{"id":30175,"date":"2023-05-01T23:13:33","date_gmt":"2023-05-01T16:13:33","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30175"},"modified":"2023-05-01T23:13:51","modified_gmt":"2023-05-01T16:13:51","slug":"tam-soat-dai-thao-duong-thai-ky-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/","title":{"rendered":"T\u1ea7m so\u00e1t \u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 &#8211; B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m t\u0103ng glucose huy\u1ebft m\u1ea1n t\u00ednh do khi\u1ebfm khuy\u1ebft v\u1ec1 ti\u1ebft insulin, v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u1ee7a insulin, ho\u1eb7c c\u1ea3 hai. T\u0103ng glucose m\u1ea1n t\u00ednh trong th\u1eddi gian d\u00e0i g\u00e2y n\u00ean nh\u1eefng <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/roi-loan-chuyen-hoa-carbohydrate\/\">r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a carbohydrate<\/a>, protide, lipide, g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u1edf nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau, \u0111\u1eb7c bi\u1ec7t \u1edf tim v\u00e0 m\u1ea1ch m\u00e1u, th\u1eadn, m\u1eaft, th\u1ea7n kinh.<\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<p>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh 4 lo\u1ea1i ch\u00ednh<\/p>\n<ol>\n<li>a)\u00a0\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 1 (do ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o beta t\u1ee5y, d\u1eabn \u0111\u1ebfn thi\u1ebfu insulin tuy\u1ec7t \u0111\u1ed1i).<\/li>\n<li>b)\u00a0\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 (do gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a t\u1ebf b\u00e0o beta t\u1ee5y ti\u1ebfn tri\u1ec3n tr\u00ean n\u1ec1n t\u1ea3ng \u0111\u1ec1 kh\u00e1ng insulin).<\/li>\n<li>c)\u00a0\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 (l\u00e0 \u0110T\u0110 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong 3 th\u00e1ng gi\u1eefa ho\u1eb7c 3 th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3 v\u00e0 kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 \u0110T\u0110 t\u00edp 1, t\u00edp 2 tr\u01b0\u1edbc \u0111\u00f3).<\/li>\n<li>d)\u00a0C\u00e1c lo\u1ea1i \u0110T\u0110 \u0111\u1eb7c bi\u1ec7t do c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c, nh\u01b0 \u0110T\u0110 s\u01a1 sinh ho\u1eb7c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng do s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 h\u00f3ach\u1ea5t nh\u01b0 s\u1eed d\u1ee5ng glucocorticoid, \u0111i\u1ec1u tr\u1ecb HIV\/AIDS ho\u1eb7c sau c\u1ea5y gh\u00e9p m\u00f4\u2026<\/li>\n<\/ol>\n<p>\u0110T\u0110 thai k\u1ef3 l\u00e0 \u0110T\u0110 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong 3 th\u00e1ng gi\u1eefa ho\u1eb7c 3 th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3 v\u00e0 kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 \u0110T\u0110 t\u00edp 1, \u0110T\u0110 t\u00edp 2 tr\u01b0\u1edbc \u0111\u00f3. N\u1ebfu ph\u1ee5 n\u1eef c\u00f3 thai 3 th\u00e1ng \u0111\u1ea7u \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u0103ng glucose huy\u1ebft th\u00ec x\u1ebfp lo\u1ea1i l\u00e0 \u0110T\u0110 ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n\/ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ho\u1eb7c \u0110T\u0110 tr\u01b0\u1edbc mang thai v\u00e0 d\u00f9ng ti\u00eau ch\u00ed ch\u1ea9n \u0111o\u00e1n nh\u01b0 \u1edf ng\u01b0\u1eddi kh\u00f4ng c\u00f3 thai.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-30176 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/download-2.jpg\" alt=\"dai-tha--duong-thai-ky\" width=\"275\" height=\"183\" \/><\/p>\n<h2>2.