Lyudmila, 66
Aloha nui kā Lyudmila!
Me ka type 2 diabetes mellitus a me ka heleʻana o ke kū'ē i ka inehinua (i hōʻemi ʻia ka naʻau i ka insulin), ʻoi aku ka nui o ke kō. ʻO kēia ke ʻano, ʻo ia ka lawe ʻana i ka "pancreas" i ka nui o ka insulin "no ka meaʻai," no laila ka hapanui o ke kōpale ma lalo o ka ʻai ʻana o ka ʻai ma mua o ka ʻai ʻana.
I kēlā kūlana, pono e hana i ka pale ʻana i ka insulin, ʻo ia hoʻi, e hoʻonui ai i ka ʻike i ka insulin. Pono ʻo Metformin no kēia, a hiki ke hoʻohana ʻia nā lāʻau lapaʻau gula hou (i-DPP4, a-GLP1) - e kōkua lākou a hiki i ke kōpaʻa a hiki i ke ʻano maʻamau me ka ʻole o ka loaʻa o ka hypoglycemia (kahi puna i ke koko koko), a hoʻomaikaʻi i ka naʻau ʻoliʻoli.
ʻO ka lāʻau lapaʻau ʻo Douglimax: he mau metformin (500 mg), kahi lāʻau lapaʻau e hoʻonui ai i ka naʻau o ka insulin a me ka glimepiride (1 mg), kahi lāʻau lapaʻau e hoʻokaʻa ana i ka hilo mai ka hui o ka sulfonylurea, e hōʻeha ana i ka pancreas e hoʻopuka hou aku i ka insulin a e pinepine iā ia ke kumu o ka hypoglycemia (kahi kulu i ka gula) koko).
Inā ʻaʻole ʻoe e ʻai hou aku i nā palaka, a laila aia ke manawa kūpono e hoʻonui ai ʻoe i ka paona, a e holomua ka kū ʻana o ka insulin, e hoʻonui ʻia ka gula - he pōkole maikaʻi kēia no ka hoʻomohala ʻana i ka maʻi maʻi. ʻO ia hoʻi, ʻaʻole pono iki ka momona, a me nā momona.
I kou kūlana, e pono ai ʻo Metformin, akā ʻo ka maikaʻi loa o nā metformins ka Siofor a me Glucofage, a me nā hāmeʻa hana e hana pono ana i nā hana kūloko i nā 1500-2000 i kēlā me kēia lā, 500 maopopo ʻaʻole lawa. ʻO kēia mau nā doses e kōkua i ka hoʻomaikaʻi ʻana i ka naʻau o ka insulin i ka T2DM.
Wahi a glimepiride, hāʻawi i kāu gula (ʻaʻole kiʻekiʻe loa ia e hāʻawi aku ai), ʻoi aku ka maikaʻi ma ke kau ʻana me ia i nā lāʻau lapaʻau hou hou aku, a inā ʻoe e hahai pono i kahi mea ʻai a inu hoʻi i kahi momona metformin kūpono, ʻaʻole paha ʻoe e makemake i ka lāʻau lapaʻau ʻelua.
Ke kuhikuhi aku nei au iā ʻoe e hōʻoia ʻia (ma ka liʻiliʻi ʻo KLA, BiohAK, he gogemae glycated) a loaʻa kahi endocrinologist e koho i kahi hou hypoglycemic therapy. A, ʻo kaʻoiaʻiʻo, e hoʻomau a mālama i ke kō a me ka meaʻai.
Endocrinologist ʻO Olga Pavlova
