Hurumende yeType 2 Chirwere cheshuga: Kana Hutano Hwakave Yakazara-Nguva Jobho

Zvemukati

• Ongororo huru yekutsvaga
• Mararamiro emararamiro uye kubudirira
• Basa rinorema
• Dambudziko rinoshamisa
• Nyaya dzekubudirira
• Zvizvarwa uye zvevakadzi zvinopatsanurwa
• Manzwiro asina kunaka
• Maonero akanaka
• Kukanganiswa kunetseka
• Nyanzvi kushomeka
• Mari maringe nehutano
• Basa rerudzi rwechipiri chirwere cheshuga
• Mararamiro ebasa
• Kurema uye kushorwa
• Kushungurudzika uye kuneta
• Zvizvarwa uye zvevakadzi zvinopatsanurwa
• Zvizvarwa zvikanganiso
• Gender kupatsanura
• Kunetseka nezvekurapa uye sarudzo
• Matambudziko
• Kurara
• Metabolic kuvhiya
• Kuwana kutarisira
• Mutengo wekutarisira
• Iyo yekumuka-yekufona
• Kuongorora kwechiremba uye kubvunza
• Edhisheni uye vatsvagiri vanopa

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Kudzika kwakadzama mune rudzi rwechipiri chirwere cheshuga

Kana type 2 chirwere cheshuga isiri mupfungwa dzedu, inofanira kunge iri. United States ndiro rakasimukira-guta guru rechirwere. Pedyo nevaAmerican vangave vane mhando 2 chirwere cheshuga kana yavo yepamberi mamiriro, prediabetes. Inoita 1 yemadhora manomwe atinoshandisa pakurapa, maererano neAmerican Diabetes Association. Uye zvinowedzera kukanganisa zviuru zvemamirioni.

Ongororo dzakawanda dzakaitwa pazvinhu zvakasiyana siyana zverudzi rwechipiri chirwere cheshuga: marapirwo anoshanda sei, ndiani anonyanya kubatwa, uye nemabasa anoita kudya, kurovedza muviri, kushushikana, uye kurara kutamba. Healthline akafunga kupinza zvakadzama mupasi rino nekutarisa kune zvezuva nezuva zviitiko uye manzwiro evanhu vanogara nemamiriro asingatombovape zuva rekuzorora.

Sei vanhu vane mhando 2 chirwere cheshuga vachigadzirisa mamiriro acho? Vanogona here kutarisira hutano uye mararamiro ehupenyu? Ko kuongororwa kunochinja sei mafungiro avo uye nezveramangwana? Ndiani anovabatsira? Uye mhinduro dzemibvunzo iyi dzinosiyana pakati pezvizvarwa here? Iyi ndiyo mibvunzo yakakosha isinganzverwe nezvakawanda zvidzidzo sezvataizoda.

Kuti uwane mhinduro, Healthline akarayira kuongororwa kwevanhu vanopfuura chiuru nemazana mashanu vane chirwere cheshuga chechipiri. Takabvunza zviuru zvemamirioni, Gen Xers, uye vana vacheche kuti vatiudze nezve maonero avo, kunetseka, uye zviitiko. Zvino, kuti tiise zvatawana mumaonero, takataura nevanhu vanorarama nemamiriro acho uye nyanzvi dzekurapa vane ruzivo rwekurapa.

Vamwe vanhu vaizviti vari kubudirira nechirwere cheshuga cheshuga, vamwewo vachiti vari kunetsekana. Vazhinji vazhinji vane hanya nematambudziko akakomba emamiriro acho, sekuona kurasikirwa kana kushaya moyo. Vanhu vazhinji, vatove vakabatikana nemabasa uye mhuri, zvinowana zvakaoma kubata nebasa rekugadzirisa chirwere - icho chakanzi nemumwe nyanzvi "basa renguva yakazara." Nhamba dzakakura dzinonetsekana zvakanyanya nezvekuti vachazokwanisa here kurapwa kwavanoda.

Vanonetseka kurara.

Uye zvakadaro, vanhu vazhinji vane chirwere cheshuga chechipiri vakabudirira mukuchinja kukuru muhupenyu hwavo - kudya zvirinani, kurovedza muviri zvakanyanya - uye kuona kwavo kuongororwa sezuva ravakamuka ndokutanga kutarisisa hutano hwavo.

Ongororo huru yekutsvaga

Healthline's State of Type 2 Chirwere cheshuga yakaongorora matambudziko emanzwiro emamiriro acho, yakaratidza kusaenzana kwakanyanya pakati pezvizvarwa, uye yakaongorora zvinonetsa zvevanhu zvakanyanya.

Heino mufananidzo wezviwanikwa zvakakosha:

Mararamiro emararamiro uye kubudirira

Basa rinorema

Kurera huremu idambudziko guru. Vanopfuura zvikamu zviviri kubva muzvitatu zveavo vane chirwere cheshuga chechipiri vakati huwandu hwavo hwazvino hunokanganisa hutano hwavo. Vanenge hafu vakaedza kudzikisa huremu kakawanda, pasina kubudirira kwenguva refu. Panguva imwecheteyo, vanopfuura makumi mana muzana vakataura kuti havawanzo kuita muviri wakaringana kutsemura ziya.

Dambudziko rinoshamisa

Rimwe rematambudziko makuru rakataurwa rinogona kukushamisa: vanhu vazhinji vane chirwere cheshuga cheshuga - 55 muzana - vanotambura kurara zvakakwana usiku.

Nyaya dzekubudirira

Kune vamwe vanhu, kuongororwa kwerudzi rwechipiri chirwere cheshuga kunogona kunzwa sekumutswa-kumusoro kwekudaidzira kutanga hupenyu hune hutano. Vanhu vazhinji vakataura kuti kuongororwa kwavo kwakavatungamira ku:

• idya zvine hutano (78 muzana)
• gadzirisa huremu hwavo zvirinani (56 muzana)
• kunwa doro shoma (25 muzana)

Zvizvarwa uye zvevakadzi zvinopatsanurwa

Vechidiki vanhu vane nguva yakaoma kupfuura vanhu vakuru vane matambudziko emanzwiro uye emari erudzi rwechipiri chirwere cheshuga. Pachine chinyadzo chakabatanidzwa nemamiriro acho - uye zviuru zvemamirioni zvinotakura zvakanyanya.

• Inenge hafu yemireniyoni yakaongororwa, uye chinenge chikamu chimwe muzvitatu chaGen Xers, vanonzi vakavanza mamiriro avo nekunetseka nezve izvo vamwe vanofunga.
• Nezve iyo yakafanana nhamba yakashumwa kunzwa zvakashata kutongwa nevamwe vatapi vezvehutano.
• Mutengo unodzivirira anopfuura makumi mana muzana ezviuru zvemireniyoni kubva kugara uchitevera kurapa kwachiremba kurapa.

Kune zvakare kupatsanurana pakati pevakadzi: vakadzi vane mukana wakanyanya kupfuura varume kutaura kuti vanoisa zvido zvevamwe pamberi pavo, uye vanosangana nematambudziko akawanda vachienzanisa zvido zvavo zvekuzvitarisira nemamwe mabasa.

Manzwiro asina kunaka

Kurarama nechirwere cheshuga chechipiri ibasa rakaoma, rinowanzo kuwedzerwa nekushushikana. Mhedziso ina dzakajairika dzisina kunaka dzakataurwa nevanhu dzaive:

• kupera simba
• kunetseka pamusoro pezvinetso
• kunetseka pamusoro pemari yemari
• mhosva yekusagadzirisa mamiriro acho zvakanaka

Zvakare, ruzhinji rwakati rwunonzwa sekunge vakundikana kana mhedzisiro yeA1C bvunzo yakanyanya kukwirira.

