Ramazan ay\u0131nda diyabet hastalar\u0131n\u0131n en s\u0131k sordu\u011fu soru \u201cOru\u00e7 tutabilir miyim?\u201d oluyor. Diyabet; kan \u015fekeri dalgalanmalar\u0131na ba\u011fl\u0131 olarak hipoglisemi, hiperglisemi ve diyabetik koma gibi ciddi riskler bar\u0131nd\u0131rabilen kronik bir hastal\u0131k oldu\u011fu i\u00e7in oru\u00e7 karar\u0131 ki\u015fiye \u00f6zel t\u0131bbi de\u011ferlendirme gerektiriyor. Baz\u0131 hasta gruplar\u0131nda riskler hayati boyuta ula\u015fabiliyorken uygun hastalarda, do\u011fru planlama ve d\u00fczenli takip ile oru\u00e7 s\u00fcreci g\u00fcvenli bir \u015fekilde y\u00fcr\u00fct\u00fclebiliyor. Memorial G\u00f6ztepe Hastanesi \u0130\u00e7 Hastal\u0131klar\u0131 B\u00f6l\u00fcm\u00fc\u2019nden Prof. Dr. Serap Yavuzer, Ramazan ay\u0131nda oru\u00e7 tutmak isteyen diyabet hastalar\u0131n\u0131n dikkat etmesi gereken \u00f6nemli noktalar hakk\u0131nda bilgi verdi.<\/p>\n
1\ufe0f.\u00a0Oru\u00e7 karar\u0131 doktor kontrol\u00fcyle verilmeli<\/strong><\/p>\n Her diyabet hastas\u0131, takip edildi\u011fi hekimin mevcut durumunu de\u011ferlendirerek onay vermesi ve daha \u00f6nemlisi g\u00fcvenli oru\u00e7 tutma sorumlulu\u011funu alacak \u015fekilde e\u011fitim almas\u0131 ko\u015fuluyla oru\u00e7 tutabilir. Bu karar mutlaka ki\u015finin durumu de\u011ferlendirilerek \u00f6zel olarak verilmelidir. Ki\u015fi sa\u011fl\u0131kl\u0131 bir \u015fekilde oru\u00e7 tutmak istiyorsa \u00f6ncelikle doktoruna ba\u015fvurmal\u0131d\u0131r. Ya\u015f, diyabet tipi, ek hastal\u0131klar, kullan\u0131lan t\u00fcm ila\u00e7lar, hastal\u0131\u011f\u0131n kontrol d\u00fczeyi ve hatta hastan\u0131n ya\u015fam ko\u015fullar\u0131 birlikte de\u011ferlendirilmelidir. Kontrols\u00fcz diyabeti olan, HbA1c de\u011feri 9\u2019un \u00fczerinde seyreden, s\u0131k hipoglisemi ya\u015fayan veya yak\u0131n zamanda diyabet komas\u0131 ge\u00e7iren hastalar y\u00fcksek risk grubunda kabul edilir ve bu hastalar\u0131n genellikle oru\u00e7 tutmas\u0131 \u00f6nerilmez.<\/p>\n 2\ufe0f.\u00a0Kan \u015fekerinin kritik s\u0131n\u0131rlar\u0131 a\u015fmamas\u0131na dikkat edilmeli<\/strong><\/p>\n Kan \u015fekerinin 70 mg\/dl\u2019nin alt\u0131na d\u00fc\u015fmesi ya da 300 mg\/dl\u2019nin \u00fczerine \u00e7\u0131kmas\u0131 diyabet hastalar\u0131 a\u00e7\u0131s\u0131ndan ciddi risk olu\u015fturur. Bu nedenle oru\u00e7 s\u00fcrecinde kan \u015fekeri de\u011ferlerinin g\u00fcvenli aral\u0131kta seyretmesine \u00f6zellikle dikkat edilmelidir. Hipoglisemi; titreme, so\u011fuk terleme, \u00e7arp\u0131nt\u0131, bulan\u0131k g\u00f6rme, konu\u015fma bozuklu\u011fu ve bilin\u00e7 kayb\u0131 gibi belirtilerle kendini g\u00f6sterebilir. Bu t\u00fcr \u015fikayetlerin ciddiye al\u0131nmas\u0131 ve kan \u015fekeri takibinin ihmal edilmemesi gerekir. Kan \u015fekeri \u00f6l\u00e7\u00fcm\u00fc g\u00fcn i\u00e7inde ihtiya\u00e7 duyulan her an \u00f6l\u00e7\u00fcm yap\u0131lmas\u0131, olas\u0131 risklerin erken fark edilmesi a\u00e7\u0131s\u0131ndan \u00f6nem ta\u015f\u0131r.<\/p>\n 3\ufe0f. \u0130la\u00e7 ve ins\u00fclin dozlar\u0131 yeniden planlanmal\u0131<\/strong><\/p>\n Oru\u00e7 tutmay\u0131 planlayan diyabet hastalar\u0131nda ila\u00e7 saatleri iftar ve sahura g\u00f6re yeniden d\u00fczenlenmelidir. \u0130ns\u00fclin kullanan hastalarda \u00f6zellikle sahur dozu hipoglisemi riskine kar\u015f\u0131 azalt\u0131labilir, iftar dozu ise al\u0131nan kaloriye g\u00f6re ayarlanmal\u0131d\u0131r. Doz ayarlamas\u0131 yapmadan oru\u00e7 tutmak ciddi risk olu\u015fturabilece\u011fi i\u00e7in dikkat edilmelidir.<\/p>\n 4\ufe0f.\u00a0Sahurda protein, iftarda dengeli karbonhidrat<\/strong><\/p>\n Sahur, uzun a\u00e7l\u0131k s\u00fcrecine ge\u00e7i\u015f \u00f6\u011f\u00fcn\u00fc oldu\u011fu i\u00e7in i\u00e7eri\u011fi b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r. B\u00f6brek fonksiyonlar\u0131 uygunsa; s\u00fct, yo\u011furt, kefir ve peynir gibi s\u00fct \u00fcr\u00fcnleri, yumurta, az tuzlu zeytin, tavuk gibi protein a\u00e7\u0131s\u0131ndan zengin besinler tercih edilmelidir. Bu \u00f6\u011f\u00fcne domates ve salatal\u0131k gibi lif oran\u0131 y\u00fcksek sebzeler ile gere\u011finde tam tah\u0131llar eklenebilir. Protein i\u00e7eren besinler midede daha uzun s\u00fcre kald\u0131\u011f\u0131 i\u00e7in tokluk s\u00fcresini uzat\u0131r ve hipoglisemi riskini azaltmaya yard\u0131mc\u0131 olur.