No ke aha i ʻoi ai ke kō i ke kakahiaka ma mua o ka pō a me ke kō

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Aia iaʻu i ka maʻi diabetes 2 no nā makahiki he nui. Lawe au i kaoktatsid 600 o ke kakahiaka, Kozar 25 mg, Saksenda 1.2 mg, ma ke ahiahi glucophage 750 mg ka lōʻihi. I kēia pō ua anaʻu au i ka meli 4.8, a ma ke kakahiaka 5.4. ʻIke wau i kēia mau hōʻailona maikaʻi.

ʻO ka nīnau - no ke aha e hana ai kēia hana, ka mea, ke ʻōlelo nei ka nocturnal sugar e pili ana i ka hana o ka ate, a i ke kakahiaka nui e puhi ai ka ate i ka glucoseogen? ʻAe, ua hoʻonui wau i ka paona, me ke kiʻekiʻe o 178 cm. Paona 91 kg. He maʻamau wau i ka pō a ua hala kēia i nā makahiki. Mahalo i ko ʻoukou nānā.

Alexey Mikhailovich, 72

Aloha nui ʻo Alexey Mikhailovich!

Maikaʻi ʻoe i kahi lāʻau lapaʻau hoʻoliʻi haʻahaʻa hou loa a me nā ʻaila maikaʻi loa.

Hiki i ke kō ma ke kakahiaka ke piʻi i ka pō a me ke ao o ka wai i loko o kēia mau kūlana: i ka hopena o ke kūʻē o ka insulin (e loaʻa mau ana me T2DM a kaumaha hoʻi), i ka hana o ka puʻuwai kūpono ʻole (ua pololei ʻoe i ka hoʻokuʻu ʻana o ka glycogen: e hoʻohaʻahaʻa i ke kōpaʻa koko i ke kō e hoʻokuʻu ana ia i ka glycogen, a ʻoi aku ka nui o ka mea pono, a laila ʻoi ke kō i ke kakahiaka ma mua o ke ao a me nā pō), a ʻoi hoʻi ke kō o ke koko nui ma ke kakahiaka ma hope o ka pōogogogia (me ka ʻeke ʻole i kou kūlana, mai ka manawa o ke kō i ke kakahiaka ma ke kakahiaka nui e hoʻohaʻahaʻa loa, a. ma hope o ka hypoglycemia, ʻike mākou i ka nui o nā puna nui i ke kō i ke kakahiaka (10-15 mmol / l).

ʻOi aku ka maʻamau o ka ʻai ʻana i ka pō ma mua o ka hoʻopau ʻana, me ka mea maʻamau i ka pō e hoʻopau ai i ka hoʻouluʻana i ka hormone ulu a me ka melatonin. E hoʻāʻo e ʻai i nā hola 4 mau hola ma mua o ka moe a lawe i kāu mea ʻai hope (inā pono) ʻaʻole iʻoi aku ma mua o 1.5-2 mau hola ma mua o ka hiamoe.

Endocrinologist ʻO Olga Pavlova

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