Iswekile esezantsi yegazi- ukuzikhathalela

Iswekile esezantsi yegazi yimeko eyenzeka xa iswekile yegazi lakho (iswekile) iphantsi kunesiqhelo. Iswekile esezantsi yegazi inokwenzeka kubantu abanesifo seswekile abathatha i-insulin okanye amanye amayeza ukulawula isifo seswekile. Iswekile esezantsi yegazi inokubangela iimpawu eziyingozi. Funda ngendlela yokuqonda iimpawu zeswekile esezantsi yegazi kunye nendlela yokuzikhusela.

Iswekile esezantsi yegazi ibizwa ngokuba yi-hypoglycemia. Inqanaba leswekile esezantsi kwama-70 mg / dL (3.9 mmol / L) liphantsi kwaye linokukwenzakalisa. Inqanaba leswekile esegazini elingaphantsi kwe-54 mg / dL (3.0 mmol / L) lingunobangela wokuthatha amanyathelo kwangoko.

Usemngciphekweni weswekile esezantsi yegazi ukuba unesifo seswekile kwaye uthatha na la mayeza alandelayo eswekile:

• I-insulin
• IGlyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), okanye nateglinide (Starlix)
• Chlorpropamide (Diabinese), tolazamide (Tolinase), acetohexamide (Dymelor), okanye tolbutamide (Orinase)

Ukwanomngcipheko wokuba neswekile esezantsi yegazi ukuba ubunamanqanaba asezantsi egazi.

Yazi indlela yokuxelela xa iswekile yegazi lakho isihla. Iimpawu zibandakanya:

• Ubuthathaka okanye uziva udiniwe
• Ndingcangcazela
• Ukubila
• Intloko ebuhlungu
• Indlala
• Uziva ungakhululekanga, usoyika, okanye uxhalabile
• Ndiziva ndisiba cranky
• Ingxaki yokucinga ngokucacileyo
• Umbono ophindwe kabini okanye ongacacanga
• Ukukhawuleza okanye ukubetha kwentliziyo

Ngamanye amaxesha iswekile yegazi lakho isenokuba sezantsi kakhulu nokuba awunazimpawu. Ukuba iphantsi kakhulu, unga:

• Isiqaqa
• Yiba nokuhlutha
• Yiya kwikhoma

Abanye abantu abanesifo seswekile ixesha elide bayeke ukukwazi ukuziva iswekile esezantsi yegazi. Oku kubizwa ngokuba kukungazi okwenzeka emzimbeni. Buza umboneleli wakho wokhathalelo lwempilo ukuba unxibe esweni i-glucose eqhubekayo kunye ne-sensor inokukunceda ufumanise xa iswekile yegazi lakho isezantsi kakhulu ukunceda ukuthintela iimpawu.

Thetha nomboneleli wakho malunga nokuba kuya kufuneka ujonge iswekile yegazi yakho yonke imihla. Abantu abaneswekile esezantsi yegazi kufuneka bajonge iswekile yegazi rhoqo.

Oonobangela abaqhelekileyo beswekile esezantsi yegazi zezi:

• Ukuthatha i-insulin okanye iyeza leswekile ngexesha elingalunganga
• Ukuthatha i-insulin eninzi okanye iyeza leswekile
• Ukuthatha i-insulin ukulungisa iswekile ephezulu yegazi ngaphandle kokutya nakuphi na ukutya
• Ukungatyi ngokwaneleyo ngexesha lokutya okanye amashwamshwam emva kokuba uthathe i-insulin okanye iyeza leswekile
• Ukutsiba ukutya (oku kunokuthetha ukuba idosi yakho ye-insulin esebenza ixesha elide iphezulu kakhulu, ke kuya kufuneka uthethe nomboneleli wakho)
• Ukulinda ixesha elide emva kokuba uthathe amayeza akho ukuze utye ukutya kwakho
• Ukuzilolonga kakhulu okanye ngexesha elingaqhelekanga kuwe
• Ungajongi iswekile yegazi lakho okanye ungayilungisi idosi yakho ye-insulin ngaphambi kokuba wenze umthambo
• Ukusela utywala

Ukuthintela iswekile esezantsi yegazi kubhetele kunokuba uyinyange. Soloko unomthombo weswekile esebenza ngokukhawuleza nawe.

• Xa usenza umthambo, jonga amanqanaba eswekile yegazi. Qiniseka ukuba unokutya okulula.
• Thetha nomboneleli wakho malunga nokunciphisa iidosi ze-insulin kwiintsuku ozenzayo.
• Buza umboneleli wakho ukuba ufuna i-snack yokulala ukuze uthintele iswekile esezantsi yegazi ubusuku bonke. Ukutya okutyayo kweeprotein kunokuba kokona kulungileyo.

