Ukulawula amazinga e-glycosylated hemoglobin (HbA1c) kungenye yezinto ezibalulekile kubantu abanesifo sikashukela noma abasengcupheni yokuba nesifo sikashukela, ngoba le pharamitha yembula. Izinga likashukela wegazi elimaphakathi ezinyangeni ezimbalwa ezedlule kanye nokuphathwa kwalo ngendlela efanele kusiza ukuvimbela izinkinga zesikhathi eside. Ukwamukela ukudla okunempilo, okuhlangene neminye imikhuba enempilo, akusizi nje kuphela ukwehlisa nokugcina amazinga e-hemoglobin ye-glycosylated efanelekile, kodwa futhi kuvikela impilo yenhliziyo nemithambo yegazi, yezinso, kanye nempilo ye-metabolic yalabo abaphila nalesi sifo.
Kulesi sihloko, uzothola umhlahlandlela osebenzayo nonemininingwane, ovuselelwe ngokuphelele futhi osuselwe olwazini oluvela emithonjeni ehamba phambili yezempilo nokudla, ukukusiza ukuthi uklame ukudla okusebenzayo okusiza ukulawula i-glycated hemoglobin nokuvikela izinkinga zesifo sikashukela. Sizobuyekeza ukudla okunconyiwe kakhulu, lokho okufanele sikugweme noma sikukhawule, amasu okuhlela ukudla namalungiselelo, kanye nezincomo ezisekelwe ebufakazini mayelana nendima yokudla, ukuzivocavoca umzimba, nezinye izici ezibalulekile empilweni yabantu abanesifo sikashukela.
Iyini i-hemoglobin ye-glycated futhi kungani ibaluleke kangaka?
I-Glycosylated hemoglobin (HbA1c) iyinkomba eyisisekelo yokuxilongwa nokulawulwa kwesifo sikashukela. Kuyiprotheyini ekhona kumangqamuzana abomvu egazi abopha ushukela wegazi. Lapho i-glucose ikhuphuka njalo, amazinga e-HbA1c ayakhuphuka, okubonisa izinga le-glucose elimaphakathi ezinyangeni ezimbili kuya kwezintathu ezedlule.
Amanani alungile we-HbA1c zingaphansi kuka-5,7% kubantu abangenaso isifo sikashukela. Umphumela olingana noma ongaphezu kuka-6,5% ngokuvamile ubonisa ukuba khona kwesifo sikashukela, kuyilapho izibalo ezimaphakathi ngokuvamile zihlotshaniswa ne-prediabetes. Kulabo asebehlonziwe kakade, kunconywa ukuthi amazinga e-glycosylated hemoglobin abe ngaphansi kuka-7% ukunciphisa ingozi yezinkinga, ikakhulukazi izinkinga zenhliziyo nemithambo yegazi.
Izimpawu ezihlobene noshukela ophezulu zingahluka, kodwa ezivame kakhulu zihlanganisa ukoma ngokweqile, isidingo esivamile sokuchama, ukwanda kwesifiso sokudla, ukukhathala okungaqondakali kanye nokuba buthakathaka okuvamile.. Nokho, okuwukuphela kwendlela yokwazi amazinga e-HbA1c ngokuqiniseka iwukuhlolwa kwegazi okunqunywe uchwepheshe wezokunakekelwa kwempilo.
Izici eziyinhloko zokulawula i-glycosylated hemoglobin
Ukugcina amazinga anele e-glycosylated hemoglobin kudinga inhlanganisela yemikhuba enempilo eyeqa ukudla. Kunezici ezimbalwa, ngendlela ehambisanayo, ezisiza ukwehlisa kanye nokuzinzisa ushukela wegazi futhi, ngenxa yalokho, i-HbA1c:
- Yamukela ukudla okunempilo, ukubeka phambili ukudla kwangempela, okugaywe kancane, okulungele izidingo zomuntu ngamunye.
