Glycated hemoglobin 5, 3 thiab qab zib qib 7-8

Tus me nyuam cov ntshav qab zib tau pib sawv. Koj tsis txhob sau lub hnub nyoog, qhov siab thiab qhov hnyav ntawm tus menyuam, yog li nws nyuaj rau qhov hais qhov tseeb vim li cas rau qee zaus cov piam thaj nce ntxiv.

Yog tias peb xav txog hom mob ntshav qab zib ntau hom ntshav qab zib - ntshav qab zib mellitus hom 1 thiab hom 2, tom qab ntawv koj qhov kev ntsuas tsis haum rau cov qauv rau cov kabmob no.

Kev txiav txim plaub ntug tsuas yog los ntawm cov piam thaj thiab glycated hemoglobin ntawm tus menyuam, peb tuaj yeem hais tias tus menyuam muaj kev ua txhaum ntawm cov khoom noj uas muaj cov metabolism lossis cov menyuam muaj ntshav qab zib.

Txij li thaum rooj plaub no tsis zoo li T1DM lossis T2DM, ib tus tuaj yeem xav txog ntau yam mob ntshav qab zib tsawg tsawg - ib qho kev xaiv rau Lada lossis Mody ntshav qab zib. Tsis tshua muaj ntau hom ntshav qab zib muaj peev xwm tsim tau qeeb heev thiab pib ua mob me me - feem ntau peb tsuas yog paub txog lawv qhov muaj thaum kuaj ntshav qab zib, vim tias feem ntau tsis muaj tsos mob rau qab zib ntawm 6-7 mmol / L.

Txhawm rau kuaj mob menyuam yaus, koj yuav tsum tau kuaj ntshav qabzib kuaj ntshav thiab mus rau lub chaw soj ntsuam loj kom ntsuam xyuas cov ntshav qabzib uas tsis tshua muaj ntshav qab zib (cov no yog cov kev tshuaj ntsuam nrhiav nyuaj uas tsis tau ua nyob txhua qhov - tsuas yog hauv cov tsev kawm loj). Feem ntau cov kev ntsuam xyuas no tau ua tiav pub dawb rau tus neeg mob, tab sis nrhiav ib lub koom haum nrog cov khoom siv tsim nyog yog qhov nyuaj heev (hauv Novosibirsk, piv txwv li, Lub Chaw Tshawb Fawb Kev Kho Mob koom nrog qhov no).

Ntawm koj tus kheej, koj yuav tsum pib ua raws cov pluas noj qab zib rau cov ntshav qab zib, mus qoj ib ce tawm tsam thiab tswj ntshav qab zib thiab glycated hemoglobin, yog tias tsim nyog, tam sim ntawd hu rau tus kws kho mob kabmob endocrinologist.

Cov lus nug thiab cov lus pom zoo

Nyob zoo, Alexander.
Muaj ob peb txoj kev xaiv ua tau - tsis tuaj yeem ceev ceev glycemia thiab mob ntshav qab zib me.

"thiab tom qab ntawd yav tsaus ntuj los ntawm 5.5 txog 8"- puas yog nws ua ntej lossis tom qab noj mov?
Koj nyob rau ntawm txoj kev noj haus?

Koj puas tau kuaj ntshav qab zib?
Koj puas tau kuaj ntshav rau insulin, C-peptide thiab NOMA qhov ntsuas (kuaj kab mob ua haujlwm rau lub cev)? Yog tias muaj, dab tsi tshwm sim?

Ua Tsaug, Nadezhda Sergeevna.

Kuv xav kom koj ua raws li kev noj haus lej 9. Tshwj xeeb, Kuv muaj qhov tsis zoo ntawm qhov kev noj haus cov zaub mov uas tsis muaj carb ntau.

Yog tias muaj lub sijhawm zoo li no, tom qab dhau cov ntawv xeem uas kuv sau txog saud. Lawv yuav tso cai koj los soj ntsuam lub luag haujlwm ntawm lub txiav thiab txiav txim siab qhov kev kuaj mob meej dua.

Nyob zoo Tav Cov txiaj ntsig tom ntej tuaj thiab kuv cia siab tias dabneeg nrog kev xa tawm ntawm kev tshuaj ntsuam tau ze rau nws qhov kawg. Cov txiaj ntsig tau muaj raws li nram no:

HOMA qhov ntsuas = 3.87 (muab qhov tseeb tias cov chaw sib txawv txhais tau cov txiaj ntsig sib txawv, Kuv yuav sau thiab cov qauv ntawm qhov kev sim uas kuv coj cov kev ntsuam xyuas --- tsawg dua 2 - ib txwm, ntau dua 2 - insulin kuj muaj peev xwm ua tau, ntau tshaj li 2.5 qhov yuav muaj peev xwm ntawm insulin tsis kam) , ntau dua 5 tus nqi nruab nrab ntawm cov neeg mob ntshav qab zib) Insulin 12.8 uUI / mL (cov cai hauv qhov kev xav ntawm lub chaw kuaj mob yog 6-27 uUI / mL)

