Glycosylated hemoglobin kudi na lafiya da masu ciwon sukari

Masana kimiyya sun gano cewa don rage rikicewar cututtukan ciwon sukari, ya zama dole don kula da matsakaicin matsakaicin glucose a cikin jini (al'ada na haemoglobin HbA1c na al'ada) a ƙasa da 7.0 mmol / L. Wannan gwajin jini ya bamu damar duba baya kuma mu ga yadda muka sarrafa cutar mu a cikin watanni biyu zuwa uku da suka gabata.

A aikace, ƙwararrun masu ciwon sukari suna tallafawa irin waɗannan alamun. Don haka, matsakaicin Baƙin Amurka tare da masu ciwon sukari yana da matakin HbA1c tsakanin 8.5 da 9 mmol / L, ”in ji Nathaniel Clark, MD, mataimakin shugaban Americanungiyar Maƙasudin cutar ta Amurka, a taron masu ciwon sukari.

Menene mafi kyawun adadin haemoglobin na mai ciwon sukari?

Matsakaicin matsakaici na matsakaicin sukari na jini ga mutanen da ba tare da ciwon sukari ba shine daga 4.5 zuwa 6.2 mmol / L, bisa ga wani binciken a cikin UK (Nazarin Ciwon Ciwon Kan Magani na UK).

UKPDS shine mafi girman binciken da yafi dadewa na marasa lafiya na nau'in ciwon sukari na 2 wanda aka taɓa yin su, an gudanar dashi tsawon shekaru 20 tsakanin masu haƙuri 5000. Binciken ya nuna cewa lokacin da matakin mu na HbA1c ya wuce 6.2 mmol / L, to zamu fara samun rikitarwa. Don haka me zai hana saukar da gemoclobin glycated zuwa 6.2 mmol / l?

Adadin gemoclobin HbA1c

"Akwai hujja cewa idan ka rage matakin HbA1c da ke ƙasa da 7.0, to rage raguwar rikice-rikice zai fara," in ji Dr. Clark. “Amma waɗannan fa'idodi sun bambanta da na farkon sukari na jini. Misali, idan yawan ruwan hemoglobin dinka ya kasance 9, kuma ka rage shi zuwa 8, to lallai zaka samu fa'ida ko shakka babu. Kuma wannan fa'idodin zai zama mafi mahimmanci fiye da idan an rage HbA1c daga 8 zuwa 7. Kuma idan matsakaicin sukari jini ya faɗi ƙasa 7, to a nan muna lura ba kawai amfanin ba, har ma da wasu matsaloli. Misali, wasu majinyata suna samun daskararren jini a jikin wadannan sugars din, yayin da wasu majinyata na iya buqatar daidaita insulin su ko kuma sanya wani magani. ”

The A Amurka, ya zama al'ada gama ɗaukar tsararrakin gwaji a gida wanda ke auna adadin cutar haemoglobin HbA1c. Russia A Rasha, marasa lafiya masu ciwon sukari mellitus suna amfani da su ba sau da yawa, suna fifita yin bincike kan HbA1c a cikin dakin gwaje-gwaje.

Siffofi da yadda ake gwadawa don glycosylated Hb

Wannan bincike ya dace sosai ga likitoci da kuma marasa lafiya. Ya na da fa'ida bayyananniya akan gwajin safiya don sukari na jini da gwajin ƙarfin glucose na sa'o'i biyu. Fa'idodin suna cikin bangarorin masu zuwa:

• Tabbatacce na bincike don glycosylated Hb za'a iya aiwatar dashi a kowane lokaci na rana, ba lallai bane sutra kuma a kan komai a ciki,
• Dangane da sharuddan ganewar asali, bincike don glycosylated Hb ya kasance mai fa'ida sosai fiye da gwajin dakin gwaje-gwaje na azumin matakin jini a cikin sutra na azumin, saboda yana ba da damar gano ciwon sukari a wani matakin farkon ci gaba,
• Gwajin gwaji na glycosylated Hb ya zama sau da yawa sauki da sauri fiye da gwajin zafin glucose na awa biyu,
• Godiya ga abubuwan da aka samo na alamun HbA1C, yana yiwuwa a ƙarshe gano kasancewar cutar sankarar mahaifa (hyperglycemia),
• Gwajin gwaji na cutar Hb zai nuna yadda da masu ciwon suga ke bin diddigin jininsa a cikin watanni ukun da suka gabata,
• Abinda kawai zai iya shafar ingantaccen ƙuduri na matakan Hb shine sanyi ko damuwa.

Sakamakon gwajin HbA1C mai zaman kansa ne daga dalilai kamar su:

• lokacin wuni da ranar haila a cikin mata,
• abinci na ƙarshe
• amfani da miyagun ƙwayoyi, ban da kwayoyi don kamuwa da cuta,
• aiki na jiki
• yanayin tunanin mutum
• cutar raunuka.

Bambance-bambance a cikin yanayin alamu tsakanin mutane

• A cikin yara da matasa, alamu ba sa bambanta kwata-kwata. Idan a cikin yara an ɗaukaka matsayin ko ƙasa da na al'ada, to ya zama dole a hankali kula da abinci na yara, a shirya su don gwaje-gwaje na yau da kullun saboda sakamakon binciken ya fi ko ƙasa da gamsarwa.
• Maza da mata ba su da bambance-bambance a cikin adadin ko dai.
• A cikin mata masu juna biyu, ba da shawara ba ne su ɗauki ƙimar HbA1C har zuwa watanni 8-9 na ciki, tunda galibi ana ƙaruwa da sakamako, amma wannan kuskure ne.
• A cikin matakan karshen ciki na ciki, dan karamin darajar kimar shine al'ada. Ragewar alamomi na masu cutar sukari a lokacin haihuwar yara na iya haifar da mummunar illa ga matsayin lafiyar mahaifiyar da zata zo haihuwa yayin haihuwa. Kodan na iya wahala, kuma a nan gaba yara masu tasowa na cikin ciki, za a iya ganin girman jiki yana iya faruwa, wanda zai kawo cikas ga tsarin haihuwa.

Norms na darajar dabi'u

A cikin mutum mai lafiya, HbA1C bai wuce kashi 5.7 cikin jini ba.

