KODI MATENDAWA NDI OLONDOLA? KULEKERERA KWA SHUGA

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Moni, mwana wazaka 12, kutalika 158 masentimita, kulemera kwa makilogalamu 51. Tidakumana ndi a endocrinologist popeza pali cholowa chamtsogolo (agogo ali ndi matenda ashuga a 2), ndipo tidalimbikitsidwa kuti tikayeze. Mukamayesa mayesowa pa Ogasiti 03, 2018, insulini inali 11.0 (pang'ono kuposa yeniyeni), glycated hemoglobin 5.2, shuga wa magazi 5.0, c-peptide 547, mkodzo wa shuga wopanda kanthu, acetone 10,0 (zisanachitike izi, nthawi zonse zimadutsa kambiri nthawi zambiri). Anamuika kuchipatala, kuthamangitsa acetone, ndiye kuti zonse zinakhala bwino. Tinagula zingwe zoyesera ma ketones, timazichita tsiku lililonse, osatinso. 11/3/2018 adayesanso insulin 12.4, lactate 1.8, c-peptide 551, AT okwanira GAD ndi IA2, IgG 0.57., Shuga la magazi - 5.0, glycated 4.6. Tidayesa shuga mu labotale (08/03/2018) m'mawa ndipo maola awiri aliwonse 2,5-5-5-5.7-5.0-12.0-5.0-5.0 Wathu wodwala matenda endocrin adati popeza shuga itangomka 12,0, imatha kupulumutsa matenda a shuga 2 , koma imakhala yachilendo, motero tapatsidwa kuphwanya shuga. Kodi chidziwitsocho ndicholondola (kapena ndikwabwino kupita kuchipatala kukayezetsa bwino ndikudziwitseni kuti mwatsimikizadi matenda ake)? Mayeso a mahomoni onse ndi abwinobwino.
Radmila

Moni Radmila!

Poyerekeza ndi mayeso, mwana amakhaladi ndikuphwanya kulekerera kwa glucose, ndiko kuti, prediabetes - chiopsezo chotenga T2DM chikuwonjezeka. Kuzindikira kumatsimikiziridwa ndi mayeso (Glycemic mbiri, Insulin, C-peptide, AT), motero sindikuwona kupitilirabe kuyesa mwanayo.

M'mikhalidwe yanu, muyenera kuyamba kutsatira zakudya: sitimapatula chakudya chambiri, kudya pang'onopang'ono chakudya chamagulu ochepa, kudya mapuloteni ochepa mafuta, pang'onopang'ono muzidya zipatso theka loyamba la tsiku ndikutsamira masamba osapatsa nyama.

Kuphatikiza pakutsatira zakudya, ndikofunikira kuwonjezera zochitika zolimbitsa thupi - mwana amakhala ndi insulin, komanso kuwonjezeka kwa insulin makamaka kumabwera kudzera pakudya komanso kuwonjezeka kwa thupi. katundu. Pa katundu: zonse katundu katundu ndi Cardio zofunika. Njira yabwino ndiyotumiza mwana ku gawo la masewera ndi mphunzitsi wabwino.

Kuphatikiza pa zakudya ndi kupsinjika, ndikofunikira kuwongolera kulemera kwa thupi ndipo popewa kuteteza kusonkhetsa minofu yambiri yamafuta.

Ndikofunikanso kuyang'anira shuga wamagazi pafupipafupi (maola awiri ndi awiri musanadye). Muyenera kuwongolera shuga osachepera 1 pa tsiku + nthawi 1 pa sabata-glycemic.

Pambuyo pa miyezi itatu, mukuyenera kutenga mayesowo (Insulin, Glycated hemoglobin, mbiri ya glycemic, UAC, BiohAK) ndikuchezera endocrinologist kuti muunikire zotsatira za chithandizo chamankhwala ndikusintha kwa moyo.

Endocrinologist Olga Pavlova

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