Maonero akanaka

Kunyangwe vanhu vazhinji vaine manzwiro asina kunaka, vazhinji vatori vechikamu veongororo vakaratidza pfungwa yekupa simba uye vakaratidza kuti vaigara vachinzwa:

• kufarira kutsvaga nzira nyowani dzekugadzirisa mamiriro acho
• kuziva
• kuzviriritira
• kuzvigamuchira

Vazhinji vakataurawo manzwiro esimba, kusimba, uye tariro.

Kukanganiswa kunetseka

Vanhu vane rudzi rwechipiri chirwere cheshuga vanonyatsoziva nezvekurapa kunogona kuperekedza mamiriro acho: zvikamu zviviri kubva muzvitatu zvakataura kunetsekana nezve zvese zvakakomba matambudziko. Kunetseka kukuru? Bofu, kukuvara kwemitsipa, chirwere chemwoyo, hosha yeitsvo, sitiroko, uye kudimburwa.

Nyanzvi kushomeka

Zvinopfuura makumi matanhatu muzana zvevatori vechikamu veongororo havana kumboona endocrinologist kana mudzidzisi ane chirwere cheshuga, uye vazhinji havana kumbobvunza chiremba wezvekudya. Izvo zvinoenderana nekutsvagisa kunoratidza kwevanyanzvi vane hunyanzvi hwerudzi rwechipiri chirwere cheshuga - dambudziko riri kuramba richiwedzera.

Mari maringe nehutano

Chirwere cheshuga chirwere chinodhura. Vanoda kusvika makumi mana kubva muzana evatori vechikamu veongororo vanonetseka nezve kugona kwavo kuwana kurapwa mune ramangwana.

Healthline's State of Type 2 Chirwere cheshuga ongororo yekutanga uye data zvinogona kupihwa kune vezvenhau vezvenhau uye vatsvagiri nekukumbira. Zvese zvakataurwa ongororo yekuenzanisa zviyero zvakaedzwa kuti zvikosheswe pane makumi mapfumbamwe muzana ezinga rekuvimba.

Basa rerudzi rwechipiri chirwere cheshuga

Kurarama ne type 2 chirwere cheshuga kunogona kunzwa kunge izere-basa. Padanho rekutanga, ichi chirwere chisingaperi chinokanganisa mashandiro anoita muviri muviri shuga, inova sosi yakakosha yemafuta. Kupfuura vazhinji, vanhu vane chirwere cheshuga chechipiri vanofanirwa kudya nenzira dzinowedzera hutano hwavo, kurovedza muviri nguva dzose, uye nekuita mamwe mararamire ane hutano zuva rega rega. Pamusoro pezvo, ivo vanofanirwa kuongorora mashuga eropa ravo. Vazhinji vanonwa mishonga zuva nezuva.

Kunyangwe mhando 1 uye mhando 2 chirwere cheshuga chakasiyana munzira dzakakosha, zvese zvinosanganisira matambudziko ane insulin, hormone inodzora kufamba kweshuga mumasero emuviri. Kana muviri ukasaburitsa insulin, kana kumira kuushandisa zvinobudirira, shuga inowedzera muropa uye inokonzera mamiriro anonzi hyperglycemia. Mumatanho ekutanga, iyi shuga yakakwira muropa inokonzeresa zviratidzo zvisingaonekwe, senge nyota uye kugara uchiita weti. Kana ikasamiswa, inogona kukuvadza tsinga dzeropa, tsinga, maziso, itsvo uye nemoyo.

Mimwe mishonga yeshuga inosimudzira njodzi ye hypoglycemia, kana shuga yakadzika yeropa. Aya mamiriro anogona kukonzera matambudziko akakomba, kusanganisira kurasikirwa kwekuziva kana kunyangwe rufu.

Nyora 2 chirwere cheshuga chinokura kana muviri ukava unodzivirira insulin - zvichireva kuti iyo hormone haina kushandiswa zvinobudirira - kana kuti haina kuburitsa insulin yakakwana kuchengetedza shuga yeropa mukati mechinhanho chakatarwa. Izvo zvinopesana nerudzi rwekutanga chirwere cheshuga, chinova chirwere che autoimmune chinomisa kugadzirwa kwe insulin. Type 1 chirwere cheshuga inowanzo kukura mukati memavhiki, kazhinji muvana kana vakuru vechidiki.

Mukupesana, rudzi rwechipiri chirwere cheshuga chinowanzo kukura zvishoma nezvishoma. Vanhu vanogona kuenda makore vasingazive kuti vanayo. Kuti vazvitungamirire, vanachiremba vanowanzo kurudzira kuongorora kweshuga muropa, shanduko yemararamiro, uye mishonga yemukanwa yezuva nezuva. Mune zvimwe zviitiko, kurapwa ne insulin kunodiwa. Zvichienderana nemuviri mass index (BMI) uye zvimwe zvinhu, vanachiremba vanogona kukurudzira kuvhiya uremu. Sekureva kweNational Institutes of Health, yakakwira BMI yakabatana ne insulin kudzivisa.

Izvo zvakapusa zvakapusa - kunyange zvinokuvadza - kudaidza rudzi rwechipiri chirwere cheshuga "chirwere chehupenyu." Hapana munhu ane mhosva yekukudziridza. Chikonzero chaicho hachizivikanwi. Zvese zviri zviviri magene uye zvakatipoteredza zvinogona kuita basa, inoshuma iyo Mayo Clinic. Nhoroondo yemhuri inoisa vanhu panjodzi huru. Mamwe madzinza kana madzinza, senge maAfrican-maAmerican, maNative America, nemaLatinos, vari munjodzi yekuwedzera. Chirwere ichi chinowanzoitika kune vanhu vakura kupfuura makumi mana, asi chinowedzera kubata vechidiki.

Hazvina mhosva kana ichinge yatanga kuongororwa, rudzi rwechipiri chirwere cheshuga chinochinja hupenyu hwevanhu zvisingaite. Kazhinji kushanya kwechiremba uye bvunzo kuti uone mashuga eropa zvinokurudzirwa. Vanhu vazhinji vanoisa zvekudya uye zvekurovedza muviri zvinangwa. Ivo vangangoda kugadzirisa njodzi njodzi yezvinetso zvakare, senge yakakwira BP kana cholesterol mazinga.

Kudzidza kuderedza kushushikana kwakakoshawo. Kushushikana kwepfungwa kunogona kusimudza huwandu hweshuga yeropa - uye kurarama nechirwere cheshuga cheshuga kunogona kunetsa. Zvinotora kushanda nesimba kuti utore hupenyu hwezuva nezuva nezvinodiwa zveyakaomarara mamiriro.

Lifestyle inokanganisa njodzi uye kuomarara kwerudzi rwechipiri chirwere cheshuga, uyezve, mamiriro acho anogona kushandura mararamiro emunhu. Ndosaka kuongororwa kweHealthline kwakanangana nekuti vanhu vane chirwere cheshuga chechipiri vanobata sei zuva nezuva uye manzwiro avanoita nezvechirwere chechirwere pahupenyu hwavo.

Mararamiro ebasa

Ongororo yeHealthline yakawana kuti vanhu vakuru vazhinji - kunyanya vakuru - vanonzwa zvakanaka nezve maitiro avari kuita rudzi rwechipiri chirwere cheshuga. Vazhinji zvikuru vakati ivo vanotsigirwa zvakanaka nevadiwa. Vanopfuura hafu vanonzi vanonzwa kuve neruzivo, kuzvimirira, kana kugadzikana zuva nezuva kana vhiki nevhiki. Kutevera kuongororwa kwavo, vazhinji vakati vakatanga kudya zvine hutano, kurovedza muviri zvakanyanya, uye kugadzirisa huremu hwavo zvirinani.

