Isukari mu maraso, n'umubiri wawe

1.isukari mu maraso ni iki?
Amaraso glucose, nanone yitwa isukari mu maraso, ni glucose mu maraso yawe.Iyi glucose iva mubyo urya no kunywa kandi umubiri urekura glucose yabitswe mumwijima no mumitsi.

Urwego rw'amaraso glucose
Glycaemia, izwi kandi nk'urwego rw'isukari mu maraso,isukari yo mu maraso, cyangwa glucose yamaraso ni igipimo cya glucose yibitse mumaraso yabantu cyangwa izindi nyamaswa.Hafi garama 4 za glucose, isukari yoroshye, iboneka mumaraso yumuntu 70 kg (154 lb) igihe cyose.Umubiri ugenga cyane glucose yamaraso nkigice cya metabolike homeostasis.Glucose ibikwa mumitsi ya skeletale na selile yumwijima muburyo bwa glycogene;mubantu biyiriza ubusa, glucose yamaraso ikomeza kurwego ruhoraho hishyurwa ububiko bwa glycogene mumwijima no mumitsi ya skeletale.
Mu bantu, urugero rw'amaraso ya glucose ya garama 4, cyangwa hafi ikiyiko, ni ingenzi mu mikorere isanzwe mu ngingo nyinshi, kandi ubwonko bw'umuntu bukoresha hafi 60% ya glucose yamaraso mu kwiyiriza ubusa, abantu bicaye.Kuzamuka cyane mu maraso glucose biganisha ku burozi bwa glucose, bigira uruhare mu kudakora neza kwa selile hamwe na patologi bishyize hamwe nkibibazo bya diyabete.Glucose irashobora gutwarwa mu mara cyangwa umwijima ikajya mu zindi ngingo zo mu mubiri binyuze mu maraso. Gufata glucose ya selile bigengwa cyane cyane na insuline, imisemburo ikorwa mu gifu.
Urwego rwa glucose mubusanzwe ruri hasi cyane mugitondo, mbere yifunguro ryambere ryumunsi, kandi rukazamuka nyuma yo kurya isaha imwe cyangwa ibiri na milimole nkeya.Urwego rw'isukari mu maraso hanze yurwego rusanzwe rushobora kuba ikimenyetso cyubuvuzi.Urwego rwo hejuru rukomeza rwitwa hyperglycemia;urwego rwo hasi ruvugwa nkahypoglycemia.Indwara ya diyabete irangwa na hyperglycemia idahwema guterwa n'impamvu iyo ari yo yose, kandi ni yo ndwara igaragara cyane ijyanye no kunanirwa kw'isukari mu maraso.

3.Urwego rwisukari rwamaraso mugupima diyabete
Gusobanukirwa urwego rwamaraso glucose birashobora kuba igice cyingenzi cya diyabete yo kwiyobora.
Uru rupapuro ruvuga ko isukari yamaraso 'isanzwe' hamwe nisukari yamaraso kubantu bakuze nabana barwaye diyabete yo mu bwoko bwa 1, diyabete yo mu bwoko bwa 2 hamwe nisukari yamaraso kugirango bamenye abantu barwaye diyabete.
Niba umuntu urwaye diyabete afite metero, ibipimo byo kwipimisha kandi arimo kwipimisha, ni ngombwa kumenya icyo glucose yamaraso isobanura.
Amaraso ya glucose asabwa afite urwego rwo gusobanura kuri buri muntu kandi ugomba kubiganiraho nitsinda ryita kubuzima.
Byongeye kandi, abagore barashobora gushyirwaho urugero rwisukari yamaraso mugihe batwite.
Ibice bikurikira ni umurongo ngenderwaho utangwa n'ikigo cy'igihugu gishinzwe ubuvuzi bwiza (NICE) ariko intego ya buri muntu igomba kumvikana na muganga cyangwa umujyanama wa diyabete.

4.Isukari y'amaraso idasanzwe na diyabete iratandukanye
Kubantu benshi bafite ubuzima bwiza, isukari isanzwe yamaraso niyi ikurikira:
Hagati ya 4.0 kugeza 5.4 mmol / L (72 kugeza 99 mg / dL) mugihe cyo kwiyiriza ubusa [361]
Kugera kuri 7.8 mmol / L (140 mg / dL) nyuma yamasaha 2 nyuma yo kurya
Ku bantu barwaye diyabete, intego z'isukari mu maraso ni izi zikurikira:
Mbere yo kurya: mm 4/7 mmol / L kubantu barwaye diyabete yo mu bwoko bwa 1 cyangwa ubwoko bwa 2
Nyuma yo kurya: munsi ya 9 mmol / L kubantu barwaye diyabete yo mu bwoko bwa 1 na munsi ya 8.5mmol / L kubantu barwaye diyabete yo mu bwoko bwa 2

5.Uburyo bwo gusuzuma diyabete
Ikizamini cya plasma glucose
Icyitegererezo cyamaraso kugirango bipimishe plasma glucose irashobora gufatwa igihe icyo aricyo cyose.Ibi ntibisaba igenamigambi ryinshi bityo rero rikoreshwa mugupima diyabete yo mu bwoko bwa 1 mugihe igihe nikigera.
Kwipimisha plasma glucose
Ikizamini cyo kwisonzesha plasma glucose gifatwa nyuma yamasaha umunani yo kwiyiriza ubusa bityo kikaba gifatwa mugitondo.
Amabwiriza ya NICE yerekana ko plasma glucose yiyiriza ubusa biva kuri 5.5 kugeza kuri 6.9 mmol / l nko gushyira umuntu ibyago byinshi byo kurwara diyabete yo mu bwoko bwa 2, cyane cyane iyo biherekejwe nibindi bintu bishobora gutera diyabete yo mu bwoko bwa 2.
Ikizamini cyo kwihanganira umunwa Glucose (OGTT)
Ikizamini cyo kwihanganira glucose yo mu kanwa gikubiyemo kubanza gufata urugero rwamaraso yisonzesha hanyuma ugafata ikinyobwa kiryoshye cyane kirimo 75g ya glucose.
Nyuma yo kunywa iki kinyobwa ugomba kuguma kuruhuka kugeza igihe hafashwe andi maraso nyuma yamasaha 2.
Ikizamini cya HbA1c cyo gusuzuma diyabete
Ikizamini cya HbA1c ntabwo gipima neza urwego rwa glucose yamaraso, ariko, ibisubizo byikizamini biterwa nuburyo urugero rwa glucose rwamaraso rwinshi cyangwa ruto rwakunze kuba mugihe cyamezi 2 kugeza kuri 3.
Ibimenyetso bya diyabete cyangwa diyabete bitangwa mubihe bikurikira:
Ubusanzwe: Munsi ya 42 mmol / mol (6.0%)
Indwara ya diyabete: 42 kugeza 47 mmol / mol (6.0 kugeza 6.4%)
Diyabete: 48 mmol / mol (6.5% cyangwa irenga)