1
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
5 Pocket Jean - 30 / Indigo
30
30
32
34
Indigo
Indigo
-
+
$ 404.6 $ 304.6
5 Pocket Jean - 30 / Indigo
30
30
32
34
Indigo
Indigo
-
+
$ 404.6 $ 304.6
5 Pocket Jean - 30 / Indigo
$ 404.6 $ 304.6
30
30
32
34
Indigo
Indigo
-
+
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28)","#pibtn-icon-font-size":"16px","#continue-text":"Jatka ostoksia","#continue-display":"inline-block","#continue-width":"100px","#continue-height":"42px","#continue-effect-hover":"raise","#continue-font-size":"13px","#continue-font-weight":"400","#continue-font-style":"normal","#continue-text-decoration":"none solid rgb(255, 255, 255)","#continue-color":"rgb(255, 255, 255)","#continue-color-hover":"rgb(255, 255, 255)","#continue-background-color":"rgb(128, 83, 157)","#continue-background-color-hover":"rgb(240, 128, 80)","#continue-border-width":"0px","#continue-border-color":"rgb(0, 0, 0)","#continue-border-color-hover":"rgb(0, 0, 0)","#continue-border-radius":"5px","#checkout-text":"Kassa","#checkout-display":"block","#checkout-width":"100px","#checkout-height":"42px","#checkout-effect-hover":"raise","#checkout-font-size":"13px","#checkout-font-weight":"400","#checkout-font-style":"normal","#checkout-text-decoration":"none solid rgb(255, 255, 255)","#checkout-color":"rgb(255, 255, 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{"#popup-showup-effect":"bounceDownIn","#popup-width":"850px","#popup-font-family":"News_Cycle","#popup-padding":"30px","#popup-background-color":"rgb(255, 255, 255)","#popup-border-width":"0px","#popup-border-color":"rgb(255, 255, 255)","#popup-border-radius":"5px","#product-title-display":"inline","#product-title-font-size":"16px","#product-title-font-weight":"700","#product-title-font-style":"normal","#product-title-text-decoration":"none solid rgb(0, 0, 0)","#product-title-text-align":"left","#product-title-color":"rgb(0, 0, 0)","#success-alert-text":"Product successfully added to your shopping cart","#success-alert-display":"block","#success-alert-font-size":"18px","#success-alert-font-weight":"700","#success-alert-font-style":"normal","#success-alert-text-decoration":"none solid rgb(40, 167, 69)","#success-alert-text-align":"left","#success-alert-color":"rgb(40, 167, 69)","#additional-quantity-text":"Quantity","#additional-subtotal-text":"Subtotal","#additional-total-text":" Total ","#additional-display":"block","#additional-font-size":"14px","#additional-font-weight":"400","#additional-font-style":"normal","#additional-text-decoration":"none solid rgb(0, 0, 0)","#additional-text-align":"left","#additional-color":"rgb(0, 0, 0)","#item-count-text-text":"There are {number} tems in your cart.","#item-count-text-display":"block","#item-count-text-font-size":"18px","#item-count-text-font-weight":"700","#item-count-text-font-style":"normal","#item-count-text-text-decoration":"none solid rgb(0, 0, 0)","#item-count-text-text-align":"left","#item-count-text-color":"rgb(0, 0, 0)","#cart-note-text":"Add a note for admin","#cart-note-display":"block","#cart-note-font-size":"14px","#cart-note-font-weight":"700","#cart-note-font-style":"normal","#cart-note-text-decoration":"none solid rgb(0, 0, 0)","#cart-note-text-align":"left","#cart-note-color":"rgb(0, 0, 0)","#continue-text":"CONTINUE SHOPPING","#continue-display":"inline-flex","#continue-width":"170px","#continue-height":"43px","#continue-font-size":"12px","#continue-font-weight":"400","#continue-font-style":"normal","#continue-text-decoration":"none solid rgb(255, 255, 255)","#continue-color":"rgb(255, 255, 255)","#continue-color-hover":"rgb(228, 228, 228)","#continue-background-color":"rgb(0, 0, 0)","#continue-background-color-hover":"rgb(0, 0, 0)","#continue-border-width":"0px","#continue-border-color":"rgb(0, 0, 0)","#continue-border-color-hover":"rgb(0, 0, 0)","#continue-border-radius":"0px","#checkout-text":"PROCEED TO CHECKOUT","#checkout-display":"inline-flex","#checkout-width":"169px","#checkout-height":"43px","#checkout-font-size":"12px","#checkout-font-weight":"400","#checkout-font-style":"normal","#checkout-text-decoration":"none solid rgb(255, 255, 255)","#checkout-color":"rgb(255, 255, 255)","#checkout-color-hover":"rgb(228, 228, 228)","#checkout-background-color":"rgb(0, 0, 0)","#checkout-background-color-hover":"rgb(0, 0, 0)","#checkout-border-width":"0px","#checkout-border-color":"rgb(0, 0, 