Pali zinthu zambiri zomwe zingayambitse kuchuluka kwa shuga m'magazi, koma zomwe timadya zimathandiza kwambiri komanso mwachindunji pakukweza shuga m'magazi. Tikamadya chakudya cham'mimba, thupi lathu limasintha chakudyacho kukhala shuga, ndipo izi zingathandize pakukweza shuga m'magazi. Mapuloteni, pamlingo winawake, ambiri amathanso kukweza shuga m'magazi. Mafuta sakweza shuga m'magazi. Kupsinjika maganizo komwe kumabweretsa kuwonjezeka kwa mahomoni a cortisol kumathanso kukweza shuga m'magazi.

Matenda a shuga amtundu woyamba ndi matenda omwe amayambitsa chitetezo chamthupi chomwe chimapangitsa kuti thupi lisathe kupanga insulin. Anthu omwe ali ndi matenda a shuga amtundu woyamba ayenera kumwa insulin kuti shuga azikhala mkati mwa malire oyenera. Matenda a shuga amtundu wachiwiri ndi matenda omwe thupi limatha kupanga insulin koma silingathe kupanga mokwanira kapena thupi siliyankha insulin yomwe ikupangidwa.

Matenda a shuga amatha kupezeka m'njira zingapo. Izi zikuphatikizapo shuga wosala kudya wa > kapena = 126 mg/dL kapena 7mmol/L, hemoglobin a1c ya 6.5% kapena kupitirira apo, kapena shuga wokwera pa mayeso oletsa shuga m'kamwa (OGTT). Kuphatikiza apo, shuga wosasinthika wa >200 umasonyeza matenda a shuga.
Komabe, pali zizindikiro zingapo zomwe zimasonyeza matenda a shuga ndipo ziyenera kukupangitsani kuganizira zopita kukayezetsa magazi. Izi zikuphatikizapo ludzu lochuluka, kukodza pafupipafupi, kusawona bwino, dzanzi kapena kumva kuwawa m'miyendo, kunenepa kwambiri komanso kutopa. Zizindikiro zina zomwe zingachitike ndi monga kusagwira bwino ntchito kwa maliseche mwa amuna komanso kusakhazikika kwa msambo mwa akazi.

Kuchuluka kwa nthawi yomwe muyenera kuyeza magazi anu kudzadalira njira zomwe mumalandira komanso momwe zinthu zilili pa munthu aliyense payekha. Malangizo a NICE a 2015 amalimbikitsa kuti anthu omwe ali ndi matenda a shuga amtundu woyamba ayesere shuga m'magazi awo osachepera kanayi patsiku, kuphatikizapo musanadye chakudya chilichonse komanso musanagone.

Funsani dokotala wanu za kuchuluka kwa shuga m'magazi komwe kungayenerere inu, pomwe ACCUGENCE ingakuthandizeni kukhazikitsa kuchuluka kwa shuga m'magazi pogwiritsa ntchito chizindikiro chake cha Range Indicator. Dokotala wanu adzakhazikitsa zotsatira za mayeso a shuga m'magazi potengera zinthu zingapo, kuphatikizapo:
● Mtundu ndi kuopsa kwa matenda a shuga
● Zaka
● Kwa nthawi yayitali yomwe mwakhala ndi matenda a shuga
● Kukhala ndi pakati
● Kupezeka kwa mavuto a shuga
● Thanzi lonse komanso kukhalapo kwa matenda ena
Bungwe la American Diabetes Association (ADA) nthawi zambiri limalimbikitsa kuchuluka kwa shuga m'magazi motere:
Pakati pa 80 ndi 130 mamiligalamu pa decilita (mg/dL) kapena 4.4 mpaka 7.2 mamiligalamu pa lita (mmol/L) musanadye chakudya
Zosakwana 180 mg/dL (10.0 mmol/L) maola awiri mutatha kudya
Koma ADA ikunena kuti zolinga izi nthawi zambiri zimasiyana malinga ndi msinkhu wanu komanso thanzi lanu ndipo ziyenera kusankhidwa payekhapayekha.

Ma Ketone ndi mankhwala opangidwa m'chiwindi mwanu, nthawi zambiri ngati njira yogwirira ntchito ya kagayidwe kachakudya chifukwa cha kukhala mu ketosis ya zakudya. Izi zikutanthauza kuti mumapanga ma ketones pamene mulibe shuga wokwanira wosungidwa (kapena shuga) kuti usanduke mphamvu. Thupi lanu likazindikira kuti mukufuna njira ina m'malo mwa shuga, limasintha mafuta kukhala ma ketones.
Miyezo ya ketone yanu ikhoza kukhala kuyambira pa zero mpaka 3 kapena kupitirira apo, ndipo imayesedwa mu millimoles pa lita imodzi (mmol/L). Pansipa pali mitundu yonse, koma kumbukirani kuti zotsatira za mayeso zimatha kusiyana, kutengera zakudya zanu, kuchuluka kwa zochita zanu, komanso nthawi yomwe mwakhala mu ketosis.

Matenda a shuga otchedwa ketoacidosis (kapena DKA) ndi matenda oopsa omwe angabwere chifukwa cha kuchuluka kwa ma ketone m'magazi. Ngati sapezeka ndi kuchiritsidwa nthawi yomweyo, ndiye kuti akhoza kukomoka kapena kufa.
Matendawa amapezeka pamene maselo a thupi sangathe kugwiritsa ntchito shuga kuti apeze mphamvu, ndipo thupi limayamba kugawa mafuta kuti apeze mphamvu m'malo mwake. Ma Ketoni amapangidwa thupi likagawa mafuta, ndipo kuchuluka kwa ma ketoni kungapangitse magazi kukhala ndi asidi wambiri. Ichi ndichifukwa chake kuyezetsa Ketoni ndikofunikira kwambiri.

Ponena za kuchuluka kwa ketosis ndi ma ketones m'thupi, kudya zakudya zoyenera ndikofunikira kwambiri. Kwa anthu ambiri, izi zikutanthauza kudya pakati pa magalamu 20-50 a chakudya patsiku. Kuchuluka kwa chakudya chilichonse (kuphatikizapo chakudya) chomwe muyenera kudya kumasiyana, kotero muyenera kugwiritsa ntchito chowerengera cha keto kapena kungolankhula ndi dokotala wanu kuti mudziwe zomwe mukufuna.

Uric acid ndi chinyalala cha thupi chomwe chimapezeka m'thupi. Chimapangidwa pamene mankhwala otchedwa purine awonongeka. Ma purine ndi chinthu chachilengedwe chomwe chimapezeka m'thupi. Amapezekanso mu zakudya zambiri monga chiwindi, nkhono, ndi mowa.
Kuchuluka kwa uric acid m'magazi pamapeto pake kudzasintha asidi kukhala makhiristo a urate, omwe amatha kudziunjikira mozungulira mafupa ndi minofu yofewa. Makhiristo a urate ofanana ndi singano ndi omwe amachititsa kutupa ndi zizindikiro zopweteka za gout.