{"id":30595,"date":"2023-05-02T15:09:40","date_gmt":"2023-05-02T08:09:40","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30595"},"modified":"2023-05-02T15:09:40","modified_gmt":"2023-05-02T08:09:40","slug":"danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc. Tri\u1ec7u ch\u1ee9ng s\u1edbm li\u00ean quan t\u1edbi t\u0103ng glucose m\u00e1u v\u00e0 bao g\u1ed3m u\u1ed1ng nhi\u1ec1u, kh\u00e1t nhi\u1ec1u, ti\u1ec3u nhi\u1ec1u v\u00e0 nh\u00ecn m\u1edd. Bi\u1ebfn ch\u1ee9ng mu\u1ed9n g\u1ed3m b\u1ec7nh m\u1ea1ch m\u00e1u, b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i vi, b\u1ec7nh th\u1eadn v\u00e0 d\u1ec5 nhi\u1ec5m khu\u1ea9n.\u00a0<\/strong><\/p>\n

1. M\u1ee5c \u0111\u00edch\u00a0<\/strong><\/h2>\n

\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n n\u00ean th\u1ef1c hi\u1ec7n v\u00e0o l\u1ea7n kh\u00e1m b\u1ec7nh \u0111\u1ea7u ti\u00ean sau \u0111\u00f3 \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m nh\u1eb1m m\u1ee5c \u0111\u00edch sau:<\/p>\n

–\u00a0X\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00e2n lo\u1ea1i \u0110T\u0110;<\/p>\n

–\u00a0Ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc;<\/p>\n

–\u00a0Xem x\u00e9t vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 vi\u1ec7c ki\u1ec3m so\u00e1t y\u1ebfu t\u1ed1 nguy c\u01a1 \u1edf BN \u0110T\u0110 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n;<\/p>\n

–\u00a0Th\u1ea3o lu\u1eadn c\u00f9ng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n trong x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch qu\u1ea3n l\u00fd, t\u1ef1 qu\u1ea3n l\u00fd v\u00e0 ch\u0103m s\u00f3c.<\/p>\n

–\u00a0X\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 ch\u0103m s\u00f3c li\u00ean t\u1ee5c, to\u00e0n di\u1ec7n ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

\"danh-goa-toan-dien\"<\/p>\n

2. C\u00e1c n\u1ed9i dung \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n<\/strong><\/h2>\n

2.1.\u00a0B\u1ec7nh s\u1eed – L\u00e2m s\u00e0ng:<\/strong><\/p>\n

–\u00a0Tu\u1ed5i, \u0111\u1eb7c \u0111i\u1ec3m l\u00fac kh\u1edfi ph\u00e1t \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (nhi\u1ec5m toan ceton \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, ph\u00e1t hi\u1ec7n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng b\u1eb1ng x\u00e9t nghi\u1ec7m nh\u01b0ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng).<\/p>\n

–\u00a0C\u00e1ch \u0103n u\u1ed1ng, t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, ti\u1ec1n s\u1eed c\u00e2n n\u1eb7ng, th\u00f3i quen luy\u1ec7n t\u1eadp th\u1ec3 l\u1ef1c, \u0111\u1eb7c \u0111i\u1ec3m c\u00f4ng vi\u1ec7c h\u00e0ng ng\u00e0y, tr\u00ecnh \u0111\u1ed9 h\u1ecdc v\u1ea5n, s\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb, b\u1ec7nh \u0110T\u0110, ti\u1ec1n s\u1eed v\u00e0 nhu c\u1ea7u v\u1ec1 h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd<\/p>\n

–\u00a0Ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1, \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n v\u00e0 thu\u1ed1c g\u00e2y nghi\u1ec7n.<\/p>\n

–\u00a0T\u00ecm hi\u1ec3u BN c\u00f3 tham gia c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh gi\u00e1o d\u1ee5c v\u1ec1 \u0110T\u0110, t\u1ef1 qu\u1ea3n l\u00fd<\/p>\n

