Nau'in cutar sankara 1: jiyya

Nau'in 1 na ciwon sukari mellitus (T1DM) cuta ce mai ta'azzara, mai narkewar ƙwayar glucose. Babban bayyanar cututtuka shine karancin insulin da haɓaka yawan glucose a cikin jini. Insulin wani hormone ne wanda yake da mahimmanci don kyallen takarda zuwa metabolize sukari. Kwayoyin beta na pancreas ne ke samar dashi. Nau'in na 1 na ciwon sukari na tasowa saboda tsarin na rigakafi cikin kuskure yana kai hari kuma yana lalata sel. Yawan sukari na jini ya tashi sakamakon karancin insulin. Wannan yana haifar da alamun halayyar - ƙishirwa, asarar nauyi, rashin ƙarfi, mai haƙuri na iya fada cikin rashin lafiya. Koyaya, haɗarin gaske na T1DM ba alamun ciwo bane, amma rikitarwa na kullum. Ciwon sukari yana lalata kodan, idanu, tasoshin kafafu da tsarin jijiyoyin jini. Wannan cuta yawanci tana farawa ne kafin shekara 35. Wanda daga baya ya bayyana, da sauki hakan zai tafi. Jiyya ga masu ciwon sukari na 1 shine abinci, allurar insulin, da aikin jiki. A ƙasa zaku koya yadda ake kiyaye sukarin jini na yau da kullun don rayuwa ba tare da rikice-rikice ba har zuwa tsufa.

Labarin ya bayyana abubuwan da ke haifar da, alamu da magani na ciwon sukari na 1. Koyi yadda za a kare kanka daga matsananciyar cuta da rikice-rikice. Iyaye zasu buƙaci bayani game da nau'in 1 na ciwon sukari a cikin yara. Matan da ke fama da wannan cutar suna da sha'awar yadda za su tsara ciki, da jimiri kuma suna da kyakkyawan haihuwa. Duk abin da kuke buƙatar sani game da ciki tare da ciwon sukari na dogaro da insulin, karanta a ƙasa.

Bayanan da kake gani a halin yanzu ci gaba ne na labarin "Ciwon 1 ko Ciwon Cutar 2: Inda za'a Fara." A shafi na yanzu, an bayyana hanyoyin kamarar ingantaccen magani ga masu ciwon sukari na 1. Koyi don sarrafa wannan mummunan ciwo da kyau a cikin manya da yara. Ana kuma kiranta ciwon sukari mai suna autoimmune. Da fatan za a karanta ainihin rubutun farko, hanyar haɗin da aka bayar a sama, in ba haka ba wani abu bazai bayyana ba.

Nau'in nau'in 1 shine kawai 5-10% na duk lokuta na rashin tasirin metabolism. Sauran kashi 90-95% na marasa lafiya ana kamuwa da cutar sankarau nau'in 2, wanda yafi sauƙin sarrafawa. A cikin nau'in 1 na ciwon sukari, dole ne a ba da allurar insulin, in ba haka ba mai haƙuri zai mutu. A shafin yanar gizo na masu ciwon sukari -Med.Com, koya yadda ake allurar insulin ba tare da wata damuwa ba. Matakan da za a kula da ciwon sukari suna buƙatar yin shi da kyau, suna buƙatar horo. Koyaya, bayan samun ƙwarewa, basa ɗaukar minti fiye da 10-15 a rana. Kuma sauran lokutan za ku iya yin rayuwa ta al'ada.

Kwayar cutar

Ciwon sukari na 1 wanda yawanci ke haifar da alamun rashin lafiya:

• matsananciyar ƙishirwa;
• bushe bakin
• yawan urination, gami da maraice;
• jariri na iya yin gumi yayin barci;
• yunwar rashin nutsuwa kuma a lokaci guda asarar nauyi mai nauyi;
• haushi, damuwa, yanayi canzawa;
• gajiya, rauni;
• hangen nesa
• a cikin mata, cututtukan farji na farji (murkushewar mahaifa), waɗanda ke da wahalar warkewa.

Abin takaici, a mafi yawan lokuta, marasa lafiya da ke dauke da ciwon sukari na 1 da waɗanda suke ƙauna suna watsi da waɗannan alamun har sai ketoacidosis ta haɓaka. Wannan rikitarwa ne mai matukar wahala wanda ke buƙatar kulawa da lafiya na gaggawa.

Bayyanar cututtuka na ketoacidosis na ciwon sukari:

• bushe fata, fitar da rashin ruwa;
• numfashi mai zurfi akai-akai;
• ƙanshi na acetone daga bakin;
• taunawa ko asarar hankali;
• tashin zuciya da amai.

Dalilai

Ba a san musabbabin cututtukan type 1 ba har wa yau. Ana ci gaba da bincike don ganowa da bunkasa hanyoyin rigakafin. Amma ya zuwa yanzu, masana kimiyya ba za su iya yin fahariya da kyakkyawan sakamako ba. Har yanzu ba a gano hanyoyi masu inganci don hana kamuwa da ciwon sukari iri 1 ba. Gaji da nau'in ciwon sukari na 1 an gaji shi, amma haɗarin ga ɗan ba babba bane.

Masana kimiyya a hankali suna gano alamun haɗarin kwayoyin halitta waɗanda ke kara haɗarin wannan cutar. Kwayoyin halitta marasa nasara sun fi yawa tsakanin fararen fata waɗanda ke zaune a Turai da Arewacin Amurka. Hakanan ana samun kwayoyin halittar da ke iya kiyaye kamuwa da cututtukan da suka shafi insulin.

Ciwon sukari na nau'in 1 sau da yawa yakan ci gaba bayan mutum ya kamu da kamuwa da cuta ko bidiyo guda. Kwayar cutar ta Rubella sau da yawa tana aiki a matsayin "abu" don hare-hare na tsarin rigakafi a kan ƙwayoyin beta na pancreatic. Koyaya, ba duk mutumin da ya kamu da cutar ta fata ba to yana fama da ciwon suga. Babu shakka, abubuwan gado suna taka rawa babba anan.

Tagwayen iri ɗaya suna da daidai iri ɗaya. Idan ɗayansu ya sami nau'in ciwon sukari na 1, to, ga na biyu haɗarin shine 30-50%, amma har yanzu yana nesa da 100%. Wannan yana nufin cewa da yawa ya dogara da yanayin. Misali, a Finland cutar sankaran nau'in ciwon sukari guda 1 tana da yawa musamman. Amma har yanzu ba a tantance dalilan wannan ba.

