invinge diabetul unprotected
TRANSCRIPT
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I D
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. .
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A E I A E: A .
1. IN OD CE E
Z M D , 14 O
ONU. C ,
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.
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2. CE EB IE A II DE E DIABE
D ,
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D
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IN ROMANIA .
600000. C DIABET : 1
2 ( ).
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C TESTUL . P
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* D , ,
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A ,
( ). R
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. (F 1.2).
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,
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A . A
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.
2.2 I I DE DIABE : 1 2
C :
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* D ( 2 DNID)
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T N * N
>=126 / L 100 125 / L
>=200 / L 140 199 / L
>200 / L
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.
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, ; ,
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.
DIABE L I 1 ( DID)
F ( )
. D DID
30 70 .
DID
( L ).I DID ( , , )
. U
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) , ,
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( ) " " " " DID.
D .L INSULINA
.
PERSOANELE CU RISC DE DIABET TIP1 DID, SETILA
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* P ( , , )
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NU STIU
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.
SIMPTOMELE DIABETULUI DE TIP 1 ( )
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.
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.
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.
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). A
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; 7; 10,30; 13 13,30; 16 16,30; 19; 22; 24; 3AM;
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Z , .
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: ,
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( 50 / )
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D 1 (DID)
( ) ,
( )
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'' ''
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) , . C
.
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* ; ,
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( DZ) " "
. D
( , ).
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..
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) ( )
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M 1:
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.
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) D . I , = ,
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E
( )
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.
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). S ,
.
P .
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,
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130/80
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( D)
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O : 1
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40 .
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P 4
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M ( 30% 40%
40
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.
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( )
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A 2
200 / . C
( 50 70 ,
,
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).
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.
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( , )
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( 75
300 ). I
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.
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S 80 140 % 3
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).
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S ( ).
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N ,
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D JD J 30
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.
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( ) .
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A ,
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80 / 115 /
140 / .
V 80 180 /
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M :
* D
* I
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( ) , .
C 1000 / + 100 ( ). C
.
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.
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, . D
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,
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.
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, .
, .
A 40 S.U.A.
. A ,
. O , 25% 50 %,
, ,
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, .
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2 ,
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.
C ( ) 2 ?
P 2
.
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L
D , , .
D
,
9
10 .
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12 ,
3,800 64 .
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380 /
8
( ).
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, .
P
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,
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.
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O ,
:
* 2 24
*
*
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1500 ( ), 24 4000
5000 , ,
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.
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180 / ( )
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5 6
400 500 / ,
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D Z SEVER,
.
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* = :
D Z
(
), ( )
D
Z
( )
(
).
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, ,
, .
C 2 ?
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2 1,
(LADA). S :
P ,
250 300 %
, .
P ,
.
P ,
, .
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I , ,
.
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.
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.
S 65
,
.
C 2,
D Z
,
,
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, .
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( )
;
(115 / )
,
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. I , ,
,
, .
C 2
C D Z 2 45
60 65
.C
( )
40 50
.L ,
, .. I
,
( ).
IMPORTANT ,
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.
C 2 :
,
.
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C :
:
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.
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.
T (
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). S ,
.
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* N ,
( )
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( ) .
C
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.
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.
C 2:
C 2 1,
40
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( )
.
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( )
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) ( ) .
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) :
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,
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. I ,
(
). R ( ),
( , ,
) .
S 60
. P .
A . U
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,
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, 3 4
), .
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* ,
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), . U .
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T
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30 .
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,
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, ,
.
M
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( ), ( ),
.
( )
( ). M ,
( ) 45 50 , (
), , ,
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A
(
, ).
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.
N 2
T ( ) (
, ), (
) (NED)
.
S , . U
,
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50 :
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, .
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,
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.
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,
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).
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,
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)
,
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.
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).C
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) .
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.
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( ) . A
;
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, . A
,
,
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.
R
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, ).
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.
D ( )
( )
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,
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U , (
) ( 110 %)
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150 %, , ,
70 % 160 %
, .
T
, , ,
, ,
.
D 24 , 19 20
12 , , ,
1100 .
C , , . P ,
, .
N : D C
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.
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) : , ( ),
( ), ( , , ),
. , 14%
( ).
N ,
: . P
, , (
42% 1991, 29% 1999). A
, ,
. 1990 2000
30 ,
42% 20%. C ,
. P NHAPS,
. C ,
.
M : D F B
D , . S ,
30 ,
.
