Ingabe udinga ukuzila ukudla ngaphambi kokuhlola ushukela wakho wegazi? Ake sithole ngokuqinisekile! (Ukuhlolwa Kwegazi Kwesifo Sikashukela)

Ingabe udokotela wakho ukutshelile ukuthi uhlole ushukela wegazi ukuze uhlole amazinga kashukela egazini lakho? Kodwa ingabe udidekile ngokuthi kufanele uzile ukudla noma cha? Ngezinye izikhathi kubizwa ngokuthi “ukuzila ukudla,” ngezinye izikhathi kubizwa ngokuthi “ukungahleliwe.” Ziyini ngempela lezi? Ungakhathazeki. Namuhla, sizoxoxa ngokuhlolwa kwegazi okusetshenziselwa ukuxilonga nokulawula isifo sikashukela, njengoba nje ubungatshela umngane.

Okokuqala, ake sibone ukuthi yiziphi izivivinyo zokuzila ukudla.

Kalula nje, "Ukuzila" kusho ukungadli noma ukungaphuzi lutho ngaphandle kwamanzi isikhathi esithile (ngokuvamile amahora angu-8) njengoba kunqunywe udokotela wakho. Lokhu kuvumela umzimba wakho ukuthi ugaye konke ukudla okudlile kanye namazinga kashukela egazini lakho ukuze uzinze. Yilapho-ke ungakwazi khona ukukala ngqo ukuthi umzimba wakho usebenzisa kanjani ushukela.

Ukuhlolwa Kweglucose Yegazi Lokuzila Ukudla

Lolu uhlobo lokuhlola oluyisisekelo kakhulu olusetshenziswa odokotela ukuthola isifo sikashukela.

• Indlela yokwenza: Udinga ukuzila ukudla okungenani amahora angu-8 . Esikhathini esiningi, udokotela uzokutshela ukuthi ungadli lutho ngemva kwesidlo sakusihlwa kuze kube sekuseni, bese ufika ekuseni uzokhipha igazi. Ngaleyo ndlela, ngeke kudingeke ulambe isikhathi eside.
• Ungayifunda kanjani imiphumela?:
• Uma izinga lakho likashukela lingaphansi kuka -100 mg/dL (ama-milligram nge-deciliter), lelo izinga elinempilo.
• Inani elingu- 126 mg/dL noma ngaphezulu lingaba uphawu lwesifo sikashukela.
• Uma kuphakathi kwala manani amabili (100 - 125 mg/dL), kungaba yisimo se -prediabetes . Lokhu kusho ukuthi kunethuba lokuthi isifo sikashukela sizokhula. Lokhu kungalawulwa ngokwenza izinguquko endleleni yokuphila.

Ukuhlolwa Kokubekezelela I-glucose Yomlomo (OGTT)

Lokhu futhi kuyindlela ebalulekile yokuhlola isifo sikashukela, ikakhulukazi isifo sikashukela sangaphambi kwesifo sikashukela kanye nesifo sikashukela sokukhulelwa. Kuyinqubo ethatha isikhathi.

• Ungakwenza kanjani?:

1. Okokuqala, udinga ukuzila ukudla amahora angu-8 ngaphambi kokuya elabhorethri.

2. Okokuqala, kuzothathwa isampula yegazi elizila ukudla kuwe.

3. Ngemuva kwalokho uzonikezwa uketshezi olune-glucose (ushukela) encibilikisiwe ukuze uluphuze.

4. Kufanele uhlale lapho amahora amabili ngemva kokuyiphuza.

5. Ngemva kwamahora amabili, kuzothathwa isampula yegazi kuwe futhi bese kuhlolwa.

• Indlela yokufunda imiphumela: Uma izinga likashukela egazini kusampula ethathwe emahoreni amabili kamuva lingu-200 mg/dL noma ngaphezulu , kuqinisekiswa ukuthi liyisifo sikashukela. Uma inani liphakathi kuka-140-199 mg/dL, kuyisimo se-prediabetes.

Manje ake sibheke izivivinyo ezenziwa ngaphandle kokuzila ukudla.

Akuzona zonke izivivinyo zikashukela egazini ezidinga ukuzila ukudla. Ezinye izivivinyo zingenziwa nganoma yisiphi isikhathi sosuku.

Ukuhlolwa Kweglucose Egazini Okungahleliwe

Cabanga ngomuntu onezimpawu ezinzima zesifo sikashukela (ukukhathala okukhulu, umlomo owomile, ukuchama njalo, ukwehla kwesisindo ngokuzumayo). Udokotela angenza lokhu kuhlolwa khona lapho.

• Indlela yokukwenza: Akudingeki uzile ukudla ngenxa yalokhu. Ungakwenza nganoma yisiphi isikhathi sosuku, kungakhathaliseki ukuthi sekuphele isikhathi esingakanani ungadlile.
• Indlela yokufunda imiphumela: Uma izinga lakho likashukela lingu-200 mg/dL noma ngaphezulu futhi unezimpawu zesifo sikashukela, kuyisibonakaliso esinamandla sesifo sikashukela.

Ukuhlolwa kwe-A1C (Ukuhlolwa kwe-HbA1c)

Lolu vivinyo olubaluleke kakhulu abantu abaningi abake bezwa ngalo.

• Indlela yokwenza: Akunasidingo sokuzila ukudla nalokhu.
• Indlela yokufunda imiphumela: Lokhu akukalwa ngo-mg/dL, kodwa ngephesenti. Kubonisa izinga lakho elijwayelekile likashukela egazini ezinyangeni ezi-2-3 ezedlule . Kufana 'nombiko wenqubekela phambili'. Ngakho-ke akunandaba ukuthi udleni noma uphuze ini ngaphambi kokwenza lokhu kuhlolwa.
• Uma kungaphansi kuka-5.7%, kuvamile.
• Uma kungu-6.5% noma ngaphezulu, kungaba isifo sikashukela.
• Uma welashwa isifo sikashukela, udokotela wakho uzosebenzisa lolu vivinyo ukuze abone ukuthi ukwelashwa kwakho kuyasebenza yini nokuthi ushukela wakho wegazi ulawulwa kahle yini. Ezimweni eziningi, umgomo ukugcina i-A1C yakho ingaphansi kuka-7% .

Ukuhlolwa okukhethekile komama abakhulelwe

Abanye omama bangase babe nesifo sikashukela sokukhulelwa okwesikhashana ngesikhathi sokukhulelwa. Kunezivivinyo ezikhethekile zokusithola.

• Ukuhlolwa Kwe-Glucose Yomlomo: Lokhu kuvame ukwenziwa phakathi kwamasonto angama-24-28 okukhulelwa. Akudingeki uzile ukudla ngenxa yalokhu. Uzocelwa ukuba uphuze isiphuzo esinoshukela, ulinde ihora, bese unikeza igazi lakho. Uma umphumela ungu-130 mg/dL noma ngaphezulu, udokotela wakho uzokucela ukuthi wenze ukuhlolwa kwe-OGTT ukuqinisekisa ukuthi unesifo sikashukela.

Ukuhlolwa Kwasekhaya - Imitha Yeglucose Yegazi

Uma unesifo sikashukela, cishe ujwayelene nethuluzi elincane olisebenzisayo ukuhlola amazinga kashukela egazini lakho ekhaya (elibizwa ngokuthi i-blood glucose meter). Udokotela wakho uzokutshela ukuthi kufanele uhlole kangaki ngosuku ushukela wakho wegazi nokuthi nini (isibonelo, ngaphambi nangemva kokudla). Lena yingxenye ebaluleke kakhulu yokulawula isifo sikashukela sakho.