Isifo seswekile

I-Prediabetes yenzeka xa inqanaba leswekile (iswekile) egazini lakho liphezulu kakhulu, kodwa aliphezulu ngokwaneleyo ukuba lingabizwa ngokuba sisifo seswekile.

Ukuba unesifo seswekile, usemngciphekweni omkhulu wokufumana uhlobo lweswekile kwisithuba seminyaka elishumi. Yonyusa umngcipheko wesifo sentliziyo kunye nokubetha.

Ukuphulukana nobunzima obongezelelekileyo kunye nokwenza umthambo rhoqo kunokuthintela i-prediabetes ekubeni ibe luhlobo lwe-2 yeswekile.

Umzimba wakho ufumana amandla kwiglucose esegazini lakho. IHormone ebizwa ngokuba yi-insulin inceda iiseli zomzimba wakho zisebenzise iswekile. Ukuba unesifo seswekile, le nkqubo ayisebenzi ngokunjalo. Iswekile iyanda kwigazi lakho. Ukuba amanqanaba aphakama ngokwaneleyo, oko kuthetha ukuba uphuhlise uhlobo lwesifo seswekile.

Ukuba usemngciphekweni wesifo seswekile, umboneleli wakho wokhathalelo lwempilo uya kuvavanya iswekile yegazi usebenzisa olunye okanye nangaphezulu kwezi mvavanyo zilandelayo. Nasiphi na kwezi ziphumo zovavanyo zilandelayo zibonisa ii-prediabetes:

• Ukuzila ukutya kweglucose ye-100 ukuya kwi-125 mg / dL (ebizwa ngokuba yiglucose yokuzila ukutya)
• Iswekile yegazi ye-140 ukuya kwi-199 mg / dL kwiiyure ezimbini emva kokuthatha i-75 gram yeglucose (ebizwa ngokuba kukunganyamezelani kweswekile)
• Inqanaba le-A1C ye-5.7% ukuya kwi-6.4%

Ukuba neswekile kwandisa umngcipheko weengxaki ezithile zempilo. Kungenxa yokuba amanqanaba aphezulu eglucose egazini angonakalisa imithambo yegazi kunye nemithambo-luvo. Oku kunokukhokelela kwisifo sentliziyo kunye nokubetha. Ukuba unesifo seswekile, kusenokwenzeka ukuba sele kuvele umonakalo kwimithambo yegazi.

Ukuba ne-prediabetes yifowuni yokuvuka ukuthatha amanyathelo okuphucula impilo yakho.

Umboneleli wakho uya kuthetha nawe malunga nemeko yakho kunye nemingcipheko yakho kwi-prediabetes. Ukukunceda ukuthintela isifo seswekile, umboneleli wakho uya kuphakamisa utshintsho oluthile kwindlela yokuphila:

• Yitya ukutya okusempilweni. Oku kubandakanya ukutya okuziinkozo okupheleleyo, iiproteni ezingatyebanga, ubisi olunamafutha asezantsi, kunye nentaphane yeziqhamo nemifuno. Bukela ubungakanani besahlulo kwaye uphephe iilekese kunye nokutya okuthosiweyo.
• Yehla emzimbeni. Ukuphulukana nobunzima obuncinci kunokwenza umahluko omkhulu kwimpilo yakho. Umzekelo, umboneleli wakho unokucebisa ukuba ulahle malunga ne-5% ukuya kwi-7% yesisindo somzimba wakho. Ke, ukuba unobunzima obungama-200 eekhilogram (90 kilograms), ukuphulukana ne-7% injongo yakho iya kuba kukulahleka malunga neepawundi ezili-14 (6.3 kilograms). Umboneleli wakho unokucebisa ukutya, okanye unokujoyina inkqubo ukukunceda ukunciphisa umzimba.
• Zilolonge ngakumbi. Cwangcisa ukufumana ubuncinci imizuzu engama-30 ukuya kwengama-60 yokuzivocavoca umzimba okungenani iintsuku ezintlanu ngeveki. Oku kunokubandakanya ukuhamba ngokukhawuleza, ukukhwela ibhayisekile yakho, okanye ukuqubha. Unako kwakhona ukwahlula umthambo ube ziiseshoni ezincinci kwimini yonke. Thatha izinyuko endaweni yelifti. Nokuba inani elincinci lomsebenzi libalela ukufikelela kwinjongo yakho yeveki.
• Thatha amayeza njengoko uyalelwe. Umboneleli wakho unokumisela i-metformin ukunciphisa ithuba lokuba i-prediabetes yakho iqhubele phambili kwisifo seswekile. Kuxhomekeke kwezinye izinto ezinobungozi besifo sentliziyo, umboneleli wakho unokumisela amayeza ukunciphisa inqanaba legazi le-cholesterol okanye uxinzelelo lwegazi.

Awunakuxela ukuba une-prediabetes kuba ayinazimpawu. Ekuphela kwendlela yokwazi kukuvavanya igazi. Umboneleli wakho uya kuvavanya iswekile yegazi lakho ukuba usesichengeni seswekile. Imiba yomngcipheko wesifo seswekile iyafana naleyo yohlobo lwesibini lweswekile.

Kuya kufuneka uvavanyelwe i-prediabetes ukuba uneminyaka eyi-45 okanye ngaphezulu. Ukuba umncinci kunama-45, kuya kufuneka uvavanywe ukuba utyebile okanye utyebe kakhulu kwaye unenye okanye nangaphezulu kwezi zinto zomngcipheko:

• Uvavanyo lwangaphambili lweswekile olubonisa umngcipheko weswekile
• Umzali, umntakwabo, okanye umntwana onembali yeswekile
• Indlela yokuphila engasebenziyo kunye nokungabikho kokuzilolonga rhoqo
• I-Afrika yaseMelika, i-Hispanic / i-Latin American, i-American Indian kunye ne-Alaska Native, i-Asia American, okanye i-Pacific Islander yobuhlanga
• Uxinzelelo lwegazi oluphezulu (140/90 mm Hg okanye ngaphezulu)
• I-HDL ephantsi (elungileyo) ye-cholesterol okanye i-triglycerides ephezulu
• Imbali yesifo sentliziyo
• Imbali yeswekile ngexesha lokukhulelwa (isifo seswekile sokukhulelwa)
• Iimeko zempilo ezinxulunyaniswa nokumelana ne-insulin (i-polycystic ovary syndrome, i-acanthosis nigricans, ukutyeba kakhulu)

Ukuba iziphumo zakho zovavanyo lwegazi zibonisa ukuba unesifo seswekile, umboneleli wakho unokucebisa ukuba uphinde uphinde ubuyekezwe rhoqo ngonyaka. Ukuba iziphumo zakho ziqhelekile, umboneleli wakho unokucebisa ukuba uphinde uphindwe emva kweminyaka emi-3.

Iswekile yokuzila ukutya engalunganga - i-prediabetes; Ukunyamezelana kweswekile engalunganga-i-prediabetes

• Isifo seswekile

Umbutho weSwekile yaseMelika. Imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S77-S88. ukhathalelo.diabetesjournals.org/content/43/Supplement_1/S77.

IKahn CR, Ferris HA, O'Neill BT. I-Pathophysiology yohlobo lwe-2 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 34.

Siu AL; Umsebenzi woKhuseleko kwi-US. Ukuvavanywa kweglucose engaqhelekanga yegazi kunye nohlobo lwesibini seswekile: I-US Preventive Services Task Force statement. UAnn Intern Med. 2015; 163 (11): 861-868. IINKCUKACHA: 26501513 www.ncbi.nlm.nih.gov/pubmed/26501513.

• Isifo seswekile