• Idan yawan abun ciki ya karu daga kashi 5.7% zuwa 6%, to wannan yana nuna yiwuwar kamuwa da cutar sankara a nan gaba. Don sa mai nuna alama ya zama ƙasa, kuna buƙatar canzawa zuwa abincin abincin carb kaɗan na ɗan lokaci, sannan kuma kuyi nazarin na biyu. A nan gaba, ana ba da shawarar a hankali kula da lafiyarku da abinci mai gina jiki. Wannan halin yana buƙatar sa ido sosai a gida da kuma cikin dakin gwaje-gwaje.
• Idan lambar tunani ta kasance daga 6.1-6.4%, to, haɗarin cutar ko ciwo na rayuwa yana da girma sosai. Ba za ku iya yin jinkiri ba ga sauyi zuwa ƙarancin abinci mai ƙoshin abinci ba, kuna buƙatar bin rayuwar lafiya. Wannan halin ba shi da sauƙi a gyara nan da nan, amma idan kun bi abubuwan da suka dace a rayuwarku gabaɗaya, to, zaku iya hana faruwar cutar.
• Idan matakin HbA1C ya wuce 6.5%, to, an ƙaddamar da gwaji na farko - ciwon sukari mellitus, sannan a cikin sauran gwaje-gwajen gwaje-gwaje an gano wane nau'in ne, na farko ko na biyu.

Normalization na haemoglobin

Da fari dai, yakamata ku sani cewa karuwar darajar jini a cikin jini na iya nuna ba wai kawai cutar endocrinological ce ke fama da matsanancin narkewar ƙwayar metabolism ba, amma kuma rashin iskar baƙin ƙarfe. Don ware mummunar cuta, ya zama dole bayan gwaji don glycosylated haemoglobin kuma tabbata an bincika matakin baƙin ƙarfe a cikin jiki. Idan ƙididdigar abubuwan da aka nuna don abubuwan ƙarfe a zahiri sun zama ƙasa da na al'ada, to an wajabta magani don mayar da ainihin abin da keɓaɓɓun abubuwan abubuwan ganowa a cikin jiki. Bayan magani na rashin iskar baƙin ƙarfe, yana da kyau a gudanar da ƙarin gwaji don matakan haemoglobin. Idan ba a gano ƙarancin ƙarfe ba, to, ƙaruwa a wannan yanayin zai rigaya yana da alaƙa da metabolism metabolism.

Dangane da kididdigar, babban dalilin karuwar gemocosylated haemoglobin a cikin hypergikemia. A wannan yanayin, don rage matsin lamba, kuna buƙatar:

• bi tsananin wajabcin magani wanda ya halarta,
• tsaya ga abinci mai karancin carb
• yi gwaje-gwaje na yau da kullun.

Idan darajar HbA1C ta ƙasa da al'ada, to wannan yana nuna hypoglycemia. Hypoglycemia yana faruwa ƙasa da akai-akai fiye da hyperglycemia. Wannan halin yana buƙatar ingantaccen gyara a abinci mai gina jiki da kulawa da kulawa da kulawar ajiyar da likita ya halarta. Valuearancin HbA1C na iya nuna alamar anemia. Idan ba a daɗewa ba wani mutum ya karɓi jini ko kuma ya yi asara a cikin jini, darajar ta HbA1C zai kasance ƙasa da al'ada.

Glycated haemoglobin: dabi'ar hba1c da hb a cikin manya da matasa

Menene ma'anar haemoglobin? Wannan yana hade da dukkanin haemoglobin, wanda yake gudana cikin jinin mutum kuma yana ɗaukar glucose. Wannan samfurin ana yawanci auna shi a cikin kashi, sama da jini jini, mafi girma yawan hemoglobin za a glycated.

Gwajin haemoglobin (hb) shine mafi mahimmanci a lokuta da ake zargi da cutar mellitus da ake zargi, kuma yana daidai nuna matsakaicin matakin sukari na jini a cikin watanni 3 da suka gabata. Tare da isar da saurin binciken, zai yuwu a gano matsalolin kiwon lafiya a cikin lokaci ko a kawar da su, a ceci mai haƙuri daga irin abubuwan da ba dole ba.

Gwajin yana taimaka wajan tantance tsananin cutar, tasirin magani da aka bada shawara, da bayar da hangen nesa nan gaba. Ana buƙatar yin nazari game da matakin glycated haemoglobin koda da ƙarancin ciwon sukari.

Likitoci suna amfani da wannan bayanin:

Fashewa a cikin binciken yana ba ka damar ganin yadda sukarin jini ke aiki da kuma yadda yawan taro zai iya canzawa. Ana ba da gudummawar jini da safe, musamman a kan komai a ciki. Idan yaduwar jini ko zub da jini, yana da kyau a jinkirta tarin kayan don makonni da yawa.

Babban mahimmanci shine ɗaukar kayan halitta a cikin dakin gwaje-gwaje guda ɗaya, saboda a cikin cibiyoyin likita daban-daban hanyoyin gwaji na iya bambanta sosai. Ba za ku iya jinkirta binciken ba har sai daga baya, matsalolin sukari na iya faruwa ko da a kan tushen lafiyar al'ada. Karkashin yanayin bincike na kan lokaci, yana yiwuwa a nisantar da wasu mummunan sakamako.

Ribobi da Cons na Nazarin Bincike

Gwajin jini hb, idan aka kwatanta shi da gwajin glucose na ciki, yana da fa'idodi masu yawa. Abubuwan da aka tattara suna dacewa a cikin ɗakunan gwaji har zuwa lokacin nazarin, babu buƙatar bayar da gudummawar jini kawai akan komai a ciki, wanda ke kawar da yiwuwar sakamakon da ba daidai ba saboda kasancewar cututtukan kamuwa da cuta da damuwa.

Wani ƙari na wannan binciken shine ikon gano cutar rashin ƙarfi ta hanji da wuri. Binciken kan komai a ciki ba ya barin wannan, saboda haka magani yakan zama latti, rikice-rikice na haɓaka.

Rashin dacewar gwajin jini ya haɗa da:

1. in mun gwada da babban farashi
2. a cikin marasa lafiya da anemia, sakamakon bincike zai iya gurbata,
3. A wasu yankuna babu inda za'a gudanar da bincike.

Lokacin da mara lafiya ya cinye adadin ƙwayoyi na bitamin E, C, ƙimar hb za a iya rage yaudara. Bugu da ƙari, tare da ƙarancin ƙwayoyin hodar iblis, haɓaka da haemoglobin mai narkewa yana faruwa, amma a zahiri glucose ya kasance cikin kewayon al'ada.

Menene yakamata ya kasance hawan jini?

