Mob Ntshav Qab Zib

Mob Ntshav Qab Zib tshwm sim thaum cov piam thaj hauv koj cov ntshav cov ntshav siab dhau lawm, tab sis yuav tsum tsis muaj ntshav hu ua ntshav qab zib ntau ntau.

Yog tias koj muaj ntshav qab zib, koj muaj feem ntau yuav kis mob ntshav qab zib hom 2 tsis pub dhau 10 xyoo. Nws tseem yuav ua rau koj muaj feem mob plawv thiab mob hlab ntsha tawg.

Kev poob phaus ntxiv thiab kev tawm dag zog kom ib ce tuaj yeem txwv tsis pub ntshav qab zib los ua kab mob ntshav qab zib hom 2 tau.

Koj lub cev tau txais lub zog los ntawm cov piam thaj hauv koj cov ntshav. Yam tshuaj hu ua insulin pab cov kabmob hauv koj lub cev siv cov piam thaj. Yog tias koj muaj ntshav qab zib, qhov txheej txheem no tsis ua haujlwm zoo li. Cov piam thaj txhim kho cov ntshav hauv koj cov hlab ntshav. Yog tias cov qib siab tau nce txaus, nws txhais tau tias koj tau tsim hom mob ntshav qab zib hom 2 lawm.

Yog tias koj muaj feem yuav muaj ntshav qab zib, koj tus kws kho mob yuav kuaj koj cov piam thaj hauv ntshav uas siv ib lossis ntau dua cov nram no. Ib qho ntawm cov ntsuas hauv qab no qhia tau tias mob ntshav qab zib:

• Kev yoo cov ntshav cov ntshav ntawm 100 mus rau 125 mg / dL (hu ua cov yoo mov sai sai)
• Cov piam thaj ntshav ntawm 140 txog 199 mg / dL 2 teev tom qab noj 75 grams qabzib (hu ua impaired glucose tolerance)
• A1C theem ntawm 5.7% rau 6.4%

Muaj ntshav qab zib ua rau muaj feem ua rau muaj qee qhov teeb meem kev noj qab haus huv. Qhov no yog vim tias cov piam thaj hauv ntshav siab tuaj yeem ua kev puas tsuaj rau cov hlab ntshav thiab cov hlab ntshav qab haus huv. Qhov no tuaj yeem ua rau mob plawv thiab ntshav hlab. Yog tias koj muaj ntshav qab zib, kev puas tsuaj yuav tshwm sim hauv koj cov hlab ntshav.

Muaj tus mob ntshav qab zib yog hu kom sawv los pab kho koj tus mob kom zoo.

Koj tus kws kho mob yuav tham nrog koj txog koj tus mob thiab koj cov kev pheej hmoo los ntawm kev mob ntshav qab zib. Txhawm rau pab koj tiv thaiv tus mob ntshav qab zib, koj tus kws kho mob yuav qhia kom hloov qee yam hauv lub neej:

• Noj zaub mov zoo. Qhov no suav nrog cov khoom ua muaj rog, rog ua kom tsis muaj rog, mis nyuj tsawg, thiab muaj txiv hmab txiv ntoo thiab zaub ntau. Saib qhov ntau thiab tsawg thiab zam tej khoom qab zib thiab kib.
• Poob phaus. Tsuas yog ib qho kev poob phaus me me tuaj yeem ua rau koj muaj mob. Piv txwv li, koj tus kws kho mob yuav qhia tias koj poob txog 5% rau 7% ntawm koj lub cev hnyav. Yog li, yog tias koj hnyav 200 phaus (90 phaus), kom poob 7% koj lub hom phiaj yuav poob txog 14 phaus (6.3 phaus). Koj tus kws khomob yuav qhia cov zaubmov kom zoo, lossis koj tuaj yeem koom nrog ib qho kev pabcuam los pab kom koj yuag.
• Ua kom tawm dag zog ntau ntxiv. Ua kom muaj kev tawm dag zog tsawg kawg 30 mus rau 60 feeb yam tsawg 5 hnub hauv ib lis piam. Qhov no suav nrog kev taug kev ceev, caij koj lub luv thij, lossis ua luam dej. Koj tuaj yeem tso ib ce muaj zog ua tej pab me me rau ib hnub. Siv taw ntaiv es tsis txhob siv lub elevator. Txawm hais tias qhov haujlwm tsawg tsawg suav nrog koj lub hom phiaj ib lim tiam.
• Noj tshuaj raws li qhia. Koj tus kws kho mob yuav sau ntawv tawm cov tshuaj metformin kom txo qhov muaj feem ua rau koj cov ntshav qab zib yuav nce zuj zus mus ua ntshav qab zib. Nyob ntawm koj lwm yam kev phom sij ntawm kab mob plawv, koj tus kws kho mob kuj tseem yuav sau ntawv yuav tshuaj kom txo koj cov ntshav siab lossis ntshav siab.