- Yenza umsebenzi womzimba ojwayelekile, ukukhetha izivivinyo ezivumelaniswe nezimo zomuntu siqu, okungenani imizuzu engu-150 ngeviki yokuqina okulinganiselwe noma imizuzu engu-90 yokuqina okuphezulu.
- lawula isisindo somzimba, njengoba ukuncipha kwesisindo kuboniswe kuthuthukisa kakhulu i-glucose yegazi ne-HbA1c kubantu abakhuluphele noma abakhuluphele.
- Ukulawula ingcindezi nokuqinisekisa ukuphumula okuhle ebusuku, izici ezihlobene ngokuqondile nokulawulwa kwe-metabolic.
- Landela imishanguzo ebekiwe uma kunesidingo futhi uhambele ukuhlolwa ngezikhathi ezithile.
Ukungenelela kokudla kusalokhu kuyinsika eyisisekelo futhi efinyeleleka kakhulu kubantu abaningi abanesifo sikashukela noma i-prediabetes. Nokho, ukusebenza kwayo kuyanda lapho kuhlanganiswa nokuzivocavoca umzimba, ukulawula ukucindezeleka futhi, uma kunesidingo, imithi.
Ukuhlela Ukudla: Izindlela Nezindlela Eziphumelelayo
Akukho ukudla okukodwa okujwayelekile kubo bonke abantu abanesifo sikashukela. Izincomo zamanje zigcizelela isidingo sokwenza uhlelo lokudla lube lunye, luzivumelanise nalokho okuthandayo, indlela yokuphila, amaphethini amasiko, kanye nemigomo ehlobene kokubili ukulawulwa kwe-metabolic kanye nenhlalakahle evamile.
Amanye amasu anconywe kakhulu futhi asekelwa yi-American Diabetes Association nezinye izinhlangano zomhlaba wonke:
- Indlela yeplate: Hlukanisa ipuleti lakho libe izigaba ezintathu: ingxenye yemifino engenasitashi (isipinashi, utamatisi, izaqathi), ingxenye yesine yamaprotheni amancane (inkukhu, inhlanzi, amaqanda, i-tofu), kanye nekota yokugcina ama-carbohydrate ayinkimbinkimbi (irayisi elinsundu, imidumba, amazambane, i-pasta kakolweni). Khonza ngengxenye yesithelo noma ubisi olunamafutha aphansi.
- Hlukanisa ukudla: Yidla okungenani izikhathi ezinhlanu ngosuku (ibhulakufesi, isidlo sasekuseni, isidlo sasemini, isidlo santambama, nesidlo sakusihlwa) ukuze ugweme ukushintshashintsha okukhulu kumazinga kashukela egazini futhi uvimbele kokubili i-hyperglycemia kanye ne-hypoglycemia.
- Ukubala ama-carbohydrate: Ukufunda ukulandelela inani lama-carbohydrate ekudleni ngakunye noma kwisidlo ngasinye kukuvumela ukuthi ulungise umthamo wakho we-insulin (uma usetshenziswa) futhi uthuthukise ukulawulwa kwe-glycemic.
- Inkomba ye-Glycemic: Beka kuqala ukudla okunenkomba ephansi ye-glycemic ekhulula i-glucose kancane, ukuvimbela ukukhuphuka koshukela ngemuva kokudla.
Iseluleko somuntu siqu esivela kuchwepheshe wokudla okunomsoco sibaluleke kakhulu ekuthuthukiseni ukudla kwakho, ukufunda ukufunda amalebula, nokuhlela amamenyu alinganiselayo afanelana nezidingo zakho.
