Koj puas tuaj yeem hloov rov qab hom 2 ntshav qab zib?


Koj puas tuaj yeem hloov rov qab hom 2 ntshav qab zib?

Ntshav qab zib Hom 2 yog ib hom mob uas nquag muaj rau ntau plhom tus neeg hauv tebchaws Askiv, nce cov neeg hluas thiab cov laus laus lawm. Nws tuaj yeem cuam tshuam cov neeg mob ko taw, pom, puas siab puas ntsws, raum thiab leeg ntshav. Nws kuj tseem ua kom muaj kev pheej hmoo ntawm cov xwm txheej zoo li mob nkees thiab plawv nres.

Txawm tias hom ntshav qab zib hom 2 tuaj yeem tswj tau kom zoo, cov txheej txheem tshiab tau tshwm sim uas tuaj yeem tso ntshav qab zib rau kev kho kom zoo. Txawm hais tias nws tsis yog kho lossis thim rov qab, kev zam kom txhais tau tias koj cov ntshav qab zib cov ntshav yuav nyob zoo ib yam li cov neeg tsis muaj ntshav qab zib, txawm tias koj tsis noj tshuaj los txo nws qis.

Muab koj cov ntshav qab zib ua kev zam txim tsis thim ib qho kev puas tsuaj uas twb tau ua rau koj lub cev lawm. Tab sis nws tiv thaiv kev puas tsuaj rau yav tom ntej, thiab tuaj yeem txo qhov pheej hmoo ntawm teeb meem nrog koj ob lub raum, qhov muag thiab lub paj hlwb, ntxiv rau koj qhov kev pheej hmoo ntawm lub plawv thiab mob hlab ntsha tawg.

Ntshav qab zib txhais li cas?

Sij hawm dhau los, cov ntshav qab zib tau raug kuaj pom los ntawm koj cov ntshav qabzib – theem ntawm cov piam thaj hauv koj cov ntshav ntawm lub sijhawm. Qhov ntsuas ob qho tseem ceeb yog koj qhov kev yoo ntshav cov piam thaj thiab cov txiaj ntsig ntawm ‘ntsuas qabzib hauv lub qhov ncauj’, uas piv rau koj cov piam thaj hauv ntshav ua ntej thiab tom qab haus cov dej qab zib.

Hnub no, tso ntshav ntsuas feem ntau siv los ntsuas seb koj puas muaj ntshav qab zib hu ua HbA1c. Qhov no ntsuas theem nruab nrab ntawm koj cov piam thaj hauv ntshav txog thaj tsam peb lub hlis dhau los. HbA1c siv los ntsuas qhov feem pua: nws tam sim no ntsuas hauv UK hauv mmol / mol.

Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv qhia tias:

  • Tus ‘HbA1c’ li qub ‘qis dua 42 mmol / mol (6%).
  • Ib qho HbA1c ntawm ‘ua ntej rau ntshav qab zib’ yog 42-47 mmol / mol (6.0-6.5%).
  • Ib qho HbA1c tshaj 48 mmol / mol (6.5%) txhais tau tias koj muaj ntshav qab zib.

Ntshav qab zib hauv cev xeeb tub tseem tseem siv tshuaj ntsuas ntshav qab zib lub qhov ncauj.

Patient.info Saib tag nrho

Cov tsos mob ntawm tus mob ntshav qab zib hom 2 pom nyob rau cov menyuam yaus txog li yim xyoo

Cov tsos mob thaum pib ntawm tus mob ntshav qab zib hom 2 tau pom muaj hauv cov menyuam yaus txog li yim xyoo, accordin …

3ming

  • Cov tsos mob ntawm tus mob ntshav qab zib hom 2 pom nyob rau cov menyuam yaus txog li yim xyoo

    Cov tsos mob ntawm tus mob ntshav qab zib hom 2 pom nyob rau cov menyuam yaus txog li yim xyoo

    3ming

  • Kev qeeb hauv hom mob ntshav qab zib hom 2

    Kev qeeb hauv hom mob ntshav qab zib hom 2

    2min

  • Txhawb nqa Vim li cas thiaj saib xyuas koj txhais taw yog ib qho tseem ceeb yog tias koj muaj ntshav qab zib

    Vim li cas thiaj saib xyuas koj txhais taw yog ib qho tseem ceeb yog tias koj muaj ntshav qab zib