–\u00a0R\u00e0 so\u00e1t l\u1ea1i c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc v\u00e0 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb (d\u1ef1a v\u00e0o c\u00e1c s\u1ed1 li\u1ec7u HbA1c, c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft). \u0110\u00e1nh gi\u00e1 s\u1ef1 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c u\u1ed1ng, thu\u1ed1c ti\u00eam v\u00e0 c\u00e1c r\u00e0o c\u1ea3n \u0111\u1ed1i v\u1edbi s\u1ef1 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

–\u00a0Khai th\u00e1c vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c b\u1ed5 sung v\u00e0 thay th\u1ebf: C\u00e1c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng, thu\u1ed1c c\u1ed5 truy\u1ec1n \u0111\u00e3 s\u1eed d\u1ee5ng. C\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh kh\u00e1c, th\u00ed d\u1ee5 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111au kh\u1edbp\u2026<\/p>\n

–\u00a0C\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc v\u00e0 b\u1ec7nh v\u1ec1 r\u0103ng mi\u1ec7ng \u0111ang m\u1eafc.<\/p>\n

–\u00a0T\u1ea7m so\u00e1t tr\u1ea7m c\u1ea3m, lo \u00e2u, c\u00e1c kh\u00f3 kh\u0103n v\u1ec1 t\u00e0i ch\u00ednh, s\u1ef1 tr\u1ee3 gi\u00fap x\u00e3 h\u1ed9i<\/p>\n

–\u00a0N\u1ebfu BN c\u00f3 m\u00e1y th\u1eed glucose huy\u1ebft c\u00e1 nh\u00e2n ho\u1eb7c s\u1ed5 theo d\u00f5i kh\u00e1m b\u1ec7nh, ki\u1ec3m tra l\u1ea1i c\u00e1c th\u00f4ng s\u1ed1 theo d\u00f5i glucose huy\u1ebft v\u00e0 x\u1eed tr\u00ed c\u1ee7a BN.<\/p>\n

–\u00a0Ti\u1ec1n s\u1eed nhi\u1ec5m toan ceton, t\u1ea7n su\u1ea5t, \u0111\u1ed9 tr\u1ea7m tr\u1ecdng, nguy\u00ean nh\u00e2n.<\/p>\n

–\u00a0Ti\u1ec1n s\u1eed c\u00e1c c\u01a1n h\u1ea1 glucose m\u00e1u, kh\u1ea3 n\u0103ng nh\u1eadn bi\u1ebft v\u00e0 c\u00e1ch x\u1eed tr\u00ed l\u00fac c\u00f3 c\u01a1n, t\u1ea7n su\u1ea5t, nguy\u00ean nh\u00e2n.<\/p>\n

–\u00a0Ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n lipid m\u00e1u<\/p>\n

–\u00a0C\u00e1c bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u nh\u1ecf: v\u00f5ng m\u1ea1c, th\u1eadn, th\u1ea7n kinh<\/p>\n

–\u00a0C\u00e1c bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u l\u1edbn: b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ecb, b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i vi.<\/p>\n

–\u00a0C\u00e2n n\u1eb7ng c\u00e1c con l\u00fac sinh c\u1ee7a ph\u1ee5 n\u1eef.<\/p>\n

\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef trong l\u1ee9a tu\u1ed5i sinh s\u1ea3n: h\u1ecfi v\u1ebf k\u1ebf ho\u1ea1ch sinh con c\u1ee7a BN, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111\u1ec3 ng\u1eeba thai.<\/p>\n

