Hypoglycemia, tseem hu ua "ntshav qab zib tsawg," tshwm sim thaum cov piam thaj hauv cov ntshav qis dua qib ib txwm. Glucose yog siv los ua lub zog los ntawm lub cev. Yog tias cov piam thaj hauv ntshav qis dhau, lub hlwb thiab cov leeg nqaij yuav tsis muaj lub zog txaus los ua haujlwm kom raug. Hypoglycemia tuaj yeem tshwm sim los ntawm ntshav qab zib lossis ua rau muaj kev fab tshuaj rau qee yam khoom noj uas tus neeg noj (lossis thaum koj tsis noj zaub mov txaus). Qhov xwm txheej no feem ntau tshwm sim vim qhov poob qis hauv cov ntshav qab zib. Qhov no feem ntau tuaj yeem kho sai los ntawm kev noj cov zaub mov me me uas muaj cov piam thaj sai li sai tau. Yog tias tsis kho, hypoglycemia tuaj yeem ua rau tsis meej pem, mob taub hau thiab tsaus muag, thiab thaum muaj mob hnyav, qaug dab peg, thiab tuag taus.
Kauj ruam
Txoj Kev 1 ntawm 2: Tiv Thaiv Cov Ntshav Qab Zib Ntshav Qab Zib
Kauj Ruam 1. Ua raws li kws kho mob cov lus qhia
Ua raws tus kws kho mob cov lus qhia rau kev siv tshuaj tas li, xws li insulin thiab lwm yam tshuaj hauv qhov ncauj los kho ntshav qab zib. Ua raws cov lus qhia yuav coj nws li cas thiab thaum twg yuav coj nws. Tom qab ntawd, yog tias koj tus kws kho mob tau thov kom koj mus noj zaub mov nruj lossis koj tau sab laj nrog tus kws noj zaub mov sau npe lossis kws noj zaub mov zoo, ua kom muaj kev sib koom tes ua raws txoj kev noj zaub mov noj, uas tau tsim kom raug kom tsis txhob muaj teeb meem nrog koj tus kab mob thiab khaws koj cov ntshav qab zib. qib nyob hauv kev tswj hwm. tseem nyob ruaj khov txhua hnub.
Qee zaum txoj hauv kev tiv thaiv zoo tshaj plaws yog ua raws cov cai thiab cov lus qhia los ntawm cov kws kho mob
Kauj Ruam 2. Ntsuas koj cov ntshav qab zib tas li
Cov neeg mob ntshav qab zib tau qhia kom tshuaj xyuas ntshav qab zib tsawg kawg ib zaug ib hnub. Qhov kev xeem zoo tshaj yog tom qab sawv ntxov thaum sawv ntxov ua ntej noj mov. Sau cov zauv rau ntawm ntawv lossis ntawv sau cia, sau hnub tim, sijhawm, thiab cov ntawv xeem. Qee tus neeg uas muaj ntshav qab zib, tshwj xeeb tshaj yog cov neeg mob ntshav qab zib "tsis yooj yim" (tus yam ntxwv ua rau hloov pauv cov piam thaj hauv ntshav), yuav tsum kuaj lawv cov ntshav qab zib ntau ntau txog 4 zaug hauv ib hnub (ua ntej noj tshais, noj su thiab noj hmo, thiab ua ntej pw). Koj tuaj yeem saib xyuas cov ntshav qab zib siv lub glucometer (ntsuas cov ntsuas ntshav qab zib). Cov cuab yeej uas yuav tsum tau yuav yog lub glucometer, lub lancet (lub cuab yeej ntse-ntse me me) txhawm rau txhawm rau ntiv tes, ntsuas kab mob sib xws, thiab txhuam cawv kom ntxuav tes ua ntej pricking. Cov kauj ruam los ntsuas ntshav qab zib:
- Ntxuav koj txhais tes nrog dej thiab xab npum.
- Ntxuav tus ntiv tes lossis ntiv tes nruab nrab nrog lub paj rwb uas tau ntub dej cawv.
- Tuav lub lancet nyob rau hauv pem hauv ntej ntawm tus ntiv tes ntawm 90-degree lub kaum ntse ntse, tom qab ntawd thawb tus pas nrig kom ntiv tes.
- Muab koj cov ntshav tso rau ntawm qhov chaw kuaj kab mob.
- Ntxig qhov ntsuas ntsuas mus rau hauv qhov glucometer thiab tos kom nyeem ntawv.