Ukudla okunconyiwe ukulawula i-glycosylated hemoglobin
Ukudla okusiza ukulawula i-HbA1c futhi kuvimbele izinkinga zesifo sikashukela kufaka phakathi ukudla okuhlukahlukene okunothe ngemisoco, i-fiber, amavithamini, amaminerali, namafutha anempilo, kuyilapho kunciphisa imithombo kashukela olula namafutha ayingozi. Amaqembu okudla anconyiwe amakhulu yilawa:
- Izithelo nemifino yazo zonke izinhlobo: Beka kuqala izinhlobonhlobo nenani (okungenani ama-servings ama-5 ngosuku). Kunconywa ukuthi udle sonke isithelo, njengoba i-fiber ekhona ku-pulp nasesikhumbeni isiza ukulawula ukumuncwa kukashukela. Imifino kufanele ibe khona kokubili isidlo sasemini nesakusihlwa, ukushintshanisa okuluhlaza nokuphekiwe ukuze kuzuze wonke umsoco wayo.
- Izembe: Amalentili, uphizi, ubhontshisi, uphizi, nobhontshisi bezinso kunikeza amaprotheni emifino, i-fiber encibilikayo, kanye nesitashi esimelana nesitashi esiza ukubambezela ukumuncwa kweglucose futhi sithuthukise ukuzwela kwe-insulin.
- Izinhlamvu eziphelele: Isinkwa, irayisi, i-oats, i-quinoa, ibhali, ne-pasta, okungcono kakhulu ezinguqulweni zakho zokusanhlamvu, zinikeza amandla akhipha kancane futhi zikhuthaze ukulawulwa okungcono kwe-glycemic.
- Amantongomane nembewu: Ama-Walnuts, ama-alimondi, ama-hazelnuts, imbewu ye-chia, imbewu yefilakisi, nembewu yamathanga ayimithombo yamafutha anempilo, i-fiber, namaprotheni afaka isandla ekulawuleni ukusutha nokulawula ushukela wegazi.
- Amaprotheni anekhwalithi enhle: Inyama emhlophe (inkukhu, i-turkey, unogwaja), inhlanzi (okungcono inhlanzi eluhlaza okwesibhakabhaka njenge-saumoni, i-tuna noma ama-sardine ngokuqukethwe kwayo kwe-omega-3), amaqanda, i-tofu nokunye okuphuma esitshalweni, kanye nemikhiqizo yobisi yemvelo enamafutha amancane. Zonke zisiza ukugcina isisindo semisipha futhi zigcine imetabolism isebenza.
- Amafutha amahle: I-extra virgin olive oil, ukwatapheya, nenhlanzi enamafutha kunikeza ama-monounsaturated nama-polyunsaturated fatty acids esiza ukwehlisa i-cholesterol nobungozi benhliziyo.
- Ukudla okubilile: Iyogathi yemvelo, i-kefir, i-kimchi, noma i-sauerkraut inikeza ama-probiotics athuthukisa ukuzwela kwe-insulin futhi angasiza ekunciphiseni i-glycosylated hemoglobin.
Kubalulekile ukukhetha izindlela zokupheka ezinempilo, njengokubilisa, ukubhaka, ukosa, ukugazinga, noma i-en papillote, kanye nokugwema ukudla okuthosiwe noma ukulungiswa okunamafutha angeziwe. Ngaphezu kwalokho, kuhle ukuphuza amanzi anele usuku lonke (phakathi kuka-1,5 no-2 amalitha) kanye nokudla kukasawoti okusesilinganisweni ukuze kugcinwe umfutho wegazi.
Ezinye izibonelo zamamenyu wansuku zonke zihlanganisa ukudla kwasekuseni nesinkwa esigcwele okusanhlamvu nezithelo, ukudla lapho imifino ithatha ingxenye yepuleti ehambisana nengxenye yeprotheni engenawo amandla kanye nokuphakelwa okusanhlamvu noma okusanhlamvu okuphelele, kanye nokudla okulula okusekelwe ku-yogurt yemvelo enembewu noma amantongomane.