    6min

Txoj kev tshawb no txawv

Txoj kev tshawb nrhiav DiRECT, khiav los ntawm cov kws tshaj lij Roy Taylor thiab Mike Lean, tau qhov kev sim ntau tshaj plaws rau hnub rau kev ua kom tau txais kev zam txim los ntawm kev noj zaub mov kom yuag tsawg. Cov neeg nyob rau ntawm DiRECT kawm tshwj xeeb tau noj shakes thiab kua zaub uas muaj tag nrho lawv cov tswv yim zoo kom muaj kev noj zaub mov kom ntev li 12 lub lis piam – qhov no tau ua haujlwm ntawm ib puag ncig 850 calories ib hnub. Qhov tseem ceeb tshaj plaws nyob rau hauv DiRECT yog nyob rau lub sij hawm ntev poob phaus.

Hauv txoj kev tshawb no, cov kws tshawb nrhiav tau txhais tias ‘kev zam txim’ yog tias muaj HbA1c qib qis dua 6.5% (<48 mmol / mol) tom qab tsawg kawg ob lub hlis tawm tag nrho cov tshuaj tiv thaiv kab mob ntshav qab zib rau ib xyoos tom qab kev tshawb fawb.

Hauv tsab ntawv tshiab luam tawm xyoo no, txoj kev tshawb nrhiav pom tias 68 (46%) ntawm 149 tus neeg tuaj kawm tau tso lawv cov ntshav qab zib ua kev zam txim. Ntawm 149 tus neeg koom nrog, 36 poob tsawg kawg 15 kg.

Qhov kev sim DiRECT tam sim no muaj nyiaj txuas ntxiv mus rau tsib xyoos, thiab yuav saib seb cov neeg muaj ntshav qab zib yuav zoo li cas los txhawb nqa qhov hnyav thiab rov kho dua. Hauv cov kev tshawb fawb sab nraud UK, Professor Lean tseem yuav saib xyuas qhov sib txuas ntawm cov ntshav qab zib, qhov hnyav thiab BMI hauv South Asian, Arab thiab Dub cohorts uas muaj ntshav qab zib los tshawb txog seb cov noob caj noob ces yuav cuam tshuam li cas rau kev so.

“Nov yog rau kuv txoj kev noj qab haus huv”

Sandra, 68, los ntawm East Kilbride, raug kuaj ntshav qab zib tsib xyoo dhau los tom qab muaj kev mob nkeeg thiab pib DiRECT kev sim xyoo tom qab. Nws poob 11 kg thiab nws cov ntshav qab zib tau mus rau hauv kev zam txim.

Lub neej tsis muaj zaub mov noj nws xav nyob ib leeg rau lub sijhawm, nws tau qhuas: ib lossis ob tus neeg ceeb toom nws tias nws poob ntau heev, thiab cov npoj yaig tau nug seb nws puas xav nyob ib leeg thaum lawv noj su. Nws qhuas tus txiv qhov kev txhawb nqa kom thawb mus. “Thaum xub thawj, nws xav tias nws tau ua txhaum thiab kuv yuav tsum tau hais rau nws: ‘Saib, qhov no yog rau kuv txoj kev noj qab haus huv.’ Thiab tom qab ntawd nws zoo, “nws hais.

Nws siv cov phaj hu ua willpower, tab sis kuj ceeb tias, nws tsis xav tias tshaib plab heev.

“Thaum kuv rov nyeem kuv phau ceev xwm txheej, kuv sau hais tias, ‘Kuv tau yoo me ntsis hnub no thiab kuv xav noj dab tsi’, tab sis kuv tsis tuaj yeem hais ncaj ncaj tias kuv tshaib plab. Qhov uas kuv tu yog noj, noj tiag tiag. ntawm ib yam dab tsi los noj, “piav qhia Sandra. “Thaum kuv xav tau ib co tshuaj yej, Kuv yuav hais rau kuv tus kheej, ‘Cia li tos lwm teev, tos lwm teev’ … Tom qab ntawd, ‘Auj, nws yog 9 teev tsaus ntuj, nws tsis tsim nyog tam sim no.’ Nws tau ua tiav rau kuv, tab sis kuv xav tias koj yuav tsum xav ua. “

Tswj hwm ceeb toom

Dr Rebecca Haines, tus kws kho mob hauv Gateshead thiab cov ntshav qab zib ua rau Newcastle thiab Gateshead CCG, tau pom ob peb tus neeg mob mus los ntawm txoj kev sim DiRECT hauv nws cheeb tsam. Nws tseem pom cov neeg mob ua tiav kev zam txim los ntawm lwm txoj hauv kev.

