{"id":30607,"date":"2023-05-02T15:09:31","date_gmt":"2023-05-02T08:09:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30607"},"modified":"2023-05-02T15:09:31","modified_gmt":"2023-05-02T08:09:31","slug":"ha-duong-huyet-o-benh-nhan-dai-thao-duong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/ha-duong-huyet-o-benh-nhan-dai-thao-duong\/","title":{"rendered":"H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"<p><strong>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft (hay h\u1ea1 glucose huy\u1ebft) l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n (BN) \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u00e0 r\u00e0o c\u1ea3n l\u1edbn trong vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u0111\u1ea1t m\u1ee5c ti\u00eau, ki\u1ec3m so\u00e1t ch\u1eb7t cho c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 1 v\u00e0 t\u00edp 2. H\u1ea1 glucose huy\u1ebft tr\u00ean b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 h\u1ea1 glucose huy\u1ebft th\u1ef1c s\u1ef1 b\u1edfi s\u1eed d\u1ee5ng c\u00e1c li\u1ec7u ph\u00e1p sulfonylureas ho\u1eb7c insulin.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-30614 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/diabetes-overview-1579871892-1-1-300x200.jpg\" alt=\"ha-duong-huyet\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/diabetes-overview-1579871892-1-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/diabetes-overview-1579871892-1-1-1024x683.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/diabetes-overview-1579871892-1-1-768x512.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/diabetes-overview-1579871892-1-1-1536x1025.jpg 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/diabetes-overview-1579871892-1-1-2048x1367.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<p><strong>1.1 \u0110\u00e1p \u1ee9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong><\/p>\n<p>\u0110\u00e1p \u1ee9ng sinh l\u00fd c\u1ee7a h\u1ec7 \u0111\u1ed1i kh\u00e1ng v\u1edbi h\u1ea1 \u0110H bao g\u1ed3m c\u00e1c \u0111\u00e1p \u1ee9ng ch\u00ednh:<\/p>\n<ul>\n<li>Gi\u1ea3m gi\u1ea3i ph\u00f3ng Insulin t\u1eeb t\u1ebf b\u00e0o \u03b2 ti\u1ec3u \u0111\u1ea3o<\/li>\n<li>T\u0103ng ti\u1ebft Glucagon t\u1eeb t\u1ebf b\u00e0o \u03b1 ti\u1ec3u \u0111\u1ea3o<\/li>\n<li>T\u0103ng ti\u1ebft EPI, NE t\u1eeb t\u1ee7y th\u01b0\u1ee3ng th\u1eadn, h\u1eadu h\u1ea1ch giao c\u1ea3m, Cortisol t\u1eeb v\u1ecf th\u01b0\u1ee3ng th\u1eadn, GH t\u1eeb th\u00f9y tr\u01b0\u1edbc tuy\u1ebfn y\u00ean.<\/li>\n<\/ul>\n<p>K\u1ebft qu\u1ea3: t\u0103ng t\u1ea1o Glucose v\u00e0 gi\u1ea3m s\u1eed d\u1ee5ng Glucose \u1edf ngo\u1ea1i vi<\/p>\n<p><strong>1.2 Tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft:<\/strong><\/p>\n<p>&#8211; R\u1ed1i lo\u1ea1n th\u1ea7n kinh t\u1ef1 ch\u1ee7:<\/p>\n<p>+ \u0110\u1ed5 m\u1ed3 h\u00f4i<\/p>\n<p>+ Tim \u0111\u1eadp nhanh<\/p>\n<p>+ T\u00e1i nh\u1ee3t<\/p>\n<p>+ Run , y\u1ebfu c\u01a1<\/p>\n<p>&#8211; H\u1ea1 glucose huy\u1ebft n\u1eb7ng -&gt; r\u1ed1i lo\u1ea1n th\u1ea7n kinh trung \u01b0\u01a1ng: nh\u00ecn \u0111\u00f4i, m\u1edd m\u1eaft ,l\u00fa l\u1eabn, thay \u0111\u1ed5i tri gi\u00e1c ho\u1eb7c h\u00e0nh vi, m\u1ea5t tr\u00ed nh\u1edb, co gi\u1eadt, h\u00f4n m\u00ea,<\/p>\n<h2><strong>2. Khuy\u1ebfn c\u00e1o v\u1edbi b\u1ec7nh