Binciko

Don bincika nau'in 1 na ciwon sukari, kuna buƙatar auna sukari a cikin ɗayan hanyoyi masu zuwa:

• yin gwajin sukari na jini;
• gwajin haƙuri glucose na awa biyu;
• bincike mai amfani da hawan jini.

Sakamakon da ke nuna cewa mutum yana da ciwon sukari:

• Azumtar glucose din plasma na 7.0 mmol / L ko sama.
• Lokacin gudanar da gwajin haƙuri na glucose na sa'o'i biyu, sakamakon shine 11.1 mmol / L kuma mafi girma.
• Random sukari na jini ya zama 11.1 mmol / L ko sama, kuma akwai alamun cutar sankara.
• Glycated haemoglobin HbA1C - 6.5% ko sama.

Ya isa ya cika ɗayan sharuɗɗan da aka lissafa a sama don ku iya amincewa da ƙarfin zuciya - ciwon sukari. Jarrabawar jinin haila mai azumi bata da nutsuwa fiye da sauran. Gwajin haƙuri na glucose na sa'o'i biyu ba shi da matsala saboda yana ɗaukar lokaci mai yawa kuma kuna buƙatar ba da gudummawar jini sau da yawa. Binciken don hawan jini ya dace kuma abin dogara. An yi shi don ganewar asali, kamar yadda kuma don lura da tasirin magani. Idan kuna da mitirin glucose na jini na gida - kawai auna sukari tare da shi, ba tare da zuwa dakin gwaje-gwaje ba. Idan sakamakon ya fi 11.0 mmol / l - wannan tabbas cutar sankara ce.

Bayyanar cututtuka na nau'in ciwon sukari na 1 yawanci ba sa haifar da matsaloli, saboda alamun wannan cutar akwai m, bayyananne. Auna sukari na jini - kuma komai zai zama bayyananne. Koyaya, kusan 25% na marasa lafiya a karo na farko koya game da matsalarsu kawai lokacin da suka isa asibiti tare da ketoacidosis.

Sakamakon karancin insulin, sel ba za su iya yin ma'aunin glucose ba kuma sun canza zuwa kitse. A wannan yanayin, ana samar da kayan samfurori da yawa - jikin ketone. Suna haifar da ƙamshi na acenton daga bakin da acidosis - take hakkin ma'aunin acid-base a cikin jiki. Ketoacidosis mai ciwon sukari cuta ce mai rikitarwa, mai barazanar rayuwa kuma tana buƙatar kulawa ta gaggawa. Alamominsa sun jera a sama. Yana da kyau a yi bincike a lokaci kuma a fara jiyya ga masu ciwon sukari, don hana ci gaban ketoacidosis.

Nau'in 1 da nau'in ciwon sukari na 2 - yaya suka bambanta

A cikin nau'in 1 na ciwon sukari, rashi insulin ya bunkasa a cikin jiki. Dalilin shi ne cewa tsarin rigakafi yana kai hari kuma yana lalata ƙwayoyin beta na pancreatic waɗanda ke haifar da insulin. A mafi yawancin halayen, nau'in ciwon sukari na 1 ya faru a cikin yara ko a cikin matasa masu ƙanƙancin shekaru 35. Kodayake har yanzu akwai ciwon sukari na autoimmune a cikin nau'i mai sauƙi a cikin tsofaffi da tsofaffi. Ana kiranta cutar ta LADA. Sau da yawa likitoci suna rikitar da shi da nau'in ciwon sukari na 2 kuma suna kula da shi ba daidai ba.

Ciwon sukari na 2 ba cuta ce ta mutum ba. Yawancin lokaci yakan haifar da mutane sama da 40 waɗanda suke masu kiba, har ma da tsofaffi. A cikin mujallun likita, an baiyana ire-iren cututtukan cututtukan type 2 a cikin matasa masu fama da cutar siga, amma waɗannan ba su kasance da banbanci ba. Sanadin cutar ita ce rayuwa mara kyau, ingantaccen abinci mai narkewa da rashin motsa jiki. Kwayoyin halittar jiki ma suna taka rawa, amma zaka iya kare kanka daga kamuwa da ciwon sukari na 2 cikin 100% idan ka ci abinci mai kyau da motsa jiki. Kuma ga nau'in 1 na ciwon sukari, hanyoyin amintattu na rigakafin babu su.

Tare da nau'in ciwon sukari na 2, babu rashi insulin a cikin jiki. Wannan cuta ana kiranta da ciwon suga mai zaman kansa. Rashin insulin na faruwa ne kawai idan an magance T2DM da kyau ba shekaru ba, kuma ya zama ciwon sukari na 1. Yawanci, tare da nau'in ciwon sukari na 2, insulin a cikin jini ya fi isa, amma ƙwayoyin suna ba da amsa ga sakamako. Ana kiran wannan juriya insulin.

Jiyya

Jiyya ga masu ciwon sukari na 1 shine injections, abinci mai dacewa, da kuma aiki na yau da kullun. Ga marasa lafiya masu yawan kiba da yawan allurai na insulin, allunan kuma zasu iya taimakawa. Waɗannan shirye-shiryen Siofor ko Glucofage, abu mai aiki wanda yake metformin. Amma gabaɗaya, magunguna suna taka rawa kaɗan wajen sarrafa nau'in ciwon sukari 1 idan aka kwatanta da abinci, insulin, da motsa jiki.

Marasa lafiya suna da sha'awar sabbin hanyoyin magani - dasawa da sel, ƙwayar cuta ta wucin gadi, ƙwayoyin halittar jini, ƙwayoyin kara. Saboda waɗannan hanyoyin wata rana zasu ba ku damar yin watsi da injections na insulin. Ana ci gaba da gudanar da bincike, amma har yanzu ba a sami wani ci gaba a game da lura da cutar T1DM ba. Babban kayan aiki shine mafi kyawun tsohuwar insulin.

Don sarrafa cututtukan type 1 da kyau, kuna buƙatar koya yawancin bayanai daban-daban. Da farko dai, gano waɗanne irin abinci ne kuke haɓaka sukari da kuma irinsu ba sa yin hakan. Fahimci yadda ake yin lissafin yawan kuɗin insulin. Fara wani littafin tarihin kulawar kai-tsaye a kai tsaye. Bayan kwanaki 3-4, isasshen bayanai zasu tara a cikin wannan rubutaccen rikodin don ku iya bincika shi. Bi labarai, biyan kuɗi zuwa e-mail gidan yanar gizo na Ciwon -Med.Com.

