HOM 2 MOB NTSHAV QAB ZIB MELLITUS: TXOJ KEV KHO MOB. KEV NOJ HAUS THIAB MUAB TSHUAJ RAU COV NTSHAV QAB ZIB HOM 2.

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Ntshav Qab Zib 2 yog txheeb tau hauv 90-95% ntawm txhua tus neeg mob ntshav qab zib. Yog li, tus kabmob no yeej muaj ntau dua li hom ntshav qab zib 1. Kwv yees li 80% ntawm cov neeg mob uas muaj ntshav qab zib hom 2 yog rog dhau lawm, uas yog, lawv lub cev qhov hnyav tshaj qhov zoo tshaj los ntawm tsawg kawg 20%. Ntxiv mus, lawv cov kev rog dhau los feem ntau yog pom los ntawm qhov cia ntawm adipose cov nqaij hauv plab thiab lub cev sab saud. Tus naj npawb ua zoo li ib lub kua. Qhov no yog hu ua rog rog rog.

Lub hom phiaj tseem ceeb ntawm Ntshav Qab Zib-Med.Com lub vev xaib yog los muab cov phiaj xwm kho tau zoo thiab siv tau rau tus mob ntshav qab zib hom 2. Yeej paub zoo tias kev yoo mov thiab siv lub dag zog ob peb teev hauv ib hnub yuav pab ua kom muaj qhov mob no. Yog tias koj npaj txhij los soj ntsuam ib qho hnyav, ces koj twv yuav raug tsis tas yuav xav kom txhaj cov tshuaj insulin. Txawm li cas los xij, cov neeg mob tsis xav tshaib lossis “ua haujlwm nyuaj” hauv chav kawm kev tawm dag zog, txawm tias muaj mob hnyav los ntawm kev mob ntshav qab zib muaj teeb meem. Peb muab cov kev qhia txog tib neeg kom txo qis ntshav qab zib kom zoo thiab ua kom nws nyob qis. Lawv ua siab mos siab muag nrog cov neeg mob, tab sis tib lub sijhawm zoo heev.

Muaj qhia txog kev noj haus cov zaub mov muaj kib ntsev rau hom ntshav qab zib hom 2 muaj nyob ntawm no.

Hauv qab no hauv tsab xov xwm koj yuav pom ib hom kev kho hom mob ntshav qab zib hom 2:

tsis muaj tuag tshaib;
tsis muaj cov zaub mov uas tsis muaj calorie ntau, ntau qhov mob ntau dua li kev tshaib plab tag nrho;
tsis muaj lub zog ua haujlwm.

Kawm los ntawm peb yuav ua li cas tswj kev mob ntshav qab zib hom 2, tiv thaiv tiv thaiv nws cov teeb meem thiab tib lub sij hawm zoo tag nrho. Koj tsis tas yuav mus tshaib plab. Yog tias koj xav tau cov tshuaj insulin, tom qab ntawd kawm ua lawv tsis mob kiag li, thiab kev noj tshuaj yuav tsawg heev. Peb cov kev tso cai rau hauv 90% ntawm cov neeg mob los kho tus mob ntshav qab zib hom 2 yam tsis muaj kev txhaj tshuaj insulin.

Ib lub npe zoo: "txhua tus muaj lawv cov ntshav qab zib," uas yog, rau txhua tus neeg mob, nws mus raws nws txoj hauv kev. Yog li, txoj kev kho mob ntshav qab zib kom ua tau zoo tuaj yeem kho kho rau tus kheej xwb. Txawm li cas los xij, txoj haujlwm dav dav rau kev kho mob ntshav qab zib hom 2 tau piav qhia hauv qab no. Nws raug nquahu kom siv nws los ua lub hauv paus rau kev tsim kho txoj haujlwm.

Kab lus no yog txuas ntxiv ntawm kab lus "Hom 1 lossis Ntshav Qab Zib Hom 2: Qhov Twg Yuav Pib." Thov nyeem cov kab lus yooj yim ua ntej, txwv tsis pub ib yam dab tsi yuav tsis paub meej ntawm no. Qhov tsis zoo ntawm kev kho tau zoo tau piav qhia hauv qab no, thaum hom ntshav qab zib hom 2 raug kuaj tau zoo. Koj yuav kawm paub tswj hwm tus mob hnyav no li cas. Rau ntau tus neeg mob, peb cov lus pom zoo yog lub caij nyoog kom tsis kam txhaj tshuaj insulin. Ntawm hom ntshav qab zib hom 2, kev noj haus, qoj ib ce, noj tshuaj thiab / lossis insulin yog thawj txiav txim rau tus neeg mob, xav txog qhov mob hnyav ntawm nws tus kab mob. Tom qab ntawd nws yog kho txhua lub sijhawm, nyob ntawm seb cov txiaj ntsig yav dhau los ua tau zoo li cas.

Ua tsaug rau cov haujlwm uas pab tau hloov pauv txoj kev ntawm lub neej. Nws muab txoj hauv kev los mus txog qib tau txais kev noj qab haus huv. Ob peb xyoos dhau los, Kuv tau kuaj pom tias mob ntshav qab zib hom 2. Kuv tsis tau noj ib yam tshuaj. Ib nrab xyoo 2014, nws pib ntsuas ntshav cov ntshav. Nws ntau npaum li cas rau 13-18 mmol / L. Nws pib noj tshuaj. Kuv coj lawv mus tau 2 lub hlis. Cov piam thaj hauv ntshav txo kom 9-13 mmol / L. Txawm li cas los xij, kev mob nkeeg yog qhov tsis zoo. Kuv tshwj xeeb tshaj tawm txog qhov kev puas tsuaj loj heev hauv cov tswv yim kev txawj ntse. Yog li ntawd, nyob rau lub Kaum Hlis, nws tau txiav txim siab kom tsis txhob noj cov tshuaj. Kuv muaj hmoo heev - Kuv tau ntsib lub vev xaib ntshav qab zib-Med.Com. Tam sim ntawd hloov mus rau cov kev pom zoo noj zaub mov kom tsawg-carbohydrate. Tam sim no, tom qab peb lub lis piam ntawm kev noj zaub mov tshiab, kuv cov ntshav qabzib hauv ntshav yog 5-7 mmol / L. Txog thaum nws pib txo nws mus txuas ntxiv, xav txog qhov kev pom zoo kom tsis txhob txo cov piam thaj kom tsawg, yog tias ua ntej nws tau nce siab tau ntev. Qhov tseeb, tsis muaj ib qho teeb meem txo cov piam thaj rau ib txwm - txhua yam yog txiav txim siab los ntawm tus kheej kev tswj hwm thaum ua raws li cov zaub mov tsis muaj roj ntau. Kuv tsis txhob noj tshuaj. Kev nyab xeeb tau zoo dua li qub. Cov peev xwm ntawm kev txawj ntse rov qab. Mob qaug zog tau dhau los. Qee qhov teeb meem cuam tshuam, raws li kuv pom tam sim no, uas muaj tus mob ntshav qab zib hom 2 pib tsis muaj zog. Ua tsaug koj dua. Foom koob hmoov rau koj tej haujlwm. Nikolai Ershov, Ixayees.

Yuav kho tus mob ntshav qab zib hom 2 li cas

Ua ntej tshaj plaws, kawm tshooj "Qhov twg yuav pib kho mob ntshav qab zib" hauv kab lus "Hom 1 lossis 2 mob ntshav qab zib: pib qhov twg". Ua raws cov ntawv uas tau teev tseg rau ntawd.

Ib lub tswv yim kho tau tus mob ntshav qab zib hom 2 muaj 4 theem:

Theem 1: Noj zaub mov kom tsawg
Theem 2: Noj zaub mov kom tsis rog nrog rau kev ua kom lub cev ua raws li cov txheej txheem ntawm kev tawm dag zog lub cev nrog kev lom zem.
Theem 3. Kev noj zaub mov kom tsis rog nrog kev ua kom yuag ntxiv rau kev tawm dag zog ntxiv rau cov tshuaj ntshav qab zib uas ua rau cov nqaij mos ua rau lub cev tsis txaus siab.
Theem 4. Txheej txheem ntau, tsis quav ntsej. Kev noj zaub mov kom hnyav nrog rau kev tawm dag zog ntxiv rau kev txhaj tshuaj insulin, ua ke nrog lossis tsis noj tshuaj ntshav qab zib.

Yog tias qhov kev noj haus cov zaub mov uas tsis muaj carbohydrate ua rau nws cov ntshav qab zib, tab sis tsis txaus, uas yog, tsis txog rau qhov yuav tsum ua, ces qib ob txuas nrog. Yog tias tus thib ob tsis tso cai rau them tus mob ntshav qab zib kom tiav, lawv hloov mus rau tus thib peb, uas yog, lawv ntxiv ntsiav tshuaj. Nyob rau hauv ntau txoj thiab tsis saib xyuas kis, thaum tus mob ntshav qab zib pib coj nws kev noj qab haus huv lig, lawv koom qib plaub. Ntau npaum li cov insulin raug txhaj ntxiv raws li xav tau kom cov ntshav qab zib rov qab li qub. Nyob rau tib lub sijhawm, lawv nquag rau siab noj mov ntawm cov zaub mov tsis muaj rog ntau. Yog hais tias tus mob ntshav qab zib ua tib zoo ua raws li kev noj haus thiab kev tawm dag zog nrog kev lom zem, ces feem ntau cov koob tshuaj me me ntawm insulin yuav tsum.

Kev noj zaub mov kom tsis txhob rog rog yog qhov tseem ceeb rau txhua yam mob ntshav qab zib hom 2. Yog tias koj tseem pheej noj cov khoom noj uas muaj cov khoom noj sib xyaw nrog cov carbohydrates, ces tsis muaj ib yam dab tsi ua npau suav txog kev noj ntshav qab zib kom tswj tau. Qhov ua rau muaj mob ntshav qab zib hom 2 yog lub cev tsis thev rau cov carbohydrates uas koj noj. Kev noj zaub mov uas ua rau kom ua rau lub cev ua kom qis, ua kom cov ntshav qab zib sai sai thiab muaj zog. Tab sis tseem, rau ntau tus neeg mob ntshav qab zib, nws tsis txaus ntseeg tswj ntshav qab zib kom ib txwm muaj, ib yam li cov neeg noj qab haus huv. Hauv qhov no, nws raug nquahu kom muab cov khoom noj los ua nrog lub cev ua si.

Nrog ntshav qab zib hom 2, nws yog ib qho tsim nyog yuav tsum tau sib zog ua rau kev ntsuas kho kom txo qis cov ntsaws rau cov neeg mob taub hau. Vim qhov no, txheej txheem ntawm "hlawv tawm" ntawm nws cov roj ntsha beta yog inhibited. Txhua qhov ntsuas yog tsom rau kev txhim kho qhov rhiab ntawm hlwb mus rau kev ua ntawm insulin, i.e., txo cov tshuaj tiv thaiv insulin. Mob ntshav qab zib Hom 2 tuaj yeem kho tau los ntawm kev txhaj tshuaj insulin tsuas yog muaj tsawg zaus, tsis pub tshaj 5-10% ntawm cov neeg mob. Qhov no yuav piav qhia hauv kev nthuav dav kawg ntawm kab lus.