- Sau cov ntawv xeem hauv koj phau ntawv sau. Cov ntshav qab zib tau txiav txim siab qis yog tias lawv tsawg dua 70 mg/dL, thiab feem ntau ib tus neeg yuav pib pom cov tsos mob ntawm cov ntshav qab zib qis thaum lawv cov ntshav qab zib qib mus txog tus lej no.
Kauj Ruam 3. Noj peb pluas mov ntxiv rau peb khoom noj txom ncauj ib hnub
Yog li koj tuaj yeem noj tsis tu ncua thiab xwm yeem, muaj peb pluas noj ib hnub nrog peb khoom noj txom ncauj txhua hnub. Teem sijhawm noj mov thiab khoom noj txom ncauj kom qhov sib txawv ntawm txhua pluas noj tsis ntev heev. Yog tias koj hnov qab hla cov khoom noj txom ncauj lossis noj lig, koj cov ntshav qab zib tuaj yeem poob.
- Sijhawm koj noj mov kom qhov sib txawv ntawm cov pluas noj tsis pub ntau tshaj 4 lossis 5 teev.
- Yog tias koj muaj ntshav qab zib, tsis txhob hla pluas mov, tshwj xeeb tshaj yog tias koj noj tshuaj qab zib.
- Coj mus rau hauv tus account yog tias muaj cov dej num uas ua rau koj siv cov calories ntau ntxiv. Piv txwv li, yog tias koj khiav marathon rau hnub Saturday, koj yuav tsum tau noj ntau dua hnub ntawd dua li ib hnub ib txwm muaj.
Kauj Ruam 4. Noj zaub mov kom zoo
Koj cov pluas noj yuav tsum muaj cov protein xws li ntses, nqaij nyuj, lossis nqaij qaib, hais txog qhov loj me ntawm daim npav npav (85 - 113 grams). Yog tias koj yog tus neeg tsis noj nqaij, tau txais cov protein los ntawm lwm qhov chaw, xws li tofu, qe, Greek yogurt, lossis kua. Ntxiv nrog rau cov protein, xyuas kom tseeb tias koj cov khoom noj muaj cov carbohydrates yooj yim, nrog rau zaub thiab txiv hmab txiv ntoo tshiab.
- Koj cov khoom noj txhua hnub yuav tsum muaj 40 txog 60% cov carbohydrates yooj yim. Qhov chaw zoo ntawm cov carbohydrates yooj yim suav nrog mov xim av, taum, qhob cij tag nrho, thiab zaub xws li zaub paj, zaub qhwv, thiab zaub ntsuab. Txwv kev noj cov carbohydrates kom zoo xws li ncuav qab zib, qhob cij dawb, phoov, thiab khoom qab zib.
- Qee qhov piv txwv zoo ntawm txiv hmab txiv ntoo suav nrog txiv kab ntxwv, txiv duaj, blueberries, txiv hmab, txiv duaj, thiab txiv pos nphuab. Txiv hmab txiv ntoo tsis tsuas yog ntxiv cov zaub mov koj noj, tab sis kuj tseem muab cov phytonutrients tseem ceeb. Cov khoom qab zib ntuj yog cov txiv hmab txiv ntoo tshiab. Cov txiv hmab txiv ntoo tshiab tuaj yeem ua rau cov ntshav qab zib ntau ntxiv thiab tiv thaiv kev mob ntshav qab zib.
- Txoj cai yooj yim ntawm tus ntiv tes xoo yog tias ib phaj yuav tsum tau ntim nrog ob feem peb ntawm cov txiv hmab txiv ntoo thiab zaub.
Kauj Ruam 5. Txwv kev haus caffeine
Zam cov khoom noj thiab dej haus uas muaj caffeine ntau xws li kas fes, tshuaj yej thiab dej qab zib. Caffeine tuaj yeem ua rau cov tsos mob zoo ib yam li hypoglycemia, ua rau koj tus mob hnyav dua.
Kauj Ruam 6. Nqa khoom noj txom ncauj nrog koj txhua lub sijhawm
Yog tias koj muaj kev pheej hmoo ua rau cov ntshav qis, muab zaub mov rau tom haujlwm, hauv tsheb, lossis lwm qhov chaw uas koj mus ntsib. Cov zaub mov zoo xaiv coj nrog koj suav nrog cov cheese (cheese uas muaj cov hlua zoo nkauj thiab nthuav tawm thaum yaj), yogurt, txiv ntseej, txiv hmab txiv ntoo, lossis smoothies.
