Uma uphila ne-Diabetes Mellitus, cishe uyazi ukuthi kubaluleke kangakanani ukulawula amazinga kashukela egazini lakho. Kodwa wenzani ngokukhuphuka okungazelelwe kwamazinga kashukela egazini ngemva kokudla? Lena inkinga yangempela kubantu abaningi. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'i-postprandial' blood glucose. Okusho ukuthi, izinga likashukela egazini ngemva kokudla. Ungakhathazeki, ngokulandela izinyathelo ezimbalwa ezilula, ungalawula kangcono lesi simo futhi uzivikele ezinkingeni zempilo zesikhathi esizayo.
Kungani kufanele sikhathazeke kangaka ngalokhu?
Uma amazinga kashukela egazini lakho ekhuphuka ngokuzumayo ngemva kokudla, ungase ube nezimpawu ezahlukahlukene. Cabanga ngakho, uzizwa sengathi ikhanda lakho linenkungu, awukwazi ukucabanga kahle, futhi unenkinga yokugxilisa ingqondo. Ungase futhi uzizwe ubuthakathaka, ukhathele, ucasukile, futhi ube nomuzwa ongajwayelekile enhliziyweni yakho. Lezi yizimpawu ezivamile zoshukela ophezulu egazini.
Lokhu akuzona nje izinkinga zesikhashana. Uma amazinga kashukela egazini lakho engalawuleki futhi ephezulu isikhathi eside, kungakubeka engcupheni yezinkinga ezinkulu zempilo njengesifo senhliziyo, isifo sohlangothi, kanye nesifo sezinso .
Futhi, ngezinye izikhathi amazinga kashukela egazini angehla ngokuzumayo futhi abangele ukuquleka. Ngakho-ke, kubaluleke kakhulu ukugcina amazinga kashukela egazini ezinzile.
Ulinganisa kanjani ngokunembile izinga likashukela wakho?
Indlela engcono kakhulu yokuqonda lokhu ukuqapha amazinga kashukela egazini lakho njalo. I-American Diabetes Association (ADA) itusa:
1. Ngaphambi kokudla: Ngaphambi kokudla ukudla okuyinhloko, thatha ithonsi legazi emunweni wakho bese ulinganisa izinga likashukela wakho.
2. Ngemva kokudla: Hlola izinga likashukela egazini lakho futhi ngemva kwehora elilodwa kuya kwamabili udle ukudla kwakho kokuqala.
Qhubeka nokwenza lokhu cishe isonto lonke. Isikhathi ngasinye, bhala phansi isikhathi kanye nezinga likashukela egazini lakho encwadini yamanothi. Futhi, bhala phansi noma yini ocabanga ukuthi ingathinta amazinga kashukela egazini lakho - njengemithi oyithathile noma ukuthi uke wazivocavoca.
Into ebaluleke kakhulu ukubhala phansi ukuthi yini oyidlile, ukuthi udle malini, nokuthi mangaki ama-carbohydrate akulokho kudla.
Yiliphi izinga eliphakeme ngemva kokudla?
I-ADA ithi umgomo omuhle ukugcina izinga likashukela egazini lakho lingaphansi kuka -180 mg/dL ihora elilodwa kuya kwamabili ngemva kokudla. Kodwa lokhu kumane kuwumgomo ojwayelekile wawo wonke umuntu. Kungcono ukukhuluma nodokotela wakho ngokuthi umgomo ofanele uyini kuwe, eminyakeni yakho, kanye nempilo yakho. Ungalokothi ushintshe imithi noma imithamo yakho ngaphandle kokubuza udokotela wakho kuqala.
Ungakulawula kanjani ukunyuka kukashukela egazini ngemva kokudla?