Yuav ua li cas:

Nyeem tsab xov xwm "Insulin Resistance". Nws tseem qhia txog yuav ua li cas nrog cov teeb meem no.
Nco ntsoov tias koj muaj qhov ntsuas cov ntshav qab zib kom raug (yuav ua li cas ua li no), thiab tom qab ntawd ntsuas koj cov ntshav qab zib ntau zaug txhua hnub.
Them nyiaj tshwj xeeb rau kev tswj koj cov ntshav qab zib tom qab noj mov, tab sis kuj rau ntawm lub plab khoob.
Hloov mus rau qhov kev noj zaub mov tsis muaj roj kom tsawg. Noj cov khoom noj uas tso cai, txwv tsis pub txwv cov zaub mov txwv.
Kev tawm dag zog. Nws yog qhov zoo tshaj los ua kev khiav qoj ib ce raws li tus txheej txheem ntawm kev dhia ceev, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 2. Kev tawm dag zog yog qhov tseem ceeb rau koj.
Yog tias qhov kev noj zaub mov kom tsawg hauv cov khoom noj khoom haus ua ke nrog kev kawm lub cev tsis txaus, uas yog, koj tseem tau nce cov piam thaj tom qab noj mov, tom qab ntawd ntxiv Siofor lossis Glucofage ntsiav tshuaj rau lawv.
Yog tias txhua qhov ua ke - kev noj haus, kev tawm dag zog thiab Siofor - tsis pab txaus, ces tsuas yog hauv qhov no koj yuav tsum tau txhaj tshuaj ntxiv thaum tsaus ntuj thiab / lossis thaum sawv ntxov ntawm lub plab khoob. Hauv theem no, koj tsis tuaj yeem ua yam tsis muaj kws kho mob. Vim hais tias cov txheej txheem ntawm kev kho tshuaj insulin yog tus endocrinologist, thiab tsis yog lawv tus kheej.
Txawm li cas los xij, tsis kam lees txog kev noj zaub mov kom tsawg hauv koj lub cev, tsis muaj teeb meem dab tsi uas tus kws kho mob hais, leej twg yuav sau ntawv rau koj cov tshuaj insulin. Nyeem qhia txog yuav teev li cas cov ntshav qabzib insulin. Yog tias koj pom tias tus kws kho mob sau ntawv rau cov tshuaj insulin "hauv qab nthab", thiab tsis saib koj cov ntaub ntawv ntawm kev ntsuas ntshav qab zib, ces tsis txhob siv nws cov lus pom zoo, tab sis hu rau lwm tus kws tshaj lij.

Nco ntsoov tias feem ntau ntawm cov neeg mob, yuav tsum tau txhaj tshuaj insulin rau cov neeg mob ntshav qab zib hom 2 uas yog tub nkeeg ntau dhau hwv.

Kuaj kev to taub hom 2 mob ntshav qab zib thiab nws txoj kev kho mob

Sijhawm Txwv: 0

Kev mus los (txoj hauj lwm cov naj npawb xwb)

0 tawm ntawm 11 qhov haujlwm tau ua tiav

Cov lus nug:

Cov Ntaub Ntawv

Koj twb dhau txoj kev sim ua ntej lawm. Koj tsis tuaj yeem pib nws ntxiv.

Qhov kev kuaj ntawd yog chaw thau khoom ...

Koj yuav tsum nkag mus lossis sau npe nkag mus txhawm rau pib ntsuas.

Koj yuav tsum ua tiav cov kev xeem hauv qab no los pib qhov no:

Tshawb Tau

Cov lus teb yog: 0 ntawm 11

Sijhawm tas lawm

Taub Hau

Tsis muaj nqe 0%

Nrog lus teb
Nrog saib cim

Lo lus nug 1 ntawm 11
1.
Yuav kho tus mob ntshav qab zib hom 2 li cas?
- Kev noj zaub mov kom tsawg tsawg hauv lub cev
- Kev noj zaub mov kom tsawg
- Cov tshuaj insulin
- Cov piam thaj txo ntsiav tshuaj
Sab Xis
Cov kev kho mob tseem ceeb rau cov ntshav qab zib hom 2 yog cov zaub mov tsis muaj ntsev ntau. Ntsuas koj qab zib nrog glucometer - thiab nco ntsoov tias nws yeej pab.
Tsis ncaj ncees lawm
Cov kev kho mob tseem ceeb rau cov ntshav qab zib hom 2 yog cov zaub mov tsis muaj ntsev ntau. Ntsuas koj qab zib nrog glucometer - thiab nco ntsoov tias nws yeej pab.
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2.
Cov piam thaj twg koj yuav tsum siv zog tom qab noj mov?
- Tsis siab tshaj 5.2-6.0 mmol / l
- Qab zib li qub tom qab noj mov - txog 11.0 mmol / L
- Nws tseem ceeb tshaj kom tswj hwm kev yoo mov qab qab tom qab noj mov
Sab Xis
Qab zib tom qab noj mov yuav tsum yog, raws li nyob rau hauv cov neeg muaj kev noj qab haus huv - tsis siab tshaj 5.2-6.0 mmol / L. Qhov no yog ua tiav tiag tiag nrog cov pluas noj qis-carb. Kuj tswj koj cov piam thaj thaum sawv ntxov nyob ntawm ib qho khoob khoob. Yoo cov kua nplaum ua ntej noj mov tsis tseem ceeb.
Tsis ncaj ncees lawm
Qab zib tom qab noj mov yuav tsum yog, raws li nyob rau hauv cov neeg muaj kev noj qab haus huv - tsis siab tshaj 5.2-6.0 mmol / L. Qhov no yog ua tiav tiag tiag nrog cov pluas noj qis-carb. Kuj tswj koj cov piam thaj thaum sawv ntxov nyob ntawm ib qho khoob khoob. Yoo cov kua nplaum ua ntej noj mov tsis tseem ceeb.
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3.
Qhov twg hauv qab no yog qhov tseem ceeb tshaj plaws rau ntshav qab zib?
- Txheeb ntsuas 'meter' kom raug. Yog tias nws muab tawm tias lub ntsuas dej dag - muab pov tseg thiab yuav lwm tus, siv tau
- Mus ntsib kws kho mob tsis tu ncua, kuaj mob
- Tau Txais Kev Xiam Oob Qhab rau Insulin Dawb thiab Lwm Cov Nyiaj Pab
Sab Xis
Qhov tseem ceeb thiab thawj qhov uas yuav ua yog tshawb xyuas lub ntsuas 'meter' kom raug. Yog hais tias cov 'meter' dag, ces nws yuav coj koj mus rau qhov ntxa. Tsis muaj kev kho mob ntshav qab zib yuav pab, txawm tias kim tshaj plaws thiab xom lees. Lub tso ntshav ntsuas cov ntshav qabzib nyob tseem ceeb heev rau koj.
Tsis ncaj ncees lawm
Qhov tseem ceeb thiab thawj qhov uas yuav ua yog tshawb xyuas lub ntsuas 'meter' kom raug. Yog hais tias cov 'meter' dag, ces nws yuav coj koj mus rau qhov ntxa. Tsis muaj kev kho mob ntshav qab zib yuav pab, txawm tias kim tshaj plaws thiab xom lees. Lub tso ntshav ntsuas cov ntshav qabzib nyob tseem ceeb heev rau koj.
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4.
Cov tshuaj phom sij rau tus mob ntshav qab zib hom 2 yog cov uas:
- Txhua yam tshuaj no, thiab koj yuav tsum tau tsis txhob noj lawm
- Maninil, Glidiab, Diabefarm, Diabeton, Amaryl, Glurenorm, NovoNorm, Diagnlinid, Starlix
- Lawv zwm rau cov pab pawg ntawm sulfonylureas thiab clayides (meglitinides)
- Pab txhawb rau tus txiav ua kab mob los tsim cov tshuaj insulin ntxiv
Sab Xis
Nyeem ntxiv txog cov tshuaj mob ntshav qab zib muaj kev phom sij ntawm no. Hloov ntawm lawv - kev noj haus cov zaub mov uas tsis muaj carbohydrate, kev kawm siv lub cev nrog kev lom zem, cov tshuaj pab tau Siofor (Glucophage) thiab lwm yam kev ntsuas kho mob.
Tsis ncaj ncees lawm
Nyeem ntxiv txog cov tshuaj mob ntshav qab zib muaj kev phom sij ntawm no. Hloov ntawm lawv - kev noj haus cov zaub mov uas tsis muaj carbohydrate, kev kawm siv lub cev nrog kev lom zem, cov tshuaj pab tau Siofor (Glucophage) thiab lwm yam kev ntsuas kho mob.
Txoj haujlwm 5 ntawm 11
5.
Yog tias ib tug neeg mob uas muaj ntshav qab zib hom 2 tam sim ntawd thiab poob peev xwm poob ntawm qhov hnyav, ces qhov no txhais tau tias:
- Cov nyhuv no tau muab los ntawm ntsiav tshuaj uas muaj suab thaj qis dua.
- Tus mob hloov mus ua hom mob ntshav qab zib hom 1 loj heev
- Lub cev tsis nqus khoom noj vim lub raum mob
Sab Xis
Qhov tseeb teb yog tias tus kabmob tau hloov mus rau hom mob ntshav qab zib hom 1 loj heev. Nws yog ib qho tsim nyog yuav tsum txhaj tshuaj insulin, ib qho tsis tuaj yeem ua yam tsis muaj nws.
Tsis ncaj ncees lawm
Qhov tseeb teb yog tias tus kabmob tau hloov mus rau hom mob ntshav qab zib hom 1 loj heev. Nws yog ib qho tsim nyog yuav tsum txhaj tshuaj insulin, ib qho tsis tuaj yeem ua yam tsis muaj nws.
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6.
Kev noj haus zoo tshaj plaws li cas yog hom 2 ntshav qab zib txhaj tshuaj insulin?
- Kev noj zaub mov kom tsawg
- Kev noj zaub mov zoo, xws li cov neeg noj qab haus huv
- Kev noj zaub mov kom muaj calorie tsawg, roj tsawg
Sab Xis
Kev noj zaub mov kom tsis txhob muaj cov carbohydrate ntau rau koj kom faib nrog cov tshuaj insulin tsawg kawg. Nws muab kev tswj hwm zoo tshaj plaws ntawm cov ntshav qab zib. Yog tias tus neeg mob ntshav qab zib txhaj tshuaj insulin, qhov no tsis txhais tau tias nws tuaj yeem noj dab tsi.
Tsis ncaj ncees lawm
Kev noj zaub mov kom tsis txhob muaj cov carbohydrate ntau rau koj kom faib nrog cov tshuaj insulin tsawg kawg. Nws muab kev tswj hwm zoo tshaj plaws ntawm cov ntshav qab zib. Yog tias tus neeg mob ntshav qab zib txhaj tshuaj insulin, qhov no tsis txhais tau tias nws tuaj yeem noj dab tsi.
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7.
Qhov ua kom muaj mob ntshav qab zib hom 2 yog:
- Lub kais dej tsis zoo zoo
- Sedentary lub neej
- Kev pham uas muaj ntau xyoo dhau los
- Noj zaub mov tsis muaj carbohydrate-nplua nuj
- Tag nrho cov saum toj no tshwj tsis yog cov dej tsis zoo ntawm cov kais dej
Sab Xis
Tsis ncaj ncees lawm
Lo lus nug 8 ntawm 11
8.
Tshuaj insulin yog dab tsi?
- Lub hlwb tsis zoo rhiab rau insulin
- Kev puas tsuaj rau cov tshuaj insulin vim kev tsim khoom tsis zoo
- Yuav tsum tau kho cov neeg mob ntshav qab zib nrog cov tshuaj insulin tsawg
Sab Xis
Insulin tsis kam - txom nyem (txo qis) rhiab ntawm cov hlwb mus rau kev ua ntawm insulin. Nov yog qhov laj thawj tseem ceeb ntawm kev txhim kho hom ntshav qab zib 2. Nyeem yuav ua li cas coj nws tswj, txwv tsis pub koj yuav tsis muaj peev xwm yuav kho tau zoo.
Tsis ncaj ncees lawm
Insulin tsis kam - txom nyem (txo qis) rhiab ntawm cov hlwb mus rau kev ua ntawm insulin. Nov yog qhov laj thawj tseem ceeb ntawm kev txhim kho hom ntshav qab zib 2. Nyeem yuav ua li cas coj nws tswj, txwv tsis pub koj yuav tsis muaj peev xwm yuav kho tau zoo.
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9.
Yuav txhim kho cov txiaj ntsig kho kev kho mob rau ntshav qab zib hom 2 li cas?
- Kawm kom txaus siab rau kev kawm paub lub cev
- Tsis txhob noj cov khoom noj muaj roj - nqaij, qe, butter, nqaij qaib tawv
- Hloov mus rau qhov kev noj zaub mov tsis muaj roj kom tsawg
- Tag nrho cov saum toj no tshwj tsis yog “tsis txhob noj cov zaub mov rog”
Sab Xis
Xav tias dawb noj nqaij, qe, butter, nqaij qaib nqaij tawv thiab lwm yam zaub mov qab. Cov zaub mov no normalize cov ntshav qab zib hauv ntshav qab zib. Lawv nce tsis ntxiv "tsis zoo", tab sis "zoo" cov roj cholesterol, uas tiv thaiv cov hlab ntsha.
Tsis ncaj ncees lawm
Xav tias dawb noj nqaij, qe, butter, nqaij qaib nqaij tawv thiab lwm yam zaub mov qab. Cov zaub mov no normalize cov ntshav qab zib hauv ntshav qab zib. Lawv nce tsis ntxiv "tsis zoo", tab sis "zoo" cov roj cholesterol, uas tiv thaiv cov hlab ntsha.
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10.
Yuav tsum ua li cas tiv thaiv lub plawv thiab mob hlab ntsha tawg?
- Muaj lub tsev soj ntsuam ntshav hauv tsev, ntsuas ntshav siab ib zaug ib asthiv
- Txhua txhua rau lub hlis, kuaj cov roj “zoo” thiab “phem” roj, triglycerides
- Kuaj ntshav rau C-reactive protein, homocysteine, fibrinogen, serum ferritin
- Tsis txhob noj cov nqaij liab, qe, butter, thiaj li tsis kom nce cov roj (cholesterol)
- Tag nrho cov saum toj no tshwj tsis yog “tsis txhob noj cov nqaij liab, qe, butter”
Sab Xis
Xav tias dawb noj nqaij liab, nqaij qaib qe, butter thiab lwm yam zaub mov qab. Lawv nce tsis ntxiv "tsis zoo", tab sis "zoo" cov roj cholesterol, uas tiv thaiv cov hlab ntsha. Qhov no yog qhov kev tiv thaiv tiag tiag ntawm kev mob plawv thiab mob stroke, thiab tsis yog kev txwv txiav cov rog hauv zaub mov. Koj yuav tsum kuaj ntshav dab tsi thiab seb yuav nkag siab li cas li cas, tshwm sim rau ntawm no.
Tsis ncaj ncees lawm
Xav tias dawb noj nqaij liab, nqaij qaib qe, butter thiab lwm yam zaub mov qab. Lawv nce tsis ntxiv "tsis zoo", tab sis "zoo" cov roj cholesterol, uas tiv thaiv cov hlab ntsha.Qhov no yog qhov kev tiv thaiv tiag tiag ntawm kev mob plawv thiab mob stroke, thiab tsis yog kev txwv txiav cov rog hauv zaub mov. Koj yuav tsum kuaj ntshav dab tsi thiab seb yuav nkag siab li cas li cas, tshwm sim rau ntawm no.
Lo lus nug 11 ntawm 11
11.
Koj yuav paub tau li cas kev kho mob ntshav qab zib hom 2 pab tau?
- Nyeem kab mob kev kho mob ntshav qab zib tau pom zoo los ntawm Ministry of Health thiab cov ntawv kho mob hnub nyoog
- Ua raws li kev sim tshuaj ntawm cov tshuaj muaj piam thaj tshiab
- Siv cov cim qhia glucometer, nrhiav seb txoj hauv kev qis dua cov piam thaj thiab qhov tsis ua
- Tsoos tshuaj ntsuab kho mob ntshav qab zib, suav sau raws cov qauv ib txwm muaj
Sab Xis
Cia siab rau koj lub taub dej xwb! Thawj zaug kuaj xyuas qhov tseeb. Tsuas yog ntsuas ntsuas ntsuas qab zib ntau dua yuav pab koj pom qhov kev kho mob ntshav qab zib twg yeej pab tau. Txhua qhov "muaj cai" ntawm cov ntaub ntawv feem ntau ntxias cov neeg mob ntshav qab zib kom tau nyiaj txiag.
Tsis ncaj ncees lawm
Cia siab rau koj lub taub dej xwb! Thawj zaug kuaj xyuas qhov tseeb. Tsuas yog ntsuas ntsuas ntsuas qab zib ntau dua yuav pab koj pom qhov kev kho mob ntshav qab zib twg yeej pab tau. Txhua qhov "muaj cai" ntawm cov ntaub ntawv feem ntau ntxias cov neeg mob ntshav qab zib kom tau nyiaj txiag.

