{"id":9246,"date":"2020-04-23T04:32:31","date_gmt":"2020-04-23T01:32:31","guid":{"rendered":"https:\/\/www.synevo.ro\/product\/glucoza-serica-glicemie\/"},"modified":"2026-02-19T01:17:42","modified_gmt":"2026-02-18T23:17:42","slug":"glucoza-serica-glicemie","status":"publish","type":"product","link":"https:\/\/old.synevo.md\/ru\/shop\/glucoza-serica-glicemie\/","title":{"rendered":"\u0413\u043b\u044e\u043a\u043e\u0437\u0430 \u0432 \u043a\u0440\u043e\u0432\u0438(\u0433\u043b\u0438\u043a\u0435\u043c\u0438\u044f)"},"content":{"rendered":"<p class=\"translation-block\">\u041e\u0431\u0449\u0430\u044f \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f<\/p>\n<p>Glucoza este cel mai important monozaharid din sange. Rezulta din digestia carbohidratilor si din conversia hepatica a glicogenului in glucoza. Glucoza este un furnizor indispensabil de energie care sustine activitatea celulara. Cei doi hormoni care regleaza in mod direct nivelul glucozei in sange sunt glucagonul si insulina. Glucagonul accelereaza conversia glicogenului in glucoza si determina astfel cresterea glicemiei. Insulina creste permeabilitatea membranelor celulare la glucoza, transporta glucoza in celule (pentru metabolism), stimuleaza formarea glicogenului si reduce concentratia glucozei din sange. Alti hormoni care detin un rol important in metabolismul glucozei sunt: ACTH-ul, glucocorticoizii,\u00a0 adrenalina, tiroxina. Degradarea glucozei se realizeaza prin procesul de glicoliza.<\/p>\n<p>Metabolismul glucozei poate fi alterat prin mai multe mecanisme: incapacitatea celulelor pancreatice beta de a secreta insulina, reducerea numarului receptorilor insulinici, malabsorbtia intestinala a glucozei, incapacitatea ficatului de a metaboliza glicogenul, modificarea concentratiei hormonilor implicati in metabolismul glucozei<sup>2;4-6<\/sup>.<\/p>\n<p>Diabetul zaharat este o conditie definita prin nivelul hiperglicemiei care genereaza riscul de afectare a microcirculatiei (retinopatie, nefropatie si neuropatie). Se asociaza cu o speranta de viata redusa, o morbiditate semnificativa datorata complicatiilor microvasculare specifice, un risc crescut de complicatii macrovasculare (boala coronariana, accident vascular cerebral, arteriopatie obliteranta a membrelor inferioare) si o calitate a vietii diminuata.<\/p>\n<p>In absenta unui marker biologic mai specific pentru a defini diabetul determinarea glucozei plasmatice a ramas elementul de baza al criteriilor de diagnostic. Stabilirea valorilor cut-off\u00a0 pentru diagnosticul diabetului a fost consecinta analizei a doua seturi de informatii:<\/p>\n<p style=\"padding-left: 30px;\">-nivelurile glucozei plasmatice asociate cu risc de complicatii microvasculare specifice, in special retinopatie;<\/p>\n<p style=\"padding-left: 30px;\">-distributia in populatie a valorilor glucozei plasmatice.<\/p>\n<p>Din 1965 Organizatia Mondiala a Sanatatii (OMS) a initiat publicarea de ghiduri pentru diagnosticul si clasificarea diabetului. Acestea au fost revizuite in 1998 si publicate sub denumirea de Ghid pentru Definitia, Diagnosticul si Clasificarea Diabetului Zaharat. Ca urmare a cresterii informatiei disponibile privind aceasta afectiune ADA (American Diabetes Association) a modificat in 2003 criteriile pentru diagnosticul hiperglicemiilor intermediare<sup>8<\/sup>.<\/p>\n<p><em>Criteriile ADA (American Diabetes Association)<\/em> pentru diagnosticul diabetului zaharat includ:<\/p>\n<ul>\n<li>Simptome sugestive (poliurie, polidipsie, scadere ponderala inexplicabila), la care se adauga o valoare a glucozei \u201erandom\u201d &gt;=200 mg\/dL (&gt;=11.1 mmol\/L) sau<\/li>\n<li>Valoarea glicemiei bazale &gt;=126 mg\/dL (&gt;=6.99 mmol\/L) sau<\/li>\n<li>Valoarea glicemiei &gt;=200 mg\/dL la 2 ore dupa administrarea a 75g glucoza (in cadrul testului de toleranta la glucoza)<sup>1<\/sup>.<\/li>\n<\/ul>\n<p>In absenta unei hiperglicemii cu decompensare metabolica acuta, criteriile 2 si 3 trebuie confirmate prin repetarea testarii in zile diferite. La acestea se adauga recomandarea recenta ADA (2010) de a include HbA1c in diagnosticul diabetului la o valoare cut-off de 6.5% (testul trebuie sa fie efectuat printr-o metoda standardizata DCCT: Diabetes Control and Complications Trial si certificata NGSP: National Glycohemoglobin Standardization Program).