HYPOGLYCEMIA

Hypoglycemianimpamvu nyamukuru igabanya imiyoborere ya glycemic ya diyabete yo mu bwoko bwa 1.Hypoglycemia ishyizwe mubyiciro bitatu:
• Urwego rwa 1 ruhuye nagaciro ka glucose kari munsi ya 3,9 mmol / L (70 mg / dL) kandi irenze cyangwa ingana na 3.0 mmol / L (54 mg / dL) kandi yitwa agaciro ko kumenyesha.
Urwego rwa 2 ni urwaglucose yamarasoindangagaciro ziri munsi ya 3.0 mmol / L (54 mg / dL) kandi zifatwa nkindwara ya hypoglycemia.
Urwego rwa 3 rusobanura hypoglycemia iyo ari yo yose irangwa no guhindura imitekerereze no / cyangwa imiterere yumubiri ikeneye gutabarwa nundi muntu kugirango akire.
Nubwo ibi byambere byakozwe kugirango bigerageze gutanga raporo yubuvuzi, nibyingenzi byubaka.By'umwihariko hagomba kwitabwaho gukumira urwego rwa 2 na 3 hypoglycemia.
Urwego rwa 1 hypoglycemia irasanzwe, abantu benshi barwaye diyabete yo mu bwoko bwa 1 bahura nibice byinshi buri cyumweru.Hypoglycemia ifite glucose iri munsi ya 3.0 mmol / L (54 mg / dL) ibaho cyane kuruta uko byashimwe.Urwego rwa 3 hypoglycemia ntirusanzwe ariko rwabaye muri 12% byabantu bakuru barwaye diyabete yo mu bwoko bwa 1 mugihe cyamezi 6 mubisesengura biherutse gukorwa ku isi.Ubushakashatsi bwinshi bwerekanye ko ibipimo bya hypoglycemia bitigeze bigabanuka, kabone niyo byakwirakwizwa cyane mu gukoresha insuline ya insuline na CGM, mu gihe ubundi bushakashatsi bwerekanye inyungu hamwe n’iterambere ry’ubuvuzi.

Ingaruka ziterwa na hypoglycemia, cyane cyane urwego rwa 3 hypoglycemia, zirimo igihe kirekire cya diyabete, imyaka y'ubukure, amateka yo mu rwego rwa 3 hypoglycemia, kunywa inzoga, imyitozo ngororamubiri, urwego rwo hasi rw'uburezi, amafaranga make yo mu rugo, indwara zimpyiko zidakira, na IAH.Indwara ya endocrine, nka hypotherroidism, kubura imisemburo ya adrenal no gukura, n'indwara ya celiac irashobora kwanduza hypoglycemia.Ububiko bwa diyabete bukera bwanditse buri gihe ko abantu bafite urwego rwo hasi rwa HbA 1c bafite igipimo cyikubye inshuro 2-33 kurwego rwa 3 hypoglycemia.Ariko, mubwoko bwa 1DiyabeteKwiyandikisha kwa Clinic Registry, ibyago byo kurwego rwa 3 hypoglycemia ntabwo byiyongereye gusa kubantu bafite HbA 1c bari munsi ya 7.0% (53 mmol / mol), ariko no kubantu bafite HbA 1c hejuru ya 7.5% (58 mmol / mol).
Birashoboka ko kuba nta sano iri hagati ya HbA 1c nu rwego rwa 3 hypoglycemia muburyo busanzwe bwisi isobanurwa no kuruhura intego za glycemic nabafite amateka ya hypoglycemia, cyangwa abitiranya ibintu, nkimyitwarire idahwitse yo kwiyobora igira uruhare kuri bombihyper- na hypogly-cemia.Isesengura rya kabiri ryikigereranyo cya IN CONTROL, aho isesengura ryibanze ryerekanye igabanuka ryurwego rwa 3 hypoglycemia kubantu bakoresha CGM, ryerekanye iyongerekana ryikigereranyo cya hypoglycemia yo murwego rwa 3 hamwe na HbA 1c yo hepfo, bisa nibyavuzwe muri DCCT.Ibi bivuze ko kugabanya HbA 1c bishobora kuza bifite ibyago byinshi byo kurwego rwa 3 hypoglycemia.
Urupfu rwahypoglycemiamubwoko bwa 1 diyabete ntabwo ari nto.Ubushakashatsi bumwe buherutse gukorwa bwagaragaje ko abantu barenga 8% bapfa ku batarengeje imyaka 56 bazize hypoglycemia.Uburyo bwibi buragoye, harimo umutima utera umutima, gukora sisitemu ya coagulation hamwe no gutwika, hamwe no kudakora neza kwa endoteliyale.Ikidashobora kumenyekana neza ni uko urwego rwa 3 hypoglycemia na rwo rufitanye isano nibintu bikomeye bya mikorobe-mitsi, indwara zidafite umutima, ndetse n’urupfu biturutse ku mpamvu iyo ari yo yose, nubwo ibyinshi muri ibyo bimenyetso biboneka ku bantu barwaye diyabete yo mu bwoko bwa 2.Kubijyanye n'imikorere yo kumenya, mubushakashatsi bwa DCCT na EDIC, nyuma yimyaka 18 ikurikiranwa, hypoglycemia ikabije kubantu bakuze bageze mu za bukuru ntabwo byagaragaye ko bigira ingaruka kumikorere ya neu-rocognitive.Nyamara, hatitawe ku zindi mpamvu ziterwa n’ingaruka ziterwa n’ibiza, ibice byinshi bya hypoglycemia bikabije byajyanye no kugabanuka gukabije kwa psychomotor no gukora neza mu mutwe byagaragaye cyane nyuma yimyaka 32 ikurikiranwa.Bigaragara ko abantu bakuru bakuze barwaye diyabete yo mu bwoko bwa 1 bakunze kwibasirwa n'ubumuga bworoheje bwo gutahura bujyanye na hypoglycemia, mugihe hypoglycemia igaragara cyane kubafite ubumuga bwo kutamenya.CGM amakuru ntiyaboneka mugihe cya DCCT bityo urugero rwukuri rwa hypoglycemia ikomeye mugihe ntikiramenyekana.
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