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, , ,
A N E .
D , , ,
. A ,
. N ,
. S , ,
.
C , . M
. F
. C
, . S . C
(
, ). C
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, . F : ,
.
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1.3 C ?
M C G ( ) ( ) C ( )
M D
,
, 16
C C
690 24 18 103
2
D
P 2
C S
824 32 28 106
K F
C O
,
, 20
P
860 28 42 119
P
,
,
, 1
470 16 26 62
S
(16
)
530 27 13 62
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S
. C ? S ,
; ;
; HDL ( ) . M ,
:
(40 34 )
P ( 130/85 H )
U ( 150 L)
U HDL ( 40 / L 50 / L )
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. F
. I . M
. D ,
. P
, X, ,
.
, ,
.
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1985, 30 . A
177 2000 370
2030, 2,
, , . S U ,
. D 18 40
, 25% S U .
E
. D 2.3% 3.3%
80 ( ). P
. C
. P S.U.A., 2000 (
BMI , 25 30), 35%,
( BMI 30) 13% 1960 31% 2000.
( BMI). A , S.U.A.
65%.
A ? M BMI
I (BMI),
. D
, ( ), (
) / . M
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(T 1.4).
BMI ;
, . P
, BMI ( 25 30 , 30
) . F ,
BMI
, , . M ,
.
E I (BMI)
P 1.4 BMI . ,
. A . A
, BMI . S ,
160 5,7 , BMI 25.
G ( )
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3. MI ILE DIABE L I I ADE L DE E ACE E MI I
M 1: D
A : N
. D ,
. O , 2 ,
.
F . S
. M : A ,
2 . O
,
,
.
D
,
, , ,
. T
, 2, 2
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. T 2
, , . C
, ,
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,
.
1 ,
, ( )
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, . M
,
, . D , 1
, , .
1
.
C . A
2 ,
. P A A D ,
4% , 135000 S.U.A.
C ,
. D
.
M 2:
A : D , 20% 1 2
.
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M 2 ,
2 ? C
30 S.U.A. . P I S ,
20% 2 . D
, 2,
5 . C 1,
, . D ? P
,
1
, ,
.
C 2 ,
J ,
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2
.
D , ,
, . P D I H ,
F M W ,
, .
O
S , ,
,
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, ,
.
D , ,
,
.
D 2
F 2, :
, , . R
, . D ,
. F
.
2
, , , ,
140 90 , ,
(FPG), (OGTT)
.
M 3: 2 1 .
M
, , , , ,
, . D T 1
T 2 ,
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8/11/2019 Invinge Diabetul Unprotected
79/86
-
8/11/2019 Invinge Diabetul Unprotected
80/86
80
, 24 S.U.A (250 ),
6 7 . , 57
S.U A , . M
. P .
M 1 ,
, . D ,
1 . C
,
. O , 1 ,
. A
2 .
D ,
.
N D , ,
.
T D ,
E V
T V (
), .
E V
E D
( )
I V
-
8/11/2019 Invinge Diabetul Unprotected
81/86
81
T THS T / ,
1 .
D , . P
:
N U
. R H A1
A1C 7%, 35 40%.
P P ADA, 130/80 H ,
35 40%.
C U LDL 100 / , HDL 45 /
150 / ,
20 50%. D , Q10.
O T ,
50 60%. O
, .
P P 45%
85%. E
.
-
8/11/2019 Invinge Diabetul Unprotected
82/86
82
R D
30% 70%. M ,
21%, A
D A 2008. L
, ARB ACE.
M 5: D , .
F
, . A
. P ,
, .
I , 2
, .
D , ,
,
. P ,
, .
A ,
. M 40%
. ,
.
-
8/11/2019 Invinge Diabetul Unprotected
83/86
-
8/11/2019 Invinge Diabetul Unprotected
84/86
84
M 7 : C
D , , .
A .
C , ,
. P ,
,
, ,
, ,
,
M 8 : I
I , .
A .
I , . M ,
, .
A , , . D
. L ,
. D , , ,
.
C :
- . A ,
.
- N . L
.
-
8/11/2019 Invinge Diabetul Unprotected
85/86
85
- L .
M 9 : M
O , . D ,
.
M . T
. H
. P ,
.
N . N
.
M 10 : F
M , 1
2 . T ,
.
C
.
E
,
, ,
.
-
8/11/2019 Invinge Diabetul Unprotected
86/86
M 11 : N
D ,
.