2.2.\u00a0Kh\u00e1m th\u1ef1c th\u1ec3: c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa tr\u1ecdng<\/strong><\/p>\n

a)\u00a0Chi\u1ec1u cao, c\u00e2n n\u1eb7ng v\u00e0 BMI, v\u00f2ng eo; Qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n v\u00e0 d\u1eady th\u00ec \u1edf tr\u1ebb em, thanh thi\u1ebfu ni\u00ean.<\/p>\n

b)\u00a0\u0110o huy\u1ebft \u00e1p, n\u1ebfu c\u1ea7n \u0111o huy\u1ebft \u00e1p n\u1eb1m v\u00e0 \u0111\u1ee9ng \u0111\u1ec3 t\u00ecm h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf<\/p>\n

c)\u00a0Kh\u00e1m tim m\u1ea1ch: nh\u1eb1m ph\u00e1t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 m\u1ea1ch m\u00e1u l\u1edbn (m\u1ea1ch v\u00e0nh, m\u1ea1ch c\u1ea3nh, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng, \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi)<\/p>\n

–\u00a0C\u01a1 n\u0103ng: \u0110au th\u1eaft ng\u1ef1c (BMV), \u0111au c\u00e1ch h\u1ed3i hay t\u00ea b\u00ec ch\u00e2n (\u0110\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi)<\/p>\n

–\u00a0X\u00e9t nghi\u1ec7m: \u0111o \u0111i\u1ec7n tim, si\u00eau \u00e2m tim, si\u00eau \u00e2m Doppler \u0110\u1ed9ng m\u1ea1ch c\u1ea3nh, \u0110\u1ed9ng m\u1ea1ch chi, ch\u1ee5p \u0110\u1ed9ng m\u1ea1ch chi n\u1ebfu c\u1ea7n<\/p>\n

d)\u00a0Kh\u00e1m m\u1eaft: ph\u00e1t hi\u1ec7n c\u00f3 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, Soi \u0111\u00e1y m\u1eaft, ch\u1ee5p Vi m\u1ea1ch \u0111\u1ed9ng m\u1ea1ch v\u00f5ng m\u1ea1c b\u1eb1ng Fluorescen n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh<\/p>\n

e)\u00a0Kh\u00e1m c\u00e1c tuy\u1ebfn n\u1ed9i ti\u1ebft kh\u00e1c: nh\u1eb1m ph\u00e1t hi\u1ec7n \u0110a n\u1ed9i ti\u1ebft t\u1ef1 mi\u1ec5n, th\u01b0\u1eddng g\u1eb7p tr\u00ean BN \u0110T\u0110 t\u00edp 1, n\u00ean c\u1ea7n x\u00e9t nghi\u1ec7m t\u00ecm b\u1ea5t th\u01b0\u1eddng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, tuy\u1ebfn gi\u00e1p, tuy\u1ebfn sinh d\u1ee5c\u2026<\/p>\n

f)\u00a0Kh\u00e1m da: t\u00ecm d\u1ea5u gai \u0111en, c\u00e1c thay \u0111\u1ed5i da do \u0110T\u0110 ki\u1ec3m so\u00e1t k\u00e9m, kh\u00e1m c\u00e1c v\u00f9ng ti\u00eam ch\u00edch (n\u1ebfu BN d\u00f9ng insulin)<\/p>\n

g) Kh\u00e1m \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u00e0n ch\u00e2n \u0110T\u0110:<\/p>\n

–\u00a0Nh\u00ecn: xem d\u1ea5u kh\u00f4 da, thay \u0111\u1ed5i m\u00e0u s\u1eafc da (t\u00e1i, t\u00edm, t\u1ea5y \u0111\u1ecf), c\u00e1c v\u1ebft chai, bi\u1ebfn d\u1ea1ng b\u00e0n ch\u00e2n, lo\u00e9t ch\u00e2n\u2026<\/p>\n

–\u00a0S\u1edd: xem da l\u1ea1nh hay n\u00f3ng, b\u1eaft m\u1ea1ch mu ch\u00e2n v\u00e0 ch\u00e0y sau, h\u1ed1c kheo ch\u00e2n<\/p>\n

h)\u00a0Kh\u00e1m th\u1ea7n kinh:<\/p>\n

–\u00a0TK ngo\u1ea1i bi\u00ean:<\/p>\n

+ D\u1ea5u c\u01a1 n\u0103ng h\u1ecfi tri\u1ec7u ch\u1ee9ng v\u1ec1 d\u1ecb c\u1ea3m \u1edf chi d\u01b0\u1edbi: t\u00ea b\u00ec, \u0111au nh\u1ee9c, n\u00f3ng r\u00e1t,..<\/p>\n