Makasudin lura da masu irin wannan cutar sune:

• Rike sukari na jini kusa da al'ada.
• Kula da cutar hawan jini da sauran abubuwan da ke haifar da haɗarin cutar zuciya. Musamman, don samun sakamako na gwajin jini na yau da kullun don "mara kyau" da cholesterol "mai kyau", furotin na C-reactive, homocysteine, fibrinogen.
• Idan rikitar ciwon sukari ta faru, to gano shi da wuri-wuri. Saboda tsananin jiyya, wanda aka fara akan lokaci, na iya rage gudu ko ma hana ci gaba da rikitarwa.

Mafi kusancin sukarin masu ciwon sukari ya zama al'ada, ƙananan haɗarin rikitarwa a cikin tsarin zuciya, kodan, gani, da ƙafafu. Yanzu ga alama a bayyane, amma har kwanan nan, jama'ar likitancin ba suyi tunanin haka ba. Likitoci ba su ga dacewar rage matakan sukari ba a cikin marasa lafiya da ke da ciwon sukari na 1. Sai kawai a cikin shekarun 1980s sun gamsu da sakamakon babban binciken DCCT - Gudanar da cutar sukari da kuma Yin Bayanan Karatu. Idan kuna sarrafa sukari na jini, haɓakar ciwon sukari mai narkewa yana hanawa sama da 65%, kuma haɗarin bugun zuciya yana raguwa da kashi 35%.

Marasa lafiya da suka shiga cikin binciken DCCT sun bi tsarin gargajiya na “daidaita”. Wannan abincin yana cike da carbohydrates, wanda ke cutarwa a cikin ciwon sukari. Idan ka ci abinci mara nauyi wanda ake amfani da shi wanda shafin yanar gizon masu ciwon sukari-Med.Com yake ingantawa, yawan sukarinka zai iya kusanci da al'ada. Saboda wannan, haɗarin cututtukan jijiyoyin jiki an rage zuwa kusan sifili. Tare da nau'in ciwon sukari na 1, zaku iya rayuwa har zuwa tsufa mai kyau, yayin da kuke riƙe da ƙoshin lafiya, ga hassada na takwarorina. Don yin wannan, dole ne a ladabtar da ku don bin tsarin mulki.

Koyi ingantaccen jiyya don ciwon sukari na 1. Rike sukari bayan cin abinci kuma da safe a kan komai a ciki duk tsawon lokaci bai wuce 5.5-6.0 mmol / l ba - wannan gaskiyane! Allurar insulin ta rage sau 2-7.

A yi allura idan sukari da safe a kan komai a ciki ko kuma awanni 1-2 bayan cin abincin ya wuce 6.0 mmol / L. Kada ku kwantar da hankali idan sukari ya faɗi zuwa 6-7 mmol / L. Tabbatar cewa bai wuce 5.5 mmol / L da safe akan komai a ciki ba kuma bayan kowace abinci. Wannan shi ne dabi'ar mutane masu lafiya, wanda ke ragewa ƙimar hadarin kamuwa da cutar siga.

Gwanin amarci - Lokacin Farko

Lokacin da aka fara magance ciwon sukari na type 1 tare da allurar insulin, a cikin mutane da yawa marasa lafiya yanayin zai dawo ta al'ada. A wannan lokacin, kasa da 20% na kwayoyin samar da insulin wadanda suke rayuwa. Koyaya, bayan allurar insulin ta farko, saboda wasu dalilai sai suka fara aiki da kyau. Wataƙila saboda hare-haren autoimmune akan ƙwayar cuta yana rauni. Suga tana tsayawa ta al'ada. Kuma idan kun ci gaba da allurar insulin, to jinin haila yana ƙaruwa - glucose jini ya yi ƙasa kaɗan.

A lokacin amaryar, allurar insulin ba wani abu bane wanda ba lallai ba ne, amma har da cutarwa, saboda yana rage sukari da yawa. Yawancin marasa lafiya suna shakatawa, suna tunanin cewa ciwon sukari ya wuce ta hanyar mu'ujiza, kuma ya ci gaba har zuwa ƙarshe. A banza suke yi. Idan kayi aiki ba daidai ba, to amaryar amaryar ta ƙare da sauri, kuma a maimakon haka ta fara nau'in ciwon sukari na 1 tare da hanya mai tsanani.

Kamar yadda ka sani, ana samar da insulin ta hanyar ƙwayoyin beta na pancreatic. Nau'in na 1 na ciwon sukari yana faruwa ne saboda tsarin na rigakafi yana kaiwa hari da lalata ƙwayoyin beta, yana kuskure su don baƙi masu haɗari. A lokacin gano cutar T1DM, yawancin marasa lafiya har yanzu suna samar da ƙaramin adadin insulin nasu. Yana da kyau a kula da wannan damar muddin dai zai yiwu, da dacewa - don rayuwa.

Fadada gudun amarci don nau'in ciwon sukari na 1 ya zama na gaske ga manya da yara. Dietarancin carbohydrate da ƙananan inje na insulin suna kiyaye sel beta. Koyaya, idan kun bi tsarin abinci na yau da kullun na yau da kullun, wanda aka cika shi da carbohydrates, to, dukkanin ƙwayoyin beta za a hallaka su da sauri.

Makasudin kula da ciwon sukari irin 1 a lokacin amarci shine don hana sel beta gaba daya “ƙonewa”. Idan kun sami damar kiyaye su, kayan aikin insulin ɗinku zai ci gaba. Za'a iya cimma wannan burin idan kun bi tsarin abinci na low-carbohydrate kuma duba sukari na jini tare da glucometer sau da yawa a rana. Idan sukari ya hau zuwa 6.0 mmol / L kuma sama bayan cin abinci, allura kaɗan, gwargwadon adadin insulin. Tabbatar da cewa sukari bai wuce 5.5 mmol / L ba.

Me yasa kuke ƙoƙarin kiyaye ƙwayoyin beta?

• Za ku iya samun tsayayyen sukari na yau da kullun a cikin jini, yana hana “tsalle” sama da ƙasa.
• Dos na insulin zaiyi ragu sosai, injections zai zama ba zai yuwu ba.
• Lokacin da sababbin jiyya don maganin cututtukan type 1 suka bayyana, zaku iya amfani dasu kafin kowa. Misali, masana kimiyyar zasu dauki kadan daga cikin kwayoyin beta, su ninka su a cikin in vitro kuma su maimaita su cikin fitsarin.

Sabon magani na gwaji

A cikin ƙasashe daban-daban, ana gudanar da bincike mai zurfi kan sabbin hanyoyin magance cutar guda 1. Ana samun tallafin daga gwamnatoci, kamfanonin harhada magunguna da kuma agaji. Duk wanda zai ceci masu ciwon sukari daga allura ta insulin yau da gobe tabbas zai karɓi kyautar Nobel kuma za a sami tabbacin ya wadata. Mafi kyawun masana kimiyya suna aiki don cimma wannan burin.

