Prediabetes

Prediabetes inoitika kana huwandu hweshuga (glucose) muropa rako hwanyanya, asi kwete hwakawanda zvakakwana kunzi chirwere cheshuga.

Kana iwe uine prediabetes, iwe uri panjodzi yakanyanya kukura yekuita rudzi rwechipiri chirwere cheshuga mukati memakore gumi. Izvo zvinowedzerawo njodzi yako yechirwere chemwoyo uye sitiroko.

Kurasikirwa nehuremu hwakawandisa uye kugara uchirovedza muviri kazhinji kunogona kumisa prediabetes kubva pakuva rudzi rwechipiri chirwere cheshuga.

Muviri wako unowana simba kubva paglucose muropa rako. Hormone inonzi insulin inobatsira masero ari mumuviri wako kushandisa glucose. Kana iwe uine prediabetes, maitiro aya haashande zvakare. Glucose inovaka muropa rako. Kana iwo matanho akakwira zvakakwana, zvinoreva kuti iwe wakagadzira mhando 2 chirwere cheshuga.

Kana iwe uri panjodzi yechirwere cheshuga, wako wekuchengeta hutano anozoongorora shuga rako reropa uchishandisa imwe kana yakawanda yeanotevera bvunzo. Chero ipi yeiyi inotevera miedzo bvunzo inoratidza prediabetes:

• Kutsanya glucose yeropa zana kusvika 125 mg / dL (inonzi isina simba kutsanya glucose)
• Ropa glucose ye140 kusvika 199 mg / dL maawa maviri mushure mekutora 75 magiramu eglucose (inonzi isina kusimba glucose kushivirira)
• A1C chikamu che5.7% kusvika 6.4%

Kuva nechirwere cheshuga kunowedzera njodzi kune mamwe matambudziko ehutano. Izvi zvinodaro nekuti huwandu hweglucose muropa hunogona kukuvadza tsinga dzeropa netsinga. Izvi zvinogona kutungamira kuchirwere chemwoyo uye sitiroko. Kana iwe uine prediabetes, kukuvara kunogona kunge kuri kutoitika mumidziyo yako yeropa.

Kuve ne prediabetes kukaka-kumuka kwekutora matanho ekuvandudza hutano hwako.

Wako mupi achataura newe nezve mamiriro ako uye njodzi dzako kubva kune prediabetes. Kuti ikubatsire kudzivirira chirwere cheshuga, mupi wako angangodaro ataure mamwe maitiro ehupenyu:

• Idya zvekudya zvine hutano. Izvi zvinosanganisira zviyo zvakakwana, mapuroteni akaonda, mukaka une mafuta mashoma, uye michero yakawanda nemiriwo. Tarisa zvikamu zvemazana uye dzivirira zviwitsi uye chikafu chakakangwa.
• Deredza uremu. Kungoderedza uremu hudiki kunogona kuita mutsauko mukuru muhutano hwako. Semuenzaniso, mupi wako anogona kuratidza kuti iwe unorasikirwa nezve 5% kusvika 7% yehuremu hwemuviri wako. Saka, kana iwe ukayera mazana maviri emakirogiramu (90 kilograms), kurasikirwa ne7% chinangwa chako chinenge chiri chekurasa anenge gumi nemana mapaundi (6.3 kilograms). Mupiki wako anogona kupa zano rekudya, kana iwe unogona kujoina chirongwa chekukubatsira iwe kuonda.
• Wana mamwe maekisesaizi. Vavarira kuwana kanokwana maminitsi makumi matatu kusvika makumi matanhatu ekurovedza muviri zvine mwero mazuva mashanu pavhiki. Izvi zvinogona kusanganisira kufamba nekukurumidza, kuchovha bhasikoro rako, kana kushambira. Iwe unogona zvakare kuputsa kurovedza muviri muzvikamu zvidiki mukati mezuva rese. Tora masitepisi pane erevheta. Kunyangwe zvidiki zvechiitiko zvinoverengera kune chako chinangwa chevhiki.
• Tora mishonga sekurairwa. Wako mupi anogona kuraira metformin kuti uderedze mukana wekuti prediabetes yako ienderere mberi kuita chirwere cheshuga. Zvichienderana nezvako zvimwe zvinenjodzi zvehosha yemwoyo, mupi wako anogona zvakare kuraira mishonga yekudzikisa yako cholesterol yemuropa kana BP.

Iwe haugone kutaura kuti une prediabetes nekuti haina zviratidzo. Nzira chete yekuziva ndeyekuongororwa kweropa. Mupiki wako anozoongorora shuga yako yeropa kana uri mungozi yechirwere cheshuga. Izvo zvinokonzerwa nenjodzi yea prediabetes zvakafanana neiya yerudzi rwechipiri chirwere cheshuga.

Iwe unofanirwa kuongororwa preiabetes kana iwe uine zera makumi mashanu nemashanu kana kupfuura. Kana iwe uri mudiki pane makumi mana nemashanu, unofanirwa kuongororwa kana iwe uri wakanyanya kufuta kana kufutisa uye uine imwe kana zvimwe zvezvinhu izvi zvine njodzi.

• Yakamboitwa bvunzo yeshuga inoratidza njodzi yeshuga
• Mubereki, munin'ina, kana mwana ane nhoroondo yechirwere cheshuga
• Hupenyu husina basa uye kushomeka kwekurovedza muviri
• African American, Hispanic / Latin American, American Indian uye Alaska Native, Asia American, kana Pacific Islander dzinza
• Kuwedzera kweropa (140/90 mm Hg kana kumusoro)
• Yakadzika HDL (yakanaka) cholesterol kana yakakwira triglycerides
• Nhoroondo yechirwere chemwoyo
• Nhoroondo yeshuga panguva yekuzvitakura (gestational chirwere cheshuga)
• Mamiriro ehutano ane hukama ne insulin kudzivisa (polycystic ovary syndrome, acanthosis nigricans, kufutisa kwakanyanya)

Kana zvabuda zvako zveropa zvichiratidza kuti une prediabetes, mupi wako anogona kupa zano rekuti udzokororwe kamwe pagore. Kana zvawanikwa zvikajairika, mupi wako anogona kupa zano kudzoserwa makore ese matatu.

Kusagadzikana kwekutsanya glucose - prediabetes; Kusagadzikana glucose kushivirira - prediabetes

• Chirwere cheshuga njodzi

American Chirwere cheshuga Association. Maitiro ekurapwa mune cheshuga - 2020. Chirwere cheshuga. 2020; 43 (Suppl 1): S77-S88. hanya.diabetesjournals.org/content/43/Supplement_1/S77.

Kahn CR, Ferris HA, O'Neill BT. Pathophysiology yerudzi rwechipiri chirwere cheshuga mellitus. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 34.

Siu AL; US Yekudzivirira Services Task Force. Kuongororwa kweshuga yeropa glucose uye mhando 2 chirwere cheshuga mellitus: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2015; 163 (11): 861-868. PMID: 26501513 www.ncbi.nlm.nih.gov/pubmed/26501513.

• Prediabetes