Imeko yohlobo lwesibini lweswekile: Xa iMpilo iba ngumsebenzi osisigxina

Umxholo

• Iziphumo zophando eziphambili
• Imingeni yokuphila kunye nempumelelo
• Umsebenzi onzima
• Umceli mngeni omangalisayo
• Amabali empumelelo
• Ukwahlulahlulwa kwesini kunye nesini
• Iimvakalelo ezingalunganga
• Isimo sengqondo esihle
• Ukuxhalabisa ngokuxhalabisa
• Ukunqongophala kweengcali
• Imali xa ithelekiswa nempilo
• Umsebenzi wohlobo lweswekile 2
• Umsebenzi wokuphila
• Ubunzima kunye nehlazo
• Uxinzelelo kunye nokudinwa
• Ukwahlulahlulwa kwesini kunye nesini
• Izikhewu zesizukulwana
• Isini sahlula
• Iinkxalabo zonyango kunye nezigqibo
• Iingxaki
• Lala
• Utyando lweMetabolic
• Ukufikelela kukhathalelo
• Iindleko zokhathalelo
• Umnxeba wokuvuka
• Ukuphononongwa kwezonyango kunye nokubonisana
• Abaxhasi kunye nabahleli

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuntywila ngokunzulu kuhlobo 2 lweswekile

Ukuba uhlobo lwe-2 yeswekile alukho ezingqondweni zethu, kufanelekile. I-United States likomkhulu lehlabathi eliphuhlileyo lesi sifo. Kufuphi nabantu baseMelika nokuba banesifo seswekile sesi-2 okanye imeko yangaphambi koko, isifo seswekile. Ibala i-1 yazo zonke iidola ezisi-7 esizichitha kwezempilo, ngokuka-American Diabetes Association. Kwaye iya ichaphazela iwaka leminyaka.

Izifundo ezininzi zenziwe kwimiba eyahlukeneyo yohlobo lwesibini lweswekile: lusebenza njani unyango, ngubani ochaphazeleka kakhulu, kunye neendima zokutya, ukuzivocavoca, uxinzelelo kunye nokudlala kokulala. Healthline uthathe isigqibo sokungena nzulu kweli hlabathi ngokujonga amava emihla ngemihla kunye neemvakalelo zabantu abaphila nemeko engabaniki usuku lokuphumla.

Njani abantu abanesifo seswekile sesi-2 bayilawula le meko? Ngaba banakho ukufikelela kukhathalelo lwempilo kunye notshintsho kwindlela yokuphila? Ukuxilongwa kuyitshintsha njani indlela abazijonga ngayo kunye nekamva labo? Ngubani obancedayo? Kwaye ngaba iimpendulo zale mibuzo ziyahluka kwizizukulwana? Le yimibuzo ephambili ezingaphononongwa ngokupheleleyo zizifundo njengoko besithanda.

Ukufumana iimpendulo, uHealthline wayalela ukuba kwenziwe uphando kubantu abangaphezulu kwe-1,500 abanesifo seswekile sesi-2. Sibuze i-millennials, iGen Xers, kunye ne-baby boomers ukuba basixelele ngemibono yabo, iinkxalabo kunye namava abo. Emva koko, ukubeka izinto esizifumeneyo ngendlela eyiyo, sathetha nabantu abaphila nale meko kunye neengcali zonyango ezinamava okuyinyanga.

Abanye abantu bathi bayachuma ngohlobo 2 lweswekile, ngelixa abanye besithi bayasokola. Uninzi lwabantu luxhalabile malunga neengxaki ezinzulu zale meko, njengokulahleka kombono okanye ukuhlaselwa yintliziyo. Abantu abaninzi, esele bexakekile yimisebenzi kunye neentsapho, bakufumanisa kunzima ukumelana nomsebenzi wokulawula esi sifo - into eyathi enye ingcali "ngumsebenzi osisigxina." Amanani amaninzi axhalabile kakhulu malunga nokuba baya kuba nakho na ukubonelela ngonyango abalifunayo.

Banengxaki yokulala.

Kwaye okwangoku, abantu abaninzi abanesifo seswekile sesi-2 baphumelele ekwenzeni utshintsho olukhulu kubomi babo-ukutya ngcono, ukwenza umthambo ngakumbi-kwaye babone ukuxilongwa kwabo njengosuku abavuka ngalo kwaye baqala ukunikela ingqalelo kwimpilo yabo.

Iziphumo zophando eziphambili

Uvavanyo lwe-Healthline's State Type Type 2 Diabetes luphonononge imiceli mngeni yemeko, ichonge ukungangqinelani phakathi kwezizukulwane, yavavanya ezona nkxalabo zinzima zabantu.

Nantsi inkcazo yeziphumo eziphambili:

Imingeni yokuphila kunye nempumelelo

Umsebenzi onzima

Ukunciphisa umzimba ngumceli mngeni omkhulu. Ngaphezulu kwesibini kwisithathu kwabo bane-2 yeswekile bathi ubunzima babo bangoku buchaphazela impilo yabo. Phantse isiqingatha siye sazama ukunciphisa umzimba amaxesha amaninzi, ngaphandle kwempumelelo yexesha elide. Kwangelo xesha, ngaphezulu kweepesenti ezingama-40 baxela kunqabile ukuba bazilolonge ngokwaneleyo ukuba baphule ukubila.

Umceli mngeni omangalisayo

Omnye wemiceli mngeni mikhulu oxeliweyo unokukothusa: uninzi lwabantu abanesifo seswekile 2 - iipesenti ezingama-55- banengxaki yokulala ubusuku bonke.

Amabali empumelelo

Kwabanye abantu, ukuxilongwa kohlobo lwe-2 yeswekile kunokuziva ngathi kukuvuselelwa komnxeba wokuqalisa indlela yokuphila esempilweni. Abantu abaninzi baxele ukuxilongwa kwabo kwabakhokelela:

• yitya ngakumbi impilo (iipesenti ezingama-78)
• balawule ubunzima babo ngcono (iipesenti ezingama-56)
• usele utywala obuncinci (iipesenti ezingama-25)

Ukwahlulahlulwa kwesini kunye nesini

Abantu abancinci banexesha elinzima kunabantu abadala abaneemvakalelo kunye nemingeni yemali yohlobo lwesibini lweswekile. Kusekho ibala eliqhotyoshelwe kule meko-kwaye iwaka leminyaka lithwala ubunzima bayo.

• Phantse isiqingatha seminyaka eliwaka saphononongwa, kwaye malunga nesinye kwisithathu seGen Xers, baxele ukufihla imeko yabo kuba bexhalabile ukuba abanye bacinga ntoni.
• Malunga nenani elifanayo kuchazwe ukuba uziva ugwetywe kakubi ngabanikezeli bonyango.
• Iindleko zithintela ngaphezu kweepesenti ezingama-40 zeminyaka eyiwaka ukusukela rhoqo ukulandela iingcebiso zonyango.

Kukho ukwahlulwa ngokwesini: abasetyhini banamathuba amaninzi kunamadoda okuba babeka iimfuno zabanye ngaphambi kwezabo, kwaye bajongana nemiceli mngeni emininzi yokulinganisa iimfuno zabo zokuzikhathalela nolunye uxanduva.

Iimvakalelo ezingalunganga

Ukuphila nohlobo 2 lweswekile ngumsebenzi onzima, odla ngokudityaniswa kukukhathazeka. Ezona mvakalelo zixhaphakileyo zixelwa ngabantu ezi:

• ukudinwa
• ukhathazeke ngobunzima
• inkxalabo malunga neendleko zezemali
• ityala ngokungayilawuli kakuhle imeko

Ngapha koko, uninzi luxele ukuba luye lwasilela ukuba iziphumo zovavanyo lwe-A1C ziphezulu kakhulu.

Isimo sengqondo esihle

Nangona uninzi lwabantu luneemvakalelo ezingalunganga, uninzi lwabathathi-nxaxheba kuvavanyo luvakalise imeko yokuxhotyiswa kwaye babonisa ukuba bahlala baziva:

• unomdla wokufumana iindlela ezintsha zokulawula imeko
• unolwazi
• ukuzithemba
• ukuzamkela

Uninzi luye lwaxela iimvakalelo zamandla, ukomelela kunye nethemba.

