Nguyên nhân và cách xử trí tăng đường huyết khi đói

Mguyen nhdn & cdch Kit tri

tang difdng huyet khi doi

Dtfi vdi bfinh nhan ddi

thdo dudng, gifl cho

dudng huytft ddi butfi

sing 6n dinh 1^ mfit trong nhiing

mue tifiu diSu tri quan trgng cdn

phSi dat dflpc. Theo ke't qud cua

nhiiu nghign cflu, ntfu dfldng huytft

ddi hutfi sdng tren 130mg/dL kfio

ddi sfi dSn dtfn cdc bitfn chflng cua

ddi thdo dfldng nhfl tdn thflong mat

dUn dtfn mii 16a, suy thSn, bfinh

thdn kinh do ddi thdo dfldng...

Cdc phflcmg phdp giup dn dinh

dfldng huytft Id: dn utfng vdi chtf dd

cdn dtfi, hoat d$ng thi Iflc thfldng

xuyfin, vd dimg thutfc theo chi dSn

ciia bdc si. Tuy nhifin, dfii khi ngfldi

bfinh tudn thO ttft cdc bi^n phdp dilu

tri md dfldng huytft vSji khdng 6n

dinh, nhtft Id dfldng huytft ddi buSi

sdng ludn cao.

Ddu Id nguyfin nhdn vd cdch xd

trf cho tinh hutfng ndy?

Nguyfin nhdn tdng ditdng huyet

khi doi

Cd nhilu ytfu ttf gfiy ra tdng

dfldng huytft ddi, td chtf dO dn utfng,

thutfc kilm sodt dfldng huytft vd

thutfc khde, dtfn cdc phdn dng sinh

1^ tfl nhifin ciia ccf thtf vd ktf cd

bfinh 15^ di k^m vdi ddi thdo dfldng.

An tdi qud thinh soan. Nhtft Id

bfla dn cd nhiSu tinh bgt se ldm cho

dfldng huytft sBu &n tdng cao, vflcft

qud khd nfing tifi't insulin cua tuy, vl

v^y sdng hfim sau dfldng huytft vSn

cdn cao. Di khtfc phyc tinh trang

ndy, budi ttfi nfin dn lil<mg tinh bfit

vdi ty lfi cfin dtfi, trdnh l^m dung.

Nfin chgn lo^i ngu ctfc ft chd xdt, c6

chi stf dudng huytft thtfp. dn nhilu

rau dtf thflc dn du^c htfp thu tfl tfl

trdnh tdng dfldng huytft qud mdc.

Tdn thdang ti^t insidin nin (Xem

thfim bdi Tdng dtHmg huyit khi ddi,

TSK stf 488, trang 26). Khd ndng

ti^t insulin nen cua ti:^ cd thd hi ton

thflong dan den tdng dfldng huytft

khi doi. Tuy nhifin, khd nang tiet

insulin lien quan d^n bda dn vdn con

duy tri nfin dfldng huytft sau an vdn

6n dinh. Khi kha nang titft insulin

nin cua tuy hi ton thflcmg, khdng

the dimg chtf dp dn de khong che

sfl tdng dfldi^ huytft khi ddi. Chi cd

the khde phuc dflgc vtfn dl nay bang

each tifim insulin nen - loai insulin

tdc dung eh4m bdt chfldc tac dgng

tiet insulin nen ciia tuy.

Hi&n tic^ng binh minh. Ddy Id

thufit ngfl dung dd md td sfl gia tdng

bdt thflimg Iflgng dudng huytft ddi

budi sdng. Cdc hormon dtfi khdng

insulin dfldc titft ra dd ddnh thdc cO

thd chudn hi cho ngdy mdi - thfldng

vdo khodng 4 - 5 giif sdng, ldm cho

Iflgng dfldng trong mdu tdng Ifin.

Ngi^fi hi ddi thdo di£fng khdng du

khd ndng titft insulin dd dilu cMnh

•» BS.CK1. NGUYEN THANH HAI

cho hifin tfldng nay, vi the dfldng

huytft doi budi sdng tdng cao. De xac

dinh hifin tfliong binh minh, cdn thd

dflEmg huytft liic 2 - 3 gid khuya, trong

vdi ngfiy Uen titfp. Ntfu ktft qud dfldng

hiiytft thdi didm nay Id binh thfldng,

nhitng sang sdm thd lai thay cao thi

nghT den hifin tfldng binh minh. Dieu

ky la Id cd thd chain dflt tinh trang

tdng dudng huyet ddi bdng cdch dn

sang. Bdi vi sau khi an, cd thd se phdt

tin hifiu dfip tdt sfl titft hormon doi

khdng, vi vfiy dfl&ng huytft sfi gidm

xudi^, diJ Id bfinh nhfin chUb ldp diing

thutfc ha ditog. Dilu chinh lai Itfi

stfng dd khtfng chtf hifin tfldng hinh

minh, hdng cdch dn biifi cutfi cung

trong ngdy vdo liic chilu ttfi, trdnh dn

qud khuya; sau dn nfin vfin dfing nhe

nhfl di bd trfldc khi di ngu. Ntfu vdn

chfla khtfng chtf dfldc sfl tfing dfldng

huytft ddi hudi sdng thi nhij hdc si

dilu chinh lai thutfc ha dflimg.

Ddng metlormin i/fio buSi tdi trSnh tSng

dudng huySt khi ddi vio sAng sdm hdm sau