+ C\u00f3 hay m\u1ea5t ph\u1ea3n x\u1ea1 g\u00e2n c\u01a1 Achilles<\/p>\n

+ Kh\u00e1m th\u1ef1c th\u1ec3: c\u1ea3m gi\u00e1c x\u00fac gi\u00e1c, c\u1ea3m gi\u00e1c rung, c\u1ea3m gi\u00e1c \u00e1p l\u1ef1c b\u1eb1ng s\u1ee3i \u0111\u01a1n (monofilament).<\/p>\n

–\u00a0Th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng \u1ea3nh h\u01b0\u1edfng tr\u00ean nhi\u1ec1u c\u01a1 quan<\/p>\n

2.3.\u00a0\u0110\u00e1nh gi\u00e1 v\u1ec1 c\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n

B\u1ea3ng : X\u00e9t nghi\u1ec7m \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
T\u00ean x\u00e9t nghi\u1ec7m<\/strong><\/td>\nL\u1ea7n \u0111\u1ea7u<\/strong><\/td>\nT\u00e1i kh\u00e1m<\/strong><\/td>\n<\/tr>\n
C\u00f4ng th\u1ee9c m\u00e1u<\/td>\nx<\/td>\n3- 6 th\u00e1ng, T\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Glucose<\/td>\nx<\/td>\nM\u1ed7i l\u1ea7n kh\u00e1m<\/td>\n<\/tr>\n
HbA1c<\/td>\nx<\/td>\nM\u1ed7i 3 th\u00e1ng ho\u1eb7c khi nh\u1eadp vi\u1ec7n kh\u00f4ng c\u00f3 th\u00f4ng s\u1ed1 tham kh\u1ea3o c\u1ee7a nh\u1eefng l\u1ea7n kh\u00e1m tr\u01b0\u1edbc<\/td>\n<\/tr>\n
Fructosamin<\/td>\n<\/td>\nM\u1ed7i 2 tu\u1ea7n, tr\u1eeb l\u1ea7n kh\u00e1m c\u00f3 l\u00e0m HbA1c<\/td>\n<\/tr>\n
Insulin\/C-peptide<\/td>\nx<\/td>\nL\u00e0m C-peptide ho\u1eb7c insulin<\/td>\n<\/tr>\n
Ure<\/td>\nx<\/td>\nX\u00e9t nghi\u1ec7m m\u1ed7i l\u1ea7n kh\u00e1m<\/td>\n<\/tr>\n
Creatinin, t\u00ednh eGFR<\/td>\nx<\/td>\nX\u00e9t nghi\u1ec7m l\u1ea7n kh\u00e1m \u0111\u1ea7u, l\u00e0m l\u1ea1i m\u1ed7i n\u0103m ho\u1eb7c theo y\u00eau c\u1ea7u l\u00e2m s\u00e0ng.<\/td>\n<\/tr>\n
ALT<\/td>\nx<\/td>\nX\u00e9t nghi\u1ec7m m\u1ed7i l\u1ea7n kh\u00e1m<\/td>\n<\/tr>\n
AST<\/td>\nx<\/td>\n<\/tr>\n
Na+<\/sup>, K+<\/sup>, Ca++<\/sup>, Cl–<\/sup><\/td>\nT\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
GGT<\/td>\n<\/tr>\n
Albumin\/Protein<\/td>\nT\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Acid uric<\/td>\nx<\/td>\nT\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh: Suy th\u1eadn, g\u00fat m\u1ea1n, vi\u00eam kh\u1edbp\u2026<\/td>\n<\/tr>\n
ABI, CK, CKMB, BNP, Pro-BNP<\/td>\nx<\/td>\nT\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Lipid m\u00e1u<\/td>\nx<\/td>\n1 – 2 th\u00e1ng\/l\u1ea7n, t\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/td>\nx<\/td>\nM\u1ed7i l\u1ea7n kh\u00e1m<\/td>\n<\/tr>\n
MAU\/creatinin ni\u1ec7u<\/td>\nx<\/td>\n3- 6 th\u00e1ng\/l\u1ea7n<\/td>\n<\/tr>\n
\u0110i\u1ec7n tim, X – quang ng\u1ef1c<\/td>\nx<\/td>\n1 – 2 th\u00e1ng\/l\u1ea7n, t\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Si\u00eau \u00e2m \u1ed5 b\u1ee5ng<\/td>\nx<\/td>\n3 – 6 th\u00e1ng\/l\u1ea7n, t\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Si\u00eau \u00e2m tim, Doppler m\u1ea1ch<\/td>\nx<\/td>\nT\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Kh\u00e1m r\u0103ng h\u00e0m m\u1eb7t<\/td>\nx<\/td>\n3 – 6 th\u00e1ng\/l\u1ea7n, t\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Kh\u00e1m \u0111\u00e1y m\u1eaft<\/td>\nx<\/td>\n3 – 6 th\u00e1ng\/l\u1ea7n, t\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n
Ch\u1ee5p \u0111\u00e1y m\u1eaft<\/td>\nTheo ch\u1ec9 \u0111\u1ecbnh BS chuy\u00ean khoa<\/td>\n<\/tr>\n
C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c<\/td>\nT\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

