Question: I am 32 years old. With 5 years of sick CD. There preproliferative retinopathy 2ST. and pyelonephritis. For a long time diabetes was uncompensated. Now HS 6,3% but often gipy. Insulin doses change frequently. Answer please, Is it a big risk of having a sick child and whether there is a chance
Answer: 1. The risk of type 1 diabetes in a child (not occurring at birth, but as a child) does not depend on your experience of diabetes and complications and very low (2-3%). 2. At your age and complications of pregnancy "is not prohibited" (absolute contraindication – 3 tablespoons progressirvyuschaya retinopathy (proliferative), to the relative contraindications include age over 38 years), see details at http://www. diabet-news. ru / doc / algo. shtm # (section 16). But of course, for a normal pregnancy is desired using your (or another – versed in the problem), an endocrinologist and the possibility of consulting a specialist center "Diabetes and pregnancy."
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Question: Tell me please, is it possible for LEDs of type 1 have a second child? Or is it better to abandon such thoughts? Experience 18 years of diabetes, the child 7 years old. Pregnancy was at narmalnyh sugar. In the second half of the acetone was determined continuously with a low sugar (3,2-4).
Answer: Yes, of course. Many doctors "in the old" forbidden, because priploho controlled diabetes (which in most cases imelomesto earlier), the risk of adverse outcomes for the child or for materidostigal 30-50%. But today, with good diabetes control, proper management of pregnancy (in a specialized center "Diabetes iberemennost"), its planning and preparing for her number oslozhneniyberemennosti with SD did not exceed those of women without CD (Saint Vinsentskayadeklaratsiya, 1989). Therefore, if you really want to have a baby, 'Net "diabetes" contraindications to pregnancy (they are a little bit – tyazhelayadiab. Nephropathy, a heavy defeat fundus, breach motorikikishechnika and others – set out on http://www. Diabet-news. Ru / doc / algo. shtm #, section 16) – you can be pregnant without any complications for you ilirebenka. To do this already in the planning stage to contact the Center Gestational diabetes (eg, in Moscow – in the City hospital № 1; in other cities can learn from the directory "Who's Who in the world of diabetes"). Patients with SDprovodyat re-training in the School of diabetes, with an emphasis on pregnancy, ipomogayut keep the sugar in normal before conception and throughout pregnancy. In this case, the outcome will be good.
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Question: Good morning, six months ago was diagnosed with hypothyroidism and began taking the hormone from 50 mcg to 100 mcg. After 3 months there were unpleasant symptoms of heart-ache, nausea, weakness, sweating, lump in the throat. Passed tests: T3sv. -7. 8 (rule 3. 2-7. 2), T4 St. -19. 3 (9-22), TSH-0, 011 (norm 0. 4-4. 0), AT-TG-41 (normal less than 40), Ab-TPO-less than 10. 0 (less than 35). Reduce the dose again to 50mkg. 28 avgusa retake analysis-all in the normal dose left unchanged. We learned that she is pregnant, the period of 6 weeks. Again concerned heart and a lump in my throat, sometimes toschnit (evening), no other signs. Can it be that the thyroid gland in relation to pregnancy has earned better? Analysis prescribed me again after 2 weeks. I am very worried for the health of the baby, is not dangerous if overdosed? And what are these signs of discomfort? Perhaps, on the contrary, they suggest that a larger dose? Very worried. Will prizntelna for the answer
Answer: 1. Do not worry:) 2. During pregnancy the thyroid gland does not begin to work better – on the contrary, the demand for it increases hormones, so the dose of thyroxine to the 2 nd half of pregnancy increased from baseline by approximately 50%. These symptoms may be associated with pregnancy, about the lack of hormones, they just do not say. But the symptoms of hormone levels in the blood is difficult to pinpoint, and therefore need the hormone analysis for dose adjustment. There is really no need to change the dose of thyroxine (more so – that it can change only by a doctor to receive full-time), wait for test results (2 weeks – this is a normal period before – not needed). Then the dose will be adjusted endocrinologist on the results of tests (TSH + necessarily svT4). Overdose during pregnancy is less dangerous than the lack of hormones.
