Diabete yo mu bwoko bwa 1 ni iki? Ibimenyetso, Impamvu, n’Uko Ivurwa

Diabete yo mu bwoko bwa 1 ni uburwayi aho umubiri wawe uhagarika gukora insuline, hormone ifasha uturemangingo twawe gukoresha isukari kugira ngo ugire imbaraga. Bitandukanye na diabete yo mu bwoko bwa 2, ibi ntabwo ari ibyo ubonamo bitewe n’imibereho yawe. Ni uburwayi bw’umubiri ubwe butera kwangiza uturemangingo, busanzwe buhita kugaragara mu bwana cyangwa mu gihe cy’ubwangavu, nubwo bishobora kubaho igihe icyo ari cyo cyose.

Tekereza kuri insuline nk’urufunguzo rufungura uturemangingo twawe kugira ngo isukari inyure ibone imbaraga umubiri wawe. Iyo idahari, isukari irakusanyiriza mu maraso mu gihe uturemangingo twawe tutaba tubona imbaraga. Ibi bituma habaho ibimenyetso n’ibibazo by’ubuzima bivuka muri diabete yo mu bwoko bwa 1.

Diabete yo mu bwoko bwa 1 ni iki?

Diabete yo mu bwoko bwa 1 ibaho iyo ubudahangarwa bwawe bwibeshya bugatangaza uturemangingo dukorera mu mpyiko zikora insuline. Impyiko yawe ni umwanya muto uri inyuma y’igifu cyawe usanzwe ukora iyi hormone ikomeye umunsi wose.

Iki gitero cy’ubudahangarwa bw’umubiri cyangiza utwo turemangingo dukora insuline, twitwa beta cells, buhoro buhoro. Iyo hamaze kwangirika ubwinshi bwa byo, umubiri wawe ntushobora kongera gukora insuline ukeneye kugira ngo ushobore gutunganya isukari neza.

Ubu burwayi bwari busanzwe bwitwa diabete y’abana kuko busanzwe buhita kugaragara mu bana n’abangavu. Ariko kandi, hafi 20% by’abantu barwaye diabete yo mu bwoko bwa 1 babimenya bamaze gukura, rimwe na rimwe bagera no ku myaka 40, 50, cyangwa arenga.

Diabete yo mu bwoko bwa 1 itandukanye cyane na diabete yo mu bwoko bwa 2. Mu gihe diabete yo mu bwoko bwa 2 itera buhoro buhoro kandi ikunze kuba ifitanye isano n’imibereho, diabete yo mu bwoko bwa 1 iza vuba kandi ntabwo irashobora kwirindwa binyuze mu guhindura imirire cyangwa imyitozo.

Ibimenyetso bya Diabete yo mu bwoko bwa 1 ni ibihe?

Ibimenyetso bya diabete yo mu bwoko bwa 1 bikunze kugaragara vuba, rimwe na rimwe mu byumweru bike. Ibimenyetso by’ingenzi bibaho kuko isukari ikusanyiriza mu maraso aho kwinjira mu turemangingo aho ikwiye kuba.

Dore ibimenyetso bisanzwe ushobora kubona:

• Umukama ukabije udatakaza, nubwo wanyoye amazi menshi
• Gushobora kujya kwinnya kenshi, cyane cyane nijoro, kuko umubiri wawe ugerageza gukuraho isukari nyinshi
• Gutakaza ibiro bitasobanuwe nubwo urya uko bisanzwe cyangwa kurushaho
• Inzara ihoraho kuko uturemangingo twawe tubura imbaraga dukeneye
• Uburwayi n’intege nke bibuza ibikorwa bya buri munsi
• Kubura ubushobozi bwo kubona neza bitewe n’isukari nyinshi mu maraso igira ingaruka ku maso
• Impumuro y’imbuto mu miheto, bishobora kugaragaza ikibazo gikomeye

Mu bana, ushobora kandi kubona guhita kwinnya mu buriri mu mwana wari umaze kumenya kujya ku musarani cyangwa guhindura imyitwarire nk’uburakari cyangwa kugorana kwibanda. Aya mamenyetso rimwe na rimwe ashobora kwitiranywa n’ibindi bibazo by’abana.

