Obsah fóra poradna o diabetes (= cukrovka) poradna o diabetes (= cukrovka)
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diabets na zacatku tehotenstvi

 
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kali



Založen: 22.7.2013
Příspěvky: 1

PříspěvekZaslal: po červenec 22, 2013 7:35 pm    Předmět: diabets na zacatku tehotenstvi Citovat

Dobry den,

v 10tt mi byl proveden OGTT kvuli zvysenemu riziku (diabetik 1.typu v rodine, vek)
Bylo mi sdeleno ze mam diabets a ze mam cekat az me kontaktuji z nemocnice kde se test provadel.

3h test se 100g glukozy (84.60mg/100mL)
Hodnoty:4.7-10.6-11.4-8.9

Zacinam 15tt (165cm/52kg) a porad cekam na pozvanku do diabeticke poradny (neziji v CR).
Snazim se nejist a nepit sladke a jist nekolikrat denne 5-7x mensi porce, prochazky alespon 15-20min denne, ale obavam se to neni dostatecne na kompenzaci cukrovky.

Mohou se vyskytnou nejake komplikace pokud neni cukrovka dostatence a vcas kompenzovana?

Dekuji za odpoved.
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: út červenec 23, 2013 9:04 am    Předmět: Re: diabets na zacatku tehotenstvi Citovat

Dobrý den,
Vaše hodnoty z oGTT opravdu splňují kritéria pro diagnozu gestačního diabetu.
S ohledem na anamnézu DM1 je vhodné i u Vás doplnit protilátky a hladinu C peptidu.
Nyní je každopádně nutná diabetická dieta v režimu 5-7 x denně s rozložením sacharidů, pohybový režim ,jak uvádíte. Nicméně během těhotenství mnohdy pouhá dieta nestačí a je nutná korekce insulinem.
Proto byste měla mít glukometr a měřit si glykemický profil. Glykémii před a 1,.5 po jídle. Dle výsledků je na zvážení nasazení insulinu.
Doporučuji kontaktovat diabetologickou poradnu.Neléčený diabetes může ohrozit jak Vás ,tak miminko.
Stoupá riziko porodních a poporodních komplikací. U dítěte může vést k diabetické fetopatii / nadměrný plod/.
Po porodu je vhodné zopakovat oGTT, pak s odstupem 6 m a 1 roku. Znovu zkontrolovat protilátky. Může se jednat pouze o gestační diabetes, tedy vázaný na těhotenství nebo o DM2 nebo o DM1.To už je ale v rukou lékaře.
S pozdravem D.Málková
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