Cia peb nrhiav seb koj cov ntshav qab zib (Kev Ntsuas Ntshav Qab Zib) puas yog ua rau tus mob ntshav qab zib xwb?

Nyob zoo! Koj nyob li cas? Hnub no peb yuav tham txog ib qho tseem ceeb rau ntau tus neeg. Uas yog, kev kuaj xyuas cov ntshav qab zib, lossis raws li peb hu nws, "Kev Ntsuas Ntshav Qab Zib". Tej zaum koj tau ua qhov "kev ntsuas" no. Los yog tej zaum koj tau hnov ​​​​​​ib tug neeg tham txog nws. Cia peb saib nws yog dab tsi, vim li cas nws thiaj ua, thiab yuav ua li cas, txhua yam hauv cov lus yooj yim.

Kev Ntsuas Ntshav Qab Zib Yog Dab Tsi?

Hais yooj yim xwb, qhov no yog ib qho kev kuaj uas ntsuas qhov ntau ntawm cov glucose (qab zib) hauv koj cov ntshav. Qhov no feem ntau yog siv los txiav txim siab seb koj puas muaj ntshav qab zib lossis muaj feem yuav mob ntshav qab zib. Txawm li cas los xij, qhov kev kuaj no tsis yog siv rau ntshav qab zib xwb. Peb yuav tham txog qhov ntawd tom qab.

Muaj ob hom kev xeem no tseem ceeb.

Tam sim no saib, muaj ob txoj hauv kev los ua qhov kev kuaj ntshav qab zib no.

• Kev kuaj ntshav qab zib hauv cov hlab ntsha: Qhov no suav nrog kev siv ib rab koob me me los txiav koj cov ntiv tes thiab muab ib tee ntshav tso rau. Rau cov menyuam yaus, feem ntau ua qhov no los ntawm pob taws. Tom qab ntawd, cov tee ntshav ntawd muab tso rau ntawm daim ntawv kuaj thiab muab tso rau hauv lub ntsuas ntshav qab zib, uas tuaj yeem ntsuas koj cov ntshav qab zib hauv ob peb feeb xwb. Tej zaum koj yuav tau pom cov neeg uas muaj ntshav qab zib kuaj lawv cov ntshav qab zib hauv tsev li no. Qhov no muab cov txiaj ntsig sai heev.

• Kev kuaj ntshav qab zib ntawm cov hlab ntsha hauv cov hlab ntsha/Plasma: Qhov no suav nrog kev siv lub koob txhaj tshuaj los ntawm cov ntshav me me los ntawm cov hlab ntsha hauv koj txhais caj npab. Qhov no yog ua los ntawm tus kws kho mob ntshav, ib tus neeg uas tau kawm txog kev nqus ntshav. Qhov no feem ntau ua ua ke nrog lwm yam kev kuaj ntshav, xws li Basic Metabolic Panel (BMP). Tom qab ntawd cov ntshav kuaj raug xa mus rau chav kuaj mob kom kuaj.

Feem ntau hais lus, cov txiaj ntsig tau los ntawm kev kuaj ntshav venous yog qhov tseeb dua li cov tau los ntawm kev kuaj ntiv tes.

Puas muaj lwm hom kev kuaj ntshav qab zib?

Yog, muaj ntau lwm txoj kev.

• Kev Ntsuas Ntshav Qab Zib Thaum Noj Mov: Qhov no kuj yog ib qho kev sim tseem ceeb kom paub seb koj puas muaj ntshav qab zib. Cov ntshav qab zib hloov pauv tom qab peb noj mov. Yog li ntawd, los ntawm kev ua qhov "kev sim" no tom qab ob peb teev (feem ntau 8-12 teev) yam tsis tau noj lossis haus dab tsi (koj tsuas haus tau dej xwb), koj tuaj yeem tau txais lub tswv yim meej txog koj "qab zib hauv ntshav".

• Kev saib xyuas cov piam thaj hauv tsev: Qhov no tseem ceeb heev rau cov neeg uas muaj ntshav qab zib. Lawv saib xyuas lawv cov piam thaj hauv cov ntshav tsis tu ncua, txawm tias siv lub ntsuas qabzib uas siv koob me me los xuas lawv tus ntiv tes, lossis siv lub ntsuas qabzib tas mus li (CGM), ib lub cuab yeej me me uas txuas rau ntawm daim tawv nqaij. Kev paub txog koj cov piam thaj hauv cov ntshav li no yog qhov tseem ceeb rau kev tswj koj tus mob ntshav qab zib.

Glucose (qabzib) hauv cov ntshav yog dab tsi tiag?