Dab tsis ua

Tsis txhob noj sulfonylurea derivatives. Kuaj xyuas yog tias cov tshuaj ntshav qab zib uas koj tau muab rau yog sulfonylurea derivatives. Txhawm rau ua qhov no, ua tib zoo nyeem cov lus qhia, ntu "Yam khoom". Yog tias nws hloov tawm tias koj noj sulfonylurea derivatives, muab pov tseg.

Vim li cas cov tshuaj no muaj kev phom sij tau piav qhia ntawm no. Hloov chaw ntawm kev noj lawv, tswj koj cov ntshav qab zib nrog cov zaub mov tsis muaj carbohydrate tsawg, kev tawm dag zog, Siofor lossis Glucofage ntsiav tshuaj, thiab yog tias tsim nyog, insulin. Endocrinologists nyiam muab tshuaj sib xyaw ua ke uas muaj sulfonylureas + metformin derivatives. Hloov ntawm lawv mus rau "ntshiab" metformin, uas yog, Siofor lossis Glucofage.

Dab tsis ua	Koj yuav tsum tau ua dab tsi
Tsis txhob cia siab ntau rau cov kws kho mob, txawm tias tau them nyiaj, hauv cov chaw kho mob txawv teb chaws	Ua lub luag haujlwm rau kev kho koj Nyob ntawm qhov chaw noj zaub mov kom tsawg. Saib xyuas koj cov ntshav qab zib kom zoo. Yog tias tsim nyog, txhaj cov tshuaj insulin hauv kev noj tshuaj tsawg, ntxiv rau kev noj haus. Kev tawm dag zog. Sau npe xee ntshav qab zib-Med.Com ntawv xov xwm.
Tsis txhob tshaib plab, tsis txwv txiav cov calories, tsis txhob tshaib plab	Noj cov khoom noj uas qab thiab txaus siab uas tau tso cai rau cov zaub mov muaj ntsev tsawg.
... tab sis tsis txhob noj ntau tshaj, txawm tias tso cai rau cov khoom noj muaj protein tsawg	Tsis txhob noj pluas mov thaum koj tau noj ntau dua lossis tsawg dua, tab sis tseem tuaj yeem noj
Tsis txhob txwv koj cov rog ntawm lub cev	Noj cov qe, butter, cov roj ua kom txias. Saib xyuas koj cov ntshav siab rov qab mus rau qhov qub, los rau qhov kev khib ntawm txhua tus neeg koj paub. Oily hiav txwv ntses yog tshwj xeeb tshaj yog siv tau.
Tsis txhob nkag mus rau hauv cov xwm txheej thaum koj tshaib plab thiab tsis muaj zaub mov tsim nyog	Thaum sawv ntxov, npaj ua qhov twg thiab koj yuav noj dab tsi thaum nruab hnub. Nqa khoom noj txom ncauj - cheese, hau nqaij npuas, hau qe, txiv ntoo.
Tsis txhob noj tshuaj phom sij - sulfonylureas thiab av nplaum	Nyeem kab lus txog cov tshuaj kho ntshav qab zib kom zoo. Nkag siab tias hom tshuaj twg yog qhov tsim kev puas tsuaj thiab qhov twg tsis yog.
Tsis txhob xav tias yuav muaj txuj ci tseem ceeb ntawm Siofor thiab Glucofage ntsiav tshuaj	Npaj Siofor thiab Glucofage txo cov suab thaj los ntawm 0.5-1.0 mmol / l, tsis ntau ntxiv. Lawv tsis tshua muaj peev xwm hloov tau cov tshuaj insulin.
Tsis txhob txuag ntawm cov ntsuas cov ntsuas dej qabzib	Ntsuas koj qab zib txhua hnub 2-3 zaug. Txheeb ntsuas 'meter' kom raug qhov tseeb siv cov txheej txheem piav qhia ntawm no. Yog tias nws hloov tawm tias lub cuab yeej dag, tam sim ntawd muab pov nws tam sim ntawd los yog muab rau koj tus yeeb ncuab. Yog tias tsawg dua 70 qhov ntsuas ntsuas coj koj ib hlis, nws txhais tau tias koj ua qee yam tsis raug.
Tsis txhob ncua sijhawm pib kho insulin, yog tias tsim nyog	Teeb meem ntawm ntshav qab zib pib muaj txawm tias thaum qab zib tom qab noj mov lossis thaum sawv ntxov ntawm qhov khoob yog 6.0 mmol / L. Thiab tseem muaj ntau dua yog tias nws tau ntau dua. Cov tshuaj Insulin yuav txuas koj lub neej thiab ua kom zoo dua qub. Ua phooj ywg nrog nws! Kawm cov txheej txheem ntawm kev siv tshuaj tsis muaj mob thiab yuav ua li cas los laij cov tshuaj insulin.
Tsis txhob ua tub nkeeg los tswj koj cov ntshav qab zib, txawm tias mus ncig ua lag luam, muaj kev ntxhov siab, thiab lwm yam.	Khaws phau ntawv teev tus kheej-soj qab, zoo dua hauv daim foos hluav taws xob, zoo tshaj plaws hauv Google Cov Ntawv Ntawv. Qhia hnub, sijhawm uas koj noj, ntshav qab zib, ntau npaum li cas thiab hom tshuaj insulin raug txhaj dab tsi, ua si lub cev dab tsi, ntxhov siab, thiab lwm yam.

Ua tib zoo kawm cov lus “Yuav ua li cas txo cov tshuaj insulin. Dab tsi yog ceev thiab qeeb carbohydrates. " Yog tias koj yuav tsum nce siab ntxiv cov koob tshuaj insulin - nws txhais tau tias koj tau ua qee yam tsis raug. Koj yuav tsum nres, xav txog thiab hloov qee yam hauv koj cov haujlwm kho mob.

