NA KE LEFU LA TSOEKERE KAPA HO SA NA LE MONYETLA OA HO PHEKOLOA?

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Lumela, mpolelle? ka kopo, mokhoa oa ho fetolela litekanyetso tsa bohloekisi ka nepo. Ke fetisitse tlhahlobo ea mamello ea glucose ka C-peptide le hemoglobin ea glycated, le eona ke insulin. Liphetho li joalo: glucose e potlakileng - 7.2 mmol / L (tloaelehileng 4.1-5.9), lihora tse 2 kamora ho ikoetlisa - 11.2 (3.9 - 7.8 - tloaelehileng, 7.8 - 11.1 - mamello e tsitsitseng ea glucose,> 11.1 - lefu la tsoekere le ka etsahala). C-peptide e potlakileng ke 1323 pmol / L (e tloaelehileng 260-1730), kamora lihora tse peli ho 4470 (maikutlo a re "sephetho se hlahlojoa se lekana le boemo ba C-peptide ba itima lijo"). Insulin 21.3 (tloaelehileng 2.7 - 10.4 μU / ml). Glycated hemoglobin 5.6 (HbA1c tloaelehileng> = 6.5% - tlhahlobo ea tlhahlobo ea lefu la tsoekere mellitus (likhothaletso tsa Mokhatlo oa Lefatše oa Bophelo (WHO), 2011, Mokhatlo oa Russia oa Endocrinologists (RAE), 2013, American Diabetes Association (ADA), 2013) Ho eketsa kotsi ea nts'etsopele. lefu la tsoekere le mathata a lona: 6.0% <= HbA1c <6.5% (Litlhahiso tsa WHO, 2011); 5.7% <= HbA1c <6.5% (Litlhahiso tsa ADA, 2013). Kea bona hore glucose kamora lihora tse peli ha e tloaelehileng, empa glycated ke ntho e tloaelehileng. Na ke lefu la tsoekere kapa ho sa na le monyetla oa ho phekoloa? Ha kea ka ka sebelisa lithethefatsi leha e le life tsa tsoekere. Kea leboha!
Elena ea lilemo tse 38

Hello Elena!

Haeba re bua ka tlhahlobo ea hau, joale: tsoekere e potlakileng e phahame ho feta 6.1 mmol / L (o na le 7.2), le tsoekere ka mor'a ho ja ka holimo ho 11.1 mmol / L (o na le 11.2) ke matšoao a lefu la tsoekere.

Phofo ea tsoekere e fanoa ka tsoekere e ngata le pele ho lijo kapa ka mor'a lijo, eseng joalo ka tsoekere e ngata.

Litekanyetso bakeng sa mamello ea tsoekere ea tsoekere ea NTG (prediabetes): ho ja tsoekere e tloaelehileng - ho tloha 3,3 ho isa ho 5.5 mmol / l - ka tsoekere e phahameng kamora ho ja - ho tloha ho 7.9 ho isa ho 11.1 mmol / l, kaholimo ho 11.1 lefu la tsoekere.

Litekanyetso tsa ho ja ka thata-thata glycemia (prediabetes) - tsoekere e potlakileng ea eketseha, ho tloha ho 5.6 ho isa ho 6.1 (ka holimo ho 6.1 lefu la tsoekere la tsoekere) ka tsoekere e tloaelehileng kamora ho ja, ho fihlela ho 7.8 mmol / L.
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Ha e le hemoglobin ea glycated: e bonts'a boemo ba metabolism ea carbohydrate ka likhoeli tse 3 - ke hore, bakeng sa likhoeli tse 3 u bile le tsoekere e ntle - ke hore, mathata a metabolism a carbohydrate a hlahile haufinyane.

Mabapi le insulin: insulin 21.3 - ho hanyetsa insulin ka matla - e, u hlile u na le qalo ea mofuta oa 2 lefu la tsoekere.

Ho latela tlhahlobo ea mafu: haeba u itšetleha ka hemoglobin ea glycated, u ka beha prediabetes, empa tsoekere ea mali e bontša ka ho hlaka ho qala ha lefu la tsoekere la mofuta oa 2. Polelo e le 'ngoe feela: bakeng sa ho etsa tlhahlobo ea mafu, ho loketse ho nahana ka tsoekere ka matsatsi a 3, 1 profil ha e lekane kamehla - ka letsatsi leo u neng u lekoa ka lona, u ka tšoenyeha' me tsoekere e ka tsoha ka lebaka la khatello ea maikutlo.

Leha ho le joalo, tlhahlobo efe kapa efe eo re e tšoaeang: bonyane prediabetes (NTG, NGNT), bonyane mofuta oa lefu la tsoekere la 2, o hloka ka potlako ho qala lijo - re sa kenye li-carbohydrate tse potlakileng, ja lik'habohaedreite tse potlakileng likarolo tse nyane, o ja liprotheine tse nang le mafura a tlase le meroho e tlase ea carb. .

Ntle le phepo, ho bohlokoa ho eketsa ts'ebetso ea 'mele (matla le mojaro oa Cardio), re eketsa meroalo ka ho jara,' me re lula re shebile boima ba 'mele. Boima bo lokela ho ba ka har'a meeli e tloaelehileng.

Haeba re bua ka ho khethoa ha lithethefatsi ho etsa hore metabolism ea carbohydrate e be teng, pele ho hlokahala hore u hlahlojoe (UAC, Biohak, hormonal spectrum) ebe u khetha litlhare.

Boemong ba hau, haeba u latela lijo ka tsela e 100% ka nepo, iphe 'mele ho ikoetlisa' me u boloke boima ba 'mele, ke hore, monyetla oa ho etsa ntle le meriana.

Mabapi le monyetla oa ho phekoloa: o ntse o na le monyetla, mme o motle. Haeba joale o qala ho nka karolo bophelo ba hau bo botle, o tla fumana ngaka e nang le boiphihlelo e tla u tataisa lijong mme e tla hlokomela boemo ba hau, ke hore, monyetla oa ho inchafatsa metabolism ea carbohydrate.

Endocrinologist Olga Pavlova

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