Ib zaug ntawm kev noj zaub mov noj, nws tau piav qhia, nws pom tseeb tias feem ntau cov neeg yuav ntawm lub ntsiab lus yuav hnov ​​tshaib plab, nkees thiab tsis muaj zog. Nws hais ntxiv tias kev noj zaub mov zoo li no qee zaum kuj ua rau cem quav me ntsis. Lub ntsiab loj, txawm li cas los xij, tuaj tom qab.

“Ntawm qhov tsis tshua muaj calorie ntawm txoj kev npaj, kev poob phaus feem ntau yuag sai uas tuaj yeem pab txhawb cov tib neeg kom ua mus ntxiv,” nws hais. “Txawm li cas los xij, kev rov ua zaub mov noj thiab kev poob ceeb thawj theem tuaj yeem nyuaj dua – nws yog ib qho tseem ceeb kom tsis txhob rov qab ua dua li qub kev noj nyob dua qub.

“Cov neeg hauv kev sim DIRECT tau txais kev txhawb nqa ntau los ntawm cov kws qhia noj haus lossis kev saib xyuas neeg mob, thiab cov neeg uas sim ua raws li txoj kev no ntawm lawv tus kheej yuav pom tias nws nyuaj rau nkag mus rau theem ntawm kev txhawb nqa no.”

Cov neeg uas nyob nrog lawv tsev neeg yuav pom tias nws nyuaj rau noj zaub mov muaj tsawg thiab ua kom yuag, hos cov neeg nyob hauv lawv tsev neeg noj txawv, nws yuag.

Hmoov tsis zoo, Dr Haines tau taw qhia, kev ua tiav kev zam txim yog tseem qee yam uas tib neeg yuav tsum tau ua los ntawm cov khoom ntiag tug thaum lub sijhawm no: “Cov zaub mov muaj zaub mov tsis zoo tam sim no tsis yog ib feem ntawm kev saib xyuas mob ntshav qab zib NHS. Muaj cov tuam txhab lag luam ntiag tug uas muab kev txhawb nqa thiab khoom noj khoom haus muaj txiaj ntsig. rau txoj hauv kev no, tab sis tus nqi yog qhov nyuaj lossis cov nyom rau ntau tus neeg.

“Yog tias tib neeg siv cov tshuaj no yam tsis pub leej twg paub, nws yog qhov tseem ceeb heev los tham nrog lawv pab neeg mob ntshav qab zib, tshwj xeeb tshaj yog tias lawv siv tshuaj kho mob ntshav qab zib hom 2 lossis ntshav siab, vim tias qhov no yuav tsum tau tshuaj xyuas thiab tej zaum yuav tsum nres, nrog saib xyuas ntshav qab zib thiab ntshav siab. “

Yav tom ntej ntawm kev kho mob ntshav qab zib

Douglas Twenefour uas yog ib tug kws nrhiav zaub mov noj zaub mov thiab lwm tus kws saib xyuas kab mob ntshav qab zib nyob rau hauv Cov Ntshav Qab Zib UK, hais tias txawm hais tias DiRECT lossis cov zaub mov muaj zaub mov tsis zoo yuav tsis nyuaj rau NHS, thaum lub sijhawm tam sim no qee tus neeg tuaj yeem nkag tau lawv txoj hauv kev no.

Nws piav qhia “Kev zam txim tau ua tiav los ntawm kev tswj hwm qhov hnyav,” nws piav qhia. “Koj tuaj yeem pom tias peb muaj cov kab ke uas twb muaj lawm, tab sis cov cuab yeej ntawd tsis yog qhov tshwj xeeb kom xa cov khoom xa tuaj rau hauv DiRECT.”

Tab sis rau cov xibfwb qiv, sib qhia cov txiaj ntsig mus sib hais tsis tuaj yeem ua nrawm dua.

“Ntshav qab zib hom 2 tsuas yog nyob ntawd vim tias tib neeg tau nce phaus, hnyav uas qee kis nkag mus rau hauv lawv tus txiav thiab lub siab,” Lean hais. “Qhov no yog kab mob phem thiab txaus ntshai – koj li 10 xyoo muaj sia nyob muaj mob ntshav qab zib hom 2 ntau dua li tsis muaj Hodgkin’s lymphoma. Vim li cas peb tsis kho nws kom sib luag? Peb yuav tau mus kho kom zoo.”

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