Ukudla okufanele kudliwe ngokulinganisela
Phakathi kokudla okunempilo, kukhona okunye okufanele kudliwe ngemvamisa elawulwayo ukugwema ukungalingani kwe-glycemic. Kunjalo ukudla okunothe ngesitashi, njengamazambane, ubhatata, ithanga, ama-parsnip, noma okusanhlamvu. Lokhu kungakhuphula ushukela wegazi uma kusetshenziswe ngokweqile, ngakho-ke kungcono ukukala izingxenye futhi uhlale uzihlanganisa ne-fiber, amaprotheni, namafutha anempilo.
Imikhiqizo yobisi inenzuzo uma ikhethwe ezinguqulweni zayo zemvelo, ezinamafutha aphansi, njengobisi, iyogathi yemvelo, ne-cottage shizi, ukugwema ama-dessert obisi anoshukela angakhuphula ngokushesha amazinga eglucose egazini.
Isithelo, kunokuba sibe ukudla okungavunyelwe, sinconywa kakhulu. Ukusetshenziswa kwayo kunikeza i-fiber, amavithamini namaminerali, futhi, nakuba iqukethe ushukela, lokhu kuhlanganiswe ku-matrix yezakhi ezinciphisa ukumuncwa kwazo. Okuwukuphela kwesexwayiso esibalulekile ukugwema ijusi yezithelo, ngisho neyenziwe ekhaya, njengoba ilahlekelwa imicu yayo futhi ushukela udlulela egazini ngokushesha okukhulu.
Ukudla okufanele ukugweme ukunciphisa i-glycosylated hemoglobin
Kukhona ukudla okucutshungulwe kakhulu kanye nemikhiqizo enomthelela omkhulu ekwandeni kwamazinga kashukela egazini kanye nokwenza kubi ukulawulwa kwe-hemoglobin ye-glycosylated. Kunconywa ukuthi uziqede noma, okungenani, uzikhawulele ngangokunokwenzeka ekudleni:
- Okusanhlamvu okucolisisiwe: Ilayisi elimhlophe, isinkwa, ne-pasta, kanye nezinhlamvu zasekuseni ezinoshukela namakhekhe agayiwe, kufanele kuthathelwe indawo okusanhlamvu okuphelele noma kukhawulelwe ngezikhathi ezithile kakhulu.
- Imikhiqizo enoshukela: Amakhukhi, amaswidi, amakhekhe, u-ayisikhilimu, ama-bar, ama-compote ezithelo anoshukela owengeziwe, nama-dessert asezimbonini. Le mikhiqizo inyusa amazinga eglucose cishe ngokushesha.
- Iziphuzo ezinoshukela owengeziwe: Iziphuzo ezibandayo, amajusi ezimbonini, iziphuzo ezinikeza amandla neziphuzo ezidakayo ezinoshukela.
- Ukudla okuthosiwe nokudla okulula okugayiwe: Ama-chips, ukudla okulula okunosawoti okunezikhwama, nama-batter alungisiwe, njengoba aqukethe amafutha ayingozi futhi avame ukuba nenkomba ephezulu ye-glycemic.
- Amasoseji kanye nenyama egayiwe: Amasoseji, ama-hamburger asebenza ezimbonini, ama-nuggets enkukhu, izinti zezinkalankala zesinkwa, phakathi kokunye, ngenxa yokuntuleka kwazo komsoco kanye nosawoti omningi namafutha agcwele.
- Izithelo ezomile Omisiwe, amakhiwane omisiwe, amabhilikosi kanye nezithelo ezifanayo ziqukethe ushukela ogxile kakhulu futhi zingakhuphula ngokushesha amazinga eglucose egazini.
Ukuzama ukupheka ekhaya kukunikeza ukulawula okukhulu phezu kwezithako kanye namanani kashukela noma amafutha akhona esitsheni ngasinye.
