Qhov sib txawv tseem ceeb ntawm A1c thiab qabzib yog A1c yog feem pua ntawm glycated hemoglobin (hemoglobin uas khi nrog cov piam thaj) hauv cov ntshav, thaum kuaj ntshav qabzib yog kuaj ntshav qab zib sai uas ua los ntawm glucometer.
Muaj cov piam thaj hauv cov zis yog qhov qhia txog ntshav qab zib. Kev ntsuas ntshav qab zib tuaj yeem qhia koj seb koj puas muaj ntshav qab zib hom 2 lossis ntshav qab zib hom 2. Prediabetes yog thawj theem ntawm ntshav qab zib hom 2. Ob leeg prediabetes thiab hom 2 mob ntshav qab zib muaj kev pheej hmoo thiab tuaj yeem ua rau cov kab mob plawv thiab. Hauv ob qho tib si, cov ntshav qab zib ntau dua li cov ntshav qab zib ib txwm muaj. Muaj ntau qhov kev ntsuam xyuas peb tuaj yeem dhau los txhawm rau txiav txim siab ntshav qab zib. Kev kuaj ntshav A1c thiab ntshav qabzib yog ob qhov kev sim ntawm lawv.
A1C yog dab tsi?
A1c, tseem hu ua hemoglobin A1c test, HbA1c test lossis glycosylated hemoglobin test, yog ib qho kev ntsuas ntawm feem pua ntawm cov ntshav qabzib uas txuas nrog hemoglobin hauv cov qe ntshav liab. Ntxiv mus, qhov kev xeem A1c qhia txog cov ntshav qab zib nruab nrab hauv 2-3 lub hlis dhau los. Feem ntau, kev kuaj A1c yog siv los kuaj mob ntshav qab zib hom 2 thiab ntshav qab zib hom 2. Tab sis, qhov kev sim no tsis tas yuav yoo mov ua ntej qhov kev sim. Nws tuaj yeem muab tau txhua lub sijhawm raws li ib feem ntawm kev kuaj ntshav tag nrho. Txawm li cas los xij, cov ntsuas ntshav qab zib tsis tuaj yeem siv rau kev kuaj A1c. Kev ntsuas A1c yog ib txoj hauv kev los ntsuas cov piam thaj ntev ntev. Cov neeg mob ntshav qab zib yuav tsum sim ua kom qib A1c qis dua 7%.
Daim duab 01: A1c Test
Yog tias qhov txiaj ntsig ntawm kev xeem A1c nyob nruab nrab ntawm 5.7% - 6.4%, nws qhia tias koj muaj ntshav qab zib. Yog tias nws siab tshaj 6.5, nws qhia tau hais tias yuav muaj ntshav qab zib hom 2. Hauv cov neeg noj qab haus huv tsis muaj ntshav qab zib, A1c muab cov txiaj ntsig ntawm 4% -5%.
Glucose yog dab tsi?
ntshav qabzib yog ib qho kev ntsuas uas ntsuas qhov concentration ntawm cov piam thaj hauv cov hlab ntsha. Glucose tuaj yeem ntsuas hauv ntshav, ntshav lossis tag nrho cov ntshav. Tab sis, qhov pom zoo tshaj plaws yog ntshav plasma rau kev kuaj ntshav qabzib vim qhov xwm txheej ntawm cov qauv feem ntau cuam tshuam cov piam thaj hauv cov ntshav. Tsis tas li ntawd, qee yam xws li tshuaj, kev ntxhov siab, venous stasis, posture, thiab coj tus qauv tuaj yeem cuam tshuam cov piam thaj hauv cov ntshav.
Kev kuaj ntshav qabzib yog ua los ntawm kev kos tus qauv tom qab ib hmos ceev. Tom qab ntawd cov piam thaj hauv plasma yog ntsuas nrog glucometer. Tom qab ntxuav ib sab ntawm ib tug ntiv tes siv ib tug cawv swab, nws yog tsim nyog los ua ib tug me me txiav nrog ib tug sterilized scalpel. Tom qab ntawd ib lub tee ntshav yog nyem rau ntawm qhov kuaj kab mob, thiab lub strip yog muab tso rau hauv lub monitor. Cov ntshav qab zib ntsuas ntsuas peb cov piam thaj hauv ob peb vib nas this thiab muab kev nyeem hauv milligrams qabzib ib deciliter ntawm cov ntshav (mg / dL). Yog li ntawd, nws yog ib tug automated txoj kev uas yog pheej yig, yooj yim thiab ceev. Ntxiv mus, qhov kev sim no muaj nyob rau hauv ntau lub chaw soj nstuam thoob ntiaj teb. Cov neeg mob ntshav qab zib yuav tau txais lawv cov kev nyeem ntawv siab dua 125+ mg / dL. Thaum ib tug neeg muaj ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj ntshav qabzib tas li thiab ua raws li txoj kev kho mob kom raug rau ntshav qab zib.