Nuna sukari ko zaɓi jinsi don shawarwari Bincike ba'a samo ba Bincike ba'a samo ba

Alamar yau da kullun don cikakken mutum mai lafiya yana cikin kewayon daga 4 zuwa 6%, tare da haɓaka haemoglobin zuwa 6.5-7.5%, muna magana ne game da babban yiwuwar kamuwa da ciwon sukari, da kuma rashin ƙarfe a cikin jiki. Idan sakamakon ya kasance 7.5% ko sama, likita zai bincikar cutar sankara.

Kamar yadda kake gani, tsarin nau'in haemoglobin ya yi yawa sama da alamu game da yanayin binciken glucose na al'ada wanda aka saba dashi (tsarin yana daga 3.3 zuwa 5.5 mmol / l). Likitocin sun yi bayanin wannan gaskiyar ta hanyar cewa yawan haɗuwa da sukari na jini yana gudana a cikin rana, kuma bayan cin abinci, jimlar nuna alama na iya ƙaruwa zuwa matakin 7.3-7.8 mmol / L.

Adadin gemoclobin 4% zai zama daidai da sukarin jini na 3.9, kuma a 6.5% wannan alamar ta haura zuwa 7.2%. Abin lura ne cewa marasa lafiya da suke daidai da matakin sukari na jini suna iya samun lambobi daban-daban na hb. A cikin mata, a matsayin mai mulkin, irin wannan bambance-bambancen suna faruwa yayin daukar ciki saboda abin da ya faru:

Lokacin da aka saukar da hb ko babba kuma nan da nan ya bambanta da al'ada ta adadin kashi goma na kashi ɗaya, to babban yuwuwar kamuwa da cutar sankara. Don haka, tare da sakamakon 7.5 zuwa 8%, akwai hujja don fara rama don ciwon sukari, in ba haka ba haɗarin haɗarin hypoglycemia ya yi yawa.

Wasu marasa lafiya da ke da nau'in ciwon sukari na 2 na ciwon sukari da wuya basu mai da hankali ga yawaitar sukari a cikin magudanar jini ba, wani lokacin majinyaci ba sa samun glucometer a gida. A irin waɗannan halayen, ana yin sukari na jini kawai na azumi sau biyu a cikin watan. Koyaya, koda yawan adadin glucose a lokacin bincike al'ada ne, babu tabbacin cewa bayan couplean awanni bayan karin kumallo ba zai karu ba.

Ba da gudummawar jini don bincike, ya kamata ka tuna:

1. Ana iya ɗaukar glycogemoglobin a kowane zamani, tsarin al'ada na mata da maza iri ɗaya ne,
2. tare da maganin cutar haemoglobin, ana iya sanin yiwuwar rikitarwa,
3. Binciken zai nuna matsakaicin matakin glucose na tsawon watanni 3, yana yiwuwa a daidaita jiyya na cutar sankara.

Likitocin sun sami nasarar gano kusancin dangantakar tsakanin gwaje-gwajen haemoglobin da matsakaiciyar rayuwar mutum. Abin lura ne cewa ƙananan maida hankali na haemoglobin, da mai haƙuri zai rayu.

Sakamakon mafi kyau ga lafiyar al'ada shine yawan haɗin sukari na jini, wanda ba zai wuce 5.5% ba. A wasu kalmomin, ba a ƙididdige ka'idar, sakamakon bincike ba ya kai ga iyakar ƙa'idar aiki ba.

Wani lokaci, har ma da kyakkyawan tsarin kulawar haemoglobin tare da sauyawa kullun a cikin glucose na jini sama da 5 mmol / l, babu garantin ci gaban rikitarwa.

Mai ƙanƙan da girma

Rage haemoglobin mai raguwa yana bayyana ta hanyar hypoglycemia, yawanci wannan yana nuna mummunan neoplasms a cikin ƙwayar cuta - yana tsokani sakin insulin. Lokacin da matakan insulin na jini suka yi yawa, sukari jini ya sauka.

Rage haemoglobin na iya samun sakamako masu yawa, alal misali, sanya maye tare da magunguna masu rage sukari. A saboda wannan dalili, koyaushe wajibi ne don bin abincin maras carb, motsa jiki akai-akai, in ba haka ba mai haƙuri yana haɗarin haɗarin samun ƙarancin adrenal. Wani lokaci ana samun karancin cututtukan kwayoyin cutar:

1. rashin jini a cikin rashin haƙuri,
2. von cutar Girke,
3. Forbes cuta, ya yi.

Idan glycosylated haemoglobin ya haɗu, to wannan yana nuna cewa matakan sukari na jini suna da yawa na dogon lokaci. Koyaya, wannan gaskiyar ba ma'anar ci gaban ciwon sukari bane a cikin mutane. Hakanan ana iya lalata metabolism na Carbohydrate a irin waɗannan lokuta: ƙarancin glucose, ƙoshin sukari mai rauni kawai da safe.

Tunda fasahar gano kwayoyin glucose na jini na iya bambanta, ana buƙatar bincike sau da yawa. Tare da yin daidai a cikin mutane daban-daban, bambanci na iya zama tsakanin kashi ɗaya.

Wasu lokuta gwajin yana ba da sakamakon da ba daidai ba, wannan na faruwa tare da haɓaka ko raguwa a cikin haemoglobin tayi. Sauran abubuwanda zasu rage zafin jiki sune uremia, basur, zazzabin hemolytic. Wasu likitocin sun hakikance cewa dalilai yakamata a nemo su a cikin halin majiyyacin, shekarunsa da nau'in nauyi.

Teburin gwajin gwaji ya ƙunshi irin wannan bayanan akan matakan haemoglobin mai glycated:

• a kasa 5 6-5.7% - metabolism metabolism shine al'ada, yuwuwar ciwon sukari yayi kadan,
• 5.7 - 6% - haɗarin ciwon sukari ya ƙaru, ana buƙatar rage cin abinci,
• 6.1-6.4% - damar ciwon sukari ya isa sosai, abincin yakamata ya zama mai tsauri,
• fiye da 6.5% - farkon bincike na ciwon sukari.

Don tabbatar da ganewar asali, yana da mahimmanci a gudanar da ƙarin gwaje-gwaje, ƙarancin haemoglobin da ke ƙasa, ƙananan haɗarin cutar.

Yadda za'a kawo alamu na al'ada

Normalization na matakin glycated haemoglobin ba zai yuwu ba tare da juyawa zuwa ingantaccen abinci mai gina jiki ba, wanda ya danganta da yawan isasshen kayan lambu da 'ya'yan itace (musamman idan lokacin bazara ne a waje). Wannan yana ba ku damar inganta yanayin yanayin jikin mai ciwon sukari, taimakawa haɓaka matakan fiber, kiyaye sukari jini a cikin iyakoki na al'ada.

