Kev Nyab Xeeb Tsav Tsheb nrog Hom Ntshav Qab Zib 1: Cov lus qhia uas cawm koj lub neej tsis yog rau koj nkaus xwb
Thaum sib tham nrog tus phooj ywg, nws raug kev txom nyem los ntawm hom mob ntshav qab zib hom 1, Kuv hnov nws los ntawm nws cov lus, "Lub sijhawm hu rau koj", peb tau teem sijhawm, thiab rau kuv cov lus nug yog koj tsav tsheb? Nws teb tias yog, tab sis dab tsi yog li ntawd?
Thiab kuv tau xav paub tias koj tuaj yeem tsav lub tsheb nrog tus neeg mob ntshav qab zib?
Dab tsi yog qhov phom sij ntawm kev tsav tsheb mus rau tus neeg uas muaj tus mob no. Kuv txoj kev xav yog tias tsuas muaj ib qho xwm txheej, uas yog txoj kev yuav tswj tsis tau hauv lub sijhawm txav los ntawm hypoglycemia. I.e. yuav ua li cas yog tias koj tswj hwm koj cov ntshav qab zib kom zoo, ces koj tuaj yeem tsav tsheb. Lawm, yuav tsum tsis txhob muaj cov teeb meem tshwm sim hauv ntshav qab zib - qhov muag tsis pom, qhov tsis hnov ntawm txhais ceg.
Tab sis tseem, tus mob ntshav qab zib muaj lub luag haujlwm ntau dua li lwm tus tsav yog tias nws txiav txim siab tsav, thiab yog li ntawd ntau txoj cai yooj yim yuav tsum tau ua raws li
Cov Ntshav Qab Zib Tsav Cov Txheeb Xyuas
Ib txoj kev tshawb fawb loj tshaj plaws txog kev nyab xeeb kev tsav tsheb hauv ntshav qab zib tau ua thaum 2003 los ntawm cov kws tshwj xeeb los ntawm University of Virginia. Txog 1000 tus tsav tsheb muaj ntshav qab zib los ntawm Asmeskas thiab Europe tau koom nrog nws, leej twg teb cov lus nug los ntawm daim ntawv nug cov tsis paub npe. Nws tau nthuav tawm tias cov neeg muaj ntshav qab zib hom 2 muaj ntau zaus muaj ntau yam kev sib tsoo thiab xwm txheej ceev ntawm txoj kev dua li cov neeg muaj ntshav qab zib hom 2 (txawm tias siv tshuaj insulin).
Txoj kev tshawb no kuj pom tias cov tshuaj insulin tsis cuam tshuam rau lub peev xwm tsav, thiab cov ntshav qab zib qis yog, txij li feem ntau ntawm qhov tsis txaus ntshai ntu ntawm txoj kev tau cuam tshuam nrog nws lossis nrog lub ntsej muag tsis zoo. Tsis tas li ntawd, nws tau paub tias cov neeg uas muaj cov kua dej insulin tsawg dua yuav muaj kev huam yuaj ntau dua li cov neeg uas txhaj insulin subcutaneously.
Cov kws tshawb fawb tau pom tias qhov muaj xwm txheej loj tshaj plaws tau tshwm sim tom qab cov tsav tsheb ploj lossis tsis saib xyuas qhov xav tau kom ntsuas cov suab thaj ua ntej tsav tsheb.
5 lub tswv yim rau kev tsav tsheb nyab xeeb
Nws tseem ceeb tias koj tswj koj tus mob, tshwj xeeb yog tias koj npaj siab yuav nyob hauv lub rooj tsav tsheb ntev.
- Kuaj koj cov ntshav qab zib Yuav tsum kuaj saib koj cov piam thaj kom zoo ua ntej tsav tsheb. Yog tias koj muaj tsawg dua 4.4 mmol / L, noj ib yam dab tsi nrog txog 15 g ntawm carbohydrates. Tos kom tsawg kawg 15 feeb thiab ntsuas kev ntsuas dua.
- Siv lub meter ntawm txoj kev Yog tias koj nyob rau qhov chaw ntev, nqa lub meter nrog koj. Yog li koj tuaj yeem kuaj koj tus kheej ntawm txoj kev. Tab sis tsis txhob cia nws nyob rau hauv lub tsheb ntev, vim tias qhov kub dhau los lossis qis txias tuaj yeem ua rau nws thiab ua rau kev nyeem tsis raug siab.
- Tham nrog kws kho qhov muag Nco ntsoov soj ntsuam koj ob lub qhov muag tsis tu ncua. Qhov no tseem ceeb heev rau cov neeg muaj ntshav qab zib uas tsav tsheb.