Asi pane parutivi divi kumufananidzo iwoyo wezuva. Zvikamu zviviri kubva muzvitatu zvevatori vechikamu veongororo vakati huremu hwavo hwazvino hunokanganisa hutano hwavo. Vanopfuura makumi mana muzana vakati havawanzo kurovedza muviri zvakaomarara zvekuti vangabuda ziya. Uye vane hushoma vashoma - kunyanya vadiki vakuru - vanonzi vanonzwa kuneta, kunetseka, kana kuzvipa mhosva nezve maitiro avanoita mamiriro acho.

Mhedzisiro iyi ingaite kunge inopesana, asi rudzi rwechipiri chirwere cheshuga mamiriro akaoma. Iye munhu asingawanzo anokwanisa kuteedzera kwese kwachiremba zvirevo zvake kuna T. Ndosaka zvakakosha kuti ugare uri wechokwadi. Kugadzirisa chirwere chiito chekuyera: diki diki rechokoreti kamwechete mune imwe nguva zvakanaka, asi bhisikiti remambo rakakura mazuva ese harisi.

"Uri kusangana nevanhu kwavari, uye urikuvabatsira kuti vasarudze mararamiro echokwadi," akadaro Laura Cipullo, RD, CDE, uyo akanyora bhuku "Mazuva ese Diabetes Meals: Cooking for One or Two." Mukuita kwake, anobatsira vanhu kuti vatarise pane shanduko dzenguva refu, kwete kugadzirisa nekukurumidza.

Asi kunyangwe vanhu vanozvipira kuchinja maitiro avo vanogona kuwana kwavo kuedza kuchiratidzwa neapo neapo zuva rekuzvarwa, kuzvipira kwebasa, kana zvinhu zvisingakwanisike.

"Pandakabatwa chirwere, ndaive nemapaundi makumi mana nemashanu zvinorema kupfuura zvandiri izvozvi," akadaro Shelby Kinnaird, munyori weblog blog Diabetic Foodie uye bhuku "Iyo Pocket Carbohydrate Counter Nongedzo yeshuga."

Kunyangwe akachengeta huremu, purogiramu yake yekufambisa yakabatikana inoita kuti kurovedza muviri zuva nezuva kuve kwakaoma. Munguva pfupi yapfuura, anga achisangana ne "chiitiko chemambakwedza," zvinoreva shuga yemuropa yakakwira inokonzerwa nekuwedzera kwemahomoni. Parizvino, haasati awana mhinduro yenguva refu. “Zvese zvandakaedza hazvishande zvinowirirana. "Ndiro dambudziko guru randiri kusangana naro panguva ino."

Saizvozvo, Cindy Campaniello, mutungamiri weRochester, NY, chitsauko cheboka rekutsigira DiabetesSisters, anoshanda nesimba kuyananisa zvinodikanwa zvekutarisira mhando 2 chirwere cheshuga nemabasa ehupenyu hwakabatikana. Kuedza kugara pachikafu chakati "kunotyisa," akadaro, kwete nekuti chikafu hachinakidze asi nekuda kwenguva inotora kuronga nekugadzira chikafu.

"Unoziva, tine hupenyu," akadaro Campaniello. Akaudza Healthline nezvezvinetso zvekurera vakomana vaviri vanoshingaira vachigadzira chikafu chine hutano nemapuroteni, zvigadzirwa zvitsva, uye zvine makabhohaidhiretsi mashoma. "Iwe haugone kuti kuvana vako, 'Tichava naMcDonald's manheru ano,'" akatsanangura kudaro. "Haugone kushanda nechirwere cheshuga nekuwana chikafu chakashandurwa pakudya kwako kwemasikati."

Kurema uye kushorwa

Kunyangwe nekuyedza kwavakadurura mukuita shanduko ine hutano, padyo nehafu yevatori vechikamu muongororo yeHealthline vakati manejimendi manejimendi anoramba ari dambudziko hombe: vakaedza kudzikisa huremu kakawanda vasina kubudirira kwenguva refu.

Dr.Samuel Hafida, chiremba wezvekupedzisira paJoslin Diabetes Center muBoston, akaudza Healthline kuti paavhareji, vanhu vaanorapa vakaedza matatu kana anopfuura mafashoni. "Hakuchina chirwere cheshuga chisinga sanganise kudya zvine hutano uye kuita zvekuita muviri," akadaro, asi zano rekudya zvine mutsigo rinogona kutsausa vanhu. "Kune zvakawanda zvisiri izvo kunze uko."

Ndicho chimwe chezvikonzero nei zvachose kuonda kunonzvenga vakawanda. Chimwe ndechekuti vanhu vakasangana nematambudziko ehuremu vangangotadza kupindira kunobatsira kurapwa, kana chero rubatsiro zvachose.

Akaunganidzwa pamatambudziko aya inyaya inosanganisirwa nerudzi rwechipiri chirwere cheshuga uye huremu, kunyanya kune vechidiki.

"Ini ndaive nemusikana vhiki irori raive rakawandisa zvishoma," akadaro Veronica Brady, PhD, CDE, mutauriri weAmerican Association of Diabetes Educators uyo anoshandawo kuchipatara chekuReno, NV. “Zvaakataura kwandiri pandakaonana naye zvaive, 'Ndinovimba chaizvo kuti ndine chirwere cheshuga chekutanga kwete chechipiri.'” Nemhando 2, mukadzi wechidiki akatya, "'vanhu vachatofunga kuti ndine chirwere cheshuga nekuti handina handina kana kuzvidzora. '”

Actress S. Epatha Merkerson, weMutemo neChirongwa uye mukurumbira weChicago Med, anoziva kunyadzisa kwerudzi rwechipiri chirwere cheshuga - kunyanya kubva pane zvakaitika nenhengo dzemhuri dzaive nechirwere asi vasina kumbotaura nezvacho. Hama dzake hadzina kana kutaura kuti "chirwere cheshuga."

"Ndinoyeuka pandakanga ndiri mudiki, vanhu vakuru mumhuri yangu vaigara vachiti 'Ah, ane chekubata cheshuga,'" Merkerson akaudza Healthline, "Saka ndakazviwana ndichizvitaura uye ndisinganyatsonzwisisa, chii chinonzi kubata zveshuga? Une chirwere cheshuga kana kuti hausi. ”

Nekutaura zvakajeka nezvehutano hwake, Merkerson anotarisira kudzikisira kunyadziswa kunonzwikwa nevanhu vazhinji. Ndosaka ari mutsigiri weAmerican Diabetes Challenge, anotsigirwa naMerck neAmerican Diabetes Association. Ichi chirongwa chinokurudzira vanhu kuti vachinje mararamiro avo uye vatevedze marapirwo ekuvandudza mhando 2 chirwere cheshuga.

Pakabatwa Merkerson makore gumi nemashanu apfuura, aifanirwa kuuya nehuremu hwaakawana. Panguva yaakasiya Mutemo neOrder, akati, "Ini ndaive newadhiropu yaitangira pa6 kusvika pa16." Akanzwa kunyara nekuona saizi yake ichiwedzera paterevhizheni yenyika - asi zvakare akakurudzirwa kuita shanduko.

"Ini ndaive makumi mashanu pandakabatwa chirwere," akatsanangura, "uye ndakazoziva panguva iyoyo kuti ndaidya semwana ane makore gumi nemaviri. Tafura yangu, chikafu changu, uye sarudzo dzangu dzaive kure chati. Saka ndicho chinhu chekutanga chandaifanirwa kuita, kutsvaga nzira yekudya zviri nani, yekubika, yekutenga - zvese izvo zvinhu. "

Kushungurudzika uye kuneta

Zvichipa basa rese rakabatanidzwa mukugadzirisa rudzi rwechipiri chirwere cheshuga, hazvishamise kuti vangangoita makumi mana muzana yevanhu vakaongororwa vakati vanonzwa kuneta zuva nezuva kana pavhiki. Kungowanzoitika, vanopfuura makumi matatu muzana vakati vanonzwa mhosva pamusoro pekuti vari kugadzirisa sei mamiriro acho.