Ga mai haƙuri da ciwon sukari, kayan ƙwari, ayaba za su kasance da amfani, su ma suna ɗauke da adadin fiber.Yayin rana, dole ne ku sha madara mai skim, yogurt, saboda gemoclobin 6 da ke ƙasa ya zama ƙananan, bitamin D, alli zai ƙarfafa tsarin-kashi-kashi.

A cikin ciwon sukari na mellitus na nau'in na biyu, kifi, nama, kwayoyi ya kamata a cinye duk lokacin da zai yiwu, wanda ke ba da gudummawa ga asarar nauyi, yayin da glycated hemoglobin ya kamata ya zama ƙananan, mai sauƙin kaji na cutarwa don nau'in masu ciwon sukari na 2 shima yana da amfani.

Inganta yanayin kyautatawa na ciwon sukari, da rage karfin juriya, da kuma sarrafa sukari na jini, yana taimakawa abinci mai girma a cikin mayukan omega-3 tare da karancin ma'anar glycemic. Idan mai haƙuri ya cika shekara 62 ko fiye, kuma sukari ya yi girma, ana ba da shawarar cewa ya daidaita shi da kirfa. Wannan yaji yana sanya juriya ta insulin.

Baya ga cin abinci na musamman, likitan ya ba da shawarar:

1. yi wasanni da ƙarfi
2. shan kwayoyi da sukari ko insulin a kan kari,
3. kar a manta da bacci da farkawa,
4. da tsarin glucose da kyau (har a gida)? ta amfani da, misali, mita Accu Chek Gow,
5. Kada ku manta da alƙawarin tare da likitan ku.

Hemoglobin yayin daukar ciki

A lokacin daukar ciki, hawan jini mai narkewa sau da yawa yana hawa, kuma sukari da yake kasance a cikin iyakokin al'ada.

Duk da kyakkyawar yanayin lafiya, wannan yanayin yana tattare da mummunar matsalolin kiwon lafiya ga matar da danta da ba a haife shi ba.

Misali, an bayyana wannan a gaskiyar cewa an haife yara tare da babban nauyin jiki - kimanin kilo 5. Sakamakon zai zama da wahala haihuwa, wanda ke cike da sakamako:

1. raunin haihuwa
2. kara hadari ga lafiyar mata.

Lokacin gudanar da bincike game da glycated haemoglobin, al'ada ga mata masu juna biyu za a iya wuce gona da iri, amma binciken da kansa ba za a kira shi babban-daidai ba. Wannan sabon abu ya kasance ne saboda gaskiyar cewa sukarin jini a yayin haihuwar yara na iya ƙaruwa sosai bayan cin abinci, amma da safe yana bambanta kaɗan da na yau da kullun.

A cikin bidiyo a cikin wannan labarin, Elena Malysha zai ci gaba da bayyana batun cutar haemoglobin.

Nuna sukari ko zaɓi jinsi don shawarwari Bincike ba'a samo ba Bincike ba'a samo ba

Yawan adadin haemoglobin a cikin mutum mai lafiya

Ciwon sukari, yana da alaƙa da cututtukan wayewa, duk muna iya yin rashin lafiya. Abu mafi mahimmanci a cikin ganewar asali da rigakafin shi shine cikin jini.

Ofaya daga cikin tabbatattun gwaje-gwaje a yau shine gwargwado na glycated, ko glycosylated haemoglobin na jini.

Wannan shine mafi mahimmancin alamar biochemical wanda ke nuna matakin sukari na jini ba a wani matsayi a lokaci ba, kamar yadda muke a cikin bincikenmu na yau da kullun, amma na tsawon lokaci.

Glycated haemoglobin wani fili ne da aka samu ta fusatar glucose da kuma amino acid din yayin rashin enzymes.

Sakamakon haka, kawai wani ɓangare na jimami na haemoglobin yana da alaƙa da glucose, wanda aka auna cikin kashi kuma yana aiki a matsayin mai nuna yanayin barazanar jini.

Yana lokacin Yin amfani da wannan gwajin, ana gano ciwon sukari a farkon matakan. lokacin da har yanzu zai yuwu a tafiyar da lamarin kuma a bada ingantaccen magani a kan lokaci.

Glycated haemoglobin assay

Wannan bincike yana da damar da ba za a iya shakatawa a kan gwaje-gwajen jini na al'ada ba, waɗanda ake ɗauka kawai akan komai a ciki kuma tare da shirye-shiryen farko.

• Ya dace da marassa lafiya da likitoci, kamar yadda ake yin sa a kowane lokaci na rana, ba lallai bane akan komai a ciki, komai yawan abincin da kuka ci, kuma ba tare da la’akari da kasancewar magunguna a jikin da kuka sha ba.
• Itsarfinsa yana da yawa sosai, tunda yana gano daidai cutar sankarar ƙwayar cuta a farkon matakan,
• Hanyar da kanta tayi sauki da sauri fiye da gwajin da aka saba,
• Godiya gareshi, likitoci sun sami tabbataccen hoto game da yadda mai haƙuri ya sarrafa matakinsa na sukari a cikin watanni 3 da suka gabata.
• Inganci da daidaito na sakamakon sakamako ba ya dogara da kasancewar wasu cututtuka a cikin jikin mutum ba.
• Sakamakon bincike yawanci a shirye suke a cikin rana.
• An ba da shawarar a duba matakin haemoglobin a cikin jini kafin wannan bincike, tunda yanayin cutar ƙwaya yana ɓata sakamakon.

Glycated haemoglobin: al'ada ga masu ciwon sukari

Abubuwan HbA1C sun dace da wasu matakan glucose na jini a cikin watanni 3 da suka gabata.

Saboda haka, ƙimar darajar gemoclobin glycated, ƙananan matakin glucose da ke cikin jinin mai haƙuri da ciwon sukari a wannan lokacin, wanda ke nufin cewa cutar ta fi lada.

Teburin yarda da matakan HbA1C na glucose na jini tsawon watanni 3:
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Yana da wuya marasa lafiya masu fama da cutar sukari su kiyaye daidaituwa tsakanin matsayinsu mai kyau da kuma barazanar hawan jini. A zahiri, dole ne ku koyi wannan duk rayuwar ku.

An ba da shawarar cewa da farko ku bi abincin low-carbohydrate don rage kashi na insulin ko allunan, saboda haɗarin hypoglycemia yana da alaƙa kai tsaye da yawan insulin shiga jiki.

