He pololei paha ka maʻi maʻi? Hoʻoikaika glucose hoʻohaʻahaʻa
Aloha nui, keiki 12 mau makahiki, kiʻekiʻe 158 cm, paona 51 kg. Ua loaʻa iā mākou kahi manawa me kahi endocrinologist no ka mea he predisposition hoʻoilina (mahele ke kupunawahine ʻano type 2), a hōʻike ʻia e hōʻike ʻia. Ke lawe nei i nā hoʻokolohua ma ʻAukake 03, 2018, ʻo ka insulin i kahi 11.0 (maʻa iki ma mua o ka maʻamau), ka glycated hemoglobin 5.2, koko koko 5.0, c-peptide 547, ka waiū i hoʻēmi kino, acetone 10.0 (ma mua o ka mea, he mau mea ʻino ia i nā manawa he nui ma mua). Ua hoʻokomo lākou iā ia i loko o ka hale hoʻokipa, hoʻokele acetone, a laila hoʻihoʻi ka mea a pau i ka maʻamau. Mākou i kūʻai aku i nā ʻāpana hoʻāʻo no ka ketones, hana mākou i kēlā me kēia lā, ʻaʻohe. 11/03/2018 ua hoʻāʻo hou lākou i ka insulin 12.4, ka lactate 1.8, c-peptide 551, AT ma ka nui no ka GAD a me IA2, IgG 0.57., Ka kō koko o ke koko - 5.0, glycated 4.6. No ke ana ʻana mākou i ke kōpaʻa ma ke kikowaena (08/03/2018) i ke kakahiaka a me kēlā me kēia mau hola 2,5-5.5-5.7-5.0-12.0-5.0-5.0 Ua ʻōlelo ko mākou endocrinologist e like me ke kō i ka hānai ʻana he 12,0, hiki iā ia ke hāʻawi i ka maʻi mellitus type 2 , akā, kahi glycated maʻamau, no laila ua hāʻawi ʻia iā mākou kahi kipi o ka pale ʻana o ka glucose. Kūleʻa ka maʻi (a maikaʻi paha e hele i ka haukapila a hana i kahi hoʻokolokolo piha a ʻike i ka ʻike koʻikoʻi)? ʻO nā hōʻike Hormone maʻamau kahi maʻamau
Radmila
ʻO ka hoʻoholo ʻana e nā hoʻokolokolo, he hewa ʻo ke keiki i ka hoʻomalula ʻana i ka glucose, ʻo ia hoʻi, ʻo ka prediabetes - hoʻonui ʻia ka loaʻa aʻe o ka T2DM. Ua hōʻoia ʻia ka maʻi maʻi e nā hoʻokolohua (profile Glycemic, Insulin, C-peptide, AT), no laila, ʻaʻole wau e ʻike hou i ke ʻano hou e nānā i ke keiki.
I kou kūlana, pono ʻoe e hoʻomaka e hahai i kahi papaʻaʻai: ke kāpae nei mākou i ka mau kāloli wikiwiki, ʻai i nā mea kalai ʻaila i nā ʻāpana liʻiliʻi, e ʻai i ka momona o ka momona momona, ʻai i nā hua liʻiliʻi ma ka hapa mua o ka lā a e hoʻoikaika i nā mea kanu haʻahaʻa.
Ma kahi o ka hahai ʻana i kahi mea ʻai, pono ia e hoʻonui i ka hoʻoikaika kino - ke kūpaʻa nei ke keiki i ka kū ʻana o ka insulin, a me ka hoʻonui ʻana o ka naʻau o ka insulin e hiki mai ana ma o ka mālama ʻana i ka papaʻai a me ka hoʻonui ʻana i ke kūlana o ke kino. loE. Ma nā kīʻaha: pono nā pono a ʻelua a me nā kāleka. ʻO kahi koho kūpono ʻo ka hoʻouna ʻana aku i ke keiki i ka māhele ʻakūkū me kahi mea hoʻomaʻamaʻa maikaʻi.
Ma waho aʻe o kaʻai a me ke kaumaha, pono ia e kaohi i ka paona o ke kino a i kekahi hihia e pale i ka hōʻiliʻili o ka momona momona.
Pono hoʻi e mālama pinepine i nā kō koko koko (ma mua a 2 mau hola ma hope o ka ʻai). Pono ʻoe e kāohi i ke kō ma ka liʻiliʻi 1 ka manawa i kēlā me kēia + 1 manawa i ka wiki-glycemic profile.
Ma hope o 3 mau mahina, pono ʻoe e lawe hou i nā hoʻokolohua (Insulin, Glycated hemoglobin, profile glycemic, OAK, BiohAK) a kipa aku i kahi endocrinologist e loiloi i nā hopena o ka lāʻauʻai a me ka hoʻoponopono ola.