Ukuxhalabisa ngokuxhalabisa

Abantu abane-2 yeswekile bayazi kakuhle iingxaki zonyango ezinokuhamba nemeko: isibini kwisithathu sixele inkxalabo malunga nazo zonke ezona ngxaki zinzima. Ezona zinto zixhalabisayo? Ubumfama, ukonakala kwemithambo-luvo, isifo sentliziyo, isifo sezintso, ukubetha, nokunqunyulwa.

Ukunqongophala kweengcali

Ngaphezulu kweepesenti ezingama-60 zabathathi-nxaxheba abangazange babone ugqirha we-endocrinologist okanye utitshala oqinisekisiweyo weswekile, kwaye uninzi aluzange ludibane nengcali yokutya. Oko kuyahambelana nophando olubonisa iingcali ezijolise kuhlobo lwe-2 yeswekile- ingxaki iya isiba mandundu.

Imali xa ithelekiswa nempilo

Isifo seswekile yimeko ebiza imali eninzi. Phantse iipesenti ezingama-40 zabathathi-nxaxheba bakhathazekile malunga nokukwazi kwabo ukufumana unyango kwixa elizayo.

I-Healthline's State of Type 2 Diabetes yophando lwantlandlolo kunye nedatha inokubonelelwa kumajelo eendaba kunye nabaphandi ngesicelo. Lonke uthelekiso lwedatha yovavanyo oluchaziweyo luye lwavavanyelwa ukubaluleka kwinqanaba le-90 leepesenti lokuzithemba.

Umsebenzi wohlobo lweswekile 2

Ukuhlala nohlobo 2 lweswekile kunokuziva njengomsebenzi osisigxina. Kwinqanaba elisisiseko, le meko ingapheliyo ichaphazela indlela umzimba odibanisa ngayo iswekile, ongumthombo obalulekileyo wamafutha. Ngaphezulu kuninzi, abantu abanesifo seswekile sesi-2 kufuneka batye ngeendlela eziyandisa impilo yabo, benze umthambo rhoqo, kwaye benze nezinye iindlela zokuphila ezisempilweni yonke imihla. Ngaphezulu koko, kufuneka babeke esweni amanqanaba eswekile yegazi. Uninzi lusebenzisa amayeza yonke imihla.

Nangona uhlobo 1 kunye nohlobo 2 lweswekile lwahlukile ngeendlela ezibalulekileyo, zombini zibandakanya iingxaki nge-insulin, ihomoni elawula ukuhamba kweswekile kwiiseli zomzimba. Xa umzimba ungavelisi i-insulin, okanye uyeke ukuwusebenzisa ngokufanelekileyo, iswekile iyanda egazini kwaye ibangela imeko ebizwa ngokuba yi-hyperglycemia. Kumanqanaba okuqala, le iswekile yegazi iphezulu ibangela iimpawu ezifihlakeleyo, ezinjengokunxanwa kunye nokuchama rhoqo. Ukuba ayilungiswa, inokonakalisa imithambo yegazi, imithambo-luvo, amehlo, izintso nentliziyo.

Amanye amayeza eswekile anyusa umngcipheko wehypoglycemia, okanye iswekile esezantsi yegazi. Le meko inokubangela iingxaki ezinzulu, kubandakanya nokulahleka kwengqondo okanye nokufa.

Uhlobo lwe-2 yeswekile luyakhula xa umzimba unganyangeki kwi-insulin-oko kuthetha ukuba i-hormone ayisetyenziswanga ngokufanelekileyo-okanye ayivelisi ngokwaneleyo i-insulin ukugcina iswekile yegazi kuluhlu ekujoliswe kulo. Yahlukile kuhlobo 1 lweswekile, esisifo esizenzekelayo esinqanda imveliso ye-insulin. Uhlobo lweswekile 1 luhlala lukhula ekuhambeni kweeveki, ikakhulu kubantwana okanye kubantu abadala.

Ngokwahlukileyo, uhlobo lwesibini lweswekile luhlala lukhula kancinci. Abantu banokuhamba iminyaka bengazi ukuba banayo. Ukuyilawula, oogqirha ngokubanzi bacebisa ukubekwa esweni kwegazi, ukutshintsha indlela ophila ngayo, kunye nonyango lomlomo lwemihla ngemihla. Ngamanye amaxesha, unyango nge-insulin luyafuneka. Kuxhomekeka kwisalathiso sobunzima bomzimba (BMI) kunye nezinye izinto, oogqirha banokucebisa ngotyando lokwehla kobunzima. NgokweZiko leSizwe lezeMpilo, i-BMI ephezulu inxulunyaniswa nokumelana ne-insulin.

Kulula kakhulu - nokuba kuyenzakalisa- ukubiza uhlobo lweswekile yesi-2 ukuba sisifo "sendlela yokuphila." Akukho mntu unetyala lokuyiphuhlisa. Oyena nobangela awaziwa. Zombini izinto zemfuza nezokusingqongileyo zinokudlala indima, inika ingxelo iMayo Clinic. Imbali yosapho ibeka abantu emngciphekweni omkhulu. Olunye uhlanga okanye ubuhlanga, njengama-Afrika aseMelika, amaMelika aseMelika, kunye neLatinos, nawo asengozini enkulu. Esi sifo sixhaphake kakhulu kubantu abadala kunama-40, nangona sisiya sichaphazela abantu abadala abancinci.

Kungakhathaliseki ukuba ifunyenwe nini okokuqala, thayipha i-2 yeswekile ngokungenakuguqulwa obutshintsha ubomi babantu. Ukutyelelwa rhoqo kugqirha kunye nokuvavanywa kokujonga amanqanaba eswekile yegazi kuyacetyiswa. Uninzi lwabantu lubeka ukutya kunye nokuzilolonga. Banokudinga ukujongana nemingcipheko yeengxaki nazo, ezinje ngoxinzelelo oluphezulu lwegazi okanye amanqanaba e-cholesterol.

Ukufunda ukunciphisa uxinzelelo nako kubalulekile. Uxinzelelo lwengqondo lunokunyusa amanqanaba eswekile yegazi- kwaye ukuhlala nohlobo 2 lweswekile kunokuba luxinzelelo. Kuthatha umgudu ukwenza ubomi bemihla ngemihla kunye neemfuno zemo engapheliyo.

Indlela yokuphila ichaphazela umngcipheko kunye nobukhali bohlobo lwesifo seswekile, kwaye emva koko, imeko inokuguqula indlela yokuphila yomntu. Yiyo loo nto uphando lweHealthline lujolise kwindlela abantu abanesifo seswekile esihamba ngayo imihla ngemihla kunye nendlela abavakalelwa ngayo malunga nefuthe lesi sifo kubomi babo.

Umsebenzi wokuphila

Uvavanyo lweHealthline lufumanise ukuba uninzi lwabantu abadala - ngakumbi abantu abadala abadala - baziva bonwabile malunga nendlela abalawula ngayo uhlobo lweswekile yesi-2. Uninzi lwabantu luthi baxhaswa kakuhle ngabantu ababathandayo. Ngaphezulu kwesiqingatha sokuxela ukuziva unolwazi, ukuzithemba ngokwakho, okanye ukomelela yonke imihla okanye ngeveki. Ukulandela ukuxilongwa kwabo, uninzi luthi baqale ukutya ngokusempilweni, ukuzilolonga ngakumbi, kunye nokulawula ubunzima babo ngcono.

Kodwa kukho icala elisecaleni kuloo mfanekiso unelanga. Isibini kwisithathu sabathathi-nxaxheba sophando bathi ubunzima babo bangoku buchaphazela kakubi impilo yabo. Ngaphezulu kweepesenti ezingama-40 bathi kunqabile ukuba benze umthambo ngokwaneleyo ukuze baphule ukubila. Kwaye abantu abambalwa abancinci-ngakumbi abantu abadala abancinci-baxelwe ukuba bazive bediniwe, bexhalabile, okanye benetyala malunga nendlela abayilawula ngayo le meko.

