{"id":45960,"date":"2020-04-24T21:08:43","date_gmt":"2020-04-24T20:08:43","guid":{"rendered":"http:\/\/www.podunavlje.info\/dir\/?p=45960"},"modified":"2020-04-25T15:00:20","modified_gmt":"2020-04-25T14:00:20","slug":"covid-19-i-dijabetes-saveti-za-dijabeticare","status":"publish","type":"post","link":"https:\/\/www.podunavlje.info\/dir\/2020\/04\/24\/covid-19-i-dijabetes-saveti-za-dijabeticare\/","title":{"rendered":"COVID-19 i dijabetes \u2013 saveti za dijabeti\u010dare"},"content":{"rendered":"<p>SMEDEREVO, 24. april 2020 &#8211; Dijabetes je me\u0111u naj\u010de\u0161\u0107e pominjanim rizi\u010dnim stanjima kada je u pitanju oboljevanje od virusa COVID-19. Zbog toga smo za\u00a0 savete, o tome kako da se u ovim okolnostima pona\u0161aju i za\u0161tite dijabeti\u010dari, zamolili dr Draganu Stoj\u010di\u0107, endokrinologa.<\/p>\n<ul>\n<li><strong>Kako COVID-19 uti\u010de na osobe sa dijabetesom? Da li one imaju povi\u0161en rizik od oboljenja od COVID-19?<\/strong><\/li>\n<\/ul>\n<p>Osobe koje imaju dijabetes nemaju vec\u0301u verovatnoc\u0301u da dobiju COVID-19 nego op\u0161ta populacija. Me\u0111utim, COVID-19 mo\u017ee izazvati te\u017ee simptome i komplikacije kodnekihosoba obolelih sa dijabetesom. Osobe koje nemaju komplikacije, i \u010diji je \u0161e\u0107er u krvi dobro regulisan, nemaju ve\u0107i rizik od razvoja te\u017eih oblika COVID-19 od op\u0161te populacije.<\/p>\n<ul>\n<li><strong>\u0160ta se podrazumeva pod dobro regulisanim dijabetesom?<\/strong><\/li>\n<\/ul>\n<p>Dobro regulisan dijabetes zna\u010di da su vrednosti \u0161e\u0107era u krvi i HbA1c u individualnim ciljnim vrednostima, koje je odredio lekar. Prema va\u017ee\u0107em Nacionalnom vodi\u010du za le\u010denje dijabetesa, to su:<\/p>\n<ul>\n<li>\u0161e\u0107era u krvi na\u0161te &lt;7 mmol\/L,<\/li>\n<li>\u0161e\u0107era u krvi 2h nakon jela &lt;9 mmol\/L<\/li>\n<li>HbA1c, koji odra\u017eava prose\u010dnu vrednost glikemije u plazmi tokom prethodna 3meseca &lt;7%<\/li>\n<\/ul>\n<p>Zato je va\u017eno u periodu vladaju\u0107e pandemije redovno i \u010desto kontrolisati \u0161e\u0107er u krvi i voditi ra\u010duna o ishrani.<\/p>\n<ul>\n<li><strong>Koje mere predostro\u017enosti biste preporu\u010dili osobama sa dijabetesom u ovim okolnostima vanrednog stanja?<\/strong><\/li>\n<\/ul>\n<figure id=\"attachment_45961\" aria-describedby=\"caption-attachment-45961\" style=\"width: 179px\" class=\"wp-caption alignleft\"><img decoding=\"async\" class=\"wp-image-45961 size-full\" src=\"http:\/\/www.podunavlje.info\/dir\/wp-content\/uploads\/2020\/04\/dr.jpg\" alt=\"\" width=\"179\" height=\"231\" \/><figcaption id=\"caption-attachment-45961\" class=\"wp-caption-text\"><strong>\u00a0 dr Dragana Stoj\u010di\u0107<\/strong><\/figcaption><\/figure>\n<p>Pored osnovnih mera, a to su \u010desto pranje ruku sapunom i vodom, u trajanju od najmanje 20 sekundi, ili kori\u0161\u0107enje sredstva za dezinfekciju na bazi 70% alkohola, izbegavanje bliskog kontakt sa osobama koje imaju povi\u0161enu temperaturu, kijaju ili ka\u0161lju, izbegavanje pozdravljanja rukovanjem ili ljubljenjem, a sa sagovornicima odr\u017eavanje razdaljine od najmanje jednog metra, \u010desto provetravanje prostorije u kojima se boravi &#8211; izbegavanje okupljanja sa ve\u0107im brojem ljudi u zatvorenom prostoru i ne uzimanje antibiotike na svoju ruku.<\/p>\n<p>Osobe sa dijabetesom, pored adekvatnih lekova, trebalo bi u slu\u010daju lo\u0161e kontrole glikemije, niskih ili visokih \u0161e\u0107era u krvi, da imaju trake za merenje glukoze u krvi, tra\u010dice za merenje \u0161e\u0107era i ketona u urinu. Tako\u0111e potrebno je imati i med, d\u017eem, zasla\u0111en sok ili druge oblike prostih \u0161e\u0107era u slu\u010daju niskih vrednosti \u0161e\u0107era u krvi.