{"id":10452,"date":"2007-01-01T02:00:00","date_gmt":"2006-12-31T23:00:00","guid":{"rendered":"https:\/\/www.synevo.ro\/afectiuni\/profil-monitorizare-diabet-zaharat\/"},"modified":"2020-07-10T14:24:39","modified_gmt":"2020-07-10T11:24:39","slug":"profil-monitorizare-diabet-zaharat","status":"publish","type":"synevo_diseases","link":"https:\/\/old.synevo.md\/ru\/afectiuni\/profil-monitorizare-diabet-zaharat\/","title":{"rendered":"Profil monitorizare diabet zaharat"},"content":{"rendered":"<p><strong><span style=\"color: #000080;\">Diabetul zaharat<\/span><\/strong> este o boal\u0103 cronic\u0103 care necesit\u0103 un control medical permanent, complex, \u00een scopul prevenirii complica\u0163iilor acute \u015fi reducerii riscului apari\u0163iei complica\u0163iilor pe termen lung.<br>Monitorizarea pacien\u0163ilor diagnostica\u0163i cu diabet zaharat prin teste de laborator, const\u0103 \u00een primul r\u00e2nd \u00een controlul glicemiei, al\u0103turi de teste care detecteaz\u0103 eventuala prezen\u0163\u0103 a complica\u0163iilor acute sau cronice.<\/p><!--more--><p><strong>Controlul glicemiei<\/strong> este fundamental \u00een managementul diabetului. Conform studiilor clinice efectuate (USA, Diabetes Control and Complications Trials \u015fi U.K. Prospective Diabetes Study), \u00eembun\u0103t\u0103\u0163irea controlului glicemiei se asociaz\u0103 cu sc\u0103derea frecven\u0163ei complica\u0163iilor microvasculare (retinopatiei, nefropatiei \u015fi neuropatiei).<\/p><p>Determinarea hemoglobinei glicozilate (Hb A1c) ofer\u0103 mai multe informa\u0163ii dec\u00e2t determinarea unei glicemii izolate, deoarece ea reflect\u0103 nivelul mediu al glucozei sanguine \u00een cursul ultimelor 2-3 luni anterioare test\u0103rii. DCCT \u015fi UKPDS recomand\u0103 ca \u201c\u0163int\u0103\u201d o HbA1 de ~7%.<\/p><p><strong><span style=\"color: #000080;\">Complica\u0163iile diabetului<\/span><\/strong> care pot fi monitorizate cu ajutorul testelor de laborator includ:<\/p><p><strong>Nefropatia diabetic\u0103 (NFD), <\/strong>manifestare a microangiopatiei diabetice, poate fi diagnosticat\u0103 \u00een stadii precoce prin determinarea albuminei urinare, parametru chiar mai important dec\u00e2t filtratul glomerular.<\/p><p>Determinarea microalbuminuriei se va face anual la pacien\u0163ii cu diabet de tip 1 de cel pu\u0163in 5 ani \u015fi la to\u0163i pacien\u0163ii cu diabet de tip 2; unii pledeaz\u0103 pentru screeningul copiilor la pubertate \u00eenainte de 5 ani de evolu\u0163ie DZ. Interesul pentru depistarea afect\u0103rii renale \u00een stadii precoce rezult\u0103 din constatarea c\u0103 \u00een aceast\u0103 etap\u0103, prin m\u0103suri specifice, tulbur\u0103rile pot fi reversibile sau atenuate ca ritm de evolu\u0163ie spre IRC.2 Creatinina seric\u0103 trebuie m\u0103surat\u0103 cel pu\u0163in anual, pentru estimarea ratei de filtrare glomerular\u0103 la to\u0163i adul\u0163ii cu DZ \u015fi stadializarea eventualei afect\u0103ri renale.<\/p><p><strong>Dislipidemia \u2013 <\/strong>Pacien\u0163ii cu DZ tip 2 au o inciden\u0163\u0103 crescut\u0103 a tulbur\u0103rilor metabolismului lipidic, care contribuie la apari\u0163ia afec\u0163iunilor cardiovasculare.<\/p><p>Monitorizarea, av\u00e2nd ca \u0163int\u0103 sc\u0103derea LDL colesterol, cre\u015fterea HDL colesterol \u015fi sc\u0103derea trigliceridelor are drept consecin\u0163\u0103 reducerea afec\u0163iunilor macrovasculare \u015fi a mortalit\u0103\u0163ii la pacien\u0163ii cu DZ de tip 2, \u00een special la cei cunoscu\u0163i cu boal\u0103 cardiovascular\u0103.