Bamwe mu bantu bagira ibimenyetso bikomeye nka kuremba, kuruka, cyangwa kubabara mu nda. Ibi nibiba hamwe n’ibindi bimenyetso, ni ngombwa gushaka ubuvuzi vuba kuko bishobora kugaragaza ketoacidose ya diabete, ikibazo gikomeye.

Impamvu ziterwa na Diabete yo mu bwoko bwa 1 ni izihe?

Diabete yo mu bwoko bwa 1 itera iyo ubudahangarwa bwawe bwibeshya bugatangaza uturemangingo dukorera mu mpyiko. Abahanga mu bya siyansi bemeza ko ibi bibaho bitewe n’imiterere y’imiryango hamwe n’ibintu by’ibidukikije, nubwo impamvu nyamukuru itaramenyekana neza.

Imiryango yawe igira uruhare, ariko kugira amateka y’uburwayi mu muryango ntibihamya ko uzaburwara. Abantu benshi barwaye diabete yo mu bwoko bwa 1 ntabwo bafite umuntu wa hafi ufite uburwayi.

Ibintu by’ibidukikije bishobora gutera ubudahangarwa bw’umubiri mu bantu bafite ubwenge. Ibi bintu bishobora kuba:

• Indwara ziterwa na virusi, cyane cyane izigira ingaruka ku mpyiko cyangwa ku buryo bw’igogora
• Kumenya amata y’inka hakiri kare mu buto
• Ibintu bimwe by’imirire mu gihe cy’ubwana
• Aho uba, kuko ubu burwayi busanzwe bukunze kugaragara mu bihugu byo mu majyaruguru
• Ibihe by’umwaka, kuko ubu burwayi bukunze kugaragara mu mpeshyi no mu gihugu

Ni ngombwa kumva ko diabete yo mu bwoko bwa 1 idaterwa no kurya isukari nyinshi, kuba ufite ibiro byinshi, cyangwa kudakora imyitozo. Ibi ni ibyo kwitiranya bisanzwe bishobora gutera icyaha cyangwa ikimwaro bitari ngombwa.

Igitero cy’ubudahangarwa bw’umubiri gisanzwe kibera buhoro buhoro mu mezi cyangwa imyaka mbere y’uko ibimenyetso bigaragara. Iyo umaze kubona ibimenyetso bya diabete, hafi 80-90% by’uturemangingo twawe dukora insuline bimaze kwangirika.

Ni ryari ukwiye kujya kwa muganga kubera Diabete yo mu bwoko bwa 1?

Ukwiye guhamagara umuganga ako kanya niba wowe cyangwa umwana wawe mugira ibimenyetso bisanzwe bya diabete yo mu bwoko bwa 1, cyane cyane niba bigaragara vuba. Kumenya uburwayi hakiri kare no kubuvura ni ingenzi mu gukumira ingaruka zikomeye.

Hamagara muganga wawe ako kanya niba ubona inyota ikabije, kujya kwinnya kenshi, gutakaza ibiro bitasobanuwe, n’uburwayi bibaho hamwe. Aya mamenyetso ashobora kuba mabi cyane, rimwe na rimwe mu minsi mike.

Shaka ubuvuzi bwihuse niba ufite:

• Impumuro y’imbuto mu miheto hamwe no kuremba cyangwa kuruka
• Gukora cyane cyangwa guhumeka vuba
• Kubabara cyane mu nda
• Gucika intege cyangwa kugorana kuba maso
• Ibimenyetso byo gukama cyane nk’izunguzungu cyangwa umunwa wumye

Aya mamenyetso ashobora kugaragaza ketoacidose ya diabete, ikibazo gikomeye gisaba ubuvuzi bwihuse. Ntutegereze kureba niba ibimenyetso bizagenda ubwabyo.

Niba ufite amateka y’uburwayi bwa diabete yo mu bwoko bwa 1 cyangwa uburwayi bw’ubudahangarwa bw’umubiri, ubwire muganga wawe ibyo mu gihe cy’isuzuma rusange. Bashobora kugusaba gupimwa kugira ngo barebe ibimenyetso by’uburwayi hakiri kare.

Ibyago byo kurwara Diabete yo mu bwoko bwa 1 ni ibihe?

Bitandukanye na diabete yo mu bwoko bwa 2, ibyago byo kurwara diabete yo mu bwoko bwa 1 bigenda bigenda. Gusobanukirwa ibi bintu bishobora kugufasha kumenya ibimenyetso hakiri kare no gushaka ubuvuzi bukwiye.