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Question: Recently, measuring the sugar level, he was 7. 3 empty stomach. I want to know how much it is dangerous, despite the fact that already three years does not use sugar in any form (even juice, if it is written about the sugar in the content). The fact that about three years ago, I noticed that the consumption of products containing sugar, I started obrazovovatsya oozing sores on his face (diathesis?), And from year to year the necessary amount of sugar for the appearance of this effect became smaller. On fructose (pure fructose, honey, fruit) such a reaction is no. Since about half a year ago, not looking at the content, drank half liter of pomegranate juice (as it turned out there was a sugar). After about 30 minutes I have sharply deteriorated state of health, blood pressure was 43/90 (measured on the E. Apparatus). About an hour later he was released. Heredity – I know that my grandmother was ill insulin-dependent diabetes. Say it with me
Answer: 1. Sugar, who is in the blood, "comes" there is not only from products containing sugar. In the organism it is synthesized from other substances, so its level in the blood can be raised, even if you do not consume these products. 2. Sugar fasting 7. 3 – is a high level (See "Diagnosis of diabetes – FAQ"). It is necessary to visit an endocrinologist, re-define the sugar on an empty stomach (there are some standard conditions for a proper survey). Quite possibly, the doctor will appoint you a treatment, normalizing blood glucose levels.
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Question: Dear Oleg! I'm 36 weeks of pregnancy (32 years). Pregnancy first and I feel good. Analysis of blood sugar showed a result of 6. 6 (?). Endocrinologist immediately appointed a detailed analysis: daily urine (result = no sugar) and glycemic blood (result = sugar fasting – 3,8, 2 hours – 6. 0). It was diagnosed with a predisposition to GIST. diabetes. Before pregnancy and in early pregnancy with sugar problems have never been (at 12 weeks of pregnancy glikemich analysis showed. 4 3 and 4. 8, respectively). In general, a diet, constant control of blood glucose sugar, glycosylated hemoglobin and lose weight, because of the pregnancy has already gained 12 kg (with normal endocrinological should not exceed 10 kg), although I now weight 66 kg with an increase of 168 and gynecological standards such as in the standard fit in (but for some reason the rules are different). I was alerted to such recommendations, and I'm not quite sure of their validity and necessity. Can you please tell how valid these recommendations and what to do? Is there a predisposition to GIST. diabetes and the threat to the child? Sincerely, Elen
Answer: In pregnancy may increase the level of sugar (gestational diabetes), and it is really threatening the child and increases the risk of pregnancy complications for you. This diagnosis can be made on the basis of the test with a "sugar-laden" (the definition of sugar before and 2 h after receiving 75 g of glucose in the form of sugar – you have to understand you such a test is conducted…), Or if twice (on different days ) was detected above the normal fasting sugar (above 6. 1 of thumb, above 7. 0 of veins). Do you have these formal criteria there, so there is no basis for a diagnosis. But once the sugar above normal identified (possibly – laboratory error, possibly – unusual food before, because of what some sugar rose). Therefore, caution does not hurt – really, is keep to a diet with the exception saharopovyshayuschih products (see FAQ about gestational diabetes). Pregnancy – not the best time for weight reduction, and in 36 weeks later, his cut. Now you can calmly prepare to leave (there is no stable high sugar, so do not worry), after giving birth – make sure that there was no weight gain, the weight is gradually returned to what it was before pregnancy (proper diet + sufficient physical activity).
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Question: My boyfriend diabetes, every day three times colitis insulin, I can give birth to a healthy baby? what the likelihood that the child will not be diabetes? colitis s15let! 2
Answer: See FAQ under "Inheritance", "Pregnancy".
