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crcirorut l6 iN(:Rr,t I
Rr
iN BoLt NtttABollcf,
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al
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.:ir d
sc
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M..1
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na
h
i
llt tc.tut1l
i
i
li..\trlo.Lt
e hn
ititi or
lal
icetu i.
i.
-
in DZr
deieirniniriLe se
efecrucrd zilnic
prprandirl
5i
pdnprrndirL
(h
2.rcdunr nrsli)
rioidccdtcorii
crincrcni'nenteneprdizurccareDodiicioranrlsidozclcdcin$Llini
(in
consccinr.
alimcd.tio)i
-
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pc
saiprifiinrl
sc lisc
ptulil
lliccnic
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in DZ2
dcbnninirile
se
frc
sirri,ntnal
-
prcidtulcdeinstrultsi i.tetermlnesineurgliccDiafolosindglucomortrl:
pacientul
csrc
Ncrtizat
ci
tchnicr
dclcmir.riiD.rrc\zria urtr
in
turcli. dc
rDlrar:
tiaci
tocicntul
oD rulhuliri dc
vcdcrc
(rclinoprric)
dctcnrinarcr
va
li ti.uri d. un
qio(inilorir$ruir
sdu
dc
asislcnh nrcJi0ali.
tcsie
ddive
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trmari.e:
sc
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a uscafodc
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uncdll
nu
sc
rb
.c.z.
picrirun)i
se hicapa
larcnl la
n
ivclu
I n ltinci
talnng.:
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se
irerge
prin
ficib.i
cuun
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se
loncui
a d.u
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carc
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al
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e\te
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un
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lucru
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ljzMla
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lc$clc
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tic
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vxlabiliraie,
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tiind
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uscari
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bxndclcrci nu
rebuicarins;
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tip
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esrc
spccitici trntri
anu'nir ril
de
glu.onerrj
'
Sliccmi.
ftdohrti
din sangc capild cnc cu
aproxinarn
20
mg
ma1
naft
ieciit .cr
recoLtrtAdin
snrgc c
yenos.
,,1I.()RILE
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NORMAI,I' INDIFERI:NT
D]:
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M(OLTiRII
SIJN1
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iNTRE
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r
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avor
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ril
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gn
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sc
ncmin
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)
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j
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uhrd
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in
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nu
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poatc
si
bcr xpi:
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gl
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i
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i
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nt dclcrnrinatc
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at
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ori
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ctrcrueaza
TTC(J cu
IO(]
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I
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i
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gli.ozirate
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ro)
Sc
rciira Ltuvdluam
pc
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r
n
ilclclor
slrice
medii
alcEtucozci.
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nl
&lnge
prin
purcric
vcno$r inrr
un
vrnum
cu
ciF.
ri.
ld
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soli.il, nn
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tic
hhomlor
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cvalLD rlorilc
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alc
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o
lcrloodti
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dc
vlrlalii
pc
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Dcs..
eron
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medic.mcnr.
t
6,4
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ninhl
rrre,
i
ns
ulinei
pentru
asiaurarca supmvleunii
cu dirbcl zahamr rip l:
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pcnh
cofuolul glicemiilor
la
pacicdii
cu
diaber
zahant
rit 2
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oralc
conblnatecu
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-
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MONITORILOF
C^LAL
ROMAN E
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mnilLctr
r' I n
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ti.
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r sc
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MON'IORULOFCALALROMANIE
-
cloaul
izic dererniine
crcsrcrca
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ri,
rcspcc(
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mi
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glucidclc
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atincnrle
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-
tu cic ncddsrr
dezinicctia
cu
alcool.
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rclliari
igicni/rrea
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se
loloscitc
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se
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ru
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ni
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hcc nr pliu
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unghi
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{G
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rimp l
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ara d
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sc scol
d in
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bon
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mentiircrcr
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licc
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esie
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iceea, pentru
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perlure il
du'lta
pertuziei
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-
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or
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cu
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el
ioozlria.
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{
podc
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i
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ra
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hipotc
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i6.6 Rolul Nhrentului
ncdicrl
in hlDoslitomir
Ilitoglicchlr
reprernl,
sciderer
glicenriei
sub
50
ng/dl
osocirt, cu
simrbne
candcLieicc
crre dispardupa
adrrinhnarm dc
glucozn.
ln
ca?ul
hipogliccuici csrc
impon
c.ndiriilc do dDdriLici
-
nuni
liiirilc
c
linicr \i
ptubclc
dc laboDtlr:
-
prcvcnifu
\itardmcnrlL.
-
nahilettedieqh
tidtl .lc
hilhqlidri :
ldbiletc,luh|I
tuape
tiL
rccu r oa
$t
scmclc
hipogli
c.ni
ci si
ideD
r ilicd
cau zclc/.
-
rcordil
prn
rl ajllor in c,
de l,ipogliccmic,
confom
tmtocoalotdr
cxisreDre
i
apli.a
supraveghclzn
ti
inEnjc$cnrcidrul.
i
ngrij
i.d
prci.ntu
lui
cu
hiDoglic en
ie
r)
Recun0r(erex schncldr
ri
simptdnelor
htpogliccrrici
ScnnD
i
sihptohc
d.tmninlrc
dcrciclia
sislcmuhiiwos
sinrpaticl
tinspiralii pielc
uncda
sirccci
crcsrcrci
rcnsiLmii
dncridc:
7/26/2019 tewtewtew
8/9
MONITOR
L OFICIAL
A
ROMANE
Scrnne
ti
s'mptom.
de
nrurclhcdnen
e:
-
scizalia
de
cap
gtuj
-
cefalcc
(&onrdli
$i
Er@rlit
E)i
-
sidbiciunc
musculari:
-
romnun.mcnr
rg(sivj
rulbtrriride(ompodamcori
"no1.
irpzmiezu
, o
?e.