Ukubaluleka kwe-fiber ekudleni kwabantu abanesifo sikashukela
I-fibre ingenye yezakhi ezibaluleke kakhulu zokulawula i-glycemic kanye nempilo yokugaya. Itholakala ekudleni kwezitshalo okufana nemifino, izithelo, okusanhlamvu, okusanhlamvu, nembewu. Umsebenzi wawo oyinhloko ukunciphisa ukumuncwa kwama-carbohydrate, ukuvimbela ukwanda okungazelelwe kweglucose ngemva kokudla nokusiza ukugcina i-glycosylated hemoglobin ngaphakathi kwebanga eliqondiwe.
Kunezinhlobo ezimbili ze-fiber, zombili ezinconyiwe:
- I-soluble fiber: Itholakala ezithelweni (i-apula, ipheya, izithelo ezisawolintshi), izaqathe, i-oats, imidumba, nembewu yefilakisi noma ye-chia, isiza ukwakha uhlobo lwejeli olubambezela ukumuncwa kweglucose.
- I-fiber engafakwanga: Itholakala emifino enamaqabunga, amantongomane, kanye nezinhlamvu eziphelele futhi isiza ukulawula ukuhamba kwamathumbu nokuvimbela ukuqunjelwa.
Ukudla ukudla okunothe nge-fiber akusizi nje kuphela ukulawula ushukela wegazi, kodwa futhi kuthuthukisa imizwa yokusutha futhi kungakhuthaza ukuncipha kwesisindo.
Indima yokudla kwaseMedithera, i-DASH, namaphethini okudla asekelwe ezitshalweni
Phakathi kwamamodeli ahlukene okudla, ukudla kwaseMedithera kuboniswe ukuthi kusebenza ngokukhethekile ekuvimbeleni izinkinga zenhliziyo nokuthuthukisa ukulawulwa kwe-metabolic kubantu abanesifo sikashukela sohlobo lwe-2. Leli phethini likhuthaza ukudliwa kakhulu kwemifino, izithelo, okusanhlamvu okusanhlamvu, okusanhlamvu, amantongomane, amafutha omnqumo nenhlanzi, kanye nokusetshenziswa ngokusesilinganisweni kwemikhiqizo yobisi nokusetshenziswa kancane kwenyama ebomvu nokudla okugayiwe kakhulu.
I-DASH (Dietary Approaches to Stop Hypertension) kanye namaphethini asekelwe ezitshalweni afaneleka ngokulinganayo kubantu abanesifo sikashukela, njengoba Bakhuthaza ukuthathwa kwe-fiber, micronutrients kanye namafutha anempilo. Okubaluleke kakhulu ukwenza uhlelo lokudla ngokwezifiso luhambisane nezimo zomuntu ngamunye kanye nalokho akuthandayo, ukuqinisekisa ukubambelela okuhle nokujabulela isikhathi eside.
Ukunciphisa umzimba kanye nokulawulwa kwe-glycosylated hemoglobin
Ukuncipha kwesisindo, ngisho nokumaphakathi (phakathi kuka-5% no-10% wesisindo somzimba), kunomthelela omkhulu ekwehliseni i-glycosylated hemoglobin kanye nokwenza ngcono ukuzwela kwe-insulin. Kulabo abakhuluphele ngokweqile, lo mgomo ungafinyelelwa ngokuhlanganiswa kokudla okulinganiselayo, ukuvivinya umzimba, noshintsho oluqhubekayo lwendlela yokuphila, ngaphandle kokusebenzisa ukudla okunemingcele ngokweqile noma okunekhalori ephansi okungenakwenzeka ukukugcina.
Ukuncipha kwesisindo kubuye kuhlotshaniswe nomfutho wegazi othuthukisiwe, iphrofayili ye-lipid, nokusebenza kwenhliziyo nemithambo yegazi, okunciphisa ingozi enkulu yezinkinga zesikhathi eside zesifo sikashukela.
