Hom 2 mob ntshav qab zib mellitus, ib hom kab mob ntshav qab zib mellitus, yog ib qho ntawm cov kab mob uas paub zoo dua nyob hauv lub ntiaj teb - thiab nws ua rau kev nkag siab tias qhov no yuav yog qhov teeb meem. Cov ntaub ntawv qhia hauv Tebchaws Meskas ib leeg, 37.3 lab tus tib neeg, lossis 11.3 feem pua ntawm cov neeg Asmeskas, muaj ntshav qab zib, thiab feem ntau ntawm cov neeg no muaj hom 2.
Ntawm cov tib neeg uas muaj ntshav qab zib, 8.5 lab tseem tsis tau paub tias lawv muaj, thiab cov tub ntxhais hluas coob zuj zus raug kuaj pom tias muaj ntshav qab zib hom 2 thiab ntshav qab zib hom 2.
Ib txoj kev tshawb fawb tau qhia tias kev kuaj ntshav qab zib ua ntej tuaj yeem ua rau muaj kev pheej hmoo ntawm kev noj qab haus huv, suav nrog kab mob plawv thiab qee yam mob qog noj ntshav.
Txawm hais tias koj tau kuaj pom tias muaj ntshav qab zib hom 2 lossis muaj keeb kwm ntawm tsev neeg ntawm tus kab mob, tus mob no thiab kev pheej hmoo rau kev noj qab haus huv uas yuav tuaj nrog nws tuaj yeem txaus ntshai. Thiab nrog kev noj zaub mov thiab kev ua neej hloov pauv, tsis muaj lus nug tias qhov kev kuaj mob no tuaj yeem yog qhov nyuaj rau kev suav nrog.
Tab sis nyob nrog hom 2 mob ntshav qab zib tsis tas yuav ua rau muaj kev puas tsuaj loj. Qhov tseeb, thaum koj tau kawm txog tus kab mob - xws li kev nkag siab txog kev txhim kho cov tshuaj insulin li cas thiab txo qis nws li cas, paub yuav ua li cas pom cov tsos mob ntshav qab zib, thiab kawm seb yuav noj dab tsi - koj tuaj yeem coj mus rau hauv cov peev txheej uas koj xav tau los ua lub neej zoo siab, noj qab nyob zoo.
Qhov tseeb, qee qhov kev tshawb fawb qhia tias koj tuaj yeem ua rau muaj ntshav qab zib hom 2 hauv kev zam txim los ntawm kev hloov kho koj cov zaub mov thiab kev ua neej. Ntawm qhov kev nce qib zoo siab yog kev siv cov rog rog, qis-carb ketogenic noj raws li kev kho mob los tswj cov ntshav qab zib hom 2, ib daim ntawv tshuaj xyuas.
Tsis tas li ntawd, muaj pov thawj ntxiv tias ib qho kev tawm tsam - kev phais bariatric - tuaj yeem thim rov qab hom 2 mob ntshav qab zib tag nrho.
Hauv tsab xov xwm no, delve rau hauv cov ntaub ntawv no thiab ntau ntxiv. Zaum rov qab, nyeem ntawv, thiab npaj txhij los saib xyuas tus mob ntshav qab zib hom 2.
Cov tsos mob thiab cov tsos mob ntawm hom 2 mob ntshav qab zib
Thaum pib ntawm tus kab mob, hom 2 mob ntshav qab zib feem ntau tsis muaj cov tsos mob tshwm sim, raws li kev tshawb fawb yav dhau los. Tseem, koj yuav tsum paub txog cov tsos mob thiab cov cim ceeb toom ntxov, xws li cov hauv qab no:
Kev tso zis ntau zaus thiab nqhis dej heev
Sudden los yog poob ceeb thawj
Nce kev tshaib kev nqhis
Qhov muag tsis pom kev
Tsaus, velvety thaj tsam ntawm daim tawv nqaij (hu ua acanthosis nigricans)
nkees
Cov mob uas yuav tsis kho
Yog tias koj muaj ib lossis ntau qhov kev pheej hmoo rau mob ntshav qab zib hom 2 thiab pom ib qho ntawm cov cim no, nws yog ib lub tswv yim zoo hu rau koj tus kws kho mob, vim tias koj yuav muaj ntshav qab zib hom 2.
Ua rau thiab pheej hmoo ntawm hom 2 mob ntshav qab zib
Cov kws tshawb fawb tsis paub dab tsi ua rau mob ntshav qab zib hom 2, tab sis lawv ntseeg tias ntau yam tseem ceeb hauv kev ua si. Cov yam tseem ceeb no muaj xws li caj ces thiab kev ua neej.
Ntawm lub hauv paus ntawm hom 2 mob ntshav qab zib yog insulin tsis kam, thiab ua ntej koj tau txais kev kuaj mob ntshav qab zib hom 2, koj tuaj yeem kuaj pom tias muaj ntshav qab zib.
Insulin Resistance
Ntshav qab zib Hom 2 yog cim los ntawm cov ntshav qab zib siab uas koj lub cev tsis tuaj yeem coj los ntawm nws tus kheej. Cov ntshav qab zib siab yog hu ua hyperglycemia; hypoglycemia yog ntshav qab zib tsawg.
Insulin - cov tshuaj hormones uas tso cai rau koj lub cev tswj cov piam thaj hauv cov ntshav - yog tsim hauv koj lub txiav. Qhov tseem ceeb, insulin tsis kam yog lub xeev uas lub cev cov hlwb tsis siv cov tshuaj insulin zoo. Raws li qhov tshwm sim, nws yuav siv cov tshuaj insulin ntau dua li qub los thauj cov ntshav qab zib (glucose) mus rau hauv cov hlwb, siv tam sim rau roj lossis khaws cia rau tom qab siv. Kev poob qis hauv kev ua kom tau cov piam thaj rau cov hlwb tsim teeb meem rau kev ua haujlwm ntawm tes; Glucose feem ntau yog lub cev ceev tshaj plaws thiab yooj yim tshaj plaws ntawm lub zog.
Insulin tsis kam, lub koom haum taw qhia, tsis tshwm sim tam sim ntawd, thiab feem ntau, cov neeg mob tsis pom cov tsos mob - uas tuaj yeem ua rau mob hnyav dua.[8]
Raws li lub cev ua rau cov tshuaj insulin ntau dua, lub txiav ua haujlwm los ntawm kev tso cov tshuaj insulin ntau ntxiv. Qhov siab dua li cov tshuaj insulin hauv cov hlab ntsha no yog hu ua hyperinsulinemia.
Prediabetes
Insulin tsis kam xa koj lub txiav mus rau hauv overdrive, thiab thaum nws tuaj yeem ua raws li lub cev xav tau ntau ntxiv rau cov tshuaj insulin ib ntus, muaj kev txwv rau insulin ntau lawm, thiab thaum kawg koj cov ntshav qab zib yuav nce siab - ua rau prediabetes, precursor ntawm hom 2 mob ntshav qab zib, lossis hom 2 ntshav qab zib nws tus kheej.
Kev kuaj mob prediabetes tsis tau txhais hais tias koj yuav muaj ntshav qab zib hom 2. Kev kuaj xyuas sai sai thiab tom qab ntawd hloov koj cov zaub mov thiab kev ua neej tuaj yeem pab tiv thaiv koj txoj kev noj qab haus huv tsis zoo.
Prediabetes thiab hom 2 mob ntshav qab zib yog qee yam kab mob uas muaj ntau tshaj plaws hauv ntiaj teb - tag nrho cuam tshuam rau ntau dua 100 lab tus neeg Asmeskas, raws li CDC. Txawm li cas los xij, cov kws tshawb fawb tseem tsis paub meej tias cov noob twg ua rau insulin tsis kam.
Hom 2 Ntshav Qab Zib Risk Factors
Raws li tau hais, hom 2 mob ntshav qab zib mellitus yog ib hom kab mob ntau yam. Qhov ntawd txhais tau tias koj tsis tuaj yeem tso tseg tsis noj qab zib lossis pib qoj ib ce kom tsis txhob muaj tus mob no.
Nov yog qee yam uas yuav cuam tshuam koj txoj kev pheej hmoo ntawm hom 2 mob ntshav qab zib.
Kev rog rog Kev rog lossis rog rog ua rau koj muaj kev pheej hmoo tseem ceeb ntawm ntshav qab zib hom 2. Lub cev qhov ntsuas qhov ntsuas (BMI) yog ib txoj hauv kev los ntsuas seb koj puas rog lossis rog.
Kev noj zaub mov tsis zoo Ntau yam khoom noj tsis zoo tuaj yeem ua rau koj muaj kev pheej hmoo ntawm ntshav qab zib hom 2. Cov kev tshawb fawb pom tau hais tias noj cov zaub mov uas muaj calorie ntau ntau cov khoom noj thiab dej haus, thiab cov khoom noj uas muaj cov khoom noj muaj txiaj ntsig tsawg, tuaj yeem ua rau muaj kev pheej hmoo ntawm hom 2 mob ntshav qab zib. Cov zaub mov thiab dej haus txwv tsis pub muaj xws li khob cij dawb, chips, ncuav qab zib, ncuav mog qab zib, dej qab zib, thiab kua txiv hmab txiv ntoo. Khoom noj khoom haus thiab dej qab zib kom muaj nuj nqis muaj xws li txiv hmab txiv ntoo, veggies, whole grains, dej, thiab tshuaj yej.
Lub sij hawm TV ntau dhau Kev Saib TV ntau dhau (thiab zaum ntau dhau) tuaj yeem ua rau koj muaj kev rog rog, ntshav qab zib hom 2, thiab lwm yam kab mob.
Tsis muaj kev tawm dag zog txaus Ib yam li lub cev rog cuam tshuam nrog insulin thiab lwm yam tshuaj hormones cuam tshuam rau kev txhim kho ntshav qab zib, cov leeg nqaij. Lean nqaij pawg, uas tuaj yeem nce ntxiv los ntawm kev tawm dag zog lub plawv thiab kev cob qhia lub zog, ua lub luag haujlwm hauv kev tiv thaiv lub cev tiv thaiv insulin thiab hom 2 mob ntshav qab zib.
Cov cwj pwm pw tsaug zog pw tsaug zog tuaj yeem cuam tshuam rau lub cev qhov sib npaug ntawm cov tshuaj insulin thiab cov ntshav qab zib los ntawm kev xav tau ntawm cov txiav. Nyob rau tib lub sijhawm, qhov no tuaj yeem ua rau mob ntshav qab zib hom 2.
Polycystic zes qe menyuam syndrome (PCOS) Los ntawm qee qhov kev kwv yees, ib tug poj niam kuaj tau PCOS - ib qho kev tsis sib haum xeeb ntawm cov tshuaj hormones - muaj kev pheej hmoo ntau dua ntawm kev mob ntshav qab zib hom 2 ntau dua li nws cov phooj ywg uas tsis muaj PCOS. Insulin tsis kam thiab rog rog yog cov npe ntawm cov kev mob nkeeg no.
Thaum muaj hnub nyoog tshaj 45 Lub hnub nyoog koj tau txais, qhov ntau dua koj yuav muaj ntshav qab zib hom 2. Tab sis nyob rau hauv xyoo tas los no, ntau tus menyuam yaus thiab cov hluas tau kuaj pom tias muaj ntshav qab zib hom 2 thiab ntshav qab zib hom 2.