Ibyago by’ingenzi birimo:

• Imyaka: Uburwayi bukunze kugaragara mu bana n’abangavu, aho bugaragara cyane hagati y’imyaka 10-14
• Amateka y’uburwayi mu muryango: Kugira umubyeyi, umuvandimwe, cyangwa umwana ufite diabete yo mu bwoko bwa 1 byongera ibyago
• Imiryango: Imikorere y’imiryango imwe n’imwe ikugiraho ingaruka mu gutera ubudahangarwa bw’umubiri
• Aho uba: Abantu baba kure y’umutwe w’isi bafite ibyago byinshi byo kurwara diabete yo mu bwoko bwa 1
• Ubwoko n’umuco: Ubu burwayi busanzwe bukunze kugaragara mu bantu b’i Burayi
• Ubundi burwayi bw’ubudahangarwa bw’umubiri: Kugira uburwayi nk’uburwayi bwa thyroid cyangwa uburwayi bwa celiac byongera ibyago

Ibindi byago bidafite akamaro cyane birimo kugira nyina wari ufite imyaka irenga 25 igihe wavukaga, cyangwa kuvuka ku mubyeyi wari ufite preeclampsia mu gihe yari atwite. Indwara zimwe na zimwe ziterwa na virusi mu bwana zishobora kandi kugira uruhare.

Ni byiza kuzirikana ko abantu benshi bafite ibyago ntabwo barwara diabete yo mu bwoko bwa 1. Kugira ibi bintu bivuze ko ubudahangarwa bwawe bushobora kuba bufite ibyago byinshi byo gutera uturemangingo twawe tw’impyiko.

Ingaruka zishoboka za Diabete yo mu bwoko bwa 1 ni izihe?

Diabete yo mu bwoko bwa 1 ishobora gutera ingaruka mbi niba urwego rw’isukari mu maraso rudakozwe neza igihe kirekire. Ariko kandi, hamwe no kuyigenzura neza, abantu benshi barwaye diabete yo mu bwoko bwa 1 babaho igihe kirekire, bafite ubuzima bwiza, nta ngaruka zikomeye.

Ingaruka z’igihe gito zishobora kubaho iyo isukari mu maraso iba nyinshi cyangwa nke:

• Ketoacidose ya diabete (DKA): Iki kibazo gikomeye aho umubiri wawe usenya amavuta kugira ngo ugire imbaraga, ukora aside mbi
• Isugari nke cyane mu maraso (hypoglycemia): Bishobora gutera gucika intege, gutakaza ubwenge, cyangwa gutakaza ubwenge
• Isugari nyinshi mu maraso (hyperglycemia): Bishobora gutera gukama no kubura amazi mu mubiri

Ingaruka z’igihe kirekire zisanzwe ziterwa buhoro buhoro mu myaka myinshi niba isukari mu maraso ikomeza kuba nyinshi. Ibi birimo kwangirika kw’imijyana y’amaraso n’imitsi mu mubiri wawe wose.

Ingaruka z’igihe kirekire zishoboka zirimo:

• Uburwayi bw’umutima n’imijyana y’amaraso, harimo n’ibyago byinshi byo kurwara umutima n’indwara z’ubwonko
• Kwibasira kw’impyiko (diabetic nephropathy) bishobora gutera kwangirika kw’impyiko
• Ibibazo by’amaso, harimo n’uburwayi bwa diabete mu maso (diabetic retinopathy) bishobora gutera kubura ubushobozi bwo kubona
• Kwibasira kw’imitsi (diabetic neuropathy) bituma ubabara, guhumeka, cyangwa kubabara
• Ibibazo by’ibirenge bitewe no kubura amaraso neza no kwangirika kw’imitsi
• Uburwayi bw’uruhu n’akanwa bukira buhoro

Inkuru nziza ni uko kugira urwego rwiza rw’isukari mu maraso bigabanya cyane ibyago by’izi ngaruka. Ibikoresho bya none byo kuvura diabete n’ubuvuzi byorohereza ibi kurusha ikindi gihe.

Diabete yo mu bwoko bwa 1 imenyekanwa ite?

Kumenya diabete yo mu bwoko bwa 1 bisanzwe bikubiyemo ibizamini by’amaraso bipima urwego rw’isukari mu maraso kandi bikareba ibimenyetso byo gutera ubudahangarwa bw’umubiri. Muganga wawe ashobora gutangira amapimwe yoroshye kandi ashobora gutegeka andi kugira ngo yemeze uburwayi.

Ibizamini by’ingenzi byo gupima birimo:

• Isuzuma ry’isukari mu maraso: Ripima isukari mu maraso igihe icyo ari cyo cyose cy’umunsi
• Isuzuma ry’isukari mu maraso nyuma yo gusiba kurya: Ripima isukari mu maraso nyuma yo kudarya byibuze amasaha 8
• Isuzuma rya Hemoglobin A1C: Rigaragaza isukari yawe y’umubiri mu mezi 2-3 ashize
• Isuzuma ry’uburyo umubiri utunganya isukari: Ripima uburyo umubiri wawe utunganya isukari igihe kirekire

Niba aya mapimwe agaragaza diabete, muganga wawe ashobora gutegeka andi mapimwe kugira ngo yemeze ko ari diabete yo mu bwoko bwa 1 aho kuba diabete yo mu bwoko bwa 2. Ibi birimo kureba antikorps, ari zo proteine ubudahangarwa bwawe bukora iyo bugabye igitero ku mpyiko.

Muganga wawe ashobora kandi gupima C-peptide, igaragaza ubwinshi bwa insuline impyiko zawe zikora. Abantu barwaye diabete yo mu bwoko bwa 1 basanzwe bafite urwego rwo hasi cyangwa rudashoboka rwa C-peptide.

Rimwe na rimwe uburwayi buhita bumenyekana bitewe n’ibimenyetso n’ibizamini by’amaraso by’ibanze. Ibindi bihe, cyane cyane mu bakuru, bishobora gufata ibizamini byinshi kugira ngo hatandukanywe diabete yo mu bwoko bwa 1 na diabete yo mu bwoko bwa 2.

Uko Diabete yo mu bwoko bwa 1 ivurwa ni iki?

Ubuvuzi bwa diabete yo mu bwoko bwa 1 bushingiye ku gusubiza insuline umubiri wawe utakibasha gukora. Ibi si ukivura, ariko bigufasha gucunga uburwayi neza no kubaho ubuzima busanzwe, bukora.

Gusubiza insuline ni ingenzi kandi iboneka mu buryo butandukanye:

• Insuline ikora vuba: Ikora vuba kugira ngo ikemure ibibazo by’isukari mu maraso bituruka ku ifunguro
• Insuline ikora igihe kirekire: Itanga insuline ihoraho umunsi wose
• Insuline ikora igihe kigera hagati: Ihuza insuline ikora vuba n’ikora igihe kirekire

Ushobora gufata insuline binyuze mu gushonga ukoresheje ibyuma byo gushonga, ibindi byuma byo gushonga, cyangwa ibindi byuma byo gushonga insuline. Ibindi byuma byo gushonga insuline ni ibikoresho bito bitanga insuline buri gihe binyuze mu muyoboro muto uri munsi y’uruhu rwawe.

Kumenya urwego rw’isukari mu maraso ni ingenzi cyane. Ukeneye kujya upima isukari yawe mu maraso buri gihe ukoresheje igikoresho cyo gupima isukari mu maraso cyangwa igikoresho gikurikirana isukari mu maraso (CGM). Ibi bikoresho bigufasha gufata ibyemezo ku bijyanye n’umwanya wo gufata insuline, ibiryo, n’imyitozo.

Uburyo bwawe bwo kuvurwa buzakubiyemo:

• Kubara karubone kugira ngo uhuze umwanya wo gufata insuline n’ibiryo
• Imikino ngororamubiri, ifasha umubiri wawe gukoresha insuline neza
• Kujya kwa muganga buri gihe kugira ngo harebwe ingaruka
• Kwigishwa uburyo bwo gucunga iminsi y’uburwayi, ingendo, n’ibindi bihe bidasanzwe

Gukorana n’itsinda ryita ku barwaye diabete ririmo abaganga, abaforomo, abahanga mu mirire, n’abahanga mu kuvura diabete bifasha guhamya ko uboneye ubuvuzi bujyanye n’ibyo ukeneye.

Uko wakwitwara iwawe ufite Diabete yo mu bwoko bwa 1?

