Ua hoʻonui ʻia ka hoʻāʻo ʻana o ka glucose, glycated hemoglobin maʻamau

Ma ka hoʻomohala ʻana o ka maʻi mellitus o ka mellitus (DM) me ka hoʻohana ʻana i ka hoʻāʻo ʻana ka glucose tolerance waha (PHTT) a me glycated hemoglobin (HbA1c) i loaʻa i waena o nā mea maʻi 127 me nā mea kūlohelohe no ka maʻi maʻamau ʻo type. ʻO ka ʻike o ka maʻi diabetes mellitus e pili ana i ka pae o HbA1c i haʻahaʻa ma mua o ke kumu o PHTT (31% kūlike 43%). ʻO ka pae o HbA1c> 7% mau i kūpono i ka hoʻomāka ʻana o ka maʻi maʻi ma o ke ala ʻo PHTT. Eia naʻe, ka pae HbA1c o PHTT.

Ka hoʻohālikelike o nā maʻi diagnostic no diabetes mellitus i manaʻo ʻia mai nā hualoaʻa o ka maʻi hoʻoliʻi waha ka hoʻopiʻi a me ke ʻano o ka hemoglobin glycated (HbA1c).

ʻO ka noiʻi noiʻi o nā mea maʻi he 127 me ka maʻi diabetes type mellitus (T2DM) i hoʻohālikelike ʻia i nā hoʻokolohua hoʻonaninani waha (OGTT) a me ka hoʻohālikelike ʻo HbA1c no nā kumu diagnostic. Hōʻike ka HbA1c i nā mea maʻi liʻiliʻi maʻi ma mua o OGTT (31% vs 43%). ʻO ka HbA1c> 7% a me OGTT i like me ka hoʻopaʻa ʻana i ka maʻi maʻi, akā HBA1c OGTT hana e hōʻoia i ka hoʻomā ʻana.

ʻO ka ʻatikala o nā hana ʻepekema ma ke kumumanaʻo "Kūpono o nā mākaʻi no ka hoʻomohala ʻana i ka maʻi diabetes mellitus e like me nā hopena o ka hōʻike hoʻoliʻi waha ma ka pae ʻana a me ka pae o ka hemoglobin HbA1c"

ʻO ka kikoʻī o nā hopena no ka hoʻomohala ʻana i ka maʻi mellitus e like me nā hopena o ka hōʻike hoʻoliʻoli ma ka waha o ka maʻi glucose a me ka pae o ka glycated hemoglobin HbA1c

ʻO ke kumukūʻai Hoʻolālā Kūʻai kālā ʻo "Federal Endocrinological Scientific" no ke Kuhina o ke ola olakino o ka Russian Federation, Moscow

Ka hoʻohālikelike o nā maʻi diagnostic no diabetes mellitus i manaʻo ʻia mai nā hualoaʻa o ka maʻi hoʻoliʻi waha ka hoʻopiʻi a me ke ʻano o ka hemoglobin glycated (HbA1c).

ʻO ke kaʻina loiloi aupuni Federal "Endocrinological Research Center", Ke Kuhina Ola Ola, ma Moscow

Ma ka hoʻomohala ʻana o ka maʻi mellitus o ka mellitus (DM) me ka hoʻohana ʻana i ka hoʻāʻo ʻana ka glucose tolerance waha (PHTT) a me glycated hemoglobin (HbA1c) i loaʻa i waena o nā mea maʻi 127 me nā mea kūlohelohe no ka maʻi maʻamau ʻo type. ʻO ka ʻike o ka maʻi diabetes mellitus e pili ana i ka pae o HbA1c i haʻahaʻa ma mua o ke kumu o PHTT (31% kūlike 43%). ʻO ka pae o HbA1c> 7% mau i kūpono i ka hoʻomāka ʻana o ka maʻi maʻi ma o ke ala ʻo PHTT. Eia nō naʻe, like ka HbA1c 7% a me OGTT i ka hōʻoia ʻana i ka maʻi diabetes, akā hiki ʻole ʻo HbA1c i loaʻa ʻole kāu mea e pono ai? E hoʻāʻo i ka lawelawe palapala koho.

