A5 booklet-print (22).pdf

Comply & Thrive:
A Diabetic Journey
PC-AE-101841

TABLE OF CONTENT
• Getting started: Foreword
• Stay healthier with diabetes
• Taking control of diabetes
• Keeping it healthy
• What if you forget your medication?
• Understanding how your treatment plan may evolve
• Empowering your journey: Proven strategies for thriving
with type 2 diabetes
1

GETTING STARTED:
FOREWORD
This journal prepares you to a healthier
path and a carefree life ahead.
Throughout the pages of the journal, you
will come across different stations that
fuels your motivation to achieve victory
over diabetes.
However, It is mandatory to understand
the shared responsibility between you
and your doctor, and how adherence to
the medical advices shapes your entire
journey and decides your destiny!
2

STAY HEALTHIER
WITH DIABETES
(TYPE 2 DIABETES)
Diabetes is a chronic disease that occurs when the
pancreas is no longer able to make insulin, or when
the body cannot make good use of the insulin it
produces.1
Insulin is a hormone made by the pancreas that
acts like a key to let glucose from the food we eat
pass from the blood stream into the cells in the
body to produce energy.1
You can develop type 2 diabetes at any age, even during
childhood. You are more likely to develop type 2 diabetes if you
are age 45 or older, have a family history of diabetes, or are
overweight or have obesity.2
Physical inactivity and other certain health problems, such as
high blood pressure elevate your chances of developing type 2
diabetes. You are also more likely to develop type 2 diabetes if you
have prediabetes or had gestational diabetes during pregnancy.2
Who is more likely to develop type 2 diabetes?
1. International diabetes Federation. About Diabetes. Available at: https://www.idf.org/aboutdiabetes/what-is-diabetes.html. Last accessed: June 2023.
2. National Institute of Diabetes and Digestive and Kidney Disease. Type 2 Diabetes. Available at: https://www.niddk.nih.gov/health-information/diabetes
/overview/what-is-diabetes/type-2-diabetes. Last accessed: June 2023. 3

TAKING CONTROL
OF DIABETES
We understand that diabetes can sometimes feel
overwhelming, but rest assured, you are not alone in
this journey. By taking control of your diabetes, you
are empowering yourself to make informed decisions
and actively work towards achieving better health
outcomes. That’s why it’s important to know what you
can do right now to help keep track of and reduce
long-term problems.
What are the symptoms of diabetes?
Symptoms of diabetes include:1
Symptoms of type 2 diabetes often develop slowly
(over the course of several years).1
increased thirst
and frequency
of urination
increased
hunger
feeling tired blurred vision unexplained
weight loss
1. National Institute of Diabetes and Digestive and Kidney Disease. Type 2 Diabetes. Available at: https://www.niddk.nih.gov/health-information
/diabetes/overview/what-is-diabetes/type-2-diabetes. Last accessed: June 2023.
4

Manage your diabetes ABCs:1
for the A1C test:1
The A1C test shows your average blood glucose level
over the past 3 months. The A1C goal for many people
with diabetes is below 7 percent. However, consult
your doctor to know more about target A1C.
for blood pressure:1
The blood pressure goal for most people with
diabetes is below 140/90 mm Hg. Consult your doctor
to know what your goal should be.
for cholesterol:1
You have two kinds of cholesterol in your blood: LDL
and HDL. LDL or “bad” cholesterol can build up and
block your blood vessels. Too much LDL cholesterol
can cause a heart attack or stroke. On the other hand,
HDL or “good” cholesterol helps remove the LDL
cholesterol from your blood vessels.
for stop smoking:1
If you quit smoking,
- You will lower your risk for heart attack, stroke,
nerve disease, kidney disease, diabetic eye disease,
and amputation
- Your cholesterol and blood pressure levels may
improve
- Your blood circulation will improve
- You may have an easier time being physically active
And the following pages, we will get to know how to
reduce risks of developing complications within some
body parts.
A
B
C
S
1. National Institute of Diabetes and Digestive and Kidney Disease. Managing Diabetes. Available at: https://www.niddk.nih.gov/health
-information/diabetes/overview/managing-diabetes. Last accessed: June 2023.
5

Taking care of your feet:1,2
Pay special attention to your feet because nerve damage and poor
circulation are consequences of diabetes, which put your lower
extremities in danger Here's why:
Nerve damage can affect a person's ability to sense coldness, heat, or
pain.
Therefore, if a sore or cut develops, it may not be sensed, in which case
it won't be treated. As a result, it can get worse over time and become
infected.
Regarding poor circulation, it reduces the blood flow to the feet, so
sores, wounds, or infections won't resolve.
Follow these tips to protect your feet:1
- Get a foot exam yearly—more frequently if you have
problems with your foot.
- Wash your feet on a daily basis. Use warm water with soap
then dry them well.
- After washing and drying, keep your feet moisturized with
a lotion.
- Do not ever go barefoot.
- Make sure shoes and socks fit well.
- Check your feet yourself on a daily basis by looking for cuts,
bruises, or swelling.
- Take care of your toenails—use a nail file to trim your
toenails down.
- Do not use clippers because you could cut yourself
If you get a cut or a scratch, take good care of it right away
after consulting your doctor.
At each medical visit, ask for a foot examination.
1. Centers for Disease Control and Prevention. Diabetes and Your Feet. Available at: https://www.cdc.gov/diabetes/library/features/healthy-feet.html. Last accessed: June 2023.
2. Centers for Disease Control and Prevention. Diabetes and Nerve Damage. Available at: https://www.cdc.gov/diabetes/library/features/diabetes-nerve-damage.html.
Last accessed: June 2023. 6

The body’s nerves are the wires where signals are transmitted
from your brain to other parts of the body.1
Over time, high blood glucose can cause damage to the nerves
within your body. This damage is named: neuropathy.2
Symptoms of neuropathy include:2
- Numbness, or pain in the hands or feet
- Control over bladder or bowel is lost
- Trouble digesting food
- Muscle weakness
- Inability to sense properly
Tracking your nerves:
Follow these tips to reduce the risk of nerve damage:2
- Keep your blood glucose levels as close as possible to the
target instructed by your doctor.
- Stop smoking.
- Stay physically active.
Be sure to inform your doctor if you or your loved one with
diabetes are experiencing any of them.
1. Cleveland Clinic. Nerves. Available at: https://my.clevelandclinic.org/health/body/22584-nerves#:~:text=What are nerves%3F,breathing%2C sweating or
digesting food. Last accessed: June 2023.
2. Centers for Disease Control and Prevention. Diabetes and Nerve Damage. Available at: https://www.cdc.gov/diabetes/library/features/diabetes-
nerve-damage.html. Last accessed: June 2023.
7

High blood glucose levels are able to damage the small vessels that
bring blood to your eyes.
The resulting damage may lead to multiple problems, including loss
of vision.
Follow these tips to protect your eyes:1
- Keep your blood glucose within the target range
set by your doctor.
- Keep your blood pressure within the target range
set by your doctor.
Consider getting an eye exam yearly to detect any occurring
problems inside the eye.
If you or the person you take care of, start noticing blurry vision,
contact your doctor immediately.
Protect your eyes:1
The main job of the kidneys is to ﬁlter wastes and extra water out of
your blood to make urine. Your kidneys also help control blood
pressure and make hormones that your body needs to stay healthy.
When your kidneys are damaged, they can’t ﬁlter blood like they
should, which can cause wastes to build up in your body.
One of the contributing factors to such damage is diabetes. High
blood glucose can damage the blood vessels in your kidneys. When
the blood vessels are damaged, they don’t work as well.
Caring for your Kidneys:2
!
YEARLY
1. National Institute of Diabetes and Digestive and Kidney Disease. Diabetic Eye Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-
problems/diabetic-eye-disease#:~:text=Diabetic. Last accessed: June 2023.
2. National Institute of Diabetes and Digestive and Kidney Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/diabetic-
kidney-disease. Last accessed: June 2023. 8

Follow these tips to care for your kidneys:1
- Keep blood glucose and blood pressure levels as close as
possible to the target range set by your doctor.
- Maintain a healthy lifestyle which includes: no smoking,
more physical activity, better diet to stay at healthy weight
and getting enough sleep.
Diabetes may probably cause oral health problems due to the fact that
high blood glucose adds more sugar to saliva, which can aid harmful
bacteria to grow. Bacteria in plaque, a sticky ﬁlm, use sugar as food.
Some of these bacteria can cause tooth decay, cavities, and gum
disease. If the tooth is not treated, it can also lead to tooth loss.
Dangers of gum disease in diabetic individuals:3
Gum disease can be more severe and take longer to heal if you have
diabetes. If you have gum disease, your diabetes will be harder to
manage.
Keep up your healthy smile:3
If high blood glucose levels persist over a period of years, our blood
vessels can become damaged, which can lead to plaque forming in the
blood vessels, rendering them unable to deliver a sufﬁcient amount of
blood to neighbouring cells.
Follow these tips to protect against vascular disease:2
- Achieving or getting closer to the target HbA1c range.
- Staying at blood pressure target as well.
- Lower bad cholesterol (LDL) and raise good cholesterol (HDL).
- Improve physical activity.
Enrich your vascular system:2
1. National Institute of Diabetes and Digestive and Kidney Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/diabetic-
kidney-disease. Last accessed: June 2023.
2. Diabetes.com.uk. Poor Blood Circulation. Available at: https://www.diabetes.co.uk/diabetes-complications/poor-blood-circulation.html. Last accessed: June 2023.
3. Centers for Disease Control and Prevention. Diabetes and Oral Health. Available at: https://www.cdc.gov/diabetes/managing/diabetes-oral-health.html. Last accessed: June 2023.
9

Follow these tips to protect your teeth and gums:1
- Visit your dentist twice a year for checkups and cleanings
as well. Make sure to inform your dentist that you have
diabetes.
- If your gums are bleeding or tender, and such conditions
last for more than a few days, contact your dentist. This
can be a sign of gum disease.
- Brush your teeth 3 times a day—and ﬂoss once a day.
- Quit smoking.
1. Centers for Disease Control and Prevention. Diabetes and Oral Health. Available at: https://www.cdc.gov/diabetes/managing/diabetes-
oral-health.html. Last accessed: June 2023.
KEEPING IT
HEALTHY
What you choose to eat, how much you eat, and when you
eat are all important in keeping your blood glucose level in
the range that your health care team recommends.
In this section, we will guide you on where to start!
10

- Fried foods and other foods high in saturated fat and trans fat.
- Foods high in salt, also called sodium.
- Sweets, such as baked goods, candy, and ice cream.
- Beverages with added sugars, such as juice, regular soda,
and regular sports or energy drinks.
Drink water instead of sweetened beverages.
Consider using a sugar substitute in your coffee or tea.
Some people with diabetes need to eat at about the same time each day.
Others can be more ﬂexible with the timing of their meals. Depending
on your diabetes medicines or type of insulin, you may need to eat the
same amount of carbohydrates at the same time each day. If you take
“mealtime” insulin, your eating schedule can be more ﬂexible.
If you use certain diabetes medicines or insulin and you skip or delay
a meal, your blood glucose level can drop too low.
Consult your healthcare team about when you should eat exactly.
What foods and drinks should I limit if
I have diabetes?1
When should I eat if I have diabetes?1
1. National Institute of Diabetes and Digestive and Kidney Disease. Diabetes Diet, Eating, & Physical Activity. Available at: https://www.niddk.
nih.gov/health-information/diabetes/overview/diet-eating-physical-activity. Last accessed: June 2023.
11

CARBOHYDRATE COUNTING:1
Carbohydrate counting involves keeping track of the amount of
carbohydrates you eat and drink each day. Because carbohydrates turn
into glucose in your body, they affect your blood glucose level more
than other foods do.
The amount of carbohydrates in foods is measured in grams. To count
carbohydrate grams in what you eat, you’ll need to:1
- Learn which foods have carbohydrates
- Read the Nutrition Facts food label, or learn to estimate the number of
grams of carbohydrate in the foods you eat
- Add the grams of carbohydrate from each food you eat to get your
total for each meal and for the day
Most carbohydrates come from starches, fruits, milk, and sweets. Try to
limit carbohydrates with added sugars or those with reﬁned grains,
such as white bread and white rice. Instead, eat carbohydrates from
fruit, vegetables, whole grains, beans, and low-fat or nonfat milk.
nih.gov/health-information/diabetes/overview/diet-eating-physical-activity. Last accessed: June 2023. 12

Serving size:1
Pay attention to the serving size, especially
how many servings there are in the food
package. Also, It is not a recommendation of
how much you should eat or drink.
Total Carbs:1
Include Dietary ﬁber: Eating a diet high in
dietary ﬁber can increase the frequency of
bowel movements, lower blood glucose and
cholesterol levels, and reduce calorie intake.
Total sugars:1
On the Nutrition Facts label includes sugars
naturally present in many nutritious foods
and beverages, such as sugar in milk and fruit
as well as any added sugars that may be
present in the product.
%Daily value:1
The FDA sets recommendations for how
much of each nutrient to be consumed in a
day. The % Daily Value tells you are reference
amounts (expressed in grams, milligrams, or
micrograms) of nutrients to consume or not
to exceed each day.
Note:1
• 5% or less = low in that nutrient.
• 20% or higher = high in that nutrient.
Understanding Nutrition Labels:1
1. U.S. Food and Drug Administration. How to Understand and Use the Nutrition Facts Label. Available at: https://www.fda.gov/food/new-
nutrition-facts-label/how-understand-and-use-nutrition-facts-label. Last accessed: June 2023.
13

