Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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Inzulinova rezistence

 
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Založen: 21.3.2009
Příspěvky: 2

PříspěvekZaslal: so březen 21, 2009 8:52 pm    Předmět: Inzulinova rezistence Citovat

Dobry den, rada bych Vam polozila nekolik dotazu:

- jak se pozna inzulinova rezistence. Je-li pri ni zvysene mnozstvi cukru v krvi, nebo zvysene mnozstvi inzulinu (pripadne oboji)

- mohu-li mit inzulinovou rezistenci pokud mam normalni hladinu cukru v krvi (prodelala jsem nekolik ruznych odberu krve)

- a dale, jak velke je riziko, ze se inzulinova rezistence rozvine v cukrovku typu 2 (mam normalni vahu, mam 30 let, sedave zamestnani, ale snazim se pravidelne cvicit).

Predem dekuji za Vase odpovedi!
S pozdravem
Jana Smile
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: po březen 23, 2009 10:27 am    Předmět: Re: Inzulinova rezistence Citovat

Dobrý den,
termín "insulínová rezistence" je v poslední době skloňován nejen v odborných lékařských časopisech.Je to fenomén,který hýbe společností,zejména pro její dopad na zdraví populace.
Jednoduše řečeno,při insulínové rezistenci / IR/ klesá citlivost těla na na vlastní produkovaný nebo zevně dodaný insulín.IR jde většinou ruku v ruce s nadváhou,která potencuje vznik rezistence a její důsledky pro organismus.IR je klíčovým patofyziologickým momentem při vzniku diabetu II.typu,kde se současně na klinickém obraze podílí i porucha sekrece insulinu.Při onemocnění DM2 je většinou hladina insulinu zvýšená,glykémie také,protože i přes nadbytek insulinu,není tělo schopné správně reagovat u a upotřebit glukosu z krve.
Insulínovou rezistenci můžete mít i při zatím normální glykémii. Přesné určení se provádí pouze experimentálně tzv.clampovou metodou.
Laboratorně nastíní problémy s glycidovým metabolismem samozřejmě hladina glykémie nalačno,po stimulaci glukosou v 1. a 2. hodině / oGTT/,hladina insulinu,C peptidu,atd..
Jestli se IR rozvine v DM2 velice záleží na rodinné anamneze,Vaší stávající hmotnosti,životním stylu.Je skvělé,že se snažíte navzdory sedavému zaměstnání cvičit,pohyb je nejlepší na snížení IR,potažmo v prevenci nadváhy a obezity.

MUDr. Dagmar Málková
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