Что мы знаем о сахарном диабете и почему это важно?

{"article":{"error":null,"payload":{"id":205,"slug":"chto-myi-znaem-o-saharnom-diabete-i-pochemu-eto-va","title":"Что мы знаем о сахарном диабете и почему это важно?","description":"Важный ликбез ко Всемирному дню борьбы с диабетом.","href":"/news/chto-myi-znaem-o-saharnom-diabete-i-pochemu-eto-va/","published":{"display":"13 ноября 2020","rfc3339":"2020-11-13T08:00:48+00:00"},"image":{"isTouch":{"retina":"https://vseapteki.ru/cropping/thumbnails/250/168/phoneMedium_retina/","default":"https://vseapteki.ru/cropping/thumbnails/250/168/phoneMedium_default/"},"isFromTablet":{"retina":null,"default":null}},"modified":{"display":"22 марта 2021, 07:53:07","rfc3339":"2021-03-22T07:53:07.298030+00:00"},"content":"\u003cp\u003eСахарный диабет – серьезное заболевание, при котором организм не может справиться с уровнем сахара (глюкозы) в крови. Из-за этого кровь загустевает, что увеличивает риски инфарктов и инсультов и может привести к почечной недостаточности, слепоте и гангрене нижних конечностей.\u003c/p\u003e\n\u003cp\u003eВ России диабетом страдает 9 миллионов человек. По подсчетам статистиков, к 2025 году это число возрастет в два раза. День борьбы с диабетом отмечают во всем мире 14 ноября. \u003c/p\u003e\n\u003ch3\u003eЧто вызывает диабет, как его выявить и что делать, если им больны вы или ваши близкие – «Все аптеки» разобрались.\u003c/h3\u003e\n\u003cp class=\"article-picture\" data-name=\"contentimage\" data-id=\"216\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/253/216/phoneMedium_retina/\" title=\"\"\u003e\u003c/p\u003e\n\u003ch2\u003eОтчего возникает сахарный диабет? \u003c/h2\u003e\n\u003cp\u003eВ норме все работает так. После приема пищи организм перерабатывает углеводы, которые в ней содержались, в сахар (глюкозу). Затем сахар должен усвоиться – за это отвечает инсулин. Поджелудочная железа вырабатывает его в ответ на появление сахара в крови, а уже он дает сигнал клеткам: «Поглощайте полученную глюкозу и получайте из нее энергию».\u003c/p\u003e\n\u003cp\u003eСахарный диабет возникает, потому что либо поджелудочная железа вырабатывает недостаточно инсулина, либо потому что инсулин не усваивается организмом. И то, и другое ведет к повышению уровня сахара в крови.\u003c/p\u003e\n\u003ch2\u003eДиабет бывает нескольких видов. В чем различия?\u003c/h2\u003e\n\u003cp\u003eСахарный \u003cstrong\u003eдиабет I типа\u003c/strong\u003e диагностируют, когда поджелудочная железа перестает вырабатывать инсулин. Таким диабетом страдают 10% от всех диабетиков, и обнаруживают его довольно рано – обычно в детстве или подростковом возрасте.\u003c/p\u003e\n\u003cp\u003eУ ученых нет точного ответа, из-за чего это происходит, но они полагают, что повлиять на это может генетическая предрасположенность или вирусная инфекция, которая повреждает ответственные за производства инсулина клетки поджелудочной железы.\u003c/p\u003e\n\u003cp\u003eПри \u003cstrong\u003eдиабете II типа\u003c/strong\u003e количество вырабатываемого инсулина может снижаться, а может и оставаться в пределах нормы – уровень сахара может повышаться из-за того, что ткани организма просто не будут реагировать на инсулин в крови. \u003c/p\u003e\n\u003cp\u003eБольшинство диабетиков больны именно диабетом II типа. Чаще всего его находят у людей в возрасте: с годами организм все хуже справляется с сахаром в крови.\u003c/p\u003e\n\u003ch2\u003eМогу ли я заболеть диабетом? \u003c/h2\u003e\n\u003cp\u003eК сожалению, диабетом может заболеть каждый. Скорее всего, это будет диабет II типа. Диабет может возникнуть, если у вас есть один или несколько факторов риска развития диабета. Среди них: \u003c/p\u003e\n\u003cul\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eнаследственность – если ваши кто-то из ваших родных болел диабетом;\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eизбыточный вес и ожирение – вероятность сахарного диабета выше, если ваш индекс массы тела равен 30 и выше;\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eотсутствие сбалансированного питания – если есть много углеводов, инсулин не справиться с его переработкой;\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eсопутствующая сердечно-сосудистая патология;\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eхронический стресс;\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eхроническая недостаточность надпочечников.