– Jam nj\u00eb lexuese e rregullt e gazet\u00ebs, 42 vje\u00e7e dhe kam 14 vjet q\u00eb vuaj nga diabeti. Dy vitet e fundit jam mjekuar me insulin\u00eb kat\u00ebr her\u00eb n\u00eb dit\u00eb; tri her\u00eb gjat\u00eb dit\u00ebs dhe nj\u00eb her\u00eb n\u00eb dark\u00eb. Jan\u00eb dy insulina t\u00eb ndryshme, por edhe pse shpohem kaq her\u00eb, niveli i sheqerit \u00ebsht\u00eb gjithmon\u00eb i lart\u00eb, kryesisht pas ushqimit. Desha t\u2019ju pyes, a ka r\u00ebnd\u00ebsi se kur b\u00ebhet insulina sepse un\u00eb gjithmon\u00eb e b\u00ebj pas ushqimit? Pres me padurim p\u00ebrgjigjen tuaj.
\nDr. Dashamir Gjergji endokrinolog-diabetolog: – E nderuar zonj\u00eb, ju fal\u00ebnderoj p\u00ebr pyetjen tuaj interesante. E vler\u00ebsoj me t\u00eb drejt\u00eb shqet\u00ebsimin tuaj q\u00eb nuk keni patur stabilizim t\u00eb vlerave t\u00eb sheqerit n\u00eb gjak, ama shpjegimi i mosarritjes s\u00eb suksesit duhet par\u00eb jo vet\u00ebm nga nj\u00eb faktor, por nga shum\u00eb t\u00eb till\u00eb. Ajo \u00e7ka \u00ebsht\u00eb e r\u00ebnd\u00ebsishme momentalisht te ju \u00ebsht\u00eb se ju duhet t\u00eb jeni t\u00eb rregullt me diet\u00ebn, aktivitetin fizik, matjet e vazhdueshme t\u00eb vlerave t\u00eb sheqerit, por mbi t\u00eb gjitha, keni t\u00eb nevojshme t\u00eb merrni sa m\u00eb shum\u00eb informacion rreth k\u00ebsaj s\u00ebmundjeje. Informacioni si pjes\u00eb e edukimit t\u00eb t\u00eb s\u00ebmur\u00ebve diabetik\u00eb duhet fokusuar rreth m\u00ebnyr\u00ebs se si injektohen insulinat, ku dhe kur duhen b\u00ebr\u00eb ato, si duhet t\u00eb reagoni n\u00eb kushtet e r\u00ebnies s\u00eb sheqerit, si duhen ndryshuar dozat e insulin\u00ebs n\u00eb rast t\u00eb rritjes s\u00eb k\u00ebtyre vlerave etj. Sqarohem k\u00ebshtu sepse \u00ebsht\u00eb e patolerueshme q\u00eb nj\u00eb i s\u00ebmur\u00eb diabetik prej 14 vjet\u00ebsh, si\u00e7 jeni ju, ta keni akoma t\u00eb paqart\u00eb faktin se kur duhet b\u00ebr\u00eb insulina, para apo pas ushqimit?!
