Matanho Ekutora Kana Yako Oral Chirwere cheshuga Mishonga Inomira Kushanda

Zvemukati

• Tarisa maitiro ako ezuva nezuva
• Wedzera mumwe mushonga
• Tora insulin
• Ramba uchitaurirana nachiremba wako

Yeuka ye metformin yakawedzerwa kuburitswa

Muna Chivabvu 2020, iyo yakakurudzirwa kuti vamwe vanogadzira metformin yakawedzerwa kuburitswa vabvise mamwe mapiritsi avo kubva kumusika weU.S. Izvi zvinodaro nekuti mwero usingagamuchirike wecarcinogen inokonzeresa (kenza-inokonzeresa mumiriri) yakawanikwa mune mamwe akawedzeredzwa-kuburitsa metformin mapiritsi. Kana iwe parizvino uchitora mushonga uyu, fonera wako mupi wezvehutano. Ivo vanozopa zano kana iwe uchifanira kuenderera kutora mishonga yako kana kana iwe uchida mushonga mutsva.

Mishonga yemumuromo inoshanda pakuderedza shuga yeropa apo kudya uye kurovedza muviri hazvina kukwana kubata mhando 2 chirwere cheshuga. Asi izvi zvinodhaka hazvina kukwana - uye hazviwanzoshanda munguva refu. Kunyangwe iwe wanga uchitora mushonga wako sekurairwa nachiremba wako, unogona kusanzwa zvakanaka sezvaunofanirwa.

Chirwere cheshuga chinogona uye chinowanzorega kumira kushanda. About 5 kusvika 10 muzana yevanhu vane type 2 diabetes vanorega kupindura kumushonga wavo gore rega. Kana wako wemuromo chirwere cheshuga mushonga usisiri kushanda, iwe uchafanirwa kuona kuti chii chiri kuchidzivirira kubva mukudzora shuga rako reropa. Ipapo uchafanirwa kuongorora dzimwe sarudzo.

Tarisa maitiro ako ezuva nezuva

Kana mushonga wemuromo weshuga ukamira kushanda, ita musangano nachiremba wako. Ivo vachazoda kuziva kana paine chero chinhu mune yako maitiro zvachinja.

Zvinhu zvakawanda zvinogona kukanganisa mashandisiro anoita mushonga wako - semuenzaniso, kuwedzera uremu, shanduko mukudya kwako kana padanho rekuita, kana chirwere chazvino. Kuita shanduko shoma pane kudya kwako kana kurovedza muviri zvakanyanya zuva rega rega kungave kwakakwana kuti uwane shuga yako yeropa pasi pekutonga zvakare.

Izvo zvinogonawo kuti chirwere chako cheshuga chafambira mberi. Iyo beta maseru mupancreas ako anogadzira insulin anogona kushomeka nekufamba kwenguva. Izvi zvinogona kukusiya uine insulin shoma uye murombo weropa rekudzora shuga.

Dzimwe nguva chiremba wako anogona kutadza kuziva kuti sei mushonga wako wakamira kushanda. Kana mushonga wawanga uchitora usisashande, uchafanirwa kutarisa mimwe mishonga.

Wedzera mumwe mushonga

Metformin (Glucophage) inowanzo kuve mushonga wekutanga waunotora kudzora rudzi rwechipiri chirwere cheshuga. Kana ikamira kushanda, nhanho inotevera ndeyekuwedzera wechipiri wemuromo mushonga.

Iwe une mashoma emuromo echirwere cheshuga mishonga yaunosarudza kubva, uye inoshanda nenzira dzakasiyana.

• Sulfonylureas senge glyburide (Glynase PresTab), glimeperide (Amaryl), uye glipizide (Glucotrol) inokurudzira mapancreas ako kuburitsa yakawanda insulini mushure mekudya.
• Meglitinides kunge repaglinide (Prandin) inokonzeresa pancreas yako kuburitsa insulin mushure mekudya.
• Glucagon-yakaita peptide-1 (GLP-1) receptor agonists senge exenatide (Byetta) uye liratuglide (Victoza) inokurudzira kuburitswa kwe insulin, kudzikisa glucagon kuburitswa, uye kunonoka kubuda kwedumbu rako.
• SGLT2 inhibitors empagliflozin (Jardiance), canagliflozin (Invokana), uye dapaglifozin (Farxiga) yakaderera shuga yeropa nekuita kuti itsvo dzako dzibudise glucose yakawanda weti yako.
• Dipeptidyl peptidase-4 (DPP-4) inhibitors senge sitagliptin (Januvia), linagliptin (Tradjenta), uye saxagliptin (Onglyza) inokurudzira insulin kuburitsa uye kudzikisa glucagon kuburitswa.
• Thiazolidinediones senge pioglitazone (Actos) inobatsira muviri wako kupindura zvirinani kune insulin uye kugadzira shuga shoma.
• Alpha-glucosidase-acarbose uye miglitol inoderedza kuwedzerwa kweshuga.

Unogona kuda inopfuura imwe yemishonga iyi kuti uwane shuga yakanaka muropa. Mamwe mapiritsi anosanganisa mishonga miviri yeshuga mune rimwe, senge glipizide uye metformin (Metaglip), uye saxagliptin uye metformin (Kombiglyze). Kutora piritsi rimwe kunoita kuti kuve nyore dosing uye kunoderedza mikana yaunokanganwa kutora mushonga wako.

Tora insulin

Imwe sarudzo ndeyekuti uwedzere insulin kune yako yemuromo chirwere cheshuga mushonga kana chinja kune insulin. Chiremba wako anogona kukurudzira insulin kurapwa kana yako A1C nhanho - iyo inoratidza shuga yako yeropa kudzora pamwedzi miviri kusvika mitatu yekupedzisira - iri kure kwazvo nechinangwa chako kana uine zviratidzo zveshuga yeropa, senge nyota kana kuneta.

Kutora insulin kuchapa pancreas ako akawandisa zororo. Inogona kubatsira kubata shuga yako yeropa nekukurumidza, uye inofanira kukubatsira kuti unzwe zvirinani.

Insulini inouya mune akati wandei mafomati akasarudzika zvichienderana nezvinhu zvakaita nekukurumidza kwavanoshanda, yavo yepamusoro nguva, uye kuti vanogara kwenguva yakareba sei. Kukurumidza-kuita mhando dzinotanga kushanda nekukurumidza mushure mekudya uye kazhinji dzinopedza kutenderera maawa maviri kusvika mana. Mhando dzenguva refu-dzinowanzo torwa kamwe pazuva uye dzinoshandiswa kudzora shuga yeropa pakati pekudya kana husiku hwese.

Ramba uchitaurirana nachiremba wako

Kuchinjira kumushonga mutsva hazvingagadzirise huwandu hweshuga yeropa rako nekukasira. Iwe ungangoda tweak iyo dosi kana kuyedza mishoma mishonga usati wawana kutonga pamusoro pechirwere cheshuga.

Iwe uchaona chiremba wako kanenge kamwe chete pamwedzi mitatu kuti upfuure neshuga yako yeropa uye mazinga eA1C. Uku kushanya kunobatsira chiremba wako kuona kana mushonga wako wemuromo uri kudzora shuga rako reropa. Kana zvisiri, iwe unofanirwa kuwedzera mumwe mushonga pakurapa kwako kana kushandura mushonga wako.