Hypoglycemia, feem ntau hu ua "ntshav qab zib tsawg", tshwm sim thaum cov piam thaj hauv cov ntshav poob qis dua qib ib txwm. Glucose yog qhov tseem ceeb ntawm lub zog rau lub cev. Thaum koj cov ntshav qab zib qis dhau lawm, koj lub hlwb thiab cov leeg tsis muaj zog txaus los ua haujlwm kom raug. Hypoglycemia tuaj yeem tshwm sim los ntawm kev mob ntshav qab zib lossis ua rau tsis haum rau cov zaub mov tshwj xeeb noj (lossis thaum koj tsis noj txaus). Nws feem ntau tshwm sim los ntawm kev poob qis hauv cov ntshav qab zib. Feem ntau nws tuaj yeem kho sai los ntawm kev noj zaub mov me me uas muaj cov piam thaj sai li sai tau. Tsis kho, hypoglycemia tuaj yeem ua rau tsis meej pem, mob taub hau, tsaus muag, thiab ntau dua, qaug dab peg, tsis nco qab, thiab tuag taus.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Tiv Thaiv Cov Ntshav Qab Zib Ntshav Qab Zib
Kauj Ruam 1. Ua raws koj tus kws kho mob cov lus qhia
Nco ntsoov ua raws li koj tus kws kho mob cov lus qhia txog tshuaj, suav nrog insulin thiab lwm yam tshuaj kho ntshav qab zib hauv qhov ncauj, yuav ua li cas coj lawv thiab thaum twg. Ntxiv mus, yog tias koj tus kws kho mob tau tso cai rau koj noj zaub mov nruj lossis koj tau sab laj nrog kws noj zaub mov zoo lossis sau npe noj zaub mov noj, ua kom muaj kev sib koom ua raws cov phiaj xwm noj zaub mov noj, uas tau tsim los kom tsis txhob muaj teeb meem nrog koj tus mob thiab ua kom koj cov ntshav qab zib. qib ruaj khov thoob plaws ib hnub.
Qee zaum cov tshuaj tiv thaiv zoo tshaj plaws yog ua raws cov cai thiab cov txheej txheem tau teev tseg los ntawm koj thawj tus kws kho mob
Kauj Ruam 2. Ntsuas koj cov ntshav qab zib tas li
Cov tib neeg uas muaj ntshav qab zib tau qhia kom tshuaj xyuas lawv cov ntshav qab zib tsawg kawg ib hnub ib hnub, tshwj xeeb tshaj yog thaum sawv ntxov thaum sawv ntxov thiab ua ntej noj dab tsi. Nco ntsoov sau tus lej ntawm daim ntawv lossis phau ntawv sau cia, sau hnub tim, sijhawm, thiab qhov tshwm sim ntawm qhov kev xeem. Qee tus neeg mob ntshav qab zib, tshwj xeeb tshaj yog cov neeg mob ntshav qab zib "nkig", qhov xwm txheej tau qhia los ntawm kev hloov pauv hauv cov ntshav qab zib, yuav tsum kuaj xyuas lawv cov ntshav qab zib ntau ntau thiab txog plaub zaug hauv ib hnub (ua ntej noj tshais, noj su, thiab noj hmo thiab ua ntej yuav mus pw). Txhawm rau saib xyuas koj cov ntshav qab zib siv lub glucometer (ntsuas ntshav qab zib hauv lub cev), yuav lub ntsuas ntsuas, ntsuas ntsuas kom ntsuas tus ntiv tes, ntsuas kab ntawv sib xws, thiab cov cawv cawv los ntxuav cov ntiv tes ua ntej muab nws. Txhawm rau ntsuas koj cov ntshav qab zib:
- Ntxuav koj txhais tes nrog xab npum thiab dej.
- Nqa daim ntaub cawv thiab ntxuav lub ncoo ntawm qhov ntsuas lossis ntiv tes nruab nrab.
- Tuav lub lancet tiv thaiv koj tus ntiv tes ntawm 90 degrees thiab tso tus pas nrig los txhuam koj cov ntiv tes.
- Nyem ib qho ntshav tso rau ntawm qhov chaw kuaj kab mob.
- Ntxig qhov ntsuas ntsuas mus rau hauv qhov glucometer thiab tos kom nyeem ntawv.
- Teev qhov ntsuas hauv koj cov ntaub ntawv teev npe. Ib qib ntawm 70 mg/dL lossis qis dua yog qhov qhia tau tias muaj ntshav qab zib tsawg thiab qhov no feem ntau yog thaum koj yuav pib pom cov tsos mob ntawm tus mob hypoglycemia.
