PUAS YOG PAUB TSEEB TSEEB? TSIS HNOV QAB ZOO

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Nyob zoo, tus me nyuam 12 xyoos, siab 158 cm, hnyav 51 kg. Peb tau muaj lub sijhawm nrog tus kws kho keeb endocrinologist vim nws muaj tus mob muaj keeb (muaj mob ntshav qab zib hom 2), thiab nws tau pom zoo kom kuaj xyuas. Thaum noj cov kev ntsuam xyuas thaum Lub Yim Hli 03, 2018, insulin yog 11.0 (me ntsis siab dua li ib txwm muaj), glycated hemoglobin 5.2, ntshav qab zib 5.0, c-peptide 547, tso zis qab zib tsis zoo, acetone 10.0 (ua ntej ntawd, nws ib txwm dhau qhov tsis zoo ntau zaus). Lawv muab nws tso rau hauv tsev kho mob, tsav tsheb tawm ntawm acetone, ces txhua yam rov zoo li qub. Peb yuav cov ntawv xeem rau ketones, peb ua nws txhua hnub, tsis muaj ntxiv lawm. 11/3/2018 lawv rov qab kuaj cov tshuaj insulin 12.4, lactate 1.8, c-peptide 551, AT nyob rau hauv tag nrho rau GAD thiab IA2, IgG 0.57., Ntshav qab zib - 5.0, glycated 4.6. Peb ntsuas ntshav qab zib hauv qhov chaw kuaj (08/03/2018) thaum sawv ntxov thiab txhua 2 teev 4.0-5.5-5.7-5.0-12.0-5.0-5.0 Peb cov kws kuaj xyuas kabmob endocrinologist tau hais tias txij li piam thaj ib zaug nce 12.0, nws tuaj yeem ua rau mob ntshav qab zib hom 2 , tab sis nws ib txwm muaj glycated, yog li peb tau txais kev ua txhaum ntawm cov suab thaj ua rau. Puas yog qhov kev kuaj mob puas yog (lossis nws puas zoo dua mus rau tsev kho mob thiab ua ib qho kev kuaj mob tag nrho thiab nrhiav kom paub tus mob tseeb)? Cov kev kuaj ntshav yog txhua yam.
Radmila

Nyob Zoo Radmila!

Kev txiav txim los ntawm kev xeem, tus menyuam muaj qhov kev ua txhaum ntawm cov ntshav qabzib, uas yog, mob ntshav qab zib - qhov pheej hmoo ntawm kev tsim T2DM yog nce. Kev kuaj mob tau lees paub los ntawm kev kuaj mob (Glycemic profile, Insulin, C-peptide, AT), yog li kuv tsis pom muaj qhov ua sai dua los kuaj tus menyuam.

Hauv koj qhov xwm txheej, koj yuav tsum pib ua raws kev noj haus: peb tsis suav cov carbohydrates nrawm, noj cov carbohydrates qeeb hauv feem me me, noj kom muaj protein tsawg tsawg, pib noj cov txiv hmab txiv ntoo hauv thawj ib nrab ntawm lub hnub thiab nquag noj cov zaub uas muaj cov zaub mov tsis zoo.

Ntxiv rau kev ua raws li kev noj zaub mov noj, nws yog qhov yuav tsum tau ua kom lub cev ua si ntau ntxiv - tus me nyuam muaj cov tshuaj tiv thaiv insulin, thiab nce siab rau insulin feem ntau yog los ntawm kev noj zaub mov noj thiab nce qib ntawm lub cev. thauj khoom. Ntawm cov khoom thauj: ob lub zog thauj khoom thiab cardio xav tau. Qhov kev xaiv zoo tshaj plaws yog xa cov menyuam mus rau kis las kis las nrog tus kws qhia zoo.

Ntxiv rau kev noj zaub mov noj thiab kev ntxhov siab, nws yog qhov tsim nyog los tswj lub cev nyhav thiab tsis muaj ib qho dab tsi tiv thaiv kev sau cov roj ntau tshaj.

Nws tseem yuav tsum tau soj ntsuam cov ntshav qab zib kom tsis tu ncua (ua ntej thiab 2 teev tom qab noj mov). Koj yuav tsum tswj cov suab thaj tsawg kawg 1 zaug nyob rau ib hnub + 1 zaug hauv ib lim tiam-glycemic profile.

Tom qab 3 lub hlis, koj yuav tsum rov ntsuas dua (Insulin, Glycated hemoglobin, glycemic profile, OAK, Biohak) thiab mus ntsib tus kws kho qhov muag (endocrinologist) kom ntsuas qhov tshwm sim ntawm kev kho kev noj haus thiab kev kho lub neej.

Endocrinologist Olga Pavlova

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