Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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Diaprel ver. Stadamet
Jdi na stránku 1, 2, 3  Další
 
Přidat nové téma   Zaslat odpověď    Obsah fóra poradna o diabetes (= cukrovka) -> DIABETES 2. TYPU
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Autor Zpráva
Král



Založen: 25.1.2010
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PříspěvekZaslal: po leden 25, 2010 10:29 pm    Předmět: Diaprel ver. Stadamet Citovat

Dosud jsem cca 2 roky užíval Diaprel - bez vedlejších účinků. Po přeměně na Stadamet mám abnormální nadýmání, plynatost a celkové nepříjemné pocity v břiše. Nepozoruji změny v křivce glukosy - u lék. kontroly 4,7 - 5,1 u glykované dlouhodobé hodnoty, běžně glukometrem 6,4 - 8,1. Jaký je léčebný rozdíl mezi oběma léky a lze se vrátit k Diaprelu, který jsem bral 1-0-0.
Díky za odpověď.[/code]
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MUDr. Dagmar Málková



Založen: 26.11.2008
Příspěvky: 129

PříspěvekZaslal: st leden 27, 2010 10:22 pm    Předmět: Re: Diaprel ver. Stadamet Citovat

Dobrý den,
Diaprel,který jste užíval,patří do lékové skupiny perorálních antidiabetik,které podporují sekreci vlastního insulinu.Většinou se užívají v počátečních stádiích DM2 nebo u štíhlejších pacientů s malou insulínovou rezistencí nebo do kombinace s ostatními léky.Nově nasazený lék / jeho účinná látka je metformin/ je rovněž vynikající preparát. Ten je indikován jako lék první volby v podstatě ihned po záchytu DM2,s preferencí u lidí obezních nebo do kombinace.Mezi jeho nežádoucí účinky bohužel patří příznaky,které popisujete a to je i občas důvod,proč je jinak pro tělo skvělý lék,vysazen.Hodnoty glykémií,které uvádíte,vypadají velice slušně,nalačno by glykémie měla být do 6mmol/l,po jídle do 8mmol/l.
Pokud Vám stávající medikace přináší tyto nežádoucí účinky,je vhodné ji vysadit,vrátit se k původní léčbě nebo ji dokombinovat.
Vše pořešte s Vaším diabetologem,který zná přesnou anamnézu onemocnění a tedy i důvod,proč byla medikace změněna.
S pozdravem D.Málková
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