Kutungamira kune prediabetes: zviratidzo, zvikonzero, uye kurapwa

Dzidzo yehutano

Anenge mumwe chete muvatatu vekuAmerican vane prediabetes, sekureva kweCDC. Zvisinei, ruzhinji rwemhosva dzinoenda dzisingazivikanwe uye dzisina kurapwa. Prediabetes ndeyekuti yako shuga yeropa (ropa reropa) mazinga akakwirira kupfuura zvakajairwa, asi haasati akwana zvakakwana kuti ataridzwe sechirwere cheshuga. Zviratidzo zvepashuga zvinowanzoenda zvisingaonekwe, uye pasina kurapwa kwechirwere cheshuga, tsinga dzeropa netsinga zvinogona kukuvara. Izvi zvinogona kutungamira kuchirwere chemwoyo uye sitiroko, uye pakupedzisira, kukura kuva mhando 2 chirwere cheshuga.

Nyora 2 chirwere cheshuga, chinhanho chinotevera mushure mechirwere cheshuga, ndipo apo muviri wako usingakwanise kudzora huwandu hweshuga yeropa nemazvo nekuti hauchakwanise kuburitsa kana kushandisa mushe hormone insulin. Kana muviri wako usingakwanise kushandisa insulini nemazvo, inozivikanwa sekudzivirira insulin. Pasina iko kushandiswa kwakakodzera kwe insulin, mwero wehuga yeropa unogona kukwira zvine njodzi. Izvi zvinodaro nekuti insulin ihormone inobatsira maseru ako kushandisa uye kugadzirisa glucose.

Prediabetes inokonzera

Kune akati wandei ezvinhu anokonzera kune prediabetes, mazhinji acho ane hukama nemararamiro. Njodzi zvinhu zvekuvandudza prediabetes uye insulin kuramba zvinosanganisira:

• Kunyanya kufutisa kana kufutisa
• Kusava nekurovedza muviri / kugara pasi
• Kudya kwakashata
• Nhengo dzemhuri dzichingova nechirwere cheshuga
• Iwe unonzwa gestational chirwere cheshuga (chirwere cheshuga panguva yekuzvitakura)
• Iwe uri mukadzi ane polycystic ovary chirwere (PCOS)
• Kuwedzera kweropa
• Akaderera mashoma ezvakanaka (HDL) cholesterol
• Iwe uri African American, Native American, Latin American kana Asia / Pacific Islander
• Anopfuura makore makumi mana nemashanu
• Kurara kufema

Chirwere cheshuga chinoberekwa here?

Tichifunga kuti chirwere cheshuga chakaomarara, zvinhu zvakawanda kazhinji zvinobatsira mukukudziridza chirwere. Mararamiro ehupenyu anogona kuwedzera zvakanyanya njodzi, zvisinei, genetics uye nhoroondo yemhuri inoita basa rakasimba mune ese ari maviri mhando uye mhando 2 chirwere cheshuga. Zvakanyatsotsvakurudzwa kuti kana a mhuri nhengo ine chirwere cheshuga, iwe unokwanisa kuita mamiriro acho.

Chirwere cheshuga chinowanzoitika kuvarume kana vakadzi here?

Zvidzidzo kuratidza kuti rudzi rwe1 chirwere cheshuga chinowanzoitika muvanhurume, uye vane mukana wekuchipfuudza kuvana vavo. Nekudaro, kunyangwe vakadzi vakamboratidza zvimwe chiratidzo cherudzi rwechipiri chirwere cheshuga, iko zvino chave kuwanda zvakaenzana pakati pevarume nevakadzi.

Nyora 1 chirwere cheshuga chiitiko chekuzvimiririra icho chinowanzo kutanga muhudiki. Nerudzi rwekutanga chirwere cheshuga, muviri wako unorwisa wega pancreas saka haugone kuburitsa insulin. Nyora 2 chirwere cheshuga chakanyanya kuwanda muvanhu vakuru, uye kunyangwe ichiwanzo kuoma kupfuura rudzi rwekutanga, ichiri kungokonzeresa hutano, kusanganisira chirwere cheitsvo kana kukuvara, chirwere chemwoyo, kana sitiroko. Kusiyana nerudzi rwekutanga, nerudzi rwechipiri chirwere cheshuga imwe insulin inogona kugadzirwa, asi muviri unogona kuushora kana kuti hauna kukwana. Iyi insulin yekudzivirira inoitika mumafuta, chiropa, uye maseru maseru, saka zvakanyanya kuongororwa kuwirirana pakati pekuneta uye mhando 2 chirwere cheshuga.

