Kodi matendawa ndi olondola? Kulekerera kwa shuga

Moni, mwana wazaka 12, kutalika 158 masentimita, kulemera kwa makilogalamu 51. Tidakumana ndi a endocrinologist popeza pali cholowa chamtsogolo (agogo ali ndi matenda ashuga a 2), ndipo tidalimbikitsidwa kuti tikayeze. Mukamayesa mayesowa pa Ogasiti 03, 2018, insulini inali 11.0 (pang'ono kuposa yeniyeni), glycated hemoglobin 5.2, shuga wa magazi 5.0, c-peptide 547, shuga wa mkodzo osagwira, acetone 10,0 (zisanachitike izi, nthawi zonse zinkakhala zoyipa nthawi zambiri zisanachitike). Iwo adamuyika kuchipatala, adayendetsa acetone, ndiye kuti zonse zidakhala zabwinobwino. Tinagula zingwe zoyesera ma ketones, timazichita tsiku lililonse, osatinso. 11/03/2018 adayesanso insulin 12.4, lactate 1.8, c-peptide 551, AT okwanira GAD ndi IA2, IgG 0.57., Shuga la magazi - 5.0, glycated 4.6. Tidayesa shuga mu labotale (08/03/2018) m'mawa ndipo maola awiri aliwonse 2,5-5-5-5.7-5.0-12.0-5.0-5.0 Wathu woyeserera endocrin adati popeza shuga itangomka 12,0, imatha kupereka mtundu wachiwiri wa matenda ashuga , koma imakhala yachilendo, motero tapatsidwa kuphwanya shuga. Kodi chidziwitsocho ndicholondola (kapena ndikwabwino kupita kuchipatala kukayezetsa bwino ndikudziwitseni kuti mwatsimikizadi matenda ake)? Mayeso a mahomoni onse ndi abwinobwino.
Radmila

Poyerekeza ndi mayeso, mwana amakhaladi ndikuphwanya kulekerera kwa glucose, ndiko kuti, prediabetes - chiopsezo chotenga T2DM chikuwonjezeka. Kuzindikira kumatsimikiziridwa ndi mayeso (Glycemic mbiri, Insulin, C-peptide, AT), kotero sindikuwona kupitilirabe kuyesa mwanayo.

M'mikhalidwe yanu, muyenera kuyamba kutsatira zakudya: sitimapatula chakudya chamafuta pang'ono, kudya zakudya zopatsa mphamvu pang'onopang'ono, kudya mapuloteni ochepa mafuta, kudya zipatso pang'ono pang'ono theka la tsiku ndikutsamira masamba a carb otsika.

Kuphatikiza pakutsatira zakudya, ndikofunikira kuwonjezera zochita zolimbitsa thupi - mwanayo amakhala ndi insulin, ndipo kuwonjezeka kwa insulin kumatha kudzera muzochitika zamankhwala komanso kuwonjezeka kwa thupi. katundu. Mwa katundu: katundu ndi mphamvu zonse za Cardio ndi zofunika. Njira yabwino ndiyotumiza mwana ku gawo la masewera ndi mphunzitsi wabwino.

Kuphatikiza pa zakudya ndi kupsinjika, ndikofunikira kuwongolera kulemera kwa thupi ndipo popewa kuteteza kusonkhetsa minofu yambiri yamafuta.

Ndikofunikanso kuyang'anira shuga wamagazi pafupipafupi (maola awiri ndi awiri musanadye). Muyenera kuwongolera shuga osachepera 1 pa tsiku + nthawi 1 pa sabata-glycemic.

Pambuyo pa miyezi itatu, mukuyenera kutenga mayesowo (Insulin, Glycated hemoglobin, mbiri ya glycemic, OAK, BiohAK) ndikuchezera endocrinologist kuti muwunikire zotsatira za mankhwala omwe mumalandira ndikuwongolera njira.