ehia nā hopena pilikia no ka hoʻomohala ʻana i ke ʻano maʻi type 2 (T2DM). Hoʻokomo ʻia nā pilikia i ka makahiki> 45 mau makahiki, ke kaumaha a me ka momona (BMI> 25 kg / m2), ka moʻolelo ʻohana ma T2DM (nā mākua a me nā hoahānau hānai me T2DM), ka hana kino kino haʻahaʻa, ke kīlea wikiwiki ʻana i ka wikiwiki glycemia (NGN) a i ʻole ke ahonui glucose ʻole. (NTG) mōʻaukala, gestational diabetes mellitus a i ʻole kahi moʻolelo o ka kuʻi nui. ʻAʻole i hōʻike ʻia kēia mau maʻi nā mea maʻi e loaʻa ana ka lāʻau hypoglycemic a i ʻole ka lāʻau lapaʻau.

Ua hoʻoholo ʻia ka pae HbAlc i nā maʻi āpau, a ʻaʻole i hala ma mua o 3 mau lā ma hope mai, ua hoʻokō ʻia kahi HRTT maʻamau me ka 75 g o ka glucose me ka hoʻoholo no ka wikiwiki o ka glucose a me ka 120 min ma hope o kahi ukana pāloli. Ua apono ʻia ka hana e ke kōtele ethics o ka FSBI ENC. Ua hoʻopaʻa ʻia ka poʻe maʻi āpau i ʻae ʻia i ʻae ʻia i kākau ʻae ʻia e komo i ka hoʻokolohua lapaʻau.

Ua hoʻoholo ʻia ka serum glucose ma kahi Architect c4000 biochemical analyzer (Abbott Diagnostics, Abbott Park, IL, USA) e hoʻohana ana i nā kīlē maʻamau o ka mea hana. Ua hoʻoholo ʻia ʻo Glycated hemoglobin (HbA1c) e ka chromatography wai hoʻouluulu kiʻekiʻe ma kahi analyse D10 (Bio-Rad) e like me ke kūlana

Palapala 1. Nā mana kūpono no ka maʻi mellitus no ka maʻi mellitus a me nā maʻi maʻi glycemic (WHO, 1999-2006)

Kaola ʻai ma ka huina

ʻO ka glycemia plasma mana kiko (mmol / L)

Norm SD NTG NGN

7.0 6.1 a me 11,1> 7.8 a i ʻike ʻole wau i ka mea āu e makemake ai? E hoʻāʻo i ka lawelawe palapala koho.

ʻO ka pūʻulu kiʻekiʻe kiʻekiʻe no ka maʻi maʻi

ʻAʻole i kuhikuhi ʻia> 6.5

ʻO ka hoʻokō ʻana i nā koʻo no ka hoʻomohala ʻana i nā pilikia o ka pakanā o ka momona o ka metabolism e PHTT a me ka pae HbA1c (pākēneka o nā maʻi).

ʻĀpio. Hōʻoiaʻiʻo ke ala i ka NGSP (ʻO ka National Glycohemoglobin Standartization Program).

Mamuli o nā hualoaʻa o HRTT a me ka kiʻekiʻe o HbAlc, ua māhele ʻia nā kumuhana i ʻekolu mau pūʻulu: nā kānaka me ka hōʻemi ʻole o nā pakanā metabolism (maʻamau), he hui nui loa no ka T2DM, a me kahi hui me T2DM hou i hoʻopaʻa ʻia. ʻO ka pūʻulu kūlana kiʻekiʻe no T2DM i komo i nā poʻe maʻi me NGN, NTG, a i ʻole hui hui pū me nā mea ʻelua. Ua hāʻawi ʻia nā mea maʻi i ka hui me T2DM e like me nā hopena o ka PHTT ma lalo o kekahi o kēia mau kūlana: ka loaʻa ʻana o ka palapala i hoʻokahi manawa i hoʻonui ʻia i ka glycemia ma ke ʻano maʻi anamnesis + i hoʻokahi manawa manawa i ka glycemia ma ka maʻi maʻi ma waena o PHTT. Ua hāʻawi ʻia nā mea maʻi i ka hui me T2DM i ka pae HbA1c ma lalo o kekahi o kēia mau kūlana: ka loaʻa ʻana o kahi palapala i hoʻokahi manawa i hoʻonui ʻia i ka glycemia ma ka pākuʻi maʻi hoʻomau i ka mōʻaukala o + HbA1 i ka maʻi maʻi