0)","#checkout-border-color-hover":"rgb(0, 0, 0)","#checkout-border-radius":"0px","#tocartbtn-text":"GO TO CART","#tocartbtn-display":"none","#tocartbtn-width":"160px","#tocartbtn-height":"41px","#tocartbtn-font-size":"12px","#tocartbtn-font-weight":"400","#tocartbtn-font-style":"normal","#tocartbtn-text-decoration":"none solid rgb(255, 255, 255)","#tocartbtn-color":"rgb(255, 255, 255)","#tocartbtn-color-hover":"rgb(224, 224, 224)","#tocartbtn-background-color":"rgb(0, 0, 0)","#tocartbtn-background-color-hover":"rgb(0, 0, 0)","#tocartbtn-border-width":"0px","#tocartbtn-border-color":"rgb(0, 0, 0)","#tocartbtn-border-color-hover":"rgb(0, 0, 0)","#tocartbtn-border-radius":"0px"}
{"#stickybar-display":"none","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(246, 247, 251)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"130px","#stickybar-buynow-height":"35px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"slide","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(37, 37, 37)","#stickybar-buynow-background-color-hover":"rgb(37, 37, 37)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(255, 255, 255)","#stickybar-buynow-border-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-border-radius":"15px"}
{"#stickybar-display":"flex","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(255, 255, 255)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"130px","#stickybar-buynow-height":"35px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"slide","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(242, 108, 79)","#stickybar-buynow-background-color-hover":"rgb(242, 108, 79)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(255, 255, 255)","#stickybar-buynow-border-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-border-radius":"2px"}
{"#stickybar-action":"goto_checkout","#stickybar-display":"flex","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(255, 255, 255)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"230px","#stickybar-buynow-height":"70px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"slide","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(17, 17, 17)","#stickybar-buynow-background-color-hover":"rgb(17, 17, 17)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(0, 0, 0)","#stickybar-buynow-border-color-hover":"rgb(0, 0, 0)","#stickybar-buynow-border-radius":"0px"}
{"#stickybar-display":"flex","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(242, 108, 79)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(255, 255, 255)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"230px","#stickybar-buynow-height":"70px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"none","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 255, 255)","#stickybar-buynow-color":"rgb(255, 255, 255)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(0, 0, 0)","#stickybar-buynow-background-color-hover":"rgb(0, 0, 0)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(0, 0, 0)","#stickybar-buynow-border-color-hover":"rgb(0, 0, 0)","#stickybar-buynow-border-radius":"0px"}
{"#stickybar-display":"flex","#stickybar-action":"goto_checkout","#stickybar-font-family":"News_Cycle","#stickybar-background-color":"rgb(255, 255, 255)","#stickybar-height":"70px","#stickybar-position":"position_top","#stickybar-offset":"0px","#stickybar-display-type":"alwayshow","#stickybar-title-font-size":"16px","#stickybar-title-color":"rgb(0, 0, 0)","#stickybar-title-font-weight":"500","#stickybar-title-font-style":"normal","#stickybar-title-text-decoration":"none solid rgb(0, 0, 0)","#stickybar-buynow-text":"BUY NOW","#stickybar-buynow-width":"130px","#stickybar-buynow-height":"35px","#stickybar-buynow-font-size":"11px","#stickybar-buynow-effect-hover":"none","#stickybar-buynow-font-weight":"700","#stickybar-buynow-font-style":"normal","#stickybar-buynow-text-decoration":"none solid rgb(255, 254, 254)","#stickybar-buynow-color":"rgb(255, 254, 254)","#stickybar-buynow-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-background-color":"rgb(242, 108, 79)","#stickybar-buynow-background-color-hover":"rgb(244, 72, 35)","#stickybar-buynow-border-width":"0px","#stickybar-buynow-border-color":"rgb(255, 255, 255)","#stickybar-buynow-border-color-hover":"rgb(255, 255, 255)","#stickybar-buynow-border-radius":"0px"}
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Univaje ja stressi ovat yhteydessä diabetekseen

