Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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Aplikace inzulínu při průjmu nebo nevolnosti

 
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Autor Zpráva
Miloš



Založen: 6.4.2010
Příspěvky: 3

PříspěvekZaslal: so duben 17, 2010 10:49 am    Předmět: Aplikace inzulínu při průjmu nebo nevolnosti Citovat

Jsem čerstvý diabetik na inzulinu cca 1 měsíc.Píchám si 3 x denně před jídlem 7 jednotek a večer 16jednotek.
Jak postupovat při průjnu.Nebo břišní chřipce?Když nebudu moct jíst nebo budu muset jíst jen dietní stravu?Mám píchat inzulín?Nebo přestat?Mám v tom trochu zmatek.Mám obavy zvlášť když přichází epidemie břišní chřipky.
Vše si pravidelně odvažuji a nevím co by se stalo kdybych po aplikaci inzulínu nebyl schopen pojíst.
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MUDr. Dagmar Málková



Založen: 26.11.2008
Příspěvky: 129

PříspěvekZaslal: ne duben 18, 2010 7:11 pm    Předmět: Re: Aplikace inzulínu při průjmu nebo nevolnosti Citovat

Dobrý den,
naprosto zásadní je,zda-li trpíte diabetem 1. nebo 2.typu.V prvním případě,je nulová sekrece vlastního insulinu a člověk je zcela závislý na aplikaci zevního insulinu, při DM2 je částečně zachovalá vlastní sekrece. insulinu.
Jakékoliv onemocnění je pro tělo stresová záležitost a stoupá potřeba insulinu,je nutno ho tedy aplikovat,i když příjem potravy je skoro minimální.Ideální stav je přijímat při nemoci alespoň nějaké sacharidy,třeba ve formě sladkých nápojů a dopichovat krátký insulin dle aktuální glykémie, i častěji než obvyklé dávkovací schéma.Aplikaci basálního insulinu je vhodné také zachovat,opět lze předpokládat vyšší potřebu.Nejjednodušší je ponechat stejnou dávku basálního a ke korekci hyperglykémie využívat krátký insulin. Množství insulinu nelze dopředu odhadnout,záleží na tíži onemocnění,na typu diabetu,důležité je sledovat ketolátky v moči,které značí nedostatek insulinu.Pozor také na těžké nebo protrahované onemocnění,zejména při DM1 může velice snadno dojít k dekompenzaci a metabolickému rozvratu.To už je ale situaci vyžadující zásah lékaře.
Dbejte tedy na dostatečnou hydrataci,časté měření glykémie,kontrolu moči.
S pozdravem D.Málková
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