I-prediabetes ngumqondiso osisilumkiso. Kuthetha ukuba iishukela zegazi lakho ziphakamileyo, kodwa azikho phezulu ngokwaneleyo kodwa ziyafumaneka ukuba unesifo sikashukela.
Ukuva ukuba ukuxilongwa kunokusongela; ukuthini oku kuthetha ikusasa lakho? Ukuba uxelelwe ukuba unama-prediabetes, kubalulekile ukwazi ukuba ungoko lokubaluleka ngokubhekiselele kwimpilo yakho-enye yokuba unokuba nefuthe elikhulu.
Unokuthintela okanye ukulibaziseka ekuhlaleni isifo sikashukela ngokwenza utshintsho lokusebenzisa okungakumbi, ukunciphisa umzimba , kunye nokutya okunempilo. Kodwa-ke, ukutshala imali kule ndlela yokuphila, unokwenza isilinganisi kwaye uholele kwisifo sikashukela kuphela, kodwa isifo senhliziyo kunye nesifo.
Umzimba wakho uvelisa i- insulini ukuvumela ukuba uguqule i-glucose (ushukela ukusuka kwi-carbohydrate) ibe namandla kwaye ugcine inqanaba leswekile kwindawo ephilileyo. I-prediabetes iqala ngokuqala ngenxa yokuba umzimba wakho unqabile kwi-insulin, ikakhulu ngenxa yobunzima obukhulu, ngokukodwa kwindawo yesisu.
Ugqirha wakho unokusebenzisa i-prediabetes ngokucacileyo xa echazela yona, enokungaxilanga i-glucose okanye ukunyamezela kwe-glucose. Oku kuthetha ukuba uneshukela legazi lokuzila ukudla lika-100 mg / dL ukuya ku-125 mg / dL (eliqhelekileyo lingaphantsi kwe-100) kunye / okanye i- hemoglobin yakho ye- A1c (i-average average month of sugar blood) yakho i-5.7 pesenti ukuya kuma-6.4 ekhulwini (eziqhelekileyo zingaphantsi kwama-5.7 ekhulwini).
Ngubani Osemngciphekweni we-Prediabetes?
Kukho izinto ezinobungozi ongakwazi ukuzilawula kunye nabanye ongakwaziyo:
- Ubudala: Njengoko uneminyaka yobudala, i-pancreas yakho ikhathele kwaye ingenza i-insulin encinci, inyuse umngcipheko wokuba nesifo sikashukela.
- Imbali Yentsapho: Ukuba unentsapho yomhlaza wesifo sikashukela, unobungozi obuninzi bokuphuhlisa i-prediabetes, kodwa ukuhlakulela isifo sikashukela esipheleleyo. Umngcipheko wakho uyanda xa unenkqubela yokuphila, ezifana nokutya okubi, ukungasebenzi, ukutshaya, uxinzelelo lwegazi, njl njl.
- Ubuhlanga: Abantu abathile banomngcipheko omkhulu wokuhlakulela i-prediabetes nesifo sikashukela. Ezi ziquka iLatinos, amaNdiya aseMerika, amaPacific Islands, ama-Asia aseMerika kunye nabangabemi baseSpeyin.
- Imbali yeSifo Sikashukela : Ukuba unesifo sikashukela (isifo sikashukela esivela xa ukhulelwe) oku kunokunyusa umngcipheko wokuba nesifo sikashukela.
- I-Belly Fat kunye / okanye Ubunzima: Ukuba uthetha ubuninzi bobunzima bakho kwisisu sakho, usengozini enkulu yokwenza i-prediabetes. Isizathu kukuba i-fatly fat, ebizwa ngokuthi "i-fatcer visceral" ikhulisa ukukhululwa kwamafutha e-free acids, anokunyusa ukuxhatshazwa kwe-insulin. Ukongeza, i-fatly belly inokunyusa ingozi yesifo senhliziyo, kunye ne-cholesterol ephakamileyo, uxinzelelo lwegazi kunye ne-triglycerides. Ukunyanyiswa kukubangela ingozi enkulu ekuphuhliseni isifo sikashukela ngesizathu esifanayo (ngaphezulu nangaphezulu apha).
- Indlela yokuphila: Ukuzivocavoca kunceda umzimba wakho ukusebenzisa i-insulin. I-insulin yi-hormone ethatha i-glucose egazini ukuya kwiiseli zokusebenzisa amandla. Ukuphila kwindlela yokuphila kungakhokelela ekukhuseni i-insulin.
Uhlobo Lwenene Lokwenza Ubungakanani Kwezinto Eziphambi Kwe-Prediabetes?
