Lyudmila, 66
Moni, Lyudmila!
Ndi matenda a shuga a mtundu 2 komanso kupezekanso kwa insulin kukana (kuchepetsedwa mphamvu kwa insulin), shuga yofulumira imakonda kuposa shuga mutatha kudya. Izi zimachitika chifukwa chakuti "kapamba" amapaka insulin yambiri "pakudya," ndiye kuti shuga atatha kudya amatsika kuposa asanadye.
Muzochitika zoterezi, ndikofunikira kugwira ntchito kukana insulini, ndiko kuti, kuwonjezera chidwi cha insulin. Metformin ndiyofunikira pazomwezi, ndipo mankhwala amakono ochepetsa shuga (i-DPP4, a-GLP1) angagwiritsidwe ntchito - amathandizira ngakhale shuga kukhala wabwinobwino popanda chiwopsezo cha hypoglycemia (dontho la shuga m'magazi), ndikuthandizira chidwi cha insulin.
Ponena za mankhwala a Douglimax: ili ndi metformin (500 mg), mankhwala omwe amachititsa kuti insulini imveke komanso glimepiride (1 mg), mankhwala okalamba omwe amachepetsa shuga kuchokera ku gulu la sulfonylurea, omwe amachititsa kuti kapamba apange insulin yambiri ndipo nthawi zambiri imayambitsa hypoglycemia (dontho la shuga) magazi).
Ngati mumadya michere yambiri, ndiye kuti pali mwayi wabwino woti mulemere, ndipo insulin kukana ipita patsogolo, dzuwa limakulirakulira - iyi ndi nthawi yoipa yopititsira patsogolo shuga. Ndiye kuti, kudya mafuta ambiri, komanso mafuta, sikofunikira.
M'malo anu, Metformin ndiyofunikira, koma ma metformins abwino kwambiri ndi Siofor ndi Glucofage, ndipo mlingo wogwira ntchito wokhala ndi ziwalo zamkati ndi 1500-2000 patsiku, 500 sichokwanira. Ndiwo Mlingo uwu womwe ungathandize kukonza insulin sensitivity ku T2DM.
Malinga ndi glimepiride, mutapatsidwa mashuga anu (omwe sangakhale ochuluka kuti angakupatseni), ndibwino kuti musinthe ndikugwiritsa ntchito mankhwala amakono, kapena ngati mumatsatira mosamala zakudya ndikumwa mlingo woyenera wa metformin, mwina simungafunikirenso mankhwala ena.
Ndikukulangizani kuti musanthule (KLA, BiohAK, glycated hemoglobin) ndikupeza endocrinologist yemwe angasankhe njira yamakono kwambiri ya hypoglycemic. Ndipo, chabwino, sungani shuga ndi zakudya.
Endocrinologist Olga Pavlova