Ofaya daga cikin kwatance - masana kimiyyar halitta suna ƙoƙarin sa ƙwayoyin kara su zama sel da ke samar da insulin. A cikin 2014, an buga bayanai game da gwaje-gwajen nasara akan beraye. Kwayoyin sel da aka dasa cikin mice sun samo asali kuma sun zama ƙwayoyin beta masu girma. Koyaya, hanyar amfani da maganin zazzabin 1 na ciwon sukari a cikin mutane ta wannan hanyar har yanzu tana nesa. Yawancin shekaru na bincike za a buƙaci don tabbatar da inganci da aminci.

Hakanan ana haɓaka rigakafi don hana halakar ƙwayoyin beta ta tsarin rigakafi. Ya kamata a yi amfani da wannan rigakafin a cikin watanni 6 na farko bayan an gano nau'in 1 na ciwon sukari. Kashi na uku na gwaje-gwaje na asibiti na irin wannan rigakafin yanzu ana kan aiwatar a Turai da Amurka. Karatuttukan allurar rigakafi biyu don rigakafin kamuwa da cutar sukari guda 1 suma suna gudana. Ba za a sa ran sakamakon su ba da daɗewa ba.

Abincin abinci, girke-girke da menu na shirye da aka shirya

Abincin abinci don ciwon sukari na 1 shine babban kayan aiki don sarrafa cutar da kyau. Injections na insulin suna cikin wuri na biyu. Kowa ya fahimci cewa kuna buƙatar cin abinci masu ƙoshin lafiya kuma ku guji abincin da bai dace ba. Ko yaya, abin da abinci ake dauka lafiya kuma wanda yake cutarwa matsala ce mai rikitarwa.

Guji abinci wanda ke haɓaka sukari na jini cikin sauri da sauri. Wannan abinci ne wanda aka cika shi da carbohydrates - ba burodi kawai, dankali, hatsi da Sweets, amma har ma da 'ya'yan itatuwa. Don sarrafa nau'in ciwon sukari iri ɗaya da kyau, kuna buƙatar canzawa zuwa rage cin abinci na carbohydrate. Idan kun ci "daidaita", kamar yadda likitoci suka ba da shawara, to, sukari yana ci gaba sosai kuma rikicewar ciwon sukari suna haɓaka cikin hanzari.

Rikici na ciwon sukari yana haɓaka lokacin da aka adana sukari don tsawan sa'o'i da yawa bayan cin abinci. Ba su haɓaka idan sukari bayan cin abinci ya tashi dan kadan, ba zai wuce sama da 5.5 mm / L, kamar yadda yake a cikin mutane masu lafiya. Sabili da haka, abinci mai gina jiki na carbohydrate suna da lokuta da yawa fiye da lahani. Yin zabi tsakanin daidaitaccen abinci mai narkewa shine babban shawarar da kuke buƙatar yin.

Kuna iya samun girke-girke da menu da aka shirya don abinci mai ƙamus da ƙwayoyi don maganin sukari na 1 a nan

Dietarancin carbohydrate mai narkewa yana ba ku damar adana sukari na jini daidai da al'ada, kamar yadda a cikin mutane masu lafiya - ba fiye da 5.5 mmol / L bayan abinci da safe da safe akan komai a ciki. Hakanan, sukarinku zai zama al'ada kafin cin abinci. Wannan juyin juya halin ne a cikin lura da nau'in 1 da nau'in ciwon sukari na 2, wanda gidan yanar gizon masu ciwon sukari-Med.Com ya inganta a tsakanin marasa lafiyar masu magana da Rasha. A low-carbohydrate rage cin abinci normalizes biyu jini sukari, saukar karfin jini da cholesterol. Dos na insulin ana rage shi sau 2-7. Godiya ga wannan abincin, tare da nau'in ciwon sukari na 1, za a iya tsawan lokacin amaryar ta tsawon shekaru, ko ma har tsawon rayuwa.

A yawancin buƙatun marasa lafiya da ciwon sukari, shafin yanar gizon ya shirya girke-girke 26 da menu na samfurin don mako. Tsarin menu da aka shirya ya ƙunshi zaɓuɓɓuka iri-iri 21 don karin kumallo, abincin rana da abincin dare, gami da abun ciye-ciye. Dukkanin jita-jita suna da sauri da sauƙi don shiryawa, tare da samfuran da ake samarwa a shekara. Wannan shi ne mai sauƙin lafiya dafaffen abinci ga mutanen da ke aiki waɗanda suke so su bi cin abincin carb. Matakan-mataki-mataki-hotuna tare da hotuna sun fi kama da kayan abinci iri-iri. Su kuma suna da sauƙin dafawa, amma ba a soke shi ba. Kuna iya buƙatar tanda don shirya wasu jita. Sami girke-girke da menu na da aka shirya ta hanyar biyan kuɗi zuwa wasiƙar e-mail. Kyauta ne.

Injections na insulin

Dukkanin marasa lafiya da ke dauke da ciwon sukari na 1 suna buƙatar allurar insulin kullun don kada su mutu. Jim kaɗan bayan fara maganin insulin, lokacin amarci na iya zuwa. A wannan lokacin, sukari na jini yana kiyaye al'ada ba tare da allura ba na yau da kullun. Koyaya, wannan lokacin yawanci baya šauki tsawon lokaci. Sugar sake tashi. Idan baku runtse shi da insulin ba, to mai haƙuri zai faɗi cikin rashin lafiya kuma ya mutu.

Tooƙarin faɗaɗa ɗan amaryar ku shekaru da yawa ko ma har tsawon rayuwa. Yadda aka yi wannan an bayyana dalla-dalla a sama. A lokacin amaryar, yana iya zama dole don gudanar da insulin a cikin ƙananan allurai. Yi shi, kada ku kasance m. In ba haka ba, to dole ne ka kwantar da shi "gaba daya." Yi ƙoƙarin adana sukari bayan abinci bai wuce 5.5 mmol / L ba. Don yin wannan, kuna buƙatar bin abincin da ke cike da ƙwayar carbohydrate kuma, watakila, har yanzu yana sa allurar a cikin raka'a 1-3 kowace rana.

Akwai manyan nau'ikan insulin guda 4:

• ultrashort - mafi sauri;
• gajere
• matsakaiciyar lokacin aiki;
• tsawaita.

Idan kun sarrafa nau'in 1 na ciwon sukari tare da rage cin abinci mai-carbohydrate, to kuna buƙatar canzawa zuwa wasu hanyoyin don ƙididdigar insulin. In ba haka ba za a sami zubar jini a jiki. Saboda yawan buƙatar insulin ya rage sau 2-7.

