Asanga (hnub nyoog 38), ib tug thawj coj kev lag luam, tuaj rau kuv lub tsev kho mob hnub Friday yav tsaus ntuj tas los. Nws txhawj heev.
"Dr. Priya, kuv haus ob lub raj mis cawv nrog kuv cov phooj ywg hnub Friday dhau los. Kwv yees li 20 feeb tom qab haus dej, kuv kiv taub hau heev thiab kuv lub cev pib tshee hnyo. Nrog rau qhov ntawd, kuv tawm hws txias. Kuv xav tias nws yog qhov saj ntawm cawv ib txwm muaj zog. Tab sis kuv tsis tuaj yeem taug kev ntawm txoj kev thiab pib tsaus muag. Thaum kuv kuaj nrog lub glucometer uas ib tug phooj ywg muaj, kuv cov ntshav qab zib tau poob qis mus rau 55 mg / dL! Kuv yog tus mob ntshav qab zib. Vim li cas qhov no tshwm sim rau kuv, kws kho mob?" Asanga nug.
Kuv piav rau Asanga hais tias: "Asanga, koj tab tom ntsib hypoglycemia , uas yog qib ntshav qab zib qis heev. Feem ntau, thaum peb lub cev qib qab zib poob qis, lub siab hloov cov qab zib uas khaws cia, lossis glycogen, rov qab mus rau hauv glucose thiab tso nws mus rau hauv cov ntshav. Tab sis thaum koj haus cawv, lub siab yuav tsum ua qhov tseem ceeb ntawm txoj haujlwm ntawm kev hlawv thiab tso cawv, uas yog tshuaj lom rau lub cev. Lub sijhawm ntawd, lub siab ib ntus tsis tsim cov qab zib. Yog li ntawd, yog tias ib tus neeg noj tshuaj ntshav qab zib haus cawv thaum lub plab khoob lossis tsis muaj zaub mov txaus, lawv cov qib qab zib yuav poob sai sai."
🚨 Cov Cim Liab uas xav tau kev kho mob tam sim ntawd
Muaj coob tus neeg yuam kev tias cov tsos mob ntawm cov ntshav qab zib qis (hypoglycemia) tom qab haus dej cawv rau cov tsos mob ntawm kev qaug cawv ib txwm muaj (piv txwv li, kiv taub hau). Txawm li cas los xij, yog tias cov tsos mob hauv qab no tshwm sim, nws yog xwm txheej ceev hauv kev kho mob thiab yuav tsum tau kho tam sim ntawd:
- Lub cev tshee hnyo thiab hws txias uas tsis tuaj yeem tswj tau.
- Hais lus tsis meej (hais lus tsis meej) thiab tsis paub qhov chaw nyob zoo.
- Tsis muaj peev xwm taug kev, pom kev tsis meej, thiab tsaus muag.
- Cov tsos mob xws li tsis nco qab lossis qaug dab peg.
Cawv cuam tshuam li cas rau cov neeg mob ntshav qab zib
Kev haus dej cawv ncaj qha cuam tshuam rau cov ntshav qab zib thiab kev noj qab haus huv hauv cov hauv qab no:
1. Kev sib cuam tshuam tsis zoo ntawm cov tshuaj: Cov tshuaj kho mob ntshav qab zib xws li sulfonylureas thiab meglitinides ua rau lub txiav ua kom cov insulin ntau dua. Kev haus dej cawv thaum noj cov tshuaj no tuaj yeem ua rau cov ntshav qab zib poob qis sai.
2. Qaug zog ntshav qab zib: Muaj kev pheej hmoo ntawm cov ntshav qab zib qis hauv ob peb feeb txog 12-24 teev tom qab haus cawv. Tshwj xeeb tshaj yog tias koj haus cawv thaum hmo ntuj thiab mus pw, koj cov ntshav qab zib tuaj yeem poob qis thaum koj pw tsaug zog.
3. Muaj teeb meem ntau ntxiv: Kev haus dej cawv ntau zaus ua rau muaj kev pheej hmoo ntawm kab mob plawv thiab neuropathy, uas yog cov teeb meem tseem ceeb ntawm ntshav qab zib.Qhov xwm txheej tab tom zuj zus sai heev.