nh\u00e2n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft:<\/strong><\/h2>\n<ul>\n<li>V\u1edbi c\u00e1c BN c\u00f3 nguy c\u01a1 h\u1ea1 glucose huy\u1ebft: c\u1ea7n h\u1ecfi b\u1ec7nh k\u1ef9 c\u00e1c c\u01a1n h\u1ea1 glucose huy\u1ebft c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ea1 glucosehuy\u1ebft kh\u00f4ng tri\u1ec7u ch\u1ee9ng m\u1ed7i l\u1ea7n th\u0103m kh\u00e1m<\/li>\n<li>V\u1edbi ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng c\u00e1c nh\u00f3m thu\u1ed1c c\u00f3 nguy c\u01a1 h\u1ea1 glucose huy\u1ebft (insulin, SU) c\u1ea7n theo d\u00f5i, \u0111\u00e1nh gi\u00e1, s\u00e0ng l\u1ecdc v\u00e0 h\u01b0\u1edbng d\u1eabn nh\u1eadn bi\u1ebft nguy c\u01a1 v\u00e0 s\u1ef1 t\u00e1i xu\u1ea5t hi\u1ec7n nh\u1eefng c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft do ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ebft c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft cho ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh t\u00e1o, t\u1ef1 u\u1ed1ng \u0111\u01b0\u1ee3c (Glucose huy\u1ebft &lt;3,9 mmol\/L hay 70mg\/dL) b\u1eb1ng 15-20g glucose pha n\u01b0\u1edbc u\u1ed1ng, ho\u1eb7c b\u1ea5t c\u1ee9 lo\u1ea1i th\u1ef1c ph\u1ea9m n\u00e0o ch\u1ee9a carbonhydrate c\u00f3 glucose d\u00f9ng thay th\u1ebf. Th\u1eed l\u1ea1i glucose huy\u1ebft mao m\u1ea1ch sau 15 ph\u00fat. N\u1ebfu v\u1eabn c\u00f2n th\u1ea5p, \u0111i\u1ec1u tr\u1ecb nh\u1eafc l\u1ea1i li\u1ec1u nh\u01b0 tr\u00ean. N\u1ebfu glucose huy\u1ebft v\u1ec1 b\u00ecnh th\u01b0\u1eddng: cho ng\u01b0\u1eddi b\u1ec7nh \u0103n nh\u1eb9 ngay \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 t\u00e1i xu\u1ea5t hi\u1ec7n h\u1ea1 glucose huy\u1ebft.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ec7nh h\u1ea1 glucose huy\u1ebft m\u1ee9c \u0111\u1ed9 2 tr\u1edf l\u00ean c\u1ea7n \u0111\u01b0\u1ee3c ti\u00eam glucagon (n\u1ebfu c\u00f3)<\/li>\n<li>Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nhi\u1ec1u c\u01a1n h\u1ea1 glucose huy\u1ebft, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng tri\u1ec7u ch\u1ee9ng ho\u1eb7c h\u1ea1 glucose huy\u1ebft n\u1eb7ng c\u1ea7n \u0111\u01b0\u1ee3c r\u00e0 so\u00e1t l\u1ea1i ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb, t\u00ecm nguy\u00ean nh\u00e2n v\u00e0 c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n<li>V\u1edbi nh\u1eefng BN \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin m\u00e0 xu\u1ea5t hi\u1ec7n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng nh\u1eadn bi\u1ebft, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft m\u1ee9c \u0111\u1ed9 n\u1eb7ng th\u00ec c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh n\u1edbi l\u1ecfng m\u1ee5c ti\u00eau ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft trong v\u00e0i tu\u1ea7n, nh\u1eb1m gi\u1ea3m nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n<li>C\u1ea7n \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c cho nh\u1eefng BN c\u00f3 nhi\u1ec1u c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng \u0111\u1ec3 k\u1ecbp th\u1eddi \u0111i\u1ec1u ch\u1ec9nh ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb<\/li>\n<\/ul>\n<p><strong> Ph\u00e2n m\u1ee9c \u0111\u1ed9 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong><\/p>\n<p>H\u1ea1 glucose huy\u1ebft \u0111\u01b0\u1ee3c chia l\u00e0m 3 m\u1ee9c \u0111\u1ed9, d\u1ef1a v\u00e0o n\u1ed3ng \u0111\u1ed9 glucose