Yayg\u0131n bir g\u00f6r\u00fc\u015f olarak, \u015feker hastal\u0131\u011f\u0131n\u0131n her iki t\u00fcr\u00fcn\u00fcn de kal\u0131t\u0131msal, yani do\u011fumsal oldu\u011fu kabul edilmektedir. Tip I, ins\u00fcline ba\u011f\u0131ml\u0131 \u015feker hastal\u0131\u011f\u0131nda genetik olarak yatk\u0131nl\u0131\u011f\u0131n yan\u0131 s\u0131ra hastal\u0131\u011fa yol a\u00e7an bir et\u00admen olmal\u0131d\u0131r. Bunlar i\u00e7inde en s\u0131k olanlar\u0131:-Bir t\u00fcr viral enfeksiyon-\u00c7evresel fakt\u00f6rler-Stres-Ya\u015fan\u0131lan yer’dir. (\u00d6rne\u011fin \u015feker hasta\u00adl\u0131\u011f\u0131 en \u00e7ok Avrapa’da g\u00f6r\u00fclmektedir.)Tip II, ins\u00fcline ba\u011f\u0131ml\u0131 olmayan \u015feker hastal\u0131\u011f\u0131nda hastalar\u0131n % 80’i a\u015f\u0131r\u0131 kiloludur ve \u015fi\u015fmanl\u0131k ins\u00fclin direncini artt\u0131r\u0131r.Yine stres, ya\u015fam tarz\u0131, ya\u015f da hastal\u0131\u011f\u0131n ortaya \u00e7\u0131k\u0131\u015f\u0131nda \u00f6nemli etmenlerdir.Tip II Diyabette, \u00e7o\u011fu vakada genetik bir ba\u011flant\u0131 vard\u0131r.Ailede birisinin hastal\u0131\u011fa daha \u00f6nce yaka\u00adlanm\u0131\u015f olma ihtimali y\u00fcksektir.Tip I ve II de tedavi yakla\u015f\u0131m\u0131 nas\u0131ld\u0131r ?Tip I, yani ins\u00fcline ba\u011f\u0131ml\u0131 diyabette te\u00addavi stratejisi, ins\u00fcline dayal\u0131d\u0131r.Yani v\u00fccutta hi\u00e7 olmayan ins\u00fclini d\u0131\u015far\u0131\u00addan vermek gerekmektedir.\u015eu an itibariyle ins\u00fclini enjeksiyon yoluy\u00adla verebiliyoruz. \u0130leride belki ba\u015fka yollar uy\u00adgulamaya girebilir. \u015eu an ge\u00e7erli ins\u00fclin reji\u00admi, yemeklerden \u00f6nce yap\u0131lan k\u0131sa etkili in\u00ads\u00fclin (3 \u00f6\u011f\u00fcn) ve gece yatmadan \u00f6nce uygu\u00adlanacak uzun etkili ins\u00fclinden olu\u015fmaktad\u0131r.Tip II, yani ins\u00fcline tam ba\u011f\u0131ml\u0131 olmayan diyabette tedavinin en \u00f6nemli k\u0131sm\u0131 diyet ol\u00admaktad\u0131r. Diyete \u00f6zen g\u00f6sterilmezse tedavi etkili olmaz. Bu nedenle:- Kilo kontrol alt\u0131nda tutulmal\u0131,- \u015eeker ve makromolek\u00fcll\u00fc karbonhidratlardan elden geldi\u011fince ka\u00e7\u0131n\u0131lmal\u0131,- Doymu\u015f ya\u011fdan zengin besinler k\u0131s\u0131t\u00adlanmak,- Proteinler, al\u0131nan toplam kalorinin %15’ini ge\u00e7memelidir.Tek ba\u015f\u0131na diyetle kan \u015fekeri d\u00fc\u015f\u00fcr\u00fclemeyen hastalarda, oral antidiyabetik ila\u00e7lar kullan\u0131l\u0131r. Bunlarda en yayg\u0131n kullan\u0131lan, s\u00fclfonil\u00fcre ve metformin grubu ila\u00e7lard\u0131r. (Metformin gru\u00adbu ila\u00e7lar, karaci\u011ferin a\u00e7l\u0131k d\u00f6neminde sald\u0131\u00ad\u011f\u0131 \u015feker miktar\u0131n\u0131 azalt\u0131rlar. Sonu\u00e7 olarak kan dola\u015f\u0131m\u0131ndan h\u00fccrelere \u015feker ge\u00e7i\u015fi i\u00e7in daha az ins\u00fcline ihtiya\u00e7 duyulur.)doktorlar art\u0131k \u015feker haplar\u0131n\u0131n yeter\u00adli olmad\u0131\u011f\u0131m, ins\u00fcline ge\u00e7mem gerekti\u011fi\u00adni s\u00f6yl\u00fcyorlar. Ben de ins\u00fcline al\u0131\u015fmak is\u00adtemiyorum. \u0130ns\u00fclin kullanmasam olur mu ?