Glycated hemoglobin 5, 3 a me ke kōpaʻa haʻahaʻa 7-8

Hoʻomaka ka kō koko o ke keiki. ʻAʻole ʻoe e kākau i ka makahiki, ke kiʻekiʻe a me ke kaupaona o ke keiki, no laila he paʻakikī ke haʻi pololei i ke kumu maoli no ka hoʻonui ʻana o ka hake i nā kō.

Inā mākou e noʻonoʻo i nā ʻano o nā maʻi maʻi - diabetes mellitus type 1 a me ka type 2, a laila ʻaʻole i kūpono kāu mau hoʻokolohua i nā kulana no kēia mau maʻi.

Ma ka hoʻokolokolo wale ʻana ma nā honi a me ka hemoglobin glycated o ke keiki, hiki iā mākou ke ʻōlelo i ka loaʻa ʻole o ke keiki a o ka metabolism o ke keiki a ua loaʻa ka prediabetes ke keiki.

ʻAʻole ʻoiai e like ka hihia ma ka T1DM a i T2DM paha, hiki i kekahi ke noʻonoʻo i nā ʻano o nā maʻi o ka maʻi maʻamau - kekahi o nā koho no Lada a i ʻole Mody maʻi maʻi. Hiki ke loli iki nā ʻano o ka maʻi maʻi i nā neʻe a me ka mālie - pinepine mākou e ʻike e pili ana i ko lākou hele ʻana i ka wā e hoʻāʻo ʻia no ke kō koko, no ka mea, ʻaʻohe mau maʻi me ke kō o 6-7 mmol / L.

E hōʻike i kahi keiki, pono ʻoe e hana i kahi hōʻike hoʻoliʻi glucose. Hoʻomaʻamaʻa pinepine ʻia kēia mau hoʻokolohua ʻole manuahi no ka mea maʻi, akā ke loaʻa ka waihona kahi me nā mea pono e paʻakikī (i Novosibirsk, no ka laʻana, ʻĀpana ʻo Research Center of Therapy e hana nei i kēia).

Ma kāu iho, pono e hoʻomaka e hoʻomaka i ka ʻai no ka maʻi diabetes, koho i ka hana pilikino a mālama i ka honu koko a me ka hemoglobin glycated, inā pono, e hoʻopili koke i ka endocrinologist pediatric.

Nā nīnau e pili ana a i kuhikuhi ʻia

Aloha nui Alexander.
Hiki i nā koho he nui - ke ʻole ka pōʻino o ka maʻi glycemia a me kahi ʻano maʻi o ka maʻi maʻi.

"a ma ke ahiahi i ka hola 5 mai i 8"-? ia a i mua paha a ma hope o ka meaʻai?
Aia ʻoe ma ka papa meaʻai?

Ua lawe anei ʻoe i kahi hoʻokolohua hoʻokae glucose?
Ua hele ʻoe i kahi hōʻike koko no ka insulin, C-peptide a me ka NOMA index (pancreatic status markers)? Inā pēlā, he aha nā hopena?

Maʻalahi loa, ʻo Nadezhda Sergeevna.

Manaʻo wau e ʻimi ʻoe i ka helu helu 9. Ma muli, he ʻano maikaʻi ʻole wau e pili ana i kaʻai haʻahaʻa.

Inā loaʻa kahi manawa kūpono, a laila e kau i nā hōʻike aʻu i kākau ai no luna. Mālama lākou iā ʻoe e loiloi i ka hana o ka pancreas a hoʻoholo i ka maʻi maʻi pololei.

Aloha awakea Ua hiki mai nā hopena e hiki mai ana a ke manaʻo nei au ua kokoke loa ka hopena me ka hoʻopuka ʻana i nā ʻikepili. Nā hopena penei:

HOMA index = 3.87 (i hāʻawi ʻia i nā ʻokoʻa like ʻole o nā mea hana like ʻole e hōʻike i nā hopena, e kākau wau a me nā hōʻailona o ka lāʻau hoʻokolohua aʻu i lawe ai i nā hoʻokolohua --- ma mua o 2 - maʻamau, ʻoi aku ka 2 - ua hiki ke kūleʻa ka insulin, ʻoi aku ka 2.5 i ka hoʻomāhuahua ʻana o ka hoʻonui ʻana i ka insulin. , ʻoi aku ma mua o 5 o ka nui o ka waiwai o ka maʻi ma ka maʻi) Insulin 12.8 uUI / mL (ke kumu e like me ka laboratine ʻo 6-27 uUI / mL)

Peptide-C 3.04 ng / ml (maʻamau 0.7-1.9 ng / ml)