<\/p>\n<p>Criteriile de diagnostic se aplica atat adultilor cat si copiilor<sup>1;7<\/sup>.<\/p>\n<p><strong><em>Recomandari pentru determinarea glucozei serice\/plasmatice<\/em><\/strong><\/p>\n<p style=\"padding-left: 30px;\"><strong>\u2022 <\/strong>screening-ul, diagnosticul si monitorizarea diabetului zaharat;<\/p>\n<p style=\"padding-left: 30px;\"><strong>\u2022 <\/strong>diagnosticul hipoglicemiei.<\/p>\n<p>\u00a0<span style=\"text-decoration: underline;\">Se pot recolta 4 tipuri de probe<\/span>:<\/p>\n<ul>\n<li>Glucoza plasmatica\/serica determinata \u00e0 jeun (bazala).<\/li>\n<li>Glucoza serica determinata la 2 ore postprandial.<\/li>\n<li>Glucoza plasmatica\/serica determinata dintr-o proba de sange recoltata intr-un moment oarecare al zilei, indiferent de intervalul de la ultima masa (\u201erandom\u201d).<\/li>\n<li>Glucoza plasmatica\/serica determinata in cadrul testului de toleranta la glucoza (la 2 ore dupa administrarea a 75 g glucoza)<sup> 1;2<\/sup>.<\/li>\n<\/ul>\n<p><span style=\"text-decoration: underline;\">Screening-ul pentru diabet<\/span> al persoanelor adulte asimptomatice va fi luat in considerare la categoriile supraponderale sau obeze (BMI \u226525 kg\/m2) indiferent de varsta, precum si la cei care prezinta unul sau mai multi factori de risc pentru diabet:<\/p>\n<p>-sedentarism;<\/p>\n<p>-rude de gradul 1 cu DZ;<\/p>\n<p>-antecedente de diabet zaharat gestational sau nastere de feti macrosomi (&gt;4000g);<\/p>\n<p>-apartenenta la rase sau grupuri etnice cu risc (afroamericani, asiatici-americani, nativi americani,\u00a0hispanici-americani etc.);<\/p>\n<p>-HTA (\u2265140\/90 mmHg);<\/p>\n<p>-nivel scazut de HDL-colesterol (&lt;35 mg\/dL) si\/sau nivel crescut de trigliceride (&gt;250 mg\/dL);<\/p>\n<p>-femei cu sindromul ovarelor polichistice;<\/p>\n<p>-istoric de afectiuni cardiovasculare;<\/p>\n<p>-scaderea tolerantei la glucoza la teste anterioare;<\/p>\n<p>-alte conditii clinice asociate cu rezistenta la insulina (ex: acanthosis nigricans).<\/p>\n<p>In absenta acestor criterii testarea pentru diabet va fi initiata la varsta de 45 ani. Daca se obtin rezultate normale la screening, testarea va fi repetata la intervale de maximum 3 ani (testarea mai frecventa va fi luata in considerare in functie de factorii de risc)<sup>1;7<\/sup>.<\/p>\n<p>Pornind de la faptul ca incidenta DZ tip 2 a crescut dramatic la adolescenti in ultima decada,\u00a0 recomandarile ADA din 2010 includ si criterii de testare a copiilor asimptomatici: <strong>supraponderalitate<\/strong>,\u00a0 la care se adauga doi din urmatorii factori:<\/p>\n<p style=\"padding-left: 30px;\">-istoric familial de DZ tip 2 la rude de gradul 1 sau 2;<\/p>\n<p style=\"padding-left: 30px;\">-apartenenta la rase sau grupuri etnice cu risc (afroamericani, asiatici-americani, nativi americani, \u00a0hispanici-americani etc.);<\/p>\n<p style=\"padding-left: 30px;\">-semne de rezistenta la insulina sau conditii asociate cu rezistenta la insulina (ex: acanthosis nigricans, HTA, dislipidemie, sindromul ovarelor polichistice, dismaturitate);<\/p>\n<p style=\"padding-left: 30px;\">\u2013 istoric de diabet zaharat matern sau diabet gestational in timpul sarcinii cu copilul in cauza.<\/p>\n<p>Screening-ul va fi initiat la varsta de 10 ani sau la debutul pubertatii (daca aceasta se dezvolta la varste sub 10 ani). Testarea va fi repetata la intervale de 3 ani.<\/p>\n<p>Pentru multe afectiuni exista o deosebire semnificativa intre testele de screening si cele de diagnostic. Diabetul constituie o exceptie: aceleasi teste sunt folosite atat pentru screening-ul cat si pentru diagnosticul diabetului<sup>7<\/sup>.<\/p>\n<p>La noi in tara testul recomandat pentru screening-ul diabetului este <em>glicemia \u00e0 jeun<\/em> din sange venos (plasma sau ser). Acest test este preferat pentru ca este rapid, usor de efectuat si are costuri scazute<sup>1<\/sup>.