- Noj khoom txom ncauj nrog koj. Nqa khoom nrog koj rau khoom noj txom ncauj txhua lub sijhawm. Cov no yuav tsum tau cov khoom noj txom ncauj uas muaj carbohydrate sai sai, yog tias dej qab zib poob ntau dhau. Qab zib dej qab zib, qab, kua txiv, kua qabzib tshuaj yog tsim nyog.
- Nqa ib nqe lus hais txog koj tus mob nrog koj Thaum muaj xwm txheej lossis lwm qhov xwm txheej tsis pom zoo, cov neeg cawm siav yuav tsum paub tias koj muaj ntshav qab zib kom ua hauj lwm kom raug koj tus mob. Ntshai tsam poob ib daim ntawv? Tam sim no ntawm kev muag khoom muaj cov hlua tes tshwj xeeb, cov nplhaib tseem ceeb thiab engraved tokens, qee tus ua duab zas tawv ntawm lub dab teg.
Yuav ua li cas rau txoj kev
Ntawm no yog cov npe ntawm cov kev xav uas yuav tsum ceeb toom koj yog tias koj nyob ntawm txoj kev, raws li lawv yuav qhia tias tsis muaj suab thaj ntau dhau. Peb xav tias muaj qee yam ua tsis tiav - nres thiab nres tam sim ntawd!
- Kiv taub hau
- Mob taub hau
- txhav txhav
- Kwv Txhiaj
- Pom kev tsis pom kev
- Neeg tsis muaj zog
- Vauv
- Kev tsis pom tseeb
- Tshee
- Kev nkees nkees
- Kev tawm hws
Yog tias muaj piam thaj poob, noj khoom txom ncauj thiab tsis txav mus txog thaum koj tus mob sawv khov kho thiab koj cov piam thaj yuav rov qab zoo li qub!
Cov cai tswj rau cov ntshav qab zib thaum tsav tsheb.
- Yuav tsum muaj kev tswj xyuas ntshav qab zib kom zoo. Nws raug nquahu kom muaj kev saib xyuas, yog tias nws tsis nyob ntawd thiab cov piam thaj hauv qab tau qis, ces nws yog qhov zoo dua los noj cov khoom noj ntxiv.
- Yog koj xav tias ua tsis zoo, tsis txhob tsav tsheb.
- Taug qab seb koj tau txhaj cov insulin ntau npaum li cas ua ntej taug kev, noj ntau dua li ib txwm, piv txwv li, txhawm rau txo kev dhia hauv qabzib, ces koj yuav tsum tsis txhob taug kev.
- Khaws cov khoom noj zom zaws kom yooj yim nrog koj thiab nws yuav tsum tau qhia rau koj cov phooj ywg ncig chaw uas lawv nyob (qhov no yog qhov zoo tshaj, nws yog qhov zoo yog tias koj yog ib tus neeg ncig tebchaws lossis cov txheeb ze, tab sis yog tias koj tsis tau paub, qee tus neeg tsis mob siab los qhia koj txhua yam txog lawv tus kheej, txawm tias lawv lub neej nyob ntawm nws los yog lwm tus lub neej - tej zaum nws yuav nqa ...).
- Nws raug nquahu kom nres rau kev tswj xyuas kua nplaum - nws tsis tsim nyog los ua qhov no thaum mus.
- Thiab ua raws cov kev cai dav dav ntawm txoj kev, ua txoj hauv kev ua ntej, tsis txhob muaj qhov phom sij thiab tsis yooj yim, tsis txhob khiav ceev dua, tsis txhob mus nrawm dua.
Rau kuv tus phooj ywg lo lus nug, koj tau txais daim ntawv tso cai tsav tsheb rau txoj cai los tsav lub tsheb, nws tau teb - yooj yim heev. Kuv tsis tau qhia leej twg tias kuv mob. Kuv tau txais nws nyob hauv tsev ntiav, qhib tsuas yog qeb B, thiab tam sim no tsuas yog tus kws kho mob thiab kws kho qhov muag tau nyob ntawm cov kws kho mob hauv qhov tseeb.
Tsav lub tsheb kom zoo thiab nyab xeeb, tsis yog rau koj tus kheej nkaus xwb, tab sis lwm tus!