\u00d6ncelikle al\u0131\u015fmak istemedi\u011finizi s\u00f6yledi\u00ad\u011finiz ins\u00fclin, insanlar i\u00e7in hayati bir hor\u00admon. E\u011fer v\u00fccudunuzda hi\u00e7 yoksa, yap\u0131la\u00adcak tek \u015fey, onu d\u0131\u015far\u0131dan vermek olacakt\u0131r.Kald\u0131 ki ins\u00fclin, insan\u0131n yabanc\u0131 olmad\u0131\u011f\u0131, normalde kendisinde olan bir hormondur. O nedenle eri\u015fkin tip diyabeti olan bir hasta, kabaca ortalama 10 sene oral antidiyabetikle tedavi olduktan sonra, \u015feker haplar\u0131n\u0131n etki\u00adsiz kalmas\u0131 sonucu, ins\u00fcline ge\u00e7mek zorun\u00adda kalacakt\u0131r.Fazla kilolu, \u015feker haplar\u0131 kullanan diya\u00adbet hastas\u0131y\u0131m. \u015eekerimi en iyi \u015fekilde kontrol edebilmem i\u00e7in, ne gibi \u00f6nerilerde bulunursunuz ?\u015eeker hastal\u0131\u011f\u0131nda genel kural, kendi ken\u00addini tedavi edebilmektir. Kendi kendini te\u00addavinin de p\u00fcf noktas\u0131, sa\u011fl\u0131\u011f\u0131n\u0131z\u0131 koru\u00admak i\u00e7in ya\u015fam\u0131n\u0131zda baz\u0131 de\u011fi\u015fiklikler yap\u00admaya ger\u00e7ekten istekli olmakt\u0131r.\u015eeker kontrol\u00fcn\u00fc, en iyi \u015fekilde yapman\u0131\u00adza yard\u0131mc\u0131 olacak bir \u00e7ok do\u011fal y\u00f6ntem var\u00add\u0131r. Bunlar\u0131 a\u015fa\u011f\u0131daki ba\u015fl\u0131klar alt\u0131nda s\u0131rala\u00adyabiliriz:-D\u0130YET-EGZERS\u0130Z-STRES KONTROL\u00dcBu g\u00f6r\u00fc\u015fler \u0131\u015f\u0131\u011f\u0131nda, sizlere dengeli bir diyet ve egzersiz yapman\u0131z\u0131 tavsiye ederim. \u0130ns\u00fcline ba\u011f\u0131ml\u0131 olmayan \u015feker hastalar\u0131n\u0131n \u00e7o\u011fu, fazla kilolu oldu\u011fu i\u00e7in, ins\u00fclinin v\u00fccutta aktif olarak kullan\u0131lmas\u0131 zorla\u015f\u0131r.Bu y\u00fczden ideal kiloya ula\u015f\u0131lmas\u0131; sadece \u015feker hastal\u0131\u011f\u0131n\u0131n kontrol\u00fc i\u00e7in de\u011fil, ayn\u0131 zamanda gelecekteki komplikasyonlar\u0131 geciktirmesi bak\u0131m\u0131ndan da \u00f6nemlidir.<\/p>\n","protected":false},"excerpt":{"rendered":"
Yayg\u0131n bir g\u00f6r\u00fc\u015f olarak, \u015feker hastal\u0131\u011f\u0131n\u0131n her iki t\u00fcr\u00fcn\u00fcn de kal\u0131t\u0131msal, yani do\u011fumsal oldu\u011fu kabul edilmektedir. Tip I, ins\u00fcline ba\u011f\u0131ml\u0131 \u015feker hastal\u0131\u011f\u0131nda genetik olarak yatk\u0131nl\u0131\u011f\u0131n yan\u0131 s\u0131ra hastal\u0131\u011fa yol a\u00e7an bir et\u00admen olmal\u0131d\u0131r. Bunlar i\u00e7inde en s\u0131k olanlar\u0131:-Bir t\u00fcr viral enfeksiyon-\u00c7evresel fakt\u00f6rler-Stres-Ya\u015fan\u0131lan yer’dir. (\u00d6rne\u011fin \u015feker hasta\u00adl\u0131\u011f\u0131 en \u00e7ok Avrapa’da g\u00f6r\u00fclmektedir.)Tip II, ins\u00fcline ba\u011f\u0131ml\u0131 olmayan \u015feker hastal\u0131\u011f\u0131nda hastalar\u0131n % 80’i a\u015f\u0131r\u0131[Devam\u0131n\u0131 Oku…]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[24086,24081,24084,24079],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13572"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13572"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13572\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13572"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13572"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13572"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}