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gestační diabetés

 
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Založen: 6.1.2009
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PříspěvekZaslal: út leden 06, 2009 9:17 am    Předmět: gestační diabetés Citovat

Dobrý den,chtěla bych se zeptat, zda jsou kritéria pro hodnocení hodnot glyk. v těhotenství přísnější?Mám gestační DM, na dietě, mému lékaři se glyk. 7,1mmol za 1 hod po jídle zdá vysoká.Již v prvním těhotenství jsem měla GDM, ale chodila jsem k jinému lékaři a ten to tak přísně nehodnotil.Děkuji za odpověď.Marčíková
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: út leden 06, 2009 10:28 am    Předmět: RE: gestační diabetes Citovat

Dobrý den,
máte pravdu,kritéria pro hodnocení kompenzace diabetu jsou během těhotenství daleko přísnější.
Je to z toho důvodu,že vyšší glykémie je škodlivá jak pro plod,tak pro matku.U plodu při vyšších glykémiích roste riziko vývojových vad,zejména srdečních,dále jsou popisovány poruchy růstu plodu v děloze,ovlivnění psychomotorického vývoje ,atd..
Nedobře kompenzovaná diabetická matka je ohrožena potratem,vyšším výskytem porodních a poporodních komplikací.
Je tedy na místě,že Váš nový diabetolog je přísný. Je to projev dobré vůle,aby Vaše těhotenství bylo s minimem problémů a narozené miminko zdravé.
Hodnoty v literatuře se různí,ale ideální glykémie nalačno u těhotné diabetičky je do 5.5-5.6mmol/ nalačno, do 7.1- 7.8mmo/l 1.hodinu po jídle.
Pokud tyto kritéria nesplňujete na dietě,nebránila bych se časnému přechodu na insulin.Většinou jde pouze o přechodnou záležitost vázanou na těhotenství ,po porodu nutnost aplikace insulinu pomine,i když do budoucna trvá riziko opětovného vzniku diabetu,většinou II.typu.
Aplikace insulinu může být psychicky nepříjemná,i když s pocitem,že děláte maximum pro sebe i miminko,se to dá lehce překonat.
S pozdravem
D.Málková
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PříspěvekZaslal: út listopad 30, 2021 10:44 am    Předmět: Awesome Food Retail Agv Link Citovat

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PříspěvekZaslal: po leden 24, 2022 10:10 pm    Předmět: Useful Business Trip Massage Link Citovat

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poradnu provozuje společnost MTE, Váš partner pro diabetes


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