A cikin labarin yau, za a fara samun wasu ka'idoji marasa fahimta. Sannan muna amfani da wannan ka'idar don bayyana hanya mai amfani don rage sukarin jini a cikin nau'in 1 da nau'in ciwon sukari na 2. Ba za ku iya kawai rage sukarin ku zuwa al'ada ba, amma kuma ku kula da shi daidai. Idan kana son yin rayuwa tsawon rai kuma ka guji rikicewar cutar sankara, to sai ka ɗauki matsala ka karanta labarin ka tsara shi.
Muna ba da shawarar sarrafa nau'in 1 da nau'in ciwon sukari na 2 tare da rage cin abinci mai karko, yana cike shi da ƙarancin insulin idan ya cancanta. Wannan ya sabawa hanyoyin gargajiya waɗanda har yanzu likitoci ke amfani da su.
Za ku koya:
- Ku ci a kan abinci mai narkewa mai ƙoshin abinci mai sauƙi-mai gamsarwa, wanda da gaske yana taimaka wa nau'in 1 da nau'in ciwon sukari na 2;
- Kula da sukarin jininka da kyau a al'ada, dakatar da tsalle-tsallersa;
- Rage sashi na insulin ko ma gaba daya watsi da shi a cikin nau'in ciwon sukari na 2;
- Yawancin lokuta rage haɗarin ciwo da rikitarwa na ciwon sukari;
- ... kuma duk wannan ba tare da kwayoyin hana daukar ciki ba.
Ba kwa buƙatar ɗauka kan imani game da maganin cututtukan da za ku samu a wannan labarin kuma gabaɗaya akan shafin yanar gizon mu. Auna sukari da jininka sau da yawa tare da mitirin glucose na jini - da sauri ka gani ko shawarar mu zata taimaka maka ko a'a.
Menene hanyar ɗaukar hasken?
Aiki yana nuna mai zuwa. Idan ku ci kadan na carbohydrate, ba fiye da gram 6-12 a lokaci ba, za su ƙara yawan jinin mai ciwon suga ta hanyar adadin da ake iya faɗi. Idan ka ci carbohydrates da yawa a lokaci daya, to jinin sukari ba kawai zai tashi ba, amma zai tsallake ba tare da tsammani ba. Idan ka yiwa karamin insulin aiki, zai rage sukarin jini ta wani adadin da ake iya faɗi. Manyan allurai na insulin, sabanin kanana, suna yin aiki ne da babu tsammani. Largeayan babbar sikelin guda ɗaya (fiye da 7-8 raka'a a allura ɗaya) zai yi aiki daban daban kowane lokaci, tare da ɓarna zuwa up 40%. Don haka, Dr. Bernstein ya ƙirƙira wata hanyar ƙara ƙananan lodi don nau'in 1 da nau'in ciwon sukari na 2 - don cin abinci da ƙayyadaddun carbohydrates kuma yalwata tare da ƙananan allurai na insulin. Wannan ita ce hanya daya tilo don sarrafa sukari na jini tare da daidaito na ± 0.6 mmol / L. Madadin carbohydrates, muna cin abinci mai gina jiki mai gina jiki da mai ƙoshin lafiya na halitta.
Hanyar ƙananan lodi yana ba ku damar adana sukari na jini daidai al'ada 24 a rana, kamar yadda a cikin mutane masu lafiya ba tare da ciwon sukari ba. Babban abin da za a yi don wannan shi ne bin tsarin karancin carbohydrate. Tunda tsalle-tsalle a cikin sukari na jini ya gushe, masu ciwon sukari da sauri suna wuce wahala gajiya. Kuma a tsawon lokaci, mummunan rikice-rikice na ciwon sukari a hankali ya ɓace. Bari mu kalli ka'idodin ka'idoji a kansa wanda aka gina "Hanyar ɗaukar nauyi" don sarrafa nau'in 1 da nau'in ciwon sukari na 2. Yawancin kwayoyin halitta (rayayyun) da tsarin injin suna da fasalin masu zuwa. Yana yin aiki da tsinkaya yayin da girman “kayan kayan” ke karami. Amma idan yawan kayan kayan tushe ya yi yawa, i.e., kaya akan tsarin yana da girma, to sakamakon aikin sa ya zama wanda ba a iya tantance shi ba. Bari mu kira shi da "dokar tsinkayar sakamako a cikin ƙananan abubuwan."
Da farko bari muyi la’akari da zirga-zirgar ababen misali a wannan misalin. Idan ƙananan motoci suna hawa lokaci guda tare da hanya, to dukkansu zasu isa inda suka nufa cikin lokaci mai faɗi. Saboda kowane motar na iya tsayar da ingantaccen gudu, kuma ba wanda ya tsoma baki da juna. Yiwuwar hatsarin da ya faru sakamakon kuskuren ayyuka na direbobi sun yi ƙasa. Me zai faru idan kun ninka adadin motocin da suke hawa lokaci guda akan hanya? Ya juya cewa yiwuwar rikice-rikicen zirga-zirgar ababen hawa da hatsarori ba zai ninka ninki biyu ba, amma zai ƙara ƙaruwa sosai, alal misali, sau 4. A irin waɗannan halaye, ana cewa yana ƙaruwa da ƙima ko naƙasasshe. Idan yawan mahalarta motsi ya ci gaba, to zai wuce karfin zirga-zirgar ababen hawa. A wannan yanayin, motsi ya zama da wahala. Yiwuwar fashewa nada matukar tasirin gaske, kuma cunkushewar ababen hawa kusan babu makawa.
