{"id":158736,"date":"2019-05-18T12:18:26","date_gmt":"2019-05-18T09:18:26","guid":{"rendered":"http:\/\/www.tvturk.com\/index.php\/diyabet-hastalarina-oruc-uyarisi-hekim-gorusu-almadan-oruc-tutmayin\/"},"modified":"2019-05-18T12:18:26","modified_gmt":"2019-05-18T09:18:26","slug":"diyabet-hastalarina-oruc-uyarisi-hekim-gorusu-almadan-oruc-tutmayin","status":"publish","type":"post","link":"http:\/\/www.tvturk.com\/index.php\/diyabet-hastalarina-oruc-uyarisi-hekim-gorusu-almadan-oruc-tutmayin\/","title":{"rendered":"Diyabet hastalar\u0131na oru\u00e7 uyar\u0131s\u0131: Hekim g\u00f6r\u00fc\u015f\u00fc almadan oru\u00e7 tutmay\u0131n"},"content":{"rendered":"<p>Uzm. Dr. P\u0131nar Alarslan y\u00fcksek riskli diyabet hastalar\u0131n\u0131n hekim g\u00f6r\u00fc\u015f\u00fc almadan oru\u00e7 tuttuklar\u0131nda; y\u00fcksek tansiyon, beyin damar t\u0131kan\u0131kl\u0131\u011f\u0131, inme ve g\u00f6z dibi kanamas\u0131 gibi ciddi sa\u011fl\u0131k sorunlar\u0131yla kar\u015f\u0131la\u015fabilece\u011fini s\u00f6yledi.<\/p>\n<p>Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Klini\u011fi\u2019nden Uzm. Dr. P\u0131nar Alarslan, tip 1 diyabet ve ilerlemi\u015f tip 2 diyabet olan hastalar\u0131n oru\u00e7 tutmamalar\u0131 gerekti\u011fini belirtti.<\/p>\n<p>\u015eeker hastalar\u0131 oru\u00e7 tutabilir mi? sorusu hakk\u0131nda detayl\u0131 bilgi veren Alarslan, &#8220;\u00d6ncelikle hastay\u0131 takip eden hekimin karar\u0131yla olmak \u00fczere diyabet tipine, s\u00fcresine, kullan\u0131lan ila\u00e7lara ve diyabete ba\u011fl\u0131 organ hasar\u0131 olup olmamas\u0131na g\u00f6re belirlenir. \u0130la\u00e7 kullanmayan sadece diyetle kontrol alt\u0131nda olan diyabet hastalar\u0131 ve ins\u00fclin direnci olan hastalar, doktor kontrol\u00fcnde olmak kayd\u0131yla e\u011fer istiyorlarsa oru\u00e7 tutabilirler. Bu ki\u015filerde \u00e7ok s\u0131k\u0131 kan \u015fekeri takibi yap\u0131lmal\u0131 ve beslenme program\u0131na kesinlikle uyum sa\u011flanmal\u0131d\u0131r. \u015eeker d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7larla kan \u015feker d\u00fczeyleri normal olan hastalar ile g\u00fcnde bir ya da iki kez uzun etkili ins\u00fclin kullanan ve diyabete ba\u011fl\u0131 herhangi bir organ hasar\u0131 bulunmayan hastalar\u0131n oru\u00e7 tutmas\u0131 \u00f6nerilmemekle beraber hasta oru\u00e7 tutmay\u0131 istiyorsa mutlaka doktor kontrol\u00fc ve \u00e7ok s\u0131k kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fc yaparak oru\u00e7 tutabilir. Ancak bu hastalar\u0131n daha \u00f6ncesinde kulland\u0131klar\u0131 ila\u00e7 ve ins\u00fclin dozlar\u0131 hekim taraf\u0131ndan oruca g\u00f6re g\u00fcncellenmelidir. \u015eeker d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc riski nedeniyle ins\u00fclin dozlar\u0131n\u0131n azalt\u0131lmas\u0131 g\u00fcndeme gelebilir&#8221; dedi.<\/p>\n<p>Medical Park \u0130zmir Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Klini\u011fi\u2019nden Uzm. Dr. P\u0131nar Alarslan, \u015f\u00f6yle devam etti:<\/p>\n<p>&#8220;Oru\u00e7 tutmay\u0131 planlayan hastalar\u0131n \u00e7ok s\u0131k kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fc yapmalar\u0131 ve yapt\u0131klar\u0131 bu \u00f6l\u00e7\u00fcmlerde kan \u015fekerleri 70 mg\/dL alt\u0131 ve 300 mg\/dL \u00fczeri oldu\u011funda veya kendilerini k\u00f6t\u00fc hissettiklerinde hayati tehlike riski nedeniyle orucu b\u0131rakmalar\u0131 gerekmektedir. Sindirim ve emilimde gecikme olmas\u0131ndan dolay\u0131, sahur vaktinde karbonhidrat i\u00e7eren besinleri t\u00fcketebilirler. \u015eeker d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc riski a\u00e7\u0131s\u0131ndan da sahur yeme\u011fi m\u00fcmk\u00fcn oldu\u011funca ge\u00e7 yenilmelidir. S\u0131v\u0131 al\u0131m\u0131nda iftar sonras\u0131 artt\u0131r\u0131lmas\u0131 gerekir; ancak fazla miktarda \u00e7ay ve kahve t\u00fcketimi idrar \u00e7\u0131k\u0131s\u0131n\u0131 art\u0131r\u0131p susuzluk hissine neden olaca\u011f\u0131ndan \u00f6nerilmez.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>UZM. DR. PINAR ALARSLAN Y\u00dcKSEK R\u0130SKL\u0130 D\u0130YABET HASTALARININ HEK\u0130M G\u00d6R\u00dc\u015e\u00dc ALMADAN ORU\u00c7 TUTTUKLARINDA; Y\u00dcKSEK TANS\u0130YON, BEY\u0130N DAMAR TIKANIKLI\u011eI, \u0130NME VE G\u00d6Z D\u0130B\u0130 KANAMASI G\u0130B\u0130 C\u0130DD\u0130 SA\u011eLIK SORUNLARIYLA KAR\u015eILA\u015eAB\u0130LECE\u011e\u0130N\u0130 S\u00d6YLED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":158737,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[15512,10678,19476,3716,5482,9653,35165,914],"class_list":["post-158736","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-almadan","tag-diyabet","tag-gorusu","tag-hastalarina","tag-hekim","tag-oruc","tag-tutmayin","tag-uyarisi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/05\/diyabet-hastalarina-oruc-uyarisi-hekim-gorusu-almadan-oruc-tutmayin_a45f1df.jpg?fit=1000%2C723","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-Fig","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/158736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=158736"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/158736\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/158737"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=158736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=158736"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=158736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}