Izinto eziningi zingaba yimbangela yezinga le-glucose ephezulu egazini, kodwa esikudlayo kudlala indima enkulu neqondile ekukhuphuleni ushukela wegazi.Lapho sidla ama-carbohydrate, umzimba wethu uguqula lawo ma-carbohydrate abe ushukela, futhi lokhu kungaba nendima ekunyuseni ushukela egazini.Amaprotheni, ngezinga elithile, ngamanani aphezulu nawo angakhuphula amazinga kashukela egazini.Amafutha awanyusi amazinga kashukela egazini.Ukucindezeleka okuholela ekwandeni kwehomoni i-cortisol nakho kungakhuphula amazinga kashukela egazini.
Isifo sikashukela sohlobo 1 yisimo esizimele esiholela ekutheni umzimba ungakwazi ukukhiqiza i-insulin.Abantu abanesifo sikashukela soHlobo loku-1 kufanele basebenzise i-insulin ukuze bagcine amazinga eglucose elingana nemingcele evamile.Isifo sikashukela sohlobo 2 yisifo lapho umzimba ukwazi ukukhiqiza i-insulin kodwa ungakwazi ukuyikhiqiza ngokwanele noma umzimba ungasabeli. ku-insulin ekhiqizwayo.
isifo sikashukela singatholakala ngezindlela eziningi.Lokhu kufaka phakathi i-glucose ezila ukudla > noma = 126 mg/dL noma 7mmol/L, i-hemoglobin a1c engu-6.5% noma ngaphezulu, noma i-glucose ephakeme ekuhlolweni kokubekezelela i-glucose ngomlomo (OGTT).Ngaphezu kwalokho, i-glucose engahleliwe engaphezu kuka-200 iphakamisa isifo sikashukela.
Nokho, kunenombolo yezimpawu nezimpawu eziphakamisa isifo sikashukela futhi okufanele zikwenze ucabangele ukuhlolwa kwegazi.Lokhu kuhlanganisa ukoma ngokweqile, ukuchama njalo, ukungaboni kahle, ukuba ndikindiki noma ukushoshozela kwamachopho, ukukhuluphala kanye nokukhathala.Ezinye izimpawu ezingaba khona zihlanganisa ukungasebenzi kahle kwe-erectile kwabesilisa kanye nezikhathi ezingavamile kwabesifazane.
Ukuvama okufanele uhlole igazi lakho kuzoncika ohlelweni lokwelashwa okulo kanye nasezimweni zomuntu ngamunye.Imihlahlandlela ye-NICE yango-2015 incoma ukuthi abantu abanesifo sikashukela sohlobo loku-1 bahlole ushukela wabo wegazi okungenani izikhathi ezi-4 ngosuku, okuhlanganisa ngaphambi kokudla ngakunye nangaphambi kokulala.
Buza ukuthi ukunakekelwa kwezempilo kwakho kukunikeze ukuthi yiluphi uhlobo lukashukela osegazini olufanelekile kuwe, kuyilapho i-ACCUGENCE ingakusiza ngokusetha ububanzi ngesici sayo se-Range Indicator.Udokotela wakho uzosetha imiphumela yokuhlolwa kashukela egazini ngokusekelwe ezicini ezimbalwa, okuhlanganisa:
● Uhlobo nobukhulu besifo sikashukela
● Ubudala
● Unesikhathi eside kangakanani unesifo sikashukela
● Isimo sokukhulelwa
● Ukuba khona kwezinkinga zesifo sikashukela
● Impilo iyonke kanye nokuba khona kwezinye izimo zezempilo
I-American Diabetes Association (ADA) ngokuvamile incoma amazinga alandelayo kashukela egazini:
Phakathi kwamamiligremu angu-80 no-130 ngedesilitha ngayinye (mg/dL) noma amamiligremu angu-4.4 kuya ku-7.2 ilitha ngalinye (mmol/L) ngaphambi kokudla
Ngaphansi kuka-180 mg/dL (10.0 mmol/L) amahora amabili ngemva kokudla
Kodwa i-ADA iphawula ukuthi lezi zinhloso zivame ukuhluka kuye ngeminyaka yakho nempilo yomuntu siqu futhi kufanele kube umuntu ngamunye.
Ama-ketones angamakhemikhali enziwe esibindini sakho, ngokuvamile njengempendulo ye-metabolic ekubeni ku-ketosis yokudla.Lokho kusho ukuthi wenza ama-ketone uma ungenayo i-glucose eyanele egciniwe (noma ushukela) ukuze uguquke ube amandla.Lapho umzimba wakho uzwa ukuthi udinga enye esikhundleni sikashukela, uguqula amafutha abe ama-ketone.
Amazinga akho e-ketone angaba noma yikuphi ukusuka ku-zero kuye ku-3 noma ngaphezulu., futhi akalwa ngama-millimoles ilitha ngalinye (mmol/L).Ngezansi kukhona ububanzi obujwayelekile, kodwa khumbula nje ukuthi imiphumela yokuhlolwa ingahluka, kuye ngokudla kwakho, izinga lomsebenzi, nokuthi usunesikhathi esingakanani uku-ketosis.
Isifo sikashukela i-ketoacidosis (noma i-DKA) yisimo sezempilo esibucayi esingabangelwa amazinga aphezulu kakhulu e-ketones egazini.Uma ingabonakali futhi ilashwa ngokushesha, ingaholela ekuqulekeni noma ngisho nokufa.
Lesi simo senzeka lapho amangqamuzana omzimba engakwazi ukusebenzisa i-glucose ukuze abe namandla, futhi umzimba uqala ukuphula amafutha ukuze uthole amandla.Ama-ketone akhiqizwa lapho umzimba wephula amafutha, futhi amazinga aphezulu kakhulu e-ketone angenza igazi libe ne-asidi ngokwedlulele.Yingakho ukuhlolwa kwe-Ketone kubaluleke kakhulu.
Uma kuziwa ezingeni elifanele le-ketosis yokudla okunomsoco nama-ketones emzimbeni, ukudla okufanele kwe-ketogenic kuyisihluthulelo.Kubantu abaningi, lokho kusho ukudla phakathi kwama-20-50 amagremu ama-carbohydrate ngosuku.Ingakanani i-macronutrient ngayinye (kuhlanganise nama-carbs) okudingeka uyidle izohluka, ngakho-ke udinga ukusebenzisa i-keto calculator noma umane ukhulume nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole izidingo zakho ezinkulu.
I-Uric Acid iwumkhiqizo ojwayelekile wokulahlwa komzimba.Yakha lapho amakhemikhali abizwa ngokuthi ama-purines ephuka.Ama-purines ayinto engokwemvelo etholakala emzimbeni.Zitholakala nasekudleni okuningi okufana nesibindi, i-shellfish, notshwala.
Ukugcwala okuphezulu kwe-uric acid egazini kuzogcina kuguqule i-asidi ibe amakristalu e-urate, angase anqwabelene eduze kwamalunga nezicubu ezithambile.Amadiphozithi amakristalu e-urate afana nenaliti anesibopho sokuvuvukala kanye nezimpawu ezibuhlungu ze-gout.