Cov Kauj Ruam Yuav Tsum Ua Thaum Muaj Kev Phom Sij (Txoj Cai 15)
Yog tias koj cov ntshav qab zib poob qis dua 70 mg / dL tom qab haus cawv, ua cov kauj ruam nram qab no tam sim ntawd:
1. Muab 15 grams qab zib rau lub cev tam sim ntawd: 3-4 lub ntsiav glucose, ib nrab khob kua txiv hmab txiv ntoo, lossis ib diav suab thaj yaj hauv dej thiab haus.
2. Tos 15 feeb: Tos 15 feeb yam tsis noj dab tsi thiab tom qab ntawd ntsuas koj cov ntshav qab zib dua.
3. Yog tias qib qab zib tseem qis dua 70 mg/dL: Muab 15 grams qab zib dua thiab ntsuas qib qab zib rau lwm 15 feeb.
4. ⚠️ Tseem Ceeb: Yog tias tus neeg mob tsis nco qab lossis muaj teeb meem nqos, tsis txhob muab dab tsi los ntawm qhov ncauj thiab coj mus rau tsev kho mob tam sim ntawd. Cov tshuaj txhaj Glucagon, uas yog muab los ua kom cov ntshav qab zib nce tom qab haus cawv, yuav tsis ua haujlwm (vim tias lub siab tab tom ua haujlwm tshem tawm cov cawv).
Ua & Tsis txhob ua
| ✔️ Tej yam yuav tsum ua (Ua) | ❌ Tsis txhob ua |
|---|---|
| Nco ntsoov xyuas koj cov ntshav qab zib ua ntej thiab tom qab haus cawv. | Tsis txhob haus cawv thaum koj lub plab khoob. Noj zaub mov uas muaj cov carbohydrates thaum haus cawv. |
| Thaum haus cawv, siv cov dej qab zib uas tsis muaj qab zib, dej, lossis cov khoom sib tov rau kev noj qab haus huv. | Tsis txhob haus cov dej qab zib, xws li dej qab zib, cawv qab zib, lossis npias. |
| Hnav ib daim npav lossis ib txoj hlua tes qhia tias koj muaj ntshav qab zib. | Tsis txhob haus cawv thaum hmo ntuj, xyuas koj cov ntshav qab zib, thiab mus pw tsis noj khoom txom ncauj ntxiv. |
❓ Tej zaum koj yuav muaj lwm cov lus nug (FAQ)
Cov dej cawv uas tus neeg mob ntshav qab zib haus tau ntau tshaj plaws yog dab tsi?▼
Cov poj niam uas muaj ntshav qab zib tsuas haus tau ib khob (1 unit) ib hnub xwb thiab cov txiv neej haus tau ob khob (2 unit). Cawv yuav tsum tsis pub tshaj 14 unit ib lub lim tiam thiab nws yog ib qho tseem ceeb uas yuav tsum tsis txhob haus cawv ntau hnub hauv ib lub lim tiam.
Haus cawv puas ua rau cov ntshav qab zib nce ntxiv? ▼
Vim tias npias muaj cov carbohydrates ntau, nws tuaj yeem ua rau cov ntshav qab zib nce siab thaum xub thawj. Tab sis thaum lub cev pib zom cov cawv (tshwj xeeb tshaj yog tom qab ob peb teev), cov ntshav qab zib pib poob qis sai.
Kuv puas haus tau cawv thaum noj metformin? ▼
Haus dej cawv ntau dhau thaum noj tshuaj metformin tuaj yeem ua rau muaj kev phom sij heev. Nws tuaj yeem ua rau muaj tus mob lactic acidosis uas tsis tshua muaj tab sis ua rau tuag taus, uas yog kev sib sau ua ke ntawm cov kua qaub tsis zoo hauv lub cev.
Yuav ua li cas thiaj tiv thaiv tau qhov ntshav qis thaum hmo ntuj? ▼
Ua ntej koj yuav mus pw, nco ntsoov siv lub cuab yeej ntsuas ntshav qab zib los ntsuas koj cov piam thaj hauv cov ntshav. Txawm tias qhov no yog ib txwm muaj los xij, noj cov khoom noj txom ncauj uas muaj cov carbohydrates uas hlawv qeeb qeeb, xws li sandwich lossis oats, ua ntej koj yuav mus pw.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus