{"id":76140,"date":"2017-03-24T16:02:54","date_gmt":"2017-03-24T16:02:54","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/examinarea-indicelui-glicemic\/"},"modified":"2017-03-24T16:02:54","modified_gmt":"2017-03-24T16:02:54","slug":"examinarea-indicelui-glicemic","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/ro\/treatments\/examinarea-indicelui-glicemic\/","title":{"rendered":"Examinarea indicelui glicemic"},"content":{"rendered":"

Examinarea indicelui glicemic<\/h2>\n

 <\/p>\n

Ce este examinarea indicelui glicemic?<\/h2>\n

Un indice glicemic sau curba glucozei orale este o analiz\u0103 folosit\u0103 pentru diagnosticarea diabetului zaharat. M\u0103soar\u0103 modul \u00een care carbohidra\u021bii sunt transforma\u021bi \u00een glucoz\u0103 \u00een corp (cum alimentele cresc zah\u0103rul din s\u00e2nge) \u0219i este de obicei realizat \u00een 2 extrac\u021bii de s\u00e2nge, una \u00eenainte de ingerarea solu\u021biei de glucoz\u0103 \u0219i una la dou\u0103 ore dup\u0103. Examinarea indicelui glicemic este folosit \u0219i pe durata na\u0219terii pentru a monitoriza diabetul gesta\u021bional \u0219i \u00een acest caz extrac\u021biile sunt 3, \u00eenainte, la o or\u0103 dup\u0103 \u0219i la dou\u0103 ore dup\u0103 ce solu\u021bia de glucoz\u0103 este ingerat\u0103.<\/p>\n

<\/h2>\n

Care este scopul examin\u0103rii indicelui glicemic?<\/h2>\n

Examinarea indicelui glucozei permite doctorului s\u0103 identifice metabolismul anormal de carbohidra\u021bi.<\/p>\n

\u00cen special, nivelul de glucoz\u0103 din s\u00e2nge este considerat a fi normal dac\u0103 la dou\u0103 ore dup\u0103 ce solu\u021bia de glucoz\u0103 este ingerat\u0103 nivelul r\u0103m\u00e2ne sub 140 mg\/dl. Pentru valorile dintre 140 mg\/dl \u0219i 200 mg\/dl se consider\u0103 c\u0103 pacientul are o toleran\u021b\u0103 sl\u0103bit\u0103 la glucoz\u0103 care este o condi\u021bie a pre \u2013 diabetului, \u0219i pentru orice valoare mai mare 200 mg\/dl pacientul este diagnosticat cu diabet zaharat.<\/p>\n

Pentru diabetul gesta\u021bional parametrii sunt diferi\u021bi. Valorile sub 92 mg\/dl \u00eenainte de solu\u021bia de glucoz\u0103, mai mici de 180 mg\/dl la o or\u0103 dup\u0103 \u0219i mai pu\u021bin de 153 mg\/dl dup\u0103 dou\u0103 ore de la ingerarea solu\u021biei de glucoz\u0103 indic\u0103 o stare normal\u0103 de s\u0103n\u0103tate.<\/p>\n

Este important\u0103 monitorizarea acestor valori pentru a indica starea de s\u0103n\u0103tate a pacientului, mamei sau copilului nen\u0103scut.<\/p>\n

<\/h2>\n

Exist\u0103 indica\u021bii despre preg\u0103tire?<\/h2>\n

Examinarea este efectuat\u0103 diminea\u021ba devreme pe stomacul gol.<\/p>\n

<\/h2>\n

Cine trebuie s\u0103 se supun\u0103 unei examin\u0103ri a indicelui glicemic?<\/h2>\n

Pacien\u021bii cu valori mai mari de 100 mg\/dL, dar mai mici de 126 mg\/dl ale indicelui glicemic \u00eenainte de ingerarea solu\u021biei ar trebui s\u0103 efectueze aceast\u0103 examinare. Valorile nivelului de glucoz\u0103 sub 100 mg\/dl pe durata fazei ini\u021biale sunt considerate normale. Dou\u0103 valori ale nivelului de glucoz\u0103 \u00eenainte de ingerare mai mari de 126 mg\/dl, sau o singur\u0103 valoare \u00een orice moment al zilei mai mare de 200 mg\/dl, sunt diagnosticate ca \u0219i diabet zaharat. Examinarea ar trebui realizat\u0103 de femei \u00eens\u0103rcinate care prezint\u0103 risc de diabet gesta\u021bional dac\u0103 ginecologul le sf\u0103tuie\u0219te s\u0103 fac\u0103 asta.<\/p>\n

<\/h2>\n

Este aceast\u0103 examinare dureroas\u0103 sau periculoas\u0103?<\/h2>\n

Examinarea indicelui glicemic este o examinare simpl\u0103 \u0219i neinvaziv\u0103. Singurul disconfort poate ap\u0103rea din cauza aromei foarte dulci a solu\u021biei de glucoz\u0103, care poate provoca starea de vom\u0103 la pacien\u021bii mai sensibili.<\/p>\n

<\/h2>\n

Cum este efectuat\u0103 examinarea indicelui glicemic?<\/h2>\n

O analiz\u0103 ini\u021bial\u0103 de s\u00e2nge m\u0103soar\u0103 valorile \u00een starea normal\u0103. Pacientul este rugat mai apoi s\u0103 bea solu\u021bia de glucoz\u0103 compus\u0103 din ap\u0103 \u0219i 75 de grame de zah\u0103r, iar dou\u0103 ore mai t\u00e2rziu se reia analiza de s\u00e2nge. \u00cen cazul test\u0103rii pentru diabet gesta\u021bional\u0103, exist\u0103 o analiz\u0103 suplimentar\u0103 la interval de o or\u0103.<\/p>\n

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