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Question: 'll Show please. In the morning went to work as usual, came to the director and he did not like my appearance. After 3 hours, I drank a slew heart medication and another 15 minutes has started to trust, heart bitsya very, very thirsty. And then I began to feel that falling in obmorog. They let me go home I could barely barely reached well that I live close by. I went to was a very strong weakness I popila water and I vomited. I thought that here that's going to die. After 20 minutes it became easier. The next day I went to the doctor delivered the blood 6. 2, it said that a little above the norm. But toshnata and dry twigs remain. I sometimes even if I do not sing tresuchka it started after birth and at that moment I wanted sweets. but this time I did not want sweet just repeat what is happening to me 4 years only very strongly. What's wrong with me could it be
Answer: you described the symptoms (in the day came when the director) are not typical for hypoglycemia – more likely that it was a violation of regulyartsii cardio-vascular system, triggered by emotion. Sugar (if it is determined PCP) – is above the norm, ie, no hypoglycemia (check out the FAQ on the diagnosis of diabetes), but to talk about improving – to do the analysis in a calm day (on the background of conventional power, regardless of acute illnesses and t . etc). "Boy, if you do not eat" – at this point it is desirable to measure the level of sugar (you can take a blood glucose meter rent) – in major cities such service exists. If it is below 3 mmol / l – show the results endocrinologist (see FAQ "Hypoglycemia without diabetes).
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Question: My child 5 years old. Recently passed blood sugar Indications 5,1 Say this much, or within normal limits. And in general what rate of sugar in the blood of children. How do I know is a child to diabetes or not, which would complement. to pass tests? Thank
Answer: Norma in children and adults is the same – to 5. 5 empty stomach (for more details – see the FAQ on the diagnosis). 5. 1 – is the norm. Predisposing factors – availability of LEDs with relatives and excess weight in the child. More extensive survey does not make sense, because in any case, the main method of prevention – reducing the weight when it is abundant and sufficient physical activity.
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Question: My mother (86let) disabled 2-nd group. She has coronary artery disease and rheumatoid arthritis. It takes constant medication prescribed by doctor. For about a week in her hands grow cold on both hands. So she feels dryness in the mouth and private urination. She donated blood sugar. The doctor said that the analysis in the normal range. Besides my mother's severe dizziness. Practitioner all the time refers to the age. Tell manifests itself as diabetes mellitus in the elderly? What indicators show the presence of the disease
Answer: The main criterion for diagnosis – fasting blood sugar (see the rules in the FAQ on the diagnosis). In elderly patients more informative diagnostic test may be a "Load of Sugar (sugar before and 2 h after ingestion of 75 g glucose syrup form), but to insist on his holding is worth only if my mother found sugar in the overall analysis of urine . If sugar is normal – that dry mouth and frequent urination should look for another explanation. If higher than normal – it must be to an endocrinologist evaluated the results of the analysis, the conclusion on the diagnosis and prescribe treatment (usually the first step in treatment of CD in older patients is a diet and weight loss when it is abundant).
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Question: My dear doctor. Maybe my question does not apply to your practice, but I beg help allay my fears. I'm 48 years old, sick IDDM 13 years. For almost a year very sore right arm. The pain starts at the shoulder and gave the elbow and then in the fingers. In July, apart from anything I recognized tuberculosis of the right lower lobe bronchus. We take anti-TB drugs, in the bronchi do fill kanamycin with tubazitom. My question of pain in the hand can not be associated with tuberculosis, bone or joints in the hand, may be an infection got there? "What are obvious signs of the disease. At the hospital, no surgery, and without it no picture shall designate an attending physician said that the hand is not in his competence. Neurologist watched, made the appointment and Medokalm Keterol puncture. But I think what if it is tuberculosis and nothing I will chop and so there is no living space from the injections. In his hand this tyanuchaya pain analgesics and massage does not help. The hand does not rise high and stopped gadfly ago. The pain is present almost constantly. At night I sleep on my stomach Bending the arm at the elbow and pressed it to his body.
Answer: Such pain (along the arm) are characteristic of the nerve roots (with osteochondrosis and other diseases of the spine) – so the neurologist recommended that drugs that reduce radicular pain. For the complications of diabetes such pain is not typical for tuberculosis – most likely, too. To eliminate tuberculosis of bones really done their X-ray, but do not about any pain in the extremities in patients with tuberculosis do X-rays! There are other signs are identified in the survey, which suggest, likely bone tuberculosis or not. In any case – manifestations associated with bone tuberculosis, will fall under the influence of anti-TB drugs. In an extreme case, if in doubt – write Phthisiology (on our forum or anywhere else) detail the history of tuberculosis, ask whether there are grounds for X-ray study (If the background of injections, the pain will not work before:)
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