wa> 6.5%, loaʻa hoʻokahi hoʻonui i ka glycemia i ka wā PHTT + HL1c i ka loulou maʻi.

I ka papa. 1 a me 2, ua hōʻike ʻia nā hoʻokūkū diagnostic no ka maʻi pālua o nā haʻalohiko.

Nā hopena a me nā kūkākūkā

Ua hoʻohālikelike ka hoʻohālikelike hoʻohālikelike o ka hōʻeha o nā pilikia o ka hoʻoneʻeʻana o ka hōʻemi kino me ka PGTT a me ke kiʻekiʻe o HL1c i kahi hapa ma waena o nā hopena o kēia mau ho'āʻo (e nānā i ke kiʻi).

I ka nui o ka poʻe hoʻomanawanui i hōʻike ʻia, ʻoi aku ka nui o ka HL1c i wānana mua i ka noho ʻana o ka maʻi maʻi like me ka PGTT (31% kūleʻa 43%).

Hōʻike ka ʻikepiliʻikepili i ka maʻi o ka maʻi maʻi ma o ka pae o HL1c e hōʻike ʻaʻole i nui loa e like me kahi heluna like o nā mea maʻi me ka maʻi maʻi i hoʻohālikelike ʻia me PGTT. Nā hopena o nā haʻawina i hana ʻia ma Tenemaka, UK, ʻAralia,

ʻO Greenland, Kenya a me India e hōʻike nei i kahi hōʻokoʻa nui i ka hopena maʻi e pili ana i nā hopena o PHTT a me ke kiʻekiʻe o HL1c. ʻO ka pinepine o ka hono ʻana o ka hopena o ka hopena o PHTT a me ka pae o ka НЛЛ1с i kēia mau noiʻi ua ʻano ʻē mai 17 a 78%. ʻAʻole ʻōlelo kekahi o nā hui o ka maʻi maʻi kanalamu ke hoʻohana ʻana i ka pae HL1c ma ke ʻano he laʻana no ka maʻi diabetes ma muli o ka hemahema o ke ʻano o ke ʻano a me ka hapa ʻole o nā ʻike i nā ʻano ʻōiwi o ka hemoglobin glycation.

I kā mākou papa noiʻi ʻana, ʻo nā hopena o ka maʻi o ka maʻi maʻi ma nā hopena ʻelua i hoʻohālikelike wale i ka pae o HL1c> 7%. I 6.5 7%, ʻo ka nui o nā mea i hōʻike ʻia me ka maʻi maʻi holoʻokoʻa e pili pū me ia i ka wā e hoʻohana ai i ke ʻano o ka maʻi diagnostic gula - PHT. Eia naʻe, i ka pae o НЛЛ1с

15 nā pane

Aia i hea ʻoe "wale 0.1 pakeneka o waho o ka moʻolelo"? Ua hana hewa paha ʻoe a pau Hōʻike hōʻike hōʻike hoʻoliʻi glucose. A ua haʻi aku i ka pale ʻana i ka insulin. ʻO ka manawa hou, e like me nā protocol kēia wā, ʻoi ʻole ka hōʻino, ke ʻike ʻana i ka glycemia ma luna o 11.1 mmol / l kahi manawa kūpono e hoʻokumu hou i ka maʻi maʻi.

I ka ʻoiaʻiʻo, ʻoi aku ka maikaʻi o ka hoʻomaka ʻana ma o ka hoʻopau ʻana ʻana i ka hala o ke kikowaena, ʻoiaʻiʻo. E hana hou, inā hiki, ʻelua mau ho'āʻo i kekahi ʻoihana ʻē aʻe.