\n– Ndon\u00ebse ju nuk keni dh\u00ebn\u00eb emra t\u00eb insulinave q\u00eb b\u00ebni, si specialist, gjykoj se ju jeni duke marr\u00eb skem\u00ebn intensive t\u00eb insulinave, ku insulinat q\u00eb b\u00ebni gjat\u00eb dit\u00ebs konsiderohen insulina t\u00eb shpejta dhe b\u00ebhen p\u00ebrpara vakteve ushqimore. Merren para ngr\u00ebnies, p\u00ebr arsye se k\u00ebto tip insulinash jan\u00eb t\u00eb fabrikuara dhe t\u00eb p\u00ebrshtatura p\u00ebr t\u00eb lidhur sheqerin q\u00eb vjen nga ushqimi. Tejet e kuptueshme \u00ebsht\u00eb k\u00ebtu se kur kjo insulin\u00eb b\u00ebhet pa ushqim, si\u00e7 e p\u00ebrcaktoni edhe ju, koha e veprimit t\u00eb saj nuk p\u00ebrkon me koh\u00ebn e rritjes s\u00eb nivelit t\u00eb sheqerit n\u00eb gjak nga vakti ushqimor. P\u00ebr pasoj\u00eb, jo vet\u00ebm nuk do kemi ulje t\u00eb vlerave t\u00eb sheqerit n\u00eb gjak, por do t\u00eb kemi ngritje t\u00eb tyre dhe m\u00eb von\u00eb, kjo insulin\u00eb e b\u00ebr\u00eb mund t\u2019ju shkaktoj\u00eb edhe nj\u00eb efekt tjet\u00ebr t\u00eb d\u00ebmsh\u00ebm q\u00eb konsiderohet r\u00ebnia e sheqerit n\u00eb kundra koh\u00eb. P\u00ebrsa ju shpjegova m\u00eb sip\u00ebr, mendoj se problemi i mosp\u00ebrqendrimit, i mosekuilibrimit t\u00eb vlerave t\u00eb sheqerit n\u00eb rastin tuaj, ka t\u00eb b\u00ebj\u00eb edhe me m\u00ebnyr\u00ebn se si i merrni barnat nga goja, krahas insulinave, sepse ju nuk e keni prekur fare k\u00ebt\u00eb gj\u00eb n\u00eb rr\u00ebfimin tuaj. Kjo q\u00eb sapo shkrova, ka t\u00eb b\u00ebj\u00eb me k\u00ebt\u00eb fakt dhe mund t\u00eb ndikoj\u00eb edhe n\u00eb gjendjen q\u00eb ju parashtroni. \u00cbsht\u00eb shum\u00eb e domosdoshme q\u00eb te diabetiket tip 2, si\u00e7 jeni edhe ju, t\u00eb kemi nj\u00eb kombinim t\u00eb mir\u00eb si t\u00eb insulinave, ashtu edhe t\u00eb barnave nga goja. Vet\u00ebm n\u00eb k\u00ebt\u00eb m\u00ebnyr\u00eb, ju mund t\u00eb arrini nj\u00eb ekuilibrim t\u00eb vlerave t\u00eb sheqerit. Mesatarisht, periudha n\u00eb t\u00eb cil\u00ebn e fillojn\u00eb insulin\u00ebn diabetik\u00ebt e tipit 2 \u00ebsht\u00eb rreth 10 vjet pas shfaqjes s\u00eb diabetit. E par\u00eb n\u00eb k\u00ebt\u00eb pik\u00ebpamje, mendoj se jeni nj\u00eb rast i ndjekur mir\u00eb, n\u00eb t\u00eb cilin edhe periudha t\u00eb ndryshme t\u00eb terapis\u00eb kan\u00eb qen\u00eb t\u00eb menaxhuara drejt. Duke p\u00ebrfunduar, s\u00eb pari, ju siguroj p\u00ebr marrjen p\u00ebrpara ushqimit t\u00eb insulinave t\u00eb dit\u00ebs, nd\u00ebrsa insulina e dark\u00ebs, m\u00eb afatgjat\u00eb, nuk lidhet modoemos me marrjen para ushqimit. S\u00eb dyti, masni rregullisht vlerat e sheqerit n\u00eb gjakun tuaj dhe s\u00eb treti, krijoni nj\u00eb lidhje t\u00eb fort\u00eb me specialistin diabetolog q\u00eb ju keni p\u00ebrzgjedhur p\u00ebr t\u00eb b\u00ebr\u00eb ndjekjen e k\u00ebsaj s\u00ebmundjeje. Shpresoj t\u2019ju kem ardhur sadopak n\u00eb ndihm\u00eb dhe pres t\u00eb m\u00eb shkruani s\u00ebrish. T\u00eb shkuara. <\/p>\n","protected":false},"excerpt":{"rendered":"
– Jam nj\u00eb lexuese e rregullt e gazet\u00ebs, 42 vje\u00e7e dhe kam 14 vjet q\u00eb vuaj nga diabeti. Dy vitet e fundit jam mjekuar me insulin\u00eb kat\u00ebr her\u00eb n\u00eb dit\u00eb; tri her\u00eb gjat\u00eb dit\u00ebs dhe nj\u00eb her\u00eb n\u00eb dark\u00eb. Jan\u00eb dy insulina t\u00eb ndryshme, por edhe pse shpohem kaq her\u00eb, niveli i sheqerit \u00ebsht\u00eb gjithmon\u00eb […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89,219],"tags":[],"class_list":["post-13377","post","type-post","status-publish","format-standard","hentry","category-mjeku","category-pyetje-pergjigje"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/13377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=13377"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/13377\/revisions"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=13377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=13377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=13377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}