Ezi ziphumo zinokubonakala ngathi ziyaphikisana, kodwa udidi 2 lweswekile yimeko entsonkothileyo. Ngumntu onqabileyo onokulandela yonke imiyalelo kagqirha wabo kwi-T. Yiyo loo nto kubalulekile ukuba uhlale unyanisekile. Ukulawula esi sifo sisenzo sokulinganisa: isikwere esincinci setshokholethi kube kanye ngexeshana kulungile, kodwa ikuku eneswekile enobungakanani benkosi yonke imihla ayisiyiyo.

"Udibana nabantu apho bakhoyo, kwaye uyabanceda bakhethe indlela yokuphila enokwenyani," utshilo uLaura Cipullo, RD, CDE, obhale incwadi ethi "Yonke imihla Isidlo seSwekile: Ukupheka esinye okanye ezibini." Ngokwenza kwakhe, unceda abantu bagxile kutshintsho lwexesha elide, hayi ukulungiswa ngokukhawuleza.

Kodwa nabantu abazinikele ekutshintsheni imikhwa yabo banokufumanisa ukuba iinzame zabo zibonakaliswe ngumbhiyozo womhla wokuzalwa, ukuzibophelela emsebenzini, okanye izinto ezingaphaya kwamandla abo.

"Xa kwafunyaniswa ukuba ndinama-45 eepawundi ubunzima kunokuba ndinjalo ngoku," utshilo uShelby Kinnaird, umbhali webhlog yeswekile ye-Diodietic kunye nencwadi ethi "Isikhokelo sePocket Carbohydrate Counter yeswekile."

Nangona egcinile ubunzima, ishedyuli yakhe yokuhamba exakekileyo yenza umthambo wemihla ngemihla ube nzima. Kutshanje, ebefumana "into yokusa," ebhekisa kwiswekile ephezulu yegazi ebangelwe kukuqhuma kwehomoni. Ukuza kuthi ga ngoku, akafumananga sisombululo sexesha elide. “Yonke into endiyizamile ayisebenzi ngokungaguquguqukiyo. Lo ngowona mceli mngeni ndijongene nawo okwangoku. ”

Ngokufanayo, uCindy Campaniello, inkokeli yeRochester, NY, isahluko seqela lenkxaso iDiabetesSisters, usebenza nzima ukulinganisa iimfuno zolawulo lwesifo seswekile sesi-2 noxanduva lobomi obuxakekileyo. Ukuzama ukuhlala kwisidlo esithile "kuyothusa," utshilo, hayi kuba ukutya kungemnandi kodwa ngenxa yexesha elithathwayo ukucwangcisa nokulungiselela ukutya.

"Uyazi, sinobomi," utshilo uCampaniello. Uxelele I-Healthline malunga nemiceli mngeni yokukhulisa amakhwenkwe amabini asebenzayo ngelixa belungiselela ukutya okunempilo kunye neeproteni, imveliso entsha, kunye nee-carbohydrate ezinqongopheleyo. "Awungekhe uthi kubantwana bakho, 'Siza kuba noMcDonald's ngokuhlwanje,' utshilo. "Awunakho ukusebenza neswekile ngokufumana ukutya okucutshulweyo kwikhefu lakho lesidlo sasemini."

Ubunzima kunye nehlazo

Ngaphandle komzamo abaye bawuthululela ekwenzeni utshintsho olusempilweni, kufutshane nesiqingatha sabathathi-nxaxheba kuvavanyo lweHealthline bathi ulawulo lobunzima luhlala lungumceli mngeni omkhulu: bazamile ukunciphisa umzimba amaxesha amaninzi ngaphandle kwempumelelo yexesha elide.

Ugqirha Samar Hafida, ugqirha we-endocrinologist kwiZiko leSwekile i-Joslin eBoston, uxelele i-Healthline ukuba ngokomndilili, abantu abanyangayo bazamile iindlela ezintathu nangaphezulu zokutya. "Akukho nolawulo lweswekile olungabandakanyi ukutya okunempilo kunye nokusebenza komzimba," utshilo, kodwa iingcebiso zokutya ezinesitayile zinokukhokelela abantu ekulahlekeni. Kukho intaphane yolwazi olungelulo apha. ”

Esi sesinye sezizathu zokuba ukulahleka kwesisindo okusisigxina kuphephe kakhulu. Enye into kukuba abantu abajamelene nemiceli mngeni yokufumana ubunzima abanakufumana ungenelelo ngoncedo oluncedo, okanye naluphi na uncedo konke konke.

Ukuqokelelwa kule miceli mngeni libala elinxulunyaniswa nohlobo lwesibini lweswekile kunye nobunzima, ngakumbi kubantu abancinci.

"Ndandinentombazana kwenye iveki eyayityebe kancinci," utshilo uVeronica Brady, PhD, CDE, osisithethi seAmerican Association of Diabetes Educators osebenza nakwiziko lonyango eReno, NV. "Into awayithethayo kum xa ndadibana naye yayiyile," Ndiyathemba ukuba ndine-type 1 yeswekile hayi uhlobo lwe-2. '”Nge-2, ibhinqa eliselula lalisoyika,“' abantu bazakucinga ukuba ndinesifo seswekile kuba Andikwazi kuzibamba. '”

Umlingisi S. Epatha Merkerson, woMthetho noMyalelo kunye nodumo lweChicago Med, uyalazi ibala lohlobo 2 lweswekile- ubukhulu becala ngamava osapho abanesifo kodwa bengazange bathethe ngaso. Izihlobo zakhe azikhange zitsho negama elithi "isifo seswekile."

"Ndiyakhumbula xa ndandisemncinci, abantu abadala kusapho lwam bahlala besithi 'Oo, unendawo eneswekile,'" uMerkerson uxelele uHealthline, "Ndizifumene ndisitsho kwaye ndingayiqondi ncam, yintoni ukuchukumisa iswekile? Usenokuba uneswekile okanye akunguye. ”

Ngokungafihli nto malunga nemeko yakhe, uMerkerson unethemba lokunciphisa iintloni eziviwa ngabantu abaninzi. Kungenxa yoko le nto engummeli we-Diabetes yaseMelika yaseMelika, exhaswa nguMerck kunye noMbutho we-American Diabetes Association. Eli phulo likhuthaza abantu ukuba benze utshintsho kwindlela yokuphila kwaye balandele izicwangciso zonyango zokuphucula uhlobo lwesibini lwesifo seswekile.

Xa uMerkerson wafunyaniswa ukuba uneminyaka eli-15 eyadlulayo, kwafuneka ukuba aqonde ukuba ubunzima awayebufumene bungakanani na. Ngexesha lokushiya kwakhe uLawulo kunye noMyalelo, uthe, "bendinekhabethe ebelisuka ku-6 liye ku-16." Uziva eneentloni ngokubona ubungakanani bakhe bonyuka kumabonwakude wesizwe- kodwa naye wakhuthazeka ukuba enze utshintsho.

Wachaza: "Ndandineminyaka engama-50 xa kwafunyaniswa ukuba ndinaso, kwaye ndaye ndabona ngelo xesha ukuba ndandisitya njengomntu oneminyaka eli-12 ubudala. Itafile yam, ukutya kwam, kunye nokukhetha kwam bekungaphandle kwetshathi. Ke, leyo yayiyinto yokuqala ekufuneka ndiyenzile, yayikukufumana indlela yokutya ngcono, ukupheka, ukuthenga - zonke ezo zinto. ”

Uxinzelelo kunye nokudinwa

Ukunikwa wonke umsebenzi obandakanyekayo kulawulo lwe-2 yeswekile, ayimangalisi into yokuba phantse iipesenti ezingama-40 zabantu kuvavanwe bathi baziva bediniwe yonke imihla okanye ngeveki. Kanye nje rhoqo, ngaphezulu kwama-30 epesenti bathi baziva benetyala ngendlela abalawula ngayo imeko.