Xav txog nws, glucose yog lub roj tseem ceeb uas muab zog rau peb lub cev. Cov glucose no feem ntau yog tsim los ntawm cov carbohydrates hauv cov khoom noj uas peb noj thiab haus. Peb lub siab kuj tsim qee cov glucose. Cov glucose no mus los ntawm cov ntshav mus rau cov hlwb thoob plaws lub cev, qhov chaw uas nws muab lub zog uas lawv xav tau.

Muaj ntau yam txheej txheem hauv peb lub cev uas pab tswj kom cov piam thaj hauv cov ntshav kom zoo. Cov tshuaj insulin ua lub luag haujlwm tseem ceeb hauv qhov no.

Qhov tseem ceeb tshaj plaws yog kom koj cov ntshav qabzib nyob rau theem noj qab nyob zoo.

Yog tias koj cov ntshav qab zib siab tas li, nws hu ua hyperglycemia. Qhov no feem ntau yog ib qho tsos mob ntawm tus kab mob ntshav qab zib. Kab mob ntshav qab zib tshwm sim thaum koj lub txiav tsis tsim cov insulin txaus, lossis thaum koj lub cev tsis tuaj yeem siv cov insulin uas nws tsim tau zoo.

Thaum twg koj yuav tsum tau kuaj xyuas koj cov ntshav qab zib?

Muaj ntau yam laj thawj uas yuav tsum tau ua qhov kev xeem no. Saib seb puas muaj ib qho ntawm cov no siv tau rau koj:

• Ua ib qho kev kuaj ntshav niaj hnub uas koj tus kws kho mob tau hais kom ua: Qee zaum koj tus kws kho mob yuav hais kom ua ib qho "Basic Metabolic Panel (BMP)" lossis "Comprehensive Metabolic Panel (CMP)" ua ib qho kev kuaj ntshav niaj hnub. Ob qho "panels" no kuj suav nrog kev ntsuas koj cov piam thaj hauv cov ntshav.
• Yog tias koj muaj cov tsos mob ntawm cov ntshav qab zib siab lossis qis: Koj xav tias nqhis dej heev, tso zis ntau zaus, poob phaus, thiab nkees, uas yog cov tsos mob ntawm cov ntshav qab zib siab (Hypoglycemia), lossis yog tias koj muaj cov tsos mob ntawm cov ntshav qab zib qis (Hypoglycemia), xws li tawm hws, tshee hnyo, xav tias tshee hnyo, thiab xav tias tshaib plab, koj tus kws kho mob yuav xaj qhov kev kuaj no.
• Thaum cev xeeb tub: Ib txhia neeg tuaj yeem muaj tus kab mob ntshav qab zib ib ntus hu ua "mob ntshav qab zib thaum cev xeeb tub." Qhov no kuj yog li cas ntsuas cov ntshav qab zib thaum "ntsuas kev kam rau qabzib" los kuaj nws.
• Yog koj noj qee yam tshuaj ntev ntev: Piv txwv li, cov tshuaj xws li corticosteroids tuaj yeem cuam tshuam rau koj cov ntshav qab zib thaum siv ntev. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav qhia koj kom kuaj xyuas koj cov ntshav qab zib tsis tu ncua.

Kev kuaj ntshav qab zib feem ntau yog kuaj seb puas muaj mob ntshav qab zib hom 2 (T2D). Yog tias koj muaj tej yam uas ua rau koj muaj mob ntshav qab zib (piv txwv li, tsev neeg muaj mob ntshav qab zib, rog dhau, tsis tawm dag zog), koj tus kws kho mob yuav pom zoo kom koj mus kuaj qhov no tsis tu ncua, tsis hais koj muaj hnub nyoog li cas los xij. Lub Koom Haum American Diabetes Association pom zoo kom txhua tus neeg uas muaj hnub nyoog tshaj 35 xyoo mus kuaj tsis tu ncua.

Koj yuav tsum npaj li cas ua ntej qhov kev xeem no?

Yog koj ua qhov kev ntsuam xyuas ntshav qab zib thaum koj yoo mov,Tsis txhob noj lossis haus dab tsi (tshwj tsis yog dej) li 8 txog 12 teev ua ntej qhov kev kuaj.

Yog koj qhov kev kuaj ntshav qab zib yog ua ib feem ntawm "Basic Metabolic Panel (BMP)" lossis "Comprehensive Metabolic Panel (CMP)", koj kuj yuav tsum tau yoo mov ob peb teev. Txawm li cas los xij, yog tias koj xav tau ua raws li cov lus qhia tshwj xeeb, koj tus kws kho mob yuav qhia rau koj paub ua ntej. Yog li tsis muaj dab tsi yuav tsum txhawj txog.

Muaj dab tsi tshwm sim thaum lub sijhawm xeem?

Qhov no kuj txawv me ntsis nyob ntawm seb koj tab tom ua hom kev xeem twg.

