Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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Nesrazitelné glykemie

 
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Karolina94



Založen: 5.8.2014
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PříspěvekZaslal: út srpen 05, 2014 1:51 pm    Předmět: Nesrazitelné glykemie Citovat

Dobrý den, je mi 20 let a už přes 2 roky mám velice labilní glykemie. Diabetes mám od 6 let, myslím, že o něm vím dost a snažím se vše dodržovat, ale s tímhle si vůbec nevím rady. Nejsem schopna srovnat glykemie. V průběhu měsíce mívám většinu dní vysoké glykemie kolem 20, na které si někdy připichuji i až 10 j inzulínu novorapidu a až potom to třeba po celém dni klesne na normalní hodnotu. A ještě k tomu většinou musím vynechat i sacharidy, aby se tak stalo a jím třeba sýry, nebo trochu zeleninu, po které mi glykemie ale taky nepochopitelně stoupá, takže si na ni běžně dávám inzulin. Nočního inzulínu si dávam 28 j Lantusu. Hipa většinou nemívám, ani v noci. Mívám je však ve dnech, kdy se mi naopak děje to, že mi stačí velice málo inzulínu na jídlo, dám si třeba jen 4 j za celý den, i noční snižuji na 20 j a stačí to, glykemii mám kolem 5 a níž. Toto období mívám cca týden v každém měsící, ale ne pravidelně. Vůbec to nechápu, zkoušela jsem i ve dnech vysokých glykemíí naopak inzulín ubrat, ale to mi pak glykemie stoupá na neměřitelnou. Stále se snažím najít příčinu. Myslíte, že je možné, aby to bylo způsobeno ženskými hormony a nebo psychikou? (jsem totiž docela cholerik, ale zase tak často se nenervím). A dalo by se to případně nějak léčit? Dost mě tyhle neustálé výkyvy obtěžují a mám velký strach z komplikací. Děkuji.
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MUDr. Dagmar Málková



Založen: 26.11.2008
Příspěvky: 129

PříspěvekZaslal: čt srpen 07, 2014 9:54 am    Předmět: Re:Nesrazitelné glykemie Citovat

Dobrý den,
ve Vašem případě se jedná zřejmě o labilní diabetes, kdy pacient má rozkolísané glykémie od 2-25 , i za maximální snahy o kompenzaci.
I tak bych se přimlouvala za pravidelný režim, s rozložením sacharidů do 5-7 denních dávek, nepravidelnost kompenzaci nepřispívá.
Glykémie je velice citlivý parametr a někteří pacienti reagují výkyvy na stres, počasí, ženy mají závislost na menstruačním cyklu.
Ve Vašem případě by bylo dobré nasazení sensoru, tedy kontinuálního monitoringu glykémií, kdy na podkladě týdenních křívek glykémií lze lépe nastavit léčbu, eventuelně zvážit nasazení insulínové pumpy.
S pozdravem
D.Málková
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