj xyuas koj cov ntshav qab zib, siv txoj cai 15-15 kom txog thaum koj xav tias zoo dua.

Cov menyuam yaus me me yuav xav tau cov carbohydrates me me los kho qhov hypoglycemia. Nug koj tus menyuam tus kws kho mob txog qhov no.

Yuav kho tus mob ntshav qab zib qis heev li cas?

Kev mob ntshav qab zib qis heev yuav tsum tau kev kho mob txawv ntawm kev mob ntshav qab zib qis me me lossis nruab nrab. Yog tias ib tug neeg koj paub muaj mob ntshav qab zib qis thiab hais lus tsis meej, tsis meej pem, lossis tsis nco qab,Tsis txhob muab zaub mov los yog dej rau lawv. Lawv yuav ua rau lawv txhaws tau.

Yog tias muaj ntshav qab zib qis heev, yuav tsum siv glucagon thaum muaj xwm txheej ceev. Qhov no yog ib hom glucagon tsim los. Nyob ntawm seb hom twg, nws tuaj yeem muab ua koob tshuaj lossis ua hmoov rau qhov ntswg (tshuaj tsuag rau qhov ntswg qhuav). glucagon tsim los qhia koj lub siab kom tso cov piam thaj uas khaws cia. Qhov no ua rau koj cov piam thaj hauv ntshav nce siab.

Yog tias cov glucagon yog ib qho tshuaj txhaj, ces txhaj rau hauv nws lub pob tw, caj npab, lossis nws lub duav raws li cov lus qhia ntawm lub thawv. Yog tias cov glucagon yog ib qho hmoov rau qhov ntswg, muab tso rau hauv ib lub qhov ntswg raws li cov lus qhia ntawm lub thawv.

Thaum nws rov qab nco qab (feem ntau yog li ntawm 5 txog 15 feeb), nws yuav xeev siab thiab ntuav. Yog tias nws pw, tig nws rau nws ib sab kom tsis txhob txhaws yog tias nws ntuav.

Tsis txhob yig hu rau 911 kom tau kev pab. Yog tias ib tug neeg tsis nco qab, tsis muaj glucagon, lossis koj tsis paub siv nws li cas, hu rau 911 tam sim ntawd.

Puas tiv thaiv tau cov ntshav qab zib qis?

Tu siab kawg li, nws nyuaj rau tiv thaiv kom tsis txhob muaj ntshav qab zib tsawg thaum koj muaj ntshav qab zib. Tab sis koj tuaj yeem sim hloov koj txoj kev npaj tswj ntshav qab zib kom txo tau cov zaus ntshav qab zib qis uas koj ntsib.

Qhov no ua tau yooj yim thaum koj thiab koj tus kws kho mob nkag siab tias yog dab tsi ua rau koj cov ntshav qab zib qis. Qhia koj tus kws kho mob kom meej li ntau tau txog koj cov ntshav qab zib qis. Ib yam dab tsi yooj yim xws li hloov lub sijhawm koj noj koj cov tshuaj, noj mov, thiab tawm dag zog yuav daws tau qhov teeb meem.

Cov kauj ruam no tuaj yeem pab tiv thaiv kom tsis txhob muaj ntshav qab zib tsawg:

• Noj tag nrho koj cov tshuaj raws nraim li tau qhia.
• Ua raws li koj tus kws kho mob cov lus qhia txog kev noj zaub mov thiab kev tawm dag zog.
• Siv lub cuab yeej ntsuas ntshav qab zib tas mus li (CGM), lossis kuaj xyuas koj cov ntshav qab zib tsis tu ncua - ua ntej thiab tom qab noj mov, ua ntej thiab tom qab kev tawm dag zog, thiab thaum mus pw.
• Tom qab koj kho tus mob ntshav qab zib qis lawm, sau cov ntsiab lus ntawm tus mob ntawd cia. Muab cov ntsiab lus xws li lub sijhawm, koj noj dab tsi tsis ntev los no, seb koj puas tau tawm dag zog, koj cov tsos mob yog dab tsi, thiab koj cov ntshav qab zib yog dab tsi. Qhov no yuav pab koj thiab koj tus kws kho mob tsim ib txoj kev npaj tswj kom tiv thaiv cov ntshav qab zib qis yav tom ntej.

Yuav ua li cas yog tias kuv muaj hypoglycemia?

