Please don’t be misled by false claims. Managing diabetes is far from being as simple as ABC, as some supplement sellers might suggest. It involves constant ups and downs. Diabetes management encompasses more than just controlling blood sugar levels, there are other crucial factors to consider.
In this article, we want to emphasize the importance of taking care of your ABC – where A stands for HbA1c, B for blood pressure, and C for cholesterol – in order to manage your blood sugar effectively.
A – HbA1c
Most people with diabetes are familiar with regularly checking their blood sugar by pricking their fingers and using a blood glucose meter. However, this method only provides information on short-term blood sugar readings.
HbA1c, or glycated haemoglobin, is a blood test that measures the average amount of sugar(glucose) in your blood over the past 3 months. It provides important information about how well your body is managing blood sugar levels.
HbA1c is typically expressed as a percentage. For example, a score of 7% means that, on average, about 7% of your haemoglobin has glucose attached to it. The target HbA1c level for people with diabetes varies depending on individual factors, but in general, a lower HbA1c indicates better blood sugar control and reduced risk of diabetes-related complications.
According to the Malaysia Ministry of Health’s Diabetes guideline, keeping HbA1c level below 7% is a general goal for most people with diabetes.
B – Blood pressure
Many individuals with diabetes also experience high blood pressure, often known as “hypertensive diabetes”. Managing blood pressure is important for people with diabetes because high blood pressure can significantly increase the risk of various complications and health problems.
High blood pressure can exacerbate diabetes-related nerve damage(neuropathy), leading to various issues such as numbness, tingling, pain and impaired coordination. Moreover, both diabetes and high blood pressure are leading causes of chronic kidney disease. When both conditions are present, they can accelerate the progression of kidney damage.
Additionally, other health conditions like cardiovascular health, eye health, and wound healing can also be affected by the combination of diabetes and high blood pressure.
According to the Malaysia Clinical Practice Guideline for Diabetes, it is ideal to maintain blood pressure within the range of 130-139/70-79 mmHg (130-139 for systolic and 70-79 for diastolic pressure).
C – Cholesterol
Another lesser-known fact is the close relationship between blood glucose and cholesterol levels. Elevated blood sugar levels in diabetes can contribute to changes in cholesterol levels. High blood sugar levels promote the formation of advanced glycation end products (AGEs), which damage blood vessels and contribute to inflammation. Consequently, this process can lead to an increase in LDL cholesterol levels (often referred to as “bad cholesterol” level) and a decrease in HDL cholesterol level.
Moreover, diabetes can also impact triglyceride levels. Triglycerides are a type of fat found in the blood, and elevated levels are often associated with insulin resistance, a hallmark of diabetes. High triglyceride levels, combined with low HDL cholesterol levels, can contribute to an increased risk of cardiovascular disease.
The target lipid profile, as outlined in the Malaysia Diabetes Guideline, is as follows:
Effectively managing your diabetes requires taking care of your “ABC” – HbA1c, blood pressure and cholesterol. These factors play a crucial role in maintaining optimal blood sugar control and reducing the risk of complications. Remember, knowledge alone is not enough, taking action is essential.
Diet Ideas offers comprehensive services, including full blood tests and nutrition consultations tailored specifically for people with diabetes.
You are welcome to contact us if you wish to get further information!