Daga shekarun 1920 zuwa 1970, an kula da marasa lafiya da nau'in ciwon sukari na 1 tare da insulin da aka samu daga shanu, aladu, dawakai har ma da kifi. Rashin insulin dabbobi ya bambanta da na mutum, don haka injections yakan haifar da rashin lafiyar rashin lafiyar jiki. Amma ya gagara hana su, saboda insulin yana da mahimmanci ga masu ciwon sukari. Tun farkon 1980s, aka fara amfani da insulin, wanda kwayoyin halitta suka samar da shi. Yana da tsabta a cikin abun da ke ciki, saboda haka rashin lafiyan daga allura ke da wuya.

Ultrashort da nau'in insulin na tsawan lokaci ba daidai bane insulin ɗan adam, amma iri ne da aka yiwa iri-iri. Ana kiransu analogues. Suna da ingantattun halaye idan aka kwatanta da insulin ɗan adam na al'ada. Ultrashort insulin yana fara aiki da sauri, kuma yana tsawaita - akasin haka, yana ɗauka daidai da sa'o'i 12-24. Wadannan nau'ikan insulin an yi amfani dasu tun farkon 2000s. Sun tabbatar da ingancinsu da amincin su.

Tsarin insulin na kwalliya wata alama ce ta irin insulin da ake buƙata don sawa, sau nawa a rana, a wane lokaci kuma a cikin sashi. Ya kamata a rubuta insulin far ɗin a tsanake daban-daban, bisa ga shigarwar da ke cikin littafin bayanin kula na mutum-mutumin da ke fama da ciwon sukari. Suna lura da yadda matakan sukari na jini ke canzawa yayin rana, a wane lokaci ake amfani da mara lafiyar zuwa karin kumallo, abincin rana da abincin dare. Sauran kayan aikin rayuwar shi kuma ana yin la’akari dasu. Karku yi amfani da madaidaiciyar makirci!

Koyi don tsarke insulin! Marasa lafiya na masu ciwon sukari da ke bin tsarin karancin carbohydrate suna buƙatar karancin insulin. Suna sau 2-7 sau da ƙarancin magungunan da likitocin ke amfani dasu. Maganin insulin da allunan sirinji suna da kuskure na 0.5 FITSARI. Wannan ya yi yawa sosai. Zaka iya isar da allurar 1-2 MUTANE na insulin kawai idan aka iya sha da ruwan gishiri.

Qualifiedwararren masanin ilimin endocrinologist ya kamata ya ba da shawara game da ilimin insulin. A aikace, a cikin kasashe masu magana da Rashanci, marasa lafiya da ke da nau'in ciwon sukari na 1 sau da yawa dole ne su tsara kansu da insulin kuma su lissafa yadda suka dace. Sabili da haka, an ba da shawarar ku karanta ayoyin da aka ambata a ƙasa. Idan likita ya ba da izinin insulin guda ɗaya ga duk masu haƙuri, ba ya kula da abin dubawa na kai-kada ku yi amfani da shawararsa, tuntuɓi wani kwararre.

Insulin famfo

Fulin insulin shine ƙaramin na'urar da aka sa akan bel. Daga ciki, insulin yana ci gaba da shiga cikin jini a cikin sauri. Ruwan insulin yana da dogaye, bututu mai bakin ciki tare da allura a ƙarshen. An saka allura a karkashin fata, yawanci a cikin ciki, kuma ya ci gaba da zama a can. An canza kowane kwana 3. Mososhi shine hanyar allurar insulin a madadin sirinji da alkalami. Girman na'urar yana kusan kamar bene na katunan wasa.

Amfanin famfon shine baka bukatar yin allura sau da yawa a rana. Za a iya amfani da shi ta hanyar manya, matasa, har ma da yara masu fama da ciwon sukari na 1. An yi imanin cewa insulin insulin a hukumance zai samar da mafi kyawun sarrafa ciwon sukari fiye da sirinji na gargajiya. Koyaya, yana da tsada, kuma ba duk masu haƙuri ba ne zasu iya koyan yadda ake amfani da shi daidai. Ba tare da izini ba - maganin injin insulin a yau yana da ƙarin rashin ƙarfi fiye da fa'idodi. Wannan shi ne koda ba ku la'akari da babban farashinsa ba.

Na'urorin da ke hada famfo na insulin da kuma tsarin ci gaba da lura da glucose a cikin jini yanzu suna shirin shiga kasuwa. Zai zama farjin mutum. Irin wannan na'urar zata iya sarrafa sukari ta atomatik ba tare da sane da shigawar mai haƙuri da ciwon sukari ba. Koyaya, zai sami matsala guda ɗaya kamar fam ɗin insulin na yau da kullun. Don ƙarin cikakkun bayanai, duba labarin “Sashin kwalliyar insulin na huhu: ribobi da fursunoni.” A lokacin rubutawa, Fabrairu 2015, har yanzu ba a yi amfani da cututtukan fata ba. Ba a san ainihin ranar da zai bayyana ba.

Magunguna

Magunguna suna da ƙaramin matsayi a cikin lura da ciwon sukari irin 1 idan aka kwatanta da abinci, allurar insulin, da aikin jiki. Wasu marasa lafiya da ke da nau'in 1 na ciwon sukari suna da nauyi. Sun haɓaka jure insulin, don haka ana tilasta su yin allurar insulin. Zasu iya kawar da ciwon suga a cikin allunan, sinadarin da yake aiki wanda shine metformin. Waɗannan magungunan Siofor da Glucofage. Don marasa lafiyar bakin ciki da na bakin ciki, duk kwayoyin cutar kankara basa da amfani.

Mun lissafta magungunan da ke taimakawa wajen magance cututtukan da ke tattare da cuta. Daga hauhawar jini, marasa lafiya da ke da nau'in ciwon sukari iri 1 ana ba su magunguna sau da yawa - ACE inhibitors ko masu hana karɓar angiotensin-II. Wadannan kwayoyin ba kawai saukar karfin jini ba, amma suna hana ci gaban rikitarwa a kodan. An tabbatar da cewa yana da kyau a sha su tuni lokacin da jini yakai 140/90 mm Hg. Art. kuma har ma fiye da haka idan ya kasance mafi girma. Dubi labarin Ciwon ciki da hauhawar jini.

Duk magungunan da aka bayyana a wannan sashi za'a iya sha kawai kamar yadda likita ya umurce shi. Suna da sakamako masu illa. Hatta shan kifin ya kamata a soke shi kafin aikin tiyatar da aka yi don rage haɗarin zub da jini. Kada ku sami magani na kai! Nemi likita zaka iya amincewa kuma kayi shawara dashi.