I have forgotten to take my tablets, should I take
them now or wait until the next dose?1
This will depend on the type of tablets you have.
Some tablets may allow you to take a missed dose as soon as you
remember but for other tablets, it may be advised to wait until your
next dose.
Your medication should come with a patient information leaﬂet, which
will usually let you know what to do if a dose is missed.
It’s useful to keep this leaﬂet either with your tablets or in a safe and
memorable place. You can also consult your doctor in case you do not
have a reference.
WHAT IF YOU
FORGET YOUR MEDICATION?
If you have a problem remembering to take your
tablets, you’re far from alone. Many of us on tablet
medication will have had instances when we forget, or
keep forgetting to take our tablets.
1. Diabetes.com.uk. Forgetting to Take Tablets. Available at: https://www.diabetes.co.uk/diabetes-medication/forgetting-to-take-tablets.html.
Last accessed: June 2023.
14

Remember: Just because your diabetes condition is
changing, it doesn’t mean you’ve done something
“wrong”.1
UNDERSTANDING HOW
YOUR TREATMENT PLAN MAY EVOLVE
Diabetes is a progressive disease1
Even with medications, healthy eating, and physical activity,
your diabetes condition can change. Hence, that can mean
changing your treatment plan to adequately manage your
diabetes and your long-term health condition. Despite
decades of research, we still don't know why some people
need to do more to manage their diabetes than others.
The progression of type 2 diabetes varies from person to
person.
1. American Diabetes Association. How Type 2 Diabetes Progresses. Available at: https://diabetes.org/diabetes/type-2/how-type-2-diabetes-
progresses. Last accessed: June 2023. 15

Proven Strategies for Thriving with Type 2 Diabetes1
- Count your carbs: Carbohydrates often have the biggest impact on your
blood sugar levels. it's important to know the amount of carbohydrates in
your food, so you get the proper insulin dose.
- Move to the beat: Regular physical activity also helps your body use
insulin more efﬁciently. even light activities, such as housework, gardening
or being on your feet for extended periods can improve your blood sugar.
- Take control: Learn relaxation techniques, prioritize your tasks and set
limits. Whenever possible, avoid common stressors.
- Fuel up your plate: plan for every meal to have a good mix of starches,
fruits and vegetables, proteins, and fats. Pay attention to the types of
carbohydrates you choose.
- Watch out for hidden sugars: Sugar-sweetened beverages tend to be
high in calories and offer little nutrition. And because they cause blood
sugar to rise quickly, it's best to avoid these types of drinks.
- Speak up: If your diabetes medications cause your blood sugar level to
drop too low or if it's consistently too high, the dosage or timing may need
to be adjusted.
- Hydration is key: Drink lots of water or other ﬂuids that don't add calories,
such as tea, to make sure you stay hydrated.
1. Mayo Clinic. Diabetes management: How lifestyle, daily routine affect blood sugar. Available at: https://www.mayoclinic.org/diseases-conditions/diabetes/
in-depth/diabetes-management/art-20047963. Last accessed: June 2023.
16

‫ﻣﻦ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﻣﻊ‬ ‫ﻟﻠﻨﺠﺎح‬ ‫ﻣﺠﺮﺑﺔ‬ ‫اﺳﱰاﺗﻴﺠﻴﺎت‬ :‫اﻟﺼﺤﻴﺔ‬ ‫اﻟﺤﻴﺎة‬ ‫ﻣﻔﺎﺗﻴﺢ‬
١
‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬
‫ﻣﺴﺘﻮﻳﺎت‬ ‫ﻋﻠﻰ‬ ‫ﻛﺒﻴﺮ‬ ‫ﺑﺸﻜﻞ‬ ‫ﺗﺆﺛﺮ‬ ‫ﻣﺎ‬ ً‫ﻏﺎﻟﺒﺎ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ :‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻛﻤﻴﺔ‬ ‫اﺣﺴﺐ‬
‫ﺣﺘﻰ‬ ‫ﻃﻌﺎﻣﻚ‬ ‫ﻓﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻛﻤﻴﺔ‬ ‫ﻣﻌﺮﻓﺔ‬ ‫اﻟﻤﻬﻢ‬ ‫ﻣﻦ‬ .‫ﺑﻚ‬ ‫اﻟﺨﺎﺻﺔ‬ ‫اﻟﺪم‬ ‫ﺳﻜﺮ‬
.‫اﻟﻤﻨﺎﺳﺒﺔ‬ ‫اﻷﻧﺴﻮﻟﻴﻦ‬ ‫ﺟﺮﻋﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺗﺤﺼﻞ‬
‫اﻷﻧﺴﻮﻟﻴﻦ‬ ‫اﺳﺘﺨﺪام‬ ‫ﻋﻠﻰ‬ ‫ﺟﺴﻤﻚ‬ ‫اﻟﻤﻨﺘﻈﻢ‬ ‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎط‬ ‫ﻳﺴﺎﻋﺪ‬ :‫واﺳﺘﻤﺘﻊ‬ ‫ﺗﺤﺮك‬
‫أو‬ ‫اﻟﺤﺪﻳﻘﺔ‬ ‫أو‬ ‫اﻟﻤﻨﺰل‬ ‫أﻋﻤﺎل‬ ‫ﻣﺜﻞ‬ - ‫اﻟﺨﻔﻴﻔﺔ‬ ‫اﻷﻧﺸﻄﺔ‬ ‫ﺣﺘﻰ‬ .‫ﻛﻔﺎءة‬ ‫أﻛﺜﺮ‬ ‫ﺑﺸﻜﻞ‬
.‫اﻟﺪم‬ ‫ﺳﻜﺮ‬ ‫ﻣﺴﺘﻮى‬ ‫ﺗﺤﺴﻦ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ - ‫ﻃﻮﻳﻠﺔ‬ ‫ﻟﻔﺘﺮات‬ ‫اﻟﻮﻗﻮف‬
‫ﻣﺼﺎدر‬ ‫ﺗﺠﻨﺐ‬ ،‫اﺳﺘﻄﻌﺖ‬ ‫واذا‬ ‫أوﻟﻮﻳﺎت‬ ‫ﺣﺪد‬ ‫و‬ ‫اﻻﺳﺘﺮﺧﺎء‬ ‫ﺗﻘﻨﻴﺎت‬ ‫ﺗﻌﻠﻢ‬ :‫اﻟﺴﻴﻄﺮة‬ ‫ﺗﻮﱄ‬
.‫ﺑﻬﺪوء‬ ‫ﻣﻌﻬﺎ‬ ‫ﺗﻌﺎﻣﻞ‬ ‫أو‬ ‫ﻟﻚ‬ ‫ﺑﺎﻟﻨﺴﺒﺔ‬ ‫اﻟﻌﺼﺒﻲ‬ ‫اﻟﺘﻮﺗﺮ‬
‫واﻟﻔﻮاﻛﻪ‬ ‫اﻟﻨﺸﻮﻳﺎت‬ ‫ﻣﻦ‬ ‫ﺟﻴﺪ‬ ‫ﻣﺰﻳﺞ‬ ‫ﻋﻠﻰ‬ ‫ﻟﺘﺤﺘﻮي‬ ‫وﺟﺒﺔ‬ ‫ﻟﻜﻞ‬ ‫ﺑﺎﻟﺘﺨﻄﻴﻂ‬ ‫ﻗﻢ‬ :‫ﺗﻨﻮع‬
.‫ﺗﺨﺘﺎرﻫﺎ‬ ‫اﻟﺘﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﺑﺄﻧﻮاع‬ ‫اﻫﺘﻢ‬ .‫واﻟﺪﻫﻮن‬ ‫واﻟﺒﺮوﺗﻴﻨﺎت‬ ‫واﻟﺨﻀﺮوات‬
‫اﻟﺴﻌﺮات‬ ‫ﻋﺎﻟﻴﺔ‬ ‫ﺗﻜﻮن‬ ‫ﻣﺎ‬ ً
‫ﻋﺎدة‬ ‫ﺑﺎﻟﺴﻜﺮ‬ ‫اﻟﻤﺤﻼة‬ ‫اﻟﻤﺸﺮوﺑﺎت‬ :‫اﻟﻤﺨﻔﻴﺔ‬ ‫ﻟﻠﺴﻜﺮﻳﺎت‬ ‫اﻧﺘﺒﻪ‬
ً‫ﺳﺮﻳﻌﺎ‬ ً‫ارﺗﻔﺎﻋﺎ‬ ‫ﺗﺤﺪث‬ ‫أﻧﻬﺎ‬ ‫وﺑﺴﺒﺐ‬ .‫اﻟﻐﺬاﺋﻴﺔ‬ ‫اﻟﻘﻴﻤﺔ‬ ‫ﻣﻦ‬ ‫اﻟﻘﻠﻴﻞ‬ ‫ﺗﻘﺪم‬ ً‫أﻳﻀﺎ‬ ‫و‬ ‫اﻟﺤﺮارﻳﺔ‬
.‫اﻟﻤﺸﺮوﺑﺎت‬ ‫ﻣﻦ‬ ‫اﻷﻧﻮاع‬ ‫ﻫﺬه‬ ‫ﺗﺠﻨﺐ‬ ‫اﻷﻓﻀﻞ‬ ‫ﻣﻦ‬ ،‫اﻟﺪم‬ ‫ﺳﻜﺮ‬ ‫ﻣﺴﺘﻮى‬ ‫ﻓﻲ‬
‫ﺳﻜﺮ‬ ‫ﻣﺴﺘﻮى‬ ‫ﻓﻲ‬ ً‫ﻣﻔﺮﻃﺎ‬ ً‫اﻧﺨﻔﺎﺿﺎ‬ ‫ﺗﺴﺒﺐ‬ ‫اﻟﺴﻜﺮي‬ ‫أدوﻳﺔ‬ ‫ﻛﺎﻧﺖ‬ ‫إذا‬ :‫ﻃﺒﻴﺒﻚ‬ ‫ﻣﻊ‬ ‫ﺗﺤﺪث‬
‫ﺗﻌﺪﻳﻞ‬ ‫اﻟﻼزم‬ ‫ﻣﻦ‬ ‫ﻳﻜﻮن‬ ‫ﻗﺪ‬ ،‫ﻣﺮﺗﻔﻌﺔ‬ ً‫داﺋﻤﺎ‬ ‫اﻟﺪم‬ ‫ﺳﻜﺮ‬ ‫ﻣﺴﺘﻮﻳﺎت‬ ‫ﻛﺎﻧﺖ‬ ‫إذا‬ ‫أو‬ ,‫اﻟﺪم‬
.‫اﻟﺘﻮﻗﻴﺖ‬ ‫أو‬ ‫اﻟﺠﺮﻋﺔ‬
‫ﺗﻀﻴﻒ‬ ‫ﻻ‬ ‫اﻟﺘﻲ‬ ‫اﻷﺧﺮى‬ ‫واﻟﺴﻮاﺋﻞ‬ ‫اﻟﻤﺎء‬ ‫ﻣﻦ‬ ‫اﻟﻜﺜﻴﺮ‬ ‫اﺷﺮب‬ :‫اﻟﻤﻔﺘﺎح‬ ‫ﻫﻮ‬ ‫اﻟﱰﻃﻴﺐ‬
.‫اﻟﺸﺎي‬ ‫ﻣﺜﻞ‬ ،‫ﺣﺮارﻳﺔ‬ ‫ﺳﻌﺮات‬
1. Mayo Clinic. Diabetes management: How lifestyle, daily routine affect blood sugar. Available at: https://www.mayoclinic.org/diseases-conditions/diabetes/
in-depth/diabetes-management/art-20047963. Last accessed: June 2023. 16

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.‫ﺑﺎﺳﺘﻤﺮار‬ ‫ﻳﺘﻄﻮر‬ ‫ﻣﺮض‬ ‫ﻫﻮ‬ ‫اﻟﺴﻜﺮي‬
،‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎط‬ ‫وﻣﻤﺎرﺳﺔ‬ ‫ﺻﺤﻲ‬ ‫ﻃﻌﺎم‬ ‫وﺗﻨﺎول‬ ‫اﻷدوﻳﺔ‬ ‫ﺗﻨﺎول‬ ‫ﻣﻊ‬ ‫ﺣﺘﻰ‬
‫ﺗﻐﻴﻴﺮ‬ ‫ذﻟﻚ‬ ‫ﻳﻌﻨﻲ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ،‫وﺑﺎﻟﺘﺎﻟﻲ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﻊ‬ ‫ﺣﺎﻟﺘﻚ‬ ‫ﺗﺘﻐﻴﺮ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬
‫اﻟﻤﺪى‬ ‫ﻋﻠﻰ‬ ‫اﻟﺼﺤﻴﺔ‬ ‫وﺣﺎﻟﺘﻚ‬ ‫ﻣﻨﺎﺳﺐ‬ ‫ﺑﺸﻜﻞ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻹدارة‬ ‫اﻟﻌﻼج‬ ‫ﺧﻄﺔ‬
‫ﺑﻌﺾ‬ ‫ﻳﺤﺘﺎج‬ ‫ﻟﻤﺎذا‬ ‫ﻧﻌﺮف‬ ‫ﻻ‬ ‫ﻧﺰال‬ ‫ﻻ‬ ،‫اﻟﺒﺤﺚ‬ ‫ﻣﻦ‬ ‫أﻋﻮام‬ ‫ﻣﻦ‬ ‫اﻟﺮﻏﻢ‬ ‫ﻋﻠﻰ‬ .‫اﻟﻄﻮﻳﻞ‬
.‫ﺑﺎﻵﺧﺮﻳﻦ‬ ‫ﻣﻘﺎرﻧﺔ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻹدارة‬ ‫أﻛﺜﺮ‬ ‫ﺟﻬﻮد‬ ‫ﺑﺬل‬ ‫إﻟﻰ‬ ‫اﻷﺷﺨﺎص‬
.‫آﺧﺮ‬ ‫اﻟﻰ‬ ‫ﺷﺨﺺ‬ ‫ﻣﻦ‬ ‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﺗﻄﻮر‬ ‫ﻳﺨﺘﻠﻒ‬
‫ﻋﻼﺟﻚ‬ ‫ﺧﻄﺔ‬ ‫ﺗﺘﻄﻮر‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ‫ﻛﻴﻒ‬ ‫ﺗﻌﺮف‬
‫ﻗﻤﺖ‬ ‫ﻗﺪ‬ ‫أﻧﻚ‬ ‫ذﻟﻚ‬ ‫ﻳﻌﻨﻲ‬ ‫ﻻ‬ ،‫ﺗﺘﻄﻮر‬ ‫و‬ ‫ﺗﺘﻐﻴﺮ‬ ‫ﺣﺎﻟﺘﻚ‬ ‫ﻛﺎﻧﺖ‬ ‫اذا‬ :‫ﺗﺬﻛﺮ‬
١
."‫"ﺧﺎﻃﺊ‬ ‫ﺑﺸﻲء‬
1. American Diabetes Association. How Type 2 Diabetes Progresses. Available at: https://diabetes.org/diabetes/type-2/how-type-2-diabetes-progresses.
15