Ga rukunoni daban daban, akwai masu nuna matsayinsu na yau da kullun.

• Ga yara, matasa, matasa, an nuna cewa glycosylated haemoglobin na 5-5.5% an kusan cimma, wanda kusan yayi daidai da 5.8 mmol / l na glucose.
• Amma ga tsofaffi waɗanda ke da haɗarin haɓakar hauhawar jini, ana ɗaukar matakin 7.5-8% al'ada, tunda haɓakar cututtukan ciwon sukari ba su da damuwa a gare su fiye da na matasa.

Cutar haemoglobin: al'ada yayin daukar ciki

Matsayi mai ban sha'awa na mace yana sanya damuwa sosai a duk tsarinta na hormonal, sakamakon wanda sukari jini zai iya ƙaruwa koda a cikin cikakkiyar lafiya.

Kuma tun da ƙara yawan sukari a cikin mata masu juna biyu yana da mummunan sakamako masu yawa a nan gaba ga iyaye mata da yara, yana da buƙatar sarrafa shi.

Matsalar ita ce yawanci mace bata jin hauhawar sukari, ko yana tashi a cikin sa'o'i 1-4 bayan cin abinci kuma a wannan lokacin yana lalata lafiya, kuma akan komai a ciki alamu suna al'ada.

Idan sukarin sukari ya hau kan komai a ciki, to yana da matukar hatsari ga mata masu juna biyu.

Ganin wannan, gwajin jini na haemoglobin ga mata masu juna biyu bai dace ba. Wannan kawai ɗayan damar ne don sarrafawa, amma ba zaɓin da ya dace ba. Wannan bincike yana nuna damuwa da wuri, saboda yana nuna karuwar yawan sukari na jini bayan ya ɗauki watanni da yawa.

Yawancin lokaci, a lokacin daukar ciki, sukari yakan tashi daga watanni 5 na ciki, wanda ke nufin cewa bincike don hawan jini wanda zai magance shi kawai a 7-8, riga kafin haihuwar haihuwa, wanda ba laifi ya makara.

Don haka wane gwaji ne ya fi dacewa ga mata masu juna biyu? Azumi na yau da kullun ma bai dace ba, tunda a cikin wannan jihar akwai haɗarin gaske na samun ingantaccen sakamako na ƙarya, kuma ba a ganin ainihin matsalar ba.

Hanya ta fita ita ce ko dai a ɗauki gwajin haƙuri a cikin awa 2, ko siyan sikeli da kuma kallonta bayan cin sau 3 (bayan rabin sa'a, awa daya, awa 2) matakin sukari.

• Mai nuna alama na 5.8 mmol / L ko isasa da al'ada.
• A cikin kewayon 5.8-6.5 mmol / l - ba kyau sosai ba, kuna buƙatar tsara matakan don rage sakamako.
• Daga 8.0 mmol / l da ƙari - kuna buƙatar bugawa a kanka, ya fi kyau tare da wani abu mai nauyi, watakila zai sa ku lalata rayuwar ɗan da ba a haifa ba kuma ku daina shan

Glycosylated haemoglobin: al'ada a cikin yara

Don shakkar iyaye, zai zama da muhimmanci a san cewa ga yara matakan HbA1C iri ɗaya ne da na manya da aka ambata a sama.

Wannan nazarin yana da kyau don dalilai na bincike da ingancin magani.

Ya fi dacewa musamman don sarrafa halin da ake ciki tsakanin matasa waɗanda ke da ikon tsara ingantattun matakan sukari kafin nazarin da aka tsara.

Tattaunawa don hawan jini wanda yake kula da wannan: yana nuna daidai yadda yaro ya bi shawarwarin tsawon lokacin da ya gabata.

Glycated haemoglobin shine al'ada

Glycated (ko glycated, HbA1c) haemoglobin alama ce ta biochemical wanda ke nuna matsakaicin matakin sukari na jini sama da watanni ukun da suka gabata. Hemoglobin wani sinadari ne da aka samo a cikin sel jini. Tare da doguwar bayyanar cutar glucose a jikin irin wadannan sunadarai, suna daure wa wani abu mai suna Glycated haemoglobin.

Ana nuna alamar glycated haemoglobin a matsayin kashi na jimlar adadin haemoglobin a cikin jini. Mafi girman matakin sukari, mafi girman adadin haemoglobin ya juya ya zama daure, kuma mafi girma wannan alamar.

Haka kuma, yin la’akari da gaskiyar cewa haemoglobin baya ɗaure kai tsaye, bincike ba ya nuna matakin sukari na jini a wannan lokacin, amma matsakaicin darajar don watanni da yawa, kuma yana ɗaya daga cikin hanyoyin da ake amfani dasu gama-gari na kamuwa da cutar sankarau da ciwon suga.

Adadin gemoclobin cikin jini

Matsayi na al'ada ga mutum mai lafiya ana ɗauka ya zama daga 4 zuwa 6%, masu nuna alama a cikin kewayon daga 6.5 zuwa 7.5% na iya nuna barazanar kamuwa da cutar sukari ko ƙarancin ƙarfe a cikin jiki, kuma mai nuna alama sama da 7.5% yawanci yana nuna kasancewar ciwon sukari .

Kamar yadda kake gani, haemoglobin na yau da kullun yafi na yau da kullun don gwajin sukari na al'ada (daga 3.3 zuwa 5.5 mmol / L akan komai a ciki).

Wannan ya faru ne saboda gaskiyar cewa matakin glucose a cikin jinin kowane mutum yana jujjuya shi tsawon rana, kuma nan da nan bayan cin abinci zai iya kaiwa darajar 7.3 - 7.8 mmol / l, kuma a matsakaici yayin rana a cikin mutum mai lafiya ya kamata ya kasance cikin 3.9-6.9 mmol / L.

Don haka, glycated haemoglobin 4% yayi daidai da matsakaicin sukari na jini na 3.9. kuma 6.5% kusan 7.2 mmol / L. Haka kuma, a cikin marassa lafiya da daidaitaccen matakin sukari na jini, haemoglobin glycated na iya bambanta, har zuwa 1%.

Irin wannan rarrabuwar ta taso ne saboda samuwar wannan manunin kimiyyar halittar mutum zai iya shafar cututtuka, damuwa, da rashi a jikin wasu ƙwayoyin microelements (da farko baƙin ƙarfe).