Hana, alaila maopopo loa - ka maʻi diabetes. ʻAʻole paha ia i hōʻike i ka lōʻihi ma mua, a ʻaʻole paha ka manawa i ka glycosylated hemoglobin e manawa. Manaʻo wau i ka wā kokoke e hoʻopau i kahi hōʻike koko no ka insulin, C-peptide a me ka NOMA index (nā mākaʻina o ke ʻano hana pancreatic a me ka kūʻē o ka insulin) a kāhea aku i ka endocrinologist ma ke kanaka no ka mālamaʻana me nā hopena.

I kēia manawa e hoʻomaka i ka meaʻai No 9. (Ka ʻike ʻikepili ma luna o ka Pūnaewele. No laila, ʻaʻole au e kope), koho i nā huahana me kahi glycemic index ma lalo o 50.
Hiki iā ʻoe ke lawe i ka phytosborne Arfazetin hapalua aniani 3 mau manawa i ka lā 30 mau minuke ma mua o kaʻai e like me ke kumumanaʻo "14 lā intake + 14 lā break".

He aha kaʻu e hana ai inā loaʻa iaʻu kahi nīnau like ʻole?

Inā ʻaʻole ʻoe i ʻike i ka ʻike pono ma waena o nā pane i kēia nīnau, a i ʻole ʻokoʻa ka pilikia o ka nīnau ma ka mea i hōʻike ʻia, e ho'āʻo e nīnau i ke kauka i kahi nīnau hou aʻe ma ka ʻaoʻao hoʻokahi inā aia nō ia ma ke kumuhana o ka nīnau nui. Hiki iāʻoe ke noi i kahi nīnau hou, a ma hope o kekahi manawa e pane ʻo kā mākou mau kauka. Itaolaa. Hiki iā ʻoe ke ʻimi i nā ʻike pili i nā pilikia like ma kēia ʻaoʻao a i ʻole ka ʻaoʻao o ka ʻaoʻao a ka pūnaewele ʻike. E mahalo nui mākou inā makemake ʻoe iā mākou i kou mau hoaaloha ma nā ʻoihana pūnaewele.

Medportal 03online.com Hāʻawi i nā kūkākūkā olakino i nā leka me nā kauka ma ka pūnaewele. Eia ʻoe e loaʻa ai nā pane mai nā mea hoʻomaʻamaʻa maoli ma kāu pāna. I kēia manawa, hāʻawi ka pūnaewele i nā ʻōlelo aʻo ma nā wahi he 48: allergist, anesthetist-resuscitator, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, pediatric gynecologist, pediatric neurologist, pediatric urologist, pediatric surgeon, pediatricic surgeon, pediatricic surgeon, pediatricic , ke kaukō maʻi hopohopo, cardiologist, cosmetologist, ke kauka ʻōlelo waha, ʻoihana ENT, mammologist, loio lapaʻau, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedic trauma surgeon, ophthalmologist he, ka mea lapaʻau, nā mea lapaʻau plastik, proctologist, psychiatrist, psychologist, pulmonologist, rheumatologist, radiologist, sexologist andrologist, dentist, urologist, pharmacist, herbalist, phlebologist, lapaʻau, endocrinologist.

Pane mākou i ka 96.28% o nā nīnau..

Kauka maʻi maʻi

ʻO Prediabetes (i ʻike ʻia ʻo "prediabetes"), prediabetes - kahi kūlana ma mua o ka hoʻomohala ʻana o ka maʻi mellitus maʻi maʻamau, maʻamau ʻo ia ka ʻano 2. Hoʻohālikelike ʻia ke ʻano prediabetic e ka hoʻoliʻiliʻi koko (glucose), akā, ʻaʻole i kiʻekiʻe e like me ka maʻi me ka maʻi diabetes mellitus type 2.