LmbJ. uncon
tdd.eere.c
n
imrtor:
.
tulburai
dc \eJcrc
(\edeE
dubll
in cearr)
rulburan
de
coDpotucnti
b) I dcnllli.orer
cx
uzcl
o
r hip
dgri.cnicj
-
lipsa
bidruorbondrcldr
sau ingesria
insuticientnl
eadan'@d.z
o. iBut
I h
ctnnsu r:osanumuiui{oh
Tnjr
J.
Ctu.
de,
doza dc
rnsulnt
inodcc
rE
rcnanjzaG
Dehesei
rdninisEarddnorDcd'r
cnrc
cl
Aplicarci
phtrutui
tcmpeu .,i
conbrrcrea
htpo8usmicj
,n
cdn.omirzt
cL
tobco,
etc
de
mgrt
rc
i'
dc
mo'ncnrulapiririeiscmnelor
snDroDclor
Di.igj.m
J
d{
vuHii
r
7/26/2019 tewtewtew
9/9
vo^r'oq-L or
L'AL
ar
RovA L
hid..c ftonatclc [Pid
rbsorbite
carc
sc
adnrinhrrcui
nr
hipliccmic sunt in
oidin.a
prcl.rimci:
rrbloro
dc
ghrco7ii,
za[nr,
sucuriJc
lftorc
ind0bnc
cu
zahir.
biuuri r,co
loaE
4
zdhtr
{pcpsi
j
.o.a cold.llnra)l
,
h 15-20 miDure,
se
'ni$rri
gliccnia
si.
drcinus lrcnibilir,
se rcpda
proccdm
p;inii
lr
rczo lv.rca cn isodu lui
hipogliccmic
i
D.cl
pacientul
dirbetic
cu
hinogliccmic
c$c
.onlu4
ry
i..
lJre,inti
lcnto
c
in milcari
i
-
ceo
srpiavc-lhod
pcnndNtrr
dc
pcFoanclcdin
drlunjr
sc vr rplicx
t
r.ncdtul
indi.d:
rdmlnivrdrca dc lucdzr srr
glu.agon.
Drcn
pacieDrul
pezinti insmus, n poar.
dcschidc
gu.a. soluria de glucozd
sau
zahar
sc
innlducc
in spaliul
dintue obrdz
sirrcadcLe
defbre
caDdF.ieniulaE
rciicx dcdcgluririe
'
rbshla
tufexului
dc dcEh
iilc rccLm. .dministrdca
dc
nrscnii
a
hrrrnrentului
injccrobil
cuslucaqon sru
qLL'co/t.
sc
tol.*rrc
solulic dc
sluco,i
l0
20%
crrc
sc
injecrcaza
stict
intravcnos
dc
citc
o
asistcnti
mcd icr ld sub
supr"vcrhcrca u
nu
i
Drcd
ic.
Ad$inishrca
glu.dgonului
poalc
fi licurt i.rftnNcde
in
cddrmd
$Lpco clcn tisicr
gluclgonul(fiolr
de
rme) rrblic rt fic in remen dd vallbiLiretc,
sc
pi$rcr/ii
in ftgider:
-
tiola
dc
ghcagon
esle insolii de
tuoonul
cu solveDt
$i
scrirya
adccv.rii
-
sc inkodu.c irin
flnconul
cu sol\tnr:
-
ie dspiri $lvenlulSi setansfcri
jn
naconulcu
glucrgon:
se
agiti
blald
pani
se
dizoLvi:
d)
suprrvesherea
$
edu.,li{
p,cicntului
ltuicntlLraii
n$ruit cum
poale
prelen
i
lipogli
ccmia:
-
sa-9i nolczciDlnnced
snrylonclc cmc.u
rvenizar hipogliccmial
-
si
dr.urc
cu nledictrlcxuelc
hinoglicemiei
crrc
poaic
mo,lilicd
scbcni
dc rrabNnr:
-
siijitesre?e gliccniapcnlru
o
anumild
Dcrioadii
dc timpdtrp,
hipdglicemici
si
aibn pcnnancnt
asupF
luitablcrc
dc
glueT'i
satr 7i[&
si
si
co'sunc
cend arrrr
senrne
sc cviri {limcnrclc
g
ro
-
dxci
dinin.ab
sunr
sc'nnc
dc
ncubglicopenic.
sc ccrccrcrd
gliceNia
ir limpul mprii:
si consume
un suplind dc
glucidc
atuncicind
lacc
un
efon
izic
slstinur:
-
se
ia
o
Slstarc
nririrzitr
scam
ncmtu
a
DEveri
hilosliccmii
nocrunri
'
si
schinbe kJcuL injerrirli
DenrD
cvilarca
linodis ofici hipcntunce
c.rc
impiedicr
siJicontrolczc
gliccnia
cind
sc
urui
h
volrn
sau p.
bicicieri
d
sa
iicdle,r
saconduci
ln
ccl
mri
mic icnn
dc hipoglicdni..
Pacrcntul thbuic dcnli.nar
c, hipoglicerniile
scvdc
$i
pi.lungire
pot
c.nduoc
h ccrana
ncvemibili
rsisic'nnlri
nctr s