U-Lisa Sumlin, i-PhD, i-RN, ingcali yomongikazi osisifo seswekile, ufumanisa ukuba ezi mbono ziqhelekile. Abathengi bakhe e-Austin, TX, bathanda ukuba ngabaphambukeli abanengeniso ephantsi, bahlala besebenza kwimisebenzi emininzi ukuze baphile. Ukongeza imisebenzi efunekayo ukulawula uhlobo lwesifo seswekile kufuna ixesha elininzi kunye namandla.

"Ndixelela abaguli ngalo lonke ixesha: lo ngumsebenzi osisigxina," utshilo.

Kwaye ayisiyiyo enye abanokuthi bathathe iindlela ezimfutshane.

Nokuba iimvavanyo zonyango zibalulekile zinokubangela uxinzelelo. Umzekelo, oogqirha bayalela uvavanyo lwe-A1C ukuze bafunde ngamanqanaba eswekile yegazi lomntu kwiinyanga ezidlulileyo. Ngokophando lwethu, phantse iipesenti ezingama-40 zabantu bakufumana kuxinzelelo ukulinda iziphumo zabo ze-A1C. Kwaye iipesenti ezingama-60 ziziva ngathi "basilele" ukuba iziphumo zibuya ziphezulu kakhulu.

Ngumba uAdam Brown awuvileyo malunga nokuphindaphinda. UBrown, umhleli ophezulu we-diaTribe, uhlala nohlobo 1 lweswekile kwaye ubhala upapasho lwekholamu eyaziwayo ye "Adam's Corner", enika iingcebiso kubantu abanohlobo 1 kunye nohlobo 2 lweswekile. Uye waqubisana nesihloko soxinzelelo lwe-A1C kwincwadi yakhe, "Amabala aqaqambileyo kunye neMigodi: Isikhokelo seSwekile Ndinqwenela ukuba umntu othile andinike isandla."

"Abantu bahlala besiya kugqirha ukuze bazive begwetywe kwaye beziva ngathi amanani kwimitha [yeswekile] okanye i-A1C yabo ayikho kuluhlu, baziva ngathi bafumana inqanaba elibi," utshilo uBrown kuHealthline.

Endaweni yokusondela kula manani njengamabanga, ucebisa ukuba babaphathe "njengolwazi olunokusinceda ekwenzeni izigqibo." Oku kuchaza iziphumo zovavanyo, wathi: "Akutshiwo," Adam ungumntu ombi onesifo seswekile kuba inani lakho liphezulu ngenene. "

Uxinzelelo malunga neziphumo zovavanyo zinegalelo komnye umba omkhulu: "ukudinwa sisifo seswekile." Ngokutsho kweZiko leSifo seSwekile iJoslin, le yimeko apho abantu abanesifo seswekile “badinwa kukulawula isifo okanye basityeshele okwexeshana, okanye okubi, ngonaphakade.”

Abanye abantu bacinga ngokwenza loo nto.

U-Kinnaird uthe, "Njengokuba umntu othile ebendixelele [kwiqela lam lenkxaso] ukudibana ngobunye ubusuku," ndifuna nje ukuthatha usuku kwisifo seswekile. "

Ukwahlulahlulwa kwesini kunye nesini

Izikhewu zesizukulwana

Ungatsho ukuba abantu abadala abancinci abanesifo seswekile sesi-2 bajongana nesifo esahlukileyo xa kuthelekiswa nabantu abadala abanesi sifo. Yindlela eyahluke ngayo amava abo, ngakumbi xa uthelekisa i-millennials ne-baby boomers. Umahluko uyamangalisa, kwaye hayi ngendlela elungileyo kubantu abadala abancinci.

Uvavanyo lukaHealthline lubonakalise ukutyibilika kweemvakalelo kunye namava phakathi kwamaqela ahlukeneyo. Uninzi lwabantwana boomers, abaneminyaka engama-53 nangaphezulu, baxele umbono oqinisekileyo kwimizamo yabo yokulawula uhlobo lwesifo seswekile, unxibelelwano nabanye, kunye nokuziva kwabo. Xa kuthelekiswa, umlinganiso ophakamileyo wemillennials, oneminyaka eyi-18 ukuya kwi-36, uthe banamava amabi kwezi ndawo. Iimpendulo zikaGen Xers zihlala ziwela phakathi kwamanye amaqela amabini, kanye njengokuba besenza ngobudala.

Umzekelo, ngaphezulu kweepesenti ezingama-50 zemileniyam kunye neepesenti ezingama-40 zeGen Xers zichaze ukuba ziziva zineentloni ngemizimba yazo yonke imihla okanye ngeveki. Kuphela liipesenti ezili-18 zabantwana abancinci abavakalelwa ngokufanayo. Kwangokunjalo, iimvakalelo zokuziva unetyala, iintloni, kunye noxinzelelo zihlala zinamawaka eminyaka kunye noGen Xers kunabantu abadala.

Xa uLizzie Dessify wafunda eneminyaka engama-25 ukuba unesifo seswekile sesi-2, wayigcina iyimfihlo eyimfihlakalo ngaphezulu kwenyanga. Xa wathi ekugqibeleni wazityand 'igila kwabanye, iimpendulo zabo azizange zikhuthaze ukuzithemba.

"Andiqondi ukuba kukho umntu othe wamangaliswa," utshilo uDessify, osebenza njengengcali yezempilo yezengqondo ePittsburgh, PA. "Khange ndiqonde ukuba ndiyiyeke kangakanani impilo yam, kodwa kuyacaca ukuba wonke umntu okufutshane nam wayeyibonile."

Abantu ebomini bakhe babenovelwano, kodwa bambalwa abakholelwa ukuba angakuguqula ukuqhubela phambili kwesi sifo. Oko "kuyadimaza kancinci," utshilo.

UDavid Anthony Rice, umlingisi oneminyaka engama-48 ubudala kunye nomcebisi ngemifanekiso, naye uthe cwaka malunga nemeko ukusukela oko waxilongwa ngo-2017. Amanye amalungu osapho kunye nabahlobo bayazi, kodwa uyathandabuza ukuxoxa ngeemfuno zakhe zokutya.

"Awufuni kuhamba ujikeleza uxelele wonke umntu," Hayi, ndingumntu onesifo seswekile, ke xa ndifika endlwini yakho, andinakukutya oko, "utshilo. "Yeyona ngxaki yam inkulu, kukungazihluli."

Irayisi ayivumi ukuvavanya iswekile yegazi emsebenzini, okanye naphambi kwabantwana bayo. "Ukucofa umunwe wam phambi kwabo - andikuthandi ukwenza oko kuba kuyaboyikisa," ucacisile.

Uphando lweHealthline lubonisa ukuba kuyinto eqhelekileyo kwizigidi zeminyaka kunye noGen Xers ukufihla imeko. Xa kuthelekiswa ne-baby boomers, la maqela obudala ayesenokwenzeka ukuba athi uhlobo lwe-2 yeswekile luye lwaphazamisa ubudlelwane bezothando, lwadala imiceli mngeni emsebenzini, okanye lwakhokelela abantu ekubeni babenengcinga ezimbi ngabo. Baziva behlukanisiwe rhoqo kunama-baby boomers, nabo.

Le mingeni inokuba nento yokwenza nento yokuba imeko ihlala ibonwa njengesifo somntu omdala.

Ilayisi ayizange ive nabani na kwisizukulwana sakhe ethetha ngokuba nohlobo lwe-2 yeswekile de wabona ubuntu be-TV uTami waseRoma ethetha ngamava akhe kwi-VH1 uthotho lweBhola yeBhasikithi Abafazi.

"Ndandiqala ukuyiva ngokuvakalayo ngumntu olingana nam kule minyaka," utshilo. Yamshukumisela ukuba alile. Wayefana, 'Ndineminyaka engama-48. Ndineminyaka engama-48, kwaye ndijongana nale nto. "

Ngamanye amaxesha, uluvo lweentloni okanye ibala linokuchaphazela namava abantu abadala abancinci bezempilo. Phantse kwisiqingatha seminyaka eyiwaka leminyaka kwaye phantse isinye kwisithathu seGen Xers sixele imvakalelo yokugwetywa ngabanikezeli bonyango ngendlela abalawula ngayo uhlobo lweswekile yesibini. Malunga nesiqingatha esifanayo bathi balibazisile ukubona umboneleli wezempilo kuba besoyika ezo zigwebo.

