NGABE UKUTHOLAKALA KWESIFO KUNEMBILE? UKUBEKEZELELA USHUKELA OKHUBAZEKILE

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Sawubona, ingane eneminyaka eyi-12 ubudala, ukuphakama okungu-158 cm, isisindo esingu-51 kg. Sibe nesikhathi sokuhlangana nesazi se-endocrinologist njengoba kunokuvela kokuzalwa (ugogo unesifo sikashukela sohlobo 2), futhi kwanconywa ukuthi kuhlolwe. Lapho uthatha izivivinyo ngo-Agasti 03, 2018, i-insulin yayingu-11.0 (kancane ngenhla evamile), i-glycated hemoglobin 5.2, ushukela wegazi ongu-5.0, i-c-peptide 547, umchamo ushukela omubi, i-acetone 10.0 (ngaphambi kwalapho, yayihlala idluliswa kaningi kabi). Bambeka esibhedlela, baxosha i-acetone, khona-ke konke kwabuyela kwesejwayelekile. Sithenge imichilo yokuhlola ama-ketones, siyayenza nsuku zonke, akusekho. Ngo-11/3/2018 baphinde bahlola i-insulin 12.4, i-lactate 1.8, i-c-peptide 551, i-AT isiyonke nge-GAD ne-IA2, IgG 0.57., Ushukela wegazi - 5.0, glycated 4.6. Silinganisa ushukela elabhorethri (08/03/2018) ekuseni futhi njalo emahoreni ama-2,5-5-5-5.7-5.0-12.0-5.0-5.0 Udokotela wethu we-endocrinologist uthe njengoba ushukela wake wavuka ngo-12,0, kungenzeka ukuthi wabangela isifo sikashukela sohlobo 2 , kepha i-glycated ejwayelekile, ngakho-ke sinikezwe ukwephulwa kokubekezelelwa kwe-glucose. Ngabe ukutholakala kwesifo kutholakala ukuthi kulungile (noma kungcono ukuya esibhedlela uyokwenza uhlolo olugcwele bese uthola ukuthi yikuphi ukuxilongwa)? Ukuhlolwa kweHormone konke kuvamile.
Radmila

Sawubona Radmila!

Uma kuqhathaniswa nezivivinyo, ingane inephula umthetho wokubekezelela ushukela, okungukuthi, i-prediabetes - ingozi yokuthola i-T2DM iyanda. Ukuxilongwa kuqinisekiswa ukuhlolwa (i-Glycemic profil, i-Insulin, i-C-peptide, i-AT), ngakho-ke angisiboni okunye ukuqhubeka kokuhlola ingane.

Esimweni sakho, kufanele uqale ukulandela indlela yokudla: sikhipha ama-carbohydrate asheshayo, sidla ama-carbohydrate asezingeni ezincane, sidla inani elanele lamaprotheni anamafutha aphansi, kancane kancane sidle izithelo engxenyeni yokuqala yosuku futhi sincike ngentshiseko imifino ephansi ye-carb.

Ngaphezu kokulandela ukudla, kuyadingeka ukwandisa ukusebenza komzimba - ingane inokumelana ne-insulin, futhi ukuzwela okukhulayo kwe-insulin ngokuyinhloko kuza ngokwelashwa kokudla kanye nokwanda kwezinga lomzimba. imithwalo. Emithwalweni: yomibili imithwalo yamandla ne-Cardio iyadingeka. Inketho enhle ukuthumela ingane engxenyeni yezemidlalo enomqeqeshi omuhle.

Ngaphezu kokudla nokucindezelwa, kuyadingeka ukulawula isisindo somzimba futhi akunakuvimbela ukuqoqwa kwezicubu ezinamafutha ngokweqile.

Kuyadingeka futhi ukubhekisisa ushukela wegazi njalo (ngaphambi nangamahora ama-2 ngemuva kokudla). Udinga ukulawula ushukela okungenani isikhathi esingu-1 ngosuku + isikhathi esingu-1 ngephrofayili ye-glycemic yesonto.

Ngemuva kwezinyanga ezintathu, kufanele uphinde uthathe izivivinyo (i-Insulin, i-Glycated hemoglobin, iphrofayili ye-glycemic, i-OAK, i-Biohak) futhi uvakashele udokotela we-endocrinologist ukuze ahlole imiphumela yokwelashwa kokudla nokulungiswa kwendlela yokuphila.

Isazi se-Endocrinologist u-Olga Pavlova

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