Kwitwara iwawe ufite diabete yo mu bwoko bwa 1 bikubiyemo gukora ibikorwa bya buri munsi biba byoroshye igihe kirekire. Ikintu nyamukuru ni ukubona uburyo bwiza bufasha kugira urwego rwiza rw’isukari mu maraso mu gihe ubayeho ubuzima bwawe neza.

Kwitwara kwa buri munsi bikubiyemo gupima isukari yawe mu maraso inshuro nyinshi ku munsi, mbere yo kurya no mu gihe cyo kuryama. Ibikoresho bya none bikurikirana isukari mu maraso birashobora koroshya ibi binyuze mu gutanga amakuru y’igihe nyacyo utabanje gupima.

Gutegura ibiryo biba ubuhanga bw’ingenzi. Uziga kubara karubone no guhuza umwanya wo gufata insuline neza. Ibi ntibisobanura ko udashobora kwishimira ibiryo ukunda, ahubwo ni uko uzamenya uburyo bwo kubigenzura neza.

Komereza ibyo ukeneye:

• Insuline nyinshi n’ibikoresho mu gihe cy’impanuka
• Ibiryo byihuse by’isukari nk’ibitoki by’isukari mu gihe isukari mu maraso ari nke
• Ibikoresho byihuse byo gufata glucagon mu gihe isukari mu maraso ari nke cyane
• Ibikoresho byo gupima isukari mu maraso cyangwa ibikoresho byo gukurikirana isukari mu maraso
• Ikimenyetso cy’uburwayi cyangwa ikarita

Imikino ngororamubiri ni nziza ariko isaba gutegura. Pima isukari yawe mu maraso mbere, mu gihe, na nyuma y’imyitozo ngororamubiri, kandi wohereze insuline yawe cyangwa ibiryo uko bikenewe. Itsinda ryawe ryita ku buzima rishobora kugufasha gutegura amabwiriza y’imyitozo ngororamubiri.

Kumenya uko wakwitwara mu gihe ufite umunaniro ni ingenzi kuko umunaniro ushobora kugira ingaruka ku isukari mu maraso. Kubona uburyo bwiza bwo guhangana n’umunaniro wa buri munsi bifasha kugira urwego rwiza rw’isukari mu maraso.

Uko wakwitwara mu gihe ugiye kwa muganga?

Gutegura neza igihe ugiye kwa muganga bifasha gukoresha neza igihe cyawe hamwe n’itsinda ryita ku buzima bwawe. Gutegura neza bigira uruhare mu gutuma habaho itumanaho ryiza no gucunga diabete neza.

Mbere y’uko ujyayo, kora urutonde rw’isukari yawe mu maraso cyangwa ushyireho amakuru yavuye mu gikoresho cyawe cyo gupima isukari mu maraso cyangwa igikoresho gikurikirana isukari mu maraso. Aya makuru afasha muganga wawe gusobanukirwa uburyo uburyo bwawe bwo kuvurwa bukorera.

Tegura urutonde rw’ibibazo cyangwa impungenge ushaka kuganiraho. Ibintu bisanzwe birimo:

• Guhindura umwanya wo gufata insuline mu bihe bitandukanye
• Gucunga isukari mu maraso mu gihe cy’uburwayi cyangwa umunaniro
• Impungenge ku bimenyetso cyangwa ingaruka
• Ibibazo ku ikoranabuhanga rishya ryo kuvura diabete
• Guhindura imibereho urimo gutekerezaho

Zana imiti yawe yose n’ibikoresho kugira ngo ubigaragarize itsinda ryawe ryita ku buzima. Ibi birimo insuline, ibikoresho byo gupima, n’indi miti ufashe buri gihe.

Kora ibaruwa ngufi y’ibimenyetso bidasanzwe, imiterere y’isukari yawe mu maraso, cyangwa ibibazo urimo guhura na byo. Aya makuru afasha muganga wawe gutanga inama zibereye.

Niba ubona abaganga benshi, zana urutonde rw’imiti yawe yose n’ibizamini byose byakozwe vuba. Ibi bihamya ko buri wese afite amakuru arambuye ku bijyanye no kwita kuri wewe.

Icyo ukwiye kumenya cyane kuri Diabete yo mu bwoko bwa 1 ni iki?

Diabete yo mu bwoko bwa 1 ni uburwayi bukomeye ariko burashobora kuvurwa neza bugira ingaruka ku buryo umubiri wawe utunganya isukari. Nubwo isaba kwitabwaho buri munsi, abantu barwaye diabete yo mu bwoko bwa 1 bashobora kubaho ubuzima buhamye, bukora, kandi bwiza hamwe no kuyigenzura neza.

