Kiba shine babban haɗari don ci gaba da ciwon sukari na Type 2 , saboda haka yana da muhimmanci a san lokacin da sau nawa don duba jini dinku don duba ko kuna da ciwon sukari ko pre-ciwon sukari .
Sugar Sugar Screening
An san sugar sugar a matsayin glucose na jini a cikin maganin likita, da kuma Ƙungiyar Ayyukan Tsaro ta Amurka (USPSTF) ta fitar da sabon jagororin game da glucose na jini a watan Oktobar 2015.
Bisa ga USPSTF, an nuna kimanin glucose na jini don nau'in kifi ko babba shekaru 40 zuwa 70. Tabbas, za'a yi wannan a kowace shekara a matsayin wani ɓangare na nazarin lafiyar na yau da kullum da kuma nazarin lamarin na zuciya.
An bayar da wannan shawarwarin tare da B, kuma Dokar Kulawa ta Kulawa ta ba da shawarar cewa shawarwarin da aka yi na A ko B dole ne a rufe shi da inshorar lafiya (tare da 'yan kaɗan).
Bugu da ari, bisa ga Dokar Cibiyoyin Ciwon Ciwon Ciwon Ciwon Ciwon sukari ta Amirka na Ciwon sukari-2015 , ana amfani da ma'anar ƙwayoyin jiki (BMI) don gano wadanda ke haɗari don ciwon sukari da ciwon sukari na 2 na:
- Ga 'yan Caucasian da Afirka na Afirka, ƙaddarar BMI ita ce 25 kg / m 2 ko mafi girma.
- Ga jama'ar Asiya ta Asiya, mahimmin BMI shine maki 23 kg / m 2 ko mafi girma.
Bugu da ƙari, Ƙungiyar Ciwon Ciwon Buka ta Amirka (ADA) ta bada shawarar yin la'akari da yin nazari akan ciwon sukari iri na 2 a cikin yara da matasa waɗanda suke da kisa ko ƙari kuma suna da abubuwa biyu masu haɗari don ci gaba da ciwon sukari.
Ta Yaya Rawanci Mai Mahimmanci a Ciwon sukari?
Halin yanayin insulin , wanda kwayoyin jiki suka zama masu rikici da sakamakon insulin da cewa pancreas ya samar, yana da matukar muhimmanci a fahimtar tsarin da ke haifar da ciwon sukari mai tsanani 2. Abune yana haifar da juriya na insulin, wanda a lokaci ya kai ga ciwon sukari da kuma ciwon sukari na iri na 2, a yayin da pancreas ya ƙone kuma bai iya yin insulin ba don jiki mai tsayuwa wanda ya "amfani da shi" da kuma kayan aiki na insulin.
Kayan buƙata na ƙima ya sa tsananin damuwa a kan pancreas, wanda zai iya haifar da ciwon sukari na iri 2.
Mene ne Matsayin Glucose na Cikin Halitta?
Tsarin glucose mai azumi mai azumi yana da kasa da 100 MG / dL. Duk da haka, yawancin masana sun bayar da shawara akan kiyaye nauyin glucose na jini mai saurin nauyin 90 MG / dL don magance gaba ɗaya daga pre-ciwon sukari.
Ma'anar rigakafin ciwon sukari, wanda ke wakiltar haɗari na ciwon sukari, yana da glucose na jini mai yalwaci na 100 mg / dL zuwa 125 mg / dL ko haemoglobin A1c (ma'auni na tsawon watanni 3) a cikin nauyin 5.7% zuwa 6.4%, bisa ga bayanin ADA. Za a iya amfani da gwaji na haƙuri ta glucose (OGTT) don maganin asali.
Don ganewar asali na ciwon sukari mai yawan gaske, ana iya amfani da matakan da dama, amma saboda dalilai masu ma'ana, wadanda aka fi amfani da ita suna azumi glucose jini ko haemoglobin A1c. A cikin waɗannan lokuta, glucose mai azumi mai saurin fiye da 125 mg / dL ko haemoglobin A1c na 6.5% ko mafi girma ya haifar da ganewar asibiti.
ADA ya lura cewa saboda karuwar glucose mai azumi, "azumi yana bayyana azaman bawan caloric na akalla 8 hours."
Sources:
Ƙungiyar Ciwon Yankakken Amirka. Tsarin likita a cikin ciwon sukari-2015. Ciwon sukari Care 2015; 38: S1-S94.
Rikicin ER. Yin magana akan nauyin ciwon sukari. JAMA 2014; 311: 2267-68.
Siu AL; US Task Force Task Force. Kulawa ga glucose na jini mai maɗauri da kuma irin 2 ciwon sukari: Dokar Bayar da Shawarwarin Bayar da Ta'addanci ta Amurka. Ann Shigar Mat 2015; 163: 861-8.