ʻO ka makeʻana ʻo Prediabetes ma mua o ka asymptomatic, akā ikaika (excruciating) ka makewai, ka hoʻihoʻi pinepine ʻana, ka pōloli mau a me ka hiʻona pōpilikia he hōʻailona hoʻowalewale e koi ana i kahi koke olakino mai kahi endocrinologist.

ʻAʻole ka manaʻo o ka prediabetes i ka pau ʻana o kēia kūlana i ka diabetes mellitus type 2, akā naʻe, pono ia i nā hana e manaʻo ai e hōʻemi i nā kuʻuna, penei: e hōʻemi ana i ke kino o ke kino, haʻalele i ka hana hewa, hoʻonui i ka hana kino, a ma kekahi mau mea, lāʻau lapaʻau lāʻau.

ʻIke ʻia ka prediabetes e kekahi o nā ʻekolu mau ho'āʻo (i kūkākūkā ʻia i ka ʻatikala): ka wikiwiki o ke koko koko (glucose) (GKN), ka hoʻāʻo ʻia ka glucose (GTT) a me ka glycated hemoglobin A1c.

Inā ʻaʻole ʻike ʻia ka prediabetes i ka manawa kūpono, hiki i kēia ke alakaʻi hiki loa nā hopena: ka hoʻomohala ʻana o ka type 2 diabetes mellitus, a me nā hoʻopiʻi ʻē aʻe i ke ʻano o nā maʻi o ka puʻuwai a me nā kīʻaha koko nui, nā maʻi o ka pūnaehana a me nā ʻōpū, ʻike i ka ʻike, ʻā.

Eia nō naʻe, ua paʻi ka European Journal of Endocrinology i kahi loiloi e pili ana i ka osteoporosis ma ka maʻi type 1.

Naʻi maʻi mellitus

Diabetes mellitus, diabeta, diabetes mellitus (e like me ICD-10 - E10-E14) - he hui o nā maʻi ʻo ka endocrine metabola i hōʻike ʻia e ka pae kiʻekiʻe o ka glucose (gula) i loko o ke koko ma muli o ka pololei (ma DM 1) a i ʻole pili (ma DM 2) ka hemahema pancreatic hormone. nā hoʻonā o nā insulin. Hoʻopili ʻia nā maʻi maʻi maʻi e kahi maʻi nā ʻano āpau ka pāpaona: protein, momona, kākā, ka wai-paʻakai a me nā minuke.

Hōʻike ʻia ka maʻi diabetes mellitus e kēia mau hōʻailona: ka makewai (DM 1 a me DM 2), ka momona o ka acetone mai ka waha a me nā kino acetone i loko o ka urine (DM 1), hoʻemi i ke kau kino kino (DM 1, i DM 2 - i ka hopena hope), me ka nui o ka urination. nā ʻeha ʻeha, nā hōʻeha hōʻeha maikaʻi.

ʻO nā hoa kuʻuna o ka maʻi mellitus maʻi maʻamau: nā kiʻekiʻe o ka glucose i loko o ka urine (glycosuria, glucosuria), ketonuria (acetonuria, nā kino acetone i ka urine), ʻoi aku ka nui o nā protein i loko o ka urine (albuminuria, proteinuria) a me hematuria (koko latent i loko o ka urine). Eia kekahi, ʻo ka hopena o ka urine i ka maʻi mellitus maʻa e hoʻohuli i ka ʻaoʻao o ka acid.

ʻO ka maʻi diabetes mellitus type 1 (ka maʻi type o ka maʻi, ka hilinaʻi nui o ka insulin, e like me ka ICD-10 - E10) he maʻi autoimmune o ka ʻōnaehana endocrine i hiʻohiʻona e kūʻiʻo ʻO ka hemahema o ka insulin, ma muli o ka ʻoiaʻiʻo o ka pale mai, no nā kumu i maopopo ʻole ai i kēia lā, ke hōʻeha a luku aku i nā cell beta pancreatic e hana ana i ka insulin. Hiki i ka maʻi diabetes type 1 ke hoʻopilikia i kekahi kanaka i kekahi makahiki, akā e ulu pinepine ʻia ka maʻi i nā keiki, nā ʻōpio a me nā pākeke ma lalo o ke 30 mau makahiki.