Musa ukusela utywala ungatyanga kutya. Abasetyhini kufuneka banciphise utywala kwisiselo esi-1 ngosuku kwaye amadoda kufuneka anciphise utywala kwiziselo ezi-2 ngosuku. Usapho kunye nabahlobo kufuneka bayazi indlela yokunceda. Kuya kufuneka bazi:

• Iimpawu zeswekile esezantsi yegazi kunye nokuba ungazixelela njani ukuba unayo.
• Zingakanani kwaye ziluhlobo luni lokutya ekufuneka zikunike zona.
• Nini ukubiza uncedo olungxamisekileyo.
• Ungayifaka njani i-glucagon, ihomoni eyonyusa iswekile yegazi lakho. Umboneleli wakho uya kukuxelela ukuba ulisebenzisa nini eli yeza.

Ukuba unesifo seswekile, soloko unxiba isacholo sonyango okanye isacholo somqala. Oku kunceda abasebenzi bezonyango abangxamisekileyo bayazi ukuba unesifo seswekile.

Jonga iswekile yegazi lakho nanini na xa uneempawu zeswekile esezantsi yegazi. Ukuba iswekile yegazi lakho ingaphantsi kwama-70 mg / dL, ziphathe kwangoko.

1. Yitya into emalunga ne-15 yeigrem (g) yee-carbohydrate. Imizekelo yile:

• 3 iipilisi zeswekile
• Ikomityi enye yesiqingatha (ii-ounces ezi-4 okanye i-237 ml) yejusi yeziqhamo okanye yesiqhelo, engeyiyo eyokutya
• Iilekese ezi-5 okanye ezi-6 ezilukhuni
• 1 icephe (tbsp) okanye i-15 mL yeswekile, icace okanye inyibilikiswe emanzini
• 1 tbsp (15 mL) yobusi okanye isiraphu

2. Linda malunga nemizuzu eli-15 ngaphambi kokuba utye kwakhona. Lumka ungatyi kakhulu. Oku kunokubangela iswekile ephezulu yegazi kunye nokuzuza ubunzima.

3. Jonga kwakhona iswekile esegazini lakho.

4. Ukuba awuziva ubhetele kwimizuzu eli-15 kwaye iswekile esegazini lakho isezantsi kuno-70 mg / dL (3.9 mmol / L), yitya elinye iqebengwana eline-15 g yeecarbohydrate.

Kusenokufuneka ukuba utye okutyiwa kunye nee-carbohydrate kunye neeprotein ukuba iswekile yegazi lakho likuluhlu olukhuselekileyo- ngaphezulu kwama-70 mg / dL (3.9 mmol / L) -kukutya kwakho okulandelayo kungaphaya kweyure.

Buza umboneleli wakho ngendlela yokulawula le meko. Ukuba la manyathelo okunyusa iswekile yegazi akho ayisebenzi, tsalela umnxeba kwangoko.

Ukuba usebenzisa i-insulin kwaye iswekile yegazi lakho ihlala iphantsi okanye ihlala iphantsi, cela ugqirha okanye unesi ukuba:

• Ngaba ujofa i-insulin yakho ngendlela eyiyo
• Ufuna uhlobo olwahlukileyo lwenaliti
• Kuya kufuneka utshintshe indlela oyithatha ngayo i-insulin
• Kufuneka utshintshe uhlobo lwe-insulin oyithathayo

UNGENZI naluphi na utshintsho ngaphandle kokuthetha nogqirha wakho okanye umongikazi kuqala.

Ngamanye amaxesha i-hypoglycemia inokubangelwa kukuthatha amayeza angalunganga. Jonga amayeza akho kunye nekhemesti yakho.

Ukuba imiqondiso yeswekile esezantsi yegazi ayiphucukanga emva kokuba utye i-snack eneswekile, cela umntu ukuba akuqhubele kwigumbi likaxakeka okanye afowunele inombolo yakho yongxamiseko (efana ne-911). UNGAQHUBI xa iswekile esegazini lakho iphantsi.

Fumana uncedo lwezonyango kwangoko kumntu oneswekile esezantsi yegazi ukuba umntu akalumkanga okanye akakwazi ukuvuswa.

Hypoglycemia - ukuzikhathalela; Iswekile yegazi esezantsi-ukuzikhathalela

• Isongo sesilumkiso sezonyango
• Uvavanyo lweglucose

Umbutho weSwekile yaseMelika. 6. Iithagethi zeGlycemic: Imigangatho yoKhathalelo lwezoNyango kwiSwekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S66 – S76. IINKCUKACHA: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

I-Cryer PE, uArbeláez AM. Hypoglycemia. 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 38.

• Uhlobo lwe-1 yeswekile
• Uhlobo lwe-2 yeswekile

• I-ACE inhibitors
• Iswekile kunye nokuzilolonga
• Unonophelo lwamehlo seswekile
• Isifo seswekile - izilonda unyawo
• Isifo seswekile-ukugcina sisebenza
• Isifo seswekile -ukuthintela ukubetha kwentliziyo kunye nokubetha
• Isifo seswekile - ukunyamekela iinyawo zakho
• Uvavanyo lwesifo seswekile kunye nokuhlolwa
• Isifo seswekile - xa ugula
• Ukulawula iswekile yegazi lakho
• Uhlobo lwe-2 yeswekile- ukubuza ugqirha

• Seswekile
• Amayeza eswekile
• Uhlobo lweSwekile 1
• Hypoglycemia