Kev tawm dag zog lub cev thiab txo cov tshuaj qab zib

Cov tswv yim tseem ceeb yog xaiv cov kev tawm dag zog uas ua rau koj zoo siab. Yog koj ua qhov no, tom qab ntawd koj yuav ua kev tawm dag zog tas li kom lom zem. Thiab normalizing ntshav qab zib thiab txhim kho kev noj qab haus huv yog "phiv." Qhov kev xaiv pheej yig ntawm kev tawm dag zog lub cev nrog kev lom zem yog kev dhia hauv txoj kev qhia ntawm phau ntawv “Chi-jogging. Ib qho kev tawm tsam los khiav - nrog kev lom zem, tsis muaj kev raug mob thiab tsim txom. " Kuv pom zoo nws.

Hauv kev kho mob ntshav qab zib hom 2, muaj ob yam txuj ci tseem ceeb:

Kev noj zaub mov kom tsawg
Kev dhia ua si taug kev raws li tus txheej txheem ntawm phau ntawv “Chi-jogging”.

Peb sab laj txog kev noj zaub mov kom cov zaub mov tsis muaj rog tsawg hauv kev nthuav dav ntawm no. Muaj ntau ntau cov ncauj lus ntawm cov ncauj lus no hauv peb lub vev xaib vim nws yog txoj kev tseem ceeb los tswj hom ntshav qab zib hom 1 thiab hom 2. Raws li kev khiav, qhov txuj ci tseem ceeb yog tias koj tuaj yeem khiav thiab tsis muaj kev txom nyem, tab sis theej muaj kev lom zem. Koj tsuas yog yuav tsum tau kawm txog yuav ua li cas kom ua tiav txoj kev sib tw, thiab phau ntawv yuav pab zoo rau qhov no. Thaum khiav, "cov tshuaj hormones ntawm kev zoo siab" yog tsim tawm hauv lub cev, uas ua rau muaj siab zoo li siv yeeb tshuaj. Kev dhia ua si raws li Chi-jogu txuj ci tsim nyog txawm tias cov neeg muaj teeb meem sib koom ua ke. Nws yog qhov zoo tagnrho los hloov kev sib tw nrog cov chav kawm ntawm simulators hauv chav ua si. Yog tias koj tsis xav khiav, tab sis kev ua luam dej, ntaus pob tesniv lossis caij tsheb kauj vab, thiab koj tuaj yeem them nws, nws yog qhov zoo rau koj noj qab haus huv. Cia li mus koom nrog tsis tu ncua.

Yog tias koj sim noj cov khoom noj uas muaj carbohydrate tsawg raws li peb cov lus pom zoo thiab paub tseeb tias nws yeej pab, ces kuj sim "Chi-run". Muab cov khoom noj uas tsis muaj roj ntau ntau thiab kev tawm dag zog. Qhov no txaus rau 90% ntawm cov neeg mob uas muaj ntshav qab zib hom 2 ua yam tsis muaj tshuaj insulin thiab ntsiav tshuaj. Koj tuaj yeem ua kom koj cov ntshav qabzib hauv qib siab zoo li qub. Qhov no hais txog cov piam thaj tom qab noj mov tsis ntau dua 5.3-6.0 mmol / L thiab glycated hemoglobin tsis siab dua 5.5%. Nov tsis yog qhov kev npau suav, tab sis lub hom phiaj tiag tiag uas tuaj yeem ua tiav hauv ob peb lub hlis.

Kev qoj ib ce tsub kom rhiab ntawm lub cev lub cev rau cov tshuaj insulin. Qhov no yog qhov tseem ceeb heev rau cov neeg mob uas muaj ntshav qab zib hom 2. Ntsiav tshuaj Siofor lossis Glucofage (cov tshuaj ua kom sib xyaw metformin) muaj cov nyhuv tib yam, tab sis ntau zaus tsis muaj zog. Cov ntsiav tshuaj no feem ntau yuav tsum tau muab rau cov neeg mob ntshav qab zib uas yog tub nkeeg ntau dhau rau kev tawm dag zog, txawm hais tias tag nrho cov kev yaum. Peb kuj tseem siv tshuaj metformin ua qhov kev daws thib peb yog tias kev noj zaub mov kom tsawg thiab ua kom ib ce muaj zog tsis txaus. Nov yog kev sim tshiab tshaj plaws hauv cov neeg mob ntshav qab zib hom 2 mus rau cov tshuaj insulin.

Thaum xav tau cov tshuaj insulin

Ntshav qab zib Hom 2 nyob rau 90% ntawm cov neeg muaj peev xwm tswj tau kom meej yam tsis muaj tshuaj txhaj insulin. Cov cuab yeej thiab cov txheej txheem uas peb tau teev tseg saum toj no yog kev pab zoo. Txawm li cas los xij, yog tias tus mob ntshav qab zib pib lig dhau lawm "siv rau hauv lub siab", tom qab ntawd nws cov txiav ua ke tau mob, thiab nws tus kheej insulin tsis tau tsim txaus. Hauv qhov xwm txheej tsis zoo no, yog tias koj tsis txhaj tshuaj insulin, ntshav qab zib yuav tseem nce ntxiv, thiab cov teeb meem ntshav qab zib tsuas yog nyob ib puag ncig.

Hauv kev kho mob ntshav qab zib hom 2 nrog tshuaj insulin, muaj cov ntsiab lus hauv qab no. Ua ntej, insulin feem ntau yuav tsum tau txhaj rau hauv cov neeg mob tub nkeeg. Raws li txoj cai, qhov kev xaiv yog: insulin lossis kev kawm lub cev. Ib zaug ntxiv kuv xav kom koj mus rau hauv jogging nrog kev txaus siab. Kev xyaum ua kom lub cev muaj zog hauv chav ntaus pob kuj tseem siv tau vim tias lawv nce siab ntawm cov hlwb rau cov tshuaj insulin. Nrog qhov muaj qhov tshwm sim ntau, ua tsaug rau kev kawm paub lub cev, insulin tuaj yeem raug tshem tawm. Yog tias nws tsis tuaj yeem ua tiav tawm kev txhaj tshuaj, ces kev noj tshuaj ntawm cov tshuaj insulin yuav twv yuav raug txo kom tsawg.

Thib ob, yog tias koj pib kho koj tus mob ntshav qab zib hom 2 nrog insulin, qhov no tsis txhais tau tias tam sim no koj tuaj yeem tsum tsis noj zaub mov. Ntawm qhov tsis sib xws, nruj me ntsis rau cov zaub mov uas tsis muaj carbohydrate kom tau los ntawm kev noj tshuaj kom tsawg kawg ntawm cov tshuaj insulin. Yog tias koj tseem xav txo qhov tshuaj ntawm cov tshuaj insulin - kev tawm dag zog thiab sim ua kom poob ceeb thawj. Txhawm rau kom yuag dhau heev, koj yuav tsum tau txwv txiav cov protein ntau ntawm cov zaub mov tsis muaj carbohydrate. Nyeem peb cov ntaub ntawv yuav ua li cas noj insulin txhaj tshuaj tsis mob thiab yuav ua li cas poob ceeb thawj hauv ntshav qab zib.

Thib peb, cov neeg mob ntshav qab zib hom 2 feem ntau ncua sijhawm pib kho tshuaj insulin mus rau qhov kawg, thiab qhov no yog qhov ruam heev. Yog tias tus neeg mob ntawd ua rau nws lub plawv nres sai thiab tuag sai, ces peb tuaj yeem hais tias nws muaj hmoo. Vim tias muaj cov kev xaiv phem:

Kev deev tes taw thiab caj dab sib cav;
Qhov muag tsis pom;
Qhov kev txom nyem tuag los ntawm lub raum tsis ua haujlwm.

Cov no yog cov mob ntshav qab zib uas tus yeeb ncuab phem tshaj plaws yuav tsis xav tau. Yog li, cov tshuaj insulin yog ib qho cuab yeej zoo uas pab tau los ntawm kev paub zoo nrog lawv. Yog tias pom tseeb tias cov tshuaj insulin tsis tuaj yeem siv nrog, tom qab ntawd pib txhaj tshuaj sai dua, tsis txhob nkim sijhawm.

Thaum lub qhov muag dig lossis dig muag ntawm tus nqaj, ntshav qab zib muaj feem ntau muaj ob peb xyoos ntxiv hauv txoj kev tsis taus. Nyob rau lub sijhawm no, nws tswj kom ua tib zoo xav txog dab tsi ruam nws yog thaum nws tsis tau pib txhaj tshuaj insulin rau lub sijhawm ... Los kho tus mob ntshav qab zib mellitus hom 2 kev kho mob tsis yog "huag, insulin, dab tsi npau suav phem", tab sis "ua kom npau taws, insulin!"

Hom 2 mob ntshav qab zib hom phiaj

Cia peb saib qee qhov xwm txheej tshwm sim txhawm rau txhawm rau qhia pom kev ua lub hom phiaj tiag tiag ntawm kev kho mob tuaj yeem yog dab tsi. Thov kawm cov lus "Lub Hom Phiaj Los Kho Ntshav Qab Zib" Ua Ntej. Nws muaj cov ncauj lus yooj yim. Qhov tsis zoo ntawm kev teeb tsa cov hom phiaj kho mob ntshav qab zib hom 2 tau piav qhia hauv qab no.

Piv txwv tias peb muaj cov neeg mob ntshav qab zib hom 2 uas tswj hwm ntshav qab zib nrog cov khoom noj kom tsis rog thiab ua kom lub cev muaj zog txaus siab. Nws tuaj yeem ua yam tsis muaj ntshav qab zib thiab tshuaj insulin. Xws li tus mob ntshav qab zib yuav tsum siv zog tswj nws cov ntshav qab zib kom siab ntawm 4.6 mmol / L ± 0.6 mmol / L ua ntej, thaum thiab noj mov. Nws yuav muaj peev xwm ua tiav lub hom phiaj no los ntawm kev npaj zaub mov noj ua ntej. Nws yuav tsum sim noj cov khoom noj uas muaj cov zaub mov uas tsis muaj cov rog ntau kom txog thaum nws txiav txim siab nws cov zaub mov noj kom tsawg. Koj yuav tsum kawm paub yuav ua li cas ua zaub mov kom muaj cov zaub mov uas muaj cov carbohydrate tsawg. Cov feem yuav tsum muaj xws li qhov loj me uas tus neeg sawv ntawm lub rooj puv, tab sis tsis pub noj ntau dhau, thiab tib lub sijhawm cov ntshav qab zib hloov mus ua qhov qub.

Cov hom phiaj koj xav siv zog rau:

Qab zib tom qab 1 thiab 2 teev tom qab txhua pluas noj - tsis siab tshaj li 5,2-5.5 mmol / l
Cov ntshav qab zib thaum sawv ntxov nyob rau ntawm lub plab khoob tsis siab tshaj 5.2-5.5 mmol / l
Glycated hemoglobin HbA1C - qis dua 5.5%. Qhov tsim nyog - qis dua 5.0% (tuag qes dua).
Qhov ntsuas ntawm cov roj "tsis zoo" thiab triglycerides hauv cov ntshav yog qhov txwv tsis pub muaj. Cov roj "kom zoo" tuaj yeem siab dua qhov qub.
Ntshav siab txhua lub sijhawm tsis siab tshaj 130/85 hli RT. Kev Ua Yeeb Yam., Tsis muaj kev kub siab tawm tsam (koj kuj yuav tsum noj tshuaj pab ntxiv rau kev kub siab).
Atherosclerosis tsis loj hlob. Tus mob ntawm cov hlab ntsha tsis yooj yim dua, suav nrog ob txhais ceg.
Kev ntsuas pom zoo ntawm kev kuaj ntshav rau cov ntshav plawv (C-reactive protein, fibrinogen, homocysteine, ferritin). Cov no yog cov kev ntsuam xyuas tseem ceeb tshaj cov roj (cholesterol)!
Tsis pom kev lawm.
Lub cim xeeb tsis zoo, tab sis, theej txhim kho. Kev ua haujlwm hauv lub hlwb kuj.
Tag nrho cov tsos mob ntawm tus mob neuropathy uas ploj lawm yuav ploj mus tsis pub dhau ob peb hlis. Xws li mob ntshav qab zib ko taw. Neuropathy yog ib qho kev mob uas thim rov qab kiag li.