Alamar sukari mai jini a cikin mara lafiyar mai ciwon sukari kuma tana nuna halayen su. “Abubuwan fara” a gareshi shine adadin carbohydrates da furotin da ake ci, da kuma sinadarin insulin da ke cikin allurar kwanan nan. Kayan furotin suna ciwanta a hankali da dan kadan. Sabili da haka, muna mayar da hankali kan carbohydrates. Carbohydrates ne na abinci wanda ke kara yawan sukarin jini. Haka kuma, ba kawai suna kara shi ba ne, amma suna haifar da saurinsa. Hakanan, sashi na insulin ya dogara da adadin carbohydrates. Doanan allurai na carbohydrates da insulin ana iya faɗi, kuma manyan allurai ba a iya faɗiwa. Ka tuna cewa cinikin da ake ci ba ya ƙona yawan sukarin jini kwata-kwata.
Menene makasudin ciwon sukari
Menene mahimmanci ga mai ciwon sukari idan yana son ya kula da cutar tasa da kyau? Babban burin shi shine cimma burin tsinkayar tsarin. Wannan shine, saboda ku iya tsinkaye matakin sukari daidai a cikin jini, gwargwadon yawancin ku da irin abincin da kuka ci da kuma wane kashi na insulin ɗin. Ka tuna da "dokar tsinkayar sakamako a cikin ƙananan lambobi", wanda muka tattauna a sama. Kuna iya samun tsinkaya game da sukarin jini bayan cin abinci kawai idan kun bi abincin low-carbohydrate. Don ingantaccen magani na ciwon sukari, ana bada shawarar cire abinci mai-carbohydrate mai yawa (jerin abubuwan abinci da aka haramta), kuma ku ci waɗanda ke da wadataccen furotin da ƙoshin lafiya na dabi'a (jerin abincin da aka yarda).
Me yasa abinci mai karancin carbohydrate yana taimaka wa masu ciwon sukari? Saboda ƙarancin carbohydrates ɗin da kuke ci, ƙarancin sukari na jini yakan tashi kuma ana buƙatar ƙarancin insulin. Lessarancin insulin da aka yiwa allurar dashi, shine mafi ƙaddarar zai iya zama, sannan kuma rage haɗarin kamuwa da jini. Wannan kyakkyawar ka'ida ce, amma tana aiki ne a aikace? Gwada shi kuma gano kanka. Kawai karanta labarin da farko, sannan aiwatarwa :). Akai ta auna sukarin jininka tare da glucometer. Da farko ka tabbata cewa mensinka daidai yake (yadda ake yin wannan). Wannan ita ce kawai hanya ta ainihi don tantance idan takamaiman maganin cutar sankara yana aiki.
Americanungiyar Ciwon Cutar ta Amurka, kuma bayan ita Ma’aikatar Lafiya ta mu, na ci gaba da ba da shawarar “daidaitaccen” abinci don nau'in 1 da nau'in ciwon sukari na 2. Wannan yana nufin abincin da mai haƙuri yake cinye aƙalla 84 na carbohydrates a kowane abinci, i.e. fiye da 250 g na carbohydrates a rana. Gidan yanar gizon masu ciwon sukari-Med.Com yana haɓaka wani madadin abincin da ake amfani da shi a cikin low-carbohydrate, baya ga gram 20-30 na carbohydrates kowace rana. Saboda rage cin abinci “mai daidaita” mara amfani shi ma yana da illa sosai ga masu ciwon suga. Ta bin abinci mai karancin carbohydrate, zaku iya kula da sukarin jini bayan cin abinci bai wuce 6.0 mmol / L ko ma ba ya fi 5.3 mmol / L, kamar yadda yake cikin mutane masu lafiya.
Yadda carbohydrates ke motsa jini a cikin sukari na jini
Kwaya 84 na carbohydrates yana kusan adadin da ke cikin faranti dafaffen taliya na matsakaici. A ce kuna karanta bayani game da abinci mai gina jiki kan fakitin taliya. Yana da sauƙi a lissafta taliyar bushe-bushe da kuke buƙatar auna da dafa abinci don cin gram 84 na carbohydrates. Musamman idan kuna da sikelin dafa abinci. A ce kana da nau'in ciwon sukari na 1, ka auna kimanin kilo 65, kuma jikinka ba shi da insulin. A wannan yanayin, wataƙila 1 gram na carbohydrates zai haɓaka sukarin jininka da misalin 0.28 mmol / L, da kuma gram 84 na carbohydrates - bi da bi, zuwa 23.3 mmol / L.
A ka’ida, zaka iya kirga yawan insulin da kake bukata don shiga ciki don ““ quench ”farantin taliya da kuma 84 na carbohydrates din da ke ciki. A aikace, irin wannan lissafin don abinci mai cike da carbohydrate suna aiki sosai. Me yasa? Saboda ƙa'idodin bisa hukuma suna ba da damar karkatar da abubuwan gina jiki a cikin samfuran ± 20% na abin da aka rubuta akan kunshin. Mafi muni, a aikace, wannan karkatarwa galibi yafi girma. Menene 20% na gram 84? Wannan shine kimanin gram 17 na carbohydrates wanda zasu iya tayar da jinin jini na "matsakaici" mai nau'in ciwon sukari na 1 ta hanyar 4.76 mmol / L.
Wataƙila ± 4.76 mmol / L na nufin cewa bayan cin farantin taliya da “biyan bashin” tare da insulin, sukarin jininka na iya zama koina daga tsayi mai ɗaci zuwa hauhawar jini. Wannan ba zai zama karbuwa ba idan ana son sarrafa madaidaicin ku yadda ya kamata. Lissafin da ke sama sune masu tursasawa ne don gwada abinci mai ƙarancin carb ga masu ciwon sukari. Idan wannan bai isa ba, to karanta a gaba. Hakanan zamuyi nazarin yadda bambance-bambance a cikin abubuwan gina jiki na abinci suke mamayewa tare da rashin iya tantance yawan adadin insulin.
Karanta game da tasirin carbohydrates da insulin akan sukari jini a cikin labaran:
Carbohydrates a cikin abincin mai nau'in ciwon sukari na 2
Yanzu bari mu sake bincika wani misali, kusa da yanayin yawancin masu karanta wannan labarin. A ce kana da ciwon sukari na 2 kuma suna da kiba. Cutar fitsarin ku har yanzu tana ci gaba da samarda insulin, dukda cewa bai isa ba wajen sarrafa sukarin jini bayan cin abinci. Kun gano cewa 1 gram na carbohydrate yana ƙaruwa yawan sukarin jini da 0.17 mmol / L. Ga mai haƙuri da ciwon sukari na 1, karkatar da sukari na jini bayan cin abincin taliya zai zama ± 4.76 mmol / L, kuma a gare ku ± 2.89 mmol / L. Bari mu ga abin da wannan ke nufi a aikace.
A cikin mutumin da ke bakin ciki lafiya, sukarin jini bayan cin abinci bai wuce 5.3 mmol / L. Magungunan mu na asali sunyi imanin cewa ana kula da sukari sosai idan sukari bayan cin abinci bai wuce 7.5 mmol / L ba. Binciki sukari na jini. A bayyane yake cewa 7.5 mmol / L ya kusan sau 1.5 fiye da yadda mutum yake da lafiya. Don bayanin ku, rikicewar ciwon sukari na haɓaka cikin sauri idan sukari na jini bayan cin abinci ya wuce 6.5 mmol / L.
Idan sukari na jini bayan cin abinci ya hau zuwa 6.0 mmol / L, to wannan wannan baya barazanar makantawa ko kuma yanke ƙafa, amma atherosclerosis yana ci gaba ta wata hanya, watau yanayi ne na bugun zuciya da bugun jini. Sabili da haka, ana iya la'akari da iko na al'ada na ciwon sukari idan sukari na jini bayan cin abinci yana kullun ƙasa da 6.0 mmol / L, har ma mafi kyau - ba a saman 5.3 mmol / L ba, kamar yadda yake cikin mutane masu lafiya. Kuma ka'idojin jinin sukari na hukuma suna da girman gaske don tabbatar da rashin aikin likitoci da kuma larabcin marasa lafiya su shiga kansu.
Idan kayi lissafin kashi na insulin wanda ya sa jinin jini bayan cin abinci shine 7.5 mmol / L, to a cikin mafi munin yanayi ka samu 7.5 mmol / L - 2.89 mmol / L = 4.61 mmol / L. Wannan shine, hypoglycemia ba ya yi muku barazana. Amma mun tattauna a sama cewa ba za a iya ɗaukar wannan kyakkyawan kyakkyawan kula da ciwon sukari ba, kuma a cikin yearsan shekaru kaɗan za ku fahimci cutar ta. Idan kunyi karin insulin, kuna ƙoƙarin rage sukari zuwa 6.0 mmol / l, to, a cikin mafi munin yanayi, sukarin jinin ku zai zama 3.11 mmol / l, kuma wannan riga ne hypoglycemia. Ko, idan karkacewar ta tashi, to, sukarin ku zai zama sama da iyakar karɓuwa.
Da zaran mai haƙuri ya canza zuwa abincin da ke da ƙwayar carbohydrate don sarrafa ciwon sukari, to, komai yana canzawa nan da nan don mafi kyau. Kula da sukari na jini bayan cin abinci a ƙasa da 6.0 mmol / L yana da sauƙi. Rage shi zuwa 5.3 mmol / L shima abune mai gamsarwa idan kunyi amfani da karancin carbohydrate da motsa jiki tare da jin dadi don sarrafa nau'in ciwon sukari na 2. A cikin rikitattun lokuta na nau'in ciwon sukari na 2, muna ƙara Siofor ko Glucofage Allunan, kazalika da allurar ƙananan allurai na insulin, ga abinci da motsa jiki.
Cararancin abincin Carbohydrate na Type 1 da Ciwon 2
Abin da ya sa rage cin abinci a carbohydrate ya sa ya yiwu a sarrafa ciwon sukari da kyau:
- A kan wannan abincin, mai ciwon sukari yana cin abinci da ƙayyadaddun carbohydrates kaɗan, saboda haka a ka'idar sukari jini ba zai iya tashi sosai ba.
