Uma unesifo sikashukela, ngisho nomkhuhlane nje kungaba yimbangela yokukhathazeka. Kungani? Noma yikuphi ukugula, njengomkhuhlane ovamile, umkhuhlane, ubuhlungu besisu, noma ukuhlanza, kungabangela izinga likashukela egazini lakho ukuba likhuphuke. Hhayi lokho kuphela, kodwa kungenzeka futhi uma uthola ukutheleleka. Lapho umzimba wethu ulwa nesifo, ukhipha ama-hormone ngenxa yokucindezeleka, okungakhuphula amazinga kashukela egazini. Ngakho-ke, ngezikhathi ezinjengalezi, sidinga ukuqaphela kakhulu ushukela wegazi lethu kunokujwayelekile.
Yini okufanele uyenze uma ugula?
Ungesabi uma ugula. Kodwa-ke, kufanele nakanjani ulandele lezi zinto ukuze ulawule isifo sakho sikashukela. Siphinde sikubize ngokuthi "uhlelo losuku lokugula." Kungcono ukukhuluma nodokotela wakho bese wenza uhlelo olunjalo kusenesikhathi.
- Hlola ushukela wakho wegazi njalo: Hlola ushukela wakho wegazi njalo emahoreni angu-4 . Lokhu kuzokusiza uqonde ukuthi ushukela wakho uyakhuphuka, uyehla, noma uhlala ujwayelekile.
- Qaphela ama-ketone: Uma unesifo sikashukela sohlobo 1 futhi izinga likashukela egazini lakho lingaphezu kuka-240mg/dL, noma uma udokotela wakho ekuyala ukuba wenze kanjalo, kufanele uhlole nomchamo wakho ama-ketone. Kalula nje, ama-ketone awumkhiqizo olahlwayo okhiqizwa lapho imizimba yethu ingakwazi ukusebenzisa i-glucose ukuze ithole amandla futhi esikhundleni salokho ishise amafutha ukuze ithole amandla. Lokhu kungenzeka ngezikhathi zokucindezeleka, njengokugula. Uma ubona ama-ketone emchameni wakho, shayela udokotela wakho ngokushesha. Kuye ngesimo sakho, ungathunyelwa eMnyangweni Wezimo Eziphuthumayo (ETU).
- Hlola izinga lokushisa lakho: Hlola izinga lokushisa lakho izikhathi eziningana ngosuku. Umkhuhlane uwuphawu lokuthi kukhona ukutheleleka emzimbeni.
- Phuza uketshezi oluningi: Uma ungakwazi ukudla ukudla okuqinile, phuza uketshezi oluningi. Ukuze uvimbele ukuphelelwa amanzi emzimbeni, kufanele uphuze okungenani ingilazi yoketshezi ihora ngalinye uvukile. Lokhu kubaluleke kakhulu uma uhlanza noma unesisu esibuhlungu. Uma ungakwazi ukugcina uketshezi luphansi, kungadingeka ukuthi ulaliswe esibhedlela noma uye e-ETU.
Into ebaluleke kakhulu ukugcina umzimba wakho unamanzi. Amanzi okuphuza, iphalishi likasawoti, iJeevani, kanye nomhluzi wesobho konke kulungile.
- Ungayeki ukuthatha i-insulin: Leli yiphutha elenziwa abantu abaningi. Ngisho noma ungakwazi ukudla ukudla okuqinile, ungayeki ukuthatha i-insulin yakho.Ngesikhathi sokugula, ushukela wakho wegazi ungase ukhuphuke ngenxa yokucindezeleka emzimbeni wakho, ngakho-ke ungase udinge i-insulin. Kodwa-ke, khuluma nodokotela wakho mayelana nokushintsha umthamo wakho we-insulin. Kungase kudingeke udle noma uphuze okuthile okunoshukela ukuze uvimbele i-hypoglycemia.
- Qaphela imithi ephuzwayo: Uma unesifo sikashukela sohlobo lwesibili, kungadingeka uyeke ukuthatha imithi ephuzwayo (isib. i-Metformin) ngenkathi ugula. Uma ungaqiniseki ukuthi wenzeni, qiniseka ukuthi ubuza udokotela wakho.
