Ukuhlolwa kwe-blood ketone kusetyenziswa ngabantu abanesifo sikashukela kunye nabantu ngokutya kwe-ketogenic. Unokuvavanya umchamo wakho okanye igazi lakho ngeetoni. Kodwa ngenxa yokuvavanya umchamo akunjalo, i-American Diabetes Association ikhuthaza ukuhlolwa kwegazi nge-ketone meter njengendlela ekhethiweyo.
Ukuba unesifo sikashukela, kufuneka uxoxe novavanyo lwekhaya lwe-ketone kunye nodokotela wakho ukuze ufunde ukuba kuyacetyiswa kwimeko yakho kwaye xa kufuneka wenze uvavanyo.
Uvavanyo lwe-Ketone lubaluleke ngokukhethekileyo ngexesha lokugula .
I-Blood Ketone Meter yovavanyo kwiKhaya
Uzakufuna imitha ye-ketone yegazi kunye nekiti ezibandakanya ipeni ye-lancet kunye neetoni zokuhlola iimpawu. Ezi mitha ziza kufunda i-blood glucose test strips, kwaye zombini izakukhuphela iziphumo zazo kwikhompyuter yakho. Ezinye iimveliso kunye nemodeli inokufumaneka, kubandakanya:
- I-Xtra Precision: Lo mitha ovela kwi-Abbott Diabetes Care unokugcina iimilinganiselo ezingama-450 kwaye uza kubonisa i-blood glucose yee-average kwixesha elihlukeneyo. Udinga ukungena ikhowudi ukutshintsha kwi-glucose test to test ketone. Abasebenzisi babonakala benovuyo ngekhredithi ecacileyo, kwaye abaphandi bafumanisa ukuba kuchaneke ngakumbi. Imiqatha ifuna i-1.5 microliters yegazi. Kwakhona kubonisa umboniso we-backlit.
- Nova Max Plus: Lo mitha ovela kwiNowava Biomedical udlalwa ngokukhululekile kunye nokuthengwa kweebhokisi ezimbini zeemvavanyo zokuhlola. Akudingeki ukuba ufake ikhowudi ukuyiguqula kwi-glucose yegazi ukuya kuhlolwe i-ketone; yenza oko ngokuzenzekelayo xa ufaka umgca wokuhlola i-ketone. Ukuba uyisebenzisa ngokuyinhloko i-blood glucose, iya kukukhumbuza ukuvavanya ietononi ukuba izinga lakho leswekile legazi li-250 mg / dL okanye ngaphezulu. Uvavanyo lwee-Nova Max alubizi kakhulu kodwa luphinde lube ne-flimsier kwaye lunike imilayezo engakumbi yempazamo, idinga ukubuyiselwa kwakhona. Amacwecwe afuna igazi elincinci kuneziqendu zokuQala, kuphela i-0.3 microliters.
I-Ketone Test Strips
Kumele uthenge iimvavanyo ze-ketone njengoko iimvavanyo zeglucose ziza kuhlola iietoni. Uya kufuneka kwakhona ukusebenzisa igazi ukusuka kwinto yakho kunokuba usuke kwenye indawo. Imiqulu ingaba yinto ebiza kakhulu yokuvavanya, ingakumbi ukuba ingabandakanywa yinshurensi yakho.
Landela la macebiso kunye nokuqapha xa uthengwa iimpawu zokuhlola:
- Qinisekisa ukuba ufumana uvavanyo oluchanekileyo lweemitha kwiimitha ezichanekileyo (abazitshintshiyo).
- Nika ingqalelo kwimini yokuphelelwa yisikhathi kwimida, zombini xa ufumana ukuthenga kwakho kwaye xa uvavanya igazi lakho. Iimpawu eziphelileyo ziza kunika iziphumo ezichanileyo.
- I-FDA ilumkisa ngokungathengi iimpawu zokuhlola zangaphambili, njengoko ungabona kwi-eBay. Ngelixa lingaba ngumthetho, ubeka umngcipheko ekufumaneni umkhiqizo ongagcinwanga kakuhle kwaye unokuphelelwa yisikhathi.