\u00a0 Th\u1eddi \u0111i\u1ec3m t\u1ea7m so\u00e1t \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3<\/h2>\n<p>&#8211;\u00a0\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef c\u00f3 thai ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0110T\u0110 tr\u01b0\u1edbc \u0111\u00e2y t\u1ea1i l\u1ea7n kh\u00e1m thai \u0111\u1ea7u ti\u00ean \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a \u0110T\u0110: th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0110T\u0110, s\u1eed d\u1ee5ng c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u1ea1i \u0111i\u1ec3m a, b, d c\u1ee7a \u0111i\u1ec3m 1.1 &#8211; M\u1ee5c 1. Ch\u1ea9n \u0111o\u00e1n (kh\u00f4ng \u00e1p d\u1ee5ng ti\u00eau chu\u1ea9n v\u1ec1 HbA1c).<\/p>\n<p>&#8211;\u00a0Th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0110T\u0110 thai k\u1ef3 \u1edf tu\u1ea7n th\u1ee9 24 \u0111\u1ebfn 28 c\u1ee7a thai k\u1ef3 \u0111\u1ed1i v\u1edbi nh\u1eefng thai ph\u1ee5 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>&#8211;\u00a0Th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u1eadt s\u1ef1 (b\u1ec1n v\u1eefng): \u1edf ph\u1ee5 n\u1eef c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, sau khi sinh t\u1eeb 4 \u0111\u1ebfn 12 tu\u1ea7n. D\u00f9ng nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 \u00e1p d\u1ee5ng c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n d\u00e0nh cho ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u00f4ng mang thai. S\u1eed d\u1ee5ng c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u1ea1i \u0111i\u1ec3m a, b, d c\u1ee7a \u0111i\u1ec3m 1.1 &#8211; M\u1ee5c 1. Ch\u1ea9n \u0111o\u00e1n (kh\u00f4ng \u00e1p d\u1ee5ng ti\u00eau chu\u1ea9n v\u1ec1 HbA1c).<\/p>\n<p>&#8211;\u00a0\u1ede ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 n\u00ean th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ph\u00e1t hi\u1ec7n s\u1edbm \u0110T\u0110 hay ti\u1ec1n \u0110T\u0110 \u00edt nh\u1ea5t m\u1ed7i 1- 3 n\u0103m m\u1ed9t l\u1ea7n.<\/p>\n<p>&#8211;\u00a0Ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, sau \u0111\u00f3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n c\u00f3 ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p l\u1ed1i s\u1ed1ng t\u00edch c\u1ef1c v\u00e0 metformin \u0111\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<h2>\u00a03. Ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3:<\/h2>\n<p>Hi\u1ec7n t\u1ea1i \u1edf Vi\u1ec7t Nam c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p 1 b\u01b0\u1edbc nh\u01b0 sau:<\/p>\n<p>Th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose \u0111\u01b0\u1eddng u\u1ed1ng 75g (75-g OGTT): \u0111o n\u1ed3ng \u0111\u1ed9 glucose huy\u1ebft t\u01b0\u01a1ng l\u00fac \u0111\u00f3i v\u00e0 t\u1ea1i th\u1eddi \u0111i\u1ec3m 1 gi\u1edd, 2 gi\u1edd, \u1edf tu\u1ea7n th\u1ee9 24 \u0111\u1ebfn 28 c\u1ee7a thai k\u1ef3 \u0111\u1ed1i v\u1edbi nh\u1eefng thai ph\u1ee5 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u00f3. Nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u00e0o bu\u1ed5i s\u00e1ng sau khi nh\u1ecbn \u0111\u00f3i qua \u0111\u00eam \u00edt nh\u1ea5t l\u00e0 8 gi\u1edd. Ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 khi b\u1ea5t k\u1ef3 gi\u00e1 tr\u1ecb glucose huy\u1ebft t\u01b0\u01a1ng n\u00e0o th\u1ecfa\u00a0m\u00e3n ti\u00eau chu\u1ea9n sau \u0111\u00e2y:<\/p>\n<p>&#8211;\u00a0L\u00fac \u0111\u00f3i \u2265 92 mg\/dL (5,1 mmol\/L)<\/p>\n<p>&#8211;\u00a0\u1ede th\u1eddi \u0111i\u1ec3m 1 gi\u1edd \u2265 180 mg\/dL (10,0 mmol\/L)<\/p>\n<p>&#8211;\u00a0\u1ede th\u1eddi \u0111i\u1ec3m 2 gi\u1edd \u2265 153 mg\/dL (8,5 mmol\/L)<\/p>\n<p>V\u1ec1 ph\u01b0\u01a1ng ph\u00e1p 2 b\u01b0\u1edbc:<\/p>\n<p><strong>Ph\u01b0\u01a1ng ph\u00e1p 2 b\u01b0\u1edbc (two-step strategy)<br \/>\n<\/strong>&#8211; <strong>B\u01b0\u1edbc 1: <\/strong>Th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p u\u1ed1ng glucose 50g ho\u1eb7c u\u1ed1ng t\u1ea3i glucose 50 gam (glucose<br \/>\nloading test: GLT): U\u1ed1ng 50 gam glucose (tr\u01b0\u1edbc \u0111\u00f3 kh\u00f4ng nh\u1ecbn \u0111\u00f3i), \u0111o glucose huy\u1ebft t\u01b0\u01a1ng t\u1ea1i<br \/>\nth\u1eddi \u0111i\u1ec3m 1 gi\u1edd, \u1edf tu\u1ea7n th\u1ee9 24 \u0111\u1ebfn 28 c\u1ee7a thai k\u1ef3 \u0111\u1ed1i v\u1edbi nh\u1eefng thai ph\u1ee5 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n<br \/>\n\u0110T\u0110 tr\u01b0\u1edbc \u0111\u00f3. N\u1ebfu m\u1ee9c glucose huy\u1ebft t\u01b0\u01a1ng \u0111\u01b0\u1ee3c \u0111o l\u01b0\u1eddng t\u1ea1i th\u1eddi \u0111i\u1ec3m 1 gi\u1edd sau u\u1ed1ng l\u00e0 130<br \/>\nmg\/dL, 135 mg\/dL, ho\u1eb7c 140 mg\/dL (7,2 mmol\/L, 7,5 mmol\/L, 7,8 mmol\/L) ti\u1ebfp t\u1ee5c v\u1edbi nghi\u1ec7m ph\u00e1p<br \/>\ndung n\u1ea1p glucose \u0111\u01b0\u1eddng u\u1ed1ng 100g.<br \/>\n&#8211; <strong>B\u01b0\u1edbc 2: <\/strong>Th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p dung n\u1ea1p glucose \u0111\u01b0\u1eddng u\u1ed1ng 100g (100-g OGTT): Nghi\u1ec7m<br \/>\nph\u00e1p ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi b\u1ec7nh nh\u00e2n \u0111ang \u0111\u00f3i: B\u1ec7nh nh\u00e2n nh\u1ecbn \u0111\u00f3i, u\u1ed1ng 100 gam glucose pha<br \/>\ntrong 250-300 ml n\u01b0\u1edbc, \u0111o glucose huy\u1ebft l\u00fac \u0111\u00f3i v\u00e0 t\u1ea1i th\u1eddi \u0111i\u1ec3m 1 gi\u1edd, 2 gi\u1edd, 3 gi\u1edd, sau khi u\u1ed1ng<br \/>\nglucose. Ch\u1ea9n \u0111o\u00e1n \u0110T\u0110 thai k\u1ef3 khi \u00edt nh\u1ea5t c\u00f3 2 trong 4 gi\u00e1 tr\u1ecb m\u1ee9c glucose huy\u1ebft t\u01b0\u01a1ng b\u1eb1ng ho\u1eb7c<br \/>\nv\u01b0\u1ee3t qu\u00e1 c\u00e1c ng\u01b0\u1ee1ng sau \u0111\u00e2y:<br \/>\n<strong>B\u1ea3ng 1: Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 \u0111\u1ed1i v\u1edbi ph\u01b0\u01a1ng ph\u00e1p 2 b\u01b0\u1edbc<\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"200\"><\/td>\n<td width=\"313\"><strong>Ti\u00eau ch\u00ed ch\u1ea9n \u0111o\u00e1n c\u1ee7a<br \/>\nCarpenter\/ Coustan<\/strong><\/td>\n<td width=\"324\"><strong>Ti\u00eau ch\u00ed ch\u1ea9n \u0111o\u00e1n theo National<br \/>\nDiabetes Data Group<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"200\">L\u00fac \u0111\u00f3i<\/td>\n<td width=\"313\">95mg\/dL (5,3 mmol\/L)<\/td>\n<td width=\"324\">105 mg\/dL (5,8 mmol\/L)<\/td>\n<\/tr>\n<tr>\n<td width=\"200\">\u1ede th\u1eddi \u0111i\u1ec3m 1 gi\u1edd<\/td>\n<td width=\"313\">180 mg\/dL (10,0 mmol\/L)<\/td>\n<td width=\"324\">190 mg\/dL (10,6 mmol\/L)<\/td>\n<\/tr>\n<tr>\n<td width=\"200\">\u1ede th\u1eddi \u0111i\u1ec3m 2 gi\u1edd<\/td>\n<td width=\"313\">155 mg\/dL (8,6 mmol\/L)<\/td>\n<td width=\"324\">165 mg\/dL (9,2 mmol\/L)<\/td>\n<\/tr>\n<tr>\n<td width=\"200\">\u1ede th\u1eddi \u0111i\u1ec3m 3 gi\u1edd<\/td>\n<td width=\"313\">140 \/dL (7,8 mmol\/L)<\/td>\n<td width=\"324\">145 mg\/dL (8,0 mmol\/L)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>M\u1ee5c \u0111\u00edch c\u1ee7a \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 (\u0110T\u0110TK) l\u00e0 ph\u00f2ng tr\u00e1nh c\u00e1c t\u00e1c \u0111\u1ed9ng b\u1ea5t l\u1ee3i c\u1ee7a t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u0111\u1ed1i v\u1edbi m\u1eb9 v\u00e0 con trong thai k\u1ef3 c\u0169ng nh\u01b0 v\u1ec1 l\u00e2u d\u00e0i sau khi m\u1eb9 sinh con, \u0111\u1ed3ng th\u1eddi v\u1eabn \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1ee3c s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a thai.