{"id":31509,"date":"2023-05-07T09:37:59","date_gmt":"2023-05-07T02:37:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31509"},"modified":"2023-05-07T09:37:59","modified_gmt":"2023-05-07T02:37:59","slug":"kiem-soat-duong-huyet-noi-vien-cap-nhat-cac-khuyen-cao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/kiem-soat-duong-huyet-noi-vien-cap-nhat-cac-khuyen-cao\/","title":{"rendered":"Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n: c\u1eadp nh\u1eadt c\u00e1c khuy\u1ebfn c\u00e1o"},"content":{"rendered":"<p><strong>\u00a0T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 glucose m\u00e1u tr\u00ean 140 mg\/dl (7.8 mmol\/l), \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o xu\u1ea5t hi\u1ec7n \u1edf 22-46% b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n kh\u00f4ng nguy k\u1ecbch. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng li\u00ean quan v\u1edbi t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong. Do \u0111\u00f3, b\u00e0i vi\u1ebft n\u00e0y nh\u1eb1m cung c\u1ea5p ki\u1ebfn th\u1ee9c v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng insulin trong ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n.<\/strong><\/p>\n<h2>1. T\u1ec9 l\u1ec7 hi\u1ec7n m\u1eafc c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n.<\/h2>\n<p>C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y t\u1ec9 l\u1ec7 hi\u1ec7n m\u1eafc c\u1ee7a t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/tong-quan-ve-benh-dai-thao-duong\/\">\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/a> t\u1eeb 38% &#8211; 40% \u1edf b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n v\u00e0 70-80% \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 b\u1ec7nh nguy k\u1ecbch ho\u1eb7c ph\u1eabu thu\u1eadt tim.<\/p>\n<p>M\u1ed9t b\u00e1o c\u00e1o n\u0103m 2017 s\u1eed d\u1ee5ng test \u0111\u01b0\u1eddng huy\u1ebft t\u1ea1i gi\u01b0\u1eddng \u1edf 3.5 tri\u1ec7u ng\u01b0\u1eddi t\u1eeb 575 b\u1ec7nh vi\u1ec7n t\u1ea1i M\u1ef9 cho th\u1ea5y t\u1ec9 l\u1ec7 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft (glucose &gt;180 mg\/dl) chi\u1ebfm 32.2% \u1edf b\u1ec7nh nh\u00e2n n\u1eb1m ICU v\u00e0\u00a0 32.0% \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng n\u1eb1m ICU. T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft bao g\u1ed3m c\u1ea3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng m\u1edbi ph\u00e1t hi\u1ec7n, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do stress v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u00e3 ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc.<\/p>\n<h2>2. Sinh l\u00fd b\u1ec7nh c\u1ee7a t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do stress.<\/h2>\n<p>\u1ede ng\u01b0\u1eddi kh\u00f4ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/chi-so-duong-huyet-cua-nguoi-binh-thuong-la-bao-nhieu\/\">glucose m\u00e1u<\/a> l\u00fac \u0111\u00f3i duy tr\u00ec t\u1eeb 70 \u2013 100 mg\/dl (3.9 \u2013 5.6 mmol\/l) nh\u1edd s\u1ef1 c\u00e2n b\u1eb1ng gi\u1eefa s\u1ea3n xu\u1ea5t glucose t\u1ea1i gan v\u00e0 s\u1eed d\u1ee5ng glucose \u1edf m\u00f4 ngo\u1ea1i bi\u00ean. Duy tr\u00ec n\u1ed3ng \u0111\u1ed9 glucose b\u00ecnh th\u01b0\u1eddng gi\u00fap h\u1ec7 tim m\u1ea1ch v\u00e0 th\u1ea7n kinh ho\u1ea1t \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh.<\/p>\n<p><a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/duong-huyet-tang-cao-nguy-hiem-nao\/\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/a> x\u1ea3y ra do 3 c\u01a1 ch\u1ebf sau: (1) t\u0103ng t\u00e2n sinh glucose, (2) t\u0103ng ly gi\u1ea3i glycogen, (3) gi\u1ea3m s\u1eed d\u1ee5ng glucose \u1edf m\u00f4 ngo\u1ea1i bi\u00ean.