Qhov kev cia siab rau cov neeg uas tsis muaj ntshav qab zib yuav muaj ntshav qab zib tsawg yog nyob ntawm seb yog vim li cas. Yog tias koj muaj ntshav qab zib, kev muaj ntshav qab zib tsawg ntau zaus yuav ua rau muaj kev phom sij. Nws tuaj yeem ua rau koj tsis paub txog kev muaj ntshav qab zib tsawg. Qhov no txhais tau tias koj yuav tsis pom cov cim ceeb toom ntawm cov ntshav qab zib tsawg.Yog tias koj cov ntshav qab zib tsawg tas li, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kws kho mob uas tuaj yeem pab koj tswj koj tus kab mob ntshav qab zib.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog koj muaj ntshav qab zib lossis lwm yam mob uas ua rau muaj ntshav qab zib qis, hnav ib txoj hlua tes lossis ib daim ntawv ceeb toom kho mob, lossis nqa daim npav ID kho mob nrog koj kom lwm tus paub yuav pab koj li cas thaum muaj xwm txheej ceev.

Nov yog cov kauj ruam uas koj tuaj yeem ua tau los tiv thaiv kev mob ntshav qab zib ntau dhau:

• Ib txwm nqa khoom noj txom ncauj nrog koj hauv tsev thiab thaum koj tawm mus sab nraud - tej yam xws li txiv hmab txiv ntoo txom ncauj, cov ntsiav glucose, lossis cov thawv kua txiv hmab txiv ntoo.
• Piav qhia rau cov neeg uas koj siv sijhawm nrog txog qhov hypoglycemia thiab hypoglycemia hnyav, thiab lawv yuav pab tau koj li cas yog tias koj muaj teeb meem.
• Nqa ib lub tshuaj glucagon thaum muaj xwm txheej ceev. Qhia koj cov neeg hlub seb yuav siv nws li cas thiab thaum twg.

Yog koj muaj ntshav qab zib, tsis txhob sim kho koj cov ntshav qab zib los ntawm kev noj cov carbohydrates ntau dhau. Qhov no tuaj yeem ua rau koj cov ntshav qab zib rov qab siab dua. Nws tuaj yeem nyuaj rau kev tso tseg kev noj ntau dhau vim yog koj lub cev teb "sib ntaus lossis khiav". Tom qab koj tau kho koj tus kheej nrog 15 grams ntawm cov carbohydrates, teem lub sijhawm rau 15 feeb ua ntej noj qab zib ntxiv.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob txog hypoglycemia?

Yog koj muaj mob ntshav qab zib thiab koj cov ntshav qab zib qis ntau zaus, nrog kws kho mob tham uas yuav pab koj tswj koj tus mob ntshav qab zib. Nws yuav pab koj tsim ib txoj kev npaj tswj. Qhov no yuav suav nrog kev hloov pauv koj cov tshuaj noj, kev npaj zaub mov, lossis kev tawm dag zog.

Yog koj muaj ntshav qab zib tsawg yam tsis muaj ntshav qab zib, nrog koj tus kws kho mob tham. Nws yuav tsum tau kuaj mob kom paub seb yog vim li cas. Qee zaum, qhov mob hauv qab no yuav loj heev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob.

Qhov txawv ntawm Hypoglycemia thiab Hyperglycemia yog dab tsi?

Hais yooj yim xwb, hypoglycemia yog cov ntshav qab zib qis. 'Hypo-' txhais tau tias 'tsawg'. Hyperglycemia yog cov ntshav qab zib siab. 'Hyper-' txhais tau tias 'siab' lossis 'ntau dhau'.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob ntshav qab zib tsawg yog ib yam mob uas feem ntau tshwm sim rau cov neeg uas muaj ntshav qab zib. Yog tias tsis kho sai sai, nws tuaj yeem ua rau tuag taus. Nws yog ib qho tseem ceeb uas yuav tsum kawm txog koj cov cim ceeb toom thiab kuaj koj cov ntshav qab zib tsis tu ncua kom tiv thaiv kev mob ntshav qab zib tsawg heev.Yog koj cov ntshav qab zib qis tas li, nrog koj tus kws kho mob tham txog kev npaj tswj ntshav qab zib. Thaum koj paub ntau ntxiv txog yam ua rau koj cov tsos mob, nws yuav yooj yim dua los npaj koj txoj kev npaj.

Yog koj muaj ntshav qab zib tsawg yam tsis muaj ntshav qab zib, koj yuav tsum mus ntsib kws kho mob. Txawm hais tias nws tsis tshua muaj qhov ua rau mob hnyav, nws tuaj yeem tshwm sim. Yog li, nws zoo dua kom mus kuaj mob sai dua li tom qab. Saib xyuas koj txoj kev noj qab haus huv!

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