\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\u003c/ul\u003e\n\u003ch2\u003eКакие у диабета симптомы? \u003c/h2\u003e\n\u003cp\u003eСамые распространенные симптомы диабета – постоянная жажда, частое мочеиспускание, потеря веса при нормальном или повышенном аппетите, утомляемость, бессонница, судороги в мышцах ног, снижение остроты зрения и долго заживающие порезы и царапины.\u003c/p\u003e\n\u003cp\u003eСиндромы диабета I типа обычно обнаруживаются в детстве и подростковом возрасте, а сахарный диабет II типа может долгое время протекать бессимптомно. Иногда его находят, когда он уже начал давать осложнения.\u003c/p\u003e\n\u003ch2\u003eКакие осложнения вызывает диабет? \u003c/h2\u003e\n\u003cp\u003eВысокий уровень сахара в крови увеличивает нагрузку на сосуды: кровь густеет, она тяжелее передвигается по телу. Из-за этого до каких-то клеток кровь вообще не доходит, а это ведет к их отмиранию, повреждению нервов, снижению чувствительности, ухудшению зрения и развитию инфекционных заболеваний в ногах. \u003c/p\u003e\n\u003cp\u003eВозможный итог – инфаркты и инсульты, слепота, гангрены и разные недостаточности.\u003c/p\u003e\n\u003ch2\u003eКак выявить диабет? \u003c/h2\u003e\n\u003cp\u003eОсновной способ обнаружить сахарный диабет – измерить уровень глюкозы в крови. \u003c/p\u003e\n\u003cp\u003eНорма – от 3,3 ммоль/л до 5,5 ммоль/л. В течение суток уровень глюкозы может повышаться: если после еды приборы показывают 7,8 ммоль/л, то это еще нормально. Все, что выше, – признак патологии. \u003c/p\u003e\n\u003cp\u003eИзмерять уровень глюкозы нужно до 8 раз в сутки (после пробуждения, до еды, спустя 2 часа после еды и на ночь). Поэтому нужно иметь свой \u003cstrong\u003eглюкометр\u003c/strong\u003e – карманный прибор для измерения уровня глюкозы в крови.\u003c/p\u003e\n\u003cp\u003eГлюкометр состоит из трех элементов: сам аппарат, скарификатор (инструмент для прокола пальца) и тест – полоска, на которую наносится капля крови. Пользоваться просто: прокалываете палец, капаете на тест-полоску и помещаете ее в глюкометр – аппарат быстро все посчитает. Выбрать подходящий глюкометр поможет лечащий врач.\u003c/p\u003e\n\u003ch3\u003eГлюкометры\u003c/h3\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/369/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"369\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eГлюкометр Contour Plus\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/115924-kontur_plyus_glyukometr/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/370/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"370\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eГлюкометр Accu-Chek Active\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/143353-akkuchek_aktiv_glyukometr/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/371/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"371\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eГлюкометр OneTouch Select Plus Flex\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/152530-glyukometr_van_tach_selekt_plyus_fleks_50/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЕще глюкометры\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/catalog/42100-glyukometry/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch3\u003eТест-полоски\u003c/h3\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/372/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"372\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eТест-полоски Contour TS\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/94725-kontur_ts_testpoloski/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/373/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"373\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eТест-полоски Акку-Чек Перформа\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/94138-akkuchek_performa_testpoloski/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cp class=\"article-cl-picture\"\u003e\u003cimg