Much Weight Does The Average Person Lose While Taking Metformin Why Diabetics Should Check Their Vitamin B12 Levels Regularly

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Why Diabetics Should Check Their Vitamin B12 Levels Regularly

B12 dia vitaminina hafahafa manana rafitra simika miavaka. Kely dia kely ny mamokatra ny vatanao ary ny hany loharano lehibe indrindra dia avy amin’ny fihinanana proteinina biby, izany hoe hena sy trondro.

Ny vitamin B12 anefa dia tena ilaina ho an’ny sela salama sy rafi-pitatitra salama.

Fianarana navoaka tao amin’ny American Journal of Clinical Nutrition (AJCN) tamin’ny 2009 dia manondro fa manodidina ny 6% amin’ny olona 60 taona na mihoatra any Eoropa sy Amerika Avaratra no tsy ampy vitaminina B12. Asehon’ny fandinihana ihany koa fa mitombo io tsy fahampiana io rehefa mihantitra isika.

Mifanohitra amin’izany kosa ny fanadihadiana iray hafa navoaka tamin’io taona io ihany tao amin’ny Journal of the American Board of Family Medicine (JABFM) dia nahita fa ny tahan’ny tsy fahampian’ny vitamin B12 eo amin’ny diabeta any Eoropa sy Amerika Avaratra dia eo amin’ny 22% … mihoatra ny telo sy sasany heny amin’ny salan’isa ankapobeny.

Ity fanadihadiana tao amin’ny JABFM ity dia nampiseho ihany koa fa ny tsy fahampiana dia ambony indrindra amin’ireo diabeta izay nampiasa Metformin mba hifehezana ny haavon’ny glucose ao amin’ny ra.

Any amin’ny tany an-dalam-pandrosoana, araka ny fanadihadiana natao tao amin’ny AJCN, ny tsy fahampian’ny vitamin B12 dia mahazatra kokoa ary manomboka aloha kokoa amin’ny fiainana. Miharatsy izany rehefa mihantitra ny marary.

Ny fihinanana henan’omby (hena sy totohondry) no tena antony. Eny tokoa, any amin’ireo firenena izay mahazatra ny fihinanana zava-maniry, mihoatra ny roa ampahatelon’ny mponina no tsy ampy B12.

Ankoatra izany, amin’ny olon-dehibe, ny tsy fahampian-tsakafo mandritra ny fandevonan-kanina dia heverina ho antony lehibe indrindra amin’ny tsy fahampiana.

Noho izany, raha voan’ny diabeta ianao, mpihinana zava-maniry na zokiolona, ​​​​dia ilaina ny manamarina tsy tapaka ny haavon’ny vitamin B12 anao.

Ny fitsirihana ra tsotsotra dia manao ny fika. Ny haavonao dia tokony ho eo anelanelan’ny 191 sy 663 pg/mL (picogram per millilitre… a picogram dia iray arivo tapitrisa ny litatra).

Izany dia mandrefy ny habetsahan’ny vitaminina B12 ao amin’ny lalan-drànao, izany hoe ny habetsahan’ny vatanao aorian’ny fandevonan-kanina.

Nahoana no ilaina ny vitaminina B12

Misy antony roa maha-zava-dehibe ny vitamin B12:

[1] Tena ilaina izy io satria ilaina ny manampy folate amin’ny fanaovana ADN (asidra deoxyribonucleique) sy RNA (asidra ribonucleique), izay mitondra sy mampita ny vaovao momba ny fototarazo amin’ny sela velona rehetra.

Ny fampahalalana momba ny génétique dia milaza ny fomba fiasan’ny sela. Ity fampahalalana ity dia tsy maintsy ampitaina amin’ny sela vaovao isaky ny mizara ny sela.

[2] Vitamin B12 koa dia manana anjara asa amin’ny famokarana myelin, izay mandrakotra sy miaro ny fibra nerve. Raha tsy ampy ny B12 dia tsy miforona araka ny tokony ho izy na mijanona ho salama ny fonon’ny myelin.

Mijaly àry ny fifindran’ny nerve. Amin’ny farany dia lasa tsy azo averina intsony ny fahasimban’ny nerve.

