Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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jak pomoci příteli, diabetikovi?

 
Přidat nové téma   Zaslat odpověď    Obsah fóra poradna o diabetes (= cukrovka) -> DIABETES 1. TYPU
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nikitatomaskova



Založen: 18.11.2008
Příspěvky: 1

PříspěvekZaslal: út listopad 18, 2008 12:26 pm    Předmět: jak pomoci příteli, diabetikovi? Citovat

Dobrý den, můj přítel má cukrovku typu 1 už asi 14 let. Dnes mu je 33 let. Nejsem s ním po celou dobu trvání nemoci. Teprve jen asi rok.
Nikdy jsem ani nehovořila s jeho lékařkou. Nevím, zda by to šlo. Ale v poslední době se to rapidně zhoršuje. Například během noci se u něho i víc krát vystřídá hyper a hypoglykemie. Jsem už bezradná. Vářím už témněř jenom z diabetické kuchařky, snažím se, aby byla doma pohoda, přesto se to zhoršuje. Psychicky to jen velmi těžko snáším. Ale nechci mu nic říkat. Něho samotného to hodňe trápí. Jak mu pomoci? Děkuji
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Martin Drdla, MSc.



Založen: 15.11.2007
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PříspěvekZaslal: pá listopad 21, 2008 8:23 am    Předmět: Citovat

Dobrý den,
Váš dotaz jsme poslali k odborníkům. Jeho zodpovězení bude chvlku trvat.
S pozdravem
Martin Drdla
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: st listopad 26, 2008 8:57 am    Předmět: Citovat

Dobrý den,
z Vašich vět čiší dobrý úmysl pomoci a maximálně ulehčit život diabetikovi na insulinoterapii.Je chvályhodné,že vaříte dle diabetických kuchařek. Jistě jste informována o nutnosti rozložení jídla do malých porcí a určité náloži sacharidů vhodné k jednotlivému jídlu.
Dieta je jistě stavební kámen kompenzace diabetu,ale glykémie je ovlivňována mnoha faktory,kterým laik nemusí přikládat důležitost.Od zmiňovaného jídla,pohybový režim,stres, nemoc, zaměstnání,cokoliv vlastně ovlivní glykémii.
Navíc po 13 letech trvání diabetu se na kompenzaci glykémií může podílet i tělesné vegetativní mechanismy,které dlouhodobým působením vysoké glykémie nemusí reagovat na změnu hladiny cukru jako dříve a snáze i prudčeji dochází k výkyvům.Časté střídání hypo- a hyperglykémie nabízí, že hyperglykémie může být reaktivní na hypoglykémii,dále způsobena předávkováním insulinu,nevhodnými insuliny, chybou v režimu .
Těch důvodů může být celá řada a nemá smysl Vás tím unavovat. Ideální by bylo domluvit se s přítelem a společně navštívit ošetřujícího diabetologa.Nebudete první,do ordinací chodí hodně párů společně a informují se zároveň.Vám konsultace vnesou více světla do pochopení složitosti cukrovky,pro lékaře budou užitečné Vaše postřehy se společného soužití a přítel bude z obého samozřejmě profitovat.
Problém ,který popisujete je ale natolik závažný,že pokud ne rovnou Vy,tak přítel by se měl obrátit každopádně na ošetřujícího lékaře i mimo domluvenou kontrolu a prokonzultovat s ním tyto výkyvy,které jsou pro organismus dlouhodobě škodlivé.

S pozdravem

MUDr. Dagmar Málková
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