–\u00a0T\u1ea7n xu\u1ea5t t\u00e1i kh\u00e1m:<\/p>\n

+ Giai \u0111o\u1ea1n m\u1edbi ph\u00e1t hi\u1ec7n, \u0111ang \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c: t\u00e1i kh\u00e1m 0,5-1 th\u00e1ng\/l\u1ea7n<\/p>\n

+ BN \u1ed5n \u0111\u1ecbnh: kh\u00e1m \u0111\u1ecbnh k\u1ef3 m\u1ed7i 1-2 th\u00e1ng\/l\u1ea7n<\/p>\n

2.4.\u00a0T\u01b0\u01a1ng quan gi\u1eefa HbA1c v\u00e0 n\u1ed3ng \u0111\u1ed9 glucose huy\u1ebft trung b\u00ecnh<\/strong><\/p>\n

HbA1c l\u00e0 gi\u00e1 tr\u1ecb glucose huy\u1ebft trung b\u00ecnh trong 3 th\u00e1ng. B\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y ch\u1ec9 c\u00f3 t\u00ednh c\u00e1ch tham kh\u1ea3o v\u00ec tr\u1ecb s\u1ed1 glucose huy\u1ebft dao \u0111\u1ed9ng r\u1ea5t nhanh, do \u0111\u00f3 t\u1ed1t nh\u1ea5t l\u00e0 t\u1ef1 \u0111o \u0111\u01b0\u1eddng huy\u1ebft nhi\u1ec1u l\u1ea7n trong ng\u00e0y (\u0111\u1ed1i v\u1edbi \u0110T\u0110 t\u00edp 2 c\u00f3 th\u1ec3 \u0111o l\u00fac \u0111\u00f3i, sau \u0103n, tr\u01b0\u1edbc khi \u0111i ng\u1ee7) \u0111\u1ec3 bi\u1ebft s\u1ef1 dao \u0111\u1ed9ng c\u1ee7a \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1eefa \u0103n. Khi glucose huy\u1ebft \u0111\u00e3 t\u01b0\u01a1ng \u0111\u1ed1i \u1ed5n \u0111\u1ecbnh, c\u00f3 th\u1ec3 \u0111o glucose huy\u1ebft v\u1edbi t\u1ea7n xu\u1ea5t th\u01b0a h\u01a1n.<\/p>\n