Ny fomba ahazoan’ny vatanao sy ny fampiasanao vitamina B12

B12… aka cyanocobalamin na cobalamin… dia miavaka amin’ny vitamina.

Io vitamina io dia levona anaty rano ary manana rafitra simika sarotra kokoa noho ny vitamina hafa rehetra, anisan’izany ny an’ny komplex B. Ary io no hany vitamina misy singa tsy organika (kobalta) ho anisan’ny mahaforona azy.

Ny bakteria sy ny zavamiaina bitika ihany no afaka mamorona vitaminina B12.

Ny bakteria ao amin’ny tsinainy dia mamokatra vitaminina B12, saingy ambany lavitra noho ny habetsahanao ilainao isan’andro. Noho izany, ny hany fomba hahazoana B12 dia ny fihinanana ny sakafo misy azy na ny fihinanana fanampin-tsakafo.

Ny bakteria koa dia miasa amin’ny biby mamorona vitaminina B12. Noho izany dia hita amin’ny sakafo isan-karazany vita amin’ny biby izy io.

Ny sakafo avy amin’ny zavamaniry dia tsy misy vitaminina B12 raha tsy nohamafisina. Na izany aza, ny vitamin B12 dia ampiana amin’ny sakafo voahodina sasany.

Ireto ny loharanon-tsakafon’ny vitamin B12:

  • Aty omby sy clams… loharanon’ny B12 betsaka indrindra

  • Ny trondro, ny hena, ny akoho amam-borona, ny atody, ny ronono, ary ny vokatra azo avy amin’ny ronono… loharano tsara amin’ny B12

  • Ny vokatra tsaramaso fermenté, toy ny tempeh… loharano kely kokoa amin’ny B12

  • Ny voamaina sakafo maraina sasany, leviora mahavelona sns izay nohamafisina tamin’ny B12.

Saingy ny fihinanana vitaminina B12 ampy dia tsy ampy hahasalama anao. Mila mahay mampiasa azy koa ny vatanao.

Dingana roa ny fandraisana ny vitamin B12 avy amin’ny sakafo hohaninao.

Voalohany, ny asidra vavoninao dia tsy maintsy manasaraka ny B12 amin’ny proteinina izay miraikitra amin’ny sakafo atelinao.

Avy eo dia tsy maintsy mitambatra ny B12 anton-javatra anatinyproteinina hafa namboarin’ny vavony, mba hidirana ao amin’ny vatanao.

Raha tsy afaka mamokatra anton-javatra anatiny ny vatanao, dia tsy ho afaka handray vitaminina B12 ianao ary hiafara amin’ny anemia mampidi-doza (tsy fahampian’ny sela mena salama). Raha mitranga izany, ny hany vahaolana ho anao dia ny fampidirana tsindrona B12 tsy tapaka.

Ohatrinona ny vitamin B12 ilainao?

Ny habetsahan’ny vitamina B12 atolotra anao dia 2.4 micrograms (mcg) isan’andro ho an’ny olon-dehibe, 2.6mcg isan’andro ho an’ny vehivavy bevohoka, ary 2.8mcg ho an’ny vehivavy mampinono.

Ny sakafo amerikana sy Eoropeana mahazatra dia manome 7 ka hatramin’ny 30mcg B12, mihoatra ny zavatra takinao isan’andro.

Ankoatr’izay, ny salan’isan’ny olona misakafo tsara dia afaka mitahiry famatsiana B12 ao amin’ny atiny (tsy toy ny vitamina hafa) izay mety haharitra dimy taona na mihoatra.

Fa raha vegan ianao (tsy mihinana atody na misotro ronono) na diabetika manaraka ny sakafo. Sakafo ho an’ny diabeta… izay manilika ny atody sy ny vokatra vita amin’ny ronono ary manamaivana ny fihinanana hena… mila fanampin-tsakafo isan’andro ianao mba hahazoana antoka fa ampy ny sakafonao.

