Puas yog paub tseeb tseeb? Tsis hnov ​​qab zoo

Nyob zoo, tus me nyuam 12 xyoos, siab 158 cm, hnyav 51 kg. Peb tau muaj lub sijhawm nrog tus kws kho keeb endocrinologist vim tias nws muaj tus mob muaj keeb (muaj mob ntshav qab zib hom 2), thiab nws tau pom zoo kom kuaj xyuas. Thaum noj cov kev ntsuam xyuas thaum Lub Yim Hli 03, 2018, insulin yog 11.0 (me ntsis dua li ib txwm), glycated hemoglobin 5.2, ntshav qab zib 5.0, c-peptide 547, tso zis qab zib tsis zoo, acetone 10.0 (ua ntej ntawd, nws ib txwm tsis zoo ntau zaus ua ntej). Lawv muab nws tso rau hauv tsev kho mob, tsav tsheb acetone, ces txhua yam rov zoo li qub. Peb yuav cov ntawv xeem rau ketones, peb ua nws txhua hnub, tsis muaj ntxiv lawm. 11/03/2018 lawv rov qab soj ntsuam cov insulin 12.4, lactate 1.8, c-peptide 551, AT nyob rau hauv tag nrho rau GAD thiab IA2, IgG 0.57., Ntshav qab zib - 5.0, glycated 4.6. Peb ntsuas ntshav qab zib hauv qhov chaw kuaj (08/03/2018) thaum sawv ntxov thiab txhua 2 teev 4.0-5.5-5.7-5.0-12.0-5.0-5.0 Peb cov kws kuaj xyuas kabmob endocrinologist tau hais tias txij li piam thaj ib zaug nce 12.0, nws tuaj yeem xa tus mob ntshav qab zib 2 hom mellitus. , tab sis nws ib txwm muaj glycated, yog li peb tau txais kev ua txhaum ntawm cov suab thaj txo. Puas yog qhov kev kuaj mob puas yog (lossis nws puas zoo dua mus rau tsev kho mob thiab ua ib qho kev kuaj mob tag nrho thiab nrhiav kom paub tus mob tseeb)? Cov kev kuaj ntshav yog txhua yam.
Radmila

Kev txiav txim los ntawm kev xeem, tus menyuam muaj qhov kev ua txhaum ntawm cov kua nplaum ua haujlwm, uas yog, mob ntshav qab zib - kev pheej hmoo ntawm kev tsim T2DM yog nce. Kev kuaj mob tau lees paub los ntawm kev kuaj mob (Glycemic profile, Insulin, C-peptide, AT), yog li kuv tsis pom muaj qhov ua sai dua los kuaj tus menyuam.

Hauv koj qhov xwm txheej, koj yuav tsum pib ua raws kev noj haus: peb tsis suav cov carbohydrates nrawm, noj cov carbohydrates qeeb hauv qhov me me, noj txaus ntawm cov muaj protein tsawg, noj cov txiv hmab txiv ntoo tsawg tsawg nyob rau thawj ib nrab ntawm hnub thiab nquag plhws ntawm cov zaub uas muaj carb tsawg.

Ntxiv rau kev ua raws li kev noj haus, nws yog ib qho tsim nyog yuav tsum tau ua kom lub cev ua si - tus menyuam muaj kev tiv thaiv insulin, thiab qhov nce ntawm insulin rhiab heev feem ntau yog los ntawm kev noj zaub mov noj thiab nce qib ntawm lub cev. thauj khoom. Los ntawm kev thauj khoom: ob qho tib si ua kom sib zog thiab cardio xav tau. Qhov kev xaiv zoo tshaj plaws yog xa cov menyuam mus rau kis las kis las nrog tus kws qhia zoo.

Ntxiv rau kev noj haus thiab kev ntxhov siab, nws yog ib qho tsim nyog los tswj lub cev nyhav thiab tsis muaj ib qho dab tsi tiv thaiv qhov kev sau cov roj ntau tshaj.

Nws tseem yuav tsum tau soj ntsuam cov ntshav qab zib kom tsis tu ncua (ua ntej thiab 2 teev tom qab noj mov). Koj yuav tsum tswj cov suab thaj tsawg kawg 1 zaug nyob rau ib hnub + 1 zaug hauv ib lub lis piam-glycemic profile.

Tom qab 3 lub hlis, koj yuav tsum rov ntsuas dua (Insulin, Glycated hemoglobin, glycemic profile, OAK, BiohAK) thiab mus ntsib tus kws kho qhov muag (endocrinologist) kom ntsuas cov txiaj ntsig ntawm kev kho kev noj haus thiab kev kho lub neej.