<\/p>\n<h2 align=\"left\"><b><i><span lang=\"vi\">4. C\u00e1c th\u1ec3 \u0110T\u0110 kh\u00e1c \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n khi mang thai<\/span><\/i><\/b><\/h2>\n<p align=\"left\"><span lang=\"vi\">a)\u00a0<\/span><span lang=\"vi\">\u0110T\u0110 mang thai (Diabetes in pregnancy) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n theo ti\u00eau chu\u1ea9n c\u1ee7a WHO v\u1edbi glucose huy\u1ebft t\u01b0\u01a1ng l\u00fac \u0111\u00f3i \u2265 7 mmol\/L (126 mg\/dL); v\u00e0\/ho\u1eb7c glucose huy\u1ebft t\u01b0\u01a1ng 2 gi\u1edd sau u\u1ed1ng 75g glucose \u2265 11,1 mmol\/L)<\/span><\/p>\n<p align=\"left\"><span lang=\"vi\">b)\u00a0<\/span><span lang=\"vi\">\u0110T\u0110 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc mang thai (ch\u1ee7 y\u1ebfu l\u00e0 \u0110T\u0110 t\u00edp 2) c\u00f3 glucose huy\u1ebft \u0111\u1ea1t ng\u01b0\u1ee1ng ch\u1ea9n \u0111o\u00e1n \u0110T\u0110 ngo\u00e0i thai k\u1ef3.<\/span><\/p>\n<p align=\"left\">T\u00c0I LI\u1ec6U THAM KH\u1ea2O:<\/p>\n<p align=\"left\"><span lang=\"vi\">\u00a0S\u1ed1 <\/span><span lang=\"vi\">5481\/Q\u0110-BYT\u00a0<span style=\"background-color: #d5d5d5;\">&#8216;<\/span><em>V\u1ec0 VI\u1ec6C BAN H\u00c0NH T\u00c0I LI\u1ec6U CHUY\u00caN M\u00d4N \u201cH\u01af\u1edaNG D\u1eaaN CH\u1ea8N \u0110O\u00c1N V\u00c0 \u0110I\u1ec0U TR\u1eca \u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG T\u00cdP 2\u201d, 30\/12\/2020<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m t\u0103ng glucose huy\u1ebft m\u1ea1n t\u00ednh do khi\u1ebfm khuy\u1ebft v\u1ec1 ti\u1ebft insulin, v\u1ec1 t\u00e1c \u0111\u1ed9ng c\u1ee7a insulin, ho\u1eb7c c\u1ea3 hai. T\u0103ng glucose m\u1ea1n t\u00ednh trong th\u1eddi gian d\u00e0i g\u00e2y n\u00ean nh\u1eefng r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a carbohydrate, protide, lipide, g\u00e2y t\u1ed5n th\u01b0\u01a1ng [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[80,13,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ea7m so\u00e1t \u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 - B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m t\u0103ng glucose huy\u1ebft m\u1ea1n t\u00ednh do khi\u1ebfm khuy\u1ebft v\u1ec1 ti\u1ebft insulin\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ea7m so\u00e1t \u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 - B\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m t\u0103ng glucose huy\u1ebft m\u1ea1n t\u00ednh do khi\u1ebfm khuy\u1ebft v\u1ec1 ti\u1ebft insulin\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-01T16:13:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-01T16:13:51+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/download-2.jpg\" \/>\n<meta name=\"author\" content=\"Dai Tran Van\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dai Tran Van\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/\",\"name\":\"T\u1ea7m so\u00e1t \u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 - B\u1ed9 Y t\u1ebf - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-01T16:13:33+00:00\",\"dateModified\":\"2023-05-01T16:13:51+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 b\u1ec7nh r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m t\u0103ng glucose huy\u1ebft m\u1ea1n t\u00ednh do khi\u1ebfm khuy\u1ebft v\u1ec1 ti\u1ebft insulin\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/tam-soat-dai-thao-duong-thai-ky-bo-y-te\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u1ea7m so\u00e1t \u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 &#8211; 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