ma hope o ia i hoʻoneʻe ai i ka hoʻāʻo ʻana i ka glucose. Hoʻohui ʻia ma nā ana ʻana o ka lāʻau hulina, ma hope o 1 a me 2 mau hola, hana ʻo Accu Chek i ka pae glucose i kēlā me kēia 30 mau minuke no 5 mau hola me kona glucometer. Nā hopena penei:
6,4 mmol / L
30 min ma hope o ka 75 mika o ka glucose i ka 15.8 mmol / L
mahope iho o ka hora 1 he 16.7 mmol / L
1h 30 min 16.8 mmol / L
2 mau hola 14 mmol / L
2 h 30 min 8.8 mmol / L
3 mau hola 6.7 mmol / L
3 h 30 min 5.3 mmol / L
4 hola 4.7 mmol / L
4 h 30 min 4.7 mmol / L
5 mau hola 5.2 mmol / L
Ma mua o ka lawe ʻana i ka hoʻāʻo ʻana ka glucose, hoʻemi iki ka liʻiliʻi. ʻAʻole wau i ʻai i nā kalaiwa wikiwiki ma mua o ka lawe ʻana i ka hōʻike no kahi 3 mau mahina. Noho a ke kue o ka hanu i lalo, akā ua hāʻule i 4.7, kahi NEI i ka nui o ke ana o ka glucose. ʻOiai ma hope o 17 mau kilomita o ka hele ʻana, ʻo ka wikiwiki ka 5.2. Ma ka liʻiliʻi 6 mmol / L. A eia kekahi mea nānā ʻokoʻa: ma hope o ka hala ʻana o ka hoʻāʻo ʻana ka glucose i mālama ʻia, ka nui o ka glucose e pili ana i ka 1 mmol / L ka LEAI ma mua o ka hoʻolilo ʻana i ka hōʻike
Ma ka hihia wale nō, ua hala wau i nā hoʻokolohua no ka pae o nā hormone thyroid. Nā hopena penei:
He ʻano hoʻohuihui ʻia ka thyroid-TSH 0.84 mIU / mL (maʻamau 0.4 - 4.0)
Antibodies i kāu thyropyroxidase anti-TPO = 14.4 IU / mL (maʻamau 0-35)
Hoʻouka i kāu thyroxine fT4 = 0.91 ng / dL (maʻamau 0.69 -1.7)
Hla triiodothyronine tT3 154 ng / dL (maʻamau 70 -204)

Pehea kou manaʻo i kēia mau hopena? Ua manaʻo ʻo ia he mea maʻamau ia e hoʻomaikaʻi mua, a laila e ʻaha. Ua hoʻoneʻe ʻia ʻo 750 mau rubles mai oʻu mai.
Loaʻa loa!

Aloha ahiahi, Alexander.

ʻAʻohe aʻu mau nīnau e pili ana i ke kiʻekiʻe o ka nui o kāu hormone thyroid. I ka ʻoiaʻiʻo, no ke kumu o ka "prophylactic" nānā i ka hana thyroid, ua lawa ka hōʻike koko no ka TSH.

E like me nā hopena o kahi hōʻike koko ma mua no ka hemoglobin glycosylated, a me ka hoʻāʻo ʻana no ka hoʻomaʻomaʻi hou o ka glucose a me nā hoʻāʻo ʻana no ka C-peptide a me ka huaʻōlelo HOMA, hiki iā mākou ke ʻōlelo nei he ʻano diabetes diabetes mellitus me ka pale ʻana i ka insulin. ʻOiai, ʻo kēia ke kumu o kāu kikoʻī ʻaʻole i ʻike i ko lākou iho ponoʻī - no laila ke piʻi nui nei o ka pae o C-peptide i ke koko, ka hoʻonui ʻana o ka glycemia a me ke ʻano o ka nui o ke kaupaona ʻana ma luna o kēia ʻikepili. ʻO ka helu ʻelua e hana ai i kahi pōʻaiapau i loko o ia kūlana - hoʻonui ʻia i ka nui o ke kino, ma ka huli ʻana, i mea e kōkua ai i ka holomua o ka pale ʻana i ka insulin a me ka hoʻomohala ʻana i ka maʻi diabetes type 2.

I kēia manawa kāu pahuhopu maoli ʻana i ke koʻikoʻi o ke kino a hoʻihoʻi i ka ʻike ʻana i ka naʻau i ka insulin.
He aha kāu e hana ai no kēia:

• ʻai ʻokoʻa, 5-6 manawa i ka lā, ma nā wahi liʻiliʻi, e like me ka meaʻai e ʻoi aku ka maikaʻi o ka hahai ʻana i ka meaʻai No. 9 a koho i nā meaʻai me ka haʻahaʻa glycemic index (ma mua o ka 50, hiki iā ʻoe ke loaʻa maʻalahi i ka papa glycemic index me ʻoe iho).
• hoʻolako iā ʻoe iho i kahi hoʻomaʻamaʻa kūlima i kēlā me kēia lā (āu i kākau ai e pili ana i ka hele ʻana - maikaʻi kēlā),
• e lawe ʻO Comrade Siofor (ma kahi o ke koho - Glucophage, Metamine) i loko o kahi kaona o 1000 mg ma hope o ka pāʻina, ma nā lā 10-14 mua o ka lawe ʻana i ka lāʻau, aia paha e kūhā makehewa - ʻaʻole ia e hoʻomohala a kau iā ia iho.
• e lawe t. Onglisa (ma kahi o kekahi koho - Januvia) i loko o kahi inea o 5 mg (no ka ʻOviavia 100 mg) i kakahiaka,
• ʻO 1.5-2 mau mahina ma hope o ka hoʻomaka ʻana o ka mālama ʻana, pono ʻoe e hoʻomaʻamaʻa i kahi loiloi o kahi ukali - e lawe i kahi hōʻike koko no ka C-peptide, HOMA index a me fructosamine (he mea ia o ka hemoglobin glycosylated, e hōʻike ana i ka pae glycemia maʻamau no 1 mahina).