<strong>\u00a0\u00a0 <\/strong><\/p>\n<p><strong><em>Pregatirea pacientului<\/em><\/strong><strong> <em>in functie de tipul probei<\/em><\/strong><\/p>\n<p style=\"padding-left: 30px;\">A. \u00c0 jeun (absenta aportului caloric in ultimele 8 ore)<sup>3<\/sup>.<\/p>\n<p style=\"padding-left: 30px;\">B. Fara pregatire speciala; proba se va recolta la 2 ore dupa masa<sup>3<\/sup>.<\/p>\n<p style=\"padding-left: 30px;\">C. Fara pregatire speciala; pacientul va mentiona timpul scurs de la ultima masa<sup>3<\/sup>.<\/p>\n<p style=\"padding-left: 30px;\">D. Vezi recomandarile precizate la Testul de toleranta la glucoza per os.<\/p>\n<p>La diabeticii cunoscuti recoltarea se face inaintea administrarii insulinei sau medicatiei hipoglicemiante<sup>4<\/sup>.<\/p>\n<p><strong><em>Specimen recoltat <\/em><\/strong><em>-<\/em> sange venos<sup>4<\/sup>.<strong><em>\u00a0<\/em><\/strong><\/p>\n<p><strong><em>Recipient de recoltare <\/em><\/strong><em>-<\/em> a) vacutainer fara anticoagulant cu\/fara gel separator sau, de preferat, b) vacutainer cu fluorura de sodiu\/Na2EDTA<sup>4<\/sup>.<strong>\u00a0<\/strong><\/p>\n<p><strong><em>Prelucrarea necesara dupa recoltare <\/em><\/strong><em>-<\/em> a) se separa serul prin centrifugare intr-un interval &lt;2 ore\u00a0 de la recoltare. Conditii: centrifugarea se face numai dupa ce coagularea este completa, astfel incat sa nu existe resturi de fibrina; separarea serului trebuie sa fie completa.<strong>\u00a0<\/strong><\/p>\n<p><span style=\"text-decoration: underline;\">Nota<\/span>: Valoarea glicemiei scade cu vechimea probei in conditiile mentinerii probei necentrifugate la temperatura camerei.<\/p>\n<p>Serul se analizeaza in maxim 8 ore; daca acest lucru nu este posibil, serul se stocheaza la 2-8\u00b0C sau la -18\u00b0C<sup>4;6<\/sup>.<\/p>\n<p>b) combinatia inhibitor de glicoliza (fluorura de sodiu) + anticoagulant asigura o stabilitate de <em>24 ore<\/em> a glucozei in sangele integral la temperatura camerei<sup>4<\/sup>.<\/p>\n<p><strong><em>Volum proba<\/em><\/strong> <em>- <\/em>a) minim 0.5 mL ser<sup>4<\/sup>.<strong>\u00a0<\/strong><\/p>\n<p><strong><em>Stabilitate proba <\/em><\/strong><em>-<\/em> a) serul separat este stabil: <em>8 ore<\/em> la 15- 25\u00b0C; <em>72 de ore<\/em> la 2-8\u00b0C; <em>1 luna<\/em> la -20\u00b0C<sup>3<\/sup>; b) proba de sange integral este stabila <em>24 ore<\/em> la temperatura camerei; plasma separata are aceeasi stabilitate ca si serul separat<sup>4<\/sup>.<\/p>\n<p><strong><em>Metoda <\/em><\/strong><em>-<\/em> <span style=\"text-decoration: underline;\">spectrofotometrica (enzimatica colorimetrica)<\/span><sup>4<\/sup>.<\/p>\n<p><strong><em>Valori de referinta<\/em><\/strong><sup>3<\/sup><\/p>\n<p>Interpretarea valorilor glicemiei bazale se efectueaza conform criteriilor ADA:<\/p>\n<table class=\"wp-block-table w-100\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td colspan=\"2\" valign=\"top\" width=\"468\">\n<p style=\"text-align: center;\"><strong><em>Interpretare valori glicemie bazala (mg\/dL)<\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"272\">\n<p style=\"text-align: center;\">Normal<\/p>\n<\/td>\n<td valign=\"top\" width=\"196\">\n<p style=\"text-align: center;\">60-99<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"272\">\n<p style=\"text-align: center;\">Glicemie bazala modificata (IFG)<\/p>\n<\/td>\n<td valign=\"top\" width=\"196\">\n<p style=\"text-align: center;\">100-125<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"272\">\n<p style=\"text-align: center;\">Diabet zaharat<\/p>\n<\/td>\n<td valign=\"top\" width=\"196\">\n<p style=\"text-align: center;\">&gt;= 126<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Nota: Diagnosticul de diabet zaharat se va stabili pe baza a cel putin 2 valori crescute \u00a0&gt;= 126<\/em> <em>ale glicemiei bazale obtinute in zile diferite.