- Sunadaran rage cin abinci suna kara yawan sukari na jini, amma suna yin shi a hankali da kuma tsinkaya, kuma sun fi sauki su “kashe” da kananan allurai na insulin.
- Jinin sukari yana nuna halin yadda ake tsammani.
- Yawan alluran insulin sun dogara da adadin carbohydrates wanda kuka shirya ci. Sabili da haka, a kan rage cin abinci na carbohydrate, ana buƙatar rage insulin sosai.
- Yayinda allurai insulin ke raguwa, hadarin maƙarƙashiya shima yana raguwa.
Abincin low-carbohydrate rage yawan yiwuwar karkatar da sukari na jini daga matakin manufa ga marasa lafiya da nau'in ciwon sukari na 1 daga ± 4.76 mmol / L, wanda muka tattauna a sama, zuwa .6 0.6-1.2 mmol / L. Ga marasa lafiya da masu ciwon sukari na nau'in 2 waɗanda ke ci gaba da haɓaka insulin nasu, wannan karkacewar ba ta da yawa.
Me zai hana kawai rage rabo daga farantin daya daga taliya zuwa 0.5 faranti iri daya? Wannan mummunan zaɓi ne, saboda dalilai masu zuwa:
- Abincin abinci mai kyau a cikin carbohydrates yana haifar da hauhawar jini a cikin jini, koda kuwa ana ciye su da ƙarancin allurai.
- Za ku zauna tare da jin daɗin yunwar kullun, saboda abin da ba jima ko ba jima. Babu buƙatar azabtar da kanku da yunwar, zaku iya dawo da sukarin jini zuwa al'ada ba tare da shi ba.
Abincin low-carbohydrate shine samfuran dabbobi hade da kayan lambu. Duba jerin samfuran da aka yarda. Carbohydrates suna haɓaka sukari na jini sosai da sauri, saboda haka muke ƙoƙarin kada mu ci su. Maimakon haka, muna cin su ƙarancin abinci, a cikin kayan lambu masu daɗin daɗi da daɗi. Sunadarai kuma suna haɓaka sukari na jini, amma kaɗan da sannu a hankali. Theara yawan sukari da ke haifar da samfuran furotin yana da sauƙin hango ko hasashe da ƙoshin insulin. Abubuwan sunadarai suna barin jin daɗin jin daɗi na dogon lokaci, wanda ya fi kama da mutane masu fama da ciwon sukari na 2.
A akasi, mai ciwon sukari zai iya cin komai idan ya auna dukkan abinci tare da sikelin dafa abinci zuwa gram mafi kusa, sannan ya kirga kashi na insulin ta amfani da bayanin daga allunan abinci. A aikace, wannan hanyar ba ta aiki. Domin a cikin allunan da kuma kan kunshin samfuran kawai alamu ke nunawa. A zahiri, abubuwan da ke cikin carbohydrate a cikin abinci na iya bambanta sosai da ƙa'idodi. Sabili da haka, duk lokacin da kawai za kuyi tunanin ainihin abin da kuke cinye, kuma menene wannan zai haifar da sukarin jini.
Lowarancin carbohydrate mai narkewa don ciwon sukari hanya ce ta gaske zuwa ceto. Yana da gamsarwa da jin daɗi, amma dole ne a lura da shi a hankali. Bari ya zama sabon addininku. Abubuwan da ke cikin ƙananan carbohydrate suna ba ku jin cikakken ciki da daidaitaccen sukari na jini. Yawan rage alluran insulin, ta haka ne zai iya rage hadarin dake haifar da cutar hawan jini.
Yadda ƙarami da babba allurai suke aiki
Ina so in yi tunanin cewa kashi ɗaya na insulin a kowane lokaci yana rage ƙwantar jinin ku. Abin takaici, wannan ba shine batun a aikace ba. Masu ciwon sukari da ke da "ƙwarewa" suna da kyau cewa kashi ɗaya na insulin a ranar daban-daban zai yi aiki sosai. Me yasa hakan ke faruwa:
- A ranakun daban-daban, jikin yana da hankali na daban game da aikin insulin. A cikin yanayi mai dumin yanayi, wannan yanayin hankalin yana ƙaruwa, kuma a cikin yanayin sanyi, akasin haka, yana raguwa.
- Ba duk allurar da insulin ya yi ba ne ya kai ga magudanar jini. Kowane lokaci ana samun adadin insulin daban-daban.
Alurar insulin da allura, ko ma tare da famfon din insulin, ba ta yin aiki kamar insulin, wanda a kullun yana hade da hanji. Insulin ɗan adam a cikin kashi na farko na amsa insulin nan da nan ya shiga cikin jini kuma nan da nan ya fara rage matakan sukari. A cikin ciwon sukari, injections insulin ne yawanci ana yin su a cikin kitse na subcutaneous. Wasu marasa lafiya waɗanda ke son haɗarin haɗari da farin ciki, haɓaka allurar intramuscular na insulin (kar a yi wannan!). A kowane hali, babu wanda ya kunna insulin cikin kwayar cutar.
