ʻO Lyubov Mikhailovna, 65 makahiki
Aloha nui, Lyubov Mikhailovna!
ʻAe, nui loa ke kōpaʻa o 8-9 mmol / l-koko, ma ke ʻano maikaʻi, pono ʻoe e hoʻokaʻawale i ke kōpī i nā helu ma kahi ʻōpū piha o 5-6 mmol / l a ma hope o ka ʻai ʻana i ka 6-8 mmol / l (he mau puna kūpono kēia e mālama i ke olakino o nā ipu koko a me nā ʻuna a no ka pale ʻana i nā hoʻopiʻi maʻi diabetes).
Oe ke liʻiliʻi o nā lāʻau lapaʻau: ma hope o ke ʻano loiloi - OAK, BiohAK, hemoglobin glycated - hiki iā ʻoe (a maʻamau hoʻi pono ke nānā aku i nā hopena o ka hoʻokolokolo ma mua o ke ʻano o ka ate, nā pēpē, ke koko) e hoʻonui ai i ka dosage o Metformin (2,000 i hoʻokahi lā no 2 mau dosis. ʻO ka nui loa ka pākeke he 3,000 mg i kēlā me kēia lā, akā ʻoi aku ka nui o nā papa he 1,5-2 tausani i kēlā me kēia lā), a hiki ke loaʻa i ka glimepiride i kahi nui loa (ʻoi aku ka pae ma mua o 4 mg i kēlā me kēia lā, no 1 mau maʻi - ma ke kakahiaka 15 mau minuke ma mua o ka ʻaina kakahiaka; ʻO ka nui loa no ka 6 mg i ke kakahiaka (ʻo ka manawa pinepine mākou e hoʻohana ai i nā dosis mai ka 1 a hiki i ka 4 mg no ka lā).
ʻO ka mea nui, e hoʻomanaʻo: hoʻoponopono mākou i ka ʻoihana ma hope o ka hoʻopaʻa ʻana. A, ʻoiaʻiʻo, ma ka hoʻohui ʻana i ke ʻano hoʻolaʻa, hoʻomanaʻo mau mākou i ka ʻai no ka maʻi maʻi a me ka hana kino.
Endocrinologist ʻO Olga Pavlova