ʻO ka maʻi diabetes mellitus type 2 (ka lā type type 2, non-insulin-dependance, e like me ICD-10 - E11) he maʻi non-autoimmune e hiʻohiʻona ʻia e ka maʻi pili ʻO ka hemahema o ka insulin ma muli o ka hoʻonāukiuki ʻana o ka hoʻopili o ka insulin me nā ʻāpana sela. ʻO ka maʻi diabetes type 2 ka mea e pā ai i nā kānaka ma mua o 40. ʻAʻole maopopo ʻia nā kumu o ka maʻi, akā ke pilikia ka poʻe me ka obesity.

Hoʻohana ʻia ʻekolu mau hoʻokolohua e hoʻohālikelike ai i ka maʻi diabetes:

1. Ka hana hōʻoki koko,
2. Hoʻololi hoʻokolohua Glucose
3. Hōʻike no ka hemoglobin glycated.

Ka ʻūhū o ke koko

ʻO ka hoʻololi ʻana i ka glucose o ka plasma, ʻo ka FPG kahi hōʻike he ʻano ʻano maʻi i hoʻohana ʻia e hoʻohālikelike i ka glucose o ke koko. Hoʻolaha ʻia ka hōʻike ma kahi ʻōpū ʻole, ʻaʻole pono ka mea maʻi e ʻai i ka meaʻai a me nā wai (ʻole koe ka wai) no 8-12 mau hola ma mua o ka hoʻomaka ʻana o ka hoʻopaʻa ʻana. Hiki ke hoʻokō ʻia ka hoʻokolohua ʻelua, me ka hoʻohana ʻana i nā kukuna hoʻāʻo wai koko a i ʻole nā ​​ʻāpana hoʻokahe mika mika ʻO ka hoʻāʻo glucose ka nui o ke koko ka ʻāpana o ka hōʻike hoʻonaninani glucose waha (GTT).

Hoʻololi hoʻokolohua Glucose

Ka hoʻāʻo ʻana i ka hoʻokaʻawale o Glucose, ka hoʻāʻo ʻia ka hoʻonaninani waha kaila, GTT, ka hoʻāʻo ʻana ka hoʻonaninani glucose waha, OGTT - kahi hōʻike i hana ʻia i loko o ke kaʻina o kahi lāʻau lapaʻau.

I loko o nā lā ʻekolu i mua o ka hoʻokolohua, pono e hoʻopiʻi ka maʻi i kahi ʻai maʻamau, me ka ʻole o ka hoʻopaʻa ʻana iā ia iho i ka lawe ʻana i nā calcium. Pono hoʻi e hōʻole i ka lawe ʻana i nā lāʻau lapaʻau, inu i ka ʻawa, hoʻonui ʻia i ka hoʻoikaika kino.

I ka wā o ka hoʻokolohua, hana mua ka mea maʻi i ka pae o ka hoʻoliʻiliʻi o ka ʻai koko, ma hope o kona hāʻawi ʻia ʻana i kahi wai kūwaho e loaʻa ana he 75 ka nui o ka glucose (1.75 kāpeleka pākahi o ke kino o ke kino ma nā keiki). Ma hope o kahi liki glucose waha, e ana ʻia ka nui o ka glucose i kēlā me kēia 30 mau minuke (e hana i kahi papa hoʻohālikelike) no nā hola ʻelua. Hiki ke loli ka lōʻihi o ke aʻo ʻana a hiki i nā hola 6 (e like me ka kauka ʻana).

ʻO kahi pae glucose koko ma lalo o 7.0 mmol / L 2 mau hola ma hope o ka hoʻomaka ʻana o ka hoʻokolohua kāohi glucose e manaʻo ʻia he mea maʻamau. Ma kahi pae ma mua o 7.0, akā e emi mai ka 11.0 mmol / l, ke manaʻo nei nā hopena hōʻike e like me ka hōʻino o ka pale ʻana o ka glucose, hōʻike i kahi prediabetes hiki. ʻO ka loaʻa ʻana o nā hopena me kahi awelika o ke koko kaʻoi aku ma mua o 11.0 mmol / L ka mea i koho ʻia ma ka helu ʻana o ka maʻi mellitus.