A sakamakon haka, koda insulin mafi sauri ya fara aiki ne bayan minti 20. Kuma cikakkiyar tasirinsa ya bayyana cikin awa 1-2. Kafin wannan, matakan sukari na jini suna ta yin tasiri sosai.Kuna iya tabbatar da wannan sauƙi ta hanyar auna sukarin jininka tare da glucometer kowane mintina 15 bayan cin abinci. Wannan halin yana lalata jijiyoyi, jijiyoyin jini, idanu, kodan, da dai sauransu. Rikicin ciwon sukari yana tasowa cikin cikakkiyar juyawa, duk da kyakkyawar niyyar likita da haƙuri.
A ce mai ciwon sukari ya shiga kansa da insulin. Sakamakon wannan, wani abu ya bayyana a cikin ƙwayar subcutaneous, wanda tsarin rigakafi ya ɗauka ya zama baƙi kuma ya fara kai hari. Tsarin rigakafi koyaushe yana lalata wasu daga cikin insulin daga allura kafin ma ya sami lokaci don shiga cikin jini. Wanne ɓangare na insulin za a keɓance shi, kuma wanda zai iya yin aiki, ya dogara da dalilai da yawa.
Higheraukar yawan insulin allura, da yawan zafin rai da kumburi da yake haifarwa. Thearfin kumburi mai ƙarfi, yawancin ƙwayoyin "sentinel" na tsarin rigakafi suna jan hankalin zuwa wurin allurar. Wannan yana haifar da gaskiyar cewa mafi girman kashi na insulin allura, ƙarancin abin da ake iya faɗi shi. Hakanan, yawan adadin insulin ya dogara da zurfin da wurin allurar.
Shekaru da yawa da suka gabata, masu bincike a Jami'ar Minnesota (Amurka) sun kafa waɗannan. Idan kun tsayar da 20 U na insulin a kafada, to a wasu ranaku daban aikinsa zai bambanta da ± 39%. Wannan karkacewa ana daukar nauyinta akan canzawar abubuwa na carbohydrates a abinci. Sakamakon haka, marasa lafiya da ke dauke da cutar sukari suna fuskantar “jijiyoyi” a cikin sukarin jini. Don kiyaye daidaitaccen sukarin jini na yau da kullun, canza zuwa rage cin abinci mai-carbohydrate. Rashin ƙarin carbohydrates da kuke ci, ana buƙatar ƙarancin insulin. Lowerasa da sashi na insulin, shine mafi ƙaddarar dashi. Komai yana da sauki, araha da tasiri.
Researchersaya daga cikin masu binciken daga Minnesota sun gano cewa idan kun saka insulin cikin ciki, to karkatarwar za ta ragu zuwa ± 29%. Dangane da haka, bisa ga sakamakon binciken, an ba da shawarar ga marasa lafiya da masu ciwon sukari su canza zuwa alluran cikin ciki. Muna bayar da ingantaccen kayan aiki don kula da sukari na jini da kuma kawar da “tsalle-tsalle”. Wannan shi ne karancin abinci mai narkewa a jiki wanda zai baka damar rage sashin insulin kuma hakan zai sanya sakamako ya zama tsayayye. Kuma wata dabara, wacce aka bayyana a sashe na gaba.
A ce mai haƙuri da ciwon sukari ya saka raka'a 20 na insulin cikin ciki. A cikin dattijo wanda yake nauyin kilogram 72, matsakaicin 1 Fitar insulin yana saukar da sukari jini sama da 2.2 mmol / L. Karkacewa a cikin aikin insulin 29% yana nufin darajar tamanin jini zai karkace da kashi 7 12.76 mmol / L. Wannan bala'i ne. Don guje wa matsanancin rashin ƙarfi tare da asarar hankali, masu ciwon sukari da ke karɓar yawancin insulin ana tilasta su su sa ƙwayar jini sosai a koyaushe. Don yin wannan, yawanci abun ciye-ciye ne a kan abinci masu cutarwa masu wadataccen carbohydrates. Ba lallai ba ne za su sami nakasa da wuri sakamakon matsalar ciwon sukari. Me zaiyi? Yaya za a inganta wannan yanayin? Da farko dai, canza daga abinci mai “daidaita” zuwa rage cin abinci mai karas. Kimanta yadda insulin bukatun ka yake raguwa da kuma yadda kusancin sukarin jininka ya zama a wurin ka.
Yadda ake yin allurar insulin
Yawancin marasa lafiya na ciwon sukari, har ma a kan rage cin abinci na carbohydrate, har yanzu suna yin allurar insulin. A wannan halin, raba babban kashi na insulin zuwa cikin injections da yawa, waɗanda suke yin ɗayan bayan juna a sassa daban-daban na jiki. Prick a cikin kowane allurar da bata wuce 7 RUDUWAR insulin ba, kuma mafi kyau - ba fiye da 6 IEAWARA. Sakamakon wannan, kusan dukkanin insulin ɗin suna cikin nutsuwa. Yanzu ba shi da mahimmanci inda za a tabbatar da shi - a kafaɗa, a cinya ko cikin ciki. Kuna iya yin allura sau daya bayan daya da sirinji iri daya, ba tare da sake tattara insulin daga cikin murfin ba, don kada ku lalata shi. Karanta yadda ake samun kwalliyar insulin a takaice. Thearin kashi na insulin a cikin allura ɗaya, ƙari ƙaddara zaiyi aiki.
