Glycated haemoglobin 5, 3 da sukari matakin 7-8

Sonar jinin yaron ya fara tashi. Ba ku rubuta shekaru, tsayi da nauyin yaro ba, don haka yana da wuya a faɗi daidai game da ainihin dalilin karuwar lokaci-lokaci a cikin sugars.

Idan muka yi la’akari da nau'ikan nau'ikan cututtukan sukari - nau'in ciwon sukari mellitus 1 da nau'in 2, to gwajinku bai dace da matsayin waɗannan cututtukan ba.

Kuna hukunta kawai da sugars da glycated haemoglobin na yaron, zamu iya cewa yaron ya sami cin zarafin metabolism ko yaron yana da ciwon sukari.

Tun da shari'ar ba kamar T1DM ko T2DM ba ne, mutum zai iya yin tunanin wasu nau'ikan ciwon sukari da ba a taɓa gani ba - ɗayan zaɓuɓɓuka don ciwon sukari na Lada ko Mody. Yawancin nau'in ciwon sukari na iya haɓakawa a hankali kuma suna ci gaba sosai - sau da yawa zamu gano game da kasancewar su lokacin da aka gwada su da sukari na jini, tunda yawanci ba alamu tare da sukari na 6-7 mmol / L.

Don bincika yaro, ya kamata ku yi gwajin haƙuri na glucose kuma ku je babban cibiyar bincike don gwadawa don nau'ikan cututtukan cututtukan ƙwayoyin cuta (waɗannan ƙananan gwaje-gwaje na kwayoyin halitta waɗanda ba a yin su ko'ina - kawai a cikin manyan cibiyoyin). Sau da yawa ana yin waɗannan gwaje-gwaje ne kyauta ga mai haƙuri, amma gano wurin koyarwa tare da kayan aikin da ake buƙata yana da matukar wahala (a cikin Novosibirsk, alal misali, Cibiyar Nazarin Bincike tana tsunduma cikin wannan).

A kan kanku, ya kamata ku fara bin abincin don ciwon sukari, karɓar aikin motsa jiki da sarrafa sukari na jini da glycated haemoglobin, idan ya cancanta, nan da nan tuntuɓi likitan yara na endocrinologist.

Tambayoyi masu alaƙa da Shawara

Barka dai, Alexander.
Zaɓuɓɓuka da yawa suna yiwuwa - mai rauni gauraye glycemia da nau'in ciwon sukari mai laushi.

"sannan daga baya da yamma daga 5.5 zuwa 8"- Shin kafin ko bayan abinci ne?
Kuna kan cin abinci daidai?

Shin kun ƙaddamar da gwajin haƙuri na glucose?
Shin kun sami gwajin jini don insulin, C-peptide da kuma NOMA index (alamun alamun halin aikin farji)? Idan haka ne, menene sakamakon?

Da gaske, Nadezhda Sergeevna.

Zan ba da shawarar ku bi lambar cin abinci 9. Musamman, Ina da ra’ayi mara kyau game da tsarin abinci mai ƙarancin carb.

Idan akwai irin wannan dama, to, ku ƙaddamar da gwaje-gwajen da na rubuta game da sama. Zasu baku damar kimanta aikin cututtukan cututtukan farji da sanin cutar daidai.

Barka da rana Sakamakon da ya biyo baya kuma ina fatan fatan tare da isar da bincike ya kusa ƙarewa. Sakamakon haka kamar haka:

HOMA index = 3.87 (saboda gaskiyar cewa ɗakunan gwaje-gwaje daban-daban suna fassara sakamakon daban, zan rubuta da kuma ƙididdigar dakin gwaje-gwaje a cikin abin da na ɗauki gwaje-gwajen - ƙasa da 2 - al'ada, fiye da 2 - juriya insulin zai yiwu, fiye da 2.5 yiwuwar ƙara ƙarfin juriya na insulin , fiye da 5 matsakaicin darajar masu ciwon sukari) Insulin 12.8 uUI / mL (ƙayyadaddun gwargwadon ɗakin binciken shine 6-27 uUI / mL)