Cia li xav tias nws tau sim noj ntawm cov zaub mov tsis muaj rog ntau, thiab vim li ntawd, nws muaj ntshav qab zib tom qab noj 5.4 - 5.9 mmol / L. Tus kws kuaj mob endocrinologist yuav hais tias qhov no zoo heev. Tab sis peb yuav hais tias qhov no tseem dhau qhov tsis suav. Ib txoj kev tshawb nrhiav xyoo 1999 qhia tau hais tias nyob rau qhov xwm txheej zoo li no, qhov kev pheej hmoo ntawm lub plawv yog nce 40%, piv nrog cov neeg uas muaj ntshav qab zib tom qab noj mov tsis ntau tshaj 5.2 mmol / L. Peb pom zoo kom tus neeg mob no ua lub cev tawm dag zog nrog kev lom zem txhawm rau txo nws cov ntshav qab zib thiab coj nws mus rau theem ntawm cov neeg noj qab haus huv. Kev khiav dej num yog ib qhov kev paub qab ntxiag heev, thiab nws kuj tseem ua haujlwm qhov xav tau hauv cov ntshav qab zib.

Yog tias koj tsis tuaj yeem yaum tus neeg mob ntshav qab zib hom 2 kom tawm dag zog, tom qab ntawd nws yuav raug muab Siofor ntsiav tshuaj (metformin) ntxiv rau kev noj zaub mov kom tsawg. Cov tshuaj Glucophage yog tib Siofor, tab sis ntawm lub sijhawm ntev. Nws yog qhov tsawg dua yuav ua rau muaj kev phiv - tsam plab thiab raws plab. Dr. Bernstein tseem ntseeg tias Glucofage txo qis cov ntshav qab zib 1.5 zaug ntau dua Siofor, thiab qhov no ua rau nws cov nqi siab dua.

Ntau xyoo ntshav qab zib: ib rooj plaub nyuaj

Xav txog ib yam teeb meem ntau ntawm tus mob ntshav qab zib hom 2. Tus neeg mob, mob ntshav qab zib ntev ntev, ua raws cov zaub mov uas tsis muaj carbohydrate ntau, siv tshuaj metformin, thiab txawm tias kev kawm siv lub cev. Tab sis nws cov ntshav qab zib tom qab noj mov tseem nyob rau qhov siab. Thaum zoo li no, txhawm rau kom txo qis ntshav qab zib kom nyob li qub, koj yuav tsum xub paub ua ntej tom qab noj mov twg hauv cov ntshav qab zib feem ntau nce. Txhawm rau ua qhov no, ua tag nrho tswj cov ntshav qab zib kom 1-2 lub lis piam. Thiab tom qab ntawd sim nrog lub sijhawm ntawm kev noj cov ntsiav tshuaj, thiab tseem yuav sim muab Siofor nrog Glucofage. Nyeem ntawm no yuav ua li cas tswj cov piam thaj siab thaum sawv ntxov ntawm lub plab khoob thiab tom qab noj mov. Koj tuaj yeem ua tau zoo ib yam yog tias koj cov piam thaj feem ntau sawv ntxov tsis yog thaum sawv ntxov, tab sis thaum noj su lossis yav tsaus ntuj. Thiab tsuas yog tias tag nrho cov kev ntsuas no pab tsis zoo, ces koj yuav tsum pib txhaj "insulin" ntxiv 1 lossis 2 zaug ib hnub.

Piv txwv ib tus neeg mob uas muaj ntshav qab zib hom 2 tseem yuav tau siv tshuaj "insulin" ntev ntev thaum hmo ntuj thiab / los yog thaum sawv ntxov. Yog tias nws ua raws li cov zaub mov tsis muaj carbohydrate, ces nws yuav xav tau cov tshuaj insulin me me. Lub txiav ua tus tsim kho nws cov kua dej, txawm hais tias nws tsis txaus. Tab sis yog tias cov piam thaj hauv ntshav poob qis dhau, tom qab ntawv txiav yuav txiav tawm ntawm cov tshuaj insulin. Qhov no txhais tau hais tias qhov kev pheej hmoo ntawm cov ntshav khov qis yog tsawg, thiab koj tuaj yeem sim txo cov ntshav qab zib kom txog 4.6 mmol / L ± 0.6 mmol / L.

Feem ntau, thaum cov neeg mob raum txiav tas "kub hnyiab lawm", cov neeg mob ntshav qab zib hom 2 tsis tas txhaj tshuaj “insulin” ntev ntev, tabsis tseem yuav tau txhaj cov insulin “luv” ua ntej noj mov. Cov neeg mob no nws tseem ceeb rau tib yam li mob ntshav qab zib hom 1. Txoj kev kho mob rau tus mob ntshav qab zib hom 2 nrog insulin tsuas yog los ntawm endocrinologist, tsis txhob ua nws tus kheej. Txawm hais tias nyeem tsab xov xwm "Cov txheej txheem ntawm kev siv tshuaj insulin" nyob rau hauv txhua rooj plaub yuav pab tau.

Cov ua rau mob ntshav qab zib insulin-ywj pheej - hauv kev nthuav dav

Cov kws tshaj lij pom zoo tias qhov ua rau mob ntshav qab zib hom 2 feem ntau yog cov tshuaj insulin tiv thaiv - kev poob qis hauv lub hlwb mus rau kev ua ntawm insulin. Qhov txiav ua tsis tau nws tus peev xwm tsim cov tshuaj insulin tsuas yog ua ntu zus lig ntawm tus kab mob. Thaum pib mob ntshav qab zib hom 2, ib qho dhau ntawm insulin kis rau hauv cov ntshav. Tab sis nws txo qis cov ntshav qab zib kom tsis zoo, vim tias cov hlwb tsis rhiab heev rau nws qhov kev txiav txim. Kev pham yog qhov ua rau ua cov tshuaj insulin. Thiab hloov siab dua - qhov muaj zog ntau dua ntawm cov tshuaj insulin, cov insulin ntau dua nyob rau hauv cov ntshav thiab cov nqaij rog sai dua sai.

Kev rog rog yog hom tshwj xeeb ntawm kev rog rog hauv cov rog rog hauv plab, hauv lub cev sab sauv. Hauv tus txiv neej uas tau tsim muaj lub plab rog, lub duav thoob plaws yuav loj dua qhov ncig ntawm lub duav. Ib tug poj niam uas muaj teeb meem tib yam nkaus yuav muaj lub duav ntawm 80% lossis ntau dua ntawm nws lub duav.Kev rog rog plab ua rau muaj peev xwm tiv thaiv cov tshuaj insulin, thiab lawv ib leeg txhawb ib leeg lub zog. Yog tias tus txiav tsis tuaj yeem tsim cov insulin txaus los pab txhawb qhov kev xav tau ntxiv rau nws, hom ntshav qab zib hom 2 tshwm sim. Muaj ntshav qab zib hom 2, insulin hauv lub cev tsis txaus, tab sis ntawm qhov tsis sib xws 2-3 zaug ntau dua li ib txwm. Qhov teeb meem yog lub hlwb ua tsis zoo rau nws. Stimulating lub txiav yuav tsim ntau cov insulin yog qhov kawg tuag.

Feem coob ntawm cov neeg hauv lub ntsiab lus teb niaj hnub no ntau ntawm cov zaub mov thiab ib txoj kev ua neej sedentary yog nws nquag txoj kev rog thiab insulin kuj. Raws li cov roj ntau ntau hauv lub cev, qhov kev thauj mus rau ntawm lub ntsej muag yuav nce zuj zus. Thaum kawg, beta hlwb tsis tuaj yeem tiv thaiv kev tsim cov tshuaj insulin txaus. Cov ntshav qabzib cov ntshav siab dua li ib txwm. Qhov no nyeg muaj cov kuab lom ntxiv rau hauv cov qe hlwb ntawm cov txiav, thiab lawv tua neeg pov tseg. Qhov no yog li cas hom ntshav qab zib hom 2 huam tuaj.

Saib hauv tsab xov xwm “Cov insulin tswj ntshav qab zib nyob rau hauv cov neeg noj qab haus huv thiab dab tsi hloov nrog ntshav qab zib.”

Qhov sib txawv ntawm tus kab mob no thiab ntshav qab zib hom 1

Kev kho mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 zoo sib xws nyob hauv ntau yam, tab sis nws kuj muaj qhov sib txawv. To taub cov kev sib txawv no yog qhov tseem ceeb los tswj koj cov ntshav qab zib kom ua tau zoo. Ntshav Qab Zib Hom 2 nthuav dav qeeb thiab maj mam dua li hom ntshav qab zib hom 1. Ntshav qab zib hauv ntshav qab zib hom 2 feem ntau nce mus rau qhov siab. Tab sis tseem, tsis muaj kev kho mob kom zoo, nws tseem nce ntxiv, thiab qhov no ua rau muaj kev loj hlob ntawm cov ntshav qab zib mob uas ua rau muaj mob xiam oob qhab lossis tuag.

Muaj ntshav qab zib ntau ntau hauv cov ntshav qab zib hom 2 cuam tshuam cov leeg ntshav, ua rau cov hlab ntshav, lub plawv, ob lub qhov muag, raum thiab lwm yam hauv nrog cev. Vim tias cov txheej txheem no feem ntau tsis ua rau pom tseeb tshwm sim, hom ntshav qab zib hom 2 hu ua "tus tua neeg uas ntsiag to". Cov tsos mob pom tseeb tuaj yeem tshwm sim txawm tias lub qhov txhab ua tsis tuaj yeem hloov kho - piv txwv li, lub raum tsis ua haujlwm. Yog li, nws yog ib qho tseem ceeb kom tsis txhob ua tub nkeeg rau saib qhov kev coj ua thiab ua cov txheej txheem kev kho mob, txawm tias tsis muaj dab tsi ua rau nws mob siab. Thaum mob, nws yuav lig dhau lawm.

Thaum pib, ntshav qab zib hom 2 yog ib tus kabmob tsawg dua li hom ntshav qab zib hom 1. Tsawg kawg tus neeg mob tsis muaj kev hem thawj "melting" rau hauv qab zib thiab dej thiab ua rau mob hnyav tuag tsis pub dhau ob peb lis piam. Txij li thaum tsis muaj cov tsos mob tshwm sim thaum xub thawj, tus kab mob tuaj yeem ua rau insidious, maj mam rhuav tshem lub cev. Ntshav qab zib Hom 2 yog qhov ua rau lub raum tsis ua haujlwm, txhais ceg qis dua, thiab qhov ua kom dig muag thoob plaws ntiaj teb. Nws pab txhawb kev txhim kho lub plawv nres thiab cov hlab ntsha hauv cov neeg mob ntshav qab zib. Lawv feem ntau tseem nyob nrog poj niam lub qhov paum hauv cov poj niam thiab impotence rau tus txiv neej, txawm hais tias cov no yog trifles piv rau lub plawv nres lossis mob stroke.