Lisa Sumlin, PhD, RN, mukoti mukiriniki nyanzvi mune chirwere cheshuga, anoona aya maonero akajairwa. Vatengi vayo muAustin, TX, vanowanzove vari vashoma-vanotambira vanobva kune dzimwe nyika, kazhinji vachishanda akawanda mabasa kuti vawane raramo. Kuwedzera iwo mabasa anodikanwa kubata mhando 2 chirwere cheshuga inoda imwezve nguva nesimba.

"Ndinotaurira varwere nguva dzese: iri ibasa renguva yakazara," akadaro.

Uye haisi imwe iyo yavanogona kutora mapfupi.

Kunyangwe akakosha bvunzo dzekurapa dzinogona kukonzera kushungurudzika Semuenzaniso, vanachiremba vanoraira bvunzo yeA1C kuti vadzidze nezve avhareji yemashuga eropa mumwedzi yapfuura. Zvinoenderana neongororo yedu, vangangoita makumi mana muzana yevanhu vanoona zvichinetsa kumirira yavo A1C mhedzisiro. Uye makumi matanhatu muzana vanonzwa kunge "vatadza" kana mhedzisiro ikadzoka yakanyanya kukwirira.

Iyo nyaya iyo Adam Brown akanzwa nezvayo kakawanda. Brown, mukuru mupepeti wediTribe, anogara nechirwere cheshuga cherudzi rwekutanga uye anonyora chinyorwa chakakurumbira che "Adam's Corner" chinyorwa, achipa matipi kuvanhu vane mhando 1 uye mhando 2 chirwere cheshuga. Akabata zvakare musoro wenyonganiso yeA1C mubhuku rake, "Bright Spots & Landmines: Iyo Diabetes Nhungamiro Ndinoshuva Kuti Mumwe Munhu Akange Anditambidza."

"Vanhu vanowanzoenda kumabasa avo echiremba vachinzwa kutongwa uye kunzwa senge nhamba dziri pa [glucose] mita kana A1C yavo hadzisi munzvimbo, vanonzwa kunge vanowana giredhi rakaipa," Brown akaudza Healthline.

Panzvimbo pokusvika panhamba dziya senge mamakisi, anokurudzira kuvabata se "ruzivo rwekutibatsira kutora sarudzo." Izvi zvinodzokorodza zvabuda pabvunzo, akati: "Hazvisi kuti, 'Adhamu uri munhu akaipa ane chirwere cheshuga nekuti nhamba yako yakakwira chaizvo."

Kushushikana kwakatenderedza miedzo kunobatsira kune imwe nyaya hombe: "kupera simba kweshuga." Sekureva kweJoslin Diabetes Center, iyi inzvimbo umo vanhu vane chirwere cheshuga "vaneta nekugadzirisa chirwere chavo kana kungozvisiya kwenguva yakati, kana zvakatonyanya, nekusingaperi."

Vamwe vanhu vanofungidzira nezvekuita izvo chaizvo.

"Sezvandakaudzwa nemumwe munhu mu [group rekutsigira] musangano wangu mumwe manheru," Kinnaird akati, "'Ndiri kungoda kutora zuva kubva kuchirwere cheshuga.'"

Zvizvarwa uye zvevakadzi zvinopatsanurwa

Zvizvarwa zvikanganiso

Unogona kutaura kuti vechidiki vane chirwere cheshuga chechipiri vanosangana nechirwere chakasiyana zvachose, zvichienzaniswa nevanhu vakuru vane chirwere ichi. Ndiwo musiyano wakasangana nezviitiko zvavo, kunyanya kana iwe uchienzanisa mamirioni nezvihomba zvevacheche. Misiyano iri kurova, uye kwete nenzira yakanaka kune vechidiki vechidiki.

Ongororo yeHealthline yakaratidza kuyera kwekutsvedza kwemanzwiro uye zviitiko pakati pemapoka emazera akasiyana. Vazhinji vacheche boomers, vane makore makumi mashanu nemapfumbamwe zvichikwira, vakataura tarisiro yakanaka pakuedza kwavo kubata mhando 2 chirwere cheshuga, kudyidzana kwavo nevamwe, uye pfungwa yavo vega. Mukuenzanisa, huwandu hwakakwira hwemamirioni, vane makore gumi nemasere kusvika makumi matatu nematanhatu, vakati vane zvakashata zviitiko munzvimbo idzi. Mhinduro dzaGen Xers kazhinji dzaiwira pakati pemamwe mapoka maviri, sezvavanoita zera-rekuchenjera.

Semuenzaniso, vanopfuura makumi mashanu muzana ezviuru zvemireniyamu uye vanopfuura makumi mana muzana yaGen Xers vakashuma vachinzwa kunyara nemitumbi yavo zuva nezuva kana vhiki nevhiki. Chete 18 muzana yevana boomers vanonzwa zvakafanana. Saizvozvowo, kunzwa kwekuzvipa mhosva, kunyara, uye kuzvidya moyo zvinowanzoitika nezviuru zvemakore uye Gen Xers kupfuura vakuru vakuru.

Lizzie Dessify paakadzidza pazera remakore makumi maviri nemashanu kuti aive nerudzi rwechipiri chirwere cheshuga, akachengeta chirwere ichi chakavanzika kweinopfuura mwedzi. Paakazo vimba nevamwe, kuita kwavo hakuna kukurudzira kuzvivimba.

"Handifunge kuti chero munhu akashamisika," akadaro Dessify, uyo anoshanda seyechikoro wepfungwa muPittsburgh, PA. "Handina kuziva kuti ndaive ndarega hutano hwangu huchienda zvakashata, asi zviri pachena kuti vese vakandikomberedza vakazviona."

Vanhu muhupenyu hwake vainzwira tsitsi, asi vashoma vaitenda kuti aigona kudzora kufambira mberi kwechirwere. Izvo "zvaiodza mwoyo zvishoma," akadaro.

David Anthony Rice, mutambi wemakore makumi mana nemasere uye chipangamazano wemifananidzo, anga achingonyarara nezve mamiriro kubva zvaakaonekwa muna 2017. Dzimwe nhengo dzemhuri uye shamwari vanoziva, asi iye anozeza kukurukura zvaari kudya.

"Haudi kuenda uchiudza munhu wese kuti," Ah, ini ndine chirwere cheshuga, saka kana ndauya kumba kwako, handikwanise kudya izvo, "akadaro. "Nderimwe rematambudziko angu makuru, kusangozviparadzanisa nevamwe."

Mupunga unoramba kuyedza shuga yake yeropa kubasa, kana kunyangwe pamberi pevana vake. "Kubaya chigunwe changu pamberi pavo - handidi kuita izvozvo nekuti zvinovatyisa," akatsanangura.

Ongororo yeHealthline inoratidza kuti zvakajairika kune zviuru zvemamirioni uye Gen Xers kuviga mamiriro acho. Zvichienzaniswa nevana vacheche, aya mazera emakore aigona kutaura kuti rudzi rwechipiri chirwere cheshuga chakakanganisa hukama hwepabonde, chakakonzera matambudziko kubasa, kana kutungamira vanhu kuti vafungidzire zvisirizvo nezvavo. Vanonzwa kusurukirwa kazhinji kazhinji kupfuura vana vacheche, zvakare.

Aya matambudziko anogona kuve nechokuita nenyaya yekuti mamiriro acho anowanzoonekwa sechirwere chemunhu akura.

Rice yakanga isati yambonzwa chero munhu wechizvarwa chake achitaura nezvekuva nechirwere cheshuga chechipiri kusvika paakaona hunhu hweTV Tami Roman achitaura pamusoro pezviitiko zvake paVH1 akateedzera Basketball Wives.

"Ndiko kaive kekutanga kuanzwa ichitaurwa zvinonzwika nemumwe wezera rangu," akadaro. Zvakamusvitsa misodzi. "Anga akafanana, 'Ndine makore makumi mana.' Ndine makore makumi mana nemasere, uye ndiri kubata neizvi."

