Injongo yakho ye-A1C kunye nokuTshintsha unyango lwe-Insulin

Umxholo

• Injongo yakho ye-A1C
• Ukutshintsha kumayeza omlomo ukuya kwi-insulin
• Ixesha lokutya (okanye i-bolus) insulin
• I-insulin esisiseko
• Ukutshintsha unyango lwe-insulin

Ushwankathelo

Nokuba sowukudala kangakanani ukulandela isicwangciso sonyango se-insulin esimiselweyo, ngamanye amaxesha unokufuna utshintsho kwi-insulin yakho.

Oku kunokwenzeka ngezizathu ezininzi, kubandakanya:

• utshintsho lwehomoni
• ukwaluphala
• ukuqhubela phambili kwesifo
• utshintsho kwindlela otya ngayo nasekuzilolongeni
• Ukutshintsha kobunzima
• utshintsho kwimetabolism yakho

Funda ukuze ufunde malunga nokwenza utshintsho kwelinye isicwangciso sonyango lwe-insulin.

Injongo yakho ye-A1C

Uvavanyo lwe-A1C, olubizwa ngokuba luvavanyo lwe-hemoglobin A1C (HbA1c), luvavanyo lwegazi oluqhelekileyo. Ugqirha wakho uyisebenzisa ukulinganisa inqanaba leswekile yegazi kwiinyanga ezimbini ukuya kwezintathu ezidlulileyo. Uvavanyo lilinganisa isixa seswekile esiqhotyoshelwe kwiprotein hemoglobin kwiiseli zakho ezibomvu zegazi. Ugqirha wakho uhlala esebenzisa olu vavanyo ukufumanisa isifo seswekile kunye nokuseka inqanaba lesiseko le-A1C. Uvavanyo luyaphindwa njengoko ufunda ukulawula iswekile yegazi lakho.

Abantu abangenaso isifo seswekile bahlala benqanaba le-A1C eliphakathi kwe-4.5 ukuya kwi-5.6 yepesenti. Amanqanaba e-A1C ye-5.7 ukuya kwi-6.4 yepesenti amatyeli amabini ahlukeneyo abonisa i-prediabetes. Amanqanaba e-A1C eepesenti ye-6.5 okanye ngaphezulu kwiimvavanyo ezimbini ezahlukeneyo zibonisa ukuba unesifo seswekile.

Thetha nogqirha wakho malunga nenqanaba elifanelekileyo le-A1C lakho. Uninzi lwabantu abanesifo seswekile kufuneka bajonge amanqanaba e-A1C abhalwe umntu angaphantsi kweepesenti ezisi-7.

Kukangaphi ufuna uvavanyo lwe-A1C luxhomekeke kwizinto ezinje ngotshintsho olumiselweyo kunyango lwe-insulin kunye nokuba ugcina kangakanani inqanaba leswekile yegazi kwindawo ekujoliswe kuyo. Xa utshintsha isicwangciso sakho sonyango kwaye amaxabiso akho e-A1C aphezulu, kuya kufuneka wenze uvavanyo lwe-A1C rhoqo kwiinyanga ezintathu. Kuya kufuneka ukuba ube novavanyo rhoqo kwiinyanga ezintandathu xa amanqanaba akho ezinzile kwaye ujolise kwithagethi oyibeke nogqirha wakho.

Ukutshintsha kumayeza omlomo ukuya kwi-insulin

Ukuba unesifo seswekile sesi-2, unokukwazi ukuyiphatha imeko yakho ngokutshintsha indlela ophila ngayo kunye namayeza, kubandakanya:

• ukuhla ukusinda
• umthambo
• amayeza omlomo

Kodwa ngamanye amaxesha ukutshintshela kwi-insulin kunokuba kuphela kwendlela yokufumana amanqanaba eswekile yegazi phantsi kolawulo.

Ngokwe-Mayo Clinic, kukho amaqela amabini aqhelekileyo e-insulin:

Ixesha lokutya (okanye i-bolus) insulin

I-Bolus insulin, ekwabizwa ngokuba yi-insulin ngexesha lokutya. Inokuthi ibe mfutshane- okanye isebenze ngokukhawuleza. Uyithatha ngokutya, kwaye iqala ukusebenza ngokukhawuleza. I-insulin esebenza ngokukhawuleza iqala ukusebenza kwimizuzu eli-15 okanye ngaphantsi kwaye iphakame kwimizuzu engama-30 ukuya kwiiyure ezi-3. Ihlala kwigazi lakho ukuya kuthi ga kwiiyure ezi-5. Ukwenza into emfutshane (okanye rhoqo) i-insulin iqala ukusebenza kwimizuzu engama-30 emva kwenaliti. Iphakama kwiiyure ezimbini ukuya kwezi-5 kwaye ihlala egazini lakho ukuya kuthi ga kwiiyure ezili-12.

I-insulin esisiseko

I-insulin esisiseko ithathwa kanye okanye kabini ngemini (amaxesha amaninzi ngexesha lokulala) kwaye igcina amanqanaba eswekile esegazini akho ngexesha lokuzila okanye lokulala. I-insulin ephakathi iqala ukusebenza kwimizuzu engama-90 ukuya kwiiyure ezi-4 emva kwenaliti. Iphakama kwiiyure ezi-4 ukuya kwezi-12, kwaye isebenza iiyure ezingama-24. I-insulin esebenza ixesha elide iqala ukusebenza ngaphakathi kwemizuzu engama-45 ukuya kwiiyure ezi-4. Ayiphakamisi kwaye ihlale kwigazi lakho ukuya kuthi ga kwiiyure ezingama-24 emva kwenaliti.

Ukutshintsha unyango lwe-insulin

Nxibelelana nogqirha wakho malunga nokutshintsha isicwangciso sakho sonyango lwe-insulin ukuba ufumana iimpawu ezibandakanya:

• Rhoqo