- I-FDA ilumkisa malunga nokuthenga amacwecwe angazange agqitywe yi-FDA ethengiswayo e-United States.
Indlela yokuvavanya iGazi lakho ngeetone
- Ukuthwala inaliti kwipeni le-lancet ngokwemiyalelo yephakheji.
- Geza izandla zakho ngesepha kwaye uyomise kakuhle.
- Susa umgca wokuvavanya ukusuka kwipakethe uze uyifake kwimitha.
- Beka ipeni ye-lancet kwicala lomnwe wakho uze uchukumise iqhosha.
- Ncwina ngomnwe ngomnwe ukuze ufumane ukulahla kwegazi. Uya kufuna udonsa omkhulu ukulayisha umgca ngokufanelekileyo. Emva kokuba uyenze kabini okanye kathathu amaxesha, uya kufumana ingqiqo yokuba ufuna igazi elingakanani. Ngeemitha eziphambili, udinga ukulahla okukhulu kwegazi kunexesha xa uvavanya i-glucose yegazi (mhlawumbi usebenzisa imitha efanayo).
- Chukumisa ukuphela komgca wokuvavanya ukuya kutsho kwegazi uze ugcwalise ukuvula okufutshane kunye neemitha zokubhalisa.
- Lindela imitha ukukunika ukufunda (nje imizuzwana embalwa).
- Rekhoda zakho iziphumo.
I-Ketone Testing in Diabetes
Abantu abane-diabetes test for ketones ukujonga iimpawu ze-ketoacidosis. Izifundo ziye zafumanisa ukuba ukubeka iliso lwegazi ketone kusebenza ekunciphiseni ukutyelelwa kweeklasini eziphuthumayo kunye nezibhedlele. Kwakhona kuphucula ixesha lokubuyiselwa kubantu abaphuhlisa i-ketoacidosis yesifo sikashukela. Ukuba unesifo sikashukela, kufuneka uvavanyo lweetononi xa:
- Igazi legazi lakho lingaphezulu kwama-250.
- Uziva ugule.
- Unemiqondiso yokuphelelwa kwamanzi.
- Ukwanda kweetoni zegazi kungabonakalisa ukuba ushukela wegazi lakho liye lahla kakhulu ebusuku.
Funda indlela yokufunda iziphumo zakho ze-ketone kwaye uxoxe nodokotela wakho kwizinga omele ulibize ngalo, eliya kuxhomekeka kwizinto ezithile. Ezi zikhokelo eziqhelekileyo:
- Inqanaba le-0.6 mmol / L ukuya kwi-1.0 mmol / L lijongwa njengeqhelekileyo kubantu abaninzi abanesifo sikashukela.
- Inqanaba eliphakathi kwe-1.0 kunye ne-1.5 mmol / L ngokuqhelekileyo libhekwa njengento apho ubiza ugqirha wakho.
- Umgangatho phakathi kwe-1.5 no-3.0 mmol / L ubonisa umngcipheko we-ketoacidosis. Kufuneka ubize ugqirha wakho ngokukhawuleza.
- Inqanaba elingaphezu kwama-3.0 mmol / L yinkxalabo yonyango. Kufuneka uhambe kwigumbi lexakeka okanye ubize 911.
Uvavanyo lweKetone lweZetogenic Diets
Ukuba unegazi eliqhelekileyo i-glucose, i-ketone yakho yegazi ingaba yinto ephakamileyo ekuseni emva kobusuku bakho busuku. Nangona kunjalo, abaninzi abantu babika ukuba iiketoni zabo ziphakama kwixesha lemihla. Ukuba ufuna ukulandelela i-ketones yakho yegazi imihla ngemihla, ukhetha ixesha elinye lomhla kwaye unamathela kuyo kuya kukunika ukuthelekisa. Ezinye izinto ngaphandle kokutya konke okubangela ukuba ukuguquka kubandakanye ukuzivocavoca kunye nokutya amafutha kunye ne-triglycerides ephakathi, ezifana neoli yonkcocon okanye i-MCT oil. Kwaye, ngokuqinisekileyo, ukutya into (ngokuqhelekileyo ephakamileyo kwi-carbs) ekhuphayo kwi ketosis iya kubangela ukuba inqanaba lakho le-ketone lidibanise.
