\u2018Hipoglisemi\u2019nin \u00e7o\u011fu zaman diyabet hastal\u0131\u011f\u0131n\u0131n belirtisi oldu\u011funu ifade eden Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Dr. P\u0131nar Alarslan, hipoglisemi bir hastal\u0131k olmay\u0131p glukoz ve ins\u00fclin metabolizmas\u0131ndaki d\u00fczensizlikten meydana gelir\u201d dedi.<\/p>\n
Medicana International \u0130stanbul Hastanesi Endokrinoloji ve Metabolizma Hastal\u0131klar\u0131 Uzman\u0131 Dr. P\u0131nar Alarslan, glukoz ve ins\u00fclin metabolizmas\u0131ndaki d\u00fczensizlikten meydana gelen, \u00e7o\u011fu zaman diyabet hastal\u0131\u011f\u0131n\u0131n erken d\u00f6nem belirtisi olan \u2018Hipoglisemi\u2019 hakk\u0131nda bilgi verdi.<\/p>\n
Hipogliseminin diyabet hastal\u0131\u011f\u0131n\u0131n erken d\u00f6nem belirtisi olabilece\u011fini belirten Uzm. Dr. P\u0131nar Alarslan, \u201cKan \u015fekerinin \u00f6l\u00e7\u00fcmlerde 50 mg\/dl alt\u0131 olmas\u0131na hipoglisemi denilir. Diyabetli olup ila\u00e7 ya da ins\u00fclin kullananlarda ise kan \u015fekerinin 70 mg\/dl alt\u0131nda olmas\u0131 hipoglisemi olarak adland\u0131r\u0131l\u0131r. Hipoglisemi bir hastal\u0131k olmay\u0131p glukoz ve ins\u00fclin metabolizmas\u0131ndaki d\u00fczensizlikten meydana gelir. Hipoglisemi \u00e7o\u011fu zaman diyabet hastal\u0131\u011f\u0131n\u0131n erken d\u00f6nem belirtisi olabilir\u201d dedi.<\/p>\n
\u201cA\u015f\u0131r\u0131 stres ve a\u011f\u0131r egzersizler hipoglisemiye sebep olabilir\u201d<\/p>\n
A\u015f\u0131r\u0131 stres, a\u011f\u0131r egzersiz durumlar\u0131nda ve yeterli kalori veya karbonhidrat al\u0131nmad\u0131\u011f\u0131 durumlarda da hipoglisemi izlenebilece\u011fini s\u00f6yleyen Dr. Alarslan, \u201cB\u00f6brek\u00fcst\u00fc bezleri ve tiroit bezleri gibi endokrin organlar\u0131n \u00fcretti\u011fi hormonlar\u0131n fazlal\u0131\u011f\u0131nda veya azl\u0131\u011f\u0131nda da hipoglisemi izlenebilir. Bu sebeple hipoglisemiden yak\u0131nan bir hasta endokrin hastal\u0131klar a\u00e7\u0131s\u0131ndan de\u011ferlendirilmelidir. Endokrin organ fonksiyonlar\u0131nda bir patoloji saptanmad\u0131\u011f\u0131nda ki\u015finin diyabet aday\u0131 olabilece\u011fi d\u00fc\u015f\u00fcn\u00fclmelidir\u201d \u015feklinde konu\u015ftu.<\/p>\n
\u201cD\u00fc\u015f\u00fck kan \u015fekeri hastay\u0131 komaya sokabilir\u201d<\/p>\n
Hipogliseminin en erken belirtilerinin terleme, huzursuzluk, \u00e7arp\u0131nt\u0131, sinirlilik hali, ba\u015f d\u00f6nmesi ve bulan\u0131k g\u00f6rme oldu\u011funu s\u00f6yleyen Alarslan, \u201cDiyabete ba\u011fl\u0131 kan \u015fekeri d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc oldu\u011funda ve hasta bunu hissetti\u011finde 15-20 gr glukoz yani 4-5 adet kesme \u015feker yada 2 tatl\u0131 ka\u015f\u0131\u011f\u0131 toz \u015feker yada 200 ml meyve suyu almal\u0131d\u0131r. 15 dakika sonra kan \u015fekeri \u00f6l\u00e7\u00fcl\u00fcp yine d\u00fc\u015f\u00fckse bu tedavi tekrar edilmelidir. Buna ra\u011fmen kan \u015fekeri d\u00fc\u015fme e\u011filiminde hastane \u015fartlar\u0131nda damar yolundan glukoz verilmeli yada glukagon denilen kan \u015fekerini y\u00fckselten tedavi uygulanmal\u0131d\u0131r\u201d ifadelerini kulland\u0131.<\/p>\n
