Yog tias koj ntseeg tias koj yuav muaj ntshav qab zib, tham nrog kws kho mob tam sim. Hom 1 mob ntshav qab zib yog thaum cov islet cells ntawm koj lub txiav tsis tuaj yeem tsim cov insulin ntxiv lawm; nws yog hom kab mob autoimmune uas ua rau lawv tsis ua haujlwm ntxiv lawm. Hom 2 mob ntshav qab zib muaj feem cuam tshuam nrog kev ua neej ntau dua (cuam tshuam nrog kev tawm dag zog thiab siv cov piam thaj ntau dhau). Nws yog ib qho tseem ceeb kom paub cov cim thiab tsos mob ntawm tus mob ntshav qab zib, nrog rau nkag siab tias nws kuaj mob li cas, txhawm rau kho sai li sai tau yog tias koj muaj tus mob.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Paub Cov Cim thiab Cov tsos mob ntawm Ntshav Qab Zib
Kauj Ruam 1. Paub txog cov cim thiab tsos mob hauv qab no
Yog tias koj muaj 2 lossis ntau dua ntawm cov npe hauv qab no, nws yog qhov zoo tshaj kom mus ntsib koj tus kws kho mob kom tshuaj xyuas ntxiv. Cov cim qhia thiab tsos mob ntawm ob hom 1 thiab Hom 2 mob ntshav qab zib muaj xws li:
- Kev nqhis dej ntau dhau
- Kev tshaib kev nqhis heev
- Qhov muag tsis pom kev
- Nquag tso zis (koj sawv 3 lossis ntau zaus nyob rau hmo ntuj kom tso zis)
- Qaug zog (tshwj xeeb yog tom qab noj mov)
- Hnov chim siab
- Qhov txhab uas tsis kho lossis kho maj mam
Kauj Ruam 2. Nco tseg ntawm koj txoj kev xaiv ua neej
Cov neeg uas ua lub neej nyob ntsiag to (nrog rau me me lossis tsis muaj kev tawm dag zog) yog qhov pheej hmoo pheej hmoo ntawm Hom 2 mob ntshav qab zib. Cov neeg uas rog lossis rog dhau, lossis leej twg noj cov khoom qab zib ntau dua thiab ua kom cov carbohydrates zoo dua li qhov zoo tagnrho, kuj tseem muaj feem yuav pheej hmoo ua rau hom 2 mob ntshav qab zib.
Nco ntsoov tias Hom 2 mob ntshav qab zib tau txais hauv ib tus neeg lub neej, feem ntau cuam tshuam nrog kev xaiv lub neej tsis zoo, piv rau Hom 1 mob ntshav qab zib uas yog ib qho mob uas feem ntau tshwm sim thaum yau uas tsis muaj cov txiav txiav tsis tuaj yeem siv insulin vim tsis muaj beta cells
Kauj Ruam 3. Mus ntsib koj tus kws kho mob yog tias koj xav tias muaj ntshav qab zib
Tib txoj hauv kev kom paub tseeb tias koj muaj mob ntshav qab zib yog mus ntsib koj tus kws kho mob rau kev kuaj mob (hauv daim ntawv kuaj ntshav). Cov lej rov qab los ntawm koj cov kev kuaj ntshav yuav pab cais koj li "ib txwm," "ua ntej mob ntshav qab zib" (txhais tau tias koj yuav muaj kev pheej hmoo loj ntawm kev txhim kho ntshav qab zib sai yog tias koj tsis ua qee qhov kev hloov pauv hauv lub neej), lossis "ntshav qab zib."
- Nws yog qhov zoo tshaj kom paub sai dua tom qab seb koj puas muaj tus kab mob, lossis yog tias yog koj ua, kho sai yog qhov tseem ceeb.
