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Mwandishi:

Mhariri:

Dkt. Sospeter M, MD

Dkt. Charles W, MD

9 Juni 2020 10:08:16

Kudhibiti kisukari wakati unaumwa

Kudhibiti kisukari wakati unaumwa

Ukiwa unaumwa, kiwango chako cha sukari kinaweza kubadilika au kutotabilika. Wakati huu, ni jambo la msingi kupima kiwango chako cha sukari mara nyingi kuliko kawaida (mfano kila baada ya masaa mawili au manne). Ni vema pia kuendelea kutumia dawa zako za kisukari kama una mafua ya kuchuruzika na unataka kutumia dawa za mafua mwombe mfamasia wako akuchagulie chaguzi nzuri ya dawa au ongea na daktari wako. Madawa mengi ya kutibu mafua na kikohozi huwa na sukari hivyo jaribu kuchagua dawa zisizo na sukari.


Ikiwa unaumwa ni muhimu kufanya yafuatayo;

  • Kunywa maji mengi na vinywaji visivyo na sukari, epuka kahawa, chai ,cola kwani huwa na caffeine inayoweza kusababisha kupoteza maji mengi.

  • Kula vitu vya majimaji vyenye glukosi badala ya vitu vigumu ambavyo huwezi kula kulingana na utaratibu wako.

  • Jaribu kutumia gramu 15 za wanga kila saa

  • Fuata utaratibu wako wa kila siku wa chakula

  • Mtafute daktari wako kwa simu uede kwenye huduma ya dharura endapo unatapika au unaharisha mara mbili au zaidi ndani ya masaa manne na

  • Kama unatumia sindano ya insulin, hakikisha unaendelea kutumia dozi yako wakati unaumwa. Ongea na daktari wako kuhusu marekebisho ya dozi wakati unaumwa.

Imeboreshwa

11 Desemba 2021 14:12:55

Uly clinic inakushauri siku zote uwasiliane na daktari wako kabla ya kuchukua hatua yoyote dhidi ya afya yako.

Wasiliana na daktari wa ULY clinic kwa kubonyeza 'Pata Tiba' au kwa kupiga namba za simu chini ya tovuti hii.

Rejea za mada hii;

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  2. Lipska KJ, De Rekeneire N, Van Ness PH, et al. Identifying dysglycemic states in older adults: Implications of the emerging use of hemoglobin A1c. J Clin Endocrinol Metab 2010;95:5289–95.

  3. Crandall J, Schade D, Ma Y, et al. The influence of age on the effects of lifestyle modification and metformin in prevention of diabetes. J Gerontol A Biol Sci Med Sci 2006;61:1075–81.

  4. Chiasson JL, Josse RG, Gomis R, et al. Acarbose for prevention of type 2 diabetes mellitus: The STOP-NIDDM randomised trial. Lancet 2002;359:2072–7.

  5. DREAM (Diabetes REduction Assessment with ramipril and rosiglitazone Medication) Trial Investigators, Gerstein HC, Yusuf S, et al. Effect of rosiglitazone on the frequency of diabetes in patients with impaired glucose tolerance or impaired fasting glucose: A randomised controlled trial. Lancet 2006;368:1096– 105.

  6. Inzucchi SE, Viscoli CM, Young LH, et al. Pioglitazone prevents diabetes in patients with insulin resistance and cerebrovascular disease. Diabetes Care 2016;39:1684–92.

  7. Kronsbein P, Jorgens V, Muhlhauser I, et al. Evaluation of a structured treatment and teaching programme on non-insulin-dependent diabetes. Lancet 1988;2:1407–11.

  8. Wilson W, Pratt C. The impact of diabetes education and peer support upon weight and glycemic control of elderly persons with NonInsulin Dependent Diabetes Mellitus (NIDDM). Am J Public Health 1987;77:634–5.

  9. Braun AK, Kubiak T, Kuntsche J, et al. SGS: A structured treatment and teaching programme for older patients with diabetes mellitus–a prospective randomised controlled multi-centre trial. Age Ageing 2009;38:390–6.

  10.  Fagan PJ, Schuster AB, Boyd C, et al. Chronic care improvement in primary care: Evaluation of an integrated pay-for-performance and practice-based care coordination program among elderly patients with diabetes. Health Serv Res 2010;45:1763–82.

  11. McGovern MP, Williams DJ, Hannaford PC, et al. Introduction of a new incentive and target-based contract for family physicians in the UK: Good for older patients with diabetes but less good for women? Diabet Med 2008;25:1083–9.

  12. Maar MA, Manitowabi D, Gzik D, et al. Serious complications for patients, care providers and policy makers: Tackling the structural violence of First Nations people living with diabetes in Canada. Int Indigenous Policy J 2011;21:http://ir.lib.uwo.ca/iipj/vol2/iss1/6. Article 6.Imechukuliwa 05.06.2020

  13.  Jacklin KM, Henderson RI, Green ME, et al. Health care experiences of Indigenous people living with type 2 diabetes in Canada. CMAJ 2017;189:E106– 12.

  14. Chandler MJ, Lalonde C. Cultural continuity as a protective factor against suicide in First Nations Youth. Horizons 2008;10:68–72.

  15. Oster RT, Grier A, Lightning R, Mayan MJ, Toth EL. Cultural continuity, traditional Indigenous language, and diabetes in Alberta First Nations: A mixed methods study. Int J Equity Health 2014;13:92. doi:10.1186/s12939-014- 0092-4.

  16. Truth and Reconciliation Commission of Canada. Truth and reconcilliation commission of Canada: calls to action. Winnipeg, MB: Truth and Reconciliation Commission of Canada 2012. 2015. http://www.trc.ca/websites/ trcinstitution/File/2015/Findings/Calls_to_Action_English2.pdf.Imechukuliwa 05.06.2020

  17.  Yu CH, Zinman B. Type 2 diabetes and impaired glucose tolerance in aboriginal populations: A global perspective. Diabetes Res Clin Pract 2007;78:159– 70.

  18. Gracey M, King M. Indigenous health part 1: Determinants and disease patterns. Lancet 2009;374:65–75.

  19. Chronic Disease Surveillance and Monitoring Division, Centre for Chronic Disease Prevention and Control. Diabetes in Canada: Facts and figures from a public health perspective. Ottawa, ON: Public Health Agency of Canada, 2011 http://www.phac-aspc.gc.ca/cd-mc/publications/diabetes-diabete/facts -figures-faits-chiffres-2011/index-eng.php. Imechukuliwa 05.06.2020

  20. Turin TC, Saad N, Jun M, et al. Lifetime risk of diabetes among first nations and non-first nations people. CMAJ 2016;188:1147–53.

  21. Singer J, Putulik Kidlapik C, Martin B, et al. Food consumption, obesity and abnormal glycaemic control in a Canadian Inuit community. Clin Obes 2014;4:316– 23.

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