Indlela yokuchazela iziphumo zeZidlo zeTetogenic
Ukuba unesitsha kwiidlo ze-ketogenic kwaye unomgomo wokutya okunomsoco (rhoqo uchazwe phakathi kwe-0.5 no-3 mmol / L), uyazi ukuba kunokuthatha iiveki ezimbini ukuya kwezine ukuba zihlale ziloluhlu. Ngokuqhelekileyo kuthatha inani elincinci lokuzibamba ukuze ukwazi ukuba unako kwaye ungenakudla, nangenxa yabantu abanobudala be-carb.
Imitha ye-ketone yaqulunqwa ukuze iqaphele abantu abane-diabetes abaxhomekeke kwi-insulin kwiimpawu ze-ketoacidosis eyingozi yesifo sikashukela. Nangona kunjalo, ukuba unalo isifo sikashukela kwaye usetyeni lwe-ketogenic, uyayisebenzisa ngenxa yezizathu ezahlukeneyo. Kule meko, ii-ketoni eziphezulu azikho uphawu lokutya kwegazi ephezulu, azibangelwa ukuphazamiseka kweprothini, kwaye aziyiyo yingozi. Ukuze uthole iinkcukacha ezithe nkcukacha malunga ne-ketosis ye-nutrition, khangela iincwadi zikaJeff Volek noStephen Phinney: "Ubugcisa neNzululwazi yeCarbohydrate Ephilayo" kunye ne "Ubugcisa kunye neSayensi yeNtsebenzo yeCarbohydrate ephantsi."
ILizwi
Ukuba unesifo sikashukela, ukuthatha amanqanaba akho e-ketone anganciphisa umngcipheko wokuhlala esibhedlele kunye neengxaki zesifo sikashukela ezifana ne-ketoacidosis. Xoxa ngee-ketone ukuvavanywa nogqirha wakho. Ukuba awunaso isifo sikashukela, usenokungaqhelani nokusebenzisa i-fingerstick ukuhlolwa kwegazi ekhaya kwaye uya kufuneka ufunde indlela yokwenza ngokuchanekileyo. Xa kuthengwa imitha ye-ketone evunyiweyo ye-FDA, ihla ukuya kukhetho olukhethiweyo kwaye uyifumana kulula ukuyisebenzisa. Njalo ulandele izikhokelo ngokukhawuleza uze uphinde uvavanye ukuba ucinga ukuba wenze iphutha, njengoko kuya kuchaphazela iziphumo.
> Imithombo:
> Klocker A, Phelan J, Twigg S, Craig M. I-β-Hydroxybutyrate nge-Urine Acetoacetate Testing for the Prevention and Management of Ketoacidosis kwi-Type 1 Isifo sikashukela: Uhlolo lokuHlola. Uncedo lwezonyango . 2013. 30 (7): 818-24.
> Misra S, Oliver N. Utility of Ketone Measurement in the Prevention, Diagnosis, and Management of Diabetes Ketoacidosis. Uncedo lwezonyango . 2015. 32 (1): 14-23.
> Paoli, A et al. Ngaphandle kokulahlekelwa kwesisindo: ukuhlaziywa kweendlela zokwelapha ze-low-low-carbohydrate (ketogenic). I-European Journal ye-Clinical Nutrition. Meyi 2014; UEpub ngaphambi kokuprinta. i-doi: 10.1038 / ejcn.2013.116
> I-Volek JS, i-Fenney SD, i-Kossoff E, i-Eberstein JA, uMore J. J. Ubugcisa kunye neSayensi yeCarbohydrate ephantsi Ukuphila: Isikhokelo soLwazi lokuThuthukiswa koLondolozo lweMpilo lwe-Carbohydrate Restriction eqhubekayo kwaye iyavuya . I-Lexington, KY: Ngaphandle kwe-Obesity; 2011.
> I-Volek JS, iiFinney S. Ubugcisa kunye neSayensi yeNtsebenzo yeCarbohydrate engezantsi . Lexington, KY. Ngaphandle kwe-Obesity LLC. 2012.