Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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noční směny
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Autor Zpráva
Iveta



Založen: 2.3.2013
Příspěvky: 1

PříspěvekZaslal: so březen 02, 2013 8:25 pm    Předmět: noční směny Citovat

Dobrý večer.Před 4 měsíci jsem byla na glykemické křivce.Po výsledcích mi lékař dal průkaz diabetika s tím,že hodnoty jsou vysoké.Teď chodím pravidelně 1x za měsíc na kontroly.Stav cukru po jídle (cc 1,5 hod) se každým měřením zvyšuje (5,7-9 při posledním měření).Bude mi 50 let a mám nadváhu.Podařilo se mi zhubnout za 2 měsíce 7,5 kg.Lékař mi předepsal lék glucophage 1000 mg.Tento stav mi byl zjištěn až po převedení na jinou práci z ranní směny na nepřetržitý provoz.Problémy byly dřív,ale minulý lékař je neřešil.Od té doby po nočních 12hod.směnách jsem na tom špatně.Je mi zle,mám časté průjmy,bolesti hlavy, vysoký tlak,brnění v končetinách a velmi špatně spím.Než se mi tento stav upraví ( trvá to tak 2 dny) tak už jdu zase na směnu.Myslíte,že bych mohla požádat lékaře o potvrzení,že nemohu vykonávat noční směny?Nebo se tento stav časem uklidní? Děkuji moc za odpověď
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: út březen 05, 2013 8:34 am    Předmět: Re: noční směny Citovat

Dobrý den,
při záchytu DM2 je na místě nasadit jako lék první volby metformin / Glucophage/.
Určité procento pacientů po něm ale má nežádoucí účinky,zejména nadýmání a průjmy. Dávku lze zredukovat,pokud budou obtíže trvat i přes minimální dávku léku, je nutno ho vysadit a nasadit jinou medikaci.
Nemyslím,že je zatím důvod ke zrušení směnného provozu.
Upravila bych léčbu diabetu, nasadila léky na vysoký tlak a uvidíte.
Cukr po jídle u léčeného diabetika by měl být do 8 mmol/l..
Pokud máte brnění v končetinách, může to souviset s diabetickou neuropatií a je vhodné provést neurologické vyšetření.
Myslím,že důslednou systematickou léčbou diabetu a hypertenze se obtíže minimálně zmírní.
S pozdravem
D.Málková
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