Yi la’akari da misali mai amfani. Akwai mai haƙuri tare da nau'in ciwon sukari na 2 tare da kiba mai yawa kuma, saboda haka, tare da ƙarfin jure insulin. Ya juya zuwa rage cin abinci maras ƙwayoyi, amma har yanzu yana buƙatar raka'a 27 na "ƙara" insulin na dare. Don lallashewa don yin ilimin jiki don kara azama da kyallen takarda zuwa insulin, wannan mara lafiya bai bada tukuna. Ya raba sassan jikinsa guda 27 na insulin cikin allura 4, wanda yake yin daya bayan daya a wasu sassan jikin tare da sirinji iri daya. A sakamakon haka, aikin insulin ya zama mafi tsinkaye.
Short da ultrashort insulin kafin abinci
Wannan ɓangaren an shirya shi ne kawai ga marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari 2 waɗanda zasu karɓi allurar insulin cikin gaggawa kafin abinci. Increasearin yawan sukarin jini bayan an ci abinci yana “ƙonewa” ta allurar gajere ko kuma insulin kwalliyar rashin ƙarfi. Abubuwan carbohydrates na abinci suna haifar da nan take - a zahiri, nan take (!) - tsalle cikin sukarin jini. A cikin mutane masu lafiya, an cire shi ta farkon kashi na insulin ɓoyewar amsa game da abinci. Wannan na faruwa tsakanin minti 3-5. Amma tare da kowane nau'in ciwon sukari, ana keta sashin farko na ɓoye insulin da farko.
Babu ɗan gajeren lokaci ko ultrashort insulin da zai fara aiki da sauri kamar yadda zai sake dawo da kashi na farko na ma'anar insulin al'ada. Sabili da haka, ya fi kyau nesa da abinci mai narkewa. Sauya su tare da sunadarai masu haɓaka sukari na jini a hankali da santsi. A kan rage cin abinci mai-carbohydrate, ana bada shawarar kada kuyi amfani da matsanancin-gajere, amma insulin gajere, a allura da mintuna 40-45 kafin cin abinci. Bugu da ari za mu bincika dalla dalla abin da ya sa wannan shine mafi kyawun zaɓi.
Marasa lafiya masu ciwon sukari waɗanda ke cin abinci mai karancin carbohydrate suna buƙatar ƙananan matakan insulin mai saurin aiki kafin abinci fiye da waɗanda ke bin tsarin “daidaita”. Manyan kwayoyin insulin suna fara aiki da sauri, kuma tasirin su yana daɗe. Hakanan yana da wahalar yin hasashen lokacin da sakamako mai yawa na insulin zai ƙare. Doanan allurai na insulin gajeren lokaci suna fara aiki daga baya, saboda haka dole ne a jira tsawon lokaci kafin a fara cin abincin. Amma zaku sami sukarin jini na al'ada bayan cin abinci.
A aikace, wannan na nufin masu zuwa:
- Tare da abincin gargajiya na gargajiya na carbohydrate, ana gudanar da insulins na “ultrashort” a cikin manyan allurai kafin abinci, kuma sun fara aiki bayan mintuna 5 zuwa 15. Tare da rage cin abinci mai-carbohydrate, insulins na “matsananci-gajere” iri ɗaya a cikin ƙananan allurai fara aiwatar da ɗan lokaci kaɗan - bayan mintuna 10-20.
- Tare da rage cin abinci mai-carbohydrate, ana buƙatar insulins na “gajere” kafin abinci a cikin manyan allurai kuma saboda haka fara aiki bayan minti 20-30. Tare da rage cin abinci mai-carbohydrate, ana buƙatar saka farashi a cikin ƙananan allurai 40-45 mintuna kafin abinci, saboda sun fara aiki daga baya.
Don ƙididdigar, muna ɗauka cewa aikin allurar ultrashort ko insulin gajere ya ƙare bayan 5 hours. A zahiri, tasirinsa zai kasance har zuwa awanni 6-8. Amma a cikin sa'o'i na ƙarshe yana da ƙima sosai don haka za'a iya yin sakaci.
Me zai faru da marassa lafiya da ke ɗauke da ciwon sukari na 1 ko 2 waɗanda ke cin abincin “daidaita”? Carbohydrates na abinci yana haifar da su a cikin sukari cikin jini nan da nan, wanda ke ci gaba har sai gajere ko ultrashort insulin ya fara aiki. Lokacin tsawon sukari na iya wuce minti 15-90, idan kun yi amfani da insulin da sauri ultrashort. Kwarewa ya nuna cewa wannan ya isa ga wahalar ciwon sukari a cikin hangen nesa, kafafu, koda, da dai sauransu don haɓaka cikin 'yan shekaru.
Mai fama da ciwon sukari na iya jira har zuwa farkon cin abincin sa na “daidaita” har sai insulin takaice ya fara aiki. Muna tuna cewa ya allurar da kwayoyin halitta mai yawa na insulin don rufe wani yanki mai karfi na carbohydrates. Idan ya ɓace kaɗan kuma ya fara cin ɗan 'yan mintoci kaɗan kaɗan fiye da yadda ya kamata, to da yiwuwar ƙarfinsa zai sami babban rashin lafiyar hypoglycemia. Don haka yakan faru sau da yawa, kuma mara lafiya cikin tsoro yakan haɗiye Sweets don ya haɓaka sukari da sauri da kuma guji yin rauni.