Ny fanafody sasany dia mety hanelingelina ny fahafahan’ny vatanao mandray na mampiasa vitamin B12:

  • Chloramphenicol (Chloromycetin®), antibiotika ampiasaina hitsaboana aretina sasany

  • Inhibitor paompy proton, toy ny omeprazole (Prilosec®) sy lansoprazole (Prevacid®), ampiasaina amin’ny fitsaboana ny reflux asidra sy ny fery peptic

  • Histamine H2 receptor antagonists, toy ny cimetidine (Tagamet®), famotidine (Pepcid®), ary ranitidine (Zantac®), ampiasaina amin’ny fitsaboana ny fery peptic

  • Metformin, ampiasaina hitsaboana diabeta karazany 2

Ny vokatry ny tsy fahampian’ny vitamin B12

Rehefa kely ny famatsiana vitaminina B12 ao amin’ny vatana, dia mihena ny famokarana sela mena, satria mihamalalaka ny ADN sy ARN. Izany dia miteraka anemia. Mihena ihany koa ny famokarana ireo sela manamorona ny tsinay.

Ny tsy fahampian’ny vitamin B12 dia mety hanimba ny rafi-pitatitrao koa. Raha mitohy ny tsy fahampiana mandritra ny fotoana maharitra, dia mety ho lasa tsy azo ovaina intsony ny fahasimbana amin’ny nerve.

Ny soritr’aretin’ny tsy fahampian’ny vitamin B12

Raha ambany kely amin’ny B12 ianao dia mety tsy hisy soritr’aretina mihitsy.

Ny soritr’aretin’ny tsy fahampian-tsakafo kely amin’ny vitamin B12 dia ahitana … reraka … fahalemena … tsy fahampian-tsakafo … fihenan’ny lanjany … fitohanana. Ireo soritr’aretina ireo dia mety ho vokatry ny toe-pahasalamana hafa ary tsy mora ny mamantatra ny olana fototra.

Ny haavon’ny B12 ambany dia mety miteraka fahasarotana lehibe, toy ny:

  • anemia mampidi-doza

  • paresthesia

  • neuropathie

Anemia mampidi-doza midika fa tsy ampy ny liomena salama. Mampihena ny oksizenina ny selao izany.

Araka ny fanadihadiana natao tao amin’ny Journal of Oral Pathology Medicine latsaky ny 20 isan-jaton’ny olona manana tsy fahampian’ny B12 dia miaina tsy fahampian’ny anemia.

Ny soritr’aretin’ny anemia dia ahitana… havizanana… hoditra hatsatra… fanaintainan’ny tratra… fanina… aretin’andoha… fahaverezan’ny tsiro… fahaverezan’ny fofona… fitepon’ny fo haingana na tsy ara-dalàna. … sempotra.

Paresthesia dia fahatsapana may na mangidihidy amin’ny hoditra, matetika eo amin’ny sandry, tanana, tongotra ary tongotra. Ny olona sasany dia mahatsapa ho fanina, mangozohozo, na mamontsina.

Ny neuropathie na ny fahasimban’ny nerve dia mety vokatry ny tsy fahampian’ny B12 maharitra. Ny soritr’aretina dia mitovy amin’ny neuropathie diabetika (ateraky ny fiakaran’ny glucose amin’ny rà mandritra ny fotoana maharitra) ary misy fanaintainana, fanina ary fahalemena amin’ny tongotra sy tanana (antsoina hoe neuropathie periferika).

Ny tsy fahampian’ny B12 mahery vaika dia mety hiteraka fahaverezan’ny fivezivezena, fahasarotana amin’ny fandehanana, fahaverezan’ny fitadidiana, fahadisoam-panantenana ary fahaketrahana. Mety hitarika ho amin’ny dementia mihitsy aza izany.

Fitsaboana ny tsy fahampian’ny B12

Ny fitsaboana amin’ny tsy fahampian-tsakafo dia ny fihinanana vitaminina B12 fanampiny amin’ny endrika:

  • takela-bato atelina… na ao anatin’ny takelaka B12 be vitaminina na mitokana

  • takelaka sublingual izay levona ambanin`ny lela

  • nasal gels

  • tsindrona

Ny tsy fahampian’ny vitamin B12 matetika dia vokatry ny tsy fahafahan’ny vatanao mitroka azy… fa tsy ny tsy fahampian’ny B12 amin’ny sakafonao.

Midika izany fa ny olona izay tsy ampy B12 dia tsy maintsy mihinana fatra fanampiny. Mba hiantohana ny fisondrotana dia mila maka mihoatra lavitra noho izay tena ilainy izy ireo.