Leyo yingxaki, kuba iingcali kwezempilo zinokubonelela ngenkxaso enkulu yokunceda abantu balawule imeko. Dessify, umzekelo, unika ugqirha wakhe uncedo ngokumnceda aqonde utshintsho ekufuneka alwenzile ukuphucula impilo yakhe. Wenza ngaphezulu kokutya kwakhe, wahlaziya indlela yakhe yokuzilolonga, kwaye waphulukana neeponti ezingama-75 ngaphezulu kweminyaka emithathu. Ngoku iziphumo zakhe zovavanyo ze-A1C zikumanqanaba asondeleyo kwesiqhelo. Uye waqala ishishini elincinci njengomqeqeshi wokomelela komzimba.

Ngelixa amabali empumelelo enjalo eyinxalenye ebalulekileyo yomfanekiso, uninzi lwemillennials aluhambi kakuhle.

Uphononongo luka-2014 kwiNyango yeswekile lufumanise ukuba xa kuthelekiswa nabantu abadala abanesifo seswekile sesi-2, abo baneminyaka eli-18 ukuya kwengama-39 bebengenamathuba okutya okunempilo kwaye bathathe i-insulin njengoko kucetyisiwe. Abantu abancinci banamanqaku okudakumba amabi kunabantu abadala.

"Abanaso isakhelo esiqinisekileyo sesimo esinganyangekiyo esidinga ukubekwa esweni kunye nokubeka iliso," ucacisile uGqr. Rahil Bandukwala, ugqirha wezonyango e-MemorialCare Saddleback Medical Centre e-Southern California.

Kuyadandathekisa ngakumbi kubantu abadala abancinci ukuba baqonde ukuba uhlobo lweswekile yesi-2 luya kuba nabo ubomi babo bonke, wongeze, kuba bonke ubomi babo lixesha elide.

Abantu abancinci abanesifo seswekile sesi-2 bajongana neminye imiba ecinezelayo, nayo-njengemali. Ngaphezulu kweepesenti ezingama-40 zemileniyali bathi ngamanye amaxesha abazilandeli ngonyango olucetyiswayo ngenxa yeendleko. Phantse isinye kwisithathu sixele ukuba asinayo i-inshurensi yezempilo Uninzi lwabo bane-inshurensi bathi bashiywe ngamatyala amakhulu.

I-Millennials, kwaye ukuya kuthi ga kwinqanaba elincinci i-Gen Xers, babekwanokwenzeka ngakumbi kunama-boomers abantwana ukuba bathi bakufumanisa kunzima ukulinganisa iimfuno zokuzinakekela kunye nolunye uxanduva.

UGqr Bandukwala akothuki. Ufumene ukuba ngokubanzi, i-millennials isizukulwana esinexinzelelo kakhulu. Uninzi luxhalabile malunga nokufumana kunye nokugcina imisebenzi kwihlabathi elihamba ngokukhawuleza noqoqosho olunokhuphiswano lwehlabathi. Abanye bakwanceda ukunyamekela abazali okanye ootatomkhulu noomakhulu abaneemali okanye ezonyango.

Uthe, "kwenza ukuba kube nzima kakhulu, ukongeza ukhathalelo lweswekile njengomnye umsebenzi."

Isini sahlula

Ukwahlulahlulwa kwesizukulwana yayingekuphela kokungafaniyo okubonisiweyo kwiziphumo zophando - izithuba ezibalulekileyo nazo zavela phakathi kwabasetyhini namadoda. Abafazi abaninzi kunamadoda axele ubunzima ngokobunzima. Abasetyhini kunokwenzeka ukuba bathi ulawulo lwabo lohlobo 2 lweswekile ludinga ukuphuculwa. Banengxaki engakumbi yokulinganisa ukuzinakekela kunye nezinye izibophelelo.

UAndrea Thomas, isigqeba sombutho ongenzi nzuzo eWashington, D.C., uhlala evakalelwa kukuba akanalo ixesha lokulawula uhlobo lweswekile yesi-2 ngocoselelo ngendlela ebeya kuthanda ngayo.

"Ndiyakucaphukela ukuthi ndikwimo yesiqhelo esibi, apho ndisebenza khona kakhulu, ndihamba-hamba kakhulu ukuya nokubuya ndisiya eCalifornia kuba utata wam uyagula, ndingusihlalo wale komiti ecaweni," utshilo. . "Injalo, ndingena phi kuyo?"

UThomas uziva efundiswe kakuhle ngemeko yakhe. Kodwa kunzima ukuhlala ngaphezulu kwento yonke yokuyilawula-ukuzilolonga, ukutya kakuhle, ukujonga iswekile yegazi, kunye nazo zonke ezinye izinto.

"Njengokuba ndixelela abantu ukuba ndifuna ukuba lixhegwazana ngenye imini, ohambahamba emhlabeni, kukho ukungafani phakathi kwento endifuna ukuyenza ukuzikhathalela, nento endiyenzayo."

Ibali likaThomas lisenokuphinda lihlangane nabafazi abaninzi abaphendule kuvavanyo lweHealthline.

Phantse iipesenti ezingama-70 bathi babeka iimfuno zabanye ngaphambi kwezabo, nangona bephila nesifo esinganyangekiyo. Xa kuthelekiswa, ngaphezulu kancinci kweepesenti ezingama-50 zamadoda zithethe okufanayo. Ngaba kuyamangalisa ukuba abafazi banengxaki yokulinganisa ukuzinakekela kunye nolunye uxanduva?

"Ndicinga ukuba abafazi banemingeni yabo ekhethekileyo xa kuziwa kuhlobo lwe-2 yeswekile," utshilo uThomas. Kubalulekile ukuba abasetyhini baqwalasele indlela abazinakekela ngayo, wongeze, kwaye bayenze ibe phambili.

USue Rericha, umama wabantwana abahlanu kunye nombhali webhlog yeSwekile Ramblings, uyavuma.

Amaxesha amaninzi, siye sizibeke mva, utshilo, "kodwa ndihlala ndikhumbula, xa ukwinqwelomoya kwaye bajonga ukhuseleko lwabo kwaye bathetha ngesigqumathelo seoksijini, baxelela abantu abahamba nabantwana , beka eyakho imaski kuqala emva koko uncede omnye umntu. Kungenxa yokuba ukuba asizilungelanga thina, asizukubakhona apho kufuneka sibekhona ukuze sincede abanye. "

Iinkxalabo zonyango kunye nezigqibo

Iingxaki

Uninzi lwabantu abanesifo seswekile esadliwanondlebe noHealthline bathi baphila nomthwalo oxhalabisayo malunga neziphumo zesifo esibi.

Ezi ngxaki zinokubandakanya ukulahleka kombono, isifo sentliziyo, isifo sezintso kunye nokubetha. Isifo seswekile sinokubangela iintlungu- kunye noku-ndindishisa-ukunciphisa i-neuropathy, okanye ukonakala kwemithambo-luvo ezandleni okanye ezinyaweni. Obo buqhophololo bunokubashiya abantu bengazi ngokwenzakala, okunokubangela usulelo kunye nokunqunyulwa amalungu.

Uphando lufumanise ukuba isibini kwisithathu sabantu abanesifo seswekile sesi-2 banexhala malunga nazo zonke iingxaki zesifo. Oko kwenza ukuba lo mba ube yeyona nkxalabo ixhaphakileyo exeliweyo. Elona nani likhulu - iipesenti ezingama-78-ixhala malunga nokulahleka kombono.

UMerkerson uzibonele ezinye zezona ziphumo zibi kwesi sifo phakathi kwezihlobo zakhe.

