Isifo seswekile - xa ugula

Ukulinda ixesha elide ukufumana unyango xa ugula kunokukhokelela ekuguleni kakhulu. Xa unesifo seswekile, ukulibaziseka ekufumaneni ukhathalelo kunokuba sisongelo ebomini. Nokuba ukubanda okuncinci kunokwenza ukuba isifo seswekile sibe nzima ukulawula. Isifo seswekile esingalawulwayo singakhokelela kwiingxaki zempilo ezinzulu.

Xa ugula, i-insulin ayisebenzi kakuhle kwiiseli zakho kwaye inqanaba leswekile yegazi lakho lingaphezulu. Oku kunokwenzeka nangona uthatha iidosi eziqhelekileyo zamayeza akho, kubandakanya i-insulin.

Xa ugula, zigade iimpawu zesilumkiso zeswekile. Zezi:

• Iswekile ephezulu yegazi engazukuhla nonyango
• Isicaphucaphu nokugabha
• Iswekile esezantsi yegazi engazukunyuka emva kokuba utye
• Ukudideka okanye utshintsho kwindlela oqhele ukuziphatha ngayo

Ukuba unayo nayiphi na le miqondiso yesilumkiso kwaye awukwazi ukuyinyanga ngokwakho, tsalela umnikezeli wakho wezempilo kwangoko. Qiniseka ukuba amalungu osapho lwakho ayazazi iimpawu ezilumkisayo.

Jonga iswekile yegazi lakho rhoqo kunesiqhelo (zonke iiyure ezi-2 ukuya kwezi-4). Zama ukugcina iswekile yegazi lakho ingaphantsi kwama-200 mg / dL (11.1 mmol / L). Kunokubakho amaxesha apho kufuneka ujonge iswekile yegazi lakho ngeyure nganye. Bhala onke amanqanaba eswekile yegazi lakho, ixesha lovavanyo ngalunye, kunye namayeza owathathileyo.

Ukuba une-1 yeswekile, jonga iietoni zakho zomchamo ngalo lonke ixesha uchama.

Yitya ukutya okuncinci rhoqo. Nokuba awutyi kakhulu, iswekile yegazi lakho isengaphakama kakhulu. Ukuba usebenzisa i-insulin, usenokufuna inaliti eyongezelelweyo ye-insulin okanye idosi eziphezulu.

Musa ukwenza umthambo ngamandla xa ugula.

Ukuba uthatha i-insulin, kuya kufuneka unekiti yonyango olungxamisekileyo yeglucagon emiselwe ngugqirha wakho. Soloko unayo le khithi.

Sela amanzi amaninzi angenaswekile ukugcina umzimba wakho ungoma (ungabikho manzi emzimbeni). Sela ubuncinci iikomityi ze-ounce (oz) ezilishumi elinesibini (8) yeelitha zamanzi ngosuku.

Ukuziva ugula kuhlala kukwenza ungafuni ukutya okanye ukusela, ngelishwa, kunokukhokelela kwiswekile ephezulu yegazi.

Izinto ezilulwelo onokuzisela xa uphelelwe ngamanzi emzimbeni zibandakanya:

• Amanzi
• Iklabhu yesoda
• Ukutya isoda (akukho caffeine)
• Ijusi yetamatato
• Umhluzi wenkukhu

Ukuba iswekile yegazi lakho ingaphantsi kwe-100 mg / dL (5.5 mmol / L) okanye iwe ngokukhawuleza, kulungile ukuba usele ulwelo oluneswekile. Zama ukujonga isiphumo seswekile yegazi lakho ngendlela efanayo ojonga ngayo ukuba okunye ukutya kukuchaphazela njani iswekile yegazi.

Ulwelo onokulusela ukuba iswekile esegazini lakho iphantsi zibandakanya:

• ijusi ye-apile
• isiselo se-orenji
• Ijusi yamagilebhisi
• Isiselo sezemidlalo
• Iti enobusi
• Iilamuni-ikalika iziselo
• Iginger ale

Ukuba uphosa phezulu, ungaseli okanye utye nantoni na ngeyure enye. Phumla, kodwa musa ukulala phantsi. Emva kweyure e-1, thabatha iisiphu zesoda, ezinje ngejinja ale, yonke imizuzu eli-10. Ukuba ukugabha kuyaqhubeka ukufowuna okanye ubone umboneleli wakho.

Xa unesisu esibuhlungu, zama ukutya ukutya okuncinci. Zama iicarbohydrate, ezinje:

• I-Bagels okanye isonka
• Isiriyeli ephekiweyo
• Amazambane abhuciwe
• I-noodle okanye isuphu yelayisi
• Iityiwa
• Igelatin eneziqhamo
• Abaqhekezi bakaGraham

Ukutya okuninzi kunexabiso elifanelekileyo leecarbohydrate (malunga ne-15 yeegram) zokutya kwakho kosuku lokugula. Khumbula, ngeentsuku zokugula KULUNGILE ukutya okunye ukutya ongadli ngokukutya, ukuba awukwazi ukutya ukutya okuqhelekileyo. Okunye ukutya ukuzama:

• Ikomityi enye (i-120 milliliters, mL) yejusi yeapile
• Ikomityi enye (i-120 ml) isiselo esihlwahlwazayo esiqhelekileyo (esingatyisiyo, ikhefeyini yasimahla)
• Esinye isiqhamo esineziqhamo ezinqabileyo (1 intonga)
• Iilekese ezintlanu ezinzima
• Isilayi esinye sothosi owomileyo
• Ikomityi enye (i-120 mL) yecereal ephekiweyo
• Abaqhekezi abathandathu beetyuwa
• Ikomityi enye (i-120 mL) yeyogathi eqandisiweyo
• Ikomityi enye (i-240 mL) isiselo sezemidlalo
• Ikomityi enye (i-120 mL) ye-ayisikhrim yesiqhelo (ukuba awuphosi)
• Ikota yekota enye (60 mL) yesherbet
• Ikomityi yekota enye (60 mL) ye-pudding yesiqhelo (ukuba awuphosi)
• Ikomityi enye yesiqingatha (i-120 mL) yegelatin eneziqhamo eziqhelekileyo
• Ikomityi enye (240 mL) iyogathi (engafriziwe), iswekile-engenanto okanye engenanto
• I-Milkshake eyenziwe ngekomityi enye (i-120 mL) yobisi olunamafutha asezantsi kunye nekomityi yekota enye (i-60 mL) i-ayisikhrim exutywe kwi-blender (ukuba awuphosa)

Xa ugula, kuya kufuneka uzame ukutya inani elifanayo leecarbohydrate oqhele ukuzenza. Ukuba kunokwenzeka, landela ukutya okuqhelekileyo. Ukuba unengxaki yokuginya, yitya ukutya okuthambileyo.

Ukuba sele uyithathile i-insulin yakho kwaye uyagula kwisisu sakho, sela ulwelo olwaneleyo ngesixa esifanayo seecarbohydrate oqhele ukuzidla. Ukuba awukwazi ukugcina ukutya okanye ulwelo phantsi, yiya kwigumbi likaxakeka ukuze ufumane unyango. Uya kufumana ulwelo olufakwa emithanjeni (IV).

Ukuba unokubanda okanye umkhuhlane, thetha nomboneleli wakho.

Uninzi lwexesha, kuya kufuneka uthathe onke amayeza akho njengoko uqhele ukwenza. Musa ukutsiba okanye ukuphinda kabini kulo naliphi na iyeza ngaphandle kokuba umboneleli wakho ukuxelele.

Ukuba awukwazi ukutya isixa sakho esiqhelekileyo se-carbohydrate, biza umnikezeli wakho. Kuya kufuneka wenze utshintsho kwidosi yakho ye-insulin okanye kwithamo leepilisi zeswekile okanye ezinye inaliti. Kuya kufuneka wenze oku ukuba isigulo sakho senza ukuba iswekile esegazini lakho ibe phezulu kunesiqhelo.

Ukugula kwandisa umngcipheko wezinto ezingxamisekileyo ezingxamisekileyo ezibonwe sisifo seswekile.

Fowunela umnikezeli wakho ukuba unayo:

• Iswekile yegazi iphezulu kune-240 mg / dL (13.3 mmol / L) ngaphezulu kosuku olunye
• Iitoni eziphakathi ukuya kwezikhulu kunye novavanyo lwakho lomchamo
• Ukuphalaza okanye urhudo ngaphezulu kweeyure ezi-4
• Naziphi na iintlungu eziqatha okanye iintlungu esifubeni
• Umkhuhlane we-100 ° F (37.7 ° C) okanye ngaphezulu
• Ingxaki yokuhambisa iingalo okanye imilenze
• Umbono, intetho, okanye ibhalansi iingxaki
• Ukudideka okanye iingxaki zememori ezintsha

Ukuba umboneleli wakho akabuyi kwangoko, kuya kufuneka uye kwigumbi likaxakeka. Oku kubaluleke ngakumbi xa ugabha okanye urhudo ngaphezulu kweeyure ezi-4.

Ulawulo lweentsuku zokugula-isifo seswekile; Isifo seswekile -ukulawula usuku lokugula; Ukuxhathisa kwe-insulin - ukulawulwa kwemihla yokugula; I-Ketoacidosis - ukulawulwa kwemihla yokugula; Hyperglycemic hyperosmolar syndrome -ukulawula usuku lokugula

• Ubushushu beqondo lobushushu
• Iimpawu ezibandayo

Umbutho weSwekile yaseMelika. 4. Uvavanyo lwezonyango olupheleleyo kunye novavanyo lwe-comorbidities: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S37-S47. IINKCUKACHA: 31862747 pubmed.ncbi.nlm.nih.gov/31862747/.

UAtkinson MA, uMcgill DE, uDassau E, uLaffel L. Uhlobo lwe-1 yeswekile. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 36.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Iswekile: Ukulawula iintsuku zokugula. www.cdc.gov/diabetes/managing/flu-sick-days.html. Ukuhlaziywa ngo-Matshi 31, 2020. Ifikeleleke ngoJulayi 9, 2020.

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• Uhlobo lwe-1 yeswekile
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