Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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cukrovka ze stresu

 
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ljuba



Založen: 21.4.2010
Příspěvky: 1

PříspěvekZaslal: st duben 21, 2010 1:54 pm    Předmět: cukrovka ze stresu Citovat

jak se léčí? stejně nebo jinak?
Po zjištění diabetu jsem shodila 15 kg, BMI kolem 25.0
vyšetření slinivky - dostatečně pracuje.
tabletky nezabraly, dostala jsem tzv.dlouhý inzulín.
Tlak, cholesterol vše v pořádku. kde je chyba?
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: čt duben 22, 2010 1:21 pm    Předmět: Re: cukrovka ze stresu Citovat

Dobrý den,
na přesné zodpovězení Vašeho dotazu bych potřebovala přesnější informace.
V první řadě,oficiální termín diabetes ze stresu neexistuje.
Nejčastěji se jedná o DM2 nebo DM1.Soudě dle toho,co píšete,ve Vašem případě jde o DM2,kdy je zachovalá sekrece insulínu,ale tělo na něj buď hůře reaguje při zvýšené insulínové rezistenci,nejčastěji na podkladě nadváhy nebo je porušená sekrece,často po jídle nebo kombinace obojího.
K přesnému určení typu diabetu Vám jistě zjišťovali přítomnost autoprotilátek, prováděli oGTT,určovala se hladina insulinu nalačno i po stimulaci/ C peptid/,hodně napoví i velký glykemický profil a zejména glykémie před jídlem a po jídle. Teprve poté se dá přesně zacílit léčba.Spektrum léků na cukrovku je veliké/ tzv.PAD/,dají se zkombinovat přesně dle typu poruchy.Teprve pokud kompenzace není dobrá,uchyluje se k terapii insulinem nebo kombinaci PAD a insulinu.
Tolik tedy informace na dálku,k zamyšlení nad terapií je opravdu nutno znát glykemické profily,dietní i pohybový režim, dlouhodobou kompenzaci / glyHgb/ ,celkový zdravotní stav i ostatní laboratorní parametry.
S pozdravem D.Málková
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