- Kev puas tsuaj uas ua rau koj lub cev los ntawm ntshav qab zib feem ntau yog kev puas tsuaj mus sij hawm ntev los ntawm "cov ntshav qab zib tsis tuaj yeem tswj tau." Qhov no txhais li cas yog tias, yog tias koj tau txais kev kho mob uas pab tswj koj cov ntshav qab zib, koj tuaj yeem zam lossis tsawg kawg ncua ntau qhov kev noj qab haus huv mus sij hawm ntev los ntawm ntshav qab zib. Nws yog vim li no qhov kev kuaj mob tam sim thiab kho yog qhov tseem ceeb.
Txoj Kev 2 ntawm 2: Soj Ntsuam Kev Ntsuam Xyuas Ntshav Qab Zib
Kauj Ruam 1. Tau kuaj los ntawm kws kho mob
Koj tus kws kho mob xub thawj tuaj yeem ua 2 qhov kev ntsuas sib txawv los kuaj xyuas koj cov ntshav qab zib. Feem ntau, kev kuaj ntshav yoo mov yog siv los kuaj ntshav qab zib, tab sis kuj tseem tuaj yeem kuaj zis.
- Cov piam thaj hauv cov ntshav ib txwm nyob ntawm 70 txog 100.
- Yog tias koj muaj kab mob ntshav qab zib ("ua ntej ntshav qab zib"), koj qib yuav nyob nruab nrab ntawm 100 txog 125.
- Yog tias koj qib siab dua 126, koj suav tias yog ntshav qab zib. Kev tsis yoo mov lossis ntsuas ntshav qabzib ntau txog 200 lossis siab dua tuaj yeem yog qhov qhia tias muaj ntshav qab zib.
Kauj Ruam 2. Tau ntsuas koj qib HbA1c (hemoglobin A1c)
Nov yog qhov kev ntsuas tshiab uas tau siv los ntawm qee tus kws kho mob rau ntshav qab zib. Nws saib cov hemoglobin (protein) hauv koj cov qe ntshav liab thiab ntsuas seb muaj piam thaj ntau npaum li cas. Tus nqi siab dua, ntau ntxiv qab zib, uas cuam tshuam ncaj qha rau koj qhov kev pheej hmoo ntawm muaj ntshav qab zib. (Tom qab tag nrho, mob ntshav qab zib yog qhov ua rau muaj piam thaj ntau ntxiv hauv cov ntshav.)
- Kev sib raug zoo ib txwm ntawm HbA1c thiab qib nruab nrab cov ntshav qab zib yog raws li hauv qab no. HbA1c ntawm 6 sib npaug rau qib ntshav qab zib ntawm 135. HbA1c ntawm 7 = 170, HbA1c ntawm 8 = 205, HbA1c ntawm 9 = 240, HbA1c ntawm 10 = 275, HbA1c ntawm 11 = 301, thiab HbA1c ntawm 12 = 345.
- Hauv ntau qhov kev sim, qhov ib txwm muaj rau HbA1c yog nruab nrab ntawm 4.0-5.9%. Hauv kev tswj ntshav qab zib tsis zoo, nws yog 8.0% lossis siab dua, thiab hauv cov neeg mob tswj tau zoo nws tsawg dua 7.0%.
- Qhov txiaj ntsig ntawm kev ntsuas HbA1c yog tias nws muab qhov pom zoo dua ntawm yam uas tau tshwm sim nyob rau lub sijhawm. Nws qhia txog koj cov piam thaj nruab nrab dhau 3 lub hlis dhau los, ntau dua li kev ntsuas qab zib yooj yim uas yog ntsuas ib zaug ntawm koj cov piam thaj.
- Nco ntsoov tias kev ntsuas HbA1c tsis yog lub cuab yeej kuaj mob zoo tshaj plaws rau ntshav qab zib. Qee qhov xwm txheej, xws li hlau tsis muaj ntshav tsis txaus thiab poob ntshav ntev, tuaj yeem ua rau cov kev ntsuas no muab cov txiaj ntsig yuam kev.
