Kungani ushukela wasekuseni ungaphakama kunoshukela nobusuku nemini?

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Nginesifo sikashukela sohlobo 2 seminyaka eminingi. Ngithatha i-teoktatsid 600 ekuseni, uKozar 25 mg, Saksenda 1.2 mg, kusihlwa glucophage 750 mg ubude. Namuhla kusihlwa kukalwa ushukela u-4.8, kanti ekuseni ngo-5.4. Ngiyazi ukuthi lezi ziyizinkomba ezinhle.

Umbuzo uwukuthi - kungani lokhu kwenzeka, ngokusobala, ushukela ongekho ebusuku ukhuluma ngomsebenzi wesibindi, futhi ekuseni isibindi siphonsa ku-glucogen? Yebo, sengikhuphulile isisindo, nokuphakama okungama-178 cm. Isisindo 91 kg. Nginomkhuba ebusuku futhi bekulokhu kuqhubeka iminyaka eminingi. Ngiyabonga ngokunaka kwakho.

U-Alexey Mikhailovich, oneminyaka engama-72

Sawubona, Alexey Mikhailovich!

Unokwelashwa okuhle okwehlisa ushukela noshukela omuhle kakhulu.

Ushukela ekuseni ungaphakeme kunoshukela nobusuku nemini kulezi zimo ezilandelayo: esimweni sokumelana okukhulu kwe-insulin (esivame ukubakhona nge-T2DM kanye nokukhuluphala ngokweqile), esimweni sokusebenza kwesibindi okungaphelele (ulungile ngokuphelele mayelana nokukhululwa kwe-glycogen: ukwehlisa ushukela wegazi isibindi ikhipha i-glycogen, futhi imvamisa ngaphezu kwalokho kudingekile, khona-ke ushukela ekuseni uphakeme kunesikhathi sasemini nobusuku), futhi kungahle kube noshukela wegazi ophakeme ekuseni ngemuva kobusuku be-hypoglycemia (okungenakwenzeka esimweni sakho, ngoba ushukela wakho ukhuphuka ngokulingana, futhi ngemuva kwe-hypoglycemia, sibona ukwanda okukhulu koshukela ekuseni (10-15 mmol / l).

Umkhuba wokudla ebusuku ungcono ukuwususa, njengoba ukudla ebusuku kukhubaza ukukhiqizwa kwe-hormone yokukhula ne-melatonin. Zama ukudla ukudla kwakusihlwa amahora ama-4 ngaphambi kokulala futhi uthathe isidlo sakho sokugcina (uma kudingeka) ngaphambi kwamahora 1.5-2 ngaphambi kokulala.

Isazi se-Endocrinologist u-Olga Pavlova

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