Hauv kev kuaj ntshav uas muab los ntawm cov leeg ntshav (Kev kuaj ntshav qab zib hauv cov leeg ntshav):

• Koj yuav zaum hauv ib lub rooj zaum.
• Tus kws kho mob ntshav yuav xaiv ib txoj hlab ntshav yooj yim hauv koj txhais caj npab los nqus ntshav. Feem ntau, nws nyob hauv lub luj tshib.
• Thaum pom cov leeg ntshav lawm, thaj chaw ntawd yuav raug ntxuav thiab tua kab mob kom huv si.
• Tom qab ntawd muab ib rab koob me me ntxig rau hauv cov leeg ntshav thiab coj cov ntshav mus kuaj.
• Tom qab muab koob txhaj rau hauv lawm, yuav muab ib co ntshav me me sau rau hauv ib lub raj me me rau kuaj.
• Tom qab muab cov ntshav kuaj tas, ces muab rab koob rho tawm thiab muab ib daim paj rwb los yog daim ntaub qhwv tso rau ntawm qhov chaw ntawd kom tsis txhob los ntshav.
• Thaum kawg, muab ib daim ntaub qhwv me me rau ntawm qhov chaw ntawd thiab koj ua tiav lawm. Nws yooj yim heev.

Hauv kev kuaj ntiv tes (kev kuaj ntshav qabzib hauv cov ntshav):

• Ib tug neeg ua haujlwm kho mob yuav nug koj seb koj yuav tsum tau ntshav los ntawm tus ntiv tes twg.
• Tom qab ntawd, koj cov ntiv tes raug ntxuav nrog ib daim ntaub so cawv.
• Tom qab ntawd, siv ib rab koob me me hu ua "lancet" (feem ntau yog ib lub yas me me) los chob rau ntawm tus ntiv tes. Qhov no tsis mob heev.
• Tom qab ntawd, nias koj tus ntiv tes me ntsis kom tsim tau ib tee ntshav.
• Cov ntshav ntawd muab tso rau ntawm daim kab xev kuaj uas txuas nrog lub ntsuas glucose.
• Tom qab koj ntshav txaus rau kev kuaj mob, lawv yuav muab ib daim paj rwb lossis daim ntaub qhwv rau koj kom tsis txhob los ntshav thiab hais kom koj tuav koj cov ntiv tes kom nruj.
• Hauv ob peb feeb xwb, lub ntsuas ntshav qab zib yuav qhia koj cov ntshav qab zib ntawm qhov screen.

Koj pom, qhov no kuj yooj yim heev.

Yuav siv sijhawm ntev npaum li cas thiaj paub cov txiaj ntsig?

Yog koj kuaj ntshav qab zib hauv cov hlab ntsha (venous blood glucose), feem ntau koj tuaj yeem tau txais cov txiaj ntsig hauv ib lossis ob hnub.

Cov txiaj ntsig ntawm kev ntsuas ntshav qab zib capillary tuaj yeem pom hauv ob peb feeb nrog lub glucometer.

Cov ntshav qab zib ib txwm yuav tsum yog li cas?

Cov ntshav qab zib kom zoo rau ib tus neeg uas tsis muaj ntshav qab zib yuav tsum nyob nruab nrab ntawm 70 thiab 99 milligrams ib deciliter (mg/dL) . Uas yog, hauv millimoles ib liter (mmol/L), ntawm 3.9 thiab 5.5 (3.9-5.5 mmol/L) .

Qee zaum, cov nqi ntawm 50 mg / dL (2.8 mmol / L) thiab 70 mg / dL (3.9 mmol / L) tuaj yeem yog "ib txwm" rau cov neeg uas tsis muaj ntshav qab zib.

Ntshav qab zib siab txhais li cas?

Yog tias koj cov ntshav qab zib nyob nruab nrab ntawm 100 mg/dL thiab 125 mg/dL (5.6 mmol/L thiab 6.9 mmol/L), nws feem ntau txhais tau tias koj muaj prediabetes . Cov neeg uas muaj prediabetes muaj 50% feem pua ​​​​​​ntawm kev mob ntshav qab zib hom 2 hauv 5 txog 10 xyoo tom ntej. Tab sis qhov zoo tshaj plaws yog, koj tuaj yeem ua cov kauj ruam los kho prediabetes.

Yog tias koj cov ntshav qab zib yog 126 mg/dL (7.0 mmol/L) lossis siab dua ntawm kev kuaj ntshav qab zib ntau zaus, nws feem ntau txhais tau tias koj muaj ntshav qab zib. Cov neeg uas muaj ntshav qab zib hom 1 tuaj yeem muaj cov ntshav qab zib siab heev (200 mg/dL lossis 11.1 mmol/L lossis siab dua).

Txawm li cas los xij, koj tus kws kho mob yuav xaj kom kuaj A1c ua ntej kuaj mob. Qhov kev kuaj A1c qhia koj cov ntshav qab zib nruab nrab rau ntau lub hlis.