Kauj Ruam 7. Siv cawv nrog zaub mov
Kev haus dej haus cawv, tshwj xeeb tshaj yog nyob rau lub plab khoob, tuaj yeem ua rau cov ntshav qab zib hauv qee tus neeg. Hauv qee kis, cov tshuaj tiv thaiv tuaj yeem ntsib nyob hauv ib hnub lossis ob hnub kom qhov txuas tuaj yeem nyuaj rau txheeb xyuas. Yog tias koj yog tus paub haus cawv, ib txwm nrog cawv haus nrog zaub mov lossis khoom noj txom ncauj.
Kauj Ruam 8. Ua kom lub sijhawm raug
Kev tawm dag zog yog ib qho tseem ceeb heev rau cov neeg muaj ntshav qab zib, vim tias nws tuaj yeem pab txo qis cov ntshav qab zib. Vim li no, kev tawm dag zog lub cev kuj tseem tuaj yeem txo qis cov piam thaj ntau dhau, txawm tias txog 24 teev tom qab tawm dag zog. Yog tias koj xav tawm dag zog, ua li ntawd ib nrab rau ib teev tom qab noj mov. Ib txwm kuaj koj cov ntshav qab zib ua ntej thiab tom qab ua si.
- Nqa khoom noj txom ncauj nrog koj thaum koj ua haujlwm hnyav, xws li caij tsheb kauj vab lossis khiav. Noj cov khoom noj txom ncauj tuaj yeem pab tiv thaiv kev mob ntshav qab zib.
- Yog tias koj ua ib ce uas hlawv ntau calories, kho cov tshuaj koj noj lossis noj cov khoom noj txom ncauj ntxiv. Kev hloov kho yog nyob ntawm qhov txiaj ntsig ntawm koj qhov kev kuaj ntshav qab zib, nrog rau lub sijhawm thiab siv zog ntawm kev tawm dag zog. Tham nrog kws kho mob yog tias koj muaj ntshav qab zib tab sis tseem xav ua ib ce thaum tswj koj tus mob.
Kauj Ruam 9. Ua thaum koj cov ntshav qab zib poob
Tam sim ntawd noj cov khoom noj txom ncauj thaum thawj cov tsos mob ntawm tus mob hypoglycemia tshwm. Noj dab tsi nyob ze lossis qee yam uas koj tuaj yeem ua tau sai sai. Cov tsos mob yuav ploj mus li ntawm 10 txog 15 feeb tom qab koj noj qee yam. Rov kuaj ntshav dua 15 feeb tom qab kom paub tseeb tias koj cov ntshav qab zib rov qab mus rau 70 mg/dL lossis siab dua. Yog tias tus lej tseem tsawg dhau, muaj khoom noj txom ncauj ntxiv. Koj tsis tas yuav mus tom tsev kho mob lossis kws kho mob yog tias koj tsuas muaj ib ntu ntawm cov ntshav qabzib nyob hauv qab. Yog ua tau, nyob twj ywm, zoo li koj tuaj yeem tawm mus. Qee qhov kev xaiv los daws qhov xwm txheej sai no suav nrog:
- 1/2 khob (118 ml) kua txiv hmab txiv ntoo (txiv hmab txiv ntoo, kua, txiv kab ntxwv, thiab lwm yam)
- 1/2 khob (118 ml) dej qab zib (tsis yog dej qab zib)
- 1 khob (236 ml) mis nyuj
- 5 lossis 6 cov khoom qab zib nyuaj (piv txwv li Kopiko, Relaxa, thiab lwm yam)
- 1 tbsp suab thaj los yog zib ntab
- 3 lossis 4 ntsiav tshuaj qab zib lossis 1 ua haujlwm ntawm cov piam thaj gel (15 grams). Nco ntsoov tias qhov ntau npaum li cas rau cov khoom noj no yuav tsum tau txo yog tias siv los ntawm menyuam yaus. Nyeem cov lus qhia ua ntej muab tshuaj rau koj tus menyuam kom koj tuaj yeem txiav txim siab qhov koob tshuaj kom raug.
Txoj Kev 2 ntawm 2: Nkag Siab Cov Ntshav Qab Zib
Kauj Ruam 1. Nkag siab tias ua haujlwm hypoglycemia zoo li cas
Hypoglycemia lossis ntshav qab zib tsawg tshwm sim thaum cov ntshav qab zib qis dua qib ib txwm. Ib tus neeg feem ntau pib hnov cov tsos mob ntawm tus mob hypoglycemia thaum nws cov ntshav qab zib qis dua 70 mg/dL. Cov ntshav qab zib qis tshwj xeeb tshaj yog nyob rau hauv cov neeg mob ntshav qab zib hauv kev teb rau kev kho tshuaj insulin nrog rau kev noj zaub mov tsis txaus, siv cov tshuaj insulin ntau dhau, lossis ua haujlwm yam tsis tau txais cov calories kom txaus (piv txwv li koj khiav 10 km tab sis tsis suav nrog noj khoom txom ncauj).
