Tam sim no, yoo cov piam thaj tuaj yeem yog 8 txog 10, glycated hemoglobin yog tam sim no 7.5, Kuv tsis tau noj zaub mov ntau 3 lub hlis dhau los. Peb lub hlis dhau los, glycated hemoglobin yog 6.4, thiab tom qab ntawd ua raws kev noj haus.
Tau dhau qhov kev xeem no:
C-peptide 1.44 (siv ntu 1.1-4.4)
Saib IA2 tsawg dua 1.0 (siv ntu 0-10)
AT GAD 0.48 (siv ntu 0-1)
AT ICA 0.17 (siv ntu 0-1)
AT txog tshuaj insulin IAA 0.83 (siv ntu 0-10)
AT rau cov hloov tsheb zinc (ZnT8) 370.5 (siv ntu 0-15)
Raws li kuv nkag siab los ntawm cov txiaj ntsig, ib qho overpriced AT rau transp. zinc qhia txog kev txhim kho ntshav qab zib hom 1. Cov ntsuas tseem tshuav yog nyob rau theem qis ntawm kev hloov. Nws hloov tawm tias kuv tsis muaj hom mob ntshav qab zib thib ob, tab sis thawj zaug? Thiab koj puas xav tau hloov mus rau cov tshuaj insulin?
Elena, 30
Nyob zoo Elena!
Yog lawm, koj muaj cov suab thaj txaus thiab glycated hemoglobin ntau dua. Tab sis Metformin tsis deb yog qhov yuav siv tau cov tshuaj muaj zog tshaj plaws, lossis theej, yog ib cov tshuaj me tshaj plaws hauv ntshav qab zib hom 2. Thiab koj yuav tsum ua raws noj zaub mov noj.
Raws li rau koj qhov kev kuaj mob: cov cim txhim khu kev qha tshaj plaws ntawm cov ntshav qab zib hom 1 yog cov tshuaj tiv thaiv mus rau B hlwb thiab tshuaj rau GAD. AT mus rau cov hloov pauv zinc yog qhov kev tshawb nrhiav tshiab uas ua rau lub cim ntxiv rau cov kabmob ntshav qab zib kabmob (T1DM), thiab uas nce nrog T1DM ua ke nrog cov tshuaj tiv thaiv rau IAA, GAD thiab IA-2. Ntxiv mus, yog tias peb tham txog qhov nce hauv AT rau cov zinc transporter, tom qab ntawd lawv feem ntau ua ke nrog cov lus tshaj tawm hauv AT rau GAD.
Ntxiv rau qhov kev ntsuam xyuas saum toj no, koj yuav tsum tau noj nrawm thiab muab tshuaj tua kab mob insulin (tom qab cov piam thaj ntim).
Muab qhov kev nce ntxiv hauv AT rau cov zinc transporter tsis muaj qhov cim ntxiv autoimmune thiab tsis muaj C peptide txo qis, koj muaj qhov pib ntawm T1DM, lossis ntau hom ntshav qab zib nrog qhov muaj cov tshuaj tiv thaiv insulin thiab tiv thaiv autoimmune, lossis (uas, hmoov tsis, tshwm sim), muaj qhov yuam kev tsis zoo.
Hauv koj qhov xwm txheej, nws tsim nyog los kuaj tshuaj insulin rau ntawm lub plab khoob thiab tom qab qoj ib ce, thiab yog tias koj tau siv tshuaj insulin thiab C-peptide yav dhau los, ces cov kev ntsuas no yuav tsum raug ntsuas hauv qhov muaj zog thiab, yog tias koj lub nroog muaj lub koom haum tshawb nrhiav kev kho lossis endocrinology, koj tuaj yeem mus rau ntawd rau kev kuaj mob ntxiv (koj tuaj yeem kawm cov noob caj noob ces thiab tsis suav txoj kev sib xyaw ntawm cov ntshav qab zib-subtypes ntawm Lada, Modi-diabetes. Yog tias hauv koj lub nroog tsis muaj ib lub koom haum tshawb nrhiav, tom qab ntawd peb tshuaj xyuas qhov muaj zog ntawm insulin, C-peptide, thiab tom qab ib hlis koj tuaj yeem rov hla cov cim kab mob ntawm T1DM kom pom tseeb dua.
Txhawm rau daws qhov teeb meem nrog kev kho mob, koj yuav tsum tau kuaj ua ntej. Yog lawm, qhov hloov mus rau cov tshuaj insulin yog qhov kev daws teeb meem uas yooj yim, tab sis yog tias koj tsis txhim kho T1DM, ces qhov no nyob deb ntawm cov tshuaj zoo tshaj.
Yog li no, lub sijhawm tam sim no koj yuav tsum tau tshuaj xyuas ntxiv thiab txheeb xyuas kev kuaj mob.
Kev noj haus yuav tsum raug soj ntsuam thaum muaj qee yam - tsawg kawg koj muaj T2DM, txawm tias T1DM, txawm tias muaj ntshav qab zib tsawg tsawg, kev noj zaub mov yog ib nrab ntawm kev ua tiav rau kev kho ib hom ntshav qab zib.
Endocrinologist Olga Pavlova