Ukuvivinya umzimba nomsebenzi wokunciphisa i-glycosylated hemoglobin
Ukuzivocavoca umzimba njalo kungenye yezinsika zokulawula isifo sikashukela kanye nokulawulwa kwe-glycated hemoglobin. Noma yimuphi umsebenzi okhuphula izinga lokushaya kwenhliziyo yakho, ukusuka ekuhambeni okusheshayo ukuya ekugibeleni ibhayisikili ukuya ekubhukudeni, kunenzuzo. Kutuswa ukuthi unikele okungenani imizuzu eyi-150 ngeviki ukuzivocavoca okunamandla okumaphakathi, noma imizuzu engama-90 uma kushubile.
Ukuqeqeshwa kwamandla, okufana nokuphakamisa izinsimbi noma ukuzivocavoca kwebhande lokumelana, nakho kunconywa kakhulu., njengoba isiza ukuthuthukisa ukumuncwa kwe-glucose yimisipha futhi yehlise i-postprandial glycemia.
Ukuhlela Ukudla: Amathiphu Awusizo Namasu
Ukuhleleka okuhle kwamasonto onke kubalulekile ukugcina ukubambelela ekudleni nokugwema ukukhetha okungenampilo. Ezinye izincomo ezisebenzayo zifaka:
- Ukuhlela imenyu yamasonto onke futhi uthenge kusengaphambili ukuze uqinisekise ukuthi unezithako ezifanele.
- Lungiselela izitsha ezilula nezihlukahlukene, ukubeka kuqala ukudla okulula njengamasaladi, isitshulu se-legume, inhlanzi ebhakiwe, noma ama-omelets emifino.
- Lawula osayizi bezingxenye usebenzisa izinkomishi zokulinganisa noma izikali zasekhishini uze uthole ulwazi olubukwayo.
- Gwema ukuthuthukisa amamenyu, njengoba lokhu kuvame ukuholela ekukhetheni okusheshayo nokunempilo kancane.
- Faka ukudla okulula okunempilo njenge-popcorn (eyenziwe ekhaya nangenayo ibhotela), iyogathi yemvelo enamantongomane, noma izingcezu zezithelo ezintsha ukuze ugweme indlala futhi uphendukele emikhiqizweni ecutshungulwe kakhulu.
Ukuphuza amanzi kufanele ngaso sonke isikhathi kuhlanganiswe namanzi, ama-infusions, noma ikhofi netiye elingenashukela. Kubalulekile ukugwema iziphuzo ezibandayo ezinoshukela neziphuzo ezidakayo, okwandisa ingozi ye-hyperglycemia kanye nezinkinga ze-metabolic.
Izithasiselo nemikhiqizo ekhethekile: Ingabe ziyadingeka?
Abantu abaningi abanesifo sikashukela abazidingi izithasiselo ezithile uma belandela ukudla okuhlukahlukene nokunomsoco. Kodwa-ke, kukhona ezinye izinhlanganisela ezifundwayo ezingase zibe nenzuzo ethile ezimweni ezithile, njenge-berberine, i-coenzyme Q10, noma i-sinamoni, kodwa ubufakazi busalinganiselwe futhi kufanele uhlale uthintana nodokotela wakho noma isazi sokudla okunomsoco kusengaphambili.
Mayelana nemikhiqizo yokudla "yesifo sikashukela" etholakala ezitolo ezinkulu, isincomo esijwayelekile ukuthi singazitikeli kuso. Eminingi yale mikhiqizo ivame ukufaka esikhundleni sikashukela ngamafutha noma ama-sweeteners, futhi ngenxa yombono ongamanga wokuthi ingadliwa ngaphandle komkhawulo, kulula ukuqeda ukudlula izingxenye kanye nama-calories aphelele.
