HYPOGLYCEMIA

Hypoglycemiashine babban abin iyakancewa a cikin sarrafa glycemic na nau'in ciwon sukari na 1.Hypoglycemia ya kasu kashi uku:
• Mataki na 1 yayi daidai da ƙimar glucose ƙasa da 3.9 mmol/L (70 mg/dL) kuma sama da ko daidai da 3.0 mmol/L (54 mg/dL) kuma ana kiranta azaman ƙimar faɗakarwa.
• Mataki na 2 donglucose na jiniAdadin da ke ƙasa da 3.0 mmol/L (54 mg/dL) kuma ana la'akari da mahimman hypoglycemia na asibiti.
• Mataki na 3 yana bayyana duk wani hypoglycemia da ke tattare da canjin yanayin tunani da/ko matsayin jiki wanda ke buƙatar sa hannun wani ɓangare na uku don murmurewa.
Ko da yake waɗannan an samo asali ne don bayar da rahoton gwaji na asibiti, ginin asibiti masu amfani ne.Ya kamata a ba da kulawa ta musamman don hana matakin 2 da 3 hypoglycemia.
Matsayi na 1 hypoglycemia ya zama ruwan dare, tare da yawancin mutanen da ke da nau'in ciwon sukari na 1 suna fuskantar lokuta da yawa a mako.Hypoglycemia tare da matakan glucose da ke ƙasa da 3.0 mmol/L (54 mg/dL) yana faruwa sau da yawa fiye da yadda ake godiya a baya.Matsayi na 3 hypoglycemia ba shi da yawa amma ya faru a cikin 12% na manya masu nau'in ciwon sukari na 1 a cikin watanni 6 a cikin binciken binciken duniya na kwanan nan.Yawancin karatu sun nuna cewa ƙimar hypoglycemia ba ta ragu ba, har ma tare da ƙarin yaduwar amfani da analogs na insulin da CGM, yayin da wasu nazarin sun nuna fa'ida tare da waɗannan ci gaban warkewa.

Haɗari don hypoglycemia, musamman matakin 3 hypoglycemia, sun haɗa da tsawon lokacin ciwon sukari, tsufa, tarihin matakin kwanan nan na 3 hypoglycemia, shan barasa, motsa jiki, ƙananan matakan ilimi, ƙananan kuɗin gida, cututtukan koda, da IAH.Yanayin Endocrine, irin su hypothyroidism, adrenal da raunin hormone girma, da cutar celiac na iya haifar da hypoglycemia.Tsofaffin bayanan ciwon sukari sun yi rubuce-rubuce akai-akai cewa mutanen da ke da ƙananan matakan HbA 1c suna da adadin 2-3 mafi girma na matakin 3 hypoglycemia.Koyaya, a cikin nau'in 1Ciwon sukariRijista na asibitin musayar, haɗarin matakin 3 hypoglycemia ya karu ba kawai a cikin waɗanda HbA 1c ke ƙasa da 7.0% (53 mmol/mol), har ma a cikin mutanen da ke da HbA 1c sama da 7.5% (58 mmol/mol).
Yana yiwuwa rashin dangantaka tsakanin HbA 1c da matakin 3 hypoglycemia a cikin saitunan duniya na ainihi an bayyana shi ta hanyar shakatawa na maƙasudin glycemic ta waɗanda ke da tarihin hypoglycemia, ko masu rikicewa, kamar rashin isassun halayen sarrafa kai wanda ke ba da gudummawa ga duka biyu.hyper- da hypoglycemic-cemia.Binciken na biyu na gwajin IN CONTROL, inda bincike na farko ya nuna raguwa a matakin 3 hypoglycemia a cikin mutanen da ke amfani da CGM, ya nuna karuwa a matakin 3 hypoglycemia tare da ƙananan HbA 1c, kamar abin da aka ruwaito a cikin DCCT.Wannan yana nuna cewa ragewar HbA 1c na iya zuwa tare da babban haɗarin matakin 3 hypoglycemia.
Mutuwa dagahypoglycemiaa cikin nau'in ciwon sukari na 1 ba ƙaramin abu bane.Wani gwaji na baya-bayan nan ya lura fiye da kashi 8% na mutuwar waɗanda ke ƙasa da shekaru 56 sun kasance daga hypoglycemia.Hanya don wannan yana da rikitarwa, ciki har da arrhythmias na zuciya, kunnawa duka tsarin coagulation da kumburi, da rashin aiki na endothelial.Abin da ba za a iya gane shi da kyau ba shi ne cewa matakin 3 hypoglycemia yana da alaƙa da manyan abubuwan da ke faruwa na microvascular, cututtukan da ba na zuciya ba, da mutuwa daga kowane dalili, kodayake yawancin wannan shaida an samo shi daga mutanen da ke da nau'in ciwon sukari na 2.Game da aikin fahimi, a cikin binciken DCCT da EDIC, bayan shekaru 18 na biyo baya, hypoglycemia mai tsanani a cikin tsofaffi masu tsufa bai bayyana ya shafi aikin neu-rocognitive ba.Duk da haka, ba tare da wasu abubuwan haɗari da haɗari ba, ƙarin abubuwan da suka faru na hypoglycemia mai tsanani sun haɗu da raguwa mafi girma a cikin psychomotor da ƙwarewar tunani waɗanda suka fi sani bayan shekaru 32 na biyo baya.Ya bayyana cewa tsofaffi masu fama da ciwon sukari na 1 sun fi dacewa da raunin hankali mai laushi da ke hade da hypoglycemia, yayin da hypoglycemia ya fi faruwa akai-akai a cikin waɗanda ke da rashin fahimta.Bayanan CGM ba su samuwa a cikin zamanin DCCT kuma don haka ba a san ainihin girman hypoglycemia mai tsanani na tsawon lokaci ba.
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