- Lwm qhov laj thawj uas tsis tshua muaj tshwm sim suav nrog qog nqaij hlav hauv lub txiav uas ua cov insulin ntau dhau (insulinoma), nrog rau cov tshuaj tiv thaiv hypoglycemia, uas tshwm sim thaum cov ntshav qab zib poob qis tom qab tus neeg noj qee yam khoom noj.
- Hypoglycemia tuaj yeem tshwm sim los ntawm cov txiaj ntsig ntawm qee yam tshuaj los kho ntshav qab zib, xws li insulin thiab tshuaj siv los ua kom cov tshuaj insulin ntau ntxiv (xws li glipizide thiab glyburide). Hypoglycemia tuaj yeem tshwm sim los ntawm kev sib xyaw ntawm ntau yam tshuaj (piv txwv li kev sib xyaw ntawm glipizide nrog metformin lossis glyburide nrog metformin). Yog li koj yuav tsum qhia koj tus kws kho mob txog txhua yam tshuaj, vitamins, thiab tshuaj ntxiv uas koj tab tom noj tam sim no (suav nrog tshuaj ntsuab).
Kauj Ruam 2. Paub txog qee cov tsos mob ntawm cov ntshav qab zib tsawg
Muaj ntau qhov tsos mob ntawm lub cev thiab lub hlwb uas koj tuaj yeem txheeb xyuas ua cov cim qhia tias koj muaj ntshav qab zib tsawg. Cov cim no suav nrog:
- Shaky
- Kiv taub hau
- Tsis muaj zog
- Kev puas siab puas ntsws (piv txwv tsis paub hnub, xyoo, thiab lwm yam)
- Hloov qib ntawm kev nco qab, tsaug zog, lossis tsis zoo mloog
- Diaphoresis lossis "tawm hws txias"
- Coma (Nco tseg: kev tsis nco qab thiab coma tuaj yeem tshwm sim thaum cov ntshav qabzib nce mus txog kwv yees li 45mg/dL)
Kauj Ruam 3. Ceev faj
Ntsuam xyuas koj cov ntshav qab zib tsawg kawg ib zaug ib hnub (thaum koj sawv thiab ua ntej noj dab tsi). Ua raws cov lus pom zoo saum toj no kom tawm dag zog tas li thiab noj zaub mov thiab khoom noj txom ncauj txhua hnub. Ceev faj txog kev nqa khoom noj txom ncauj nrog koj thaum koj tawm mus.
- Ib qho ntxiv, yog tias koj muaj ntshav qab zib lossis nquag ua rau mob ntshav qab zib hauv lub cev, piav qhia koj cov tsos mob rau tsev neeg, cov phooj ywg, thiab cov neeg ua haujlwm ntseeg siab kom lawv tuaj yeem pab yog tias koj cov ntshav qab zib poob sai sai rau qib hnyav. Yog tias tus neeg mob yog menyuam yaus, cov neeg ua haujlwm hauv tsev kawm ntawv yuav tsum tau muab cov lus qhia yuav ua li cas thiaj paub thiab tswj cov tsos mob ntawm cov ntshav qab zib hauv cov menyuam.
- Sim nqa cov khoom uas tau siv los ua cim rau cov neeg muaj ntshav qab zib, xws li caj dab, hlua tes, lossis daim npav kho mob ntshav qab zib. Qhov no muaj txiaj ntsig zoo thaum muaj xwm txheej ceev los qhia rau tib neeg paub tias koj muaj ntshav qab zib.
- Ceev faj thaum tsav tsheb vim nws tuaj yeem ua rau muaj kev phom sij heev thaum cov tsos mob ntawm tus mob hypoglycemia tshwm sim. Thaum tsav tsheb mus deb, txheeb xyuas koj cov ntshav qab zib ntau zaus (tshwj xeeb yog ua ntej tuav lub log) thiab noj cov khoom noj txom ncauj raws li xav tau kom koj cov ntshav qab zib ntau dua 70 mg/dL.
Kauj Ruam 4. Tham nrog kws kho mob
Qhia rau koj tus kws kho mob tias koj tau ua lub sijhawm ntev hauv lub cev (ntau dua li ob peb zaug hauv ib lub lis piam) kom tus kws kho mob tuaj yeem kho qhov koob tshuaj raws li.