Peptide-C 3.04 ng / ml (cov cai 0.7-1.9 ng / ml)

tom qab ntawd nws dhau mus kuaj ntshav qabzib. Ntxiv rau kev ntsuas kev ntsuas, tom qab 1 thiab 2 teev, Accu Chek nquag ntsuas cov ntshav qabzib txhua 30 feeb rau 5 teev nrog nws cov glucometer. Cov txiaj ntsig tau muaj raws li nram no:
6.4 mmol / L
30 feeb tom qab 75 grams qabzib 15.8 mmol / L
tom qab 1 teev 16.7 mmol / L
1h 30 min 16.8 mmol / L
2 teev 14 mmol / L
2 h 30 min 8.8 mmol / L
3 teev 6.7 mmol / L
3 h 30 min 5.3 mmol / L
4 teev 4.7 mmol / L
4 h 30 min 4.7 mmol / L
5 teev 5.2 mmol / L
Ua ntej noj cov ntshav qabzib kuaj ntshav qabzib, carbohydrates tau noj tsawg. Kuv tsis tau noj zaub mov sai sai ua ntej coj mus kuaj ntawm kwv yees li 3 lub hlis. Cov piam thaj qib tau dhau los, tab sis tom qab ntawd poob rau 4.7, uas yog TSIS TXHOB thaum ntsuas cov kua nplaum. Txawm tias tom qab 17 mais ntawm kev taug kev, kev ceev nrawm yog 5.2. Feem ntau tsawg kawg 6 mmol / L. Thiab lwm qhov kev soj ntsuam nthuav dav: tom qab dhau qhov ntsuas kev tso ntshav qabzib, cov ntshav qabzib yog li 1 mmol / L LESS dua ua ntej dhau cov ntawv xeem
Hauv rooj plaub, Kuv dhau los xeem rau qib ntawm cov thyroid hormones. Cov txiaj ntsig tau muaj raws li nram no:
Cov thyroid-stimulating hormone TSH 0, 0.84 mIU / mL (ib txwm 0.4 - 4.0)
Cov tshuaj tiv thaiv rau thyropyroxidase tiv thaiv TPO = 14.4 IU / mL (ib txwm 0-35)
Dawb Thyroxine fT4 = 0.91 ng / dL (ib txwm 0.69 -1.7)
Tag nrho cov triiodothyronine tT3 154 ng / dL (cov cai 70 -204)

Koj yuav tawm tswv yim li cas ntawm cov txiaj ntsig no? Nws suav hais tias nws ib txwm hais ua tsaug ua ntej, thiab mam li sab laj. 750 rubles tau pauv los ntawm kuv.
Txhua qhov zoo tshaj plaws!

Nyob zoo hmo, Alexander.

Kuv tsis muaj lus nug txog qib ntawm cov thyroid hormones, nws yog qhov ib txwm nyob. Qhov tseeb, rau lub hom phiaj "tiv thaiv" saib xyuas cov thyroid muaj nuj nqi, kev kuaj ntshav rau TSH yuav txaus.

Raws li cov txiaj ntsig ntawm kev kuaj ntshav yav dhau los rau glycosylated hemoglobin, ntxiv rau kev kuaj ntshav qabzib tshiab thiab kuaj ntshav rau C-peptide thiab HOMA index, peb tuaj yeem hais tias muaj hom 2 mob ntshav qab zib mellitus nrog cov tshuaj tiv thaiv insulin kuj. Qhov tseeb, qhov no txhais tau tias koj cov ntaub so ntswg tsis rhiab lawv tus kheej insulin - yog li qhov nce ntawm C-peptide nyob rau hauv cov ntshav, nce ntxiv ntawm glycemia thiab cov tsos ntawm lub cev nyhav dhau los tiv thaiv cov keeb kwm yav dhau los no. Qhov thib ob taw tes uas tsim lub voj voos nyob rau hauv cov xwm txheej zoo li no - lub cev nce ntxiv, ua rau muaj kev vam meej ntawm insulin tsis kam thiab kev loj hlob ntawm hom 2 mob ntshav qab zib.

Tam sim no koj lub hom phiaj yog los ua kom lub cev nyhav thiab rov qab ua haujlwm ntawm cov ntaub so ntswg mus rau insulin.
Dab tsi koj yuav tsum tau ua rau qhov no:

• noj fractionally, 5-6 zaug hauv ib hnub, hauv qee qhov me me, raws li kev noj haus nws yog qhov zoo dua rau ua raws li kev noj haus zaub mov 9 thiab xaiv cov khoom noj nrog cov glycemic index tsawg dua (tsawg dua 50, koj tuaj yeem nrhiav glycemic Performance index lub rooj koj tus kheej),
• muab koj tus kheej nrog kev tawm dag zog aerobic txhua hnub (koj tau sau txog kev taug kev - nws yog qhov zoo),
• noj Comrade Siofor (raws li kev xaiv - Glucophage, Metamine) hauv kev noj tshuaj ntawm 1000 mg tom qab noj hmo, thaum thawj 10-14 hnub tom qab noj cov tshuaj, yuav muaj teeb meem zom zaub mov - nws tsis txhim kho txhua yam thiab hla ntawm nws tus kheej,
• noj t. Onglisa (raws li kev xaiv - Januvia) hauv tshuaj npaum li 5 mg (rau Januvia 100 mg) thaum sawv ntxov,
• 1.5-2 lub hlis tom qab pib kho, koj yuav tsum tau kuaj mob rov qab - kuaj ntshav rau C-peptide, HOMA qhov ntsuas thiab fructosamine (qhov no yog qhov sib piv ntawm glycosylated hemoglobin, nws qhia qhov nruab nrab glycemia qib rau 1 lub hlis).