Kaomi a kaʻana iā ʻoe ma kāu mau hoaaloha:

ʻO ka hoʻokolohua Glycated hemoglobin

Gogcob hemoglobin, glycosylated hemoglobin, glycogemoglobin, hemoglobin A1c, Hb_A1c - kahi mākaʻikaʻi koko biochemical e hōʻike ana i ka awelika o ke koko koko no ka manawa lōʻihi (a hiki i 90 lā) ma mua o ka hōʻike.

Hoʻokumu ʻia ka glycated hemoglobin ma muli o ka hoʻolulima ʻana i ka hoʻohui ʻole-enzymatic o ka glucose i ka hemoglobin A (ke kumu Mayar) i loaʻa i loko o nā loko o ke koko ʻaila. ʻO ka nui o kēia pane a me ka nui o ka hemoglobin glycated i hilinaʻi ʻia ma ka awelika o ka glucose glucose i loko o ke koko ma mua o ke ola ʻana o nā ʻoliʻelima mau mū (a i hiki i 120 lā, akā naʻe, ʻo nā ʻāpana koko ʻulaʻula i loko o ke koko he ʻokoʻa ko ke ola, ʻokoʻa ka ʻike ma kahi haʻahaʻa.

Ma muli o ke ʻano o ke ʻano ma Maillard, ua hoʻokumu ʻia nā ʻanoʻokoʻa he glycated hemoglobin, e komo pū ana me Hb_A1c, ke lanakila nui nei a hāʻawi i kahi manaʻo ʻoi loa ka paʻakikī o ka maʻi maʻi (inā loaʻa).

No laila, Hb_A1c māhuahua pakeneka ka hemoglobin A i ke koko kahi huhuli pili i nā molekū glucose. ʻO ke kiʻekiʻe o ka pae o ka glucose i loko o ke koko, ʻoi aku ka nui o ka nui o ka hemoglobin e glycated.

He papa pilina o ka pilina ma waena o ka hemoglobin glycated (ma ka%) a me ka awelika o ke koko (i ka mmol / l).

I loko o ke koko (mmol / l)

No ka laʻana, ʻaʻole pono ka hoʻomākaukau hoʻomākaukau ʻana, hoʻohana ʻia ke koko holoʻokoʻa no ka nānā ʻana, e lawe ʻia ana ka noi ʻana me ka electrophoresis capillary.

Nā Nānā

Nā moʻolelo a me nā wehewehe i ka lono "ʻO ka hoʻohui ʻana i nā hoʻāʻo glucose koko e hoʻomaikaʻi i ka ʻike ʻana i ka prediabetes."

Ke Kulanui ʻO Ke Kulanui o Georgia, Ke Kulanui ʻO Ke Kulanui ʻo Georgia, ʻo GSU he pūʻulu noiʻi lehulehu ma ʻAmelika, Georgia, USA. Hoʻokumu ʻia i ka makahiki 1913, ʻo Georgia State University i kēia lā ua lilo kekahi o nā ʻekepili noiʻi ʻehā ma ka mokuʻāina o Georgia, ʻo ka Mei 2017 hoʻi e aʻo nei.

25,000 haumāna. Aia i ke kulanui he ʻewalu kula a me nā kula, kahi e pili ana nā Kula o nā kahu hānai a me nā limahana limahana a me ke kula o ke ola olakino. ʻO nā haumāna pukaʻike kaulana o Georgia State University ʻo William Duvall (alakaʻi mele o Alice i Chains), mea hana kiʻiʻoniʻoni ʻAmelika ʻo Julia Roberts, Ken Lewis (Luna Hoʻokele o Bank of America), nā mea kālai'āina a me nā lehulehu, nā poʻomanaʻo, nā mea hana, nā mea pāʻani a me nā mea pāʻani.