<\/em><\/p>\n<p>Persoanele cu glicemie bazala modificata (impaired fasting glucose IFG) ca si cele cu cele cu intoleranta la glucoza (impaired glucose tolerance IGT, valori cuprinse intre 140 si 199 mg\/dL la 2 ore dupa administrarea de glucoza) fac parte dintr-un grup intermediar, care, desi nu indeplineste criteriile de diagnostic ale diabetului zaharat, prezinta niveluri ale glucozei prea mari pentru a fi considerate normale. Aceste persoane au fost incadrate anterior ca avand \u201eprediabet\u201d. Conform noilor recomandari ADA (2010), IFG si IGT nu trebuie considerate entitati clinice de sine-statoare ci mai degraba categorii de risc crescut pentru diabet si afectiuni cardiovasculare. IFG si IGT se asociaza cu obezitate (in special abdominala), hipertensiune arteriala si dislipidemie (trigliceride crescute si HDL-colesterol scazut). Cresterea activitatii fizice, scaderea ponderala si administrarea anumitor agenti farmacologici previn sau intarzie dezvoltarea diabetului la persoanele cu intoleranta la glucoza.<\/p>\n<p>Trebuie mentionat faptul ca in 2003 ADA a redus valoarea cut-off pentru IFG de la 110 mg\/dL la 100 mg\/dL, unul dintre scopuri fiind acela\u00a0 ca prevalenta IFG sa se apropie de cea a IGT. OMS si alte organizatii preocupate de diabet nu au adoptat aceasta modificare<sup>7<\/sup>.<\/p>\n<p><span style=\"text-decoration: underline;\">Monitorizarea pacientilor cu diabet zaharat<\/span><\/p>\n<p>Un control glicemic optim reduce riscul de instalare a complicatiilor micro- si macrovasculare.<\/p>\n<p>Tintele controlului glicemic la pacientii diabetici este mentionata in tabelul de mai jos<sup>1.<\/sup><\/p>\n<table class=\"wp-block-table w-100\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"163\"><\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\"><strong>Optimal<\/strong><\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\"><strong>La limita<\/strong><\/p>\n<\/td>\n<td valign=\"top\" width=\"158\">\n<p style=\"text-align: center;\"><strong>Suboptimal<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"163\">\n<p style=\"text-align: center;\">HbA1c %<\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\">&lt;7<\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\">7-8.5<\/p>\n<\/td>\n<td valign=\"top\" width=\"158\">\n<p style=\"text-align: center;\">&gt;8.5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"163\">\n<p style=\"text-align: center;\">Glicemie bazala<\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\">70-126<\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\">126-144<\/p>\n<\/td>\n<td valign=\"top\" width=\"158\">\n<p style=\"text-align: center;\">&gt;144<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"163\">\n<p style=\"text-align: center;\">Glicemie la 2 ore postprandial<\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\">&lt;160<\/p>\n<\/td>\n<td valign=\"top\" width=\"170\">\n<p style=\"text-align: center;\">160-180<\/p>\n<\/td>\n<td valign=\"top\" width=\"158\">\n<p style=\"text-align: center;\">&gt;180<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Factor de conversie: mg\/dl x 0.0555 = mmol\/L<\/em><sup>4<\/sup><em>. <\/em><\/p>\n<p><strong><em>Valori critice<\/em><\/strong><sup>2<\/sup>\u2013 nivel scazut: <strong>&lt;40 mg\/dL<\/strong> (femei si copii);\u00a0\u00a0\u00a0 <strong>&lt;50 mg\/dL<\/strong> (barbati),\u00a0 nivel crescut: <strong>&gt;400 mg\/dL.<\/strong><\/p>\n<p><strong><em>Interpretarea rezultatelor<\/em><\/strong><strong><em>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/em><\/strong><\/p>\n<table class=\"wp-block-table w-100\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"624\">\n<p style=\"text-align: center;\"><strong><em>Cresteri<\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"624\">\u2022 diabet zaharat, \u2022 boala Cushing, \u2022 acromegalie\/gigantism, \u2022 feocromocitom,\u2022 adenom hipofizar (secretor de hormon de crestere), \u2022 hemocromatoza, \u2022 pancreatita acuta\/cronica,\u2022 neoplasm de pancreas, \u2022 glucagonom, \u2022 afectiuni renale cronice, \u2022 boala hepatica avansata, \u2022 deficienta de vitamina B1 (encefalopatia Wernicke), \u2022 stres acut emotional sau fizic (infarct miocardic, AVC, convulsii)<sup>2;5<\/sup>.