Saurin kashi na farko na insulin ɓoyewar jiki dangane da yawan abinci yana da illa ga kowane nau'in ciwon sukari. Koda mafi kyawun insulin ultrashort ya fara yin latti don ya sake shi. Sabili da haka, zai zama mai hankali a ci samfuran furotin waɗanda ke ƙara yawan sukari jini a hankali kuma a hankali. A kan rage cin abinci mai-carbohydrate kafin abinci, gajeran insulin ya fi kyau na matsanancin-gajere. Saboda lokacin aikinta yafi dacewa da lokacin lokacin da abinci yaadarai ke kara sukari a jini fiye da lokacin aikin insulin.
Yadda ake amfani da shi a aikace hanya ce ta kananan lodi
A farkon labarin, mun tsara "Dokar tsinkayar sakamako a cikin ƙananan ƙima." Yi la'akari da amfani da amfani don sarrafa sukari na jini a cikin nau'in 1 da nau'in ciwon sukari na 2. Don hana hauhawar sukari a cikin sukari, ya kamata a cinye ƙananan ƙwayoyin carbohydrates. Wannan yana nufin ƙirƙirar ƙaramin nauyi a kan farji. Ku ci carbohydrates jinkirin aiki kawai. Ana samo su a cikin kayan lambu da kwayoyi daga jerin abincin da aka yarda. Kuma kuyi nesa kamar yadda zai yiwu daga carbohydrates masu saurin motsa jiki (jerin abinci da aka haramta). Abin takaici, koda carbohydrates mai “jinkirin”, idan aka ci abinci mai yawa, na iya haɓaka sukari jini sosai.
Janar shawarwari don taƙaita yawan carbohydrate don ciwon sukari: ba fiye da gram 6 na “jinkirin” carbohydrates don karin kumallo, sannan ba fiye da gram 12 na abincin rana ba, da kuma karin gram 6-12 na abincin dare. Sanya sinadarai masu yawa a ciki don jin cikakken, amma ba mai yawan motsa jiki ba. Carbohydrates da aka yarda da masu ciwon sukari ana samun su a cikin kayan lambu da kwayoyi, waɗanda suke kan jerin abinci masu izini. Haka kuma, koda wadannan abincin carbohydrate dole ne a cinye su a cikin iyaka mai iyaka. Labarin "Cutar Rage-Carbohydrate na Cutar Rana Ciki: Matakai na Farko" ya bayyana yadda ake shirya abinci da ƙirƙirar menu don masu ciwon sukari.
Idan ka lura da yadda ake sarrafa carbohydrates a hankali, kamar yadda aka bada shawara a sama, to, sukarin jininka bayan cin abinci zai tashi kaɗan. Wataƙila ba zai yi girma ba ko kaɗan. Amma idan kun ninka adadin carbohydrates da aka ci, to, sukari a cikin jini zai tsallake ba sau biyu ba, amma ya fi ƙarfi. Kuma yawan hawan jini yana haifar da mummunan tashin hankali wanda ke haifar da har ma da sukarin mafi girma.
Marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari na 2 da suke son karɓar kamuwa da cututtukan su ya kamata a adana su sosai tare da matakan gwaji na glucose. Yi abubuwa masu zuwa sau da yawa. Auna sukarin jininka bayan abinci a cikin mintuna 5. Bibiya yadda yake yin aiki a ƙarƙashin rinjayar samfuran daban-daban. Sannan kalli yadda ake sauri da yawan insulin din. A tsawon lokaci, zaku koyi yin lissafin daidai adadin abincin da ake amfani da shi a jiki a cikin abinci na abinci da kuma kashin insulin gajeren lokaci domin “tsalle” cikin jinin sukari ya tsaya. Babban burin shine tabbatar da cewa bayan cin sukari na jini bai wuce 6.0 mmol / L ba, ko mafi kyau, 5.3 mmol / L, kamar yadda yake a cikin mutane masu lafiya.
Ga yawancin marasa lafiya da ke fama da ciwon sukari na 2, canzawa zuwa rage cin abinci mai ƙayyadaddun carbohydrate na iya cike gaba ɗaya tare da allurar insulin kafin abinci kuma har yanzu suna da sukarin jini na al'ada. Irin waɗannan mutane za a iya taya su murna. Wannan yana nufin cewa sun kula da kansu cikin lokaci, kashi na biyu na ɓoye insulin bai riga ya yi ƙarfin gwiwa ba. Ba mu yi wa kowa alkawarin gaba ba cewa abincin low-carbohydrate zai ba ka damar “tsalle” daga insulin. Amma tabbas zai rage buƙatarku ga insulin, kuma yawan sarrafa sukarin ku na jini zai inganta.