"Utata wam wasweleka ngenxa yeengxaki," watsho. “Umakhulu wam akasaboni. Ndandinomalume owayenqunyulwe iinwele ezisezantsi. ”

Abaphenduli abachongiweyo abachonge njengama-Afrika-aseMelika okanye amaLatino, kunye nabafazi bayo yonke imvelaphi, babona bantu banokubika iingxaki ezinxulumene nengxaki. Abantu bahlala bexhalabile ngakumbi ukuba bahlala okanye bakufutshane "," indawo ekumazantsi amaninzi ithi iZiko laseMelika lokuLawula nokuThintela iZifo lichonge njengamazinga aphezulu ohlobo lweswekile yesi-2.

Oku akunakothusa, kunikwe ukuba izifundo zifumene amazinga aphezulu ezinxulumene neswekile kubuhlanga obuncinci kunye nabasetyhini, xa kuthelekiswa nabantu abamhlophe kunye namadoda.

UGqirha u-Anne Peters usebenza njenge-endocrinologist kwiiklinikhi zommandla we-Los Angeles-enye kwi-Beverly Hills etyebileyo enye kwindawo enengeniso ephantsi e-East Los Angeles. Uye waqaphela ukuba abantu bathambekele ekuphuhliseni iingxaki kwangoko ebomini kwikliniki ye-East LA, ekhonza abantu abangaqinisekiswanga kwaye ikakhulu yiLatino.

"Kuluntu lwase-East L.A., bafumana zonke ezi ngxaki besebancinci," utshilo. "Andikaze ndibubone ubumfama kunye nokunqunyulwa kwindlela yam yaseWestide kubantwana abaneminyaka engama-35, kodwa ndenza apha kuba akukabikho ukufikelela kubomi bonke kukhathalelo lwempilo."

Lala

Uphando lweHealthline lufumanise ukuba ngaphezulu kwesiqingatha sabantu abanesifo seswekile esi-2 banengxaki yokulala. Oko kunokuvakala kukuncinci, kodwa kunokudala umjikelo onengxaki yempilo enkenenkene.

IZiko leSwekile leJoslin liphawula ukuba iswekile ephezulu yegazi inokukhokelela kunxano kunye nokuchama rhoqo, ke abantu abanesifo seswekile sesi-2 banokuvuka amaxesha amaninzi ngobusuku ukusela okanye ukuya kwigumbi lokuhlambela. Kwelinye icala, iswekile esezantsi yegazi inokubangela ukulala-ukuphazamisa iimvakalelo zokugungqa okanye indlala. Uxinzelelo, unxunguphalo, kunye nentlungu evela kwi-neuropathy nayo inokuphazamisa ukulala.

Ucwaningo olwenziwa ngo-2017 luchaza ukuba iingxaki zokulala kunye nokuphazamiseka kokulala zixhaphake kakhulu kubantu abane-2 yeswekile. Kwelinye icala, xa abantu bengalali kakuhle, kunokubenza isifo seswekile sibe sibi ngakumbi: uphononongo olwenziwe ngo-2013 kuKhathalelo lweSwekile lwafumanisa ukuba amanqanaba eglucose egazini achaphazeleka kakubi xa abantu abanesifo seswekile se-2 belele ixesha elifutshane kakhulu okanye elide kakhulu.

"Ndihlala ndibuza abantu, ngakumbi ukuba baneswekile ephezulu yegazi, ulala kangakanani kwaye indawo yakho yokulala ilungele ukulala?" Utshilo uBrown. Ubhalelene nabantu abaninzi befuna iingcebiso kulawulo lweswekile. Ngokombono wakhe, abaninzi abakuqondi ukubaluleka kokulala.

"Ukujongana nokulala kunokuba nefuthe elikhulu ngosuku olulandelayo, ngokwe-insulin encinci, ukukhathazeka kwe-insulin, ishukela encinci kunye neenkanuko ze-carb, umnqweno ongakumbi wokuzivocavoca kunye nomoya ongcono," wongezelela. "Ubungakanani bempembelelo onokuyifumana ngokunceda umntu ukuba alale ngakumbi, ndiyacinga, iphantsi kakhulu."

Utyando lweMetabolic

Ngaphandle kwenkxalabo malunga neengxaki ezivela kuhlobo lwe-2 yeswekile, ngaphantsi kwekota yabaphenduli bophando bazimisele ukujonga utyando lwe-metabolic njengonyango. Isiqingatha sathi siyingozi kakhulu.

Isimo sengqondo esinjalo siyaqhubeka ngaphandle kwezibonelelo ezibhaliweyo zotyando lwe-metabolic, ekwabizwa ngokuba yi-bariatric okanye utyando lokunciphisa umzimba. Izibonelelo ezinokubakho zinokudlula ngaphaya kokulahleka kobunzima.

Umzekelo, malunga neepesenti ezingama-60 zabantu abanesifo seswekile sesi-2 abenza uhlobo olunye lotyando lwe-metabolic baphumelele uxolelo, baxela isifundo se-2014 kwiLancet Diabetes & Endocrinology. "Ukuxolelwa" ngokubanzi kuthetha ukuba ukuzila amanqanaba eswekile yegazi kuyehla ukuya kwinqanaba eliqhelekileyo okanye le-prediabetes ngaphandle kwamayeza.

Kwingxelo edibeneyo epapashwe ngo-2016, iqela lemibutho yeswekile yamazwe aphesheya licebise oogqirha ukuba baqwalasele utyando lwe-metabolic njengonyango kubantu abane-2 yeswekile ene-BMI engama-30.0 okanye ngaphezulu kwaye banengxaki yokulawula amanqanaba eswekile yegazi. Ukusukela ngoko, uMbutho weSwekile waseMelika wamkela ingcebiso kwimigangatho yayo yokhathalelo.

Ugqirha Hafida, kwiZiko leSwekile leJoslin, akothuswa kukuchasana notyando. "Ayisetyenziswanga kwaye ibekwa ibala kakhulu," utshilo. Kodwa ngokoluvo lwakhe, “lolona nyango lusebenzayo esinalo.”

Ukufikelela kukhathalelo

Iingcali kuhlobo lwesibini lwesifo seswekile zingenza umohluko omkhulu kubantu abaphila nale meko - kodwa uninzi alufikeleli kwiinkonzo zalo.

Phakathi kwabathathi-nxaxheba kuphando lweHealthline, iipesenti ezingama-64 zathi azikaze zibone ugqirha we-endocrinologist. Abangaphezulu kwesiqingatha bathi zange babone ingcungela yokutya okanye isondlo, abanokubanceda ukuba bahlengahlengise indlela abatya ngayo. Kwaye kuphela ngu-1 kwabali-10 oxele ukuba wabona ugqirha okanye umcebisi ngaphezulu kwamaxesha amathathu ngonyaka-nangona ikota yabathathi-nxaxheba ithe bafumaniswe ukuba banexinzelelo okanye uxinzelelo.

Uhlobo lwe-2 yeswekile sisifo esihambelana nenkqubo ye-endocrine, okanye iihomoni zomzimba kunye namadlala. NgokukaGqirha Saleh Aldasouqi, oyintloko ye-endocrinologist kwiYunivesithi yaseMichigan State, ugqirha wokhathalelo oluphambili unokulawula unyango lwamatyala "angenzima", ukuba nje bafundisiwe malunga nale meko. Kodwa ukuba umntu onesifo seswekile esine-2 unobunzima kumanqanaba eswekile yegazi, ukuba ngaba uneempawu zeengxaki, okanye ukuba unyango oluqhelekileyo alusebenzi, ukubona ugqirha we-endocrinologist uyacetyiswa.

Ngamanye amaxesha, ugqirha womntu unokuzithumela kumhlohli oqinisekisiweyo weswekile, okanye kwi-CDE. Olu hlobo lobungcali lunoqeqesho oluthile ekufundiseni nasekuxhaseni abantu abanesifo seswekile.Oogqirha abakhathalela abantwana, abongikazi, iingcali zokutya, kunye nabanye abanikezela ngononophelo lwempilo bonke banokuqeqeshwa ukuze babe ziiCDE.