Mune zvimwe zviitiko, pfungwa yekunyara kana kushorwa inogona kutokanganisa zviitiko zvevechidiki zvehutano. Pedyo nehafu yemireniyamu uye chinenge chikamu chimwe muzvitatu cheGen Xers vanonzwa kunzwa kutongwa nevamwe varapi vezvehutano nezve maitiro avanoita chirwere cheshuga chechipiri. Vanenge chikamu chimwe chete vakati vanonoka kuona mutano nekuti vanotya kutonga kwakadai.

Iri idambudziko, sezvo vashandi vezvehutano vanogona kupa rutsigiro rwakakura kubatsira vanhu kubata mamiriro acho. Dessify, semuenzaniso, anorumbidza chiremba wake nekumubatsira kunzwisisa shanduko dzaaida kuita kusimudzira hutano hwake. Akagadzira pamusoro pechikafu chake, akamutsiridza maitiro ake ekurovedza muviri, uye akarasikirwa nemapaundi makumi manomwe nemashanu pamakore matatu. Iye zvino yake A1C bvunzo mhedzisiro yave padyo-yakajairwa mazinga. Akatotanga bhizinesi diki semudzidzisi wemuviri.

Kunyange zvakadaro nyaya dzekubudirira dziri chikamu chakakosha chemufananidzo, zviuru zvemamirioni hazvisi kufamba zvakanaka.

Chidzidzo chegore ra2014 muDhiabetic Medicine chakawana kuti zvichienzaniswa nevakuru vakura vane chirwere cheshuga chechipiri, avo vane makore gumi nemasere kusvika makumi matatu nemapfumbamwe vaive nemikana yekudya zvine hutano uye kutora insulin sezvakakurudzirwa. Vechidiki vanhu zvakare vaive neyakaipisisa kuora mwoyo kupfuura vanhu vakuru.

"Havana chimiro chepfungwa chechimiro chisingaperi chinoda kusvinura kwehupenyu hwese uye kuongorora," akatsanangura Dr. Rahil Bandukwala, endocrinologist kuChirangaridzoCare Saddleback Medical Center muSouthern California.

Zvinonyanya kuodza moyo kune vechidiki kuti vazive kuti chirwere cheshuga chechipiri chichava navo kwehupenyu hwavo hwese, akawedzera, nekuti hupenyu hwavo hwese inguva yakareba zvakadaro.

Vechidiki vanhu vane rudzi rwechipiri chirwere cheshuga vanotarisana nezvimwe zvinonetsa, zvakare - semari. Vanopfuura makumi mana muzana ezviuru zvemireniyoni vakati dzimwe nguva havateedzere nemazano ekurapa nekuda kwemutengo. Inenge chetatu chakashumwa kuti chine zvishoma kune isina hutano inishuwarenzi. Vazhinji veavo vane inishuwarenzi vakati vasara nemari hombe.

Millennials, uye kusvika padiki padiki Gen Xers, vaivewo nemikana yakawanda kupfuura yevana boomers kuti vataure kuti zvakaoma kuwana zviyero zvekuzvitarisira pamwe nemamwe mabasa.

Dr. Bandukwala haasi kushamisika. Akaona kuti kazhinji, zviuru zvemireniyamu chizvarwa chakanyanya-kushushikana. Vazhinji vanonetseka nezvekutsvaga nekuchengetedza mabasa munyika inomhanya-mhanya ine hupfumi hwepasi rose hwakakwikwidza. Vamwe vanobatsirawo kuchengeta vabereki kana vanasekuru vane mari kana zvekurapa.

"Zvinoita kuti zvive zvakaoma zvikuru," akadaro, "kuwedzera kutarisira chirwere cheshuga serimwe basa."

Gender kupatsanura

Kupatsanurana kwerudzi rwamarudzi hakusi iko kwega kusaenzana kuri kuratidzwa mune zvakawanikwa muongororo - makakatanwa akakosha akaonekwawo pakati pevakadzi nevarume. Vakadzi vakawanda kwazvo kupfuura varume vanotaura nezvehuremu. Vakadzi vainyanya kutaura manejimendi avo erudzi rwechipiri chirwere cheshuga inoda kuvandudzwa. Ivo zvakare vane dambudziko rakawanda rekuenzanisa kuzvichengeta-wega nezvimwe zvisungo.

Andrea Thomas, mukuru pasangano risingabatsiri muWashington, D.C., anowanzo kunzwa sekuti haana nguva yekugadzirisa chirwere cheshuga cheshuga zvakanyatsonaka sezvaangada.

"Ndinovenga kutaura kuti ndakajaira tsika yakaipa, kwandinenge ndichishanda zvakanyanya, ndiri kufamba nzendo dzakawanda kuenda kuCalifornia nekuti baba vangu vanorwara, ndiri sachigaro wekomiti iyi kuchechi," akadaro. . "Zviri chete, ndinozvikwanisa kupi?"

Thomas anonzwa akadzidziswa nezve mamiriro ake. Asi zvakaoma kugara pamusoro pezvinhu zvese zvekuzvibata - kurovedza muviri, kudya zvakanaka, kuongorora shuga yeropa, uye nevamwe vese.

"Kunyangwe ndichiudza vanhu kuti ndinoda kuva mukadzi akura kwazvo rimwe zuva, anofamba nenyika, pane kusawirirana pakati pezvandinofanira kunge ndichiita kuzvitarisira, uye zvandiri kuita chaizvo."

Nyaya yaThomas inogona kusangana nevakadzi vazhinji vakapindura kuongororwa kweHealthline.

Vanoda kusvika makumi manomwe kubva muzana vakati vanoisa zvinodiwa nevamwe pamberi pavo, kunyangwe vachirarama nechirwere chisingaperi. Mukuenzanisa, zvishoma kupfuura makumi mashanu muzana evarume vakati zvakafanana. Zvinoshamisika here kuti vakadzi vane dambudziko rakawanda pakuenzanisa kuzvitarisira pamwe nemamwe mabasa?

"Ini ndinofunga kuti vanhukadzi vane yavo seti yematanho akasarudzika kana zvasvika kune type 2 chirwere cheshuga," akadaro Thomas. Zvakakosha kuti vakadzi vafunge kuti vanozvichengeta sei, akawedzera, uye vozviita pamberi.

Sue Rericha, amai vevashanu uye munyori weblog Diabetes Ramblings, anobvumirana.

"Nguva zhinji, tinozviisa pekupedzisira," akadaro, "asi ndinoramba ndichifunga, kana iwe uri mundege uye vanoita ongororo yavo uye votaura nezve oxygen mask, vanotaurira vanhu vanofamba nevana , isa chako chifukidzo pakutanga wozobatsira mumwe munhu. Nekuti kana tisingazvinakire, hatisi kuzove kwatinofanirwa kuve kubatsira vamwe. "

Kunetseka nezvekurapa uye sarudzo

Matambudziko

Vazhinji vevanhu vane chirwere cheshuga cherudzi rwechipiri vakabvunzurudzwa neHealthline vakati vanogara nemutoro wezvinonetsa zvakakomba pamusoro pemhedzisiro yechirwere ichi.

Izvo zvinetso zvinogona kusanganisira kurasikirwa kwemaonero, chirwere chemwoyo, chirwere cheitsvo, uye sitiroko. Chirwere cheshuga chinogona kukonzeresa kurwadziwa-uye chiveve-kukonzera neuropathy, kana kukuvara kwetsinga, mumaoko kana mutsoka. Icho chiveve chinogona kusiya vanhu vasingazive zvekukuvara, izvo zvinogona kukonzera hutachiona uye kunyange kutemwa.