Puas muaj lwm yam ua rau cov ntshav qab zib nce siab?

Yog lawm, ntxiv rau ntshav qab zib, cov ntshav qab zib tuaj yeem nce ntxiv vim muaj ntau yam laj thawj:

• Teeb meem nrog koj cov qog adrenal, piv txwv li, Cushing syndrome.
• Teeb meem nrog koj lub txiav, piv txwv li, pancreatitis.
• Kev mob hyperthyroidism.
• Raug kev ntxhov siab loj heev rau lub hlwb, piv txwv li tom qab phais lossis raug xwm txheej loj (kev raug mob hnyav).
• Qee cov tshuaj, tshwj xeeb tshaj yog corticosteroids.

Cov ntshav qab zib tsawg txhais li cas?

Cov ntshav qab zib ntawm 70 mg/dL lossis tsawg dua (Hypoglycemia) suav tias yog qis heev rau ib tus neeg laus uas muaj ntshav qab zib.

Cov neeg uas muaj ntshav qab zib hom 1 feem ntau yuav muaj cov tsos mob ntshav qab zib tsawg. Cov tsos mob no kuj tseem yuav tshwm sim rau cov neeg uas muaj ntshav qab zib hom 2 uas noj qee yam tshuaj. Txawm li cas los xij, cov tsos mob no tsis tshua muaj rau cov neeg uas tsis muaj ntshav qab zib.

Txawm tias koj tsis muaj ntshav qab zib los xij, cov ntshav qab zib qis tuaj yeem yog ib qho cim ntawm:

• Kab mob siab
• Kab mob raum
• Kev mob hypothyroidism
• Kab mob Addison (adrenal tsis txaus)
• Kev Siv Cawv Tsis Zoo (AUD)
• Insulinoma (Qhov no yog ib qho mob qog nqaij hlav tsis tshua muaj)

Cov mob no feem ntau ua rau cov ntshav qab zib qis ntau zaus. Ib tug neeg uas tsis muaj ntshav qab zib yuav tsum tsis txhob ntshai tias yuav muaj ib qho ntshav qab zib qis xwb.

Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj pom cov txiaj ntsig kuaj mob txawv txawv. Tab sis nco ntsoov tias, ib qho ntshav qab zib siab lossis qis tsis tas txhais tau tias koj muaj mob lossis xav tau kev kho mob. Cov kws kho mob siv ntau dua li kev kuaj ntshav los kuaj mob xws li ntshav qab zib. Tsis txhob ntshai nug koj tus kws kho mob cov lus nug. Lawv nyob ntawd los pab koj.

Zoo, yog li peb yuav tsum nco ntsoov dab tsi ntawm txhua yam no? (Cov Lus Coj Mus Tsev)

Zoo, peb tau tham ntau txog qhov "Kev Ntsuas Ntshav Qab Zib" no. Nov yog qee yam uas yuav tsum nco ntsoov luv luv:

• Txawm hais tias kev kuaj ntshav qab zib feem ntau yog siv los kuaj mob ntshav qab zib, nws kuj tseem tuaj yeem muab cov lus qhia txog lwm yam mob.
• Ntxiv rau kev kuaj ntiv tes sai, muaj kev kuaj mob tseeb dua uas ua hauv chav kuaj los ntawm kev rho ntshav los ntawm cov leeg ntshav.
• Kev kuaj ntshav qab zib thaum yoo mov tuaj yeem muab lub tswv yim zoo rau koj txog koj cov ntshav qab zib thaum pib.
• Ua ntej koj ntshai txog cov txiaj ntsig, nco ntsoov nrog koj tus kws kho mob tham. Tsis txhob kuaj mob raws li cov txiaj ntsig ntawm ib qho kev kuaj xwb.
• Yog tias koj muaj feem yuav mob ntshav qab zib, lossis muaj cov tsos mob, nws yog ib qho tseem ceeb heev uas yuav tsum kuaj qhov no tsis tu ncua raws li koj tus kws kho mob qhia.
• Kev tswj cov ntshav qab zib kom nyob rau hauv qhov ib txwm yog qhov tseem ceeb rau lub neej noj qab haus huv.

Yog li ntawd, yog tias koj tus kws kho mob puas tau hais kom koj ua qhov "(Kev Ntsuas Ntshav Qab Zib)", tsis muaj dab tsi yuav tsum ntshai lossis ua xyem xyav txog. Nws tsuas yog ib qho tseem ceeb uas yuav tsum ua los xyuas koj txoj kev noj qab haus huv. Koj puas nkag siab?

Ntshav qab zib, kev kuaj ntshav qabzib, ntshav qab zib, qib qab zib, kev kuaj mob thaum yoo mov, hyperglycemia, hypoglycemia