Insulin tsis kam yog nyob hauv peb cov noob

Peb txhua tus xeeb ntxwv ntawm cov neeg uas tau nyob ntev ntawm kev tshaib plab. Cov noob ntshav uas txiav txim siab nce rog thiab insulin kuj muaj txiaj ntsig zoo yog tias tsis muaj zaub mov. Koj yuav tsum them rau qhov no nrog kev nce ntxiv rau hom 2 mob ntshav qab zib hauv lub sijhawm muaj kev noj qab nyob zoo uas tib neeg nyob tam sim no. Kev noj haus cov zaub mov muaj protein ntau ntau zaus txo cov kev pheej hmoo ntawm cov ntshav qab zib hom 2, thiab yog tias nws tau pib lawm, nws poob qis. Txog kev tiv thaiv thiab kho hom mob ntshav qab zib hom 2, nws yog qhov zoo tshaj los ua ke cov khoom noj no nrog kev tawm dag zog lub cev.

Insulin tsis kam yog qee tus mob los ntawm caj ces, i.e., keeb kwm, tab sis tsis yog lawv nkaus xwb. Insulin rhiab heev ntawm cov hlwb poob qis yog tias muaj rog ntau hauv daim ntawv ntawm triglycerides ncig hauv cov ntshav. Muaj zog, txawm tias ib ntus, insulin tsis kam hauv cov tsiaj hauv tsev sim yog tshwm sim los ntawm cov leeg ntshav ntawm triglycerides. Kev rog rog ntawm lub cev yog qhov ua rau mob o - lwm qhov ntxiv rau kev txhim kho cov tshuaj insulin. Cov kab mob sib kis uas ua rau cov txheej txheem ua paug coj ua zoo ib yam.

Tus txheej txheem ntawm kev txhim kho cov kabmob

Insulin tsis kam nce lub cev xav tau cov insulin. Txhawb kev nce qib hauv cov ntshav hauv ntshav yog hu ua hyperinsulinemia. Nws yuav tsum “thawb” qabzib rau hauv lub hlwb raws li cov kab mob tiv thaiv insulin. Txhawm rau muab hyperinsulinemia, tshuaj txiav ua haujlwm nrog kev ntxhov siab ntau ntxiv. Ntau cov insulin hauv cov ntshav muaj cov kev coj tsis zoo hauv qab no:

nce ntshav siab;
ua rau cov hlab ntshav tawm sab hauv;
txuas ntxiv txhim kho cov tshuaj insulin kuj.

Hyperinsulinemia thiab insulin kuj tsim lub voj voog vaum, ob leeg sib txuam. Tag nrho cov tsos mob teev saum toj saud yog suav hu ua metabolic syndrome. Nws yuav siv sijhawm ntev mus txog ntau xyoo, kom txog rau thaum cov hlwb beta ntawm cov txiav "kub hnyiab tawm" vim tias qhov nce ntxiv. Tom qab qhov no, cov ntshav qab zib cov ntshav tau ntxiv rau cov tsos mob ntawm tus mob metabolic. Thiab koj tau ua tiav - koj tuaj yeem kuaj ntshav qab zib hom 2. Pom tseeb, nws zoo dua tsis txhob coj cov ntshav qab zib mus rau txoj kev txhim kho, tab sis kom pib tiv thaiv kom ntxov li ntxov tau, txawm tias nyob rau theem ntawm kev hloov kho cov kabmob. Qhov kev txhais tau zoo tshaj plaws ntawm kev tiv thaiv yog kev noj zaub mov kom tsis rog tsawg, nrog rau kev tawm dag zog nrog kev txaus siab.

Ntshav Qab Zib Hom 2 yuav mob li cas - los muab ntsiab lus. Cov noob caj noob ces ua rau + cov txheej txheem tiv thaiv + triglycerides hauv cov ntshav - tag nrho cov no ua rau cov tshuaj insulin tsis kam. Nws, nyeg, ua rau hyperinsulinemia - nce qib ntawm cov tshuaj insulin hauv cov ntshav. Qhov no txhawb kev nce ntau zuj zus ntawm cov nqaij adipose hauv plab thiab duav. Kev rog rog rog nce triglycerides hauv cov ntshav thiab ua rau mob o. Txhua yam no ntxiv txo qhov rhiab ntawm cov hlwb rau insulin. Thaum kawg, pancreatic beta hlwb tsum tiv thaiv kev ua kom muaj zog zuj zus thiab maj mam tuag. Qhov zoo, rhuav lub caij nyoog phem ua rau muaj tus mob ntshav qab zib hom 2 tsis nyuaj. Qhov no tuaj yeem ua nrog cov zaub mov uas tsis muaj carbohydrate thiab qoj ib ce nrog kev lom zem.

Qhov kev nyiam tshaj plaws uas peb tau txais thaum kawg. Nws hloov tawm tias cov rog tsis zoo uas nthuav tawm hauv cov ntshav hauv hom roj triglycerides tsis yog cov rog koj noj txhua lub sijhawm. Kev nce ntawm triglycerides nyob rau hauv cov ntshav tsis tshwm sim vim kev noj zaub mov muaj rog, tab sis vim tias kev noj zaub mov carbohydrates thiab kev txuam nrog cov nqaij adipose nyob rau hauv daim ntawv ntawm lub plab rog. Yog xav paub ntxiv, saib kab lus “Cov protein, Cov rog, thiab carbohydrates hauv cov khoom noj kom ntshav qab zib.” Hauv cov hlwb ntawm cov nqaij adipose, tsis yog cov rog uas peb noj ntau zuj zus, tab sis cov uas lub cev tsim tawm los ntawm kev noj haus carbohydrates nyob rau hauv kev cuam tshuam ntawm insulin. Cov rog uas tau txais txiaj ntsig, nrog rau cov tsiaj rog cov rog, yog qhov tseem ceeb thiab zoo rau koj txoj kev noj qab haus huv.

Hom 2 ntshav qabzib insulin ntau lawm

Cov neeg mob uas muaj ntshav qab zib hom 2 uas tsis ntev los no tau kuaj pom, raws li txoj cai, tseem txuas ntxiv los tsim lawv cov tshuaj insulin hauv qee yam. Ntxiv mus, ntau ntawm lawv tus kheej tsim cov tshuaj insulin ntau dua li cov tib neeg uas tsis muaj ntshav qab zib! Nws tsuas yog hais tias lub cev ntawm cov neeg mob ntshav qab zib tsis tau muaj nws tus kheej insulin vim qhov kev txhim kho ntawm qhov muaj zog ntau cov tshuaj insulin. Ib hom kev kho mob ntshav qab zib hom 2 hauv qhov xwm txheej no yog los txhawb cov txiav ua kom nws tsim tawm cov tshuaj insulin ntau dua. Hloov chaw, nws yog qhov zoo dua los ua kom qhov kev mob siab ntawm hlwb mus rau kev ua ntawm insulin, i.e., los pab txhawb cov tshuaj insulin tsis kam (yuav ua li cas).

Yog tias kho kom zoo thiab kho tau, ces ntau tus neeg mob ntshav qab zib hom 2 yuav tuaj yeem nqa lawv cov piam thaj kom rov zoo li qub tsis muaj kev txhaj tshuaj insulin. Tab sis yog tias tsis kho lossis kho nrog cov “kev coj ua” txoj kev ntawm cov neeg endocrinologist hauv tsev (kev noj zaub mov zoo li carbohydrate, sulfonylurea derivatives ntsiav tshuaj), tsis ntev yuav ntev cov kab mob pancreatic beta hlwb yuav “hlawv tag”. Thiab tom qab ntawd kev txhaj tshuaj ntawm cov tshuaj insulin yuav yog qhov tsim nyog tiag tiag rau kev muaj sia nyob ntawm tus neeg mob. Yog li, ntshav qab zib hom 2 hloov pauv mus ua mob ntshav qab zib hom 1. Nyeem hauv qab no yuav ua li cas kho koj tus kheej kom tiv thaiv tau qhov no.

Cov lus teb rau cov neeg mob uas nquag nug txog

Kuv tau mob hom mob ntshav qab zib hom 2 tau 10 xyoo. Tau 6 lub xyoo dhau los, Kuv tau niaj hnub tau txais kev kho mob ib xyoos ob zaug hauv ib lub tsev kho mob hauv ib hnub. Kuv tau dripped Berlition, txhaj tshuaj intramuscularly Actovegin, Mexidol thiab Milgamm. Kuv xav tias cov nyiaj no tsis coj tshwj xeeb. Yog li kuv puas yuav tsum tau mus pw hauv tsev kho mob ntxiv?

Cov kev kho mob tseem ceeb rau cov ntshav qab zib hom 2 yog cov zaub mov tsis muaj ntsev ntau. Yog tias koj tsis ua raws li nws, tab sis noj zaub mov kom sib luag "muaj txiaj ntsig", uas yog ntau dhau nrog cov khoom noj carbohydrate tsis zoo, ces yuav tsis muaj qhov tsis to taub. Tsis muaj tshuaj los yog tshuaj poob, tshuaj ntsuab, tawm tswv yim, lwm yam yuav pab tau. Milgamma yog cov vitamins B ua kom ntau. Hauv kuv lub tswvyim, lawv coj cov txiaj ntsig tiag. Tab sis lawv tuaj yeem hloov nrog cov vitamins B-50 hauv cov ntsiav tshuaj. Berlition yog dej ntws tawm nrog alpha lipoic acid. Lawv tuaj yeem sim tshuaj mob ntshav qab zib mob ntshav qab zib, ntxiv rau kev noj zaub mov kom tsis txhob rog rog, tab sis los ntawm qhov tsis muaj tseeb hauv lawv qhov chaw. Nyeem kab lus ntawm alpha lipoic acid. Yuav ua li cas zoo Actovegin thiab Mexidol - Kuv tsis paub.

Kuv tau kuaj mob ntshav qab zib hom 2 tau 3 xyoos dhau los. Kuv noj tshuaj Diazlazid thiab Diaformin. Tam sim no Kuv tabtom poob ceeb thawj - txoj kev loj hlob ntawm 156 cm, qhov hnyav poob rau 51 kg. Qab zib yog siab, txawm hais tias lub qab los noj mov tsis muaj zog, noj tsawg. HbA1C - 9.4%, C-peptide - 0.953 nrog tus cai ntawm 1.1 - 4.4. Koj yuav qhia kev kho mob li cas?

Diaglazide hais txog sulfonylurea derivatives. Cov no yog cov tshuaj tsis zoo uas tau ua tiav (ploj tuag, "hlawv") koj tus txiav Vim li ntawd, koj hom ntshav qab zib hom 2 tau hloov mus ua hom mob ntshav qab zib hom 1 ntau heev. Txog rau tus kws kho mob endocrinologist uas tau sau cov tshuaj no, hais nyob zoo, siv hlua thiab xab npum. Hauv koj qhov xwm txheej, koj tsis tuaj yeem ua yam tsis muaj insulin. Pib stabbing nws sai sai kom txog thaum muaj kev cuam tshuam kev tsis sib haum xeeb. Kawm thiab ua raws li hom kho mob ntshav qab zib hom 1. Tso tseg diaformin ib yam nkaus. Hmoov tsis zoo, koj pom peb lub xaib dhau lawm, yog li tam sim no koj yuav txhaj tshuaj insulin kom txog thaum kawg ntawm koj lub neej. Thiab yog tias koj tub nkeeg heev, tom qab li ob peb xyoos koj yuav xiam oob khab los ntawm cov teeb meem mob ntshav qab zib.

