Shin ciwon sukari ne ko har yanzu akwai damar warkewa?

Pin
Send
Share
Send

Sannu, gaya min? don Allah, yadda za a fassara daidai da nazarin ƙididdigar. Na wuce gwajin haƙuri a cikin glucose tare da C-peptide da glycated haemoglobin, shima insulin. Sakamakon kamar haka: glucose mai azumi - 7.2 mmol / L (al'ada 4.1-5.9), 2 sa'o'i bayan motsa jiki - 11.2 (3.9 - 7.8 - na yau da kullun, 7.8 - 11.1 - haƙuri mai haƙuri,> 11.1 - ciwon sukari mai yiwuwa ne). C-peptide mai Azumi shine 1323 pmol / L (al'ada 260-1730), bayan awanni biyu 4470 (sharhin yana cewa "Ana tantance sakamakon sakamakon dangi ne da matakin C-peptide na azumi"). Insulin 21.3 (al'ada 2.7 - 10.4 μU / ml). Glycated haemoglobin 5.6 (HbA1c norm> = 6.5% - ƙididdigar cutar ƙwararriyar cutar sankara) (shawarwari na Healthungiyar Kiwon Lafiya ta Duniya (WHO), 2011, Russianungiyar ocwararru ta Endocrinologists (RAE), 2013, Diungiyar Ciwon Ciwon Saman Amurka (ADA), 2013) Increara yawan haɗarin ci gaba ciwon sukari mellitus da rikitarwarsa: 6.0% <= HbA1c <6.5% (Shawarar WHO, 2011); 5.7% <= HbA1c <6.5% (ADA shawarwari, 2013)). Na ga cewa glucose bayan 2 hours ba al'ada bane riga, amma glycated al'ada ce. Shin ciwon sukari ne ko har yanzu akwai damar warkewa? Ban sha wani magunguna don sukari ba. Na gode!
Elena, 38

Sannu Elena!

Idan muka yi magana game da nazarinku, to: gulukumi mai azumi ya fi 6.1 mmol / L (kuna da 7.2), kuma glucose bayan cin abinci sama da 11.1 mmol / L (kuna da 11.2) alamomin ciwon sukari.

Ana ba da maganin suturar sukari tare da manyan sugars ko dai kafin ko bayan abinci, kuma ba tare da duk manyan sukari ba.

Sharuɗɗa don NTG-mai raunin glucose (mai kamuwa da cuta): sukari mai azumi - na yau da kullun - daga 3.3 zuwa 5.5 mmol / l - tare da sukari mai yawa bayan cin abinci - daga 7.9 zuwa 11.1 mmol / l, sama da 11.1 ciwon sukari.

Sharuɗɗa don NGNT-mai rauni a cikin ƙwayar glycemia (prediabetes) - sukari mai azumi yana ƙaruwa, daga 5.6 zuwa 6.1 (sama da mellitus 6,1 na sukari) tare da sukari na al'ada bayan cin abinci, har zuwa 7.8 mmol / L.
⠀⠀⠀⠀⠀⠀
Amma game da haemoglobin glycated: yana nuna yanayin metabolism na metabolism a cikin watanni 3 - wato, tsawon watanni 3 kuna da kyakkyawan sugars - wato, bayyanar cututtukan metabolism na rashin lafiya sun faru kwanan nan.

Game da insulin: insulin 21.3 - nuna ƙarfi insulin juriya - i, hakika kuna da farkon farkon nau'in ciwon sukari na 2.

Dangane da bincike-binciken: idan kun dogara da glycated haemoglobin, zaku iya sanya ciwon suga, amma sukarin jini a fili yana nuna farkon nau'in ciwon sukari na 2. Maganar kawai: don yin bincike, yana da kyau a la'akari da sukari har tsawon kwanaki 3, bayanin martaba 1 bai isa ba koyaushe - a ranar da aka jarraba ku, zaku iya damuwa kuma sukari na iya tashi saboda damuwa.

A kowane hali, komai irin binciken da muke yi: aƙalla ƙananan ƙwayar cuta (NTG, NGNT), aƙalla nau'in ciwon sukari na 2, kuna buƙatar gaggawa don fara cin abincin - muna ware carbohydrates mai saurin motsa jiki, ku ci jinkirin carbohydrates a cikin ƙananan rabo, cinye wadataccen furotin mai-mai da ƙananan kayan lambu. .

Baya ga abincin, ya zama dole don fadada ayyukan motsa jiki (iko da ƙimar kaddi), muna ƙaruwa da yawa ta hanyar ɗaukar hoto, kuma koyaushe muna lura da nauyi. Ya kamata nauyi ya zama tsakanin iyaka.

Idan muna magana game da nadin magungunan don daidaita yanayin metabolism na carbohydrate, to da farko kuna buƙatar bincika ku (OAK, Biohak, bakan hormonal) sannan kuma zaɓi magungunan.

A cikin yanayin ku, idan kun bi tsarin abinci 100% daidai, ba wa kanku motsa jiki kuma ku kula da nauyi, wato damar da za ku yi ba tare da magunguna ba.

Game da damar da za a warke: har yanzu kuna da dama, kuma yana da kyau. Idan yanzu kun fara motsa jiki cikin lafiyarku, zaku sami ƙwararren likita wanda zai jagorance ku a cikin abincin ku kuma zai kula da yanayinku, shine, damar da za ku iya daidaita metabolism na rayuwa gaba ɗaya.

Likita Endocrinologist Olga Pavlova

Pin
Send
Share
Send