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I-HYPOGLYCEMIA

I-HYPOGLYCEMIA

I-Hypoglycemiaiyisici esinqunyelwe esiyinhloko ekulawulweni kwe-glycemic yohlobo 1 lwesifo sikashukela.I-Hypoglycemia ihlukaniswe ngamaqembu amathathu:
• Ileveli 1 ihambisana nenani likashukela elingaphansi kuka-3.9 mmol/L (70 mg/dL) nangaphezulu noma elilingana no-3.0 mmol/L (54 mg/dL) futhi liqanjwe njengenani lesixwayiso.
• Izinga lesi-2 ngelai-glucose yegaziamanani angaphansi kuka-3.0 mmol/L (54 mg/dL) futhi abhekwa njenge-hypoglycemia ebalulekile emtholampilo.
• Izinga lesi-3 libonisa noma iyiphi i-hypoglycemia ebonakala ngesimo sengqondo esishintshile kanye/noma isimo somzimba esidinga ukungenelela komuntu wesithathu ukuze silulame.
Nakuba lezi zaqale zenzelwe ukubika izivivinyo zemitholampilo, ziyizakhiwo zomtholampilo eziwusizo.Kufanele kuqashelwe ngokukhethekile ukuvimbela i-hypoglycemia emazingeni 2 no-3.
I-Level 1 hypoglycemia ijwayelekile, futhi abantu abaningi abanesifo sikashukela sohlobo loku-1 baba neziqephu ezimbalwa ngesonto.I-Hypoglycemia enamazinga kashukela angaphansi kuka-3.0 mmol/L (54 mg/dL) yenzeka kaningi kakhulu kunalokho obekubonwa ngaphambilini.I-Level 3 hypoglycemia ayijwayelekile kangako kodwa yenzeke ku-12% wabantu abadala abanesifo sikashukela sohlobo loku-1 esikhathini esiyizinyanga eziyisi-6 ekuhlaziyeni kwakamuva komhlaba wonke.Ucwaningo oluningana lubonise ukuthi amazinga e-hypoglycemia awazange ehle, ngisho nangokusetshenziswa okubanzi kwe-insulin analogues ne-CGM, kuyilapho ezinye izifundo zibonise inzuzo ngale ntuthuko yokwelapha.

https://www.sejoy.com/blood-glucose-monitoring-system/

Izingozi ze-hypoglycemia, ikakhulukazi i-hypoglycemia yezinga lesi-3, ihlanganisa ubude besikhathi eside besifo sikashukela, ubudala, umlando wezinga lesi-3 lakamuva le-hypoglycemia, ukuphuza utshwala, ukuvivinya umzimba, amazinga aphansi emfundo, umholo ophansi wasekhaya, isifo sezinso esingamahlalakhona, kanye ne-IAH .Izimo ze-Endocrine, njenge-hypothyroidism, ukuntuleka kwe-adrenal kanye ne-hormone yokukhula, nesifo se-celiac kungase kubangele i-hypoglycemia.Imininingo egciniwe yesifo sikashukela esidala ibhalwe ngokungaguquguquki ukuthi abantu abanamazinga aphansi we-HbA 1c babenezinga eliphakeme eliphindwe izikhathi ezi-2-3 leleveli 3 ye-hypoglycemia.Nokho, ku-Type 1Isifo sikashukelaI-Exchange Clinic Registry, ingozi ye-hypoglycemia yezinga lesi-3 ayinyuswanga kuphela kulabo abane-HbA 1c eyayingaphansi kuka-7.0% (53 mmol/mol), kodwa nakubantu abane-HbA 1c engaphezu kuka-7.5% (58 mmol/mol) .
Kungenzeka ukuthi ukungabikho kobudlelwane phakathi kwe-HbA 1c kanye ne-level 3 ye-hypoglycemia kuzilungiselelo zomhlaba wangempela kuchazwa ngokuxegiswa kokuhlosiwe kwe-glycemic yilabo abanomlando we-hypoglycemia, noma abadidayo, njengokuziphatha okunganele kokuzilawula okunomthelela kukho kokubili.i-hyper- kanye ne-hypoglycemia.Ukuhlaziywa kwesibili kohlolo lwe-IN CONTROL, lapho ukuhlaziya okuyinhloko kubonise ukwehla kwezinga lesi-3 le-hypoglycemia kubantu abasebenzisa i-CGM, kwabonisa ukwanda kwezinga le-level 3 hypoglycemia nge-HbA 1c ephansi, efana nalokho okwabikwa ku-DCCT.Lokhu kusho ukuthi ukwehlisa i-HbA 1c kusengeza nengozi enkulu ye-level 3 hypoglycemia.
Ukufa kusukai-hypoglycemiaohlotsheni 1 sikashukela akuyona into encane.Olunye ucwaningo lwakamuva luphawule ukuthi ngaphezu kuka-8% wokufa kwalabo abangaphansi kweminyaka engama-56 kwakubangelwa yi-hypoglycemia.Indlela yalokhu iyinkimbinkimbi, kuhlanganise ne-arrhythmias yenhliziyo, ukusebenza kokubili kwesistimu ye-coagulation nokuvuvukala, kanye nokungasebenzi kahle kwe-endothelial.Okungase kungabonakali kahle ukuthi i-level 3 hypoglycemia ibuye ihlotshaniswe nezenzakalo ezinkulu ze-microvascular, isifo se-noncardiovascular, nokufa nganoma yisiphi isizathu, nakuba obuningi balobu bufakazi butholakala kubantu abanesifo sikashukela sohlobo lwe-2.Ngokuphathelene nokusebenza kwengqondo, ocwaningweni lwe-DCCT ne-EDIC, ngemva kweminyaka engu-18 yokulandelela, i-hypoglycemia enzima kubantu abadala abaneminyaka ephakathi ayizange ibonakale ithinte umsebenzi we-neu-rocognitive.Kodwa-ke, ngaphandle kwezinye izici eziyingozi kanye ne-comorbidities, iziqephu eziningi ze-hypoglycemia enzima zazihlotshaniswa nokuncipha okukhulu kwe-psychomotor nokusebenza kahle kwengqondo okwakuphawuleka kakhulu ngemva kweminyaka engama-32 yokulandelela.Kubonakala sengathi abantu abadala asebekhulile abanesifo sikashukela sohlobo loku-1 bathambekele kakhulu ekukhubazekeni kwengqondo okuncane okuhambisana ne-hypoglycemia, kuyilapho i-hypoglycemia yenzeka kaningi kulabo abanokukhubazeka kwengqondo.Idatha ye-CGM ibingatholakali enkathini ye-DCCT ngakho-ke izinga langempela le-hypoglycemia enzima ngokuhamba kwesikhathi akwaziwa.
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Isikhathi sokuthumela: Jul-08-2022