‫ﻧﺴﻴﺖ‬ ‫ﻟﻮ‬ ‫ﻣﺎذا‬
‫ﻣﻮﻋﺪه؟‬ ‫ﻲ‬
‫ﻓ‬ ‫اﻟﺪواء‬ ‫ﺗﻨﺎول‬
.‫وﺣﺪك‬ ‫ﻟﺴﺖ‬ ‫ﻓﺄﻧﺖ‬ ،‫ﺑﻚ‬ ‫اﻟﺨﺎﺻﺔ‬ ‫اﻷﻗﺮاص‬ ‫ﺗﻨﺎول‬ ‫ﺗﺬﻛﺮ‬ ‫ﻓﻲ‬ ‫ﻣﺸﻜﻠﺔ‬ ‫ﻟﺪﻳﻚ‬ ‫ﻛﺎن‬ ‫إذا‬
‫ﺗﻨﺎول‬ ‫ﻓﻴﻬﺎ‬ ‫ﻧﻨﺴﻰ‬ ‫ﺑﺤﺎﻻت‬ ‫ﻳﻤﺮون‬ ‫ﻗﺪ‬ ‫اﻟﺪواء‬ ‫أﻗﺮاص‬ ‫ﻳﺘﻨﺎوﻟﻮن‬ ‫ﻣﻤﻦ‬ ‫ﻣﻨﺎ‬ ‫اﻟﻌﺪﻳﺪ‬
.‫اﻷﻗﺮاص‬
‫أن‬ ‫ﻳﺠﺐ‬ ‫ﻫﻞ‬ ،‫ﺑﻲ‬ ‫اﻟﺨﺎﺻﺔ‬ ‫اﻷﻗﺮاص‬ ‫اﺗﻨﺎول‬ ‫أن‬ ‫ﻧﺴﻴﺖ‬ ‫ﻟﻘﺪ‬
١
‫اﻟﺘﺎﻟﻴﺔ؟‬ ‫اﻟﺠﺮﻋﺔ‬ ‫ﺣﱴ‬ ‫أﻧﺘﻈﺮ‬ ‫أم‬ ‫اﻵن‬ ‫أﺗﻨﺎوﻟﻬﺎ‬
‫ﺑﻌﺾ‬ ‫ﻣﻊ‬ ‫ﺗﺬﻛﺮﻫﺎ‬ ‫ﻓﻮر‬ ‫ﻓﺎﺋﺘﺔ‬ ‫ﺟﺮﻋﺔ‬ ‫ﺑﺘﻨﺎول‬ ‫ﺴﻤﺢ‬ ُ‫ﻳ‬ ‫ﻗﺪ‬ .‫ﺗﺘﻨﺎوﻟﻪ‬ ‫اﻟﺬي‬ ‫اﻟﺪواء‬ ‫ﻋﻠﻰ‬ ‫ذﻟﻚ‬ ‫ﺳﻴﻌﺘﻤﺪ‬
.‫أﺧﺮى‬ ‫ادوﻳﺔ‬ ‫ﺣﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺘﺎﻟﻴﺔ‬ ‫اﻟﺠﺮﻋﺔ‬ ‫ﺑﺎﻧﺘﻈﺎر‬ ‫ﻨﺼﺢ‬ ُ‫ﻳ‬ ‫ﻗﺪ‬ ‫وﻟﻜﻦ‬ ،‫اﻷدوﻳﺔ‬
‫ﻳﺠﺐ‬ ‫ﻣﺎ‬ ً
‫ﻋﺎدة‬ ‫ﺳﻴﻮﺿﺢ‬ ‫واﻟﺬي‬ ،‫ﻟﻠﻤﺮﻳﺾ‬ ‫ﻣﻌﻠﻮﻣﺎت‬ ‫ﺑﻜﺘﻴﺐ‬ ‫ﻣﺮﻓﻘﺔ‬ ‫ﺑﻚ‬ ‫اﻟﺨﺎﺻﺔ‬ ‫اﻷدوﻳﺔ‬ ‫ﺗﺄﺗﻲ‬
,‫ﺑﻚ‬ ‫اﻟﺨﺎﺻﺔ‬ ‫اﻷﻗﺮاص‬ ‫ﻣﻊ‬ ‫إﻣﺎ‬ ‫اﻟﻜﺘﻴﺐ‬ ‫ﺑﻬﺬا‬ ‫اﻻﺣﺘﻔﺎظ‬ ‫اﻟﻤﻔﻴﺪ‬ ‫ﻣﻦ‬ .‫ﺟﺮﻋﺔ‬ ‫ﺗﻔﻮﻳﺖ‬ ‫ﺣﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻓﻌﻠﻪ‬
‫وﺟﻮد‬ ‫ﻋﺪم‬ ‫ﺣﺎﻟﺔ‬ ‫ﻓﻲ‬ ‫ﻃﺒﻴﺒﻚ‬ ‫اﺳﺘﺸﺎرة‬ ً‫أﻳﻀﺎ‬ ‫ﻳﻤﻜﻨﻚ‬ .‫إﻟﻴﻪ‬ ‫اﻟﻮﺻﻮل‬ ‫وﺳﻬﻞ‬ ‫آﻣﻦ‬ ‫ﻣﻜﺎن‬ ‫ﻓﻲ‬ ‫أو‬
.‫ﻣﺮﺟﻊ‬
1. Diabetes.com.uk. Forgetting to Take Tablets. Available at: https://www.diabetes.co.uk/diabetes-medication/forgetting-to-take-tablets.html.
Last accessed: June 2023 14

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:‫اﻟﺘﻐﺬﻳﺔ‬ ‫ﻣﻠﺼﻘﺎت‬ ‫ﻣﺤﺘﻮﻳﺎت‬ ‫ﻣﻌﺮﻓﺔ‬ ‫و‬ ‫ﻓﻬﻢ‬
:‫اﻟﺤﺼﺔ‬ ‫ﺣﺠﻢ‬
‫اﻟﺤﺼﺺ‬ ‫ﻋﺪد‬ ‫وﻛﺬﻟﻚ‬ ،‫اﻟﺤﺼﺔ‬ ‫ﺣﺠﻢ‬ ‫إﻟﻰ‬ ‫اﻻﻧﺘﺒﺎه‬ ‫ﻳﻨﺒﻐﻲ‬
‫ﺣﺠﻢ‬ ‫أن‬ ‫ﺑﺎﻟﺬﻛﺮ‬ ‫اﻟﺠﺪﻳﺮ‬ ‫وﻣﻦ‬ .‫اﻟﻄﻌﺎم‬ ‫ﻋﺒﻮة‬ ‫ﻓﻲ‬ ‫اﻟﻤﻮﺟﻮدة‬
.‫ﺗﺸﺮﺑﻪ‬ ‫أو‬ ‫ﺗﺄﻛﻠﻪ‬ ‫أن‬ ‫ﻳﺠﺐ‬ ‫ﻣﺎ‬ ‫ﺑﻜﻤﻴﺔ‬ ‫ﺗﻮﺻﻴﺔ‬ ‫ﻳﻤﺜﻞ‬ ‫ﻻ‬ ‫اﻟﺤﺼﺔ‬
:‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫إﺟﻤﺎﱄ‬
‫اﻟﻐﺬاﺋﻴﺔ‬ ‫اﻷﻟﻴﺎف‬ ‫ﻣﻦ‬ ‫اﻟﻜﺜﻴﺮ‬ ‫ﺗﻨﺎول‬ :‫اﻟﻐﺬاﺋﻴﺔ‬ ‫اﻷﻟﻴﺎف‬ ‫ﻳﺸﻤﻞ‬
‫ﻣﺴﺘﻮﻳﺎت‬ ‫وﻳﺨﻔﺾ‬ ،‫اﻷﻣﻌﺎء‬ ‫ﺣﺮﻛﺎت‬ ‫ﺗﺮدد‬ ‫ﻣﻦ‬ ‫ﻳﺰﻳﺪ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬
‫اﺳﺘﻬﻼك‬ ‫ﻣﻦ‬ ‫وﻳﻘﻠﻞ‬ ،‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫واﻟﻜﻮﻟﻴﺴﺘﺮول‬ ‫اﻟﺠﻠﻮﻛﻮز‬
.‫اﻟﺤﺮارﻳﺔ‬ ‫اﻟﺴﻌﺮات‬
:‫اﻟﺴﻜﺮﻳﺎت‬ ‫إﺟﻤﺎﱄ‬
‫ﻃﺒﻴﻌﻲ‬ ‫ﺑﺸﻜﻞ‬ ‫اﻟﻤﻮﺟﻮدة‬ ‫اﻟﺴﻜﺮﻳﺎت‬ ‫اﻟﺘﻐﺬﻳﺔ‬ ‫ﻣﻠﺼﻖ‬ ‫ﻳﺸﻤﻞ‬
،‫اﻟﻤﻐﺬﻳﺔ‬ ‫اﻟﻐﺬاﺋﻴﺔ‬ ‫واﻟﻤﺸﺮوﺑﺎت‬ ‫اﻷﻃﻌﻤﺔ‬ ‫ﻣﻦ‬ ‫اﻟﻌﺪﻳﺪ‬ ‫ﻓﻲ‬
‫ﺳﻜﺮﻳﺎت‬ ‫أي‬ ‫إﻟﻰ‬ ‫ﺑﺎﻹﺿﺎﻓﺔ‬ ،‫واﻟﻔﻮاﻛﻪ‬ ‫اﻟﺤﻠﻴﺐ‬ ‫ﻓﻲ‬ ‫اﻟﺴﻜﺮ‬ ‫ﻣﺜﻞ‬
.‫اﻟﻤﻨﺘﺞ‬ ‫ﻓﻲ‬ ‫ﻣﻮﺟﻮدة‬ ‫ﺗﻜﻮن‬ ‫ﻗﺪ‬ ‫ﻣﻀﺎﻓﺔ‬
:‫ﺑﻬﺎ‬ ‫اﻟﻤﻮﴅ‬ ‫اﻟﻴﻮﻣﻴﺔ‬ ‫اﻟﻘﻴﻤﺔ‬ ‫ﻣﻦ‬ ٪
‫اﻟﺘﻲ‬ ‫ﺑﺎﻟﻜﻤﻴﺔ‬ ‫ﺗﻮﺻﻴﺎت‬ (FDA) ‫واﻟﻌﻘﺎﻗﻴﺮ‬ ‫اﻷﻏﺬﻳﺔ‬ ‫إدارة‬ ‫ﺗﺤﺪد‬
‫اﻟﻘﻴﻤﺔ‬ ‫ﺗﻮﺿﺢ‬ .‫اﻟﻤﻐﺬﻳﺎت‬ ‫ﻟﻜﻞ‬ ‫واﺣﺪ‬ ‫ﻳﻮم‬ ‫ﻓﻲ‬ ‫ﺗﻨﺎوﻟﻬﺎ‬ ‫ﻳﺠﺐ‬
‫أو‬ ‫ﺑﺎﻟﺠﺮاﻣﺎت‬ ‫ﺮة‬ �‫)اﻟﻤﻌﺒ‬ ‫اﻟﻤﻌﻠﻮﻣﺎت‬ ‫اﻟﻤﺌﻮﻳﺔ‬ ‫اﻟﻴﻮﻣﻴﺔ‬
‫اﻟﺘﻲ‬ ‫اﻟﻤﻐﺬﻳﺎت‬ ‫ﻛﻤﻴﺎت‬ ‫ﻋﻦ‬ (‫اﻟﻤﻴﻜﺮوﻏﺮاﻣﺎت‬ ‫أو‬ ‫اﻟﻤﻴﻠﻴﺠﺮاﻣﺎت‬
.‫ﻳﻮم‬ ‫ﻛﻞ‬ ‫ﻓﻲ‬ ‫ﺗﺠﺎوزﻫﺎ‬ ‫ﻋﺪم‬ ‫أو‬ ‫ﺗﻨﺎوﻟﻬﺎ‬ ‫ﻳﺠﺐ‬
:‫ﻣﻼﺣﻈﺔ‬
.‫اﻟﻌﻨﺼﺮ‬ ‫ﻫﺬا‬ ‫ﻓﻲ‬ ‫ﻣﻨﺨﻔﺾ‬ = ‫أﻗﻞ‬ ‫أو‬ ٪٥
.‫اﻟﻌﻨﺼﺮ‬ ‫ﻫﺬا‬ ‫ﻓﻲ‬ ‫ﻋﺎﻟﻲ‬ = ‫أﻛﺜﺮ‬ ‫أو‬ ٪٢٠
1. U.S. Food and Drug Administration. How to Understand and Use the Nutrition Facts Label. Available at: https://www.fda.gov/food/new-
nutrition-facts-label/how-understand-and-use-nutrition-facts-label. Last accessed: June 2023.
13

‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻟﻌﺪ‬ .‫ﺑﺎﻟﺠﺮاﻣﺎت‬ ‫اﻷﻃﻌﻤﺔ‬ ‫ﻲ‬
‫ﻓ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻛﻤﻴﺔ‬ ‫ﻗﻴﺎس‬ ‫ﺗﺘﻢ‬
١
:‫إﱃ‬ ‫ﺳﺘﺤﺘﺎج‬ ،‫ﺗﺘﻨﺎوﻟﻬﺎ‬ ‫اﻟﱵ‬
.‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻋﻠﻰ‬ ‫ﺗﺤﺘﻮي‬ ‫اﻷﻃﻌﻤﺔ‬ ‫أي‬ ‫ﻣﻌﺮﻓﺔ‬ -
‫ﻓﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﺟﺮاﻣﺎت‬ ‫ﻋﺪد‬ ‫ﺗﻘﺪﻳﺮ‬ ‫أو‬ ،‫اﻷﻃﻌﻤﺔ‬ ‫ﻋﻠﻰ‬ ‫اﻟﺘﻐﺬﻳﺔ‬ ‫ﻣﻌﻠﻮﻣﺎت‬ ‫ﻣﻠﺼﻖ‬ ‫ﻗﺮاءة‬ -
.‫ﺗﺘﻨﺎوﻟﻬﺎ‬ ‫اﻟﺘﻲ‬ ‫اﻷﻃﻌﻤﺔ‬
‫وﺟﺒﺔ‬ ‫ﻟﻜﻞ‬ ‫إﺟﻤﺎﻟﻲ‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﺼﻮل‬ ‫ﺗﺘﻨﺎوﻟﻪ‬ ‫ﻃﻌﺎم‬ ‫ﻛﻞ‬ ‫ﻓﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﺟﺮاﻣﺎت‬ ‫ﺟﻤﻊ‬ -
.‫وﻟﻠﻴﻮم‬
‫ﺗﻨﺎول‬ ‫ﺗﻘﻠﻴﻞ‬ ‫ﺣﺎول‬ .‫واﻟﺤﻠﻮﻳﺎت‬ ‫واﻟﺤﻠﻴﺐ‬ ‫واﻟﻔﻮاﻛﻪ‬ ‫اﻟﻨﺸﻮﻳﺎت‬ ‫ﻣﻦ‬ ‫ﺗﺄﺗﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻣﻌﻈﻢ‬
‫ﻣﺜﻞ‬ ‫ﻣﻜﺮرة‬ ‫ﺣﺒﻮب‬ ‫ﻋﻠﻰ‬ ‫ﺗﺤﺘﻮي‬ ‫اﻟﺘﻲ‬ ‫ﺗﻠﻚ‬ ‫أو‬ ,‫ﻣﻀﺎف‬ ‫ﺳﻜﺮ‬ ‫ﻋﻠﻰ‬ ‫ﺗﺤﺘﻮي‬ ‫اﻟﺘﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬
‫واﻟﺨﻀﺮوات‬ ‫اﻟﻔﻮاﻛﻪ‬ ‫ﻣﻦ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﺗﻨﺎول‬ ,‫ذﻟﻚ‬ ‫ﻣﻦ‬ ً‫ﺑﺪﻻ‬ .‫اﻷﺑﻴﺾ‬ ‫واﻷرز‬ ‫اﻷﺑﻴﺾ‬ ‫اﻟﺨﺒﺰ‬
.‫اﻟﺪﺳﻢ‬ ‫ﻣﻨﺰوع‬ ‫أو‬ ‫ﻗﻠﻴﻞ‬ ‫واﻟﺤﻠﻴﺐ‬ ‫واﻟﺒﻘﻮﻟﻴﺎت‬ ‫اﻟﻜﺎﻣﻠﺔ‬ ‫واﻟﺤﺒﻮب‬
1. National Institute of Diabetes and Digestive and Kidney Disease. Diabetes Diet, Eating, & Physical Activity. Available at: https://www.niddk.nih.gov/
health-information/diabetes/overview/diet-eating-physical-activity. Last accessed: June 2023.
١
:‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻋﺪ‬
‫ﻷن‬ ً‫ﻧﻈﺮا‬ .ً‫ﻳﻮﻣﻴﺎ‬ ‫ﺗﺘﻨﺎوﻟﻬﺎ‬ ‫اﻟﺘﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻛﻤﻴﺔ‬ ‫ﺗﺘﺒﻊ‬ ‫ﻳﺘﻀﻤﻦ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻋﺪ‬
‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ﻋﻠﻰ‬ ‫ﺗﺆﺛﺮ‬ ‫ﻓﻬﻲ‬ ،‫ﺟﺴﻤﻚ‬ ‫ﻓﻲ‬ ‫ﺟﻠﻮﻛﻮز‬ ‫إﻟﻰ‬ ‫ﺗﺘﺤﻮل‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬
.‫اﻷﺧﺮى‬ ‫اﻷﻃﻌﻤﺔ‬ ‫ﻣﻦ‬ ‫أﻛﺜﺮ‬
12

‫ﻛﻞ‬ ً‫ﺗﻘﺮﻳﺒﺎ‬ ‫اﻟﻮﻗﺖ‬ ‫ﻧﻔﺲ‬ ‫ﻓﻲ‬ ‫اﻟﻄﻌﺎم‬ ‫ﺗﻨﺎول‬ ‫إﻟﻰ‬ ‫ﻳﺤﺘﺎﺟﻮن‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻟﻤﺼﺎﺑﻴﻦ‬ ‫اﻷﺷﺨﺎص‬ ‫ﺑﻌﺾ‬
‫ﻧﻮع‬ ‫أو‬ ‫ﻟﻠﺴﻜﺮي‬ ‫ﺗﺘﻨﺎوﻟﻬﺎ‬ ‫اﻟﺘﻲ‬ ‫اﻷدوﻳﺔ‬ ‫ﻋﻠﻰ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﺗﻨﺎول‬ ‫ﺗﻮﻗﻴﺖ‬ ‫ﻳﻌﺘﻤﺪ‬ .‫ﻳﻮم‬
‫ﻧﻔﺲ‬ ‫ﻓﻲ‬ ‫اﻟﻜﺮﺑﻮﻫﻴﺪرات‬ ‫ﻛﻤﻴﺔ‬ ‫ﻧﻔﺲ‬ ‫ﺗﻨﺎول‬ ‫إﻟﻰ‬ ‫ﺗﺤﺘﺎج‬ ‫ﻓﻘﺪ‬ ،‫ﺗﺴﺘﺨﺪﻣﻪ‬ ‫اﻟﺬي‬ ‫اﻷﻧﺴﻮﻟﻴﻦ‬
‫ﻛﻨﺖ‬ ‫إذا‬ ‫أﻣﺎ‬ .‫اﻷﻧﺴﻮﻟﻴﻦ‬ ‫أو‬ ‫ﻟﻠﺴﻜﺮي‬ ‫اﻷدوﻳﺔ‬ ‫ﻣﻦ‬ ‫ﻣﻌﻴﻨﺔ‬ ً‫أﻧﻮاﻋﺎ‬ ‫ﺗﺄﺧﺬ‬ ‫ﻛﻨﺖ‬ ‫إذا‬ ‫ﻳﻮم‬ ‫ﻛﻞ‬ ‫اﻟﻮﻗﺖ‬
.‫ﻣﺮوﻧﺔ‬ ‫أﻛﺜﺮ‬ ‫ﻳﻜﻮن‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ‫اﻟﻄﻌﺎم‬ ‫ﺗﻨﺎول‬ ‫ﺟﺪول‬ ‫ﻓﺈن‬ ،‫ﻟﻠﻮﺟﺒﺎت‬ ‫أﻧﺴﻮﻟﻴﻦ‬ ‫ﺗﺴﺘﺨﺪم‬
‫ﻗﻤﺖ‬ ‫أو‬ ‫وﺟﺒﺔ‬ ‫ﺑﺘﻔﻮﻳﺖ‬ ‫ﻗﻤﺖ‬ ‫و‬ ‫اﻷﻧﺴﻮﻟﻴﻦ‬ ‫أو‬ ‫ﻟﻠﺴﻜﺮي‬ ‫ﻣﻌﻴﻨﺔ‬ ‫أدوﻳﺔ‬ ‫ﺗﺴﺘﺨﺪم‬ ‫ﻛﻨﺖ‬ ‫إذا‬
.ً‫ﺟﺪا‬ ‫ﻗﻠﻴﻞ‬ ‫ﻣﺴﺘﻮى‬ ‫إﻟﻰ‬ ‫ﻳﻨﺨﻔﺾ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ﻓﺈن‬ ،‫ﺑﺘﺄﺟﻴﻠﻬﺎ‬
‫اﻟﻄﻌﺎم‬ ‫ﺗﺘﻨﺎول‬ ‫أن‬ ‫ﻳﺠﺐ‬ ‫ﻣﺘﻰ‬ ‫ﻟﺘﺤﺪﻳﺪ‬ ‫ﺑﻚ‬ ‫اﻟﺨﺎص‬ ‫اﻟﺼﺤﻴﺔ‬ ‫اﻟﺮﻋﺎﻳﺔ‬ ‫ﻓﺮﻳﻖ‬ ‫اﺳﺘﺸﺎرة‬ ‫ﺮﺟﻰ‬ ُ‫ﻳ‬
.‫ﺑﺎﻟﻀﺒﻂ‬
١
‫اﻟﺴﻜﺮي؟‬ ‫ﻟﺪي‬ ‫ﻛﺎن‬ ‫إذا‬ ‫اﻟﻄﻌﺎم‬ ‫أﺗﻨﺎول‬ ‫أن‬ ‫ﻳﺠﺐ‬ ‫ﻣﱴ‬
nih.gov/health-information/diabetes/overview/diet-eating-physical-activity. Last accessed: June 2023.
.‫اﻟﻤﺘﺤﻮﻟﺔ‬ ‫واﻟﺪﻫﻮن‬ ‫اﻟﻤﺸﺒﻌﺔ‬ ‫ﺑﺎﻟﺪﻫﻮن‬ ‫اﻟﻐﻨﻴﺔ‬ ‫اﻷﺧﺮى‬ ‫واﻷﻃﻌﻤﺔ‬ ‫اﻟﻤﻘﻠﻴﺔ‬ ‫اﻷﻃﻌﻤﺔ‬ -
.‫ﺑﺎﻟﺼﻮدﻳﻮم‬ ً‫أﻳﻀﺎ‬ ‫واﻟﻤﻌﺮوف‬ ،‫ﺑﺎﻟﻤﻠﺢ‬ ‫اﻟﻐﻨﻴﺔ‬ ‫اﻷﻃﻌﻤﺔ‬ -
.‫ﻛﺮﻳﻢ‬ ‫واﻵﻳﺲ‬ ‫واﻟﺤﻠﻮى‬ ‫اﻟﻤﺨﺒﻮزات‬ ‫ﻣﺜﻞ‬ ‫اﻟﺤﻠﻮﻳﺎت‬ -
‫اﻟﻌﺎدﻳﺔ‬ ‫اﻟﻐﺎزﻳﺔ‬ ‫واﻟﻤﺸﺮوﺑﺎت‬ ‫اﻟﻌﺼﺎﺋﺮ‬ ‫ﻣﺜﻞ‬ ،‫ﻣﻀﺎف‬ ‫ﺳﻜﺮ‬ ‫ﻋﻠﻰ‬ ‫ﺗﺤﺘﻮي‬ ‫اﻟﺘﻲ‬ ‫اﻟﻤﺸﺮوﺑﺎت‬ -
.‫اﻟﻌﺎدﻳﺔ‬ ‫اﻟﻄﺎﻗﺔ‬ ‫أو‬ ‫اﻟﺮﻳﺎﺿﺔ‬ ‫وﻣﺸﺮوﺑﺎت‬
.‫اﻟﻤﺤﻼة‬ ‫اﻟﻤﺸﺮوﺑﺎت‬ ‫ﻣﻦ‬ ً‫ﺑﺪﻻ‬ ‫اﻟﻤﺎء‬ ‫اﺷﺮب‬
.‫اﻟﺸﺎي‬ ‫أو‬ ‫اﻟﻘﻬﻮة‬ ‫ﺷﺮب‬ ‫ﻋﻨﺪ‬ ‫ﻟﻠﺴﻜﺮ‬ ‫ﺑﺪﻳﻞ‬ ‫اﺳﺘﺨﺪم‬
‫ﻣﻨﻬﺎ‬ ‫أﻗﻠﻞ‬ ‫أن‬ ‫ﻳﺠﺐ‬ ‫واﻟﻤﺸـﺮوﺑﺎت‬ ‫اﻷﻃﻌﻤﺔ‬ ‫أي‬
١
‫اﻟﺴﻜﺮي؟‬ ‫ﻟﺪي‬ ‫ﻛﺎن‬ ‫إذا‬
11