Ubutyebi budlala indima enkulu ekuphuhliseni i-prediabetes nesifo sikashukela kuba amaninzi amaninzi anokukhokelela ekukhuseni kwe-insulin.
Ukuxhatshazwa kwe-insulin yintlupheko apho iiseli ngokuyinhloko ngaphakathi kwezihlunu, isibindi, kunye namafutha amaninzi ayisebenzisi kakuhle i-insulin. Abantu abane-prediabetes okanye isifo sikashukela basakwazi ukuvelisa i-insulin, kodwa abanako ukusebenzisa i-insulin ngendlela umzimba kufuneka ngayo. Ngenxa yoko, umzimba uyaqhubeka ukwenza i-insulin ngaphezulu, becinga ukuba uyayidinga.
I-pancreas iyasebenza ngokugqithiseleyo kwaye, ngokuhamba kwexesha, ilahlekelwa yikhono lokwenza umlinganiselo ofanayo we-insulin. Iiseli azixhatshali kwi-insulin eyenziwa. Kwaye ukuba akukho tshintsho eyenziwa-ukuba umntu akaphuli umzimba, unciphisa i-carbohydrate, okanye asebenzise okungaphezulu-iishukela zegazi ziya kuphakama ngakumbi, okubangelwa isifo sikashukela.
Ngaba Zikhona Iimpawu Zesixwayiso se-Prediabetes?
Ngokuqhelekileyo, akukho zilumkiso ze-prediabetes. Unokuziva unxinekile okanye ujikeleza ngokuphindaphindiweyo, kodwa ngokuqhelekileyo uya kuziva uhlukile kwaye ubonisa ukuba ukhathala kwakho ukungahlali kakuhle okanye ukungasebenzi. Khumbula, nokuba kunjalo: Ngokuthatha isenzo-ukulahlekelwa isisindo, ukutya ukutya okunempilo, nokufudukela ngaphezulu- unokulibazisa okanye ukukhusela isifo sikashukela.
Ngubani omele ahlolwe i-Prediabetes? Uxilongwa njani?
Ngokwe-American Diabetes Association, naliphi na umntu onolu hlobo lulandelayo kufuneka ahlolwe isifo sikashukela:
- Bonke abantu abadala abakhulu kakhulu nge-BMI> 25kg / m2; Ukunqunyulwa kwe-BMI kwabase-Asia baseMelika baphantsi (23kg / m2).
- Ubuninzi bezinto ezinobungozi obongezelelweyo njengesiqhelo sokuqala nesifo sikashukela; uhlanga oluphezulu / ubume; A1c 5.7%; ukungakwazi ukunyamezela i-glucose ukunyamezela okanye ukungakwazi ukuzila ukudla kwe-glucose; izinga eliphantsi lokungasebenzi; Umfutho wegazi ophezulu ngexinzelelo legazi elikhulu kunokuba lilingane (140/90); I-HDL ngaphantsi kwama-35 okanye i-triglyceride level 250 mg / dL; isifo sikashukela; I-polycystic ovarian syndrome; okanye ezinye iimeko zekliniki ezinxulumene nokuxhatshazwa kwe-insulin (ukunyanya kakhulu, i- acanthosis nigricians , imbali yesifo senhliziyo).
- Abantwana kunye nabaselula abaswele ngokweqile kwaye banezinto ezimbini ezinobungozi obongeziweyo (jonga ngasentla).
- Nabani na oneminyaka engaphezu kweminyaka engama-45 ubudala: Ukuba iziphumo ziqhelekileyo, uvavanyo kufuneka luphindwe ngokuphindaphindiweyo ubuncinane beeminyaka emithathu, ngokuqwalasela ukuvavanywa rhoqo ngokuxhomekeka kwiziphumo zokuqala (umzekelo, abo abane-prediabetes kufuneka bavavanywe ngonyaka).
Oogqirha banokuxilonga i-prediabetes ngendlela efanayo yokuxilongwa kwesifo sikashukela: ngokusebenzisa ukuhlolwa kweeshukela egazini (apho ungadli nantoni kwiiyure ezisibhozo), uvavanyo lwe -plasma ye-glucose yeeyure ezimbini , okanye uvavanyo lwegazi olulinganisa i-A1c ( akufuneki ukuzila ukudlala kule vavanyo).
Ngaba Unokuvimbela i-Prediabetes?