Ikintu cy’ingenzi cyo kwibuka ni uko diabete yo mu bwoko bwa 1 atari amakosa yawe. Ni uburwayi bw’ubudahangarwa bw’umubiri butera bitewe n’ibintu byinshi udashobora kugiraho ingaruka. Hamwe n’uburyo bwo kuvura n’ikoranabuhanga bya none, gucunga diabete biroroshye kandi byoroshye kurusha ikindi gihe.

Kumenya uburwayi hakiri kare no kubuvura neza ni ingenzi mu gukumira ingaruka mbi no kugira ubuzima bwiza. Niba ubona ibimenyetso bya diabete yo mu bwoko bwa 1, ntutinye gushaka ubuvuzi vuba.

Kubaka umubano mwiza n’itsinda ryawe ryita ku buzima no gukomeza kumenya uburwayi bwawe biguha ububasha bwo gufata ibyemezo byiza ku bijyanye no kwita kuri wewe. Ibuka ko gucunga diabete ni urugendo rurerure, si isiganwa, kandi utuntu duto, duhoraho, byongera inyungu z’igihe kirekire.

Ibibazo Bikunze Kubahwa kuri Diabete yo mu bwoko bwa 1

Diabete yo mu bwoko bwa 1 irashobora kwirindwa?

Kuri ubu, nta buryo bwemewe bwo kwirinda diabete yo mu bwoko bwa 1. Bitandukanye na diabete yo mu bwoko bwa 2, ntiterwa n’imibereho nk’imirire cyangwa imyitozo. Ariko kandi, abahanga mu bya siyansi barimo kwiga uburyo bwo kwirinda ku bantu bafite ibyago byinshi, harimo n’abo mu miryango y’abarwaye diabete yo mu bwoko bwa 1.

Diabete yo mu bwoko bwa 1 ifitanye isano n’imiryango?

Diabete yo mu bwoko bwa 1 ifitanye isano n’imiryango, ariko ntiragwa nk’imiterere y’amaso. Kugira umuntu wo mu muryango ufite diabete yo mu bwoko bwa 1 byongera ibyago, ariko abantu benshi barwaye ubu burwayi ntabwo bafite abavandimwe barwaye. Ibyago by’imiryango ni bigoye kandi bikubiyemo imiryango myinshi ikorera hamwe.

Abakuze bashobora kurwara diabete yo mu bwoko bwa 1?

Yego, abakuze bashobora kurwara diabete yo mu bwoko bwa 1, nubwo bitakunda kubaho nk’uko bibaho mu bana. Hafi 20% by’abarwaye diabete yo mu bwoko bwa 1 babimenya bamaze gukura, rimwe na rimwe bitwa diabete y’ubudahangarwa bw’umubiri mu bakuru (LADA). Diabete yo mu bwoko bwa 1 itera mu bakuru ishobora gutinda kurusha mu bana.

Itandukaniro hagati ya diabete yo mu bwoko bwa 1 na diabete yo mu bwoko bwa 2 ni iki?

Diabete yo mu bwoko bwa 1 ni uburwayi bw’ubudahangarwa bw’umubiri aho umubiri wawe uhagarika gukora insuline, mu gihe diabete yo mu bwoko bwa 2 ibaho iyo umubiri wawe udakoresha insuline neza. Diabete yo mu bwoko bwa 1 isanzwe itera mu bwana cyangwa mu gihe cy’ubwangavu kandi isaba kuvurwa binyuze mu gufata insuline. Diabete yo mu bwoko bwa 2 ikunze kugaragara mu bakuru kandi ishobora kuvurwa binyuze mu guhindura imibereho, imiti, cyangwa insuline.

Abantu barwaye diabete yo mu bwoko bwa 1 bashobora kurya isukari?

Abantu barwaye diabete yo mu bwoko bwa 1 bashobora kurya isukari n’ibindi bintu birimo karubone nk’igice cy’imirire yuzuye. Ikintu nyamukuru ni ukumenya uburyo bwo guhuza umwanya wo gufata insuline n’ibiryo birimo karubone. Hamwe no gucunga insuline neza, ushobora kwishimira ibiryo byiza n’ibinyobwa mu rugero, nk’abandi bose.