Prediabetes zviratidzo

Chimwe chezvikonzero zvakakosha kudaro vanhu vazhinji vasina kuziva prediabetes ndeyekuti unogona kuenda kwemakore usina kuona zviratidzo zviri pachena. Izvi zvinoreva kuti inowanzo kusiiwa isingaonekwe kudzamara yawedzera kuva matambudziko akakomba ehutano.

Nechikonzero ichi, zvinogara zvichikosha kuti ugare uchibvunza chiremba wako ongororo yeshuga yeropa kuti utarise kana uine prediabetes. Izvi zvinonyanya kukosha kana iwe uine chero epamusoro njodzi njodzi, senge kuve wakanyanya, makore makumi mashanu nemashanu kana kupfuura, kana kuve unoshanda panyama kanopfuura katatu pavhiki.

Izvo zvakati, zvimwe zviratidzo zvekunyevera nezviratidzo zve prediabetes kutarisa ndezvi:

• Kunzwa nyota kwazvo
• Kakawanda weti
• Muromo wakaoma
• Nzara yapedza kudya
• Kusanzwisisika kuonda kana kuwana
• Kutemwa nemusoro
• Kuona kwakashata

Kuwedzera kwezviratidzo izvi kunogona kuve chiratidzo chekuti iwe wakachinja kubva kune prediabetes kuenda kurudzi rwechipiri chirwere cheshuga.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinga

Prediabetes bvunzo

Kune akatiwandei akasiana eropa kuongororwa ayo chiremba wako anogona kushandisa kuona kana iwe uri prediabetic. Aya matatu anotevera ndiwo akajairika uye anoshanda:

1. Kutsanya glucose bvunzo

Seizvo zita rinoratidzira, bvunzo iyi inotorwa mushure mekunge iwe watsanya kwemaawa masere. Kuti zvive nyore, vanachiremba vazhinji vanokukurudzira kuti utsanye usiku hwese uye ugouya muchinhu chekutanga mangwanani kuti uongororwe.

Kutsanya kweshuga yeropa kubva pa100 kusvika 125 mg / dL (5.6 kusvika 7.0 mmol / L) inonzi preiabetes, zvisinei, kutsanya kweshuga yeropa ye126 mg / dL (7.0 mmol / L) kana yepamusoro inoratidza mhando 2 chirwere cheshuga.

2. Oral glucose kushivirira bvunzo

Vanachiremba kazhinji vanongoita iyi prediabetes kuongororwa kweropa panguva yekuzvitakura. Kufanana nekutsanya kweshuga yeropa bvunzo, chiremba achatora muyero weropa mushure mekunge murwere ave achitsanya kweanosvika maawa masere. Ipapo, murwere achadya chinwiwa cheshuga uye voita kuti mashuga eropa ravo aedzwe zvakare mumaawa maviri.

Mune bvunzo iyi, huwandu hweshuga yeropa kubva pa140 kusvika ku199 mg / dL (7.8 kusvika 11.0 mmol / L) inoonekwa seanofungidzira chirwere cheshuga. Chero yepamusoro inoratidza chirwere cheshuga.

3. Glycated hemoglobin (A1C) bvunzo

Imwe bvunzo yemashuga eropa, iyo A1C bvunzo inoyera chiyero cheshuga yeropa pamazuva makumi matanhatu kusvika makumi mapfumbamwe apfuura. Kazhinji haisi kushandiswa mumadzimai akazvitakura nevarwere vane mafomu asingawanzo wehemoglobin sezvo inogona kukonzeresa mhedzisiro isina kukwana.

Chikamu cheA1C pakati pe5.7 uye 6.4 muzana inoonekwa seanofungidzira chirwere cheshuga. Bvunzo dzinoenderana pamusoro pe6,5 muzana inoratidza rudzi rwechipiri chirwere cheshuga.

Prediabetes kurapa

Mumashoko akanaka kwazvo, kunyangwe prediabetes yakajairika, inogona kudzoserwa yoenda. Nedzimwe shanduko yemararamiro ane hutano, murwere ane prediabetes anogona kudzivirira kana kunonoka kusimudzira kwerudzi rwechipiri chirwere cheshuga.