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev kho koj tus mob ntshav qab zib li cas
Txhawm rau kho tus mob ntshav qab zib, koj yuav tsum tau txhaj tshuaj insulin lossis tshuaj noj txhua hnub, thiab koj yuav raug nug kom saib xyuas koj cov zaub mov thiab tawm dag zog.
- Qee zaum, hauv qhov mob hnyav dua ntawm Hom 2 mob ntshav qab zib, tsuas yog qhov xav tau yog kev noj zaub mov thiab kev tawm dag zog. Kev hloov pauv lub neej txaus tuaj yeem thim rov qab mob ntshav qab zib thiab ua rau koj rov qab mus rau qhov "ib txwm" ntau rau koj cov ntshav qab zib. Tham txog qee qhov kev txhawb siab los hloov pauv!
- Koj yuav raug hais kom txo qis qab zib thiab carbohydrates, thiab tawm dag zog li 30 feeb hauv ib hnub. Koj tus kheej xav tau yuav txawv, tab sis feem ntau, poj niam yuav tsum tsis pub ntau dua 45-60 g ntawm carbohydrates ib pluas noj, thiab txiv neej yuav tsum nyob hauv 60-75 g ntau. Yog tias koj ua raws nrog cov kev hloov pauv no, koj yuav muaj peev xwm pom qhov txo qis hauv koj cov ntshav qab zib.
- Hom 1 mob ntshav qab zib, ntawm qhov tod tes, ib txwm yuav tsum tau txhaj tshuaj insulin vim tias nws yog kab mob autoimmune uas lub cev tsis tsim cov tshuaj insulin.
- Nws yog ib qho tseem ceeb heev los kho tus mob ntshav qab zib kom raug. Nco tseg tias, yog tias tsis kho, cov ntshav qab zib ntau ntxiv los ntawm cov ntshav qab zib tuaj yeem ua rau muaj teeb meem kev noj qab haus huv ntau ntxiv, xws li kev puas tsuaj rau paj hlwb (neuropathy), lub raum puas lossis tsis ua haujlwm, dig muag, thiab teeb meem loj hauv lub cev ua rau nyuaj rau kho tus kab mob uas tuaj yeem ua rau nce mus rau gangrene xav tau kev txiav tawm (tshwj xeeb tshaj yog nyob rau qis qis).
Kauj Ruam 4. Nrhiav kev tshuaj xyuas tom qab raws li koj tus kws kho mob pom zoo
Nws yog ib qho tseem ceeb kom rov kuaj ntshav txhua txhua 3-6 lub hlis lossis yog li rau cov neeg uas poob rau hauv "pre-diabetic" lossis "diabetic" range. Qhov laj thawj rau qhov no yog txhawm rau saib xyuas kev txhim kho ntawm tus mob (rau cov uas hloov pauv txoj kev ua neej zoo), lossis ua rau mob hnyav zuj zus.
- Rov kuaj ntshav ntxiv kuj pab koj tus kws kho mob kom txiav txim siab txog koob tshuaj insulin thiab koob tshuaj. Koj tus kws kho mob yuav sim "phiaj" koj cov ntshav qab zib kom nyob hauv thaj tsam tshwj xeeb, yog li muaj tus lej suav los ntawm kev kuaj ntshav ntxiv yog qhov tseem ceeb.
- Nws tseem tuaj yeem muab kev txhawb siab rau koj kom tawm dag zog ntau dua, thiab hloov pauv qhov zoo rau koj cov zaub mov noj, paub tias koj yuav pom cov txiaj ntsig zoo ntawm koj qhov kev kuaj ntshav tom ntej!
- Yog tias koj poob rau hauv cov qib ua ntej ntshav qab zib lossis yog tias koj tswj ntshav qab zib tau zoo, koj tsuas yog xav tau kev kuaj mob txhua 6 lub hlis. Yog tias koj tswj ntshav qab zib tsis zoo, koj tus kws kho mob yuav pom zoo kuaj txhua 3-4 lub hlis.