<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"624\">\n<p style=\"text-align: center;\"><strong><em>Scaderi<\/em><\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"624\">\u2022 insulinom, \u2022 tumori extrapancreatice (ex. hepatom), \u2022 boala Addison, \u2022 hipopituitarism,\u2022 malabsorbtie, \u2022 necroza hepatica fuminanta (hepatita, intoxicatii), \u2022 prematuri, nou-nascuti din mame diabetice, \u2022 deficiente enzimatice (ex. galactozemie), \u2022 supradozaj insulinic, \u2022 hipoglicemie reactiva (hiperinsulinism indus alimentar, tulburari endocrine), \u2022 hipoglicemie postprandiala (dupa interventii chirurgicale gastrointestinale, intoleranta ereditara la fructoza, galactozemie)<sup>2;5<\/sup>.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong><em>Limite si interferente<\/em><\/strong><\/p>\n<p>Pot sa apara cresteri usoare ale glicemiei in sarcina normala, la marii fumatori, obezi si persoanele sedentare. Efortul fizic intens poate genera hipoglicemie. Cresteri ale glicemei pot sa apara dupa anestezie, interventii chirurgicale si dupa administrare i.v. de glucoza.<\/p>\n<p>Scaderi ale glucozei serice se pot inregistra la pacientii cu eritrocitoza (hematocrit &gt;55%) sau leucocitoza marcata (leucemii).<\/p>\n<p>\u2022 Medicamente:<\/p>\n<p style=\"padding-left: 30px;\"><strong><span style=\"text-decoration: underline;\">Cresteri<\/span>:<\/strong> ACTH, asparaginaza, agonisti beta adrenergici (ex. albuterol, isoproterenol, terbutalina), cafeina, calcitonina, corticosteroizi, diazoxid, diuretice (acetazolamida, clortalidona, acid etacrinic, furosemid, tiazide, triamteren), dopamina, epinefrina, estrogeni, fructoza, glucagon, indometacin, carbonat de litiu, morfina, acid nicotinic (doze mari), octreotid (somatostatin), contraceptive orale, fenotiazine, fenitoin, rifampin, streptozotocin, teofilina, tiabendazol, D- tiroxina<sup>3<\/sup>.<\/p>\n<p style=\"padding-left: 30px;\"><span style=\"text-decoration: underline;\"><strong>Scaderi<\/strong><\/span>: acetominofen (doze toxice), blocanti beta adrenergici, steroizi anabolizanti (la diabetici), antihistaminice, aspirina (doze toxice), bezafibrat, captopril, ciproteron, disopiramid, etanol, fenfluramina (la diabetici), analogi ai guanetidinei, indometacin (efecte variabile), marijuana, inhibitori MAO, nifedipina (neconcludent), pentamidina (dupa cateva zile), pivampicilina, protionamida, spironolactona, trometamina<sup>3<\/sup>.<\/p>\n<p><span style=\"font-size: small;\">\u0411\u0438\u0431\u043b\u0438\u043e\u0433\u0440\u0430\u0444\u0438\u044f<\/span><\/p>\n<p><span style=\"font-size: small;\">1. Diabetul zaharat tip 2. Ghid de practica pentru medicii de familie. Editura Infomedica, 2005.<\/span><\/p>\n<p><span style=\"font-size: small;\">2. Frances Fischbach. Chemistry studies. In A Manual of Laboratory and Diagnostic Tests. Lippincott Williams &amp; Wilkins, USA, 8 Ed. 2009, 324-330.<\/span><\/p>\n<p><span style=\"font-size: small;\">3. Frances Fischbach. Effects of the Most Commonly Used Drugs on Frequently Ordered Laboratory Tests. In A Manual of Laboratory and Diagnostic Tests. Lippincott Williams &amp; Wilkins, USA, 8 Ed. 2009, 1239-1240.<\/span><\/p>\n<p><span style=\"font-size: small;\">4. Laborator Synevo. Referintele specifice tehnologiei de lucru utilizate 2010. Ref Type: Catalog.<\/span><\/p>\n<p><span style=\"font-size: small;\">5. Laboratory Corporation of America. Directory of Services and Interpretive Guide. Glucose, Serum. www.labcorp.com 2010. Ref Type: Internet Communication.<\/span><\/p>\n<p><span style=\"font-size: small;\">6. Lothar Thomas. Blood glucose. In Clinical Laboratory Diagnostics-Use and Assessment of Clinical Laboratory Results. TH-Books Verlagsgesellschaft mbH, Frankfurt \/Main, Germany, 1 Ed. 1998, 131-139.<\/span><\/p>\n<p><span style=\"font-size: small;\">7. Standards of Medical Care in Diabetes \u2013 2010. American Diabetes Association.<\/span><\/p>\n<p><span style=\"font-size: small;\">8. WHO 2006. Definition and Diagnosis of Diabetes Mellitus and Intermediate Hyperglycaemia.