‫ﻣﻬﻤﺔ‬ ‫أﻣﻮر‬ ‫ﻛﻠﻬﺎ‬ ،‫ﺗﺄﻛﻠﻪ‬ ‫وﻣﺘﻰ‬ ،‫ﺗﺄﻛﻠﻪ‬ ‫ﻣﺎ‬ ‫وﻛﻤﻴﺔ‬ ،‫ﺗﺄﻛﻠﻪ‬ ‫أن‬ ‫ﺗﺨﺘﺎر‬ ‫ﻣﺎ‬
‫ﺑﻪ‬ ‫ﻳﻮﺻﻲ‬ ‫اﻟﺬي‬ ‫اﻟﻨﻄﺎق‬ ‫ﺿﻤﻦ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﻔﺎظ‬
.‫ﺑﻚ‬ ‫اﻟﺨﺎص‬ ‫اﻟﺼﺤﻴﺔ‬ ‫اﻟﺮﻋﺎﻳﺔ‬ ‫ﻓﺮﻳﻖ‬
!‫ﺗﺒﺪأ‬ ‫أﻳﻦ‬ ‫ﻣﻦ‬ ‫ﺳﻨﺮﺷﺪك‬ ،‫اﻟﻘﺴﻢ‬ ‫ﻫﺬا‬ ‫ﺧﻼل‬
‫أوﻟﻮﻳﺘﻚ‬ ‫ﻫﻲ‬ ‫ﺻﺤﺘﻚ‬
١
:‫وﻟﺜﺘﻚ‬ ‫أﺳﻨﺎﻧﻚ‬ ‫ﻟﺤﻤﺎﻳﺔ‬ ‫اﻟﻨﺼﺎﺋﺢ‬ ‫ﻫﺬه‬ ‫اﺗﺒﻊ‬
.‫واﻟﺘﻨﻈﻴﻒ‬ ‫اﻟﻔﺤﻮﺻﺎت‬ ‫ﻹﺟﺮاء‬ ‫اﻟﺴﻨﺔ‬ ‫ﻓﻲ‬ ‫ﻣﺮﺗﻴﻦ‬ ‫اﻷﺳﻨﺎن‬ ‫ﻃﺒﻴﺐ‬ ‫زر‬ -
.‫اﻟﺴﻜﺮي‬ ‫ﻣﻦ‬ ‫ﺗﻌﺎﻧﻲ‬ ‫ﺑﺄﻧﻚ‬ ‫اﻷﺳﻨﺎن‬ ‫ﻃﺒﻴﺐ‬ ‫إﺑﻼغ‬ ‫ﻣﻦ‬ ‫ﺗﺄﻛﺪ‬ -
،‫أﻳﺎم‬ ‫ﺑﻀﻌﺔ‬ ‫ﻣﻦ‬ ‫ﻷﻛﺜﺮ‬ ‫اﻟﺤﺎﻟﺔ‬ ‫ﻫﺬه‬ ‫واﺳﺘﻤﺮت‬ ‫ﺣﺴﺎﺳﺔ‬ ‫أو‬ ‫ﺗﻨﺰف‬ ‫ﻟﺜﺘﻚ‬ ‫ﻛﺎﻧﺖ‬ ‫إذا‬ -
.‫اﻟﻠﺜﺔ‬ ‫ﻣﺮض‬ ‫ﻋﻠﻰ‬ ‫ﻋﻼﻣﺔ‬ ‫ﻫﺬه‬ ‫ﺗﻜﻮن‬ ‫ﻗﺪ‬ .‫اﻷﺳﻨﺎن‬ ‫ﺑﻄﺒﻴﺐ‬ ‫اﺗﺼﻞ‬
.‫اﻟﻴﻮم‬ ‫ﻓﻲ‬ ‫ﻣﺮات‬ ‫ﺛﻼث‬ ‫اﻷﺳﻨﺎن‬ ‫ﻓﺮﺷﺎة‬ ‫اﺳﺘﺨﺪم‬ -
.‫اﻟﺘﺪﺧﻴﻦ‬ ‫اﺗﺮك‬ -
١
:‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻟﻤﺼﺎﺑﻴﻦ‬ ‫اﻷﻓﺮاد‬ ‫ﻓﻲ‬ ‫اﻟﻠﺜﺔ‬ ‫أﻣﺮاض‬ ‫ﻣﺨﺎﻃﺮ‬
‫ﻣﺮض‬ ‫ﻟﺪﻳﻚ‬ ‫ﻛﺎن‬ ‫إذا‬ ‫ﻟﻠﺸﻔﺎء‬ ‫أﻃﻮل‬ ً‫وﻗﺘﺎ‬ ‫وﺗﺴﺘﻐﺮق‬ ‫ﺷﺪة‬ ‫أﻛﺜﺮ‬ ‫اﻟﻠﺜﺔ‬ ‫أﻣﺮاض‬ ‫ﺗﻜﻮن‬ ‫ﻗﺪ‬
.‫اﻟﻤﺮض‬ ‫إدارة‬ ‫ﻓﻲ‬ ‫ﺻﻌﻮﺑﺔ‬ ‫ﻫﻨﺎك‬ ‫ﺳﺘﻜﻮن‬ ،‫اﻟﻠﺜﺔ‬ ‫أﻣﺮاض‬ ‫ﻟﺪﻳﻚ‬ ‫ﻛﺎﻧﺖ‬ ‫إذا‬ .‫اﻟﺴﻜﺮي‬
1. Centers for Disease Control and Prevention. Diabetes and Oral Health. Available at: https://www.cdc.gov/diabetes/managing/diabetes-oral-health.html.
Last accessed: June 2023. 10

‫ﺳﺎﻋﺎت‬
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:‫ﻛﻠﻴﺘﻴﻚ‬ ‫ﻟﺮﻋﺎﻳﺔ‬ ‫اﻟﻨﺼﺎﺋﺢ‬ ‫ﻫﺬه‬ ‫اﺗﺒﻊ‬
‫ﻣﻦ‬ ‫اﻟﻤﺤﺪد‬ ‫اﻟﻤﺴﺘﻬﺪف‬ ‫اﻟﻨﻄﺎق‬ ‫ﻗﺮب‬ ‫اﻟﺪم‬ ‫وﺿﻐﻂ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮﻳﺎت‬ ‫ﻋﻠﻰ‬ ‫ﺣﺎﻓﻆ‬ -
.‫اﻟﻄﺒﻴﺐ‬ ‫ﻗﺒﻞ‬
‫اﻟﻨﻈﺎم‬ ‫وﺗﺤﺴﻴﻦ‬ ‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎط‬ ‫وزﻳﺎدة‬ ‫اﻟﺘﺪﺧﻴﻦ‬ ‫ﻋﺪم‬ ‫ﻳﺸﻤﻞ‬ ‫ﺻﺤﻲ‬ ‫ﺣﻴﺎة‬ ‫ﻧﻤﻂ‬ ‫ﻋﻠﻰ‬ ‫ﺣﺎﻓﻆ‬ -
.‫اﻟﻨﻮم‬ ‫ﻣﻦ‬ ٍ
‫ﻛﺎف‬ ‫ﻗﺪر‬ ‫ﻋﻠﻰ‬ ‫واﻟﺤﺼﻮل‬ ‫ﺻﺤﻲ‬ ‫وزن‬ ‫ﻋﻠﻰ‬ ‫ﻟﻠﺤﻔﺎظ‬ ‫اﻟﻐﺬاﺋﻲ‬
٢
:‫ﺑﻚ‬ ‫اﻟﺨﺎﺻﺔ‬ ‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫ﺷﺒﻜﺔ‬ ‫ي‬ ّ‫ﻗﻮ‬
٣
:‫اﻟﺼﺤﻴﺔ‬ ‫اﺑﺘﺴﺎﻣﺘﻚ‬ ‫ﻋﲆ‬ ‫ﺣﺎﻓﻆ‬
‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫ﻓﺈن‬ ،‫ﺳﻨﻮات‬ ‫ﻣﺪى‬ ‫ﻋﻠﻰ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫ﻋﺎﻟﻴﺔ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮﻳﺎت‬ ‫اﺳﺘﻤﺮت‬ ‫إذا‬
‫ﻏﻴﺮ‬ ‫ﻳﺠﻌﻠﻬﺎ‬ ‫وذﻟﻚ‬ ‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺘﺮﺳﺒﺎت‬ ‫ﻟﺘﻜﻮن‬ ‫ﻳﺆدي‬ ‫ﻣﻤﺎ‬ ‫ﻟﺪﻳﻨﺎ‬ ‫ﺗﺘﻀﺮر‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬
.‫اﻟﻤﺠﺎورة‬ ‫اﻟﺨﻼﻳﺎ‬ ‫إﻟﻰ‬ ‫اﻟﺪم‬ ‫ﻣﻦ‬ ‫ﻛﺎﻓﻴﺔ‬ ‫ﻛﻤﻴﺔ‬ ‫ﺗﻮﺻﻴﻞ‬ ‫ﻋﻠﻰ‬ ‫ﻗﺎدرة‬
.(HbA1c) ‫اﻟﺴﻜﺮي‬ ‫اﻟﻬﻴﻤﻮﺟﻠﻮﺑﻴﻦ‬ ‫ﻟﻤﺴﺘﻮى‬ ‫اﻟﻤﺴﺘﻬﺪف‬ ‫اﻟﻨﻄﺎق‬ ‫ﻣﻦ‬ ‫اﻻﻗﺘﺮاب‬ ‫أو‬ ‫ﺗﺤﻘﻴﻖ‬ -
.‫اﻟﺪم‬ ‫ﻟﻀﻐﻂ‬ ‫اﻟﻤﺤﺪد‬ ‫اﻟﻬﺪف‬ ‫ﻋﻠﻰ‬ ‫اﻟﺒﻘﺎء‬ -
.(HDL) ‫اﻟﺠﻴﺪ‬ ‫اﻟﻜﻮﻟﻴﺴﺘﺮول‬ ‫ﻧﺴﺒﺔ‬ ‫وزﻳﺎدة‬ (LDL) ‫اﻟﻀﺎر‬ ‫اﻟﻜﻮﻟﻴﺴﺘﺮول‬ ‫ﻧﺴﺒﺔ‬ ‫ﺧﻔﺾ‬ -
.‫وﺗﺤﺴﻴﻨﻪ‬ ‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎط‬ ‫زﻳﺎدة‬ -
‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ارﺗﻔﺎع‬ ‫ﻷن‬ ً‫ﻧﻈﺮا‬ ‫ﺑﺎﻟﻔﻢ‬ ‫ﺧﺎﺻﺔ‬ ‫ﻣﺸﺎﻛﻞ‬ ‫ﻓﻲ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻳﺘﺴﺒﺐ‬ ‫ﻗﺪ‬
‫ﺗﺴﺘﺨﺪم‬ .‫اﻟﻨﻤﻮ‬ ‫ﻋﻠﻰ‬ ‫اﻟﻀﺎرة‬ ‫اﻟﺒﻜﺘﻴﺮﻳﺎ‬ ‫ﻳﺴﺎﻋﺪ‬ ‫ﻣﻤﺎ‬ ،‫اﻟﻠﻌﺎب‬ ‫ﻓﻲ‬ ‫اﻟﺴﻜﺮ‬ ‫وﺟﻮد‬ ‫ﻣﻦ‬ ‫ﻳﺰﻳﺪ‬
‫ﻫﺬه‬ ‫ﻟﺒﻌﺾ‬ ‫وﻳﻤﻜﻦ‬ .‫ﻛﻐﺬاء‬ ‫اﻟﺴﻜﺮ‬ ‫اﻷﺳﻨﺎن‬ ‫ﻋﻠﻰ‬ ‫اﻟﻼﺻﻘﺔ‬ ‫اﻟﺘﺮﺳﺒﺎت‬ ‫ﻓﻲ‬ ‫اﻟﻤﻮﺟﻮدة‬ ‫اﻟﺒﻜﺘﻴﺮﻳﺎ‬
‫ﻓﻘﺪ‬ ،‫اﻷﺳﻨﺎن‬ ‫ﻋﻼج‬ ‫ﻳﺘﻢ‬ ‫ﻟﻢ‬ ‫إذا‬ .‫اﻟﻠﺜﺔ‬ ‫وأﻣﺮاض‬ ‫واﻷﺿﺮاس‬ ‫اﻷﺳﻨﺎن‬ ‫ﺗﺴﻮس‬ ‫ﺗﺴﺒﺐ‬ ‫أن‬ ‫اﻟﺒﻜﺘﻴﺮﻳﺎ‬
.‫ﻓﻘﺪاﻧﻬﺎ‬ ‫إﻟﻰ‬ ً‫أﻳﻀﺎ‬ ‫ذﻟﻚ‬ ‫ﻳﺆدي‬
٢
:‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫أﻣﺮاض‬ ‫ﻣﻦ‬ ‫ﻟﻠﻮﻗﺎﻳﺔ‬ ‫اﻟﻨﺼﺎﺋﺢ‬ ‫ﻫﺬه‬ ‫اﺗﺒﻊ‬
1. National Institute of Diabetes and Digestive and Kidney Disease. Diabetic Kidney Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/
overview/preventingproblems/diabetic-kidney-disease. Last accessed: June 2023.
2. Diabetes.com.uk. Poor Blood Circulation. Available at: https://www.diabetes.co.uk/diabetes-complications/poor-blood-circulation.html. Last accessed: June 2023.
3. Centers for Disease Control and Prevention. Diabetes and Oral Health. Available at: https://www.cdc.gov/diabetes/managing/diabetes-oral-health.html. Last accessed: June 2023.
9

‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫ﺗﻠﻒ‬ ‫إﻟﻰ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮﻳﺎت‬ ‫ارﺗﻔﺎع‬ ‫ﻳﺆدي‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬
،‫اﻟﻤﺸﺎﻛﻞ‬ ‫ﻣﻦ‬ ‫ﻣﺠﻤﻮﻋﺔ‬ ‫إﻟﻰ‬ ‫اﻟﻨﺎﺗﺞ‬ ‫اﻟﺘﻠﻒ‬ ‫ﻳﺆدي‬ ‫ﻗﺪ‬ .‫اﻟﻌﻴﻨﻴﻦ‬ ‫ﺗﻐﺬي‬ ‫اﻟﺘﻲ‬ ‫اﻟﺼﻐﻴﺮة‬
.‫اﻟﺮؤﻳﺔ‬ ‫ﻓﻘﺪان‬ ‫ذﻟﻚ‬ ‫ﻓﻲ‬ ‫ﺑﻤﺎ‬
‫ﺗﺴﺎﻋﺪ‬ .‫اﻟﺒﻮل‬ ‫ﻟﺘﻜﻮﻳﻦ‬ ‫اﻟﺪم‬ ‫ﻣﻦ‬ ‫اﻟﺰاﺋﺪ‬ ‫واﻟﻤﺎء‬ ‫اﻟﻔﻀﻼت‬ ‫ﺗﻨﻘﻴﺔ‬ ‫ﻫﻲ‬ ‫ﻟﻠﻜﻠﻰ‬ ‫اﻟﺮﺋﻴﺴﻴﺔ‬ ‫اﻟﻤﻬﻤﺔ‬
.ً‫ﺻﺤﻴﺎ‬ ‫ﻟﻠﺒﻘﺎء‬ ‫ﺟﺴﻤﻚ‬ ‫ﻳﺤﺘﺎﺟﻬﺎ‬ ‫اﻟﺘﻲ‬ ‫اﻟﻬﺮﻣﻮﻧﺎت‬ ‫وإﻧﺘﺎج‬ ‫اﻟﺪم‬ ‫ﺿﻐﻂ‬ ‫ﺿﺒﻂ‬ ‫ﻓﻲ‬ ‫ﺎ‬ ً
‫أﻳﻀ‬ ‫اﻟﻜﻠﻰ‬
‫إﻟﻰ‬ ‫ﻳﺆدي‬ ‫ﻣﻤﺎ‬ ،‫اﻟﺼﺤﻴﺢ‬ ‫ﺑﺎﻟﺸﻜﻞ‬ ‫اﻟﺪم‬ ‫ﺗﺼﻔﻴﺔ‬ ‫ﺗﺴﺘﻄﻴﻊ‬ ‫ﻻ‬ ‫ﻓﺈﻧﻬﺎ‬ ،‫ﻟﻠﺘﻠﻒ‬ ‫اﻟﻜﻠﻰ‬ ‫ﺗﺘﻌﺮض‬ ‫ﻋﻨﺪﻣﺎ‬
.‫اﻟﺠﺴﻢ‬ ‫ﻓﻲ‬ ‫اﻟﻔﻀﻼت‬ ‫ﺗﺮاﻛﻢ‬
‫ارﺗﻔﺎع‬ ‫ﻳﺘﺴﺒﺐ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ .‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﻫﻮ‬ ‫اﻟﺘﻠﻒ‬ ‫ﻫﺬا‬ ‫ﻓﻲ‬ ‫اﻟﻤﺴﺎﻫﻤﺔ‬ ‫اﻟﻌﻮاﻣﻞ‬ ‫أﺣﺪ‬
‫اﻷوﻋﻴﺔ‬ ‫ﺗﺘﻀﺮر‬ ‫ﻋﻨﺪﻣﺎ‬ .‫اﻟﻜﻠﻰ‬ ‫ﻓﻲ‬ ‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫ﺗﻠﻒ‬ ‫ﻓﻲ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬
.‫ﺑﻜﻔﺎءة‬ ‫ﺗﻌﻤﻞ‬ ‫ﻻ‬ ‫ﻓﺈﻧﻬﺎ‬ ،‫اﻟﺪﻣﻮﻳﺔ‬
‫اﻟﻤﺤﺪد‬ ‫اﻟﻤﺴﺘﻬﺪف‬ ‫اﻟﻨﻄﺎق‬ ‫ﺿﻤﻦ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ﻋﻠﻰ‬ ‫ﺣﺎﻓﻆ‬ -
.‫ﻃﺒﻴﺒﻚ‬ ‫ﻗﺒﻞ‬ ‫ﻣﻦ‬
.‫ﻃﺒﻴﺒﻚ‬ ‫ﻗﺒﻞ‬ ‫ﻣﻦ‬ ‫اﻟﻤﺤﺪد‬ ‫اﻟﻤﺴﺘﻬﺪف‬ ‫اﻟﻨﻄﺎق‬ ‫ﺿﻤﻦ‬ ‫اﻟﺪم‬ ‫ﺿﻐﻂ‬ ‫ﻋﻠﻰ‬ ‫ﺣﺎﻓﻆ‬ -
.‫اﻟﻌﻴﻦ‬ ‫داﺧﻞ‬ ‫ﺗﺤﺪث‬ ‫ﻗﺪ‬ ‫ﻣﺸﺎﻛﻞ‬ ‫أي‬ ‫ﻋﻦ‬ ‫ﻟﻠﻜﺸﻒ‬ ‫ﺳﻨﻮي‬ ‫ﻋﻴﻦ‬ ‫ﻓﺤﺺ‬ ‫ﺑﺈﺟﺮاء‬ ‫ﻗﻢ‬ -
.‫اﻟﻔﻮر‬ ‫ﻋﻠﻰ‬ ‫ﺑﺎﻟﻄﺒﻴﺐ‬ ‫اﺗﺼﻞ‬ ،‫ﺿﺒﺎﺑﻴﺔ‬ ‫رؤﻳﺔ‬ ‫ﺑﻪ‬ ‫ﺗﻌﺘﻨﻲ‬ ‫اﻟﺬي‬ ‫اﻟﺸﺨﺺ‬ ‫ﻻﺣﻆ‬ ‫أو‬ ‫ﻻﺣﻈﺖ‬ ‫إذا‬ -
!
‫ﺳﻨﻮي‬ ‫ﻓﺤﺺ‬
١
:‫ﻋﻴﻨﻴﻚ‬ ‫ﻟﺤﻤﺎﻳﺔ‬ ‫اﻟﻨﺼﺎﺋﺢ‬ ‫ﻫﺬه‬ ‫اﺗﺒﻊ‬
١
:‫ﻋﻴﻨﻴﻚ‬ ‫اﺣﻤﻲ‬
٢
:‫ﺑﻜﻠﻴﺘﻴﻚ‬ ‫اﻻﻋﺘﻨﺎء‬
1. National Institute of Diabetes and Digestive and Kidney Disease. Diabetic Eye Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/
diabetic-eye-disease#:~:text=Diabetic. Last accessed: June 2023.
2. National Institute of Diabetes and Digestive and Kidney Disease. Diabetic Kidney Disease. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/
preventing-problems/diabetic-kidney-disease. Last accessed: June 2023.
8

‫ﻳﻌﺎﻧﻮن‬ ‫اﻟﺬﻳﻦ‬ ‫أﺳﺮﺗﻚ‬ ‫أﻓﺮاد‬ ‫أﺣﺪ‬ ‫أو‬ ‫ﻛﻨﺖ‬ ‫إذا‬ ‫ﻃﺒﻴﺒﻚ‬ ‫إﺑﻼغ‬ ‫ﻣﻦ‬ ‫ﺗﺄﻛﺪ‬
.‫اﻷﻋﺮاض‬ ‫ﻫﺬه‬ ‫ﻣﻦ‬ ‫أي‬ ‫ﻣﻦ‬ ‫ﺗﻌﺎﻧﻲ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﻣﻦ‬
‫ﻗﺒﻞ‬ ‫ﻣﻦ‬ ‫اﻟﻤﺤﺪد‬ ‫اﻟﻬﺪف‬ ‫ﻗﺮب‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ﻋﻠﻰ‬ ‫ﺣﺎﻓﻆ‬ -
.‫اﻟﻄﺒﻴﺐ‬
.‫اﻟﺘﺪﺧﻴﻦ‬ ‫ﻋﻦ‬ ‫ﺗﻮﻗﻒ‬ -
.‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎظ‬ ‫ﻋﻠﻲ‬ ‫واﻇﺐ‬ -
٢
:‫اﻷﻋﺼﺎب‬ ‫ﺗﻠﻒ‬ ‫ﻣﺨﺎﻃﺮ‬ ‫ﻣﻦ‬ ‫ﻟﻠﺤﺪ‬ ‫اﻟﻨﺼﺎﺋﺢ‬ ‫ﻫﺬه‬ ‫اﺗﺒﻊ‬
:‫أﻋﺼﺎﺑﻚ‬ ‫ﺗﺘﺒﻊ‬
‫إﻟﻰ‬ ‫اﻟﺪﻣﺎغ‬ ‫ﻣﻦ‬ ‫اﻹﺷﺎرات‬ ‫ﻧﻘﻞ‬ ‫ﻋﺒﺮﻫﺎ‬ ‫ﻳﺘﻢ‬ ‫اﻟﺘﻲ‬ ‫اﻷﺳﻼك‬ ‫ﻫﻲ‬ ‫اﻟﺠﺴﻢ‬ ‫ﻓﻲ‬ ‫اﻷﻋﺼﺎب‬ ‫ﺗﻌﺘﺒﺮ‬
١
.‫اﻷﺧﺮى‬ ‫اﻟﺠﺴﻢ‬ ‫أﺟﺰاء‬
‫اﻷﻋﺼﺎب‬ ‫ﺗﻠﻒ‬ ‫ﻓﻲ‬ ‫اﻟﺪم‬ ‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ارﺗﻔﺎع‬ ‫ﻳﺘﺴﺒﺐ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ،‫اﻟﻮﻗﺖ‬ ‫ﻣﺮور‬ ‫ﻣﻊ‬
٢
.‫ﺟﺴﻤﻚ‬ ‫ﻓﻲ‬
٢
:‫ﻳﻠﻲ‬ ‫ﻣﺎ‬ ‫اﻷﻋﺼﺎب‬ ‫ﺗﻠﻒ‬ ‫أﻋﺮاض‬ ‫ﺗﺸﻤﻞ‬
.‫اﻟﻘﺪﻣﻴﻦ‬ ‫أو‬ ‫اﻟﻴﺪﻳﻦ‬ ‫ﻓﻲ‬ ‫اﻷﻟﻢ‬ ‫أو‬ ‫ﺑﺎﻟﺨﺪر‬ ‫ﺷﻌﻮر‬ -
.‫اﻷﻣﻌﺎء‬ ‫أو‬ ‫اﻟﺒﻮل‬ ‫ﻋﻠﻰ‬ ‫اﻟﺴﻴﻄﺮة‬ ‫ﻓﻘﺪان‬ -
.‫اﻟﻄﻌﺎم‬ ‫ﻫﻀﻢ‬ ‫ﻓﻲ‬ ‫ﺻﻌﻮﺑﺔ‬ -
.‫اﻟﻌﻀﻼت‬ ‫ﺿﻌﻒ‬ -
.‫اﻟﺼﺤﻴﺢ‬ ‫ﺑﺎﻟﺸﻜﻞ‬ ‫اﻹﺣﺴﺎس‬ ‫ﻋﻠﻰ‬ ‫اﻟﻘﺪرة‬ ‫ﻋﺪم‬ -
1. Cleveland Clinic. Nerves. Available at: https://my.clevelandclinic.org/health/body/22584-nerves#:~:text=What are nerves%3F,breathing%2C sweating or digesting food.
2. Centers for Disease Control and Prevention. Diabetes and Nerve Damage. Available at: https://www.cdc.gov/diabetes/library/features/diabetes-nerve-damage.html.
7