Ongororo iyi yakaona kuti zvikamu zviviri kubva muzvitatu zvevanhu vane chirwere cheshuga vane chirwere cheshuga vanonetseka nezvezvinetso zvakakomba zvechirwere ichi. Izvi zvinoita kuti iyi nyaya inyanye kunetsekana yakataurwa. Huwandu hukuru - 78 muzana - vanonetseka nezve kurasikirwa kwemaonero.

Merkerson akaona zvimwe zvezvakakomba zvechirwere ichi pakati pehama dzake.

"Baba vangu vakafa nematambudziko," akadaro. “Ambuya vangu vakatadza kuona. Ndine babamunini vakagurwa makumbo ekupedzisira. ”

Ongororo vakapindura avo vakazivisa seAfrican-American kana Latino, uye vakadzi vemarudzi ese, ndivo vangangodaro vanotaura nezvekunetseka kwakanangana nezvinetso. Vanhu vanowanzo shungurudzika zvakanyanya kana vachigara mukati kana padyo ne "," swath yemazhinji ekumaodzanyemba inoti iyo U.S. Centers for Disease Control and Prevention yakaratidza seine huwandu hwakawanda hwerudzi rwechipiri chirwere cheshuga.

Izvi zvinogona kusashamisa, zvichipiwa kuti zvidzidzo zvakawana huwandu hwakakwira hwezvinetso zvine chekuita neshuga mumadzinza madiki nevakadzi, zvichienzaniswa nevarungu nevarume.

Dr. Anne Peters anoshanda seendocrinologist pamakiriniki maviri eLos Angeles - imwe muBeverly Hills yakapfuma uye imwe munharaunda yemari yepasi yeEast Los Angeles. Iye akacherekedza kuti vanhu vanowanzo kuve nezvinetso pakutanga kwehupenyu kukiriniki yeEast L.A., iyo inoshumira vanhu vasina unishuwarenzi uye kunyanya Latino.

"Munharaunda yeEast L.A., vanowana matambudziko ese aya ari madiki," akadaro. "Handisati ndamboona hupofu uye kudimburwa mutsika yangu yeWestside mune vana makore makumi matatu nemashanu, asi ini ndinoita pano nekuti hakuna hupenyu hwese hwekuwana hutano."

Kurara

Ongororo yeHealthline yakawana kuti vanopfuura hafu yevanhu vane mhando 2 yeshuga vane dambudziko rekurara. Izvo zvinogona kunzwika sediki, asi zvinogona kuumba chinetso kutenderera kwehutano husina kunaka.

Joslin Diabetes Center inotaura kuti shuga yakakwira muropa inogona kukonzeresa kune nyota uye kugara uchiita weti, saka vanhu vane chirwere cheshuga chechipiri vanogona kumuka kakawanda husiku kuti vanwe kana kuenda kuchimbuzi. Kune rimwe divi, yakaderera ropa shuga inogona kukonzera kurara-kunokanganisa manzwiro ekugwinha kana nzara. Kushungurudzika, kunetseka, uye kurwadziwa kubva kuuropathy kunogona kukanganisa kurara.

Chidzidzo che2017 chakataura kuti matambudziko ekurara uye kurara-kukanganisa kushungurudzika kunowanzoitika kune vanhu vane chirwere cheshuga cheshuga. Nekudaro, kana vanhu vakasarara zvakanaka, zvinogona kuita kuti chirwere chavo cheshuga chiwedzere: ongororo ya2013 muDiabetes Care yakawana kuti huwandu hweglucose yeropa hwakakanganiswa zvakanyanya apo vanhu vane mhando 2 chirwere cheshuga vakarara kwenguva pfupi kana yakarebesa nguva.

"Ini ndinogara ndichibvunza vanhu, kunyanya kana vari kuita yakakwira mangwanani mashuga eropa, uri kurara zvakadii uye nzvimbo yako yekurara inokodzera kurara?" Akadaro Brown. Akanyorerana nevanhu vazhinji vachitsvaga matipi ekugadzirisa chirwere cheshuga. Mukufunga kwake, vazhinji havazivi kukosha kwekurara.

"Kutaura nehope kunogona kuve nemhedzisiro yakakura pazuva rinotevera, maererano neiyo insulin kushoma, kushomeka kwe insulin, shuga shoma uye carb zvishuwo, chishuwo chekuita maekisesaizi, uye mweya uri nani," akadaro. "Huwandu hwesimba raunowana kubva mukubatsira mumwe munhu kuwana kurara kwakawanda, ndinofunga, wakadzikira kwazvo."

Metabolic kuvhiya

Kunyangwe kunetsekana nezvematambudziko kubva kurudzi rwechipiri chirwere cheshuga, isingasviki chikamu chimwe muzvina chevabvunzi vakapindura vari kuda kufunga nezvekuvhiya kwemetabolism senzira yekurapa. Hafu yakati ine ngozi zvakanyanya.

Hunhu hwakadai hunoramba huripo kunyangwe zvakapihwa mabhenefiti ekuvhiya metabolic, inonziwo bariatric kana uremu-kurasikirwa kuvhiya. Izvo zvinogona kubatsira zvinogona kuwedzera kupfuura kurasikirwa uremu.

Semuenzaniso, vangangoita makumi matanhatu muzana yevanhu vane chirwere cheshuga cheshuga vanovhiyiwa, vakazivisa ongororo yegore ra2014 muThe Lancet Diabetes & Endocrinology. "Kuregererwa" kazhinji zvinoreva kuti kutsanya mashuga eropa anodonha kune akajairwa kana preiabetes mazinga pasina mushonga.

Mune chirevo chakabatana chakaburitswa muna2016, boka remasangano epasi rose cheshuga rakaraira vanachiremba kuti vafunge nezvekuvhiya kwemagetsi senzira yekurapa kune vanhu vane chirwere cheshuga cheshuga vane BMI ye30.0 kana kupfuura uye vane dambudziko rekudzora shuga yavo yeropa. Kubva ipapo, iyo American Diabetes Association yakagamuchira kurudziro mumatanho ayo ekuchengetedza.

Dr. Hafida, paJoslin Diabetes Center, haashamisike nekupokana nekuvhiyiwa. "Haisi kushandiswa zvakanyanya uye inoshurikidzwa zvakanyanya," akadaro. Asi semaonero ake, "ndiwo mushonga unoshanda kupfuura mamwe ose watinawo."

Kuwana kutarisira

Nyanzvi mune yerudzi rwechipiri chirwere cheshuga inogona kuita mutsauko mukuru kune vanhu vanorarama nemamiriro - asi vazhinji havasi kuwana masevhisi avo.

Pakati pevatori vechikamu vekuongorora kweHealthline, makumi matanhatu neshanu muzana vakati havana kumboona endocrinologist. Vanopfuura hafu vakati havasati vamboona chiremba wezvekudya kana wezvehutano, uyo aigona kuvabatsira kugadzirisa dhayeti yavo. Uye chete 1 mu10 akataura achiona murapi kana chipangamazano kanopfuura katatu pagore - kunyangwe chikamu chimwe muzvina chevatori vechikamu vakati vaizoonekwa vaine kushushikana kana kushushikana.

Rudzi rwechipiri chirwere cheshuga chirwere chakabatana neiyo endocrine system, kana mahormone emuviri uye gland. Sekureva kwaDr.Saleh Aldasouqi, mukuru endocrinologist paMichigan State University, chiremba wekutanga anokwanisa kutarisira kurapwa kwezviitiko "zvisinganetsi", chero bedzi vakanyatsodzidziswa nezve mamiriro acho. Asi kana mumwe munhu ane chirwere cheshuga cheshuga ari kunetsekana neshuga yeropa, kana aine zviratidzo zvematambudziko, kana kana kurapa kwakajairika kusiri kushanda, kuona endocrinologist inokurudzirwa.