Kuba iindidi ezininzi zababoneleli zinokuba ziiCDEs, kunokwenzeka ukuba ubone enye ngaphandle kokuyiqonda. Kodwa ngokwazi kwabo, iipesenti ezingama-63 zabathathi-nxaxheba bathi zange babonisana nomnye.

Ke, kutheni abantu abaninzi abanesifo seswekile se-2 befumana ingqalelo ekhethekileyo?

Ngamanye amaxesha, i-inshurensi ayizukuhlawulela utyelelo lweengcali. Okanye iingcali aziyi kwamkela izicwangciso ezithile ze-inshurensi.

UBrady uyibonile le ngxaki kufutshane, esebenza njengeCDE eReno, NV. "Yonke imihla uyeva," abantu kwicandelo labucala abayamkeli i-inshurensi yam, "utshilo," kwaye ngokuxhomekeke kwi-inshurensi yakho, baya kukuxelela, "asithathi zigulana zintsha."

Ukunqongophala ngokubanzi kweengcali ze-endocrinologists nako kudala imiqobo, ngakumbi kwiindawo ezisemaphandleni.

Uhlanga lunama-1,500 ambalwa e-endocrinologists yabantu abadala kunalawo aludingayo, ngokophando olunye luka-2014. Phakathi kwabo basebenza ngo-2012, iipesenti ezingama-95 zazibekwe kwiindawo ezisezidolophini. Eyona nkcazo ibalaseleyo yayiseConnecticut, eNew Jersey naseRhode Island. Okona kubi kwakuseWyoming.

Ngenxa yokungafani okunjalo, iyavakala into yokuba uphando lwethu lufumene umahluko wengingqi. Abantu abakumantla mpuma babona bantu banokubika ukuba babone ugqirha we-endocrinologist kaninzi ngonyaka. Abo baseNtshona naseMidwest babengabalulekanga ukuba bathi babone enye.

Ngaphandle komzamo odibeneyo wokujongana nokunqongophala kwee-endocrinologists, ingxaki kulindeleke ukuba ikhule.

Inokubetha abantu abadala abancinci ngokukodwa.

Njengomnye kwi-Lancet Diabetes kunye ne-Endocrinology iqaphele, omncinci umntu xa efunyenwe enesifo seswekile sesi-2, iba nefuthe elikhulu kubomi babo. Ngokuyinxenye, kungenxa yokuba ukuqala kobudala obuncinci kunokukhokelela kwiingxaki zangaphambili.

Ngelixa uninzi lwabantu abancinci abanesifo seswekile sesi-2 banokufumana uncedo kukhathalelo lweengcali, uphando lwethu lufumanise ukuba i-1 kwi-3 yemillennials ekucetyiswe ukuba ibone ugqirha we-endocrinologist unengxaki yokuyifumana.

Iindleko zokhathalelo

Iindleko zemali zohlobo lwe-2 yeswekile ngumba oxhalabisa kakhulu, kufunyenwe uphando. Phantse kwiipesenti ezingama-40 zabaphenduli banexhala malunga nokukwazi kwabo ukukhathalela ixesha elizayo. Mhlawumbi iyakhathaza nangakumbi, phantse i-1 kwaba-5 indleko ziye ngamanye amaxesha zabanqanda ekulandeleni imiyalelo yonyango yoogqirha.

Ngokwengxelo ye-American Diabetes Association, iindleko kwilizwe liphela zohlobo lwe-1 kunye nohlobo lwe-2 yeswekile- $ 327 yezigidigidi ngo-2017-inyuke ngeepesenti ezingama-26 kwisithuba seminyaka emihlanu. Ityala lamva nje lifike kwi-9,601 yeedola kumntu ngamnye onesifo seswekile. Abantu abaninzi abanakukwazi ukufumana isabelo esiqinileyo sethebhu ekufuneka bayigubungele.

Phakathi kwabathathi-nxaxheba, phantse iipesenti ezingama-30 bathi banomshuwalense obashiya ngeemali ezinkulu. Ukutya okunesondlo, ukuba lilungu lomthambo, kunye nezixhobo zokuzilolonga kubiza imali. Ewe kunjalo, nokutyelelwa kwezempilo kunye nonyango- kubandakanya amayeza.

"Iindleko zonyango lwe-antihyperglycemic, ngakumbi i-insulin, ziye zaba ngumqobo kunyango lwesifo seswekile," luchaze u-2017 uphononongo kwiiNgxelo zangoku zeSwekile.

Njengabantu abaninzi, uKinnaird uluvile ulwamvila lweendleko zamayeza. Ezisebenza yedwa, kwafuneka athenge i-inshurensi entsha emva kokuba i-inshurensi yakhe yangaphambili ikhutshiwe kwi-Affordable Care Act. Utshintsho alulunganga kwisipaji sakhe: unikezelo lwamayeza lweenyanga ezintathu olwaludla ngokuxabisa i $ 80 ngoku lubiza i-2,450 yeedola.

Ngamanye amaxesha, abantu abanesifo seswekile bathatha amayeza amancinci kunokuba amiselweyo ukuze kugqitywe.

Lo mbandela ufumene ingqalelo emva kokuba umfana onesifo seswekile sokuqala asweleke kunyaka ophelileyo. Xa u-Alec Raeshawn Smith eneminyaka engaphaya kwe-inshurensi yabazali bakhe, ixabiso le-insulin yakhe laliphezulu kakhulu. Waqala ukulinganisa amanani ukuze kugqitywe. Kungaphelanga nenyanga, wayeselefile.

UCampaniello wenze umlinganiso omncinci owakhe. Kwiminyaka eyadlulayo, ukhumbula ukuhlawula i-250 yeedola rhoqo kwiinyanga ezintathu kuhlobo olutsha lwe-insulin esebenza ixesha elide. Iyeza lamzisela amanqanaba e-A1C ezantsi kakhulu. Kodwa xa ugqirha wakhe wajonga iziphumo zakhe zovavanyo, wayekrokrela ukuba uCampaniello "wayedlala" nge-insulin yakhe.

"Ndathi," Ewe, ukuba undixelela ukuba ndiyayigcina ngamanye amaxesha ukuphela kwenyanga, kuba andinakho ukuyifumana, "utshilo uCampaniello," 'unyanisile! "

Ukuqikelela, uphando lwe-Healthline lufumanise ukuba abantu abanemivuzo ephantsi babekwazi ukuxela inkxalabo malunga neendleko zokhathalelo kunye ne-inshurensi. Kwakunjalo nakwabo bakwibhanti yeswekile.

Uphando kubemi ngokubanzi lubone ukungafani ngokobuhlanga: phakathi kwabantu abangaphantsi kweminyaka engama-65, iipesenti ezili-17 zabantu base-Hispanic-baseMelika kunye neepesenti ezili-12 zabantu base-Afrika-baseMelika babengaqinisekiswanga ngo-2016, xa kuthelekiswa neepesenti ezisibhozo zabamhlophe baseMelika, baxela uKaiser Isiseko soSapho.

Xa umntu engenakho ukuhlawula ngaphezulu kweedola ezimbalwa ngenyanga, inokunciphisa iindlela zonyango, utshilo uJane Renfro, umongikazi osebenza ngokuzithandela kwiklinikhi yezempilo e-Falls Church, VA, kubantu abangafumanekiyo nabangaqinisekiswanga.

"Kufuneka siqiniseke ukuba amayeza esiwakhethileyo ngawona aqhelekileyo kwaye anikezelwa ngamaxabiso asezantsi kakhulu - umzekelo, iidola ezi-4 zonikezelo lwenyanga, iidola ezilishumi kunikezelo lweenyanga ezintathu," utshilo. "Oko kusikela umda kubungakanani bonyango esinokukunika."

Umnxeba wokuvuka

Akukho mntu ukhetha ukuba nohlobo lwe-2 yeswekile-kodwa izigqibo ezenziwa ngabantu zinokuchaphazela indlela esiqhubeka ngayo isifo. Kwabaninzi kwabo baxoxwa ngu-Healthline, ukuxilongwa kwavakalelwa ngathi kukuvuswa okubashukumisela ukuba bahlasele imikhwa enempilo. Ngaphandle kwemiceli mngeni abaye bajongana nayo, abaninzi baxela ukuba benze inkqubela phambili ekuphuculeni impilo yabo.