Cov iav pom tom qab
Yuav luag txhua tus tsav tsheb twb paub lub ntsiab lus “qhov chaw tsis pom kev” - qhov no yog ib feem ntawm txoj kev uas koj tsis tuaj yeem pom hauv koj lub iav tsheb tom qab. Cov kws tsim txuj ci tam sim no siv nyiaj ntau lab daus las los kho cov tsheb nrog cov txheej txheem tshwj xeeb uas ceeb toom tus neeg tsav tsheb yog tias nws pib tig lossis hloov thaum lwm lub tsheb nyob hauv nws qhov chaw dig muag. Tab sis qhov tseeb, txhua yam muaj ntau yooj yim dua - koj tsuas yog xav tau kho lub teeb tsom iav saib tom qab. Nco ntsoov tias koj lub tsheb tsis pom ntawm lawv txhua lub sijhawm, tab sis cov tsheb uas ploj ntawm koj daim tsom iav loj tam sim ntawd tshwm rau ntawm daim iav tsom iav. Yog txhua yam, tsis muaj qhov dig muag thiab qhov xav tau rau ntau lab lab thev naus laus zis.
"Laus dhau rau ntshav qab zib yeej rog"
Bregmann hais tias thaum pib lawv xav tias ua haujlwm nrog ntshav qab zib cov ntshav yuav yog lub tswv yim zoo. Tab sis qhov no tau tig mus los ua qhov nyuaj, vim tias cov chaw pw tom hav zoov feem ntau nyob hauv qhov chaw deb chaw uas tsis muaj "txoj kev" ntawm thaj chaw lossis chaw nres tsheb loj txaus rau hom kev tsav tsheb no. Qhov no txhais tau tias lawv yuav tau txav cov hluas mus rau lwm lub tsev kawm ntawv rau lub tsev kawm tsav tsheb.
Nws tseem tig los ua qhov nyuaj tias Check B4U Tsav, los ntawm nws qhov kev tsim, nws yog ib qho me me thiab ntau cov kev pab cuam uas feem ntau tsis suav nrog ntau dua 15 tus hluas nyob rau ib zaug. Yog li, cov lus nug hais txog yuav ua li cas nrog tus so ntawm D-Camp cov hluas thaum cov pab pawg me mus koom rau hauv Check B4U Drive?
“Cov menyuam hnov (kev tsav tsheb nyab xeeb) cov lus txawv ntawm cov neeg tsis yog niam thiab txiv. Thiab nws tog. " Cov kws ua lag luam Tom Bregmann tsim lub tsev kawm ntawv tsav tsheb tshwj xeeb rau cov hluas uas muaj ntshav qab zib
Pab pawg neeg kuj tau txiav txim siab ua haujlwm nrog cov tsev kawm tsav tsheb uas twb muaj lawm, tab sis qhov no kuj ua rau muaj kev tsis txaus siab, vim tias cov tsev kawm tsav tsheb zoo tsuas xav txog qhov muaj mob ntshav qab zib yog qhov thib peb ntawm lawv cov ntaub ntawv kawm - thaum T1D yog qhov tseem ceeb rau Txoj Haujlwm Tsis Muaj.
Kuj tseem muaj teeb meem nrog kev kub siab ntawm cov hluas.
Bregmann hais tias, "Koj tab tom sib txuas ntawm cov tub ntxhais hluas 1 uas tam sim no 15, 16 lossis 17 xyoo, thiab lawv tus cwj pwm tseem ceeb yog:" Peb tsis mus rau hauv cov chaw pw ntshav qab zib, qhov no yog rau cov menyuam yaus, "Tab sis nws tseem tuaj yeem raug rho tawm ( nyob nrog hom 1 uas yog ib tus tub ntxhais hluas), yog li peb xav kom lawv tuaj rau txoj haujlwm no kom paub lwm tus thiab ua phooj ywg tshiab. "
Bregmann qhov tseem ceeb tau hais txog txhua yam ntawm nws lub tsev me me nyob rau ntau lub xyoo, qhov xwm txheej no tau tshwm sim zoo li lub moos - cov hluas tsis kam, feem ntau raug yuam kom mus ntsib lawv niam thiab txiv. Tab sis txog rau thaum kawg, lawv tau ntsib phooj ywg tshiab thiab nyiam qhov kev paub no.
Saib qhov txav, tsis yog cov cim
Coob tus tsav tsheb tswj tsis tau tus kheej ntawm cov kev tsav tsheb ntau, vim tias lawv tau tsom mus rau cov paib ntawm txoj kev thiab qhov lawv yuav tsum tau ua raws li cov phiajcim no. Raws li qhov tshwm sim, qhov xwm txheej ntawm txoj kev tsuas yog mob heev ntxiv thiab kev nyab xeeb tiv thaiv. Thawj qhov koj yuav tsum tau saib ntawm txoj hauv kev yog lwm lub tsheb thiab nws txav li cas, vim yog koj muaj kev sib tsoo, nws yuav tsis yog daim paib nrog kos npe, tab sis nrog lub tsheb uas kuj txav mus los ntawm txoj kev. Siv cov phiajcim tsuas yog cov lus qhia me me rau kev txav, thiab tsis yog qhov tseem ceeb thiab phau ntawv qhia xwb.