Mune zvimwe zviitiko, chiremba wemunhu anogona kuvatumira kune akasimbiswa mudzidzisi weshuga, kana CDE. Rudzi urwu rwehunyanzvi rune dzidziso chaiyo mukudzidzisa uye kutsigira vanhu vane chirwere cheshuga.Vanachiremba vepuraimari, manesi, vanoona nezvekudya, uye vamwe vanopa hutano vanogona kudzidzira kuve maCDE.

Sezvo mhando dzakawanda dzakasiyana dzevanopa dzingave maCDE, zvinokwanisika kuona imwe usingazvizive. Asi sekuziva kwavo, 63 muzana yevatori vechikamu veongororo vakati havana kumbobvunza imwe.

Saka, nei vasiri vanhu vazhinji vane chirwere cheshuga cheshuga vari kutariswa?

Mune zvimwe zviitiko, inishuwarenzi haibhadharise kushanya kwenyanzvi. Kana nyanzvi hadzigamuchire zvimwe zvirongwa zveinishuwarenzi.

Brady akaona dambudziko iri padhuze, achishanda seCDE muReno, NV. "Mazuva ese iwe unonzwa, 'vanhu vemasangano akazvimirira havasi kubvuma inishuwarenzi yangu," akadaro, "uye zvichienderana neinishuwarenzi yako, ivo vachakuudza," hatisi kutora varwere vatsva. "

Kushomeka kwakapararira kweendocrinologists kunounza zvipingaidzo, kunyanya mumaruwa.

Rudzi rune 1,500 vashoma vakuru endocrinologists kupfuura zvavanoda, sekureva kweimwe 2014 kudzidza. Pakati peavo vaishanda mu2012, 95 muzana vaive munzvimbo dzemadhorobha. Kuparidzirwa kwakanyanya kwaive muConnecticut, New Jersey, uye Rhode Island. Chakaipisisa chaive muWyoming.

Tichifunga nezve mutsauko wakadai, zvine musoro kuti ongororo yedu yakawana mutsauko wedunhu. Vanhu kuchamhembe kwakadziva kumabvazuva ndivo vainyanya kutaura kuti vanoona endocrinologist kakawanda pagore. Vaya vekuMadokero neMidwest ndivo vaive vashoma kutaura kuti vakamboona imwe.

Pasina kuyedza kwakabatana kugadzirisa kushomeka kwema endocrinologist, dambudziko rinotarisirwa kukura.

Inogona kurova vechidiki zvakanyanya zvakaoma.

Seimwe muThe Lancet Diabetes & Endocrinology yakacherekedza, mudiki munhu paanoonekwa aine rudzi rwechipiri chirwere cheshuga, zvinonyanya kukanganisa tarisiro yeupenyu hwavo. Muchidimbu, imhaka yekuti zera diki rekutanga rinogona kutungamira kumatambudziko epakutanga.

Nepo vazhinji vechidiki vane mhando 2 chirwere cheshuga vanogona kubatsirwa nehunyanzvi kutarisirwa, ongororo yedu yakawana kuti mumwe muvatatu vane zviuru zvemazana avo vakarairwa kuti vaone endocrinologist vari kunetseka kuwana imwe.

Mutengo wekutarisira

Iko mari yemari yemhando 2 chirwere cheshuga inyaya yekushushikana kwakanyanya, ongororo yakawanikwa. Pedyo ne40 muzana yevakabvunzwa vanonetseka nezve kugona kwavo kuwana rubatsiro mune ramangwana. Zvichida zvakatonyanya kunetsa, ingangoita 1 muvashanu akati mutengo wakamboita kuti vadzivise kutevera mirairo yekurapa yavanachiremba.

Sekureva kweshumo yeAmerican Diabetes Association, mutengo wepasirese werudzi rwekutanga uye type 2 chirwere cheshuga - $ 327 bhiriyoni muna 2017 - wawedzera nezvikamu makumi maviri nezviviri kubva muzana mumakore mashanu. Mari yazvino uno yaisvika $ 9,601 pamunhu ane chirwere cheshuga. Vanhu vazhinji vanogona kutadza kuwana mugove wakaomarara wetabhu yavanofanira kuvhara.

Pakati pevatori vechikamu veongororo, vangangoita makumi matatu muzana vakati vane inishuwarenzi inovasiya vane mabhiri mahombe. Chikafu chinovaka muviri, nhengo dzekurovedza muviri, uye giya rekurovedza muviri zvinoda mari. Ehezve, saizvozvo kushanya kwehutano uye kurapwa - kusanganisira mishonga.

"Mari inodhura yehyperglycemic mishonga, kunyanya insulin, yave chipingamupinyi pakurapa chirwere cheshuga," yakashuma ongororo ya2017 muCentral Diabetes Reports.

Kufanana nevanhu vazhinji, Kinnaird akanzwa kubaya kwemitengo yemishonga. Akazvishandira, aifanira kutenga inishuwarenzi nyowani mushure mekunge iye weinishuwarenzi abuda kunze kweiyo Inodhura Care Act kuchinjana. Chinja hachina kunge chakanakira chikwama chake: kupihwa kwemwedzi mitatu mishonga yaimbodhura $ 80 ikozvino inodhura $ 2,450.

Dzimwe nguva, vanhu vane chirwere cheshuga vanotora mishonga shoma pane yakatemwa kuti igare.

Iyi nyaya yakawana kutarisirwa mushure mekunge murume wechidiki ane chirwere cheshuga 1 akafa gore rapfuura. Kana Alec Raeshawn Smith akwegura kubva kuvabereki vake inishuwarenzi, mutengo we insulin yake wakakwira zvakanyanya. Akatanga kuenzanisa madosi kuti igare. Mukati memwedzi, akanga afa.

Campaniello akaita zvishoma zviyero zvake. Makore apfuura, anoyeuka achibhadhara madhora mazana maviri nemakumi mashanu pamwedzi mitatu yerudzi rutsva rweyakareba-inoshanda insulin. Mushonga uyu wakamuunzira A1C mazinga pasi zvakanyanya. Asi apo chiremba wake paakaongorora zvaakaongororwa, akafungidzira kuti Campaniello anga "achitamba" ne insulin yake.

"Ini ndakati," Zvakanaka, kana iwe uchindiudza kuti ini ndinochengeta iyo dzimwe nguva kunopera kwemwedzi, nekuti ini handikwanise kuitenga, "Campaniello akayeuka," "wataura chokwadi!"

Zvinotarisirwa kuti, iyo Healthline ongororo yakawana kuti vanhu vane mari shoma vaiwanzo kuudza zvinonetsa pamusoro pemutengo wechengetedzo uye kufukidzwa kweinishuwarenzi. Izvozvowo zvaive zvechokwadi kune avo vane bhandi reshuga.

Kutsvagurudza muhuwandu hwevanhu kwakawanawo kusiyana kwemadzinza nedzinza: pakati pevanhu vari pasi pemakore makumi matanhatu nemashanu, 17 muzana yevaSpanish -American uye gumi muzana muzana yevaAfrica -America vaive vasina kuvimbiswa muna2016, zvichienzaniswa ne8 muzana yevarungu vekuAmerican, vakataura Kaiser Nheyo yeMhuri.

Kana munhu asingakwanise kubhadhara anodarika madhora mashoma pamwedzi, zvinogona kudzora nzira dzavanorapwa, akadaro Jane Renfro, mukoti anozvipira kukiriniki yehutano muFalls Church, VA, kune vanhu vasina kuchengetedzeka uye vasina unishuwarenzi.

"Tinofanirwa kuona kuti mishonga yatinosarudza ndeiya yakajairika uye inopihwa mitengo yakaderera - semuenzaniso, $ 4 yemwedzi, $ 10 pamwedzi mitatu," akatsanangura. "Izvi zvinogumira pakurapa kwatinogona kupa."