<\/p>\n<p>Pacijenti bi trebalo da paze i na znakove upozorenja za hitne slu\u010dajeve, kao \u0161to su ote\u017eano disanje ili nedostatak daha, uporni bol ili pritisak u grudima, konfuzija, pojave plavih usana ili lica. Treba da se pridr\u017eavaju saveta lekara u vezi sa primenom lekova, da ostanue hidrirani i pri ruci imajtu nezasla\u0111ena pic\u0301a i da hranu uzimaju u manjim porcijama.<\/p>\n<ul>\n<li><strong>Koje bi konkretne mere trebalo da preduzmu osobe sa dijabetesom i koje su preporuke ukoliko osoba sa dijabetesom oboli od COVID-19?<\/strong><\/li>\n<\/ul>\n<p>U slu\u010daju bolesti u osoba sa dijabetesom, savetuje se postupanje prema navedenim smernicama, \u010dak i u slu\u010daju zadovoljavaju\u0107ih vrednosti nivoa glukoze u krvi. To zna\u010di da treba nastaviti sa uobi\u010dajenom terapijom za dijabetes. Nikada ne obustavljati terapiju insulinom. Proveravati nivo glukoze u krvi na svaka 2-3 sata. Konzumirati dodatnu te\u010dnost, bez kalorija, i nastaviti sa redovnim obrocima. Treba da unose dosta te\u010dnosti \u2013 120 do 180 mililtara na svakih 30 minuta u cilju prevencije dehidratacije, proveravati svakodnevno telesnu te\u017einu. Smanjenje telesne te\u017eine uprkos redovnoj regularno ishrani mo\u017ee ukazati na prisustvo hiperglikemije. Tako\u0111e proveravati nivo telesne temperature ujutru i uve\u010de. Povi\u0161ene vrednosti mogu biti znak infekcije.<\/p>\n<ul>\n<li><strong>Kada se i kome javiti u slu\u010daju pogor\u0161anja dijabetesa tokom infekcije COVID-19?<\/strong><\/li>\n<\/ul>\n<p>Osobe sa dijabetesom treba da potra\u017ee pomo\u0107 lekara u slu\u010daju hiperglikemije du\u017ee od 24 \u010dasa, postojanja simptoma koji ukazuju na razvoj dijabetesne ketoacidoze. Treba se, dakle, javiti prvo izabranom lekaru u slu\u010daju da je nivo glukoze u krvi iznad 15 mmol\/l, prisustva ketona u urinu i poja\u010danog \u017ee\u0111anja.<\/p>\n<p>Hitnoj pomo\u0107i se treba javiti u slu\u010dajevima da je do\u0161lo do povra\u0107anja, kontinuiranog povra\u0107anja bez mogu\u0107nosti unosa hrane i pi\u0107a du\u017ee od 6 sati, jer to mo\u017ee dovesti do te\u0161kog stepena dehidratacije Tako\u0111e i u slu\u010daju ubrzanog disanja sa zadahom na aceton, bola u trbuhu i poreme\u0107aja svesti.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>SMEDEREVO, 24. april 2020 &#8211; Dijabetes je me\u0111u naj\u010de\u0161\u0107e pominjanim rizi\u010dnim stanjima kada je u pitanju oboljevanje od virusa COVID-19. Zbog toga smo za\u00a0 savete, o tome kako da se u ovim okolnostima pona\u0161aju i za\u0161tite dijabeti\u010dari, zamolili dr Draganu Stoj\u010di\u0107, endokrinologa. Kako COVID-19 uti\u010de na osobe sa dijabetesom? Da li one imaju povi\u0161en rizik [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43,7222,75],"tags":[10791,11315,11314],"class_list":["post-45960","post","type-post","status-publish","format-standard","hentry","category-drustvo","category-najnovije","category-smederevo","tag-covid-19","tag-dijabetes","tag-dr-dragana-stojcic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>COVID-19 i dijabetes \u2013 saveti za dijabeti\u010dare -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.podunavlje.info\/dir\/2020\/04\/24\/covid-19-i-dijabetes-saveti-za-dijabeticare\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"COVID-19 i dijabetes \u2013 saveti za dijabeti\u010dare -\" \/>\n<meta property=\"og:description\" content=\"SMEDEREVO, 24. april 2020 &#8211; Dijabetes je me\u0111u naj\u010de\u0161\u0107e pominjanim rizi\u010dnim stanjima kada je u pitanju oboljevanje od virusa COVID-19. Zbog toga smo za\u00a0 savete, o tome kako da se u ovim okolnostima pona\u0161aju i za\u0161tite dijabeti\u010dari, zamolili dr Draganu Stoj\u010di\u0107, endokrinologa. Kako COVID-19 uti\u010de na osobe sa dijabetesom? 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