Koj tsis tuaj yeem qhia koj tias koj muaj ntshav qab zib vim tias nws tsis muaj tsos mob tshwm sim. Tib txoj kev paub yuav yog los ntawm kev kuaj ntshav. Koj tus kws kho mob yuav kuaj koj cov piam thaj hauv ntshav yog tias koj muaj feem yuav muaj ntshav qab zib. Qhov txaus ntshai ua mob ntshav qab zib yog tib yam li cov mob ntshav qab zib hom 2.

Koj yuav tsum tau kuaj ntshav qab zib yog tias koj muaj hnub nyoog 45 lossis laus dua. Yog tias koj lub hnub nyoog qis dua 45 xyoos, koj yuav tsum tau kuaj yog tias koj rog dhau lossis rog dhau los thiab muaj ib lossis ntau dua ntawm cov kev pheej hmoo no:

• Kev ntsuas ntshav qab zib ua ntej pom tias yuav muaj ntshav qab zib
• Ib leej niam lossis txiv, cov nus muag, lossis menyuam muaj keeb kwm muaj ntshav qab zib
• Kev ua lub neej tsis muaj sia thiab tsis muaj kev tawm dag zog tas li
• Neeg Asmeskas Dub, Neeg Hispanic / Latin Asmesliskas, Khab Khab Asmeskas thiab Alaska Ib Txwm, Neeg Khab Asmeskas, lossis Pacific Pov Hwm ib txwm muaj
• Ntshav siab (140/90 hli Hg lossis siab dua)
• Cov Roj HDL tsawg (cov roj zoo) lossis roj triglycerides ntau
• Keeb kwm ntawm kab mob plawv
• Keeb kwm mob ntshav qab zib thaum cev xeeb tub (mob ntshav qab zib hauv poj niam)
• Noj qab haus huv tej yam mob cuam tshuam nrog insulin kuj (polycystic ovary syndrome, acanthosis nigricans, rog dhau heev)

Yog tias koj cov ntawv ntsuas ntshav tau qhia tias koj muaj ntshav qab zib, koj tus kws kho mob yuav qhia koj kom rov mus kuaj ib xyoos ib zaug. Yog tias koj cov txiaj ntsig tau tsis zoo, koj tus kws kho mob yuav hais kom rov kuaj dua txhua 3 xyoo.

Tsis hnov ​​qab zib ceev - ntshav qab zib; Tsis hnov ​​qab qab zib zam - ntshav qab zib

• Ntshav qab zib txaus ntshai yam

Koom Haum Asmeskas Mob Ntshav Qab Zib. Cov qauv kev kho mob hauv ntshav qab zib - 2020. Ntshav Qab Zib Kho MobCov. 2020; 43 (Cov Khoom Siv 1): S77-S88. care.d diabetesjournals.org/content/43/Supplement_1/S77.

Kahn CR, Ferris HA, O’Neill BT. Pathophysiology ntawm hom 2 mob ntshav qab zib mellitus. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chau 34.

Siu AL; Kev Pabcuam Tiv Thaiv US Pab Pawg. Kev soj ntsuam rau cov ntshav qabzib thiab ntshav qabzib ntshav qab zib hom 2: Cov Kev Pabcuam Tiv Thaiv. Ann Intern MedCov. 2015; 163 (11): 861-868. PMID: 26501513 www.ncbi.nlm.nih.gov/pubmed/26501513.

• Mob Ntshav Qab Zib