Tafadhali usidanganywe na madai ya uwongo. Kuondoa ugonjwa wa kisukari ni rahisi kama vile baadhi ya wauzaji wa virutubisho wanaweza kupendekeza. Inatia ndani mabadiliko ya daima. Usimamizi wa kisukari ni zaidi ya kudhibiti kiwango cha sukari ya damu, kuna mambo mengine muhimu ya kuzingatia. Katika makala hii, tunataka kusisitiza umuhimu wa kutunza ABC yako - ambapo A inasimama kwa HbA1c, B kwa shinikizo la damu, na C kwa cholesterol - ili kusimamia sukari yako ya damu kwa ufanisi. HbA1c: Watu wengi wenye ugonjwa wa kisukari wanajua jinsi ya kupima sukari ya damu kwa kutumia kipima-sugu. Hata hivyo, njia hii hutoa habari tu juu ya masomo ya muda mfupi ya sukari ya damu. HbA1c (glycated hemoglobin) ni kipimo cha damu ambacho kinapima kiwango cha sukari katika damu yako katika miezi mitatu iliyopita. Inatoa habari muhimu kuhusu jinsi mwili wako unavyoweza kusimamia viwango vya sukari ya damu. HbA1c huonyeshwa kama asilimia. Kwa mfano, alama ya 7% inamaanisha kwamba, kwa wastani, karibu 7% ya hemoglobini yako ina glukosi iliyounganishwa nayo. Kiwango cha lengo cha HbA1c kwa watu wenye kisukari hutofautiana kulingana na sababu za mtu binafsi, lakini kwa ujumla, kiwango cha chini cha HbA1c inaonyesha udhibiti bora wa sukari ya damu na kupunguza hatari ya matatizo yanayohusiana na kisukari. Kwa mujibu wa Mwongozo wa Ugonjwa wa Kisukari wa Wizara ya Afya ya Malaysia, kuweka kiwango cha HbA1c chini ya 7% ni lengo la jumla kwa watu wengi wenye ugonjwa wa kisukari. B <unk> Shinikizo la damu Watu wengi wenye ugonjwa wa kisukari pia hupata shinikizo la damu la juu, ambalo mara nyingi huitwa <unk> ugonjwa wa kisukari wenye shinikizo la damu. Kudhibiti shinikizo la damu ni muhimu kwa watu wenye ugonjwa wa kisukari kwa sababu shinikizo la damu la juu linaweza kuongeza hatari ya matatizo mbalimbali na matatizo ya afya. Shinikizo la damu la juu linaweza kuharibu neva zinazohusiana na ugonjwa wa kisukari (neuropathy), na kusababisha matatizo mbalimbali kama vile kuzimia, kuchachua, maumivu na udhaifu wa uratibu. Isitoshe, ugonjwa wa kisukari na shinikizo la damu la juu ndizo zisizo za kawaida husababisha magonjwa ya figo. Hali zote mbili zinapokuwapo, zinaweza kuharakisha maendeleo ya uharibifu wa figo. Kwa kuongezea, hali nyingine za afya kama vile afya ya moyo, afya ya macho, na uponyaji wa jeraha pia zinaweza kuathiriwa na mchanganyiko wa kisukari na shinikizo la damu la juu. Kwa mujibu wa Miongozo ya Matibabu ya Malaysia kwa Kisukari, ni bora kudumisha shinikizo la damu ndani ya 130-139-70-79 mmHg (130-139 kwa shinikizo la systolic na 70-79 kwa shinikizo la diastolic). C <unk> Cholesterol Jambo jingine lisilojulikana sana ni uhusiano wa karibu kati ya kiwango cha sukari na cholesterol katika damu. Kiwango cha sukari ya damu kilichoinuka katika ugonjwa wa kisukari chaweza kuchangia mabadiliko katika viwango vya kolesteroli. Kiwango cha juu cha sukari ya damu huendeleza malezi ya bidhaa za mwisho za glycation (AGE), ambazo huumiza mishipa ya damu na kuchangia uvimbe. Kwa hiyo, mchakato huu unaweza kusababisha ongezeko la viwango vya LDL cholesterol (mara nyingi huitwa kiwango cha <unk> cholesterol mbaya<unk>) na kupungua kwa kiwango cha HDL cholesterol. Isitoshe, ugonjwa wa kisukari waweza pia kuathiri viwango vya triglyceride. Triglycerides ni aina ya mafuta yanayopatikana katika damu, na viwango vya juu mara nyingi huhusianishwa na upinzani wa insulini, sifa ya ugonjwa wa kisukari. Viwango vya juu vya triglyceride, pamoja na viwango vya chini vya HDL cholesterol, vinaweza kuchangia kuongezeka kwa hatari ya ugonjwa wa moyo na mishipa. "Kama ilivyoelezwa katika Mwongozo wa Kisukari wa Malaysia, ""Usimamizi mzuri wa kisukari unahitaji kutunza <unk>ABC<unk> <unk> HbA1c, shinikizo la damu na kolesteroli." Mambo hayo huchangia sana kudhibiti sukari ya damu na kupunguza hatari ya matatizo. Kumbuka, ujuzi peke yake hautoshi, kuchukua hatua ni muhimu. Idadi ya huduma za afya za Dieters ni pamoja na uchunguzi wa damu na ushauri wa lishe maalum kwa wagonjwa wa kisukari. Wewe ni kukaribishwa kuwasiliana nasi kama unataka kupata habari zaidi!