Indima yokudla okusebenzayo nezindlela ezintsha ekulawuleni i-glycemic
Okunye ukudla, ngenxa yokwakheka kwakho okukhethekile, kungaba nomthelela ngendlela ekhethekile ekuthuthukiseni ukuzwela kwe-insulin nokunciphisa i-glycosylated hemoglobin. Phakathi kwezinto eziphawuleka kakhulu yilezi:
- I-Broccoli ne-broccoli amahlumela: Ziqukethe i-sulforaphane, i-phytochemical ebonise imiphumela ye-antidiabetic kanye nokuzwela kwe-insulin okuthuthukisiwe.
- Ukudla kwasolwandle nenhlanzi eluhlaza okwesibhakabhaka: Ecebile ngamafutha anempilo namaprotheni, athuthukisa ukulawulwa koshukela futhi anciphise ukuvuvukala.
- Imbewu ye-legumes kanye ne-flax: Okuqukethwe kwayo okuphezulu kwe-fiber encibilikayo kusiza ukulawula iziqongo ze-glycemic.
- Amajikijolo nezithelo zehlathi: Banikeza ama-antioxidants akhulisa ukuzwela kwe-insulin futhi asize ukuvimbela ukuthuthukiswa kwezinkinga.
- Ukudla okubilile: I-Kefir, iyogathi, ne-kimchi ithuthukisa i-gut microbiota, exhunywe nokulawulwa okungcono kwe-glycemic.
- I-Kale, i-squash, ne-okra: Le mifino iboniswe ukuthi inemiphumela emihle kuphrofayela ye-glycemic, nakuba ubufakazi busaqhubeka.
Ukufaka lokhu kudla ekudleni kwakho kwansuku zonke kungaba isu elihambisanayo, njalo njengengxenye yokudla okuhlukahlukene okusekelwe emikhiqizweni emisha, yesizini.
Ukubaluleka kokusekelwa kochwepheshe kanye nokwenza kube ngokwakho
Nakuba kunezimiso ezamukelwa ngokuvamile zokudla okunempilo okulawula i-glycated hemoglobin, umuntu ngamunye onesifo sikashukela udinga indlela ehambisana nezidingo zakhe, indlela yokuphila, izinto azithandayo nezimo zezokwelapha.
Ukuba nokusekelwa kwe-dietitian-nutritionist, udokotela wokunakekelwa okuyinhloko, noma i-endocrinologist kwenza kube lula ukulungisa ukudla kwakho kanye nemithi ukuze ufinyelele imigomo yakho. Kubalulekile futhi ukufunda ukubona izimpawu ze-hypoglycemia, ukuthi ungasabela kanjani, nokuthi ungayishintsha kanjani indlela odla ngayo ezimweni ezithile, njengokuzivocavoca isikhathi eside, ukuhamba, noma ukugula.
Izingozi zokungalandeli ukudla okufanele kanye nezincomo zokugcina
Ukwehluleka ukugcina ukudla okunempilo kungaholela ekushintshashintsheni kwamazinga eglucose, okwandisa ingozi yezinkinga ezinkulu njenge-retinopathy, nephropathy, neuropathy, isifo senhliziyo nemithambo yegazi, kanye nokulimala kwesilonda.
Ngakho-ke, Kubalulekile ukuhlola njalo, ukugcina imikhuba enempilo, futhi uhlale uqeqesha izindlela zokudla ezinhle zokulawula isifo sikashukela.
Ukudla okulawula i-hemoglobin ye-glycated nokunciphisa ingozi yezinkinga kufanele kusekelwe emikhiqizweni emisha, ehlukahlukene ecebile ku-fiber nezakhi ezibalulekile, ukubeka phambili izindlela zokupheka okunempilo nokuzivumelanisa nezidingo zomuntu ngamunye. Ukuhlanganisa ukuvivinya umzimba njalo, ukulawula ukucindezeleka, nokwelulekwa ngokochwepheshe kuyisu elingcono kakhulu lokugcina impilo nokugwema izinkinga ezibangelwa isifo sikashukela. Ngokuhleleka nokubekezela, ungajabulela ukuphila okugcwele nokunempilo ngaphandle kokuyeka injabulo yokudla kahle.