Tsy olana izany satria tsy misy tatitra fa ny vitamin B12 dia miteraka poizina na voka-dratsy na dia be dia be aza. Raha ny marina dia matetika izy io no ampiasaina ho plasebo satria tsy misy poizina.

Raha ny marina, ny 1,000 mcg B12 isan’andro dia tolo-kevitra mahazatra, indraindray manomboka amin’ny 2,000 mcg isan’andro mandritra ny volana voalohany. Ireo vola be ireo, avo zato heny amin’ny vola atolotra isan’andro, dia miantoka fa ny sasany amin’izy ireo dia voaroaka, na dia tsy misy anton-javatra anatiny aza.

Izany dia voaporofo tamin’ny fanadihadiana ara-pitsaboana izay mampiseho fa be dia be ny vitaminina B12 mavitrika azo raisina, na dia tsy afaka mamorona anton-javatra anatiny aza ny vatanao.

Ohatra, ny methylcobalamin, endrika iray amin’ny vitamin B12, dia azo raisina rehefa omena amin’ny fatrany lehibe.

Ny hevitra voaray dia heverina fa ny fitantanana sublingual ny B12 dia heverina ho mandingana ny olana amin’ny absorption mifandraika amin’ny anton-javatra anatiny satria mamela ny vitamina hiditra mivantana ao amin’ny plexus venous …

Saingy tsy misy porofo fa ny B12 amin’ny famelana ny takelaka iray ho levona eo ambanin’ny lela dia tsara kokoa noho ny mitelina.

Tsy voaporofo ihany koa ny fahombiazan’ny gel nasal.

Ny tsy fahampian-tsakafo manimba dia matetika tsaboina amin’ny tsindrona 50 na 100 mcg vitaminina B12 in-telo isan-kerinandro. Rehefa miditra mivantana ao amin’ny ranao ireo, dia miala amin’ny filàna anton-javatra anatiny. Ireo tsindrona ireo dia mety mila mitohy mandritra ny androm-piainana.

Ny take-away

Mila miantoka ianao fa mihinana vitaminina B12 ampy ianao ary afaka mampiasa izany amin’ny fomba mahomby ny vatanao:

  • Vitamin B12 dia tena ilaina ho an’ny sela salama sy ny rafi-pitatitra salama.

  • Raha ampitahaina amin’ny tsy diabeta, ny diabeta dia avo telo na efatra heny noho ny tsy fahampian’ny B12.

  • Ny diabeta sy ny vegan dia tokony hojerena tsy tapaka ny haavon’ny B12.

  • Tena ilaina ny B12 satria ilaina ny manao: ADN sy ARN ho an’ny sela vaovao isaky ny mizara ny sela… myelin mba hiarovana ny fibra nerve.

  • Vitsy dia kely ny B12 ny vatanao… Ny sakafo avy amin’ny biby no loharanon-tsakafonao.

  • Raha te ho variana, ny B12 dia tsy maintsy mitambatra amin’ny anton-javatra intrinsic, proteinina vita ao an-kibonao.

  • Raha tsy afaka mamokatra anton-javatra anatiny ny vatanao, dia tsy ho afaka hampiasa ny B12 laninao ianao.

  • Raha Eoropeana na Amerikana ianao dia mety mahazo B12 betsaka, raha tsy hoe: vegan… diabetika ary mihinana Metformin… manaraka ny Kapoka-Diabeta sakafo… mihinana fanafody manelingelina ny fahafahan’ny vatanao mitroka na mampiasa B12

  • Ny fatran’ny B12 ambany dia ambany dia mety miteraka … anemia mampidi-doza (tsy ampy ny sela mena salama) … paresthesia (hoditra may na mangidihidy) … neuropathie (fahasimban’ny nerve izay mitovy amin’ny neuropathie diabetika) … fihetsehana, fahaverezan’ny fahatsiarovana, dementia sns

  • Ny fitsaboana dia ny fihinanana B12 ho fanampin’ny fatra be dia be mba hahazoana antoka fa ny sasany amin’izy ireo dia mitroka … azonao atao … tablety atelina … tablety sublingual izay levona ao ambanin’ny hoditra … gel nasal. .. tsindrona

  • Ny B12 dia tsy misy poizina ary tsy azo atao be loatra

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