Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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Otázka na správnost léčby

 
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Autor Zpráva
Milan Bohatec



Založen: 2.2.2008
Příspěvky: 1

PříspěvekZaslal: so únor 02, 2008 10:52 pm    Předmět: Otázka na správnost léčby Citovat

Dobrý den,
při urologické kontrole jsem měl cukr v moči.Tím jsem se dostal do diabetické ambulance s diabetes 2. typu.Zpočátku jsem byl na dietě,nyní užívám SIOFOR 850 a to 1/2 -0-1/2 a DIAPREL MR 30 mg a to 2 - 0 - 2.
Od roku 2001 glukoza v krvi kolísá mezi 5,70 do 9,58 mmol.
Z měření glykémie prováděné čtyřikrát ročně se jeví,že užívané léky nemají zásadní vliv na glykémii.Cca po dvou měsících trpím úpornou bolestí hlevy a průjmem,které po dvou dnech odezní.Provedená vyšetření byla negativní.
Ya uplynulou dobu váha kolísá mezi 105 až 110 kg.Snažím se dodržovat dietu.
Pravidelně chodím na vyšetření očního pozadí.Jiná vyšetření s ohledem na užívané medikamenty jsem neabsolvoval.
Otázkou zústává,zda je léčba diabetu v tomto stadiu nutná,a zda užívané léky jsou ty nejvhodnější.
Nejsem jenom položkou v systému.

S pozdravenm
Bohatec
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MUDr. Pavla Táborská



Založen: 6.2.2008
Příspěvky: 5

PříspěvekZaslal: st únor 06, 2008 9:01 am    Předmět: Re: Otázka na správnost léčby Citovat

Udáváte, že diagnoza diabetu byla stanovena na podkladě nálezu cukru v moči. Na počátku onemocnění se však dále standardně vyšetřuje glykemie, glykovaný hemoglobin , dále též C peptid- nalačno, eventuelně i po snídani - ten nám ukáže, kolik vaše tělo produkuje vlastního inzulinu a na podkladě těchto vyšetření se stanoví nejlepší možná léčba.
Udáváte váhu , která - i když neznám vaši výšku- zřejmě značí nadváhu- proto u vás je zásadní léčebné opatření redukce hmotnosti. Proto se musíte s lékařem dohodnout na vhodné dietě pro vás s redukcí kalorického obsahu a o vhodné pohybové aktivitě. Pokud dosáhnete trvalého váhového úbytku, bude to mít jednoznačně pozitivní vliv na glykemii.
Léčba kombinací Diaprelu s Sioforem je zcela obvyklá a účinná, udávaný průjem může být nežádoucím účinkem léčby sioforem. Zlepšení lze dosáhnout , pokud vynecháte tučná jídla, event. zkusit výměnu sioforu za jiný preparát s stejnou látkou- např. Glucophage XR 500, který dle mých zkušeností má lepší snášenlivost.
Pokud se týká dalších vyšetření u diabetu: 1x ročně by mělo být provedeno komplexní laboratorní vyšetření včetně testů na cholesterol, jaterních a ledvinných funkcí, moč na bílkovinu,EKG, vyšetření nohou k prevenci komplikací. Samozřejmě při každé kontrole je nutno změřit krevní tlak a váhu.
Protože máte o svou nemoc zájem, bylo by vhodné, abyste si mohl měřit glykemii i doma a to i po jídle, abyste sám mohl upravit porce jídla dle výsledků. Pokud si zakoupíte glukometr, lékař vám může předepsat na poukaz až 100 ks testačních proužků na 1 rok.
MUDr.Pavla Táborská
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PříspěvekZaslal: ne srpen 01, 2021 6:11 am    Předmět: Suberb Canberra labour hire Blog Tips Tips Citovat

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