١,٢
:‫ﺑﻘﺪﻣﻴﻚ‬ ‫اﻟﻌﻨﺎﻳﺔ‬
‫ﻣﻦ‬ ‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻟﺪورة‬ ‫وﻗﺼﻮر‬ ‫اﻷﻋﺼﺎب‬ ‫ﺗﻠﻒ‬ ‫ﻷن‬ ،‫ﺿﺮوري‬ ‫ﺑﻘﺪﻣﻴﻚ‬ ‫اﻟﺨﺎص‬ ‫اﻻﻋﺘﻨﺎء‬
:‫اﻷﺳﺒﺎب‬ ‫ﻳﻠﻲ‬ ‫وﻓﻴﻤﺎ‬ .‫ﻟﻠﺨﻄﺮ‬ ‫اﻟﺴﻔﻠﻴﺔ‬ ‫اﻷﻃﺮاف‬ ‫ﻳﻌﺮض‬ ‫ﻣﻤﺎ‬ ،‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﻣﻀﺎﻋﻔﺎت‬
.‫اﻷﻟﻢ‬ ‫أو‬ ‫اﻟﺤﺮارة‬ ‫أو‬ ‫ﺑﺎﻟﺒﺮودة‬ ‫اﻟﺸﻌﻮر‬ ‫ﻋﻠﻰ‬ ‫اﻟﺸﺨﺺ‬ ‫ﻗﺪرة‬ ‫ﻋﻠﻰ‬ ‫اﻷﻋﺼﺎب‬ ‫ﺗﻠﻒ‬ ‫ﻳﺆﺛﺮ‬ ‫ﻗﺪ‬
‫ﻳﺘﻢ‬ ‫ﻟﻦ‬ ‫اﻟﺤﺎﻟﺔ‬ ‫ﻫﺬه‬ ‫وﻓﻲ‬ ،‫ﺑﻬﺎ‬ ‫ﺗﺸﻌﺮ‬ ‫ﻻ‬ ‫ﻓﻘﺪ‬ ،‫ﺟﺮوح‬ ‫أو‬ ‫ﻗﺮح‬ ‫أي‬ ‫ﺣﺪﺛﺖ‬ ‫إذا‬ ،‫ﺑﺎﻟﺘﺎﻟﻲ‬
.‫ﻣﻠﻮﺛﺔ‬ ‫وﺗﺼﺒﺢ‬ ‫اﻟﻮﻗﺖ‬ ‫ﻣﺮور‬ ‫ﻣﻊ‬ ً‫ﺳﻮءا‬ ‫ﺗﺰداد‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ،‫ﻟﺬﻟﻚ‬ ‫وﻧﺘﻴﺠﺔ‬ .‫ﻋﻼﺟﻬﺎ‬
،‫اﻟﻘﺪﻣﻴﻦ‬ ‫إﻟﻰ‬ ‫اﻟﺪم‬ ‫ﺗﺪﻓﻖ‬ ‫ﻣﻦ‬ ‫ﻳﻘﻠﻞ‬ ‫ذﻟﻚ‬ ‫ﻓﺈن‬ ،‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻟﺪورة‬ ‫ﻟﺴﻮء‬ ‫ﺑﺎﻟﻨﺴﺒﺔ‬ ‫أﻣﺎ‬
.‫اﻟﻌﺪوى‬ ‫أو‬ ‫اﻟﺠﺮوح‬ ‫أو‬ ‫اﻟﻘﺮح‬ ‫ﺷﻔﺎء‬ ‫ﻳﺘﻢ‬ ‫ﻟﻦ‬ ‫وﺑﺎﻟﺘﺎﻟﻲ‬
١
:‫ﻗﺪﻣﻴﻚ‬ ‫ﻟﺤﻤﺎﻳﺔ‬ ‫اﻟﻨﺼﺎﺋﺢ‬ ‫ﻫﺬه‬ ‫اﺗﺒﻊ‬
‫ﻓﻲ‬ ‫ﻣﺸﺎﻛﻞ‬ ‫ﻟﺪﻳﻚ‬ ‫ﻛﺎﻧﺖ‬ ‫إذا‬ ً‫ﺗﻜﺮارا‬ ‫أﻛﺜﺮ‬ ‫ﺑﺸﻜﻞ‬ ‫و‬ ً‫ﺳﻨﻮﻳﺎ‬ ‫ﻟﻠﻘﺪﻣﻴﻦ‬ ً‫ﻓﺤﺼﺎ‬ ِ‫إﺟﺮ‬ -
.‫ﻗﺪﻣﻚ‬
.ً‫ﺟﻴﺪا‬ ‫ﺟﻔﻔﻬﻤﺎ‬ ‫ﺛﻢ‬ ،‫واﻟﺼﺎﺑﻮن‬ ‫اﻟﺪاﻓﺊ‬ ‫اﻟﻤﺎء‬ ‫ﺑﺎﺳﺘﺨﺪام‬ ً‫ﻳﻮﻣﻴﺎ‬ ‫ﻗﺪﻣﻴﻚ‬ ‫اﻏﺴﻞ‬ -
.‫ﻣﺮﻃﺐ‬ ‫ﻛﺮﻳﻢ‬ ‫ﺑﻮاﺳﻄﺔ‬ ‫ﻗﺪﻣﻴﻚ‬ ‫ﺑﺘﺮﻃﻴﺐ‬ ‫ﻗﻢ‬ ،‫واﻟﺘﺠﻔﻴﻒ‬ ‫اﻟﻐﺴﻞ‬ ‫ﺑﻌﺪ‬ -
.ً‫اﺑﺪا‬ ‫ﺣﺬاء‬ ‫ﺑﺪون‬ ‫ﺗﺨﺮج‬ ‫ﻻ‬ -
.‫ﺟﻴﺪ‬ ‫ﺑﺸﻜﻞ‬ ‫ﻗﺪﻣﻴﻚ‬ ‫ﺗﻨﺎﺳﺐ‬ ‫واﻟﺠﻮارب‬ ‫اﻷﺣﺬﻳﺔ‬ ‫أن‬ ‫ﻣﻦ‬ ‫ﺗﺄﻛﺪ‬ -
.‫ﺗﻮرم‬ ‫أو‬ ‫ﻛﺪﻣﺎت‬ ‫أو‬ ‫ﺟﺮوح‬ ‫ﻋﻦ‬ ً‫ﺑﺤﺜﺎ‬ ‫ﺑﻨﻔﺴﻚ‬ ً‫ﻳﻮﻣﻴﺎ‬ ‫ﻗﺪﻣﻴﻚ‬ ‫اﻓﺤﺺ‬ -
.‫ﻗﺪﻣﻴﻚ‬ ‫أﻇﺎﻓﺮ‬ ‫ﻟﺘﻘﺼﻴﺮ‬ ‫ﻣﺒﺮدة‬ ‫اﺳﺘﺨﺪم‬- ‫ﻗﺪﻣﻴﻚ‬ ‫ﺑﺄﻇﺎﻓﺮ‬ ِ
‫اﻋﺘﻦ‬ -
.‫ﺟﺮﺣﻚ‬ ‫ﻓﻲ‬ ‫ﺗﺘﺴﺒﺐ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ‫ﻷﻧﻪ‬ ‫اﻟﻘﺪم‬ ‫ﻷﻇﺎﻓﺮ‬ ‫ﻣﻘﺼﺎت‬ ‫ﺗﺴﺘﺨﺪم‬ ‫ﻻ‬ -
.‫اﻟﻄﺒﻴﺐ‬ ‫اﺳﺘﺸﺎرة‬ ‫ﺑﻌﺪ‬ ً‫ﻓﻮرا‬ ً‫ﺟﻴﺪا‬ ‫ﺑﻪ‬ ‫اﻫﺘﻢ‬ ،ً‫ﺧﺪﺷﺎ‬ ‫أو‬ ً‫ﺑﺠﺮﺣﺎ‬ ‫أﺻﺒﺖ‬ ‫إذا‬ -
.‫ﻃﺒﻴﺔ‬ ‫زﻳﺎرة‬ ‫ﻛﻞ‬ ‫ﻓﻲ‬ ‫ﻟﻘﺪﻣﻴﻚ‬ ً‫ﻓﺤﺼﺎ‬ ‫اﻃﻠﺐ‬
1. Centers for Disease Control and Prevention. Diabetes and Your Feet. Available at: https://www.cdc.gov/diabetes/library/features/healthy-feet.html. Last accessed: June 2023.
2. Centers for Disease Control and Prevention. Diabetes and Nerve Damage. Available at: https://www.cdc.gov/diabetes/library/features/diabetes-nerve-damage.html. Last
accessed: June 2023.
6

‫ﻓﻲ‬ ‫اﻟﺠﻠﻮﻛﻮز‬ ‫ﻣﺴﺘﻮى‬ ‫ﻣﺘﻮﺳﻂ‬ A1C ‫اﺧﺘﺒﺎر‬ ‫ﻳﻈﻬﺮ‬ :A1C ‫ﻻﺧﺘﺒﺎر‬
A1C‫ﻟﻞ‬ ‫اﻟﻤﺤﺒﺬ‬ ‫اﻟﻬﺪف‬ .‫اﻟﻤﺎﺿﻴﺔ‬ ‫أﺷﻬﺮ‬ ‫اﻟﺜﻼﺛﺔ‬ ‫ﻣﺪى‬ ‫ﻋﻠﻰ‬ ‫اﻟﺪم‬
‫ﻓﻲ‬ ٧ ‫ﻣﻦ‬ ‫أﻗﻞ‬ ‫ﻫﻮ‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻟﻤﺼﺎﺑﻴﻦ‬ ‫اﻷﺷﺨﺎص‬ ‫ﻟﻤﻌﻈﻢ‬
A1C‫ال‬ ‫ﺣﻮل‬ ‫اﻟﻤﺰﻳﺪ‬ ‫ﻟﻤﻌﺮﻓﺔ‬ ‫ﻃﺒﻴﺒﻚ‬ ‫اﺳﺘﺸﺮ‬ ،‫ذﻟﻚ‬ ‫وﻣﻊ‬ .‫اﻟﻤﺌﺔ‬
.‫اﻟﻤﺴﺘﻬﺪف‬
‫اﻟﻜﻮﻟﻴﺴﺘﺮول‬ :‫دﻣﻚ‬ ‫ﻓﻲ‬ ‫اﻟﻜﻮﻟﺴﺘﺮول‬ ‫ﻣﻦ‬ ‫ﻧﻮﻋﺎن‬ ‫ﻟﺪﻳﻚ‬ :‫ﻟﻠﻜﻮﻟﺴﺘﺮول‬
‫اﻟﻀﺎر‬ LDL ‫اﻟﻜﻮﻟﻴﺴﺘﺮول‬ ‫ﻳﺘﺮاﻛﻢ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ .HDL ‫واﻟﻜﻮﻟﻴﺴﺘﺮول‬ LDL
.‫دﻣﺎﻏﻴﺔ‬ ‫ﺳﻜﺘﺔ‬ ‫أو‬ ‫ﻗﻠﺒﻴﺔ‬ ‫ﻧﻮﺑﺔ‬ ‫إﻟﻲ‬ ‫ﻳﺆدي‬ ‫ﻣﻤﺎ‬ ‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫وﻳﺴﺪ‬
‫إزاﻟﺔ‬ ‫ﻋﻠﻰ‬ ‫اﻟﺠﻴﺪ‬ HDL ‫اﻟﻜﻮﻟﺴﺘﺮول‬ ‫ﻳﺴﺎﻋﺪ‬ ،‫أﺧﺮى‬ ‫ﻧﺎﺣﻴﺔ‬ ‫ﻣﻦ‬
.‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻷوﻋﻴﺔ‬ ‫ﻣﻦ‬ LDL ‫اﻟﻜﻮﻟﺴﺘﺮول‬
‫ﺧﻄﺮ‬ ‫ﻣﻦ‬ ‫ﺗﻘﻠﻞ‬ ‫ﺳﻮف‬ ‫اﻟﺘﺪﺧﻴﻦ‬ ‫ﻋﻦ‬ ‫ﺗﻮﻗﻔﺖ‬ ‫إذا‬ :‫اﻟﺘﺪﺧﻴﻦ‬ ‫ﻋﻦ‬ ‫ﻟﻺﻗﻼع‬
‫وأﻣﺮاض‬ ‫اﻷﻋﺼﺎب‬ ‫وأﻣﺮاض‬ ‫دﻣﺎﻏﻴﺔ‬ ‫وﺳﻜﺘﺔ‬ ‫ﻗﻠﺒﻴﺔ‬ ‫ﺑﻨﻮﺑﺔ‬ ‫اﻹﺻﺎﺑﺔ‬
‫ﻣﺴﺘﻮﻳﺎت‬ .‫واﻟﺒﺘﺮ‬ ‫ﻟﻠﺴﻜﺮي‬ ‫اﻟﻤﺼﺎﺣﺒﺔ‬ ‫اﻟﻌﻴﻦ‬ ‫وأﻣﺮاض‬ ‫اﻟﻜﻠﻰ‬
‫ﻗﺪ‬ ،‫ﺳﺘﺘﺤﺴﻦ‬ ‫اﻟﺪﻣﻮﻳﺔ‬ ‫اﻟﺪورة‬ ،‫ﺗﺘﺤﺴﻦ‬ ‫ﻗﺪ‬ ‫اﻟﺪم‬ ‫وﺿﻐﻂ‬ ‫اﻟﻜﻮﻟﺴﺘﺮول‬
.‫أﺳﻬﻞ‬ ‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎط‬ ‫ﻣﻤﺎرﺳﺔ‬ ‫ﺗﺠﺪ‬
‫اﻟﻤﺼﺎﺑﻴﻦ‬ ‫اﻷﺷﺨﺎص‬ ‫ﻟﻤﻌﻈﻢ‬ ‫اﻟﺪم‬ ‫ﻟﻀﻐﻂ‬ ‫اﻟﻬﺪف‬ :‫اﻟﺪم‬ ‫ﻟﻀﻐﻂ‬
‫ﻃﺒﻴﺒﻚ‬ ‫اﺳﺘﺸﺮ‬ .‫زﺋﺒﻖ‬ ‫ﻣﻠﻢ‬ ٩٠/١٤٠ ‫ﻣﻦ‬ ‫أﻗﻞ‬ ‫ﻫﻮ‬ ‫ﺑﺎﻟﺴﻜﺮي‬
.‫ﻫﺪﻓﻚ‬ ‫ﻳﻜﻮن‬ ‫أن‬ ‫ﻳﺠﺐ‬ ‫ﻣﺎذا‬ ‫ﻟﻤﻌﺮﻓﺔ‬
1
2
3
4
‫ﺧﻔﺾ‬
‫اﻟﻜﻮﻟﻴﺴﱰول‬
١
:ABCs‫ال‬ ‫ﻗﺎﻋﺪة‬ ‫ﺑﺎﺳﺘﺨﺪام‬ ‫ﺑﻚ‬ ‫اﻟﺨﺎص‬ ‫اﻟﺴﻜﺮي‬ ‫إدارة‬
‫ﻣﻀﺎﻋﻔﺎت‬ ‫ﺗﻄﻮﻳﺮ‬ ‫ﻣﺨﺎﻃﺮ‬ ‫ﺗﻘﻠﻴﻞ‬ ‫ﻛﻴﻔﻴﺔ‬ ‫ﻋﻠﻰ‬ ‫ﺳﻨﺘﻌﺮف‬ ،‫اﻟﺘﺎﻟﻴﺔ‬ ‫اﻟﺼﻔﺤﺎت‬ ‫ﻓﻲ‬
.‫اﻟﺠﺴﻢ‬ ‫أﺟﺰاء‬ ‫ﺑﻌﺾ‬ ‫ﻓﻲ‬
1. National Institute of Diabetes and Digestive and Kidney Disease. Managing Diabetes. Available at: https://www.niddk.nih.gov/health-
information/diabetes/overview/managing-diabetes. Last accessed: June 2023. 5