Manyan likitocin da likitocin zuciya sun saba bada alluran asfirin ga marassa lafiya don amfanin yau da kullun. An yi imani cewa wannan yana rage haɗarin bugun zuciya. A cikin ƙasashen da ke magana da Rasha, yawanci ana ba da umarnin Cardiomagnyl. Binciki Intanet don wasu sakamako masu asfirin. Yi magana da likitanka game da ko zan maye gurbinsa da man kifi. Koyaya, domin yin jini ya zama ruwan dare, dole ne a ɗauki mai kifi a allurai. Oraya daga cikin capsules ɗaya ko biyu ba zai yi ba. An bada shawara don shan cokali biyu na ruwa na mai kifi a kowace rana.

Statins sune magunguna waɗanda ke rage matakin mummunan cholesterol a cikin jini. An san cewa tare da nau'in 1 da nau'in ciwon sukari na 2, sukari da "mummunan" cholesterol ana haɓaka su lokaci guda. Sabili da haka, ƙwayoyin tsofaffin ƙwayoyin cuta suna wajabta sau da yawa ga masu ciwon sukari Koyaya, waɗannan kwayoyi suna haifar da sakamako masu illa - gajiya, raunin ƙwaƙwalwa, matsalolin hanta na iya faruwa. Lowarancin carbohydrate wanda Diabet-Med.Com ke haɓakawa don kula da ciwon sukari yana daidaita sukari da jini, cholesterol da haɓakar jini. Idan tare da wannan abincin zaka iya ƙi ɗaukar statins - zai zama abin ban mamaki.

Aiki na Jiki

Ilimin Jiki hanya ce ta sarrafa nau'in ciwon sukari na 1, wanda galibi ba a yin tunaninsa. Koyaya, aikin jiki kusan yana da mahimmanci kamar abinci da injections na insulin. Kuna buƙatar ayyukan motsa jiki da motsa jiki na anaerobic. Jirgin sama mai hawa sama yana hawa, iyo, wasan motsa jiki, tsallake. An bada shawarar a haɗasu kowace rana tare da ƙarfin anaerobic horo a cikin dakin motsa jiki. Haɓaka al'ada ta motsa jiki na yau da kullun, zai fi dacewa a cikin iska mai sabo. Manya na buƙatar aƙalla darussan 5 na mintina 30 a mako, yara - awa 1 kowace rana.

Ana buƙatar ilimin ilimin motsa jiki ba kawai "don ci gaba gaba ɗaya ba." Tambaye menene telomeres, me yasa tsawon su yake da mahimmanci, da kuma yadda ayyukan motsa jiki ke ƙaruwa da shi. A takaice, a farkon shekarun 2000, an tabbatar da cewa motsa jiki yana tsawaita rayuwa kai tsaye. Mutanen da ba sa tsarantar da ilimin motsa jiki suna rayuwa ba kawai muni ba, har ma da yawa shekaru ƙasa.

Fara horo kawai bayan yin shawarwari tare da likitan ku. Yana da kyau a sha gwajin ECG tare da kaya don tabbatar da cewa zuciyar ba ta fadi ba. Idan rikice-rikice na ciwon sukari a cikin hangen nesa, kodan ko kafafu sun riga sun haɓaka, wannan yana ƙuntatawa ƙarancin zaɓin zaɓuɓɓukan zaɓuɓɓuka don aikin motsa jiki.

A cikin nau'in 1 na ciwon sukari, horar da 'yan wasa suna da rikitarwa a kan sukarin jini. A cikin ka'idar, ya kamata su runtse shi. Tabbas, ilimin motsa jiki na iya rage sukari, kuma na dogon lokaci, wani lokacin har zuwa awanni 36 bayan horo ya ƙare. Koyaya, yawanci motsa jiki yana takama da sukari. Yayin horo, gwada sukarin ku da glucometer sau ɗaya kowace rabin awa. A tsawon lokaci, zaku fahimci yadda aikin jiki yake shafan shi. Da alama za ku buƙaci daidaita yanayin abincinku da kuma adadin insulin ɗinku zuwa jadawalin aikinku. Wannan matsala ce. Koyaya, ilimin motsa jiki yana kawo sau da yawa fiye da wahala.

Buga na 1 ciwon sukari a cikin yara

Nau'in nau'in ciwon sukari na 1 a cikin yaro yana nufin rashin iyaka da damuwa na iyayen sa. Ciwon sukari gaba daya yana canza rayuwar yara ba wai kawai ba, har ma da sauran membobin iyali. 'Yan dangi sun koyi yin allurar insulin, kirga carbohydrates a cikin jita, sarrafa sukari na jini, da kuma bayarda kulawa ta gaggawa don rikitarwa mai zurfi. Koyaya, duk matakan da ake buƙata don magance ciwon sukari ba su wuce minti 10-15 a rana. Sauran lokacin da kuke buƙatar ƙoƙarin yin rayuwa ta al'ada.

Koyo don sarrafa ciwon sukari a cikin yaro kusan iri ɗaya ne da koyan sabon sana'a. Fahimci abin da ka'idodin sukari na jini yake, yadda abinci da injections insulin ke shafar su. Samu daga jihar duk fa'idodin da za ku iya. Koyaya, kasance cikin shiri don gaskiyar cewa jiyya zai buƙaci manyan farashi. Da farko, wannan farashin tsararrun gwaje-gwaje ne na glucometer da ingantaccen insulin. Gilashin glucoeter na kyauta kyauta na iya zama ba daidai bane, kuma insulin cikin gida na iya zama mai tsayayye kuma yana haifar da rashin lafiyar jiki.

Yaro da ke da nau'in ciwon sukari na 1 an canza shi zuwa rage cin abinci na carbohydrate daga kwanakin farko. Sakamakon yana daidaitaccen sukari na al'ada ba tare da allurar insulin ba. Yana haɓaka al'ada - mafi kyawun ɗalibi a cikin aji, lambar gwal a gasar raye-raye.

Kulawa da malamai da makarantar da yaranka sukeyi. Tabbatar cewa mai ciwon sukari na iya yin allurar kansa da insulin, ko kuma malamin makarantar ya shirya don taimaka masa. Ya kamata yaro ya kasance yana da allunan glucose koyaushe tare da shi idan yana cikin rashin lafiya, kuma ya kamata ya sami damar yin amfani da su. Idan kuna da wasu yara, to, ku kula da su sosai, kuma ba kawai yaran da ke da ciwon sukari ba. Ba zaku iya cire komai akan kanku ba. Raba alhakin kula da cutar ku tare da yaranku.