A cikin mata, karkatar da cutar haemoglobin daga cikin al'ada na iya bayyana yayin daukar ciki, saboda faruwar cutar ƙanjamau ko ciwon sukari a cikin mata masu juna biyu.

Yaya za a rage glycated haemoglobin?

Idan matakin haemoglobin ya haɓaka, wannan yana nuna mummunan cuta ko yiwuwar ci gabanta. Mafi yawan lokuta muna magana ne game da ciwon sukari, wanda ake lura da matakan sukari na jini a kai a kai. Commonlyarancin yawanci, rashi baƙin ƙarfe a cikin jiki da cutar rashin ƙarfi.

Rayuwar rayuwar sel jini tana aukar watanni uku, wannan shine dalilin lokacin da bincike game da haemoglobin ya nuna matsakaicin matakin sukari a cikin jini.

Don haka, haemoglobin mai narkewa baya nuna digo guda a cikin sukari na jini, amma yana nuna janar na gaba daya kuma yana taimakawa wajen sanin idan sukarin jini ya wuce yadda aka saba tsawon lokaci.

Saboda haka, ba shi yiwuwa a lokaci guda a rage matakin cutar haemoglobin da daidaita alamu.

Don daidaita wannan mai nuna alama, yana da mahimmanci don jagorantar rayuwa mai kyau, bi tsarin da aka ƙayyade, shan magunguna wanda likitanku ya umarta ko ɗaukar allurar insulin da kuma kula da sukarin jini.

A cikin ciwon sukari, raunin gemoclobin mai haɓaka ya ɗan ɗanɗano fiye da na mutanen da ke da lafiya, kuma har zuwa 7% an yarda. Idan, sakamakon binciken, mai nuna alama ya wuce 7%, wannan yana nuna cewa ba a rama ciwon sukari ba, wanda zai iya haifar da rikice-rikice.

Binciken HbA1c (haemoglobin da ke ciki)

Menene HbA1c kuma yaya aka yi amfani dashi a cikin binciken cututtukan ciwon sukari? Ta yaya glucose na yau da kullum ya bambanta?

Haɗin hemoglobin da glucose a cikin jini suna samar da HbA1c. Kwayoyin halittar haemoglobin wani bangare ne na sel jini. Lokacin da glucose ta haɗaka tare da waɗannan ƙwayoyin, ana ƙirƙirar kwayoyin hemoglobin, wanda kuma aka sani da A1c ko HbA1c. Yawancin glucose yana cikin jini, to yawan hemoglobin za'a danganta shi da shi.

Sakamakon gaskiyar cewa an sabunta ƙwayoyin sel ja (ƙwayoyin jini) kowane mako 8-12, gwargwadon HbA1c yana nuna matsakaicin darajar glucose na wannan lokacin. Ga mutanen da ba su da ciwon sukari, ƙa'idar aiki matakin ne har zuwa 6%.

Don fassara sakamako daidai, ana amfani da ka'idodi na ƙayyade HbA1c a duk faɗin duniya: Ya kamata a yi nazarin ta amfani da hanyar ƙididdigar HbA1c bisa ga Programididdigar Tsarin Glycohemoglobin (NGSP) ko Federationungiyar Internationalasa ta Clinical Chemists (IFCC) kuma an daidaita su daidai da ƙimomin tunani. wanda Cibiyar Kula da Cutar Cutar Cutar ta keɓe shi (DCCT). Babu wasu hanyoyi da na'urori don tantance HbA1c da za ayi amfani dashi saboda babban kuskuren sakamako.

Tunanin mahimman abubuwan ƙima a cikin ma'anar zamani na tasiri mai inganci da aminci shine mutum!

Musamman Yanayin HbA1c Musamman

Shekaru ko tsammanin rayuwa *

* Tsawon rayuwa - tsammanin rayuwa.
** Matsayi na al'ada daidai da ƙa'idodin DCCT: har zuwa 6%

Yaya HbA1c ya bambanta da ma'aunin jini na al'ada?

HbA1c shine matsakaiciyar tsawon lokaci wanda aka gano a cikin dakunan gwaje-gwaje ko asibitoci. A halin yanzu, ana iya auna matakin glucose a cikin jini ta likitan da ke halartar shi kuma mai haƙuri da kansa tare da glucometer a gida.

Matsakaicin ma'aunin HbA1c ya kamata ya dogara da takamaiman yanayin ciwon sukari.

Gabaɗaya, ya kamata a lura da tsari na gaba a cikin auna matakan HbA1c:

• kowane watanni 3, idan mai haƙuri ya nemi samun ingantacciyar iko game da cutar,
• sau ɗaya a kowane watanni 6 idan an kula da cutar da kyau.

Idan mutum baiyi ƙoƙarin yin maganin ciwon sukari ba, bincika matakin HbA1c mafi yawan lokuta bashi da ma'ana. Koyaya, sanin matakin HbA1c yana ba kawai damar ba da ra'ayi game da hanyar cutar, har ma don hana haɗarin haɗarin da yawa.

Makon HbA1c zuwa glucose a cikin plasma a kan komai a ciki da kuma sa'o'i 2 bayan cin abinci.

Azumtar glucose din plasma, mmol / L

Plasma glucose na sa'o'i 2 bayan cin abinci, mmol / L

Sakamakon HbA1c da sarrafa ciwon sukari?

Tare da ciwon sukari mai sarrafawa ba tare da tsalle-tsalle a cikin glucose jini ba, haemoglobin glycated ba zai karu ba.

Rage 1% na HbA1c yana nuna cewa:

• 19% akwai raguwa a cikin yiwuwar rikice-rikicen ƙwaƙwalwar ƙwayar cuta, da ke haifar da tiyata - haɓakar cataract,
• da yiwuwar ci gaban bugun zuciya ya ragu da kashi 16%,
• da yiwuwar yanke ko mutuwa a sakamakon cututtukan jijiyoyin jiki ya ragu da kashi 43%.

Tare da kulawa mara kyau na ƙwayar glucose, matakan HbA1c na iya ƙaruwa.

A zahiri, matakan glucose na jini suna gudana kullun, kowane minti daya. Abin da ya sa keɓaɓɓen tsari, ana bada shawara akai-akai na matakan glucose na jini. Amma matakin HbA1c ya canza sosai a hankali, canje-canje a cikin alamu za a iya yin rikodin sau ɗaya a kowane mako 10.

Daidaitawa da HbA1c zuwa yawan glucose din plasma kullum

Babban na'urar don mutumin da ke da ciwon sukari shine glucoseeter, wanda ke ba ka damar kaɗa kai, a gida, auna matakan glucose na jini, riƙe shi a ƙarƙashin kulawa kuma, idan ya cancanta, ɗauki matakan gaggawa don ramawa game da rikicewar metabolism. Karanta a.