Kauj Ruam 3. Noj peb pluas mov thiab peb khoom noj txom ncauj txhua hnub
Koj yuav tsum noj peb pluas mov puv thiab muaj peb qho khoom noj txom ncauj me me nyob rau ib hnub kom koj tau noj tsis tu ncua thiab xwm yeem. Nco ntsoov teem sijhawm noj mov thiab khoom noj txom ncauj kom qhov sib txawv nruab nrab ntawm lawv sib nrug; yog tias koj plam khoom noj txom ncauj lossis noj tom qab ntau dua li ib txwm muaj, qhov no tuaj yeem ua rau koj cov ntshav qab zib qis dua.
- Npaj koj cov pluas noj kom lawv tsis txhob ntau tshaj plaub lossis tsib teev sib nrug.
- Tsis txhob hla pluas mov yog tias koj muaj ntshav qab zib. Qhov no tseem ceeb tshwj xeeb yog tias koj tab tom noj tshuaj rau ntshav qab zib.
- Nco ntsoov tias koj suav rau ib qho kev siv calories ntxiv. Piv txwv li, yog tias koj tab tom khiav marathon rau hnub Saturday, koj yuav tsum paub tseeb tias yuav tsum tau noj ntau dua hnub ntawd dua li koj nyob rau ib hnub.
Kauj Ruam 4. Ua kom koj cov pluas noj tau zoo
Cov pluas noj yuav tsum muaj cov protein ntau, xws li nqaij qaib, ntses, lossis nqaij nyuj, uas yog kwv yees li ntawm daim npav loj (3-4 ooj). Yog tias koj yog neeg tsis noj nqaij, nco ntsoov tau txais qhov sib txawv ntawm cov protein, xws li qe, taum paj, taum pauv, lossis Greek yogurt. Ua ke nrog koj cov protein, ua kom ntseeg tau tias txhua pluas noj muaj cov carbohydrates yooj yim thiab muaj txiv hmab txiv ntoo thiab zaub tshiab.
- Cov carbohydrates yooj yim yuav tsum suav nrog 40 txog 60% ntawm koj cov zaub mov noj txhua hnub thiab cov khoom muaj txiaj ntsig zoo suav nrog mov xim av, taum, thiab qhob cij tag nrho nrog rau zaub xws li zaub qhwv, zaub qhwv, thiab zaub paj. Txwv kom tsis txhob muaj cov carbohydrates yooj yim xws li qhob cij dawb, ncuav qab zib, kua qab zib, thiab khoom qab zib.
- Kev xaiv zoo rau txiv hmab txiv ntoo suav nrog txiv kab ntxwv, txiv duaj, txiv hmab, blueberries, txiv pos nphuab, thiab dib liab, thiab lwm yam; cov no yuav tsis tsuas yog puag ncig koj cov pluas noj tab sis kuj tseem muab cov phytonutrients muaj txiaj ntsig. Txiv hmab txiv ntoo tshiab yog qhov zoo ntawm cov piam thaj ntuj, uas tuaj yeem nce koj cov ntshav qab zib thiab tiv thaiv kev mob ntshav qab zib.
- Txoj cai zoo ntawm tus ntiv tes xoo yog tias koj lub phaj yuav tsum yog ob feem peb puv cov zaub thiab txiv hmab txiv ntoo.
Kauj Ruam 5. Txwv caffeine
Zam cov dej haus thiab khoom noj uas muaj qib caffeine tseem ceeb, suav nrog kas fes, tshuaj yej, thiab qee hom dej qab zib. Caffeine tuaj yeem ua rau cov tsos mob zoo ib yam li hypoglycemia, uas tuaj yeem ua rau koj xav tias mob hnyav dua.
Kauj Ruam 6. Khaws cov khoom noj txom ncauj nrog koj txhua lub sijhawm
Yog tias koj muaj kev pheej hmoo ua rau lub cev tsis muaj ntshav qab zib, khaws cov zaub mov sai sai tom haujlwm, hauv tsheb, lossis lwm qhov chaw uas koj siv sijhawm. Kev noj qab haus huv zoo thiab yooj yim ntawm kev mus muaj xws li hlua cheese, txiv ntseej, yogurt, txiv hmab txiv ntoo, lossis smoothie.
Kauj Ruam 7. Siv cawv nrog zaub mov
Kev haus dej haus cawv, tshwj xeeb tshaj yog thaum lub plab khoob, tuaj yeem ua rau cov neeg mob ntshav qab zib hauv lub cev. Hauv qee kis, qhov tshuaj tiv thaiv no tuaj yeem ncua rau ib hnub lossis ob hnub yog li kev sib txheeb yuav nyuaj rau txheeb xyuas. Yog tias koj haus cawv, nco ntsoov haus cov dej cawv nrog rau pluas mov lossis khoom noj txom ncauj.