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0413\u043b\u044e\u043a\u043e\u0437\u0430 \u2014 \u044d\u0442\u043e \u043f\u0440\u043e\u0441\u0442\u043e\u0439 \u0443\u0433\u043b\u0435\u0432\u043e\u0434, \u0443\u043d\u0438\u0432\u0435\u0440\u0441\u0430\u043b\u044c\u043d\u044b\u0439 \u0438\u0441\u0442\u043e\u0447\u043d\u0438\u043a \u044d\u043d\u0435\u0440\u0433\u0438\u0438 \u0434\u043b\u044f \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430. \u041d\u043e \u043f\u0440\u0438 \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u044f\u0445 \u043e\u0431\u043c\u0435\u043d\u0430 \u0432\u0435\u0449\u0435\u0441\u0442\u0432 \u0433\u043b\u044e\u043a\u043e\u0437\u0430 \u043c\u043e\u0436\u0435\u0442 \u043d\u0430\u043a\u0430\u043f\u043b\u0438\u0432\u0430\u0442\u044c\u0441\u044f \u0432 \u043a\u0440\u043e\u0432\u0438 \u0438 \u043e\u043a\u0430\u0437\u044b\u0432\u0430\u0442\u044c \u0442\u043e\u043a\u0441\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 \u043d\u0430 \u0441\u0435\u0440\u0434\u0446\u0435 \u0438 \u0441\u043e\u0441\u0443\u0434\u044b. \u0410\u043d\u0430\u043b\u0438\u0437 \u043d\u0430 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0441\u0432\u043e\u0435\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u043e \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0442\u044c \u0441\u0430\u0445\u0430\u0440\u043d\u044b\u0439 \u0434\u0438\u0430\u0431\u0435\u0442 \u0438 \u0434\u0440\u0443\u0433\u0438\u0435 \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u044f \u043e\u0431\u043c\u0435\u043d\u0430 \u0432\u0435\u0449\u0435\u0441\u0442\u0432.<\/p>\n<p>\u0413\u043b\u044e\u043a\u043e\u0437\u0430, \u0438\u043b\u0438 \u0432\u0438\u043d\u043e\u0433\u0440\u0430\u0434\u043d\u044b\u0439 \u0441\u0430\u0445\u0430\u0440, \u2014 \u044d\u0442\u043e \u0443\u0433\u043b\u0435\u0432\u043e\u0434, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c \u043a\u043b\u0435\u0442\u043a\u0430\u043c \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430 \u0434\u043b\u044f \u0432\u044b\u0440\u0430\u0431\u043e\u0442\u043a\u0438 \u044d\u043d\u0435\u0440\u0433\u0438\u0438.<\/p>\n<p>\u041f\u0440\u0435\u0436\u0434\u0435 \u0432\u0441\u0435\u0433\u043e \u0432 \u0433\u043b\u044e\u043a\u043e\u0437\u0435 \u043d\u0443\u0436\u0434\u0430\u0435\u0442\u0441\u044f \u043c\u043e\u0437\u0433. \u0412 \u043e\u0442\u043b\u0438\u0447\u0438\u0435 \u043e\u0442 \u0432\u0441\u0435\u0433\u043e \u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u043c\u043e\u0436\u0435\u0442 \u0438\u0437\u0432\u043b\u0435\u043a\u0430\u0442\u044c \u00ab\u0442\u043e\u043f\u043b\u0438\u0432\u043e\u00bb \u043d\u0435 \u0442\u043e\u043b\u044c\u043a\u043e \u0438\u0437 \u0441\u0430\u0445\u0430\u0440\u0430, \u043d\u043e \u0438 \u0438\u0437 \u0436\u0438\u0440\u0430, \u043c\u043e\u0437\u0433 \u0440\u0430\u0431\u043e\u0442\u0430\u0435\u0442 \u0438\u0441\u043a\u043b\u044e\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u043d\u0430 \u0433\u043b\u044e\u043a\u043e\u0437\u0435.<\/p>\n<p>\u041e\u0431\u043c\u0435\u043d \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u0440\u0435\u0433\u0443\u043b\u0438\u0440\u0443\u044e\u0442 \u0434\u0432\u0430 \u0433\u043e\u0440\u043c\u043e\u043d\u0430 \u2014 \u0438\u043d\u0441\u0443\u043b\u0438\u043d \u0438 \u0433\u043b\u044e\u043a\u0430\u0433\u043e\u043d. \u0418\u043d\u0441\u0443\u043b\u0438\u043d \u0432\u044b\u0440\u0430\u0431\u0430\u0442\u044b\u0432\u0430\u0435\u0442\u0441\u044f \u0432 \u043f\u043e\u0434\u0436\u0435\u043b\u0443\u0434\u043e\u0447\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u0435 \u0432 \u043e\u0442\u0432\u0435\u0442 \u043d\u0430 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u0441\u0430\u0445\u0430\u0440\u0430 \u0432 \u043a\u0440\u043e\u0432\u0438. \u041e\u043d \u0434\u0435\u0439\u0441\u0442\u0432\u0443\u0435\u0442 \u0434\u043b\u044f \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u043a\u0430\u043a \u043a\u043b\u044e\u0447 \u2014 \u043f\u043e\u043c\u043e\u0433\u0430\u0435\u0442 \u0435\u0439 \u0438\u0437 \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0430 \u043f\u043e\u043f\u0430\u0441\u0442\u044c \u0432 \u043a\u043b\u0435\u0442\u043a\u0438, \u043a\u043e\u0442\u043e\u0440\u044b\u043c \u043d\u0443\u0436\u043d\u0430 \u044d\u043d\u0435\u0440\u0433\u0438\u044f. \u0411\u043b\u0430\u0433\u043e\u0434\u0430\u0440\u044f \u0438\u043d\u0441\u0443\u043b\u0438\u043d\u0443 \u0432 \u043d\u043e\u0440\u043c\u0435 \u0432 \u043a\u0440\u043e\u0432\u0438 \u043d\u0435\u0442 \u0438\u0437\u0431\u044b\u0442\u043a\u0430 \u0441\u0430\u0445\u0430\u0440\u0430.