<\/p><p><strong><span style=\"color: #000080;\">Recomand\u0103rile ANA (American Diabetes Association) privind nivelul lipidelor la pacien\u0163ii cu DZ tip 2 sunt<\/span><\/strong>:<\/p><ul class=\"wp-block-list\"><li>LDL-colesterol &lt; 100 mg\/dl<\/li><li>TG &lt; 150mg\/dl<\/li><li>HDL-colesterol &gt; 40mg\/dl\u00b9\u2019\u00b2<\/li><\/ul><p>Pacien\u0163ii cu DZ tip 1 sunt predispu\u015fi \u015fi pentru alte afec\u0163iuni autoimune: boala Graves, tiroidit\u0103 Hashimoto (\u00een acest scop, determinarea TSH se va face la to\u0163i pacien\u0163ii cu DZ de tip 1; \u00een DZ de tip 2, TSH se determin\u0103 numai dac\u0103 are indica\u0163ie clinic\u0103), boala Addison, anemia pernicioas\u0103, hepatita autoimun\u0103 etc.<\/p><div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\"><div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\"><p><strong>Teste disponibile \u00een laboratorul Synevo<\/strong>:<\/p><\/div>\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"synevo-shop-products\">\r\n    <div class=\"sysprod\">\r\n        \r\n        <div class=\"sysprod-products\">\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/glucoza-serica-glicemie\/\">Glucoz\u0103 seric\u0103 (glicemie)<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>80.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9246\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9246\"\r\n                                data-product_sku=\"CH41\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/glucoza-urinara\/\">Glucoza urinara<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>75.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9247\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9247\"\r\n                                data-product_sku=\"CH42\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/hemoglobina-glicata-hb-a1c\/\">Hemoglobina glicata (Hb A1c )<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>285.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9252\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9252\"\r\n                                data-product_sku=\"CH30\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/profil-lipidic\/\">Profil lipidic<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>255 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9404\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9404\"\r\n                                data-product_sku=\"CH66\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/albuminurie-raport-albumina-creatinina\/\">Albuminurie &#8211; raport albumin\u0103\/creatinin\u0103<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>270 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=11904\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"11904\"\r\n                                data-product_sku=\"CH290\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/creatinina-serica\/\">Creatinin\u0103 seric\u0103<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>70.00 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9204\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9204\"\r\n                                data-product_sku=\"CH26\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                            <div class=\"sysprod-product\">\r\n                    <a class=\"sysprod-product-title\" href=\"https:\/\/old.synevo.md\/ru\/shop\/tsh-hormon-de-stimulare-tiroidiana\/\">TSH (Hormon de stimulare tiroidian\u0103)<\/a>\r\n                    <div class=\"sysprod-product-price\">\r\n                        <span>Pre\u021b:<\/span>\r\n                        <span>185 lei<\/span>\r\n                    <\/div>\r\n                                            <div class=\"sysprod-product-addcart\">\r\n                            <a\r\n                                