Suab nkauj los cuam tshuam
Txhua lub tsheb muaj tsheb nrog lub suab paj nruag uas tib neeg nyiam siv kom txaus siab rau lawv txoj kev taug. Tab sis nws puas tsim nyog mloog cov nkauj thaum tsav tsheb? Cov kev tshawb fawb qhia tias cov nkauj tso kom zoo nrog tus neeg tsav tsheb, uas yuav zoo li lub cim zoo. Tab sis qhov tseeb, nws tsis yog, vim tias qhov kev nqig no yog qhov tsim nyog los ntawm qhov tseeb tias tus tsav tsheb tsis tshua xav tau ntawm txoj kev. Raws li, nws yog tus yuav mus rau hauv tsheb sib tsoo ntau dua li ib qho uas tsis mloog nkauj thiab mob siab rau txoj kev tsav tsheb. Ntxiv mus, yog tias koj mloog cov nkauj hauv lub siab, xws li techno, ces qhov ntxim nyiam ntawm kev raug xwm txheej yuav luag ob npaug.
Ntau tus neeg tsav tsheb tig rau lawv lub teeb ua ntej tsuas yog thaum nws tsaus ntuj nraum zoov. Kev tshawb fawb qhia tau hais tias, txawm li cas los xij hais tias kev teeb pom kev nyob rau hauv pem hauv ntej tso cai rau koj txo qis kev pheej hmoo rau ntawm kev tsheb sib nraus los ntawm ntau dua peb caug feem pua. Hauv qee lub tebchaws dhau los, xws li Canada lossis Sweden, txhua lub tsheb tshiab tau nruab nrog lub kaw lus uas tig lub teeb tom qab lub cav pib thiab tsis pub lawv tua. Txog tam sim no, qhov kev coj ua no tseem tsis tau nthuav thoob lub ntiaj teb, yog li nws tseem cia siab tias cov txheej txheem tseem yuav siv thoob lub ntiaj teb, vim tias nws ua rau cov kev ntau zoo dua qub.
Tes nres
Xyaum tsis muaj leej twg paub tias siv tus tes nres yog qhov tseem ceeb heev. Thiab qhov peculiarity ntawm no yog tias yog koj tsis siv nws ntev, nws yuav tsum tsis ua haujlwm, uas yuav ua rau muaj qhov tsis zoo txaus siab thaum koj tseem txiav txim siab siv nws. Lub tsheb yuav tsis teb thiab yuav mus los ntawm nws txoj kev ua lag luam thaum koj tig tawm tsawg kawg rau ib pliag, nres rau hauv qhov chaw tsis xwm yeem. Raws li, koj yuav tsum siv lub tes nres txhua zaus thaum koj nres tsheb ntawm txoj kev, uas tsawg kawg tsis xwm yeem. Txwv tsis pub, koj pheej hmoo yuav raug sab laug yam tsis muaj tsheb.
Lub brake pedal tsis yog txoj kev zoo tshaj plaws
Ib tus tau txais qhov kev xav hais tias rau feem ntau cov neeg tsav tsheb tus nres tus tsuj yog txoj kev daws teeb meem rau txhua yam teeb meem tshwm sim. Thiab qhov no yog qhov txaus ntshai heev, vim tias koj, feem ntau yuav, thaum kev sib tw lossis lwm yam xwm txheej tshwm sim ntawm txoj kev, qhov tshwm sim thawj zaug yog qhov muaj siab xav nias tus brake pedal mus rau hauv av. Qhov no yog qhov kev xav ntawm qhov kev tiv thaiv tus kheej, uas yog qhov tsis raug - vim yog tias ntawm lub nrawm nrawm koj lub log tsheb tawg lossis koj lub tsheb mus rau hauv kev nplua, kev sib tsoo ntse yuav tsuas ua rau qhov xwm txheej hnyav.
Koj yuav tsum muaj peev xwm soj ntsuam qhov tshwm sim hauv txoj kev, thiab tshwj xeeb yog qhov xwm txheej nrog koj lub tsheb. Thiab tom qab ntawd koj tuaj yeem daws txawm tias qhov xwm txheej nyuaj tshaj plaws. Tsis txhob nyem tus brake pedal ntawm txhua lub sijhawm, nco ntsoov cov lus qhia ntxiv, thiab koj yuav txo qhov kev pheej hmoo ntawm kev nkag mus rau hauv tsheb sib tsoo.