<\/p>\n<p>\u0413\u043b\u044e\u043a\u0430\u0433\u043e\u043d \u0442\u043e\u0436\u0435 \u0441\u0438\u043d\u0442\u0435\u0437\u0438\u0440\u0443\u0435\u0442\u0441\u044f \u0432 \u043f\u043e\u0434\u0436\u0435\u043b\u0443\u0434\u043e\u0447\u043d\u043e\u0439 \u0436\u0435\u043b\u0435\u0437\u0435, \u043d\u043e \u0434\u0435\u0439\u0441\u0442\u0432\u0443\u0435\u0442 \u0440\u043e\u0432\u043d\u043e \u043d\u0430\u043e\u0431\u043e\u0440\u043e\u0442: \u043e\u043d \u00ab\u0441\u043b\u0435\u0434\u0438\u0442\u00bb, \u0447\u0442\u043e\u0431\u044b \u0441\u0430\u0445\u0430\u0440\u0430 \u0432 \u043a\u0440\u043e\u0432\u0438 \u043d\u0435 \u0431\u044b\u043b\u043e \u0441\u043b\u0438\u0448\u043a\u043e\u043c \u043c\u0430\u043b\u043e.<\/p>\n<p>\u0412 \u043d\u043e\u0440\u043c\u0435 \u0441\u0438\u0441\u0442\u0435\u043c\u0430 \u00ab\u0433\u043b\u044e\u043a\u043e\u0437\u0430 \u2014 \u0438\u043d\u0441\u0443\u043b\u0438\u043d \u2014 \u0433\u043b\u044e\u043a\u0430\u0433\u043e\u043d\u00bb \u043d\u0430\u0445\u043e\u0434\u0438\u0442\u0441\u044f \u0432 \u0434\u0438\u043d\u0430\u043c\u0438\u0447\u0435\u0441\u043a\u043e\u043c \u0431\u0430\u043b\u0430\u043d\u0441\u0435: \u043f\u043e\u0441\u043b\u0435 \u0435\u0434\u044b \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u043f\u043e\u0432\u044b\u0448\u0430\u0435\u0442\u0441\u044f, \u0432 \u043e\u0442\u0432\u0435\u0442 \u043d\u0430 \u044d\u0442\u043e \u0432\u044b\u0440\u0430\u0431\u0430\u0442\u044b\u0432\u0430\u0435\u0442\u0441\u044f \u0438\u043d\u0441\u0443\u043b\u0438\u043d. \u0415\u0441\u043b\u0438 \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u0438\u0437-\u0437\u0430 \u0433\u043e\u043b\u043e\u0434\u0430 \u0438\u043b\u0438 \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u0438\u043d\u0441\u0443\u043b\u0438\u043d\u0430 \u0441\u0442\u0430\u043d\u043e\u0432\u0438\u0442\u0441\u044f \u0441\u043b\u0438\u0448\u043a\u043e\u043c \u043c\u0430\u043b\u043e, \u0442\u043e \u0432\u044b\u0441\u0432\u043e\u0431\u043e\u0436\u0434\u0430\u0435\u0442\u0441\u044f \u0433\u043b\u044e\u043a\u0430\u0433\u043e\u043d \u0438 \u043f\u043e\u0432\u044b\u0448\u0430\u0435\u0442 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u043b\u044e\u043a\u043e\u0437\u044b.<\/p>\n<p>\u0415\u0441\u043b\u0438 \u043a\u0430\u043a\u043e\u0435-\u0442\u043e \u0438\u0437 \u0437\u0432\u0435\u043d\u044c\u0435\u0432 \u043f\u0435\u0440\u0435\u0441\u0442\u0430\u0451\u0442 \u0440\u0430\u0431\u043e\u0442\u0430\u0442\u044c \u043a\u0430\u043a \u0441\u043b\u0435\u0434\u0443\u0435\u0442, \u0442\u043e \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u0433\u0438\u043f\u0435\u0440\u0433\u043b\u0438\u043a\u0435\u043c\u0438\u044f (\u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0435 \u0441\u043e\u0434\u0435\u0440\u0436\u0430\u043d\u0438\u0435 \u0441\u0430\u0445\u0430\u0440\u0430 \u0432 \u043a\u0440\u043e\u0432\u0438) \u0438\u043b\u0438, \u043d\u0430\u043e\u0431\u043e\u0440\u043e\u0442, \u0433\u0438\u043f\u043e\u0433\u043b\u0438\u043a\u0435\u043c\u0438\u044f (\u043f\u043e\u043d\u0438\u0436\u0435\u043d\u043d\u0430\u044f \u043a\u043e\u043d\u0446\u0435\u043d\u0442\u0440\u0430\u0446\u0438\u044f \u0432 \u043a\u0440\u043e\u0432\u0438 \u0433\u043b\u044e\u043a\u043e\u0437\u044b).<\/p>\n<p>\u0418\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u043a\u0440\u043e\u0432\u0438 \u043d\u0430 \u0441\u0430\u0445\u0430\u0440 \u043e\u0431\u044b\u0447\u043d\u043e \u0432\u0445\u043e\u0434\u0438\u0442 \u0432 \u0441\u043e\u0441\u0442\u0430\u0432 \u0431\u0438\u043e\u0445\u0438\u043c\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0430\u043d\u0430\u043b\u0438\u0437\u0430 \u0438 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u0442\u0441\u044f \u0434\u043b\u044f \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u043d\u0430\u0440\u0443\u0448\u0435\u043d\u0438\u0439 \u043e\u0431\u043c\u0435\u043d\u0430 \u0432\u0435\u0449\u0435\u0441\u0442\u0432.