Kulungile, ake sibone ukuthi yiziphi izindlela ezilula nezisebenzayo esingazisingatha ngazo lesi simo.
| Icebo | Kalula nje... |
|---|---|
| Thatha umuthi okulungele wena. | Ukuze ulawule ushukela wegazi ngemva kokudla, imithi esebenza ngokushesha futhi esebenza ngokushesha (njengezinye izinhlobo ze-insulin) ingase ifaneleke kakhulu. Khuluma nodokotela wakho ngalokhu bese ukhetha inketho engcono kakhulu kuwe. |
| Lawula ushukela ngaphambi kokudla | Uma ugcina amazinga kashukela egazini lakho elawulwa kahle ngaphambi kokudla, noma ngabe ushukela egazini lakho ukhuphuka ngemva kokudla, ngeke kube ukwanda okukhulu. Ngakho-ke qaphela amazinga kashukela egazini lakho usuku lonke. |
| Qaphela ukuthi udlani. | Ukudla okumnandi, isinkwa esimhlophe, ilayisi elimhlophe, ama-noodle, namazambane yizinto ezibangela ukwanda okungazelelwe kukashukela egazini. Nciphisa lokhu ngangokunokwenzeka. Uhlobo lwamafutha owasebenzisayo nalo lubalulekile. Izifundo zithole ukuthi ukusebenzisa amafutha amancane emifino njengamafutha omnqumo esikhundleni samafutha ezilwane njengebhotela kungasiza ekulawuleni ushukela egazini. |
| Ungayeki ukudla kwasekuseni! | Ungayeki ukudla kwasekuseni, kungakhathaliseki ukuthi kuphuthuma kangakanani. Ucwaningo lukhombisile ukuthi uma abantu abanesifo sikashukela bengayi ukudla kwasekuseni, amazinga kashukela egazini labo azokhuphuka kakhulu ngemva kwesidlo sasemini nesakusihlwa. |
| Isidlo sasekuseni esicebile ngamaprotheni | Yisiphi isidlo sasekuseni esingcono kakhulu? Kungaba yisidlo sasekuseni esinamaprotheni amaningi. Ucwaningo olulodwa lubonise ukuthi abantu abadle isidlo sasekuseni esine-protein engu-35% babenokulawula ushukela wegazi kangcono kunalabo abadle isidlo sasekuseni esine-carbohydrate eningi. Kodwa buza udokotela wakho ukuthi yini ekufanele. |
| Hamba uyohamba ngemva kokudla. | Lona umkhuba omuhle kuwo wonke umuntu. Ikakhulukazi kulabo kini abanesifo sikashukela, ukuhamba imizuzu eyi-15-20 ngemva kwesidlo sakusihlwa kuyindlela enhle yokushisa ushukela owengeziwe oqongelelwe emzimbeni wakho ekudleni kwakho. |
Into ebaluleke kakhulu okufanele uyikhumbule ngakho konke lokhu ukuthi akudingeki ulwe le mpi wedwa. Udokotela wakho, isazi sokudla okunempilo, nomndeni wakho bangabangane bakho abangcono kakhulu kulolu hambo. Landelela amazinga kashukela egazini lakho futhi ukhulume ngokukhululekile nodokotela wakho. Ngaleyo ndlela, bangakha uhlelo lokwelashwa olungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukwanda koshukela egazini ngemva kokudla (i-postprandial hyperglycemia) kuvamile kubantu abanesifo sikashukela, kumele kulawulwe.
- Kala amazinga kashukela egazini lakho ngaphambi kanye namahora angu-1-2 ngemva kokudla, bese ugcina irekhodi lokudla kwakho, iziphuzo, kanye nokuzivocavoca. Lokhu kuwusizo kakhulu kuwe nakudokotela wakho.
- Nciphisa ukudla okunama-carbohydrate amaningi njengesinkwa esimhlophe, ilayisi, namazambane, bese ufaka amaprotheni, imifino, namafutha anempilo afana namafutha omnqumo ekudleni kwakho.
- Ukuvivinya umzimba okulula ngemva kokudla, njengokuhamba ngezinyawo, kungasiza kakhulu ekulawuleni ushukela egazini.
- Okubaluleke kakhulu: Njalo xoxa nodokotela wakho ngohlelo lwakho lokwelashwa, ukudla okudlayo, kanye nokuzivocavoca ngaphambi kokwenza noma yiziphi izinqumo.
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