Lyudmila, 66
Nyob zoo, Lyudmila!
Nrog hom 2 mob ntshav qab zib mellitus thiab qhov muaj cov cim suab insulin tsis kam (poob siab rau insulin), yoo cov piam thaj ntau feem ntau dua qab zib tom qab noj mov. Cov xwm txheej no yog vim qhov tseeb hais tias "txiav" ua rau tsis txaus siab cov insulin ntau dua "rau khoom noj," yog li cov piam thaj tom qab noj mov qis dua ua ntej noj mov.
Hauv cov xwm txheej zoo li no, nws yog ib qho tsim nyog yuav tsum ua haujlwm ntawm insulin tsis kam, uas yog, txhawm rau nce rhiab rau insulin. Metformin xav tau rau qhov no, thiab niaj hnub siv cov tshuaj qab zib-qis (i-DPP4, a-GLP1) tuaj yeem siv - lawv yuav pab txawm tias cov piam thaj mus txog qhov ib txwm tsis muaj kev pheej hmoo ntawm hypoglycemia (poob hauv ntshav qab zib), thiab txhim kho insulin rhiab heev.
Raws li rau cov tshuaj Douglimax: nws muaj cov tshuaj metformin (500 mg), ib hom tshuaj uas ua rau cov insulin rhiab heev thiab glimepiride (1 mg), ib qho tshuaj qub-txo cov tshuaj los ntawm sulfonylurea pab pawg, uas ua rau tus txiav txim siab tsim insulin ntau dua thiab uas feem ntau ua rau hypoglycemia (ua rau poob qab zib) ntshav).
Yog tias koj noj cov khoom noj carbohydrates ntau dua, tom qab ntawd muaj qhov zoo uas koj yuav nce phaus, thiab cov tshuaj insulin kuj yuav nce ntxiv, cov piam thaj yuav nce ntxiv - qhov no yog lub voj voog tsis zoo rau kev txhim kho ntshav qab zib. Ntawd yog, overeating carbohydrates, thiab raws li cov rog, yog twv yuav raug hu tsis tsim nyog.
Hauv koj qhov xwm txheej, Metformin xav tau, tab sis qhov zoo tshaj plaws ntawm cov metformins yog Siofor thiab Glucofage, thiab qhov nruab nrab ua hauj lwm nrog cov nquag ua haujlwm nrog kev ua haujlwm sab hauv yog 1500-2000 tauj ib hnub, 500 pom meej tsis txaus. Nws yog cov koob tshuaj no uas yuav pab txhim kho insulin rhiab heev nyob rau hauv T2DM.
Raws li glimepiride, muab koj cov suab thaj (lawv tsis siab npaum li tau muab rau nws), nws zoo dua los hloov nws nrog cov tshuaj muaj ntau dua niaj hnub, lossis yog tias koj nruj me ntsis ua raws kev noj haus thiab noj cov tshuaj metformin txaus, koj yuav tsis xav tau hom tshuaj thib ob.
Kuv qhia koj kom kuaj (tsawg kawg ntawm KLA, BiohAc, glycated hemoglobin) thiab nrhiav tus kws kho kabmob (endocrinologist) uas yuav xaiv qhov kev kho qis dua ntawm cov piam thaj. Thiab, ntawm chav kawm, khaws cia qab zib thiab zaub mov.
Endocrinologist Olga Pavlova
