Page 199 - Phòng Và Điều Trị Bệnh Đái Tháo Đường
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Mot so nam co vong eo 94, nhtfng co khang sinh
insulin cung dtfdc coi nhtf ngtfdi co vong eo > 102cm).
De xac dinh hoi chtfng chuyen hoa phai co ttf 3 tieu
chuan trd len.
Tieu chuan cua Hoi cac nha Noi tiet hoc Lam
sang Hoa Ky (AACE - American association of clinical
Endocrinologists)
- Thtfa can/ beo phi (BMI >25).
- Tang triglycerid > l,7mmol/l (> 150mg/dl).
- HDL - c thap: Nam <l,04mmol/l (< 40mg/dl) va
ntf <l,20mmol/l (< 50mg/dl).
- Tang huyet ap: > 130/85mmHg.
- Nong do glucose mau 2 gid sau OGT test la
> 7,8mmol/l.
- Dtfdng mau luc doi ttf 6,1 den 7,0mmol/l.
- Cac yeu to' nguy cd cung dtfdc tham khao nhtf tien
stf gia dinh co ngtfdi m&c dai thao dtfdng typ 2; co tang
huyet ap; co mic benh tim mach, co hoi chtfng buong
trtfng da nang; hoac loi song tinh tai, tuoi cao, hoac d
trong nhom ngtfdi co yeu to' nguy cd cao giong nhtf
ngtfdi mac benh dai thao dtfdng.
Tieu chuan cua nhom nghien ciiu ve khang
insulin cua chau Au (EGIR - European Group for
the study of Insulin Resistance)
A. Tieu chi bat buoc: co tang insulin mau.
B. Cac tieu chi khac:
- Tang glucose mau: Glucose huyet luc doi > 6,lmmol/l.
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