Kauj Ruam 8. Ua lub sijhawm kom raug
Kev tawm dag zog yog txiaj ntsig zoo rau cov neeg mob ntshav qab zib, tshwj xeeb tshaj yog vim nws pab txo qis cov ntshav qab zib. Los ntawm tib lub cim, kev tawm dag zog lub cev kuj tseem tuaj yeem ua rau cov qib qis dhau - txawm tias txog 24 teev tom qab kev tawm dag zog. Yog tias koj koom nrog kev tawm dag zog, nco ntsoov tias koj tau siv sijhawm ib nrab teev mus rau ib teev tom qab koj tau noj mov tas. Ib txwm kuaj koj cov ntshav qab zib ua ntej thiab tom qab ua si.
- Nqa khoom noj txom ncauj nrog koj yog tias ua haujlwm hnyav, xws li khiav lossis caij tsheb kauj vab. Cov khoom noj txom ncauj tuaj yeem pab tiv thaiv qhov pib ntawm hypoglycemia.
- Yog tias koj hlawv ntau calories, koj yuav xav tau kho koj cov tshuaj lossis noj cov khoom noj txom ncauj ntxiv. Kev hloov pauv yog nyob ntawm cov txiaj ntsig ntawm koj cov kev kuaj ntshav qab zib thiab ntev npaum li cas thiab qhov kev tawm dag zog koj tab tom ua yog dab tsi. Koj yuav tsum sab laj nrog koj tus kws kho mob yog tias koj muaj ntshav qab zib thiab xav tswj koj li kev noj zaub mov kom zoo thaum tseem tswj hwm koj tus mob.
Kauj Ruam 9. Kho tus mob ntshav qab zib tsawg
Thaum thawj qhov cim ntawm cov tsos mob ntawm tus mob hypoglycemia, sai sai noj cov khoom txom ncauj sai uas muaj li 15 grams ntawm carbohydrates, xws li cov khoom qab zib me me, lub thawv kua txiv, lossis cov ntsiav tshuaj qab zib. Mus rau txhua yam uas koj muaj ntawm tes lossis muaj qhov nrawm tshaj plaws. Cov tsos mob yuav tsum ploj mus li ntawm 10 txog 15 feeb tom qab siv tas; rov ntsuas koj cov ntshav qab zib tom qab 15 feeb kom paub tseeb tias nws rov qab mus txog 70 mg/dL lossis siab dua. Yog tias nws tseem qis heev, noj lwm cov khoom noj txom ncauj. Tsis tas yuav mus tom tsev kho mob lossis mus ntsib koj tus kws kho mob yog tias koj tau ntsib ib ntu. Yog koj ua tau, nyob twj ywm, zoo li koj yuav tsaus muag. Kev xaiv zaub mov zoo kho sai suav nrog:
- 1/2 khob (4 oz) cov kua txiv hmab txiv ntoo (txiv kab ntxwv, kua, txiv hmab, thiab lwm yam)
- 1/2 khob (4 oz) ntawm cov dej qab zib tsis tu ncua (tsis noj zaub mov)
- 1 khob (8 oz) mis nyuj
- 5 lossis 6 daim ntawm cov khoom qab zib nyuaj (Jolly Ranchers, Lifesavers, thiab lwm yam)
- 1 tbsp zib ntab los yog qab zib
- 3 lossis 4 ntsiav tshuaj qab zib lossis 1 noj (15 g) ntawm qab zib gel. Nco ntsoov tias cov tshuaj tsim nyog ntawm cov khoom no yuav tsawg dua rau cov menyuam yaus; nyeem cov lus qhia ua ntej muab tshuaj qab zib rau menyuam yaus txhawm rau txiav txim siab qhov tsim nyog noj.
Txoj Kev 2 ntawm 2: Nkag Siab Cov Ntshav Qab Zib
Kauj Ruam 1. Nkag siab tias ua haujlwm hypoglycemia zoo li cas
Hypoglycemia, lossis ntshav qab zib tsawg, tshwm sim thaum koj cov ntshav qab zib poob qis dua qib ib txwm. Ib tus neeg feem ntau yuav pib hnov cov tsos mob ntawm hypoglycemia thaum lawv cov ntshav qab zib qis dua 70 mg/dL. Cov ntshav qab zib tsawg tshwm sim yuav luag tshwj xeeb hauv cov neeg mob ntshav qab zib hauv kev teb rau kev kho tshuaj insulin nrog rau kev noj zaub mov tsis txaus, ntau npaum li cas ntawm cov tshuaj insulin, lossis kev siv lub zog yam tsis muaj cov calories kom txaus (xws li yog tias koj yuav tsum khiav 10k tab sis tsis suav nrog qhov ntawd) los ntawm muaj khoom noj txom ncauj).