Yadda ake rayuwa tsawon rai

Sirrin rayuwa mai tsawo tare da ciwon sukari na 1 - kuna buƙatar saka idanu akan lafiyarku sosai a hankali fiye da takwarorinku, wanda ƙwaƙwalwar ƙwayar ƙwayar ƙwayar jikinsa ba ta da matsala. Shafin yanar gizo na masu ciwon sukari -Med.Com yana haɓaka tsarin kula da cutar sukari mai ƙirar low-carbohydrate. Wannan tsarin yana ba da damar kiyaye sukarin jini na yau da kullun, kamar yadda yake cikin mutane masu lafiya. Bi shawarwarin - kuma kuna iya dogaro akan shekaru 80-90 na cikakken rayuwa. Ci gaban rikice-rikice a kodan, da gani, kafafu, da kuma tsarin zuciya.

Kirkira halaye na gari:

• Kowace rana, ɗauki matakan ladabtarwa don sarrafa ciwon sukari - bincika sukari na jini, bi abinci, ƙididdige ƙwayar insulin ɗinku da bayar da allura.
• Dauki gwaji na jini da fitsari sau da yawa a shekara, gudanar da gwaje-gwaje. Ka kiyaye tsarin zuciyarka, kodanka, da idanunka.
• Binciki ƙafafunku a kullun maraice, ku bi ka'idodin kulawa da ƙafa.
• Yi motsa jiki sau da yawa a mako. Wannan ya fi mahimmanci fiye da aiki.
• Kar ku sha taba.
• Nemo abin da ke jan hankalinka ka aikata shi domin samun motsawar rai.

Yin rigakafin da hana rikice-rikice

Rikicewar ciwon sukari cuta ce mai saurin kamuwa da cuta. Suna haɓaka saboda gaskiyar cewa mutum yawanci yana da sukarin jini. Idan mai haƙuri da ciwon sukari na 1 ba ya yin insulin ko ya yi amfani da isasshen magunguna ba, to sukarinsa zai yi girma sosai. A cikin 'yan kwanaki, bushewar ruwa na faruwa, sannan suma suma, mai ciwon suga na iya fadawa cikin rashin lafiya. Wannan ana kiran shi da ciwon sukari ketoacidosis, matsalar rikicewar rayuwa.

Hakanan, sukarin jini na iya ƙaruwa sosai idan kuna da mura ko wasu cututtukan da ke kama da cuta. Domin idan jiki yayi yaki da kamuwa da cuta, karfin insulin din ya ragu. Wajibi ne a kara yawan insulin a yayin cututtukan cututtukan har yanzu suna aiwatar da wasu matakan warkewa.

Hasken sukari mai tsayi kadan ba zai haifar da wata alama ba. Koyaya, yana ƙarfafa ci gaban cututtukan ƙwayar cuta na kullum. Yawan wucewar glucose, wanda yake gudana cikin jini, ya “tsaya” ga sunadarai. Yana lalata tasoshin jini da gabobin ciki. A cikin duk marasa lafiya da ke da nau'in ciwon sukari na 1, rikice-rikice na haɓaka a cikin matakai daban-daban. Koyaya, kusancin sukarin jinin ku shine ƙimar al'adarta, mafi girman damar da za'a iya hana rikice-rikice gaba ɗaya. Baya ga sukari, kuna buƙatar sarrafa hawan jini, cholesterol, furotin na C-reactive da sauran abubuwan haɗarin zuciya.

Ciki

Ya kamata a shirya yin juna biyu don ciwon sukari na 1 Kuna buƙatar shirya shi a hankali. Inganta aikin sukarinka na jini a 'yan watanni kafin a yi ciki. Haka kuma, kar a raunana shi yayin daukar ciki. An ba da shawarar cewa ka fara ɗaukar ciki kawai bayan glycated haemoglobin ta ragu zuwa 6.0%. Canjin zuwa famfo na insulin yana taimaka wa mata da yawa su cimma wannan buri. Hawan jini ya kamata ya zama 130/80 mm RT. Art. ko ƙananan.

A matakin tsarin daukar ciki, ana bukatar ayi gwaji da gwaje-gwaje. Yana da mahimmanci a bincika yanayin idanun ku da kodan. Domin canje-canje na hormonal zai shafi tasoshin jini wanda ke ciyar da idanu. Hanyar ciwon sikari na haifar da lalacewa. Hakanan, daukar ciki yana haifar da ƙarin nauyi akan kodan. Akwai contraindications da yawa don daukar ciki tare da nau'in ciwon sukari na 1, kuma duk ba a yarda da su ba kawai ... Amma idan an haifi yaro da lafiya, to, haɗarin watsa cutar sukari daga mahaifiyar ba shi da mahimmanci a gare shi - kawai 1-1.5%.

Cutar ciki da nau'in 1 na ciwon sukari yana ɗaukar manyan haɗari waɗanda ba a bayyane da farko ba. Testsauki gwaje gwaje. Daga nan sai ku tattauna yanayinku da likitan ku kuma ku yanke shawara game da batun. Yi sha'awar tallafi da kulawa.

Samun ciki, samun ɗa da samun cikakkiyar lafiyayyar mai yiwuwa ne a yawancin halaye tare da T1DM. Shafukan yanar gizo suna cike da labarun nasara na ciki ga mata masu dauke da cutar siga guda 1. Koyaya, hoto na ainihi ba mai fata bane. Domin matan da suke da gazawar koda ko makanta sakamakon ciki ba sa yin magana a cikin taro. Da zarar sun isa sauran matsaloli ...

Karanta cikakken labarin, Cutar Cutar Ciki. Daga shi za ku koya:

• Wadanne gwaje-gwaje kuke buƙatar wucewa da kuma gwaje-gwajen da ake ci gaba a matakin shiryawa;
• yadda ake sarrafa sukari na jini yayin daukar ciki;
• alamomi na lokacin haihuwa da sashin haihuwa.

Yadda ake rasa nauyi ko samun nauyi

A nau'in 1 na ciwon sukari, kiba da yawan sirin insulin suna da alaƙa. Kowa ya san cewa insulin yana rage sukarin jini. Amma mutane kalilan ne suka san cewa wannan kwayar ta juyar da glucose din mai. Yana kuma hana kitse mai narkewa. Insulin yana hana aiwatar da nauyi. Theaya daga cikin mafi girma maida hankali a cikin jini, da mafi wuya shi ne rasa nauyi. Sama da kima, a wannan bangaren, ya rage karfin jijiyar sel zuwa insulin. Mutanen Obese na yin allura da yawa don su rage sukari zuwa matakan da za'a yarda dasu.