Daim duab 02: Ntshav Qab Zib
Ntxiv nrog rau kev kuaj ntshav qabzib yoo mov, muaj ob peb lwm yam kev kuaj ntshav tsis yoo mov thiab. Random plasma glucose (RPG) thiab Oral glucose tolerance test (OGTT) yog ob qhov kev sim tsis yoo mov.
Dab tsi zoo sib xws ntawm A1C thiab Glucose?
- A1c thiab ntshav qabzib yog ob qhov kev kuaj uas kws kho mob siv los kuaj thiab paub meej tias ntshav qab zib.
- Kev kuaj A1c thiab piam thaj tsis tu ncua qhia seb tus neeg kho mob puas ua haujlwm zoo lossis xav tau qee qhov kev hloov kho.
- Tsis tas li ntawd, kev tswj hwm A1c thiab qabzib yog qhov tseem ceeb tshaj plaws txhawm rau tiv thaiv kev mob ntshav qab zib, xws li kab mob plawv.
Qhov txawv ntawm A1C thiab Glucose yog dab tsi?
Hemoglobin A1c kuaj ntsuas qhov feem pua ntawm cov piam thaj khi rau cov qe ntshav liab hauv cov ntshav, thaum kuaj ntshav qabzib ntsuas cov milligrams ntawm cov piam thaj ib deciliter ntawm cov ntshav. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm A1c thiab qabzib. Cov ntsuas ntshav qab zib tsis tuaj yeem kuaj hemoglobin A1c, tab sis lawv tuaj yeem kuaj ntshav qabzib.
Ntxiv mus, kev kuaj ntshav qabzib yuav tsum yoo mov ua ntej kuaj, thaum qhov kev xeem A1c tsis tas yuav yoo mov ua ntej kuaj. Yog li, qhov no yog lwm qhov sib txawv ntawm A1c thiab qabzib. Hauv kev kuaj A1c, nws yuav tsum tau nqa qee cov ntshav thiab xa mus rau chav kuaj ntsuas. Tab sis, hauv kev kuaj ntshav qabzib, nws yog ib qho tsim nyog yuav tsum nyem ib tee ntshav mus rau qhov ntsuas kab mob thiab muab lub sawb tso rau hauv lub monitor. Tsis tas li ntawd, A1c ntsuas qhov feem pua thaum kuaj ntshav qab zib ntsuas cov ntshav qab zib hauv mg / dL.
Hauv qab infographic qhia qhov txawv ntawm A1c thiab qabzib.
Summary – A1C vs Glucose
A1c thiab qabzib yog ob qhov kev sim uas yuav pab kws kho mob kuaj ntshav qab zib hauv tus neeg mob. A1c ntsuas cov piam thaj uas khi rau hemoglobin hauv cov qe ntshav liab. Glucose test ntsuas cov piam thaj concentration hauv milligrams qabzib ib deciliter ntawm cov ntshav. Qhov tseem ceeb, qhov kev xeem A1c tsis tas yuav tsum yoo mov, tab sis kev kuaj ntshav qabzib yuav tsum tau yoo mov ib hmos. Ntxiv mus, glucometer yog siv los ntsuas cov ntshav qabzib, thaum glucometer tsis tuaj yeem qhia koj A1c. HbA1c yog qhov ntsuas tseem ceeb siv los tswj ntshav qab zib vim nws ntsuas seb lub cev tswj cov ntshav qab zib li cas, feem ntau yog 2-3 lub hlis dhau los. Txawm li cas los xij, cov kws kho mob siv ob txoj hauv kev los kuaj thiab paub meej tias ntshav qab zib. Yog li, qhov no xaus qhov kev sib tham ntawm qhov sib txawv ntawm A1c thiab qabzib.
