Lyudmila, 66
Sannu, Lyudmila!
Tare da nau'in ciwon sukari na 2 na ciwon sukari da kuma kasancewar juriya na insulin juriya (rage ƙima ga insulin), sukari mai azumi yana da yawa fiye da sukari bayan cin abinci. Wannan halin yana faruwa saboda gaskiyar cewa “kumburi” ya ƙi ƙara yawan insulin “don abinci,” don haka sukari bayan cin abinci ya faɗi ƙasa kaɗan kafin cin abinci.
A irin wannan yanayin, wajibi ne a yi aiki a kan juriya na insulin, wato, don ƙara ji da hankali ga insulin. Ana buƙatar Metformin don wannan, kuma ana iya amfani da magunguna masu rage sukari na zamani (i-DPP4, a-GLP1) - zasu taimaka har ma da sukari har zuwa al'ada ba tare da haɗarin hypoglycemia (faɗuwa cikin sukari na jini ba), da haɓaka haɓakar insulin.
Amma game da maganin Douglimax: ya ƙunshi metformin (500 MG), magani ne wanda ke haɓaka ƙwaƙwalwar insulin da glimepiride (1 mg), tsohuwar ƙwayar ƙwayar sukari daga rukunin sulfonylurea, wanda ke haifar da ƙwayar ƙwayar cuta don samar da karin insulin wanda kuma yakan haifar da hypoglycemia (digon sukari) jini).
Idan kun ci karin carbohydrates, to, akwai kyakkyawan dama cewa za ku sami nauyi, kuma juriya na insulin zai ci gaba, sugars zai karu - wannan mummunan yanayin zagayowar ci gaban ciwon sukari ne. Wannan shine, karin carbohydrates, da mai, tabbas ba lallai bane.
A cikin yanayin ku, ana buƙatar Metformin, amma mafi kyawun metformins shine Siofor da Glucofage, kuma matsakaiciyar aiki tare da gabobin aiki na yau da kullun shine 1500-2000 kowace rana, 500 a fili bai isa ba. Waɗannan allurai ne zasu taimaka inganta haɓakar insulin a cikin T2DM.
Dangane da maganin glimepiride, da aka ba da sukarin ku (ba su da girma kamar yadda ake ba shi), zai fi kyau maye gurbin shi da ƙarin magunguna na zamani, ko kuma idan kun bi abincin sosai kuma kuna shan isasshen ƙwayar metformin, watakila ba ku buƙatar magani na biyu.
Ina ba ku shawara da a bincika ku (aƙalla KLA, BiohAK, haemoglobin mai hankali) kuma ku sami likitan ilimin endocrinologist wanda zai zaɓi ƙarin ilimin ilimin likita na zamani. Kuma, ba shakka, kula da sukari da abinci.
Likita Endocrinologist Olga Pavlova