HbA1c<\/a> th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111o 3 th\u00e1ng m\u1ed9t l\u1ea7n \u0111\u1ec3 theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng ki\u1ec3m so\u00e1t glucose huy\u1ebft.<\/p>\n

B\u1ea3ng : T\u01b0\u01a1ng quan gi\u1eefa HbA1c v\u00e0 n\u1ed3ng \u0111\u1ed9 glucose huy\u1ebft trung b\u00ecnh<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n
HbA1c (%)<\/strong><\/td>\nHbA1c (mmol\/mol)<\/strong><\/td>\nGlucose huy\u1ebft trung b\u00ecnh (mmol\/L)<\/strong><\/td>\n<\/tr>\n
13<\/strong><\/td>\n119<\/strong><\/td>\n18<\/td>\n<\/tr>\n
12<\/strong><\/td>\n108<\/strong><\/td>\n17<\/td>\n<\/tr>\n
11<\/strong><\/td>\n97<\/strong><\/td>\n15<\/td>\n<\/tr>\n
10<\/strong><\/td>\n86<\/strong><\/td>\n13<\/td>\n<\/tr>\n
9<\/strong><\/td>\n75<\/strong><\/td>\n12<\/td>\n<\/tr>\n
8<\/strong><\/td>\n64<\/strong><\/td>\n10<\/td>\n<\/tr>\n
7<\/strong><\/td>\n53<\/strong><\/td>\n8<\/td>\n<\/tr>\n
6<\/strong><\/td>\n42<\/strong><\/td>\n7<\/td>\n<\/tr>\n
5<\/strong><\/td>\n31<\/strong><\/td>\n5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

T\u00c0I LI\u1ec6U THAM KH\u1ea2O:<\/strong><\/p>\n

S\u1ed1 5481\/Q\u0110-BYT\u00a0‘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><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc. Tri\u1ec7u ch\u1ee9ng s\u1edbm li\u00ean quan t\u1edbi t\u0103ng glucose m\u00e1u v\u00e0 bao g\u1ed3m u\u1ed1ng nhi\u1ec1u, kh\u00e1t nhi\u1ec1u, ti\u1ec3u nhi\u1ec1u v\u00e0 nh\u00ecn m\u1edd. Bi\u1ebfn ch\u1ee9ng mu\u1ed9n g\u1ed3m b\u1ec7nh m\u1ea1ch m\u00e1u, b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i vi, […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[80,33],"tags":[],"yoast_head":"\n\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc.\" \/>\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=\"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-02T08:09:40+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Diabetes_share-300x199.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=\"7 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\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/\",\"name\":\"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-02T08:09:40+00:00\",\"dateModified\":\"2023-05-02T08:09:40+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\"},\"description\":\"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2\",\"name\":\"Dai Tran Van\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g\",\"caption\":\"Dai Tran Van\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tranvandai2791995gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf - Vinmec","description":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf - Vinmec","og_description":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/","og_site_name":"Vinmec","article_published_time":"2023-05-02T08:09:40+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Diabetes_share-300x199.jpg"}],"author":"Dai Tran Van","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Dai Tran Van","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/","name":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-02T08:09:40+00:00","dateModified":"2023-05-02T08:09:40+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2"},"description":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) bao g\u1ed3m \u0111\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/danh-gia-toan-dien-doi-voi-dai-thao-duong-bo-y-te\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n \u0111\u1ed1i v\u1edbi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u2013 B\u1ed9 Y t\u1ebf"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b99bd843f29d91903ec9b6d18e47b0e2","name":"Dai Tran Van","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g","contentUrl":"http:\/\/1.gravatar.com\/avatar\/104f3ddcb78816cdc9f1340c38ade413?s=96&d=mm&r=g","caption":"Dai Tran Van"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tranvandai2791995gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/30595"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=30595"}],"version-history":[{"count":2,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/30595\/revisions"}],"predecessor-version":[{"id":30696,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/30595\/revisions\/30696"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=30595"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=30595"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=30595"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}