Yin gwaje-gwaje na yau da kullun na glucose na jini tare da mitirin glucose na jini zai ba ku damar lura da ciwon sukari. Karanta a.

Ba a sami amsar tambayar ku ba?

Glycated haemoglobin wanda ke nuna: menene, al'ada, glycosylated, matakin hba1c, bincike

Ciwon sukari mellitus cuta ce mai haɗari da haɗari, wanda a farkon matakan na iya zama asymptomatic gabaɗaya.A yau, likitoci suna da'awar cewa kowane mazaunin Duniya na biyar yana shafar wannan cutar, amma ba duk masu haƙuri suna sane da rashin lafiyarsu ba.

Daya daga cikin mahimman gwaje-gwajen da za su iya gano cutar a matakin farko shine bincike kan haemoglobin da ke cikin jini. Dole ne a dauki wannan gwajin a farkon alamar cutar sankara.

Mene ne maganin haemoglobin, kuma menene ƙa'ida a cikin mutane masu lafiya.

Menene ma'anar haemoglobin ke nunawa? Wannan bincike yana tantance nawa haemoglobin a cikin mutum yana da alaƙa da glucose. Yawancin glucose a cikin jini, shine mafi girman matakan. Wannan binciken ya shafi kayan aikin bincike da wuri kuma ya dace da bincika yara. Jimlar haemoglobin an ƙaddara yayin gwajin jini na asibiti.

Binciken don hawan jini ya kasance cikakke kuma dace. Don shirya shi, ba kwa buƙatar tashi da wuri kuma ku ba da gudummawa jini a kan komai a ciki. Ana iya mika shi a kowane lokaci na rana kuma a lokaci guda kada kuyi tunanin sandwich ɗin da aka ci kafin zuwa asibiti. Eterayyade gemocosylated haemoglobin yana nuna matsakaicin adadin ƙwayar plasma a cikin makonni 12 da suka gabata.

Lokacin yanke shawarar bincike, yana da muhimmanci a san cewa a cikin dakunan gwaje-gwaje daban-daban ana iya kiran wannan bangaren na jini:

• Haemoglobin a1c.
• Glycosylated haemoglobin.
• Glycemic hawan jini.
• Glycohemoglobin.
• An Gishi.
• HbA1C.

Babban fa'idar wannan bincike shine gwajin ya nuna sukarin jini a cikin watanni 3 da suka gabata.

Wato, idan mai haƙuri zai iya komawa cikin al'ada da sauri kafin bayar da jini don sukari, to wannan gwajin ba zai wuce tare da wannan gwajin ba.

Tabbas likitocin za su iya tantance idan mai haƙuri ya karya abincin a cikin makonni 12 da suka gabata, ko kuma ya bi shawarar likitocin sosai. Hakanan, bincike akan hba1c yana ba ku damar kimanta fa'idar jiyya da kuma maganin daidaitawar lokaci.

Manufar glycated matakan haemoglobin ana auna su a matsayin kashi. Wannan alama ce ta jimlar haemoglobin a cikin jini. Lokacin yanke shawarar bincike, likita dole ne yayi la'akari da shekaru, jinsi da nauyin haƙuri. A yau, likitoci suna amfani da teburin masu zuwa don tantance yanayin mai haƙuri:

• Kasa da 5.7% shine matakin al'ada. Hadarin kamuwa da cutar sankara ya ragu sosai.
• 5.7-6.1% - babu cutar tukuna. Koyaya, kuna buƙatar daidaita abincin, kuma ku kawar da carbohydrates. Tare da irin waɗannan alamun, ana bada shawarar matakan haƙuri.
• 6.1-6.5% - babban haɗarin kamuwa da ciwon sukari. Tare da waɗannan sakamakon, kuna buƙatar gyara yanayin abincin cikin hanzari, da canza salon rayuwa.
• Sama da 6.5% - likitoci suna bincikar ciwon sukari. Don tabbatarwa ko musun ganewar asali, an tsara ƙarin gwaje-gwaje ga mai haƙuri.

Ana amfani da waɗannan matsakaitan ƙimar don tantance ƙwayar haemoglobin a cikin yara da manya, duk da haka, kowane mai haƙuri yana da nasa damar. Likita ne kawai zai iya yin isasshen kimanta sakamakon binciken ku, la'akari da duk abubuwanda suka shafi waje. Ya kamata a sani cewa alamomi na haemoglobin mara nauyi shima yana da haɗari ga lafiya.

Abubuwan bincike

Gwajin jinin haemoglobin shine ingantaccen gwajin sukari. Sakamakon gwajin daidai ne koyaushe kuma yana nuna likitoci matsakaicin matakin sukari na plasma a cikin watanni 3 da suka gabata. Wannan gwajin yana da fa'ida da dama da ba za a iya jurewa ba game da gwajin sukari na al'ada, wato:

• Sakamakon gwajin bai shafi lokacin samin jini ba.
• Za'a iya bayar da jini bayan cin abinci.
• Sakamakon bai sha maye ba.
• Sakamakon bai shafi damuwa.
• Sakamakon bai shafi aikin jiki ba.

Bugu da kari, wannan bincike yafi sauki a kimiyance fiye da sauran karatun. Abinda ake buƙata kawai ga mai haƙuri shine don ba da gudummawar jini daga yatsa. Sakamakon zai kasance a shirye cikin awanni 24. Ana gudanar da wannan binciken a yau a kowace asibiti. Hakanan, za'a iya ɗaukar gwajin jini na haemoglobin a kowane cibiyar bincike. A wannan yanayin, zaka iya samun sakamakon da sauri.

Binciken Cutar Haihuwa

Duk da fa'idodi, yana da kyau a daina yin gwaji don hawan jini a cikin mata yayin daukar ciki. Matsayin sukari na jini babban bincike ne ga iyaye mata masu juna biyu, amma likitoci sun ba da shawarar ƙaddara ta wasu hanyoyin yayin ɗaukar yaro.

Da fari dai, dole ne a faɗi game da haɗarin da sukari mai yawa ga mace mai ciki da jaririnta.

Tare da haɓaka glucose a cikin jini, tayin ya fara girma da ƙarfi, wanda hakan yakan haifar da rikice-rikice yayin haihuwa, saboda haihuwar jariri wanda yake nauyin kilogram 4 yana da wahala.