huy\u1ebft: B\u1ea3ng Ph\u00e2n m\u1ee9c \u0111\u1ed9 h\u1ea1 glucose huy\u1ebft<\/p>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"13%\"><\/td>\n<td width=\"86%\"><strong>Ti\u00eau ch\u00ed glucose huy\u1ebft<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"13%\">M\u1ee9c 1<\/td>\n<td width=\"86%\">Glucose &lt;70 mg\/dL (3,9 mmol\/L) v\u00e0 \u226554 mg\/dL (3,0 mmol\/L)<\/td>\n<\/tr>\n<tr>\n<td width=\"13%\">M\u1ee9c 2<\/td>\n<td width=\"86%\">Glucose &lt;54 mg\/dL (3,0 mmol\/L)<\/td>\n<\/tr>\n<tr>\n<td width=\"13%\">M\u1ee9c 3<\/td>\n<td width=\"86%\">H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft m\u1ee9c \u0111\u1ed9 n\u1eb7ng, BN c\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c v\u00e0\/ho\u1eb7c c\u00f3 thay \u0111\u1ed5i bi\u1ec3u hi\u1ec7n to\u00e0n th\u00e2n c\u1ea7n x\u1eed tr\u00ed c\u1ea5p c\u1ee9u<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><strong>3. X\u1eed tr\u00ed<\/strong><\/h2>\n<p>Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea5p c\u1ee9u ban \u0111\u1ea7u theo c\u00e1c b\u01b0\u1edbc ABC C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u \u0111\u1eb7c hi\u1ec7u<\/p>\n<ul>\n<li>Truy\u1ec1n glucose t\u0129nh m\u1ea1ch<\/li>\n<\/ul>\n<p>&#8211;\u00a0N\u1ebfu \u0111\u00e3 c\u00f3 \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch, ti\u00eam 50 ml dung d\u1ecbch glucose 50% (ch\u1ee9a \u0111\u1ef1ng x\u1ea5p x\u1ec9 25g glucose, c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c h\u1ea7u h\u1ebft c\u00e1c giai \u0111o\u1ea1n h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u).<\/p>\n<p>&#8211;\u00a0Theo d\u00f5i t\u00ecnh tr\u1ea1ng \u00fd th\u1ee9c b\u1ec7nh nh\u00e2n v\u00e0 ki\u1ec3m tra l\u1ea1i \u0111\u01b0\u1eddng m\u00e1u mao m\u1ea1ch 15 &#8211; 30 ph\u00fat sau ti\u00eam glucose 50%.<\/p>\n<p>&#8211; Nh\u1eafc l\u1ea1i c\u00e1c li\u1ec1u dung d\u1ecbch glucose 50% ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch dung d\u1ecbch glucose 5 &#8211; 10% c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u ph\u00f9 h\u1ee3p. Thi\u1ebfu glucose n\u00e3o (r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, c\u00e1c bi\u1ec3u hi\u1ec7n gi\u1ed1ng co gi\u1eadt, c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trung \u01b0\u01a1ng) c\u00f3 th\u1ec3 ph\u1ea3i m\u1ea5t m\u1ed9t th\u1eddi gian m\u1edbi h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n \u0111\u01b0\u1ee3c. N\u1ebfu c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i tr\u00ean 30 ph\u00fat sau khi truy\u1ec1n glucose v\u00e0 h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u kh\u00f4ng tr\u1edf l\u1ea1i (kh\u00f4ng c\u00f2n h\u1ea1 glucose m\u00e1u) th\u00ec ph\u1ea3i t\u00ecm ki\u1ebfm c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c b\u1eb1ng ch\u1ee5p CT s\u1ecd n\u00e3o v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m ph\u00f9 h\u1ee3p<\/p>\n<ul>\n<li>\u0102n u\u1ed1ng \u0111\u01b0\u1eddng mi\u1ec7ng: Ngay khi b\u1ec7nh nh\u00e2n t\u1ec9nh l\u1ea1i (ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f2n t\u1ec9nh), n\u01b0\u1edbc hoa qu\u1ea3 (vd: n\u01b0\u1edbc t\u00e1o, n\u01b0\u1edbc nho; 300 ml ch\u1ee9a kho\u1ea3ng 15g glucose) l\u00e0 s\u1ef1 l\u1ef1a ch\u1ecdn t\u1ed1t \u0111\u1ec3 duy tr\u00ec n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u, ho\u1eb7c m\u1ed9t b\u1eefa \u0103n nh\u1eb9 l\u00e0 ph\u00f9 h\u1ee3p<\/li>\n<li>Glucagon: N\u1ebfu ch\u01b0a c\u00f3 \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch, c\u00f3 th\u1ec3 ti\u00eam b\u1eafp 1mg glucagon. Th\u1eddi gian \u0111\u00e1p \u1ee9ng v\u00e0o kho\u1ea3ng 10 &#8211; 15 ph\u00fat, v\u00e0 bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n do s\u1ef1 \u0111i\u1ec1u ch\u1ec9nh qu\u00e1 m\u1ee9c n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u (qu\u00e1 li\u1ec1u glucagon) kh\u00e1 ph\u1ed5 bi\u1ebfn. V\u00ec glucagon c\u00f3 th\u1ec3 ti\u00eam b\u1eafp n\u00ean t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111ang d\u00f9ng insulin (ho\u1eb7c gia \u0111\u00ecnh h\u1ecd) c\u1ea7n lu\u00f4n mang theo glucagon v\u00e0 bi\u1ebft c\u00e1ch ti\u00eam n\u1ebfu c\u1ea7n.<\/li>\n<li>Theo d\u00f5i<\/li>\n<\/ul>\n<p>&#8211;\u00a0Ch\u00fa \u00fd th\u1eddi gian t\u00e1c d\u1ee5ng c\u1ee7a insulin ho\u1eb7c c\u00e1c thu\u1ed1c u\u1ed1ng h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u m\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 s\u1eed d\u1ee5ng.<\/p>\n<p>&#8211; Ki\u1ec3m tra \u0111\u01b0\u1eddng m\u00e1u mao m\u1ea1ch m\u1ed7i gi\u1edd cho t\u1edbi khi n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u \u1ed5n \u0111\u1ecbnh. N\u00f3i chung b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i qua th\u1eddi gian t\u00e1c d\u1ee5ng \u0111\u1ec9nh c\u1ee7a insulin, c\u1ee5 th\u1ec3 nh\u01b0 kho\u1ea3ng t\u1eeb 30 ph\u00fat t\u1edbi 1-2 gi\u1edd \u0111\u1ed1i v\u1edbi insulin lispro ho\u1eb7c insulin aspart, 2 &#8211; 4 gi\u1edd \u0111\u1ed1i v\u1edbi regular insulin, ho\u1eb7c 6 &#8211; 8 gi\u1edd \u0111\u1ed1i v\u1edbi NPH. Insulin glargine kh\u00f4ng c\u00f3 ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec9nh v\u00e0 n\u00f3i chung b\u1ea3n th\u00e2n n\u00f3 kh\u00f4ng g\u00e2y h\u1ea1 glucose m\u00e1u. Nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng insulin t\u00e1c d\u1ee5ng ch\u1eadm c\u00f3 th\u1eddi gian t\u00e1c d\u1ee5ng \u0111\u1ec9nh nh\u01b0 lente ho\u1eb7c ultralente, ho\u1eb7c b\u1ec7nh nh\u00e2n u\u1ed1ng thu\u1ed1c sulfonylurea th\u00ec c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i trong b\u1ec7nh vi\u1ec7n.<\/p>\n<p><strong>\u00a0<\/strong><strong>T\u00c0I LI\u1ec6U THAM KH\u1ea2O:<\/strong><\/p>\n<p>S\u1ed1 5481\/Q\u0110-BYT\u00a0&#8216;<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><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft (hay h\u1ea1 glucose huy\u1ebft) l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n (BN) \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u00e0 r\u00e0o c\u1ea3n l\u1edbn trong vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u0111\u1ea1t m\u1ee5c ti\u00eau, ki\u1ec3m so\u00e1t ch\u1eb7t cho c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 1 v\u00e0 t\u00edp 2. H\u1ea1 glucose huy\u1ebft tr\u00ean b\u1ec7nh nh\u00e2n [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft (hay h\u1ea1 glucose huy\u1ebft) l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n (BN) \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng s\u1eed d\u1ee5ng sulfonylureas ho\u1eb7c\u00a0insulin.\" \/>\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=\"H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng - 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