Me yasa baza ku iya yin karin gishiri ba har ma da samfuran da aka halatta
Idan kun ci kayan lambu masu yawa da / ko kwayoyi waɗanda kuka shimfiɗa ganuwar ciki, to, sukarinku zai tashi da sauri, kamar ƙaramin abin da aka haramta mai da ƙwayoyi. Ana kiran wannan matsalar “tasirin gidan cin abinci na kasar Sin,” kuma tunawa yana da matukar muhimmanci. Binciki labarin "Dalilin da Yasa Za a Ci Gaba da Rage Rashin Abincin Kayan Rage, da Yadda ake Gyara shi." Komawa tare da nau'in 1 da nau'in 2 na ciwon sukari ba shi yiwuwa. Don kauce wa wuce gona da iri, tare da nau'in ciwon sukari na 2 yana da kyau ku ci ba sau 2-3 a rana a hankali, amma sau 4 kaɗan. Wannan shawarar ta shafi marasa lafiya da ke fama da ciwon sukari na 2 wanda ba a kula dasu da insulin gajere ko matattara.
Attacksarnawar abinci ta yau da kullun da / ko yawan cinye giya alama ce ta halayyar marasa lafiya da ke ɗauke da ciwon sukari na 2. Abubuwan sunadarai suna ba da jin daɗin jin daɗin rai na dindindin kuma don haka rage zafin wannan matsalar. Amma a yawancin lokuta wannan bai isa ba. Nemi sauran jin daɗi a rayuwa wanda zai maye gurbin ku da yawan damuwa. Yi amfani da shi don tashi daga tebur dan jin yunwa. Dubi labarin "Yadda za a yi amfani da magunguna masu ciwon sukari don sarrafa agụụ." Wataƙila saboda wannan yana yiwuwa a bar insulin gabaɗaya. Amma ba mu yi wa kowa alkawarin wannan a gaba ba. Zai fi kyau yin allurar insulin da magani fiye da magance cututtukan ciwon sukari a idanunku, kodanku, ko ƙafafu.
A cikin nau'in ciwon sukari na 2, cin abinci a cikin karamin rabo sau da yawa yana ba ka damar sarrafa sukari na jini da kyau tare da kashi na biyu na ɓoye insulin, wanda ke ci gaba da kasancewa. Zai yi kyau idan zaku iya juyawa ga wannan salon abinci, duk da irin wahalar da yake kawowa. A lokaci guda, marasa lafiya da ke da nau'in 1 da nau'in ciwon sukari guda 2 waɗanda ke allurar insulin kowane lokaci kafin abinci su ci sau 3 a rana. Kashewa tsakanin abinci ba shi da kyau a gare su.
Karshe
Labarin ya juya ya zama mai tsawo, amma, da fatan, yana da amfani a gare ku. Bari mu tsara taƙaitaccen kammalawa:
- Rashin carbohydrates da kuke ci, ƙarancin sukari na jini yakan tashi kuma ana buƙatar ƙarancin insulin.
- Idan kuna cin abinci kaɗan na carbohydrates, to, zaku iya yin lissafin daidai yadda sukarin jini zai zama bayan cin abinci da yawan insulin da ake buƙata. Ba za a iya yin wannan ba kan “daidaitawar” abinci mai cike da ƙwayoyi.
- Lessarancin insulin da kuka yiwa allurar, mafi ƙaddarar zata kasance, kuma haɗarin cutar yawan kuzari kuma yana raguwa.
- Abincin maras carbohydrate na ciwon sukari yana nufin cin fiye da gram 6 na carbohydrates don karin kumallo, babu fiye da gram 12 na abincin rana, da kuma karin gram 6-12 na abincin dare. Haka kuma, za a iya cin abincin carbohydrates ne kawai waɗanda aka samo a cikin kayan lambu da kwayoyi daga jerin abinci da aka yarda.
- Gudanar da cututtukan sukari tare da rage cin abinci na carbohydrate baya nufin cewa kuna buƙatar matsananciyar yunwa. Ku ci furotin mai yawa da ƙoshin lafiya na jiki don jin cikakke, amma ba don yawan cin abinci ba. Binciki labarin "Cutar Rashin Carbohydrate mai Dace don Ciwon Cutar: Matakai Na Farko" don koyon yadda ake ƙirƙirar menu mai daɗi wanda ke da wadataccen abinci mai gina jiki, bitamin, ma'adanai, da abubuwan da aka gano ...
- Veorawa ba zai yiwu ba. Karanta menene tasirin gidan cin abinci na kasar Sin da yadda za a iya guje masa.
- Kar a yi allura sama da 6-7 na insulin a allura guda. Raba babban kashi na insulin zuwa cikin injections da yawa, wanda yakamata ku yi daya bayan ɗayan a sassa daban daban na jiki.
- Ga masu ciwon sukari na 2, idan ba kwa allurar insulin kafin abinci, yi ƙoƙarin cin ƙananan abinci sau 4 a rana.
- Marasa lafiya tare da nau'in 1 da nau'in ciwon sukari na 2, waɗanda ke karɓar insulin kowane lokaci kafin abinci, ya kamata a ci sau 3 a rana tare da tazara na awanni 5 kuma kada ku ci abinci tsakanin abinci.
Da alama zaku sami amfanin sanya wannan labarin a cikin alamun shafinku domin ku iya karantawa lokaci-lokaci. Hakanan duba abubuwan da muka rage akan abinci mai karancin carb ga masu ciwon sukari. Zan yi farin cikin amsa tambayoyinku a cikin bayanan.