src=\"https://vseapteki.ru/cropping/thumbnails/251/374/60x45_retina/\" data-name=\"conversionlinkimage\" data-id=\"374\" /\u003e\u003c/p\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eТест-полоски Ван Тач Селект Плюс\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/product/125987-van_tach_selekt_plyus_testpoloski/\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eУзнать цену\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eЕще тест-полоски\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/search/?query=%D0%A2%D0%B5%D1%81%D1%82-%D0%BF%D0%BE%D0%BB%D0%BE%D1%81%D0%BA%D0%B8\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch2\u003eКак лечить диабет и почему так важна помощь близких? \u003c/h2\u003e\n\u003cp\u003eУниверсальные задачи лечения диабета любого типа – снизить уровень глюкозы и нормализовать обмен веществ. \u003c/p\u003e\n\u003cp\u003eЧастности лечения различаются в зависимости от типа: \u003c/p\u003e\n\u003cul\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eпри сахарном диабете I типа назначают заместительную инсулинотерапию;\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\t\u003cli\u003e\r\n\t\u003cp\u003eбольным диабетом II типа прописывают сахароснижающие препараты и строгую диету.\u003c/p\u003e\r\n\t\u003c/li\u003e\r\n\u003c/ul\u003e\n\u003cp\u003eСахарный диабет – хроническое заболевание, а это значит, что рекомендации по лечению нужно соблюдать на протяжении всей жизни. \u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eВажно\u003c/strong\u003e: в реабилитационный процесс всегда включен не только сам диабетик, но и его близкие: они должны обладать навыками оказания первой помощи при возможном кетоацидозе (острое осложнение сахарного диабета) и связанной с ним комы и быть готовыми помочь в любой момент.\u003c/p\u003e\n\u003cdiv class=\"conversion-link\"\u003e\u003cdiv class=\"conversion-link-desc\"\u003e\u003cp class=\"article-cl-title\"\u003eПрепараты и приборы для лечения диабета\u003c/p\u003e\u003ca href=\"https://vseapteki.ru/list/lechenie_diabeta\" target=\"_blank\" class=\"article-cl-button\"\u003e\u003cspan class=\"text\"\u003eНайти\u003c/span\u003e\u003c/a\u003e\u003c/div\u003e\u003c/div\u003e\n\u003ch3\u003eЧитайте также:\u003c/h3\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/vrachi-patsientyi-s-nehvatkoj-vitamina-d-tyazhelee/\" target=\"_blank\"\u003e\u003cstrong\u003eВрачи: пациенты с нехваткой витамина D тяжелее переносят COVID-19. Чем еще опасен дефицит витамина D и как его восполнить?\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/udalenka-ubivaet-10-ugroz-vashemu-zdorovyu-pri-rab/\"\u003e\u003cstrong\u003eУдаленка убивает: 10 угроз вашему здоровью при работе из дома\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp\u003e\u003ca href=\"https://vseapteki.ru/news/kak-ne-nabrat-ves-v-izolyatsii/\" target=\"_blank\"\u003e\u003cstrong\u003eКак не набрать вес во время и после изоляции​\u003c/strong\u003e\u003c/a\u003e​​​​​​\u003c/p\u003e"},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basket":{"error":null,"payload":{"empty":true,"hasUnavailable":false,"products":[],"recentlyAdded":[],"info":{"countPharmacy":0,"deliveryTime":"","prescription":false,"checkout":false,"price":{"subtotal":"0","total":"0"},"quantity":{"position":0,"pack":0}},"delivery":{"method_of_obtaining":"PICKUP","address":null,"latitude":null,"longitude":null,"cost":null,"service_fee":null,"time":null,"store_id":null,"store_name":null,"chain_id":null,"checkout_url":null,"is_available":false,"prices":[],"token":null,"refresh_token":null,"secret":null,"cart_id":null,"discount_code":null}},"status":{"isError":false,"isInit":false,"isPending":false,"isSuccess":true,"isServer":true}},"basketEvents":{"eventsByProducts":{},"lastAddedProducts":null,"lastRemovedProducts":null},"catalogCategoryProducts":{"error":null,"status":{"isError":false,"isInit":true,"isPending":false,"isSuccess":false,"isServer":false}},"catalogCurrentCategory":null,"catalogStructure":{"error":null,"payload":{"39":{"id":39,"title":"Лекарства","url":"/catalog/39-lekarstva/","parent":null,"order":1,"empty":false},"40":{"id":40,"title":"Прочие 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