Kiba mai yawa da insulin insulin na haifarda wani mummunan yanayin:

1. Fat adibas bayyana a jiki.
2. Suna haɓaka juriya ta insulin - dole ne ka saka allurai na insulin, in ba haka ba sukari baya sauka.
3. Yawancin insulin ya kewaya cikin jini. Wannan yana hana jiki ƙona kitse da asarar nauyi.
4. Insulin yana cire glucose daga jini, yana jujjuya shi mai. Kiba tayi yawa.
5. Sauyin yana maimaitawa, yanayin ya tsananta. Jikin jikin mutum da yawan kitsen da ke cikin jiki suna girma, kuma bayan su - sashi na insulin.

Ana lura da mummunan yanayin da aka bayyana a cikin marasa lafiya da ke dauke da ciwon sukari na 1, kuma ba kawai tsakanin marasa lafiya da ke fama da ciwon sukari na 2 ba. Me yasa insulin ta motsa kiba? Saboda tare da wuce haddi na glucose ba za ku iya yin komai fiye da juya shi cikin mai ba. Da farko dai, jiki yayi ƙoƙarin juyar da glucose a cikin wani abu mai narkewa - glycogen, wanda aka sanya a cikin hanta. Koyaya, kwantena na ajiya na glycogen suna iyakance. A cikin balagagge, wannan bai wuce gram 400-500 ba.

Masu ciwon sukari wadanda ke cin abinci mai “daidaitawa” suna cinye carbohydrates da yawa. Ku ci carbohydrates nan da nan su juya zuwa glucose kuma ku ƙara sukari jini. A matsayinka na mai mulkin, tankiyoyin ajiya na glycogen a cikin hanta da tsokoki sun cika. Ba za a bar glucose mai yawa a cikin jini ba. Jiki yana so ya cire shi da sauri domin daga nan ya zama bai “tsaya” ga sunadarai da rikicewar ciwon sukari ba. Onlyayan zaɓi shine juya shi cikin mai. Insulin yana motsa wannan tsari. Kuma karfin adipose nama kusan yana karewa.

Rage alluran insulin domin rasa nauyi cikin sauri ba tare da kulawa da sukari na jini cuta ce mai cutarwa. Yana shafar 10-40% na matasa mata masu fama da ciwon sukari na 1. Ba tare da kulawa ba, ana kiranta bulimia mai ciwon sukari. Wannan matsalar tabin hankali ce ko da tabin hankali. Wataƙila, magani na yau da kullun zai gane shi azaman cutar gaske.

Cutar sankarau tana fuskantar barazanar rayuwa, yana ɗaukar haɗari masu zuwa:

• sassan jiki akai-akai na ketoacidosis mai ciwon sukari;
• asibiti a cikin rukunin kulawa mai zurfi;
• cututtukan cututtuka - juriya na jikin mutum ya raunana;
• bayyanuwar farkon rikicewar cututtukan sukari a cikin kodan, gani, tsarin zuciya.

Dietarancin carbohydrate mai narkewa yana sa ya yiwu a rage magungunan insulin ta hanyar sau 2-7 kuma a lokaci guda inganta haɓakar sukari na jini. Zaka yi bacci mai nauyi a natse kuma zaka iya kiyaye nauyi na yau da kullun. Rage nauyi ba ya faruwa nan da nan, amma a cikin 'yan makonni ko watanni za ku sami sakamakon. A wannan yanayin, babu cutarwa ga lafiyar, amma akasin haka - fa'ida.

Weight yana buƙatar ƙaruwa ta hanyar gina tsoka, ba tsotse nama ba. In ba haka ba, kiba zai wuce cutar sankarar ku.

Karshe

Bayan nazarin labarin, kazalika da ƙarin kayan akan hanyoyin haɗin, kun koya duk abin da kuke buƙata game da lura da ciwon sukari na nau'in 1. Babban kwarewar da kuke buƙatar mallaka shine ƙididdigar carbohydrates da sunadarai a cikin abinci, ƙididdigar insulin matakan, da kuma auna sukari jini tare da glucometer. Tabbas, lissafin ba ya ƙare a wurin. Koyo don sarrafa kamuwa da ciwon sukari irin 1 yana kama da koyan sabon sana'a. Koyaya, zaku sami babban dawowa idan kunyi nazari kuma za'a kula da ku. Kuna iya rayuwa tsawon rai, cikakken rai, ba ɗaukar nauyi daga rikicewa.

Likita ɗan asalin Amurka Richard Bernstein yana zaune tare da nau'in ciwon sukari na 1 sama da shekaru 65. Yana kallo kuma yana jin daɗi fiye da yawancin abokan aikin sa. Shafin yanar gizo na masu ciwon sukari -Med.Com fassara ce zuwa harshen Rashanci na shawarwarin Dr. Bernstein don sarrafa ciwon sukari tare da rage cin abinci mai-carbohydrate da ƙarancin insulin.

Guji abinci wanda aka cika shi da carbohydrates a hankali kamar yadda musulmai da yahudawa da ke Orthodox suka guji naman alade. Kar a ajiye a kan gwajin gwajin mit ɗin glucose. Kula da abin da ya kamace ka. Daidaita asirin insulin dinka maimakon yin allurai iri daya koyaushe. A cewar Dr. Bernstein, idan, bayan T1DM, sukari bayan abinci kuma da safe a kan komai a ciki yana kiyaye fiye da 5.5 mmol / L, kuma jimlar yau da kullun na tsawon lokaci da saurin insulin bai wuce 8 PIECES ba, to kuna yin komai yadda ya kamata.

Akwai ƙwararrun likitancin da yawa da ke da alaƙa da lura da ciwon sukari. Babban halartar likita shine ilimin endocrinologist. Kwararrun kwararru suna taimaka masa. A podiatrist likita ne wanda ke aiki a ƙafafun ciwon sukari. Kada ku rikita shi tare da likitan yara - likita na yara. Masanin ilimin ƙwaƙwalwar ƙwayar cuta - yana kula da kodan, yana hana ci gaban cututtukan mahaifa. Likitocin dabbobi suna daukar kwasa-kwasan karatu na musamman don koyon yadda ake maganin retinopathy da adana hangen nesa ga masu ciwon sukari. Koyaya, babban aikin akan hanawa da hana rikice-rikice na ciwon sukari na 1 shine ya rataya a wuyan mai haƙuri. Kuna buƙatar sarrafa sukarin jininka da kyau, in ba haka ba likitoci ba zasu iya taimakawa da yawa.