Kev soj ntsuam kuv cov ntshav: yoo suab thaj - 6.19 mmol / L, HbA1C - 7.3%. Tus kws kho mob hais tias qhov no yog ntshav qab zib. Nws muab kuv tso rau hauv cov ntaub ntawv ua rau cov mob ntshav qab zib, kho Siofor lossis Glucofage. Qhov kev mob tshwm sim ntawm cov ntsiav tshuaj hem koj. Nws puas muaj peev xwm rov qab qee yam rov qab yam tsis siv lawv?

Koj tus kws kho mob yog lawm - qhov no yog mob ntshav qab zib. Txawm li cas los xij, hauv cov xwm txheej zoo li no, kev faib tawm nrog cov tshuaj yog qhov ua tau thiab txawm tias yooj yim. Mus noj zaub mov kom tsawg-carbohydrate thaum ua kom poob phaus. Tab sis tsis txhob tshaib plab. Nyeem kab lus ntawm metabolic syndrome, insulin tsis kam thiab yuav ua li cas thiaj poob ceeb thawj. Qhov tsim nyog, koj, nrog rau kev noj haus, tseem ua kev tawm dag zog lub cev nrog kev lom zem.

Puas yog tus nqi ntau tshaj plaws ntawm cov piam thaj tom qab noj mov puas muaj lub ntsiab lus? Kuv muaj nws qhov ntau tshaj plaws hauv ib nrab teev tom qab noj hmo - nws yob dhau 10. Tab sis tom qab ntawd 2 teev nws yog qis dua 7 mmol / l. Qhov no puas yog ntau dua los yog tsawg dua qub los yog tag nrho tsis zoo?

Qhov koj piav no tsis muaj dua lossis tsawg dua, tab sis nws tsis zoo. Vim tias nyob hauv feeb thiab teev thaum muaj ntshav qab zib kom siab, cov ntshav qab zib cov nyom pib zuj zus. Cov piam thaj khi rau cov protein thiab cuam tshuam lawv txoj haujlwm. Yog hais tias hauv pem teb yog ncuav nrog qab zib, nws yuav ua nplaum thiab nws yuav nyuaj rau taug kev ntawm nws. Ib txoj hauv kev, cov kua nplaum lo lo lus "lo ua ke". Txawm hais tias koj tsis muaj ntshav qab zib ko taw, raum tsis ua haujlwm lossis dig muag, qhov pheej hmoo ntawm lub plawv nres lossis hlab ntsha tawg yog tseem heev. Yog tias koj xav ua neej nyob, tom qab ntawd ua tib zoo ua raws li peb cov kev pabcuam rau kev kho mob ntshav qab zib hom 2, tsis txhob ua tub nkeeg.

Kuv tus txiv muaj hnub nyoog yog 30 xyoo. Ntshav qab zib Hom 2 tau txheeb xyuas ib xyoos dhau los, nws cov ntshav qab zib yog 18.3. Tam sim no peb khaws cov piam thaj tsuas yog noj zaub mov kom tsis siab dua 6.0. Lo lus nug - Kuv puas yuav tsum tau txhaj tshuaj insulin thiab / lossis noj ib co tshuaj noj?

Koj tsis sau qhov tseem ceeb. Cov piam thaj tsis siab tshaj 6.0 - ntawm lub plab lossis tom qab noj mov? Kev yoo mov piam thaj tsis yog ib qho tseem ceeb. Tsuas yog cov piam thaj tom qab noj mov nkaus xwb. Yog tias koj ua tau zoo tswj cov piam thaj tom qab noj nrog zaub mov, tom qab ntawd txuas mus rau hauv tib qho hlab ntshav. Tsis xav tau cov tshuaj thiab cov tshuaj insulin ntxiv. Yog tias tsuas yog tus neeg mob tsis tau txais lub “tshaib plab” noj zaub mov. Yog tias koj qhia qab zib rau ntawm lub plab khoob, thiab tom qab koj noj koj tsis ntshai ntsuas nws, ces qhov no tau lo koj lub taub hau hauv cov xuab zeb, ib yam li ostriches ua. Thiab lub txim yuav tsim nyog.

Hauv ib xyoos, Kuv tau tswj hwm tus mob ntshav qab zib hom 2 nrog rau kev noj haus thiab qoj ib ce, thiab poob ceeb thawj los ntawm 91 kg txog 82 kg. Tsis ntev los no kuv tsoo - Kuv noj 4 lub qab haus huv, thiab txawm ntxuav hauv cocoa nrog qab zib. Thaum tom qab nws ntsuas cov piam thaj, nws xav tsis thoob vim tias nws tig mus tsuas yog 6.6 mmol / l. Puas yog kev kho mob ntshav qab zib? Kuv yuav ua siab ntev ntev li cas?

Zaum ntawm kev tshaib plab "tshaib plab", koj tau txo lub nra ntawm koj lub txiav. Ua tsaug rau qhov no, nws qee ib txwm rov zoo thiab tswj kom tiv taus lub tshuab. Tab sis yog tias koj rov qab mus rau qhov tsis zoo, yog li kev daws mob ntshav qab zib yuav tas sai sai. Ntxiv mus, tsis muaj kev kawm txog lub cev yuav pab yog tias koj noj ntau nrog cov carbohydrates. Ntshav qab zib Hom 2 tuaj yeem tswj tau tsis yog los ntawm kev txhawm tsis ua kom yuag, tab sis kev noj zaub mov muaj zaub mov tsis ntau. Kuv pom zoo kom koj mus rau nws.

Kuv muaj hnub nyoog 32 xyoo, kuaj mob ntshav qab zib hom 2 tau 4 lub hlis dhau los. Nws hloov mus rau kev noj haus thiab poob phaus ntawm 110 kg rau 99 kg nrog nce 178 cm. Vim qhov no, qab zib li qub. Ntawm lub plab khoob, nws yog 5.1-5.7, tom qab noj mov - tsis siab dua 6.8, txawm tias koj noj ob peb lub carbohydrates ceev. Puas muaj tseeb tias kev kuaj mob ntshav qab zib kuv yuav tsum noj tshuaj tom qab, thiab tom qab ntawd ua cov tshuaj insulin? Los yog tsuas yog noj zaub mov tuav tseg?

Nws muaj peev xwm tswj hwm tus mob ntshav qab zib hom 2 hauv kuv lub neej nrog kev noj haus tsis muaj tshuaj ntsiav thiab muaj tshuaj lom. Tab sis rau qhov no koj yuav tsum tau ua raws li cov zaub mov tsis muaj carbohydrate, thiab tsis yog "calories" tsawg "tshaib plab", uas yog nce qib los ntawm cov tshuaj. Nrog kev tshaib plab noj mov, qhov coob ntawm cov neeg mob poob. Raws li qhov no, lawv qhov hnyav ntawm lub cev thiab cov hlab ntsws "hlawv tawm". Tom qab ob peb yam li jumps, nws yog qhov tsis yooj yim sua ua yog tias tsis muaj tshuaj thiab cov tshuaj insulin. Hauv kev sib piv, kev noj zaub mov kom tsis tshua muaj carbohydrate yog hearty, qab thiab txawm nplua nuj. Tus neeg mob ntshav qab zib nrog kev zoo siab saib nws, tsis txhob tawg, nyob ib txwm tsis muaj tshuaj noj thiab tshuaj insulin.

Tsis ntev los no, kuv txhob txwm dhau mus kuaj ntshav rau qab zib thaum kuaj lub cev. Qhov tshwm sim tau nce ntxiv - 9.4 mmol / L. Ib tus phooj ywg tus kws kho mob tau nqa tshuaj Maninil los ntawm lub rooj thiab hais kom lawv coj lawv. Puas tsim nyog nws? Puas yog hom ntshav qab zib 2 lossis tsis yog? Qab zib tsis zoo li yuav nce siab dhau. Thov qhia seb yuav kho li cas. Hnub nyoog 49 xyoo, qhov siab 167 cm, hnyav 61 kg.

Koj yog ib tus cev yuag, tsis muaj qhov hnyav tshaj. Cov tib neeg tsis tshua mob ntshav qab zib hom 2! Koj tus mob hu ua LADA, type 1 diabetes nyob rau daim ntawv me. Qab zib yog tiag tiag tsis siab dhau, tab sis ntau dua li ib txwm. Tso qhov teeb meem no cia. Pib kho ua ntej kom cov nyom ntawm ob txhais ceg, raum, qhov muag pom tsis pom. Tsis txhob cia ntshav qab zib ua rau lub xyoo golden uas yuav los txog.

Koj tus kws kho mob tsis paub txog ntshav qab zib, zoo li nws cov npoj yaig feem ntau. Cov tib neeg no kho cov LADA rau lawv cov neeg mob ib yam li cov mob ntshav qab zib hom 2. Vim tias qhov no, txhua xyoo kaum txhiab tus neeg mob tuag ntxov ntxov. Maninil yog cov tshuaj tsis phom sij, thiab rau koj yog lawv ntau zaus txaus ntshai dua li cov neeg mob ntshav qab zib hom 2. Nyeem cov ncauj lus kom ntxaws, "Ntshav Qab Zib LADA: Kev Ntsuas thiab Kev Kho Mob."

Kuv yog 37 xyoo, tus programmer, hnyav 160 kg. Kuv khaws kuv cov ntshav qab zib hom 2 nyob rau hauv kev tswj hwm ntawm kev noj zaub mov kom tsawg thiab ua kom lub cev, kuv tau tso 16 kg. Tab sis nws nyuaj rau kev ua haujlwm hlwb tsis muaj khoom qab zib. Lub sijhawm ntev npaum li cas? Kuv puas yuav siv tau nws? Thiab ob nqe lus nug. Raws li kuv nkag siab, txawm hais tias kuv poob qhov hnyav rau qhov kev coj ua, kuv yuav ua raws li kev noj haus thiab kev tawm dag zog, tom qab ntawd rau lwm qhov sai sai, tom qab ntawv kuv yuav hloov mus rau insulin. Pes tsawg xyoo yuav dhau mus ua ntej?

Yog li koj tsis xav noj khaub noom, kuv qhia koj kom noj tshuaj pab. Ua ntej tshaj plaws, chromium picolinate, raws li tau piav qhia ntawm no. Thiab tseem muaj kuv riam phom zais cia - qhov no yog L-glutamine hmoov. Muag hauv khw muag khoom noj khoom haus kis las. Yog tias koj xaj los ntawm Asmeskas los ntawm kev txuas, nws yuav dhau los ua tus nqi pheej yig dua thiab ib nrab xyoo. Dissolve ib me nyuam diav nrog zawv zawg hauv khob dej thiab haus. Lub siab sawv ceev ceev nce, qhov muaj siab rau gluttony hla, thiab tag nrho cov no yog 100% tsis muaj mob, txawm tias pab tau rau lub cev.Nyeem ntxiv txog L-glutamine hauv Atkins phau ntawv "Cov Tshuaj Ntxiv." Noj thaum koj hnov cov kev xav ua rau "kev txhaum" lossis ua kom tiav, 1-2 khob ntawm txoj kev daws txhua txhua hnub, nruj me ntsis ntawm lub plab khoob.