<\/p>\n<p>\u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f \u0434\u043b\u044f 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\u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f);<\/li>\n<li>\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b \u0433\u0438\u043f\u0435\u0440\u0433\u043b\u0438\u043a\u0435\u043c\u0438\u0438: \u043f\u043e\u0441\u0442\u043e\u044f\u043d\u043d\u043e\u0435 \u0447\u0443\u0432\u0441\u0442\u0432\u043e \u0436\u0430\u0436\u0434\u044b, \u0447\u0430\u0441\u0442\u043e\u0435 \u043c\u043e\u0447\u0435\u0438\u0441\u043f\u0443\u0441\u043a\u0430\u043d\u0438\u0435, \u043f\u043e\u0442\u0435\u0440\u044f \u0432\u0435\u0441\u0430 \u0431\u0435\u0437 \u0432\u0438\u0434\u0438\u043c\u044b\u0445 \u043f\u0440\u0438\u0447\u0438\u043d;<\/li>\n<li>\u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b \u0433\u0438\u043f\u043e\u0433\u043b\u0438\u043a\u0435\u043c\u0438\u0438: \u0443\u0447\u0430\u0449\u0451\u043d\u043d\u043e\u0435 \u0441\u0435\u0440\u0434\u0446\u0435\u0431\u0438\u0435\u043d\u0438\u0435, \u043f\u043e\u0442\u043b\u0438\u0432\u043e\u0441\u0442\u044c, \u0433\u043e\u043b\u043e\u0432\u043e\u043a\u0440\u0443\u0436\u0435\u043d\u0438\u0435, \u0441\u043f\u0443\u0442\u0430\u043d\u043d\u043e\u0441\u0442\u044c \u0441\u043e\u0437\u043d\u0430\u043d\u0438\u044f, \u0441\u043b\u0430\u0431\u043e\u0441\u0442\u044c \u0432 \u043d\u043e\u0433\u0430\u0445, \u043e\u0437\u043d\u043e\u0431, \u043f\u043e\u0441\u0442\u043e\u044f\u043d\u043d\u043e\u0435 \u0447\u0443\u0432\u0441\u0442\u0432\u043e \u0433\u043e\u043b\u043e\u0434\u0430, \u0434\u0440\u043e\u0436\u0430\u043d\u0438\u0435 \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0435\u0439;<\/li>\n<li>\u043c\u043e\u043d\u0438\u0442\u043e\u0440\u0438\u043d\u0433 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0441 \u0441\u0430\u0445\u0430\u0440\u043d\u044b\u043c \u0434\u0438\u0430\u0431\u0435\u0442\u043e\u043c;<\/li>\n<li>\u043c\u043e\u043d\u0438\u0442\u043e\u0440\u0438\u043d\u0433 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(\u043d\u0435\u0439\u0440\u043e\u043b\u0435\u043f\u0442\u0438\u043a\u043e\u0432, \u0441\u0442\u0435\u0440\u043e\u0438\u0434\u043e\u0432);<\/li>\n<li>\u043c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u043d\u044b\u0439 \u043f\u0435\u0440\u0438\u043e\u0434 \u0443 \u0436\u0435\u043d\u0449\u0438\u043d.<\/li>\n<\/ul>\n<p>\u0412\u043e\u0437\u043c\u043e\u0436\u043d\u044b\u0435 \u043f\u0440\u0438\u0447\u0438\u043d\u044b \u0444\u0438\u0437\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u044f \u0443\u0440\u043e\u0432\u043d\u044f \u0433\u043b\u044e\u043a\u043e\u0437\u044b \u0432 \u043a\u0440\u043e\u0432\u0438:<\/p>\n<ul>\n<li>\u0447\u0440\u0435\u0437\u043c\u0435\u0440\u043d\u044b\u0435 \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043d\u0430\u0433\u0440\u0443\u0437\u043a\u0438,<\/li>\n<li>\u0433\u043e\u043b\u043e\u0434\u0430\u043d\u0438\u0435,<\/li>\n<li>\u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0434\u0438\u0435\u0442\u0430,<\/li>\n<li>\u0443\u043f\u043e\u0442\u0440\u0435\u0431\u043b\u0435\u043d\u0438\u0435 \u0441\u043f\u0438\u0440\u0442\u043d\u044b\u0445 \u043d\u0430\u043f\u0438\u0442\u043a\u043e\u0432.<\/li>\n<\/ul>","protected":false},"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[953],"product_tag":[],"class_list":{"0":"post-9246","1":"product","2":"type-product","3":"status-publish","5":"product_cat-teste-de-biochimie","7":"first","8":"instock","9":"sold-individually","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product\/9246","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/comments?post=9246"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=9246"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_brand?post=9246"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_cat?post=9246"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/product_tag?post=9246"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}