Hipogliseminin t\u0131bbi m\u00fcdahale gerektirdi\u011fine de\u011finen Dr. Alarslan, \u201cKan \u015fekerinin d\u00fc\u015f\u00fck olmas\u0131 durumunda uyku halinden bilin\u00e7 kayb\u0131 ve komaya kadar ilerleyen bir tablo g\u00f6zlenebilir. Bu sebeple hipoglisemi acil bir olayd\u0131r ve t\u0131bbi m\u00fcdahale gerektirir\u201d diye konu\u015ftu.<\/p>\n
\u201cHipoglisemi uzun y\u0131llard\u0131r diyabeti olan hastalarda belirti vermeyebilir\u201d<\/p>\n
Bazen diyabetli hastalarda hipoglisemi belirtisi olmadan, kan \u015fekeri \u00f6l\u00e7\u00fcld\u00fc\u011f\u00fcnde hipoglisemi saptanabildi\u011fine dikkat \u00e7eken Dr. Alarslan, \u201cBu durum hipoglisemiyi fark etmeme olarak adland\u0131r\u0131l\u0131r. Hipoglisemiyi fark etmeme her diyabetlide g\u00f6zlenmeyip, daha \u00e7ok uzun y\u0131llar diyabeti olan bireylerde g\u00f6r\u00fcl\u00fcr. Diyabete ba\u011fl\u0131 sinir hasar\u0131 s\u0131k\u0131 glisemi kontrol\u00fc, baz\u0131 kalp ve tansiyon ila\u00e7lar\u0131 hipoglisemiyi fark etmeme nedeni olabilmektedir\u201d dedi.<\/p>\n
Hipoglisemiyi fark etmeyen diyabetliler hakk\u0131nda da konu\u015fan Dr. Alarslan, \u201cHipoglisemiyi fark etmeyen diyabetlilerin s\u0131k kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fc yapmas\u0131 ve belirti olmamas\u0131na kar\u015f\u0131n \u00f6l\u00e7\u00fcm sonucunda hipoglisemi saptan\u0131rsa derhal hipoglisemi tedavisini yapmalar\u0131 gerekir\u201d ifadelerini kulland\u0131.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u2018H\u0130POGL\u0130SEM\u0130\u2019N\u0130N \u00c7O\u011eU ZAMAN D\u0130YABET HASTALI\u011eININ BEL\u0130RT\u0130S\u0130 OLDU\u011eUNU \u0130FADE EDEN ENDOKR\u0130NOLOJ\u0130 VE METABOL\u0130ZMA HASTALIKLARI UZMANI DR. PINAR ALARSLAN, H\u0130POGL\u0130SEM\u0130 B\u0130R HASTALIK OLMAYIP GLUKOZ VE \u0130NS\u00dcL\u0130N METABOL\u0130ZMASINDAK\u0130 D\u00dcZENS\u0130ZL\u0130KTEN MEYDANA GEL\u0130R\u201d DED\u0130.<\/p>\n","protected":false},"author":1,"featured_media":234198,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_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},"jetpack_post_was_ever_published":false},"categories":[1],"tags":[58870,5896,27542,10678,34391,27526,74],"class_list":["post-234197","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-hipoglisemi","tag-belirtisi","tag-cogu","tag-diyabet","tag-hastaliginin","tag-olabiliyor","tag-zaman"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/11\/hipoglisemi-cogu-zaman-diyabet-hastaliginin-belirtisi-olabiliyor_fd23373.jpg?fit=1000%2C666","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-YVn","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/234197","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=234197"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/234197\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/234198"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=234197"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=234197"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=234197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}