- Lwm qhov laj thawj uas tsis tshua muaj tshwm sim suav nrog qog nqaij hlav hauv lub txiav uas tsim cov tshuaj insulin ntau ntxiv (insulinoma) thiab cov tshuaj tiv thaiv hypoglycemia, uas tshwm sim thaum cov ntshav qab zib poob qis tom qab noj mov lossis zaub mov tshwj xeeb.
- Hypoglycemia tuaj yeem yog qhov tshwm sim ntawm qee yam tshuaj siv los kho ntshav qab zib, suav nrog insulin thiab tshuaj (xws li glipizide thiab glyburide) uas tau coj los ua kom cov tshuaj insulin ntau ntxiv. Qee qhov kev sib xyaw ua ke ntawm cov tshuaj (xws li glipizide thiab metformin lossis glyburide thiab metformin) kuj tseem tuaj yeem ua rau mob ntshav qab zib hauv lub cev. Qhov no yog vim li cas nws thiaj li tseem ceeb heev uas koj nthuav tawm txhua yam tshuaj, vitamins, thiab tshuaj ntxiv (suav nrog tshuaj ntsuab kho mob) koj tab tom coj mus rau koj tus kws kho mob.
Kauj Ruam 2. Paub cov tsos mob ntawm cov ntshav qab zib tsawg
Muaj ntau tus tsos mob ntawm lub cev thiab lub hlwb uas koj tuaj yeem txheeb xyuas ua cim qhia tias koj cov ntshav qab zib qis, suav nrog:
- Shakiness
- Kiv taub hau
- Tsis muaj zog
- Kev puas siab puas ntsws (piv txwv li, tsis paub meej txog hnub, xyoo, thiab lwm yam)
- Hloov qib ntawm kev nco qab, tsis zoo mloog, lossis tsaug zog
- Diaphoresis lossis "hws txias"
- Coma (Nco tseg: kev tsis nco qab thiab coma tsis tshwm sim kom txog thaum koj cov ntshav qabzib nce mus txog 45mg/dL)
Kauj Ruam 3. Ua kev tiv thaiv thiab ceev faj
Ntsuam xyuas koj cov ntshav qab zib tsawg kawg ib zaug ib hnub (thaum koj sawv los thiab ua ntej noj dab tsi). Ua raws li cov lus pom zoo saum toj no kom tawm dag zog tas li thiab noj zaub mov thiab khoom noj txom ncauj txhua hnub. Saib xyuas kom nqa khoom noj txom ncauj nrog koj thaum koj tawm mus raws li kev ceev faj.
- Ib qho ntxiv, Yog tias koj muaj ntshav qab zib, lossis nquag ua rau mob ntshav qab zib tsawg, piav qhia koj cov tsos mob rau koj cov phooj ywg, tsev neeg, thiab cov neeg ua haujlwm ntseeg siab kom lawv tuaj yeem pab koj yog tias koj muaj ntshav qab zib sai lossis hnyav. Hauv cov menyuam yaus, cov neeg ua haujlwm hauv tsev kawm ntawv yuav tsum tau qhia paub yuav ua li cas thiaj paub thiab kho tus menyuam cov tsos mob hypoglycemia.
- Xav txog nqa ib daim ntawv qhia txog tus mob ntshav qab zib, zoo li lub caj dab qhia txog kev kho mob lossis hlua tes lossis daim npav hauv koj lub hnab nyiaj, kom tib neeg tuaj yeem paub tias koj muaj ntshav qab zib thaum muaj xwm txheej ceev.
- Ceev faj thaum tsav tsheb vim tias cov tsos mob hypoglycemia tuaj yeem ua rau tsav tsheb txaus ntshai heev. Thaum tsav tsheb mus deb, txheeb xyuas koj cov ntshav qab zib ntau ntau (tshwj xeeb tshaj yog ua ntej mus tom qab lub log) thiab khoom noj txom ncauj raws li xav tau kom tswj tau cov ntshav qab zib tsawg kawg 70 mg/dL.
Kauj Ruam 4. Tham nrog koj tus kws kho mob
Qhia rau koj tus kws kho mob yog tias koj muaj cov xwm txheej tsis tu ncua ntawm cov ntshav qab zib hauv lub cev (ntau dua ob peb zaug hauv ib lub lis piam) kom lawv tuaj yeem kho koj cov tshuaj raws li qhov tsim nyog.
