Pofuna kupewa mtundu woyamba wa matenda ashuga, maselo omwe amapezeka m'matenda omwe amapangidwa kuti apange insulin mwa anthu omwe ali pachiwopsezo chachikulu cha matendawa ayenera kupewedwa kuti asawonongeke. Malinga ndi Canadian Diabetes Association, palibe palibe njira yothandiza komanso yotetezeka pano kupewa matendawa, ngakhale titamufunsa adakali mwana. Chifukwa chake, njira zilizonse zopewera matenda amtundu wa 1 ziyenera kuchitika mogwirizana ndi dokotala komanso nthawi zina, ngati gawo la kafukufuku woyeserera.⁴.

Kafukufuku wopitirira

• Vitamini D. Kafukufuku wowerengeka wasonyeza kuti kuwonjezera kwa vitamini D kwa ana aang'ono kumachepetsa chiopsezo chokhala ndi matenda ashuga amtundu woyamba (kuchuluka kwa tsiku lililonse kuyambira 1 IU mpaka 400 IU)¹³. Komabe, palibe mayesero azachipatala omwe abwera kutsimikizira izi.¹¹. Popeza kulibe zoopsa zomwe zimadza chifukwa chakumwa vitamini D ndi maubwino ake ambiri azaumoyo, madokotala ena amalimbikitsa izi ngati njira yodzitetezera;
• immunotherapy. Iyi ndiye njira yodalirika kwambiri, komanso yomwe asayansi akuyikapo ndalama zawo kwambiri. Immunotherapy cholinga chake ndi kulola chitetezo cha mthupi "kulekerera" maselo omwe amapezeka m'mankhwala omwe amapanga insulini. Mitundu ingapo ya immunotherapy ikuyesedwa, mwachitsanzo⁵ : katemera wopangidwa ndi ma antigen ochokera ku kapamba wa munthu woti amuthandize; Kukhazikitsa thupi maselo amthupi kuti muchotse maselo owononga ndikulola kuti pakhale maselo atsopano olekerera; ndi kuthiridwa magazi omwe amatengedwa kuchokera ku umbilical nthawi yobadwa (mwa ana aang'ono);
• Vitamini B3. Madeti mu m'galasi ndipo kuyesa kwa nyama kwathandizira lingaliro loti niacinamide (vitamini B3) itha kukhala ndi zoteteza pama cell a pancreatic beta. Ziyeso zoyambirira zamankhwala zathandizanso chiyembekezo ichi⁶. Komabe, kafukufuku wokulirapo sanapeze zotsatira zokhutiritsa. Mwachitsanzo, monga gawo la European Nicotinamide Diabetes Intervention Trial (ENDIT)⁷, Mlingo waukulu wa niacinamide kapena placebo unapatsidwa kwa anthu 552 omwe ali pachiwopsezo cha matenda ashuga amtundu wa 1 (okhudzidwa pafupi, kupezeka kwa autoantibodies motsutsana ndi kapamba ndi mayeso abwinobwino olekerera shuga). Niacinamide sinachepetse chiopsezo chokhala ndi matenda ashuga.
• Kubaya jekeseni wochepa wa insulini. Imodzi mwa njira zodzitetezera zoyeserera ndikupereka mankhwala ochepa a insulin kwa anthu omwe ali pachiwopsezo. Njirayi yawunikiridwa ngati gawo la Mayeso a Kupewa Matenda a shuga - Mtundu 1^8,9. Mankhwala a insulin analibe njira yodzitetezera kupatula pagulu lowopsa, lomwe kudwala matenda ashuga kudachedwa pang'ono.

Chimodzi mwazovuta pakufufuza ndikuwunikira anthu omwe ali pachiwopsezo chotenga matendawa. Maonekedwe a magazi a antibodies motsutsana ndi maselo a beta a kapamba (autoantibodies) ndi chimodzi mwazizindikiro zomwe amaphunzira. Ma antibodies awa amatha kupezeka zaka zingapo matendawa asanayambe. Popeza pali mitundu ingapo ya mankhwalawa, ndi funso loti mudziwe kuti ndi ati omwe angayambitse matendawa, komanso kuchuluka kwake¹⁰.

Onaninso zovuta zathu za pepala la matenda ashuga.