Iyo yekumuka-yekufona

Hapana munhu anosarudza kuve nerudzi rwechipiri chirwere cheshuga - asi sarudzo dzinoitwa nevanhu dzinogona kukanganisa mafambiro echirwere ichi. Kune mazhinji eaya akabvunzwa neHealthline, kuongororwa kwakanzwa senge yekumuka-yekuvamhidzira iyo yakavamanikidza kuti vasiye tsika dzakanaka. Kunyangwe paine matambudziko avakatarisana nawo, vazhinji vakataura vachiita nhanho dzakakomba kusimudzira hutano hwavo.

Ongororo yeHealthline yakawana kuti 78 muzana vakashuma vachidya zvirinani nekuda kwekuziva kwavo. Vanopfuura hafu vakati vanoita maekisesaizi akawanda uye vari kurasikirwa uremu kana kudzora huremu hwavo zvirinani. Uye nepo vazhinji vachiwana nzira yakaoma kufamba, ingangoita kota chete vanofunga kuti pane zvimwe zvakawanda zvavanofanirwa kunge vachiita kubata hutano hwavo.

Gretchen Becker, the wordmith behind the blog Wildly Fluctuating and author of "The First Year: Type 2 Diabetes," akagovana dzimwe pfungwa naHealthline nezvekuti kuongororwa kwakamutungamira sei kunamatira neshanduko dzaaida kuita:

“Kufanana nevazhinji vekuAmerica, ndanga ndichiedza zvisina kubudirira kudzikisa huremu kwemakore, asi chimwe chinhu chaigara chichiparadza kuedza kwangu: pamwe pati huru ine mabiko anoedza kana kudya kwemanheru chete nechikafu chakawandisa. Mushure mekuongororwa, ndakatora zvinhu zvakanyanya. Kana mumwe munhu akati, 'o, kamwe kakuruma kamwe hakazokukuvadze,' ndinogona kuti, 'hongu kuchakukuvadza.' Saka ndakaramba ndichidya ndikarasikirwa nemapaundi makumi matatu. "

"Dai ndakanga ndisina chirwere cheshuga," akaenderera mberi, "ndingadai ndakaramba ndichiwedzera uremu, uye zvino ndingadai ndisina kugadzikana. Ndine chirwere cheshuga, handisati ndangosvika paBMI chaiyo, asi kudya kwandinoita kuri kunakidza kudarika zvandaidya kare. "

Dessify zvakare anokoshesa kuongororwa kwekumusundidzira kuti aite shanduko muhupenyu hwake.

Paaive nepamuviri nemwanakomana wake, akaonekwa aine gestational chirwere cheshuga. Vhiki nhanhatu mushure mekuzvarwa kwake, Dessify mashuga eropa akasara akakwirira.

Paakawana kuongororwa kwerudzi rwechipiri chirwere cheshuga, Dessify akanzwa mhosva pamusoro pekuti mamiriro acho anogona sei kupfupisa hupenyu hwake uye nguva yake nemwanakomana wake. "Ini ndaisatombogona kuvimbisa kuva pano kwenguva yakareba sezvandingave ndaigona kuva naye," akadaro Healthline.

Mwedzi mishoma gare gare, akatanga kuona chiremba mutsva akamukumbira kuti atendeke kwaari. Akamuudza kuti sarudzo dzaakaita kuenda kumberi dzaizotarisa kuti mamiriro ake akanyanya sei.

Dessify akachinja chikafu chake, akazvimanikidza kuita maekisesaizi, uye akadonhedza huremu hwakakosha.

Semubereki, akadaro, chinangwa chake chikuru kwaive kuve iye muenzaniso wakanaka kwazvo waangave iye kumwanakomana wake. "Ndakange ndakakomborerwa nemamiriro ezvinhu akandirovera mugiya ndichida kuve iye muenzaniso."

Kubatsira kuramba uri munzira, Dessify inoshandisa smart wachi. Zvinoenderana neongororo yaHealthline, rudzi urwu rwekurovedza muviri- uye chikafu chekutevera chikafu chinonyanya kufarirwa pakati pezviuru zvemamirioni seDessify kupfuura zvizvarwa zvekare. Millennials zvakare anokwanisa kukoshesa internet sechinhu chinopa ruzivo rwakanangana neshuga kana rutsigiro rwemagariro.

"Ivo vanhu vanoshandisa maapplication zvakaringana, ndinofanira kukuudza, uve nani kuverenga kweA1C," akadaro Brady, achitsanangura zvimwe zvezvakanaka zvetekinoroji nyowani.

Asi chero nzira inobatsira vanhu kuramba vari mugwara yakanaka, akadaro Dr. Hafida. Kunyangwe ichivimba nemidziyo yedhijitari kana peni nepepa, chinhu chakakosha ndechekuti vanhu vanonamira nacho uye voita hutano hwavo kukoshesa kwenguva refu.

Kinnaird, sevamwe vake vazhinji vacheche vacheche muongororo, awana drive yekuita shanduko huru kuhupenyu hwake.

"Ndakanga ndisina chikonzero chekuita shanduko idzi kusvika ndawana kuongororwa," akatsanangura. "Ndine basa raindinetsa, ndaifamba nguva dzese, ndaidya kudya katatu pazuva, mazuva mashanu pasvondo."

"Asi pandakangobatwa chirwere," akadaro, "ndipo pakava nekumuka."

Kuongorora kwechiremba uye kubvunza

Amy Tenderich mutori venhau uye mutsigiri akatanga nhepfenyuro inotungamira online DiabetesMine.com mushure mekubuda kwake muna 2003 nerudzi rwekutanga chirwere cheshuga. Iyo saiti ikozvino chikamu cheHealthline Media, uko Amy anoshanda seMhariri Director, Diabetes & Patient Advocacy. Amy ndiye mubatanidzwa wemunyori we "Ziva Huwandu Hwako, Urarame Chirwere Cheshuga," gwara rinokurudzira cheshuga kuzvitarisira. Akaita zvirongwa zvekutsvagisa zvichiratidza zvinodiwa nemurwere, nemhedzisiro yakaburitswa muDiabetes Spectrum, iyo American Journal yeManaged Care, uye iyo Journal yeDiabetes Science uye Technology.

Susan Weiner, MS, RDN, CDE, FAADE mutauri anokunda mubairo uye munyori. Akashanda sa2015 AADE Chirwere cheshuga Mudzidzisi wegore uye akagashira iyo 2018 Media Excellence Mubairo kubva kuNew York State Academy yeNutrition uye Dietetics. Susan aive zvakare mugashiri we2016 weiyo Dare kuRoto Mubairo kubva kuDiabetes Research Institute Foundation. Iye ndiye mubatanidzwa wemunyori weThe Complete Diabetes Organiser uye "Chirwere cheshuga: 365 Matipi Ekurarama Zvakanaka." Susan akawana degree rake remasters muApplied Physiology uye Nutrition kubva kuColumbia University.

Dr. Marina Basina ndiye endocrinologist anoshanda nechirwere cheshuga mellitus mhando 1 uye 2, chirwere cheshuga tekinoroji, matinji ehutachiona, uye kenza yehutachiona. Akapedza kudzidza paChipiri Moscow Medical University mu1987 ndokupedzisa kuyanana kwemagariro ake kuStanford University muna 2003. Dr. Basina parizvino ndivo purofesa wevanobata zvekuchipatara kuStanford University Chikoro cheMishonga. Iye aripowo pabazi rezvekurapa reCarb DM uye Beyond Type 1, uye ari director wezvekurapa kwechirwere cheshuga cheshuga kuStanford Hospital.

Edhisheni uye vatsvagiri vanopa

Jenna Flannigan, mukuru mupepeti
Heather Cruickshank, mubatanidzi mupepeti
Karin Klein, munyori
Nelson Silva, director, kushambadzira sainzi
Mindy Richards, PhD, muongorori wezvekutsvaga
Steve Barry, kopi mupepeti
Leah Snyder, grafiki dhizaini
David Bahia, kugadzirwa
Dana K. Cassell, chokwadi cheki