- Uma uthatha eminye imithi: Uma udinga ukuthenga umuthi ekhemisi ukuze ulawule izimpawu ezifana nokukhwehlela kanye ne-phlegm, ungase ube noshukela. Ngakho-ke, buza udokotela wakho ngemikhiqizo engenashukela.
Yini okufanele uyidle uma ugula?
Ungayeki ukudla ngoba kunzima ukudla. Uma wenza kanjalo, ungagcina wehle ngokuzumayo ushukela egazini (hypoglycemia), okungaba yinkinga. Ngakho-ke, yidla into elula ukuyidla, hhayi ebabayo kakhulu, futhi elula esiswini. Zimisele ukudla cishe amagremu angu-30-50 ama-carbohydrate njalo emahoreni angu-3-4 . Lokhu kuzonika umzimba wakho amandla owadingayo, kumise ukwakheka kwama-ketone, futhi kuvimbele ushukela wakho egazini ukuthi wehle kakhulu.
Uma unenkinga yokudla, zama lokhu. Ngayinye inamagremu angu-15 ama-carbohydrate.
| Uhlobo lokudla/lokuphuza | Okulingana namagremu angu-15 ama-carbohydrate |
|---|---|
| I-Gelatin Ejwayelekile | 1/2 indebe |
| Iziphuzo ezibandayo ezivamile (isb. i-Sprite) | 1/2 indebe |
| I-Popsicle | 1/2 a |
| I-Applesauce Engenashukela | 1/2 indebe |
| Ijusi le-apula | 1/3 indebe |
| Isiphuzo Sezemidlalo (isb. iGatorade) | 1/2 indebe |
Ngaphezu kwalokho, ungaphuza uketshezi olungenamakhalori (isibonelo, amanzi, i-diet soda, kanye nomhluzi wesobho ongenasawoti) ukuze ugcine amazinga omswakama emzimbeni wakho.
Kufanele ngimshayele nini udokotela?
Ngezinye izikhathi kungaba nzima ukuphatha lezi zinto ekhaya. Uma unezinye zezimo ezilandelayo, khuluma nodokotela wakho ngokushesha. Impilo yakho iyona nto ebaluleke kakhulu.
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Amazinga kashukela egazini awalawuleki | Ushukela wakho wegazi uhlala uphakeme kuno-180 mg/dL noma uphansi kuno-70 mg/dL. |
| Ukungakwazi ukugcina uketshezi noma ukudla kuphansi | Ukuhlanza okuqhubekayo amahora amaningana noma ukungakwazi ukwehlisa noma yini. |
| Umkhuhlane ophezulu | Izinga lokushisa lomzimba lingaphezu kuka-101 Fahrenheit (101°F) noma u-38.3 Celsius (38.3°C). |
| Ukuhlanza noma isifo sohudo | Ukuhlanza okuqhubekayo noma uhudo (ukuhlanza) isikhathi esingaphezu kwamahora ayisithupha. |
| Ukuba khona kwama-ketone | Ukuthola ama-ketones ekuhlolweni komchamo. |
Umlayezo Wokuya Nawe Ekhaya
- Umuntu onesifo sikashukela angathola ukwenyuka okungalindelekile kwamazinga kashukela egazini nganoma yisiphi isifo esivamile.
- Uma ugula, hlola ushukela wakho wegazi njalo emahoreni amane bese ubhala phansi.
- Phuza uketshezi oluningi ngangokunokwenzeka (amanzi, isobho, iphalishi elinosawoti) ukuze uvimbele ukuphelelwa amanzi emzimbeni.
- Ungalokothi uyeke ukuthatha i-insulin ngaphandle kweseluleko sikadokotela wakho.
- Uma uhlanza, umkhuhlane omkhulu, uhudo oluqhubekayo, noma amazinga kashukela egazini angalawuleki, funa iseluleko sezokwelapha ngokushesha.
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