Kuv niam tau txiav txim siab mus kuaj vim tias nws mob mob caj dab ua rau kuv ntxhov siab. Ntshav qab zib tau pom tias 18. Kev txheeb xyuas yog cov ntshav qab zib insulin. HbA1C - 13.6%. Cov ntsiav tshuaj Glucovans tau muab tshuaj, tab sis lawv tsis txo cov suab thaj txhua. Niam poob ntau qhov hnyav, nws pob taws pib tig xiav. Cov kws kho mob tau sau tseg kev kho mob kom yog? Yuav ua li cas

Koj niam twb muaj tus mob ntshav qab zib hom 2 tau thiab yog hom mob ntshav qab zib hom 1 lawm. Pib txhaj tshuaj insulin tam sim ntawd! Kuv vam tias nws tseem tsis tau lig los khaws qhov ceg ntawm txiav tes. Yog tias niam xav ua neej nyob, tom qab ntawd cia nws kawm hom kev kho mob ntshav qab zib hom 1 thiab ua tib zoo siv nws. Tsis kam txhaj tshuaj insulin - tsis txhob txawm npau suav! Cov kws kho mob hauv koj kis tau pom zoo tsis saib xyuas. Tom qab koj normalize qab zib nrog kev txhaj tshuaj ntawm cov tshuaj insulin, nws raug nquahu kom muaj kev tsis txaus siab rau cov tub ceev xwm siab dua. Ncua qab glucovans tam sim ntawd.

Kuv muaj ntshav qab zib hom 2, sijhawm sijhawm yog 3 xyoos. Qhov siab 160 cm, hnyav 84 kg, poob 3 kg hauv 3 hlis. Kuv noj Diaformin ntsiav tshuaj, ua raws kev noj haus. Yoo piam thaj 8.4, tom qab noj mov - txog 9.0. HbA1C - 8.5%. Ib tus kws kho mob endocrinologist hais ntxiv rau Diabeton MV ntsiav tshuaj, lwm - pib txhaj tshuaj insulin. Qhov kev xaiv twg? Lossis puas yog kho qee yam sib txawv?

Kuv qhia koj kom sai hloov mus rau kev noj haus cov zaub mov kom tsawg thiab ua tib zoo saib nws. Kuj qoj ib ce nrog kev txaus siab. Txuas ntxiv noj Diaformin, tab sis tsis txhob pib ntshav qab zib. Vim li cas Diabeton muaj kev phom sij, nyeem ntawm no. Tsuas yog tias tom qab 2 lub lis piam ntawm kev noj zaub mov tsis muaj carbohydrate koj cov piam thaj tom qab noj mov tseem nyob siab dua 7.0-7.5, tom qab ntawd pib txhaj cov tshuaj insulin txuas ntxiv - Lantus lossis Levemir. Thiab yog tias qhov no tsis txaus, tom qab ntawv koj tseem yuav xav tau kom txhaj tshuaj sai sai ua ntej noj mov. Yog tias koj muab cov khoom noj haus uas tsis muaj rog rog nrog kev tawm dag zog lub cev thiab ua tib zoo ua raws li cov txheej txheem, tom qab ntawd nrog 95% qhov tshwm sim koj yuav ua yam tsis muaj tshuaj insulin txhua lub sijhawm.

Ntshav Qab Zib Hom 2 tau tshawb pom 10 lub hlis dhau los. Lub sijhawm ntawd, kev yoo mov yog 12.3 - 14.9, HbA1C - 10.4%. Kuv hloov mus rau kev noj haus, Kuv noj 6 ib hnub. Kuv noj protein 25%, rog 15%, carbohydrates 60%, tag nrho cov calories ntau 1300-1400 kcal ib hnub. Ntxiv rau kev kawm txog lub cev. Nws twb poob 21 kg lawm. Tam sim no kuv tau yoo cov piam thaj 4.0-4.6 thiab tom qab noj mov 4.7-5.4, tab sis ntau zaus hauv qab 5.0. Puas yog cov ntsuas no qis heev?

Cov kev ntsuas ntshav qab zib cov ntshav rau cov neeg mob ntshav qab zib yog 1.5 npaug ntau dua rau cov neeg noj qab haus huv. Qhov no yog zaum vim li cas koj thiaj txhawj xeeb. Tab sis peb ntawm Cov Ntshav Qab Zib-Med.Com qhia tias txhua tus neeg mob ntshav qab zib mob siab ua kom lawv cov suab thaj zoo ib yam li cov neeg muaj cov metabolism hauv kev noj qab haus huv. Nyeem txog hom phiaj mob ntshav qab zib. Nws cia li ua haujlwm tawm rau koj. Hauv qhov kev txiav txim no, tsis muaj ib yam kev txhawj txog. Lwm lo lus nug yog koj yuav kav ntev npaum li cas? Koj ua raws li lub tseem fwv nruj heev. Tswj ntshav qab zib los ntawm kev tshaib plab loj. Kuv twv hais tias tsis ntev koj yuav poob qab, thiab "thim rov qab" yuav muaj kev puas tsuaj. Txawm tias koj tsis so, tom qab ntawd yog dab tsi ntxiv? 1300-1400 kcal ib hnub - qhov no tsawg dhau, tsis them rau cov kev xav tau ntawm lub cev. Yuav tau ua kom muaj cov khoom noj hauv calorie niaj hnub lossis koj yuav pib noj los ntawm kev tshaib plab. Thiab yog tias koj ntxiv calories los ntawm carbohydrates, tom qab ntawd qhov kev thauj mus rau ntawm lub txiav yuav nce thiab qab zib yuav nce. Hauv ntej, hloov mus rau kev noj zaub mov kom tsis tshua muaj carbohydrate. Ntxiv cov calories txhua hnub los ntawm protein thiab roj. Thiab tom qab ntawv koj txoj kev vam meej yuav kav ntev.

Tswj ntshav qab zib: cov lus pom zoo kawg

Yog li, koj nyeem seb hom kev kho mob ntshav qab zib hom 2 twg yog qhov zoo. Lub cuab yeej tseem ceeb yog kev noj haus cov zaub mov uas tsis muaj carbohydrate, thiab kev tawm dag zog raws li tus txheej txheem kev kawm siv lub cev kom zoo siab. Yog tias kev noj zaub mov kom raug thiab kev kawm lub cev tsis txaus, tom qab ntawd ntxiv rau lawv, kev siv tshuaj yeeb, thiab hauv kev mob hnyav, kev txhaj tshuaj insulin.

Kho tau tus mob ntshav qab zib hom 2:

Yuav ua li cas txo cov ntshav qab zib kom ib txwm muaj nrog kev noj zaub mov kom tsawg
Qhov tshuaj mob ntshav qab zib hom 2. Cov tshuaj kho ntshav qab zib tseem ceeb thiab muaj kev phom sij
Yuav txaus siab rau kev kawm paub lub cev li cas
Kev kho mob ntshav qab zib nrog kev txhaj tshuaj insulin: pib ntawm no

Peb muaj kev qhia txog tib neeg los tswj cov ntshav qab zib, thaum lub sij hawm ua haujlwm. Lawv muab caij nyoog zoo tshaj plaws uas tus neeg mob ntshav qab zib hom 2 yuav ua raws li cov lus pom zoo. Txawm li cas los xij, txhawm rau txhim kho txoj kev kho mob kom zoo rau koj cov ntshav qab zib, koj yuav tsum siv sijhawm thiab pauv koj lub neej. Kuv xav pom zoo phau ntawv tias, txawm tias nws tsis cuam tshuam txog kev kho mob ntshav qab zib, yuav ua rau koj txoj kev mob siab ntxiv. Nov yog phau ntawv "Yub txhua xyoo."

Nws tus kws sau ntawv, Chris Crowley, yog tus kws lij choj qub uas, tom qab so haujlwm, kawm paub ua neej raws li nws thov, ntxiv mus, nyob rau hauv ib lub tseem fwv ntawm kev txuag nyiaj ceev. Tam sim no nws mob siab rau kev kawm kev tawm dag zog, vim nws muaj kev txhawb siab rau lub neej. Thaum xub thawj siab ib muag, qhov no yog phau ntawv hais txog vim li cas nws thiaj li xav ua kom tawm dag zog thaum laus los ua kom qeeb kev laus, thiab yuav ua li cas thiaj raug. Qhov tseem ceeb tshaj, nws qhia vim li cas coj lub neej noj qab nyob zoo thiab muaj txiaj ntsig dab tsi koj tuaj yeem tau txais los ntawm nws. Phau ntawv tau dhau los ua lub desktop rau pua pua txhiab tus neeg so haujlwm Asmeskas, thiab tus kws sau ntawv - lub teb chaws tus phab ej. Rau cov nyeem ntawm Ntshav Qab Zib-Med.Com lub vev xaib, "cov ntaub ntawv rau kev xav" los ntawm phau ntawv no tseem yuav muaj txiaj ntsig zoo.

Rau cov neeg mob uas muaj ntshav qab zib hom 2, thaum ntxov, "dhia" nyob rau hauv cov ntshav qab zib txij thaum kawg mus txog rau qis heev tuaj yeem pom. Qhov tseeb ua rau muaj teeb meem no suav hais tias tseem tsis tau muaj pov thawj. Kev noj zaub mov tsis muaj carbohydrate zoo “ua kom zoo” rau cov dhia no, ua rau cov neeg mob sai sai. Txawm li cas los xij, qee lub sijhawm, cov piam thaj hauv ntshav yuav poob mus rau 3.3-3.8 mmol / L. Qhov no siv rau cov neeg mob ntshav qab zib hom 2 uas tsis raug kho mob nrog insulin.

Yog tias cov piam thaj hauv ntshav hloov mus rau 3.3-3.8 mmol / l, tom qab ntawd qhov no tsis yog qhov ua rau ntshav nce siab ntau, tab sis nws tseem tuaj yeem ua rau tsis nco qab thiab txhaws qhov tsis xis nyob. Yog li, nws pom zoo kom kawm paub txog yuav ua li cas kom tsis txhob muaj ntshav qab zib, li no ib txwm nqa cov lus glucometer thiab piam thaj hauv qhov no. Nyeem kab lus “Cov Khoom Siv Ua Ntej. Dab tsi koj yuav tsum muaj mob ntshav qab zib hauv tsev thiab nrog koj. "

Yog tias koj npaj siab ua txhua yam nrog cov ntshav qab zib hom 2, yog tias tsuas yog koj tsis tas yuav "zaum" ntawm insulin - zoo heev! Ua tib zoo ua raws li kev noj zaub mov tsis muaj carbohydrate kom txo qis kev ntxhov siab ntawm tus txiav thiab ua kom koj cov qe ntshav muaj sia. Kawm tawm kev tawm dag zog nrog kev lom zem, thiab ua nws. Saib xyuas cov ntshav qab zib kom tsis so. Yog tias koj cov piam thaj tseem nyob rau ntawm kev noj haus uas tsis muaj cov carbohydrate ntau, sim nrog Siofor thiab Glucofage ntsiav tshuaj.

Kev khiav dej num kom zoo, ua luam dej, caij tsheb kauj vab lossis lwm yam kev tawm dag zog - yog qhov zoo dua kaum zaug dua li kev noj qab haus huv. Feem ntau ntawm cov neeg mob, txhaj tshuaj insulin tsuas yog tsim nyog rau cov neeg mob ntshav qab zib hom 2 uas tub nkeeg mus tawm dag zog. Kev qoj ib ce yog qhov zoo, thiab kev txhaj tshuaj insulin yog qhov tsis zoo. Yog li "xav rau koj tus kheej, txiav txim siab rau koj tus kheej."

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