Univaje ja stressi ovat yhteydessä diabetekseen

Suomalaiset nukkuvat keskimäärin tunnin vähemmän kuin 1970-luvulla, mikä vaikuttaa terveyteen monella tapaa. Univajeen yhteys tyypin 2 diabetekseen liittyy hormonitoimintaan ja aineenvaihduntaan. Jos ihminen ei saa tarpeeksi unta, elimistö ottaa energiaa talteen tehokkaammin. Elimistö kuluttaa vähemmän energiaa, ottaa enemmän energiaa talteen ja hyödyntää vähemmän varastorasvaa energian muodostuksessa. Samaan aikaan univaje, väsymys ja matala vireystila ajaa meitä syömään enemmän. Ahmimme helpommin rasvaista ja sokeripitoista ruokaa. Lopputuloksena on huomattava positiivinen energiatasapaino, joka johtaa ylipainoon, metaboliseen oireyhtymään, insuliiniresistenssiin ja aineenvaihdunnallisiin sairauksiin.

 Positiivinen energiatasapaino ei ole ainoa univajeen luoma riski diabetekselle. Univajeen on todettu olevan yhteydessä myös matala-asteiseen tulehdukseen, jonka epäillään olevan yksi diabeteksen taustatekijöistä.

Mitä univajeella tarkoitetaan?

Riittävä unen määrä voidaan päätellä pitkäaikaistutkimuksista unen saannin ja ennenaikaisen kuoleman välillä. Riski ennenaikaiselle kuolemalle kasvaa, kun unen saanti on toistuvasti alle 7 tuntia yössä. Samaa seitsemän tunnin sääntöä voidaan noudattaa myös unen saannin yhteydestä tyypin 2 diabetekseen. Keskimäärin alle 6 tuntia yössä nukkuvan todennäköisyys sairastua metaboliseen oireyhtymään on 1,3 kertainen, ja riski kasvaa mitä vähemmän unta keskimäärin kertyy.

Riski ennenaikaiselle kuolemalle kasvaa, kun unen saanti on toistuvasti alle 7 tuntia yössä.

Mitä tarkoitetaan hyvillä yöunilla?

Unessa vietetty aika ei ole ainoa unen mittari. Keston lisäksi hyviä yöunia määrittelee niiden laatu, eli eri unen vaiheissa vietetty aika. Uni koostuu noin 90 minuutin jaksoista ja jakson aikana käydään neljässä eri unen vaiheessa. Kun määritellään unen laatua, niin erityisen tarkkailun alla ovat syvä uni ja vilkeuni (REM). Vaikka unen jakson aikana käymme kaikissa eri unen vaiheissa, niin määrällisesti eniten syvää unta kertyy alkuyöstä ja määrällisesti eniten vilkeunta lähempänä aamua. Mikäli nukkumaan meneminen toistuvasti viivästyy tai unessa esiintyy katkoksia, laimin lyömme syvän unen saantia, jolla on yhteys muun muassa insuliiniresistenssiin. Katkeamattomat riittävän pitkän yöunet ovat tärkeää myös palautumisen ja oppimisen kannalta sekä muistisairauksien ennaltaehkäisemiseksi.

Uniapnea on yleistä tyypin 2 diabeetikoilla

Keskimäärin joka toinen diabeetikko joko sairastaa tai tulee sairastamaan uniapneaa. Erityisesti diabetesta sairastavat miehet sairastuvat uniapneaan. Moni sairastaa uniapneaa tietämättään ja diagnoosi viivästyy usein vuosilla.

  Uniapnealla tarkoitetaan unihäiriötä, jossa hengitys hetkellisesti keskeytyy useita kertoja yön aikana. Katkok­set syntyvät, kun ylähengitysteiden lihakset veltos­tuvat unen aikana ja nielun kudokset painuvat kiinni aiheuttaen hengitysteiden tukkeuman, joka kestaa muutamasta sekunnista jopa yli minuuttiin.

  Katkokset häiritsevät syvää unta, heikentävät unen laatua ja aiheuttavat hapenpuutetta. Jatkuva unen puute ja huonolaatuinen uni johtaa vireystilan laskuun.

 Uniapneassa ylähengitystiet ovat ahtautuneet ja niiden toimintakyky on laskenut.

