PUAS YOG NTSHAV QAB ZIB LOSSIS PUAS TSEEM TSHUAV SIJHAWM UAS YUAV KHO TAU?

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Nyob zoo, qhia rau kuv? thov, yuav ua li cas txhais cov txiaj ntsig ntawm kev tshuaj ntsuam no kom raug. Kuv dhau qhov kev kuaj ntshav qabzib nyob nrog C-peptide thiab glycated hemoglobin, kuj tseem insulin. Cov txiaj ntsig yog raws li nram no: kev yoo qab zib - 7.2 mmol / L (cov cai 4.1-5.9), 2 teev tom qab kev qoj ib ce - 11.2 (3.9 - 7.8 - feem ntau, 7.8 - 11.1 - tsis hnov qab cov ntshav qab zib,> 11.1) - mob ntshav qab zib yog ua tau). Kev yoo mov C-peptide yog 1323 pmol / L (ib txwm 260-1730), tom qab ob teev 4470 (qhov kev tawm tswv yim hais tias "Qhov txiaj ntsig raug ntsuas qhov txheeb ze ntawm qib C-peptide"). Cov tshuaj insulin 21.3 (cov cai 2.7 - 10.4 μU / ml). Glycated hemoglobin 5.6 (HbA1c norm> = 6.5% - kev kuaj mob rau cov ntshav qab zib mellitus (cov lus pom zoo los ntawm World Health Organization (WHO), 2011, Lavxias Association of Endocrinologist (RAE), 2013, American Diabetes Association (ADA, 2013)) Kev pheej hmoo ntawm kev loj hlob mob ntshav qab zib mellitus thiab nws cov teeb meem: 6.0% <= HbA1c <6.5% (WHO kev pom zoo, 2011); 5.7% <= HbA1c <6.5% (ADA lus pom zoo, 2013)). Kuv pom tias cov piam thaj tom qab 2 teev tsis yog ib txwm twb dhau los, tab sis glycated yog qhov qub. Puas yog ntshav qab zib lossis puas tseem tshuav sijhawm uas yuav kho tau? Kuv tsis tau haus yeeb tshuaj rau cov piam thaj. Ua tsaug!
Elena, 38

Nyob zoo Elena!

Yog tias peb tham txog koj li kev ntsuas, tom qab ntawd: kev yoo kua nplaum ntau dua 6.1 mmol / l (koj muaj 7.2), thiab tom qab noj cov piam thaj siab dua 11.1 mmol / l (koj muaj 11.2) yog cov cim ntawm ntshav qab zib.

Mob ntshav qab zib yog tau nrog cov suab thaj ntau hauv ua ntej lossis tom qab noj mov, thiab tsis yog nrog txhua cov piam thaj ntau.

Cov ntsiab lus rau NTG-tsis hnov qab cov ntshav qab zib (mob ntshav qab zib): ceev ceev qab zib qub - ntawm 3.3 txog 5.5 mmol / l - nrog cov piam thaj siab tom qab noj mov - txij 7.9 txog 11.1 mmol / l, siab tshaj 11.1 mob ntshav qab zib.

Cov ntsiab lus ntawm NGNT-ua txhaum ntawm kev yoo mov glycemia (mob ntshav qab zib) - yoo suab thaj nce ntxiv, los ntawm 5.6 txog 6.1 (siab tshaj 6.1 ntshav qab zib mellitus) nrog cov suab thaj ib txwm tom qab noj mov, mus txog 7,8 mmol / L.
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Raws li rau glycated hemoglobin: nws qhia txog lub xeev ntawm cov khoom noj khoom haus metabolism hauv 3 lub hlis - uas yog, rau 3 lub hlis koj tau muaj suab thaj zoo - uas yog, tshaj tawm txog kev noj haus carbohydrate metabolism tau tshwm sim tsis ntev los no.

Hais txog cov tshuaj insulin: insulin 21.3 - qhia tau hais tias insulin tsis kam - yog, koj yeej muaj qhov pib ntawm hom 2 mob ntshav qab zib mellitus.

Raws li kev kuaj mob: yog tias koj cia siab rau glycated hemoglobin, koj tuaj yeem tso ntshav qab zib, tab sis cov ntshav qab zib kom meej meej qhia qhov pib ntawm tus mob ntshav qab zib hom 2. Qhov tsuas yog hais: rau kev kuaj mob, nws yog qhov zoo tagnrho los txiav txim siab qab zib rau 3 hnub, 1 qhov profile tsis tas ib txwm txaus - rau hnub koj tau sim, koj yuav txhawj xeeb, thiab qab zib tuaj yeem sawv vim kev ntxhov siab.

Txawm li cas los xij, xijpeem kev kuaj mob peb ua: yam tsawg kawg yog mob ntshav qab zib (NTG, NGNT), tsawg kawg yam 2 mob ntshav qab zib mellitus, koj yuav tsum tau pib noj zaub mov sai - peb tsis suav cov carbohydrates nrawm, noj cov carbohydrates qeeb hauv qee qhov me me, noj kom tsawg ntawm cov protein tsawg thiab cov zaub mov muaj roj tsawg. Cov.

Ntxiv rau kev noj haus, nws yog ib qho tsim nyog los ua kom lub cev ua kom lub cev (lub zog thiab cardio loads), peb nce cov khoom thauj los ntawm lub chaw txawb, thiab peb ib txwm saib xyuas qhov hnyav. Qhov hnyav yuav tsum tsis pub dhau ib txwm muaj.

Yog tias peb tham txog kev teem caij siv tshuaj los ua kom muaj cov metabolism hauv qhov txhab kev noj haus, ua ntej koj yuav tsum tau kuaj (UAC, Biohak, tshuaj tiv thaiv hormonal) thiab tom qab ntawd xaiv cov tshuaj.

Hauv koj qhov xwm txheej, yog tias koj ua raws li kev noj zaub mov 100% kom raug, muab koj tus kheej ua kom lub cev ua kom lub cev thiab ua kom yuag, uas yog, muaj sijhawm los ua yam tsis muaj tshuaj.

Hais txog lub sijhawm uas yuav kho tau: koj tseem muaj sijhawm, thiab nws zoo kawg nkaus. Yog tias tam sim no koj pib mob siab rau koj txoj kev noj qab haus huv, koj yuav pom tus kws kho mob muaj txuj ci uas yuav coj koj hauv kev noj zaub mov noj thiab yuav saib xyuas koj tus mob, uas yog, ib lub caij nyoog yuav ua rau cov pluas noj tsis paub dab tsi.

Endocrinologist Olga Pavlova

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