Bugu da ƙari, karuwa na sukari da yawa yana shafar lafiyar mahaifiyar yarinya, yayin da yarinyar take wahala. Ana lalata tasoshin jini, cututtukan koda na haɓaka, hangen nesa yana raguwa, da dai sauransu.

Koyaya, sarrafa sukari na jini a cikin mata masu juna biyu ba mai sauƙi bane. Abinda yake shine yawanci a cikin mata a cikin matsayi, matakan glucose yana tashi bayan abinci. A cikin sa'o'i 3-4 da aka haɓaka, sukari yana lalata lafiyar mahaifiyar mai tsammani. A saboda wannan dalili, bayar da gudummawar jini don sukari a cikin hanyar da aka saba a kan komai a ciki ga mata masu ciki bashi da amfani kawai. Wannan binciken ba zai iya nuna hoto na gaske game da yanayin mace ba.

Gwajin gwajin jini na glycosylated shima bai dace da mata masu juna biyu ba. Me yasa? Kawai saboda mata masu juna biyu galibi suna fuskantar matsalar kara yawan glucose a cikin jini a baya baya ga watan 6 na haihuwa. A wannan yanayin, nazarin zai nuna karuwa ne kawai bayan watanni 2, wato, kusanci da haihuwa. A wannan lokacin, matakan rage sukari ba zai kawo sakamakon da ake so ba.

Hanya guda daya da za a fita yayin daukar ciki ita ce sarrafa sukari bayan cin abinci a gida. Don yin wannan, kuna buƙatar siyan ƙwararru na musamman a cikin kantin magani kuma ku gudanar da gwaji na 30, 60 da 120 bayan cin abinci.

Ka'ida a cikin mata a wannan yanayin ba ya wuce 7.9 mmol / l. Idan mai nuna alama sama da wannan alamar, ya kamata ku nemi shawarar likita nan da nan.

Don samun cikakken hoto, dole ne a gudanar da gwajin bayan kowace abinci, rubuta alamomi a cikin ɗan littafin kula.

Matakan glycosylated haemoglobin a cikin jini na iya ƙaruwa ko rage dangane da yanayin mai haƙuri. A kowane hali, ya kamata likita ya wajabta maganin.

Yawancin lokaci, matakin farko na magani shine gyaran abinci da canje-canje a cikin jadawalin aiki da hutawa. Ga yawancin marasa lafiya waɗanda haɓakawar haemoglobin a cikin jini suna daɗaɗawa kaɗan, wannan ya isa don rage haɗarin ciwon sukari.

Koyaya, idan aka saukar da matakin, akasin haka, ya kamata a ɗauki matakan ƙara shi.

Idan likita ya kamu da ciwon sukari, abincin guda ɗaya bai isa ba. A wannan yanayin, za a tsara ƙarin gwaje-gwaje kuma an ba da shawarar magani. Idan kuna bin duk shawarar kwararru, zaku iya rayuwa cikakke tsawon shekaru, kuna lura da matakin sukari a kai a kai.

Wani mawuyacin wahala game da lura da ciwon sukari shine don kula da kyakkyawan layi tsakanin sukarin jini da haɓaka. Ga lafiyayyen mutum, raunin gemocosylated haemoglobin ya kai kashi 6.5%. Marasa lafiya da ciwon sukari suna buƙatar ƙoƙari don wannan adadi.

Koyaya, ga irin waɗannan mutanen, HbA1C yana glycated - 7% ana ɗauka mai kyau, wanda yake rage yiwuwar haɓaka rikice rikice.

Duk mutane, a cewar likitocin, yakamata suyi gwajin jini don glycosylated haemoglobin akalla sau ɗaya a shekara. Musamman mahimmanci shine sarrafa matakan gemoclobin glycated a cikin yara.

A yau ciwon sukari yana ƙaruwa, kuma iyayen yara ƙanana sau da yawa suna fuskantar wannan matsalar.

Kulawa da matakin cutar hba1c a cikin yara da matasa zai baka damar gano cutar a farkon matakin bunkasa ta kuma kare yaran daga ci gaba da rikitarwa.

Gwajin haemoglobin da ke cikin jini shima yana da tamani sosai ga marassa lafiyar. Su ne waɗanda galibi suna fuskantar haɓakar rikice-rikice wanda, a cikin tsufa, da wuya a bi da su. A matsayinka na mai mulki, gwajin jini na yau da kullun yana taimaka wajan gano haɗarin kiwon lafiya a cikin lokaci, wanda zai iya tsawan rayuwar mai haƙuri.

To menene ma'anar haemoglobin? Wannan wani bangare ne na haemoglobin da ke cikin jini tare da glucose.

Alamar ba ta dogara da abubuwan sukari na lokaci-lokaci kuma ana daukar shi mafi inganci don gano ciwon sukari a farkon matakan.

A yau, a cikin kowane dakin gwaje-gwaje, ya kamata a rataya teburin rubutu, wanda ke nuna alamar halayen haemoglobin hba1c. Jagoranci rayuwa ingantacciya, saboda sanadin ciwon sukari mafi yawanci suna kwance cikin abinci mara kyau.

HbA1c ko sukari na jini: wanda bincike yafi dacewa

Kamar yadda kuka sani, matakan sukari na jini a cikin mutane masu lafiya da masu ciwon sukari suna juyawa koyaushe. Ko da yanayin yanayin bincike iri ɗaya ne, alal misali, a kan komai a ciki, to alamu za su bambanta a lokacin bazara da kaka, tare da sanyi, bayan mutum ya jijiya, da sauransu.

Sabili da haka, ana amfani da gwajin sukari na jini musamman don ganewar asali da kuma kula da sukari cikin sauri - don zaɓin kashi na insulin don ciwon sukari 1, abinci ko allunan rage sukari don ciwon sukari 2.

Idan an dauki jini daga yatsa, glucose mai azumi shine 6.1 mmol / L.

Matsakaicin matakan sukari na jini kafin abinci da kuma bayan abinci (pre- da postprandial hyperglycemia) yana taimaka wajan yanke hukunci daidai yadda raunin ciwon sukari yake. Adadin glucose na postprandial 5 mmol / l) kowace rana a cikin sukari na jini. Wadannan mutane suna iya samun rikice-rikice fiye da waɗanda suka ɗaukaka HbA1c, amma matakan sukari ba su canzawa sosai yayin rana. Saboda haka, don cikakken sarrafa ciwon sukari, kuna buƙatar haɓaka ƙoshin haemoglobin glycated da gwajin sukari na jini.