Peptide-C 3.04 ng / ml (al'ada 0.7-1.9 ng / ml)

bayan haka ya wuce gwajin haƙuri a cikin gwajin. Baya ga ma'aunin dakin gwaje-gwaje, bayan 1 da awa 2, Accu Chek mai aiki ya auna matakin glucose a kowane minti 30 na tsawon awanni 5 tare da glucometer din. Sakamakon haka kamar haka:
6.4 mmol / L
30 min bayan 75 grams na glucose 15.8 mmol / L
bayan 1 awa 16.7 mmol / L
1h 30 min 16.8 mmol / L
2 hours 14 mmol / L
2 h 30 min 8.8 mmol / L
3 hours 6.7 mmol / L
3 h 30 min 5.3 mmol / L
4 hours 4.7 mmol / L
4 h 30 min 4.7 mmol / L
5 hours 5,2 mmol / L
Kafin ɗaukar gwajin haƙuri akan glucose, ana amfani da carbohydrates kaɗan. Ban ci carbohydrates mai sauri ba kafin fara gwajin na kimanin watanni 3. Matsayi na glucose ya karu, amma daga baya ya fadi zuwa 4.7, wanda shine SA'AD yayin ma'aunin glucose. Koda bayan kilomita 17 na tafiya, saurin sauri ya kasance 5.2. Yawancin lokaci akalla 6 mmol / L. Kuma wani kallo mai ban sha'awa: bayan wucewa gwajin haƙuri haƙuri, matakin glucose shine kusan 1 mmol / L LESS fiye da gabanin gwajin.
A game da yanayin, Na wuce gwaje-gwaje don matakan hormones na thyroid. Sakamakon haka kamar haka:
Harkokin thyroid-stimulates hormone TSH 0.84 mIU / mL (al'ada 0.4 - 4.0)
Kwayoyin rigakafi na antiroodroxidase anti-TPO = 14.4 IU / mL (0 0 al'ada)
Freeroxine fT4 = 0.91 ng / dL (al'ada 0.69 -1.7)
Jimlar triiodothyronine tT3 154 ng / dL (daidaitaccen 70 -204)

Yaya zaku yi sharhi akan waɗannan sakamakon? Ya dauki al'ada ce don fara godiya, sannan kuma ya nemi shawara. An canza ruble 750 daga gare ni.
Madalla!

Barka da yamma, Alexander.

Ba ni da tambayoyi game da matakin hodar iblis, ta zama al'ada. A zahiri, don manufar “hanawa” na aikin thyroid, gwajin jini don TSH zai isa.

Dangane da sakamakon gwajin jini na baya don maganin gemocosylated haemoglobin, da kuma sabon gwajin haƙuri na gurnani da gwajin jini ga C-peptide da kuma HOMA, za mu iya magana game da nau'in ciwon sukari na 2 na mellitus tare da furta juriya na insulin. A zahiri, wannan yana nufin cewa ƙwayoyinku ba su kula da insulin nasu ba - saboda haka karuwa a cikin matakin C-peptide a cikin jini, karuwa a cikin glycemia da kuma bayyanar da nauyin jiki fiye da wannan. Batu na biyu wanda ke haifar da mummunan da'ira a cikin irin wannan yanayin - karuwar yawan jikin mutum, bi da bi, yana ba da gudummawa ga ci gaban insulin juriya da haɓaka nau'in ciwon sukari na 2.

Yanzu burin ku shine ku daidaita nauyin jikin mutum kuma ku dawo da hankalin mutum zuwa insulin.
Abin da kuke buƙatar yin don wannan:

• ku ci abinci kaɗan, sau 5-6 a rana, a cikin ƙaramin rabo, gwargwadon abincin ya fi kyau ku bi abincin A'a. 9 kuma zaɓi abinci tare da ƙarancin glycemic index (ƙasa da 50, zaka iya samun teburin glycemic index da kanka),
• samar da kanku da motsa jiki na yau da kullun (kun yi rubutu game da tafiya - yana da kyau),
• dauki Comrade Siofor (azaman zaɓi - Glucofage, Metamine) a cikin sashi na 1000 mg bayan abincin dare, a cikin kwanakin 10-14 na farko na shan miyagun ƙwayoyi, za'a iya samun narkewar abinci - ba ya inganta kwata-kwata kuma ya wuce kansa,
• dauki t. Onglisa (azaman zaɓi - Januvia) a sashi na 5 MG (na Janavia 100 MG) da safe,
• Watanni 1.5-2 bayan farawar magani, kuna buƙatar yin gwaji na gaba - ɗaukar gwajin jini don C-peptide, HOMA index da fructosamine (wannan shine analog na glycosylated haemoglobin, yana nuna matsakaicin matakin glycemia na 1 wata).