‫اﻟﺴﻜﺮي؟‬ ‫ﻣﺮض‬ ‫أﻋﺮاض‬ ‫ﻣﺎﻫﻲ‬
١
:‫ﺗﺸﻤﻞ‬ ‫اﻟﺴﻜﺮي‬ ‫أﻋﺮاض‬
٢
.‫ﺳﻨﻮات‬ ‫ﻋﺪة‬ ‫ﻣﺪى‬ ‫ﻋﻠﻰ‬ ‫ﺑﺒﻂء‬ ‫ﺗﻈﻬﺮ‬ ‫ﻣﺎ‬ ً‫ﻏﺎﻟﺒﺎ‬ ‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫اﻟﺴﻜﺮي‬ ‫أﻋﺮاض‬
‫اﻟﻮزن‬ ‫ﻓﻘﺪان‬
‫اﻟﻤﺒﺮر‬ ‫ﻏﻴﺮ‬
‫اﻟﺮؤﻳﺔ‬
‫واﺿﺤﺔ‬ ‫اﻟﻐﻴﺮ‬
‫اﻟﺸﻌﻮر‬
‫ﺑﺎﻹرﻫﺎق‬
‫اﻟﺠﻮع‬
‫اﻟﻤﺘﺰاﻳﺪ‬
‫اﻟﻤﻔﺮط‬ ‫اﻟﻌﻄﺶ‬
‫اﻟﺘﺒﻮل‬ ‫ﻣﻌﺪل‬ ‫وزﻳﺎدة‬
‫ﻓﻲ‬ ‫وﺣﺪك‬ ‫ﻟﺴﺖ‬ ‫أﻧﻚ‬ ‫ﺗﺄﻛﺪ‬ ‫وﻟﻜﻦ‬ ،‫ﺎ‬ ً‫أﺣﻴﺎﻧ‬ ‫ﺎ‬ ً
‫ﻣﺮﻫﻘ‬ ‫ﻳﻜﻮن‬ ‫ﻗﺪ‬ ‫اﻟﺴﻜﺮي‬ ‫أن‬ ‫ﻧﺪرك‬ ‫ﻧﺤﻦ‬
‫اﻟﻘﻮة‬ ‫ﻧﻔﺴﻚ‬ ‫ﺗﻤﻨﺢ‬ ‫ﻓﺈﻧﻚ‬ ،‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﻓﻲ‬ ‫ﺗﺤﻜﻤﻚ‬ ‫ﺧﻼل‬ ‫ﻣﻦ‬ .‫اﻟﺮﺣﻠﺔ‬ ‫ﻫﺬه‬
‫ﻣﻌﺮﻓﺔ‬ ‫اﻟﻤﻬﻢ‬ ‫ﻓﻤﻦ‬ ‫ﻟﺬا‬ .‫أﻓﻀﻞ‬ ‫ﺻﺤﻴﺔ‬ ‫ﻧﺘﺎﺋﺞ‬ ‫ﻟﺘﺤﻘﻴﻖ‬ ‫ﻣﺴﺘﻨﻴﺮة‬ ‫ﻗﺮارات‬ ‫ﻻﺗﺨﺎذ‬
.‫اﻟﻤﺪي‬ ‫ﻃﻮﻳﻠﺔ‬ ‫اﻟﻤﺸﺎﻛﻞ‬ ‫ﻣﻦ‬ ‫اﻟﺤﺪ‬ ‫و‬ ‫ﻟﻠﺘﺘﺒﻊ‬ ‫اﻵن‬ ‫ﺑﻪ‬ ‫اﻟﻘﻴﺎم‬ ‫ﻳﻤﻜﻨﻚ‬ ‫ﻣﺎ‬
‫اﻟﻤﺘﺤﻜﻢ‬ ‫أﻧﺖ‬ ‫ﻛﻦ‬
‫اﻟﺴﻜﺮ‬ ‫ﻣﺮض‬ ‫ﻲ‬
‫ﻓ‬
4

‫اﻟﺴﻜﺮي‬ ‫ﻣﻊ‬ ‫ﺟﻴﺪة‬ ‫ﺑﺼﺤﺔ‬ ‫اﺑﻖ‬
‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﺳﻜﺮ‬
ً‫ﻗﺎدرا‬ ‫اﻟﺒﻨﻜﺮﻳﺎس‬ ‫ﻳﻜﻮن‬ ‫ﻻ‬ ‫ﻋﻨﺪﻣﺎ‬ ‫ﻳﺤﺪث‬ ‫ﻣﺰﻣﻦ‬ ‫ﻣﺮض‬ ‫ﻫﻮ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬
‫اﺳﺘﺨﺪام‬ ‫ﻟﻠﺠﺴﻢ‬ ‫ﻳﻤﻜﻦ‬ ‫ﻻ‬ ‫ﻋﻨﺪﻣﺎ‬ ‫أو‬ ، ٍ
‫ﻛﺎف‬ ‫ﺑﺸﻜﻞ‬ ‫اﻷﻧﺴﻮﻟﻴﻦ‬ ‫إﻧﺘﺎج‬ ‫ﻋﻠﻰ‬
١
.‫ﺟﻴﺪ‬ ‫ﺑﺸﻜﻞ‬ ‫اﻧﺘﺎﺟﻪ‬ ‫ﻳﺘﻢ‬ ‫اﻟﺬي‬ ‫اﻷﻧﺴﻮﻟﻴﻦ‬
‫ﻛﻤﻔﺘﺎح‬ ‫وﻳﻌﻤﻞ‬ ،‫اﻟﺒﻨﻜﺮﻳﺎس‬ ‫ﺑﻮاﺳﻄﺔ‬ ‫إﻧﺘﺎﺟﻪ‬ ‫ﻳﺘﻢ‬ ‫ﻫﺮﻣﻮن‬ ‫ﻫﻮ‬ ‫اﻷﻧﺴﻮﻟﻴﻦ‬
‫اﻟﺪورة‬ ‫ﻣﻦ‬ ‫ﺑﺎﻻﻧﺘﻘﺎل‬ ‫ﻧﺄﻛﻠﻪ‬ ‫اﻟﺬي‬ ‫اﻟﻄﻌﺎم‬ ‫ﻋﻦ‬ ‫اﻟﻨﺎﺗﺞ‬ ‫ﻟﻠﺠﻠﻮﻛﻮز‬ ‫ﻟﻠﺴﻤﺎح‬
١
.‫اﻟﻄﺎﻗﺔ‬ ‫ﻹﻧﺘﺎج‬ ‫اﻟﺠﺴﻢ‬ ‫ﻓﻲ‬ ‫اﻟﺨﻼﻳﺎ‬ ‫إﻟﻰ‬ ‫اﻟﺪﻣﻮﻳﺔ‬
‫ﺗﺰداد‬ ‫وﻟﻜﻦ‬ .‫اﻟﻄﻔﻮﻟﺔ‬ ‫ﺳﻦ‬ ‫ﻓﻲ‬ ‫ﺣﺘﻰ‬ ،‫ﻋﻤﺮ‬ ‫أي‬ ‫ﻓﻲ‬ ‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫ﺼﺎب‬ ُ‫ﺗ‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬
‫ﻟﺪﻳﻚ‬ ‫ﻛﺎن‬ ‫وإذا‬ ،‫ﺎ‬ ً
‫ﻋﺎﻣ‬ ٤٥‫ال‬ ‫ﺳﻦ‬ ‫ﺗﺠﺎوزك‬ ‫ﺣﺎل‬ ‫ﻓﻲ‬ ‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻹﺻﺎﺑﺔ‬ ‫اﺣﺘﻤﺎﻟﻴﺔ‬
٢
.‫اﻟﺴﻤﻨﺔ‬ ‫أو‬ ‫اﻟﺰاﺋﺪ‬ ‫اﻟﻮزن‬ ‫ﻣﻦ‬ ‫ﺗﻌﺎﻧﻲ‬ ‫ﻛﻨﺖ‬ ‫إذا‬ ‫أو‬ ،‫ﻟﻠﺴﻜﺮي‬ ‫ﻋﺎﺋﻠﻲ‬ ‫ﺗﺎرﻳﺦ‬
‫ﻳﺰﻳﺪان‬ ‫اﻟﺪم‬ ‫ﺿﻐﻂ‬ ‫ارﺗﻔﺎع‬ :‫ﻣﺜﻞ‬ ‫اﻷﺧﺮى‬ ‫اﻟﺼﺤﻴﺔ‬ ‫اﻟﻤﺸﺎﻛﻞ‬ ‫وﺑﻌﺾ‬ ‫اﻟﻤﻨﺘﻈﻢ‬ ‫ﻏﻴﺮ‬ ‫اﻟﺒﺪﻧﻲ‬ ‫اﻟﻨﺸﺎط‬
‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻹﺻﺎﺑﺔ‬ ‫اﺣﺘﻤﺎﻟﻴﺔ‬ ‫ﺗﺰداد‬ ‫ﻛﻤﺎ‬ .‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻹﺻﺎﺑﺔ‬ ‫اﺣﺘﻤﺎﻟﻴﺔ‬
‫اﻟﺤﻤﻞ‬ ‫ﺑﺎﻟﺴﻜﺮي‬ ‫أﺻﺒﺘﻲ‬ ‫ﻗﺪ‬ ‫ﻛﻨﺘﻲ‬ ‫إذا‬ ‫أو‬ ‫اﻟﺴﻜﺮي‬ ‫ﻗﺒﻞ‬ ‫ﻣﺎ‬ ‫ﻣﺮﺣﻠﺔ‬ ‫ﻣﻦ‬ ‫ﺗﻌﺎﻧﻲ‬ ‫ﻛﻨﺖ‬ ‫إذا‬ ،‫اﻟﺜﺎﻧﻲ‬
٢
.‫اﻟﺤﻤﻞ‬ ‫ﻓﺘﺮة‬ ‫أﺛﻨﺎء‬
‫اﻟﺜﺎﻧﻲ(؟‬ ‫)اﻟﻨﻮع‬ ‫اﻟﺴﻜﺮي‬ ‫ﻟﻤﺮض‬ ‫ﻋﺮﺿﺔ‬ ‫اﻷﻛﱶ‬ ‫ﻫﻢ‬ ‫ﻣﻦ‬
1. International diabetes Federation. About Diabetes. Available at: https://www.idf.org/aboutdiabetes/what-is-diabetes.html. Last accessed: June 2023.
3

‫اﻟﻤﻘﺪﻣﺔ‬
ٍ
‫وﺣﻴﺎة‬ ‫أﻓﻀﻞ‬ ‫ﺻﺤﻲ‬ ٍ‫ﻟﻤﺴﺎر‬ ً‫ﺗﺤﻀﻴﺮا‬ ‫اﻟﻜﺘﻴﺐ‬ ‫ﻫﺬا‬ ‫ﻳﻌﺪ‬
.‫اﻟﻤﺴﺘﻘﺒﻞ‬ ‫ﻓﻲ‬ ‫اﻟﻘﻠﻖ‬ ‫ﻣﻦ‬ ‫ﺧﺎﻟﻴﺔ‬
‫ﻣﺨﺘﻠﻔﺔ‬ ‫ﻣﺤﻄﺎت‬ ‫ﺳﺘﺼﺎدف‬ ،‫اﻟﻜﺘﻴﺐ‬ ‫ﻫﺬا‬ ‫ﺻﻔﺤﺎت‬ ‫ﻋﺒﺮ‬
.‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬ ‫ﻋﻠﻰ‬ ‫اﻟﻨﺼﺮ‬ ‫ﻟﺘﺤﻘﻴﻖ‬ ‫ﺣﻤﺎﺳﻚ‬ ‫ﺗﻐﺬي‬
‫اﻟﻤﺸﺘﺮﻛﺔ‬ ‫اﻟﻤﺴﺆوﻟﻴﺔ‬ ‫ﻓﻬﻢ‬ ‫اﻟﻀﺮوري‬ ‫ﻣﻦ‬ ،‫ذﻟﻚ‬ ‫وﻣﻊ‬
‫ﺑﺎﻟﻨﺼﺎﺋﺢ‬ ‫اﻻﻟﺘﺰام‬ ‫ﻳﺸﻜﻞ‬ ‫وﻛﻴﻒ‬ ‫ﻃﺒﻴﺒﻚ‬ ‫وﺑﻴﻦ‬ ‫ﺑﻴﻨﻚ‬
!‫ﻣﺼﻴﺮك‬ ‫وﻳﺤﺪد‬ ‫ﺑﺄﻛﻤﻠﻬﺎ‬ ‫رﺣﻠﺘﻚ‬ ‫اﻟﻄﺒﻴﺔ‬
2

:‫اﻟﻔﻬﺮس‬
‫اﻟﻤﻘﺪﻣﺔ‬ •
‫اﻟﺴﻜﺮي‬ ‫ﻣﻊ‬ ‫ﺟﻴﺪة‬ ‫ﺑﺼﺤﺔ‬ ‫اﺑﻖ‬ •
‫اﻟﺴﻜﺮ‬ ‫ﻣﺮض‬ ‫ﻓﻲ‬ ‫اﻟﻤﺘﺤﻜﻢ‬ ‫أﻧﺖ‬ ‫ﻛﻦ‬ •
‫أوﻟﻮﻳﺘﻚ‬ ‫ﻫﻲ‬ ‫ﺻﺤﺘﻚ‬ •
‫ﻣﻮﻋﺪه؟‬ ‫ﻓﻲ‬ ‫اﻟﺪواء‬ ‫ﺗﻨﺎول‬ ‫ﻧﺴﻴﺖ‬ ‫ﻟﻮ‬ ‫ﻣﺎذا‬ •
‫ﻋﻼﺟﻚ‬ ‫ﺧﻄﺔ‬ ‫ﺗﺘﻄﻮر‬ ‫أن‬ ‫ﻳﻤﻜﻦ‬ ‫ﻛﻴﻒ‬ ‫ﺗﻌﺮف‬ •
‫ﻣﻊ‬ ‫ﻟﻠﻨﺠﺎح‬ ‫ﻣﺠﺮﺑﺔ‬ ‫اﺳﺘﺮاﺗﻴﺠﻴﺎت‬ :‫اﻟﺼﺤﻴﺔ‬ ‫اﻟﺤﻴﺎة‬ ‫ﻣﻔﺎﺗﻴﺢ‬ •
‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻨﻮع‬ ‫ﻣﻦ‬ ‫اﻟﺴﻜﺮي‬ ‫ﻣﺮض‬
1

‫أﻓﻀﻞ‬ ‫ﻟﺤﻴﺎة‬ ‫اﻟﺘـﺰم‬
‫ﺑﺎﻟﺴﻜﺮي‬ ‫اﻟﻤﺼﺎﺑﻴﻦ‬ ‫رﺣﻠﺔ‬ PC-AE-101841

A5 booklet-print (22).pdf

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