Ukuba ungumntu onentsapho yesifo sikashukela, akukho mpendulo ecacileyo malunga nokuba ungayikhusela i-prediabetes okanye awuyiyo. Izibizo, ukuba ugcina ubunzima obunempilo; ukusetyenziswa; udle ukutya okunokulinganisela okucebile kwimifuno, iprotheni ephilileyo, amafutha enempilo kunye ne-carbohydrates ecebileyo yefiber, onokukwazi ukukhusela kunye / okanye ngokuqinisekileyo ulibazise i-prediabetes. Njengoko mhlawumbi sele uqokelele, ukuguqulwa kwendlela yokuphila kudlala indima enkulu ekukhuseleni.
Into onokuyenza Xa sele uxelelwe ukuba unayo i-Prediabetes
- Ukunciphisa Ubunzima: Izifundo zibonise ukuba ukulahleka kwesisindo esincinane-ama-5 ekhulwini ukuya kuma-7 ekhulwini kwisisindo somzimba wakho kunokuthintela okanye ukulibazise ukuqhubela phambili kwesifo sikashukela. Umzekelo, ukuba ungumntu olinganisa iipounds ezingama-200, ukulahlekelwa iipounds ezili-10 kunokunciphisa umngcipheko wokuba nesifo sikashukela.
- Ukunciphisa I-Carbohydrates Intake: I- carbohydrate yinto enezondlo ezichaphazela ushukela wegazi kakhulu. Unokunciphisa iishukela zegazi kunye nokwehlisa isisindo ngokutya ama-carbs ambalwa. Gwema i-carbohydrates ecocekileyo, njengento yesonka esimhlophe, i-pasta, irayisi kunye nokutya okuninzi. Ukuphelisa ijusi kunye nezinye iziphuzo eziphuculweyo, kwaye ukwandisa ukutya kwakho kwemifuno engekho-starchy.
- Yidla isidlo saseMedithera: Ukutya kweMedithera kukutya okucebile kwiziqhamo, imifuno, kwaye kubaluleke kakhulu, amafutha enempilo, njengamantongomane, imbewu kunye neoli yeoli. Ezinye iingcaphephe zibonisa ukuba umgangatho weoli owudlayo ubaluleke ngaphezu kokubakho kwamafutha. Mhlawumbi yile nto ezinye izifundo zibonise ubudlelwane kunye nokutya ukutya kweMedithera kunye nokukhusela uhlobo lwesifo sikashukela.
- Ukuzivocavoca: Umsebenzi wezobugcisa awunceda nje ukugcina ubunzima bakho kwisheke, kodwa kunokukunceda ukuba usebenzise i-insulin engcono. I-insulin ivumela iiseli zakho ukuba zisebenzise ishukela (i-glucose), nto leyo eyenqabela ukuba yakhiwe kwigazi. Ukwandisa umsebenzi wakho womzimba kunokunceda ukunqanda umngcipheko wesifo sikashukela ngesigamu.
ILizwi
Ukuxilongwa kwe-prediabetes ngokungathandabuzekiyo ngokubhekiselele, kodwa sikhuthaza ukuba usebenzise olu phefumlelweyo ukuba utshintshe nayiphi na imimiselo yokuphila kwakho enokuphazamisa impilo yakho. Ukutya okunempilo, ukunciphisa umzimba kunye nokusebenzisa okungaphezulu akuyikukwenza impilo enokukhusela ingozi yakho yezifo, kuya kukwandisa amanqanaba akho omandla, kukunceda ulale ngokubhetele kwaye uphucule indlela ovakalelwa ngayo. Unokutshintsha ubomi bakho kube ngcono.
> Imithombo:
> I-American Diabetes Association. ImiGangatho yoLondolozo lwezoNyango kwiSwekile. http://care.diabetesjournals.org/content/39/Supplement_1 Kufikelele ngoJulayi 12, 2016.
> I-American Diabetes Association. Izibalo NgeSwekile. http://www.diabetes.org/diabetes-basics/statistics/. Kufike ngoJulayi 11, 2016.
> Bansal, Nidhi. I-Prediabetes Diagnosis and Treatment. Umbhalo Wehlabathi WeSwekile. 2015; 6 (2): 296-303. i-doi: 10.4239 / wjd.v6.i2.296.
> UBusko, uMarlene. Ukutya okunamafutha aphezulu kakhulu ekukhuselweni kwesifo sikashukela kwi-Obesity-prone. Medscape. http://www.medscape.com/viewarticle/865525?src=wnl_mdplsnews_160701_mscpedit_wir&uac=86320AJ&impID=1144673&faf=1 Kufumaneka ngoJulayi 10, 2016.
> Iziko loLawulo lweZifo. Iinkcukacha zajikelele. http://www.cdc.gov/diabetes/pdfs/data/2014-report-generalinformation.pdf. Kufikelele ngoJulayi 10, 2016.