Kuv muaj mob ntshav qab zib gestational thiab muaj 36 lub lis piam, kuv tab tom siv tshuaj insulin, thiab cov piam thaj tseem muaj ntau. Yuav ua li cas

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Nyob zoo Kuv muaj cev xeeb tub ntawm 35-36 lub lis piam, kev kuaj mob ntawm GDM, txij li 15 lub lis piam rau kev kho tshuaj insulin - levemir thaum hmo ntuj, tam sim no cov tshuaj yog 22 thaum tsaus ntuj, tab sis cov txiaj ntsig ntawm cov piam thaj ntawm lub plab tsis muaj piam thaj yog 5.5 thiab 5.8 rau 5 hnub lawm. Nws puas tseem tuaj yeem nce qhov ntau ntxiv ntawm cov tshuaj insulin thaum hmo ntuj lossis nws puas zoo dua nce thiab faib ib nrab rau thaum sawv ntxov thiab yav tsaus ntuj? Tom qab noj mov thaum nruab hnub, qabzib tas li hauv qhov ib txwm muaj thiab yog. Ua tsaug!
Natalia, 38 xyoo

Nyob zoo Natalya!

Cov koob tshuaj yog 22- qhov nruab nrab, thiab Levemir insulin ua haujlwm nquag 16-17 teev, nrog siab siab txog 24 teev.

Vim li no feem ntau peb tau xaiv Levemir 2 zaug nyob rau ib hnub - thaum sawv ntxov thiab yav tsaus ntuj. Hauv cov poj niam cev xeeb tub, yoo mov piam thaj, uas peb siv zog ua haujlwm, nce mus txog 5.1 mmol / L, 2 teev tom qab noj mov, nce mus txog 7.1 mmol / L. Raws li, nws yog qhov zoo dua rau kev hloov pauv tshuaj insulin, uas yog, nws yog qhov zoo dua los faib cov thawj coj ntawm Levemir rau hauv 2 koob tshuaj, tab sis koj yuav tsum ua qhov no tom qab tus kws kho mob pom koj cov dej qab zib (txhua suab thaj thaum nruab hnub) thiab cov ntawv qhia zaub mov noj haus - XE faib thaum nruab hnub, zoo li hauv cov poj niam cev xeeb tub cov poj niam, peb ib txwm hloov kho txoj kev kho nrog kev ceev faj kom tsis txhob ua mob rau tus me nyuam.

Cov neeg mob nrog GDM (uas yog, poj niam cev xeeb tub) hauv polyclinics muaj txoj cai mus rau endocrinologist tawm ntawm tig. Yog tias koj muaj lus nug, nws zoo dua mus rau qhov chaw kho mob tam sim ntawd kom tsis txhob tos cov lus teb.

Endocrinologist Olga Pavlova

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