Aya matatu ekurapa epashuga anonyanya kushanda ndeaya:

1. Kuderedza uremu

Kazhinji, ingori gumi kusvika gumi nemana mapaundi kune munhu mazana maviri-pondo anokwana kuve nerubatsiro rwakakosha.

2. Wedzera chiitiko chemuviri

Maererano kuCentre for Disease Control and Prevention, maminetsi makumi matatu chete pazuva, mazuva mashanu pasvondo, anokwana kukanganisa uye kuderedza prediabetes. Edza kufamba nekukurumidza mangwanani kana masikati, kutora masitepisi zuva rega rega, kana kupaka imwe kusvika kumatombo maviri kubva pahofisi.

3. Idya chikafu chine utano

Tanga nekudzora huwandu hwakanatswa uye hwakagadziridzwa makabhohaidhiretsi, uye tarisa kune isiri-starchy miriwo uye nyama dzakaonda. Chinja kune mapuroteni-anodyarwa senge bhinzi, nyemba, uye nzungu. Chinokosha kuita kudya kwakanaka, kwakaringana chikamu chehupenyu hwako hwezuva nezuva. Dhayetiiti yakanyoreswa inogona kukubatsira iwe kugadzira chirongwa chekudya chakanangana nehuremu hwako, allergies, uye zvimwe zvinhu zvakanangana nehutano hwako nemamiriro.

Zvinobatsira zvakare kudzikisa huwandu hwedoro hwauri kunwa, sezvo izvi zvichigona kunge zvine shuga yakawanda uye zvichideredza mvura. Kunwa mvura yakawanda kunogona kubatsira kudzikisa huremu, uye ndiyo sarudzo yakanakisa kana uchibva pane zvinwiwa zvine shuga sesoda uye muto wemichero.

Kusvuta inogona zvakare kuwedzera mukana wekuvandudza chirwere cheshuga, saka chiremba wako anogona kukurudzira kudzora tsika. Iyo nguva yakanangana nekusiya kusvuta inogona kuita kuti munhu awedzere kukura chirwere cheshuga, saka chiremba wako anozoda kuongorora kufambira mberi kwako uye mhinduro kune iyo shanduko yemararamiro.

Chete kana munhu achinge aonekwa seyakanyanya njodzi yekukura rudzi rwechipiri chirwere cheshuga ndipo chiremba paanozopa mishonga yeanofanorwara neshuga. Muenzaniso unogona kunge uri murwere ane muviri mass index (BMI) yakakura kudarika kana yakaenzana ne35 kg / m2. Metformin ndiyo chete mishonga iyo iyo American Diabetes Association rinopa zano fir use in prediabetes kurapwa. Iyo inochengetedza rako reropa glucose muyero yakachengeteka nekudzivirira chiropa kubva pakuburitsa yakawandisa isina kudikanwa glucose.

Chii chaunofanira kuita kana iwe uri prediabetic?

Kana iwe wanga uchiona chiremba wako, uye kuongororwa kweropa kuchisimbisa kuti uri prediabetic, pane akawanda matanho akareruka aunotora kuti utore mamiriro acho uye kudzivirira kubva mukukura kuva chirwere cheshuga.

Vako vanopa hutano vanozopa rubatsiro uye nhungamiro, senge akanakisa mararamire shanduko uchifunga nhoroondo yako yekurapa uye mamiriro. Matanho avanogona kukurudzira anosanganisira kucheka shuga yakagadziriswa, kudya mimwe miriwo uye zviyo zvakakwana, uye kufamba mangwanani oga oga.

Inokosha zviwanikwa kune vazhinji vanorwara neshuga muUnited States ndiyo National Diabetes Prevention Program (DPP). Kuburikidza nehukama hwepachivande uye neruzhinji, inovavarira kudzivirira kana kunonoka rudzi rwechipiri chirwere cheshuga nekuita kuti zvive nyore kuvaAmerican kuti vachinje mararamiro avo avanoda.

Mune zvimwe zviitiko, vangatokurudzira mishonga. Chero zvingave zvichitaurwa nachiremba wako, yeuka prediabetes inogona kudzoserwa uye zvakanaka kuti wakazvibata nekukurumidza.