<\/p>\n \u0130ftarda ise uzun s\u00fcren a\u00e7l\u0131k sonras\u0131 h\u0131zl\u0131 ve a\u015f\u0131r\u0131 karbonhidrat t\u00fcketimi kan \u015fekerinin ani y\u00fckselmesine neden olabilir. Pide, hamur i\u015fleri, pirin\u00e7 pilav\u0131 ve \u015ferbetli tatl\u0131lar s\u0131n\u0131rland\u0131r\u0131lmal\u0131d\u0131r. \u0130ftara \u00e7orbayla ba\u015flamak hem s\u0131v\u0131 ihtiyac\u0131n\u0131 kar\u015f\u0131lamaya yard\u0131mc\u0131 olur hem de daha kontroll\u00fc bir ge\u00e7i\u015f sa\u011flar. Sebze ve zeytinya\u011fl\u0131 yemeklere a\u011f\u0131rl\u0131k verilmesi, kuru fasulye, nohut, mercimek ve bulgur pilav\u0131 gibi glisemik indeksi d\u00fc\u015f\u00fck besinlerin tercih edilmesi g\u00fcn i\u00e7indeki kan \u015fekeri dengesine katk\u0131 sa\u011flar. B\u00fcy\u00fck porsiyonlar yerine daha k\u00fc\u00e7\u00fck ve dengeli \u00f6\u011f\u00fcnler \u00f6nerilir. Tatl\u0131 t\u00fcketilecekse k\u00fc\u00e7\u00fck porsiyonlu s\u00fctl\u00fc tatl\u0131lar tercih edilmelidir.<\/p>\n 5\ufe0f. \u0130ftardan sahura kadar s\u0131v\u0131 ihtiyac\u0131n\u0131 sa\u011flanmal\u0131<\/strong><\/p>\n Diyabetli hastada g\u00fcn i\u00e7i su ve s\u0131v\u0131 al\u0131m\u0131n\u0131n azalmas\u0131 ile olu\u015fan s\u0131v\u0131 a\u00e7\u0131\u011f\u0131 kan \u015fekerinde dengesizlik yaratabilir. S\u0131v\u0131 a\u00e7\u0131\u011f\u0131 hipoglisemi, hiperglisemi ve ketoasidoz dahil t\u00fcm diyabetik komalar\u0131n geli\u015fimi i\u00e7in risk olu\u015fturabilir. Bu nedenle iftara bol su ile ba\u015flamak, iki ana \u00f6\u011f\u00fcn ve aralarda yeterince su ve \u015fekersiz i\u00e7ecekler ile v\u00fccudun s\u0131v\u0131 dengesini d\u00fczenlemek gerekir. Ayr\u0131ca kahve ve \u00e7ay gibi idrar s\u00f6kt\u00fcr\u00fcc\u00fc etki ile s\u0131v\u0131 kayb\u0131n\u0131 artt\u0131ran ve \u015feker ilave edilmi\u015f meyve suyu, komposto, \u015furup gibi kan \u015fekerini h\u0131zl\u0131ca artt\u0131ran i\u00e7ecekler en aza indirilmelidir.\u00a0<\/p>\n \u00a0<\/p>\n Kaynak: (BYZHA) Beyaz Haber Ajans\u0131<\/p>\n","protected":false},"excerpt":{"rendered":" Ramazan ay\u0131nda diyabet hastalar\u0131n\u0131n en s\u0131k sordu\u011fu soru \u201cOru\u00e7 tutabilir miyim?\u201d oluyor. Diyabet; kan \u015fekeri dalgalanmalar\u0131na ba\u011fl\u0131 olarak hipoglisemi, hiperglisemi ve diyabetik koma gibi ciddi riskler bar\u0131nd\u0131rabilen kronik bir hastal\u0131k oldu\u011fu i\u00e7in oru\u00e7 karar\u0131 ki\u015fiye \u00f6zel t\u0131bbi de\u011ferlendirme gerektiriyor.<\/p>\n","protected":false},"author":1,"featured_media":51833,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[5959,467,6124,695,2883],"class_list":["post-51832","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-diyabet","tag-hasta","tag-kan-sekeri","tag-risk","tag-sivi"],"_links":{"self":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/51832","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/comments?post=51832"}],"version-history":[{"count":1,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/51832\/revisions"}],"predecessor-version":[{"id":51834,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/posts\/51832\/revisions\/51834"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media\/51833"}],"wp:attachment":[{"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/media?parent=51832"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/categories?post=51832"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bihavadis.com\/index.php\/wp-json\/wp\/v2\/tags?post=51832"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}