href=\"?add-to-cart=9325\"\r\n                                data-quantity=\"1\"\r\n                                class=\"addToCart button product_type_simple add_to_cart_button ajax_add_to_cart \"\r\n                                data-product_id=\"9325\"\r\n                                data-product_sku=\"ME29\"\r\n                                rel=\"nofollow\"\r\n                            ><div><\/div><\/a>\r\n                        <\/div>\r\n                                    <\/div>\r\n                    <\/div>\r\n        \r\n    <\/div>\r\n<\/div>\r\n\r\n<style>\r\n.synevo-shop-products {\r\n    padding: 24px 0;\r\n    margin: 24px 0;\r\n    border-radius: 10px;\r\n    background: #F6F7F9;\r\n}\r\n.synevo-shop-products .sysprod-product {\r\n    position: relative;\r\n    margin: 0 24px;\r\n    margin-bottom: 24px;\r\n    border-radius: 10px;\r\n    background: #fff;\r\n    display: flex;\r\n    flex-direction: row;\r\n    align-items: center;\r\n}\r\n.synevo-shop-products .sysprod-product:last-child {\r\n    margin-bottom: 0;\r\n}\r\n.synevo-shop-products .sysprod-product-title {\r\n    flex-grow: 1;\r\n    padding: 15px;\r\n    margin-left: 14px;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 16px;\r\n    color: #29263F;\r\n}\r\n.synevo-shop-products .sysprod-product-price {\r\n    flex-shrink: 0;\r\n    font-family: Poppins,sans-serif;\r\n    font-weight: 600;\r\n    font-size: 18px;\r\n    color: #FDB813;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart {\r\n    flex-shrink: 0;\r\n    position: relative;\r\n    width: 38px;\r\n    height: 38px;\r\n    margin-left: 24px;\r\n    margin-right: 24px;\r\n}\r\n.synevo-shop-products .sysprod-product-addcart .button {\r\n    top: unset;\r\n    right: unset;\r\n}\r\n<\/style><\/div><\/div><p><strong><small>Bibliografie:<\/small><\/strong><\/p><p><small>1. American Diabetes Association, Standards of Medical Care \u00een Diabetes, Diabetes Care 28:S4-S36, 2005<br>2. Constantin Ionescu T\u00e2rgovi\u015fte, Diabetul zaharat, \u00een Medicina Intern\u0103, Bolile cardiovasculare \u015fi metabolice, Vol.2, 1996, 1167-1241<\/small><\/p><hr class=\"wp-block-separator\"\/><p>Testele de laborator disponibile \u00een laboratorul Synevo:<\/p><ul class=\"wp-block-list\"><li><a href=\"\/shop\/glucoza-serica-glicemie\/\" class=\"rank-math-link\">Glucoza seric\u0103<\/a><\/li><li><a href=\"\/shop\/glucoza-urinara\/\" class=\"rank-math-link\">Glucoza urinar\u0103<\/a><\/li><li><a href=\"\/shop\/hemoglobina-glicata-hb-a1c\/\" class=\"rank-math-link\">A1c<\/a><\/li><li><a href=\"\/shop\/profil-lipidic\/\" class=\"rank-math-link\">Profil lipidic<\/a><\/li><li>Microalbuminuria<\/li><li><a href=\"\/shop\/creatinina-serica\/\" class=\"rank-math-link\">Creatinina seric\u0103<\/a><\/li><li><a href=\"\/shop\/tsh-hormon-de-stimulare-tiroidiana\/\" class=\"rank-math-link\">TSH<\/a><\/li><li><a href=\"\/shop\/urina-biochimie-si-sediment\/\" class=\"rank-math-link\">Urina biochimie<\/a><\/li><li><a href=\"\/shop\/urina-biochimie-si-sediment\/\" class=\"rank-math-link\">Urina sediment<\/a><\/li><\/ul>","protected":false},"featured_media":0,"template":"","synevo_diseases_category":[893],"class_list":["post-10452","synevo_diseases","type-synevo_diseases","status-publish","hentry","synevo_diseases_category-diabet-zaharat-nutritie-si-boli-metabolice"],"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases\/10452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/synevo_diseases"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=10452"}],"wp:term":[{"taxonomy":"synevo_diseases_category","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/synevo_diseases_category?post=10452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}