Uvavanyo lweHealthline lufumanise ukuba iipesenti ezingama-78 zichaze ukutya ngcono ngenxa yokufumanisa isifo. Ngaphezulu kwesiqingatha bathi benza umthambo ngakumbi okanye baphulukana nobunzima okanye balawule ubunzima babo ngcono. Kwaye ngelixa abaninzi befumanisa ukuba indlela iyaqhubeka, malunga nekota kuphela bacinga ukuba kuninzi ekufuneka bekwenzile ukulawula impilo yabo.

U-Gretchen Becker, umgcini-magama emva kwebhlog yaseWildly Fluctuating kunye nombhali we "The First Year: Type 2 Diabetes," wabelane nabanye ngeeHealthline malunga nokuba isifo samkhokelela njani ekubeni abambelele kwiinguqu awayefuna ukuzenza:

“Njengoninzi lwabantu baseMelika, bendizama ukwehluleka ukuthoba umzimba kangangeminyaka, kodwa into ibisoloko ichaphazela imizamo yam: mhlawumbi ipati enkulu enezilingo okanye nje isidlo sangokuhlwa esinokutya okuninzi. Emva kokuxilongwa, ndazithathela phezulu izinto. Ukuba umntu uthi, 'oh, nokuba kukuluma nje kancinci ngekhe ikwenzakalise,' ndingathi, 'ewe izakukwenza.' Ndiye ndancamathela kwindlela yokutya kwaye ndehla malunga neeponti ezingama-30. "

Uqhubeke wathi, "ukuba bendingenaso isifo seswekile, ngendandiqhubeka nokutyeba, kwaye ngoku ngendingonwabanga. Isifo seswekile, andifikelelanga kwi-BMI eqhelekileyo, kodwa indlela enditya ngayo iyandonwabisa kunale bendiyitya ngaphambili. ”

Dessify ikwabeka ikhredithi yokufumanisa ukuba iyamtyhala ukuba enze utshintsho ebomini bakhe.

Ngelixa wayekhulelwe unyana wakhe, wafunyaniswa ukuba unesifo seswekile. Kwiiveki ezintandathu emva kokuzalwa kwakhe, amanqanaba eswekile egazini uDessify ahlala ephezulu.

Xa wafumanisa ukuba unesifo seswekile sesi-2, Dessify waziva enetyala malunga nendlela imeko enokubufutshane ngayo ubomi bakhe kunye nexesha lakhe nonyana wakhe. "Andinakuthembisa nokuba ndilapha ixesha elide ukuba ndinokuba naye," uxelele i-Healthline.

Kwiinyanga ezimbalwa kamva, waqala wabona ugqirha omtsha kwaye wamcela ukuba athembeke kuye. Wamxelela ukuba ukhetho alwenzileyo ukuya phambili luya kugqiba ngokuba inzima kangakanani imeko yakhe.

Dessify utshintshe ukutya kwakhe, wazityhala ukuba azilolonge, kwaye wehla ubunzima obukhulu.

Njengomzali, wathi, eyona njongo yakhe yayikukuba abe ngowona mzekelo mhle anokuba ngunyana wakhe. "Ndisikelelwe ubuncinci ngemeko endikhabe ngokwenene ukuba ndifune ukuba ngumzekelo."

Ukunceda uhlale kumkhondo, Dessify sebenzisa iwotshi efanelekileyo. Ngokophando lweHealthline, olu hlobo lokusebenzisa umthambo- kunye nesixhobo sokulandela umkhondo wokutya sithandwa kakhulu phakathi kweewaka zeminyaka ezinje ngeDessify kunezizukulwana ezindala. I-Millennials ikwakhona ukuxabisa i-intanethi njengomthombo wolwazi olunxulumene neswekile okanye inkxaso kwezentlalo.

"Abantu abasebenzisa ii -apps ngokungaguqukiyo, kuya kufuneka ndikuxelele, bafunde ngcono i-A1C," utshilo uBrady, echaza ezinye zezibonelelo zetekhnoloji entsha.

Kodwa nayiphi na indlela enceda abantu ukuba bahlale endleleni ilungile, utshilo uGqirha Hafida. Nokuba ixhomekeke kwizixhobo zedijithali okanye ipeni kunye nephepha, eyona nto ibalulekileyo kukuba abantu banamathele kuyo kwaye benze impilo yabo ibe yinto ephambili yexesha elide.

UKinnaird, njengabo baninzi abantwana abathandanayo abasebenza naye kolu phando, ufumene idrive yokwenza utshintsho olukhulu ebomini bakhe.

"Khange ndibenasizathu sokwenza olo tshintsho ndide ndifumane isifo," ucacisile. "Ndandinomsebenzi onoxinzelelo kakhulu, bendihamba ngalo lonke ixesha, benditya ukutya kathathu ngemini, iintsuku ezintlanu ngeveki."

Wathi, "Ngokukhawuleza ukuba ndifumene isifo, yayiyinto yokuvuka."

Ukuphononongwa kwezonyango kunye nokubonisana

U-Amy Tenderich yintatheli kunye nommeli oseke isiseko esikhokelayo kwi-intanethi iDiabetesMine.com emva kokuchongwa ngo-2003 ngohlobo lweswekile 1. Indawo ngoku iyinxalenye yeendaba zeHealthline Media, apho uAmy akhonza njengoMlawuli woMhleli, isifo seswekile kunye nokuGqwetha kwabaguli. U-Amy ngumbhali-mbhali "Wazi amanani akho, uphile ngesifo seswekile," isikhokelo esikhuthazayo seswekile. Uqhube iiprojekthi zophando ezibonisa iimfuno zezigulana, kunye neziphumo ezipapashwe kwi-Diabetes Spectrum, i-American Journal yoKhathalelo olulawulwayo, kunye ne-Journal yeSwekile yeSayensi kunye neThekhnoloji.

USusan Weiner, MS, RDN, CDE, FAADE sisithethi esiphumeleleyo kunye nombhali. Usebenze njengo-2015 i-AADE Isifo seswekile sikaTitshala woNyaka kwaye wafumana i-2018 Media Excellence Award kwiNew York State Academy yeZondlo kunye neDietetics. USusan wayengumamkeli we-2016 we-Dare to Dream Award kwi-Diabetes Research Institute Foundation. Ungumbhali-mbhali womQokeleli oQinisekileyo weSwekile kunye "neSwekile: Iingcebiso ezingama-365 zokuPhila kakuhle." USusan ufumene isidanga senkosi yakhe kwi-Applied Physiology kunye nesondlo kwiYunivesithi yaseColumbia.

Ugqirha Marina Basina yingcali ye-endocrinologist egxile kwisifo seswekile 1 kunye no-2, itekhnoloji yeswekile, amaqhuqhuva e-thyroid kunye nomhlaza wedlala lengqula. Uphumelele isidanga kwiYunivesithi yesiBini eMoscow yezoNyango ngo-1987 wagqiba izifundo zakhe ze-endocrinology e-Stanford University ngo-2003. Ugqirha Basina kungoku nje unjingalwazi ongumhlobo kwezonyango eStanford University School of Medicine. Ukwibhodi yeengcebiso kwezonyango zeCarb DM kunye nangaphaya kohlobo lwe-1, kwaye ungumlawuli wezonyango kwisifo seswekile esibhedlele eStanford.

Abaxhasi kunye nabahleli

UJenna Flannigan, umhleli ophezulu
UHeather Cruickshank, umhleli onxulumene naye
UKarin Klein, umbhali
UNelson Silva, umlawuli, ukuthengisa isayensi
I-Mindy Richards, i-PhD, umcebisi wophando
Steve Barry, ikopi yomhleli
ULeah Snyder, uyilo lwegraphic
UDavid Bahia, imveliso
UDana K. Cassell, jonga inyani