Uvavanyo lwesifo seswekile kunye nokuhlolwa

Abantu abalawula ukhathalelo lwabo lweswekile ngokutya ukutya okusempilweni, ukuphila ubomi obusebenzayo, kunye nokuthatha amayeza njengoko kumiselwe bahlala benolawulo olufanelekileyo kumanqanaba eswekile yegazi labo. Okwangoku, ukuhlolwa rhoqo kwezempilo kunye novavanyo ziyafuneka. Olu tyelelo lukunika ithuba loku:

• Buza imibuzo yomboneleli wakho wezempilo
• Funda ngakumbi ngesifo seswekile kunye nento onokuyenza ukugcina iswekile yegazi lakho kuluhlu lwakho ekujoliswe kulo
• Qiniseka ukuba uthatha amayeza akho ngendlela eyiyo

Jonga umboneleli wesifo sikashukela kuvavanyo qho kwiinyanga ezi-3 ukuya kwezi-6. Ngexesha lovavanyo, umboneleli wakho kufuneka aqwalasele eyakho:

• Ifuthe legazi
• Ubunzima
• Iinyawo

Jonga ugqirha wakho wamazinyo rhoqo kwiinyanga ezi-6, kananjalo.

Ukuba uthatha i-insulin, umboneleli wakho uya kujonga ulusu lwakho ukukhangela iimpawu zokuphendula kwi-insulin kwiindawo zakho zokutofa. Ezi kunokuba ziindawo ezinzima okanye indawo apho amanqatha phantsi kolusu enze iqhuma.

Umboneleli wakho unokujonga isisu sakho ngeempawu zesibindi esandisiweyo.

Ugqirha wamehlo kufuneka akhangele amehlo akho minyaka le. Jonga ugqirha wamehlo okhathalela abantu abanesifo seswekile.

Ukuba unengxaki yamehlo ngenxa yesifo seswekile, uya kubona ugqirha wamehlo rhoqo.

Umboneleli wakho kufuneka ajonge ukubetha kweenyawo zakho kunye nengqondo yakho ubuncinci kube kanye ngonyaka. Umboneleli wakho kufuneka ajonge:

• Iifowuni
• Usulelo
• Izilonda
• Iinzipho ezishinyeneyo
• Ukuphulukana nokuziva naphina kwiinyawo zakho (peripheral neuropathy), kwenziwa ngesixhobo esibizwa ngokuba yi-monofilament

Ukuba ubunezilonda ezinyaweni ngaphambili, jonga umboneleli wakho rhoqo kwiinyanga ezi-3 ukuya kwezi-6. Kuhlala kungumbono olungileyo ukubuza umboneleli wakho ukuba ahlole iinyawo zakho.

Uvavanyo lwelebhu lwe-A1C lubonisa ukuba ulawula kakuhle kangakanani amanqanaba eswekile yegazi kwisithuba seenyanga ezi-3.

Inqanaba eliqhelekileyo lingaphantsi kwe-5.7%. Uninzi lwabantu abanesifo seswekile kufuneka bajonge i-A1C engaphantsi kwe-7%. Abanye abantu bajolise phezulu. Ugqirha wakho uya kukunceda uthathe isigqibo sokuba ujolise entwenini.

Amanani aphakamileyo e-A1C athetha ukuba iswekile yegazi lakho iphezulu kwaye unokuba nakho ukubaneengxaki kwisifo seswekile.

Uvavanyo lweprofayile ye-cholesterol lilinganisa i-cholesterol kunye ne-triglycerides egazini lakho. Kuya kufuneka unolu vavanyo kusasa, emva kokungatyi ukususela kubusuku obungaphambili.

Abantu abadala abanesifo seswekile sesi-2 kufuneka babe nolu vavanyo ubuncinci kwiminyaka emi-5. Abantu abane-cholesterol ephezulu okanye abakumayeza okulawula i-cholesterol yabo banokulwenza olu vavanyo rhoqo.

Uxinzelelo lwegazi kufuneka lulinganiswe kutyelelo ngalunye. Thetha nomboneleli wakho malunga nokuba yintoni injongo yakho yoxinzelelo lwegazi.

Kanye ngonyaka, kuya kufuneka wenze uvavanyo lomchamo olujonga iprotein ebizwa ngokuba yialbumin.

Ugqirha wakho uya kuthi enze uvavanyo lwegazi rhoqo ngonyaka olinganisa indlela ezisebenza kakuhle ngayo izintso zakho.

Uvavanyo lweswekile rhoqo; Seswekile - uthintelo

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/.

UBrownlee M, uAiello LP, uSun JK, et al. Iingxaki zesifo seswekile. 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 37.

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Ishedyuli yakho yokhathalelo lweswekile. www.cdc.gov/diabetes/managing/care-shedyuli.html. Ukuhlaziywa kweDisemba 16, 2019. Ifikeleleke ngoJulayi 10, 2020.

• Uvavanyo lwe-A1C
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• Uxinzelelo lwegazi oluphezulu - abantu abadala
• Uvavanyo lweMicroalbuminuria
• Uhlobo lwe-1 yeswekile
• Uhlobo lwe-2 yeswekile

• I-ACE inhibitors
• Iswekile kunye nokuzilolonga
• Unonophelo lwamehlo seswekile
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• Isifo seswekile - ukunyamekela iinyawo zakho
• Isifo seswekile - xa ugula
• Iswekile esezantsi yegazi- ukuzikhathalela
• Ukulawula iswekile yegazi lakho
• Uhlobo lwe-2 yeswekile- ukubuza ugqirha

• Seswekile
• Uhlobo lweSwekile 1