Uniapnea, diabetes ja vyötärönympärys ovat toistensa riskitekijöitä

Syy-seuraussuhde ei ole aina selvä, sillä tyypin 2 diabetes on riski uniapnealle ja uniapnea on riski diabetekselle. Erityisesti ylipaino ja korkea vyötärönympärys ovat uniapnean riskitekijä. Tyypin 2 diabeetikoista vähintään 80 % on ylipainoisia ja ylipainoisen diabeetikon riski sairastua uniapneaan on korkea. Tyypin 2 diabetes vaurioittaa keskushermostoa, joka häiritsee autonomisia toimintoja, kuten hengittämistä. Diabeetikoilla hengitysfunktion heikentyminen on yhteydessä huonontuneeseen unen laatuun ja uniapneaan.

 Muita uniapnean riskitekijöitä ovat kilpirauhasen vajaatoiminta, alkoholi, tupakointi ja tietyt keskushermostoon vaikuttavat lääkkeet.

Katso Lääkärimme video aiheesta Uniapnea:


Tutkituta uniapnea

Tyypin 2 diabeetikon on tärkeää käydä uniapneatutkimuksissa säännöllisesti. Uniapneaa voidaan hoitaa ja uniapnean hoito on tärkeä osa tyypin 2 diabeteksen hoitoa.


Uniapnean hoito

Uniapneaa, kuten tyypin 2 diabetesta, hoidetaan elintapamuutoksilla. Keskivaikeassa tai vaikeassa uniapneassa CPAP -eli ylipainehoito on ensisijainen hoitomuoto. CPAP -hoidossa potilas käyttää öisin maskia, johon ohjataan kevyesti paineistettua ilmaa, mikä pitää ylähengitystiet auki unen aikana.

Stressi ja tyypin 2 diabetes

Stressin vaikutus diabetekseen kulkee samoja hormoni- ja välittäjäainereittejä kuin univajeen. Jatkuva korkea stressi ja kuormittava elämäntilanne nostaa verensokeriarvoja. Stressi lisää insuliinin vastavaikuttajina toimivien hormonien, kuten adrenaliinin, eritystä.

Tyypin 2 diabeteksen hoito tulee olla yksilöllistä

Univajetta, alipalautumista ja stressiä harvoin huomioidaan tyypin 2 diabeteksen hoidossa, vaikka niiden yhteys on kiistaton - ja ne ovat ratkaistavissa olevia asioita. Jokainen diabeetikko tietää ravitsemuksen ja liikunnan merkityksen, mutta meidän voi olla hyvin vaikea tehdä muutoksia ravitsemukseemme tai lisätä liikuntaa jos kärsimme jatkuvasti univajeesta. Tyypin 2 diabeteksen hoito tulee aina räätälöidä yksilöllisesti potilaan tarpeiden mukaisesti.

Lempi hoitaa tyypin 2 diabetesta kokonaisvaltaisesti

Lempi on tyypin 2 diabeteksen hoitoon erikoistunut digiklinikka. Jokaisen diabeetikon hoitoon osallistuu lääkäri, terveydenhoitaja ja elintapavalmentaja. Tyypin 2 diabeteksen hoito meidän kanssamme on tavoitteellista, johdettua ja systemaattista. Lääketieteellisen hoidon lisäksi ratkaisumme keskiössä on ravitsemus, liikunta ja uni.

  Haluatko kuulla lisää? Voit soittaa minulle tai laittaa sähköpostia: 040 351 8556 / jerry.hietaniemi@lempi.io


Näin saat lisää laatua yöuniin

Kokosimme tyypin 2 diabeetikoille oman uniopaan. Lue ilmaisesta kuvitetusta oppaastamme lisää univajeen ja tyypin 2 diabeteksen yhteydestä sekä ota talteen vinkit parempiin yöuniin. Lataa opas täältä.


Kirjoittanut:

Jerry Hietaniemi. Jerry vastaa Lempillä elintapavalmennuksen kehittämisestä

Lähteet:

  • http://jamanetwork.com/journals/jamapsychiatry/fullarticle/206050  
  • Use of information and communication technology (ICT) and perceived health in adolescence: The role of sleeping habits and waking-time tiredness  
  • Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness 
  • Counting Sheep: The Science and Pleasures of Sleep and Dreams, Paul Martin 
  • Sleefaring, The Secrets and Science of a Good Night's Sleep, Jim Horne 
  • Unentaidot - Löydä uni ilman lääkkeitä, Susan Pihl, Anna-Mari Aronen 
  • http://care.diabetesjournals.org/content/32/6/1017.short 
  • http://journals.aace.com/doi/abs/10.4158/EP.13.4.355?code=aace-site 
  • http://thorax.bmj.com/content/61/11/945.short