Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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jana71

 
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janaskrobova



Založen: 18.9.2008
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PříspěvekZaslal: čt září 18, 2008 5:24 pm    Předmět: jana71 Citovat

Dobrý den,chtěla jsem se zeptat:je mi 36let a čekám 3dítě.jsem ve 28tt a na ogtt jsem měla nalačno 4 a po 2h 8,1.Co to znamená?Mám již gestační diabetes?Dost mně to vyděsilo,u předchozích těh.nic takového nebylo.Potíže nemám,ale je fakt,že jsem doma a moc se tedy nepohybuji a pitný režim asi taky nedodržuji.Ale jinak se stravuji docela zdravie.Mám se objednat na diabetologii.Co myslíte,že bude dál?Je to na léčbu inzulínem?Děkuji
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Martin Drdla, MSc.



Založen: 15.11.2007
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PříspěvekZaslal: pá září 19, 2008 7:45 am    Předmět: Citovat

Vážená paní Škrobová,
zhodnocení výsledků OGTT testu by měl provést Váš lékař a seznámit Vás s dalším postupem. Pokud to neudělal, požadujte to po něm. Nebojte se ho zeptat, je to jeho povinnost. Výskyt gestačního diabetu, jak jsem již zde na fóru odpovídal je spojen s věkem obvykle nad 30 let, u žen s nadváhou či obezitou, nebo u žen v jejichž přímé rodinné linii se již dabetes vyskytl (rodiče, prarodiče). Je tedy logické, že u předchozích těhotenství, kdy jste byla mladší a možná více v kondici se GDM neobjevil. Hodnota Vaší glykémie 2 hodiny po testu je zvýšená a již odpovídá diagnóze GDM. Potvrzení diagnózy a způsob léčby však závisí na řadě dalších faktorů než jen na výsledku jednoho OGTT testu a musí ho udělat specializované pracoviště. Pokud máte nadváhu, nejíte zdravě a nedodržujete pitný režim, je nutné minimálně po dobu těhotenství tento životní styl změnit. Lépe nastálo, neboť existuje i jistá spojitost mezi částí těhotných žen s GDM a výskytem DM II typu v pozdějším věku. Je docela možné že úprava stravy, váhy a pohybu vaše hodnoty glykémie zcela vyřeší. Je ale nutné vše konzultovat s Vaším lékařem a specializovanou diabetologickou ambulancí, kam Vás pravděpodobně Váš ošetřující lékař pošle, pravidelně se začít měřit doma glukometrem a rizika nepodceňovat. Na druhou stranu se nemusíte ničeho obávat. GDM je vcelku běžné onemocnění, které se dá účinně léčit a po porodu zmizí.
S pozdravem
Martin Drdla
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