<\/p>\n<p>Chuy\u1ec3n h\u00f3a glucose \u0111\u01b0\u1ee3c duy tr\u00ec \u1ed5n \u0111\u1ecbnh nh\u1edd ho\u1ea1t \u0111\u1ed9ng c\u1ee7a insulin (ki\u1ec3m so\u00e1t s\u1ea3n xu\u1ea5t glucose t\u1eeb gan, \u0111\u1ed3ng h\u00f3a, \u1ee9c ch\u1ebf d\u1ecb h\u00f3a lipid) gi\u00fap \u0111i\u1ec1u h\u00f2a gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u00e1c hormon t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft nh\u01b0 glucagon, cortisol, catecholamines v\u00e0 growth hormone.<\/p>\n<p>\u1ede b\u1ec7nh nh\u00e2n n\u1ed9i tr\u00fa, s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch l\u00e0 do t\u00ecnh tr\u1ea1ng vi\u00eam, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u0103ng c\u00e1c cytokine v\u00e0 c\u00e1c d\u1ea5u \u1ea5n c\u1ee7a stress oxy h\u00f3a. C\u00e1c marker vi\u00eam nh\u01b0 tumor necrosis factor-\u03b1 (TNF-\u03b1), interleukin [IL]-6, IL1-\u00df, IL-8, and C-reactive protein t\u0103ng g\u1ea5p 2 &#8211; 4 l\u1ea7n \u1edf b\u1ec7nh nh\u1eadn n\u1ed9i tr\u00fa c\u00f3 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng v\u00e0 tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng sau \u0111i\u1ec1u tr\u1ecb insulin v\u00e0 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u01a1n t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft. V\u1ec1 c\u01a1 ch\u1ebf, c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5y s\u1ef1 t\u0103ng c\u00e1c cytokine vi\u00eam l\u00e0m t\u0103ng \u0111\u1ec1 kh\u00e1ng insulin b\u1eb1ng c\u00e1ch can thi\u1ec7p v\u00e0o c\u01a1 ch\u1ebf truy\u1ec1n tin n\u1ed9i b\u00e0o c\u1ee7a insulin.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u1edf c\u1ea3 b\u1ec7nh nh\u00e2n nguy k\u1ecbch v\u00e0 kh\u00f4ng nguy k\u1ecbch \u0111\u1ec1u li\u00ean quan v\u1edbi k\u1ebft c\u1ee5c l\u00e2m s\u00e0ng x\u1ea5u h\u01a1n, g\u1ed3m t\u0103ng t\u1ec9 l\u1ec7 t\u1eed vong, nhi\u1ec5m tr\u00f9ng, bi\u1ebfn ch\u1ee9ng do n\u1eb1m vi\u1ec7n.<\/p>\n<h2>3. M\u1ee5c ti\u00eau n\u1ed3ng \u0111\u1ed9 glucose trong ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n.<\/h2>\n<p>\u0110\u01b0\u1eddng huy\u1ebft b\u1ea5t k\u1ef3 tr\u00ean 7\u00b78 mmol\/L (140 mg\/dL) \u0111\u01b0\u1ee3c xem l\u00e0 ng\u01b0\u1ee1ng ch\u1ea9n \u0111o\u00e1n t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n.<\/p>\n<p>M\u1ee5c ti\u00eau \u0111\u01b0\u1eddng huy\u1ebft theo c\u00e1c khuy\u1ebfn c\u00e1o:<\/p>\n<ul>\n<li>Theo ADA\/AACE: khuy\u1ebfn c\u00e1o kh\u1edfi tr\u1ecb insulin v\u1edbi t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft k\u00e9o d\u00e0i \u1edf b\u1ec7nh nh\u00e2n ICU(glucose &gt;180 mg\/dl [&gt;10 mmol\/l]). M\u1ee5c ti\u00eau: 140 \u2013 180 mg\/dl (7.8 \u2013 10.0 mmol\/l). M\u1ee5c ti\u00eau ki\u1ec3m so\u00e1t ch\u1eb7t h\u01a1n (110 \u2013 140 mg\/dl [6.1 \u2013 7.8 mmol\/l]) ch\u1ec9 ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ch\u1ecdn l\u1ecdc, n\u1ebfu l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. V\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng n\u1eb1m ICU, m\u1ee5c ti\u00eau glucose tr\u01b0\u1edbc \u0103n &lt;140mg\/dl, glucose b\u1ea5t k\u1ef3 &lt;180mg\/dl.<\/li>\n<li>Theo ACP: khuy\u1ebfn c\u00e1o m\u1ee5c ti\u00eau glucose \u00a0140 \u2013 200 mg\/dl (7.8 \u2013 11.0 mmol\/l), \u1edf b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt ho\u1eb7c h\u1ed3i s\u1ee9c n\u1ed9i khoa.<\/li>\n<li>Theo Endocrine Society: khuy\u1ebfn c\u00e1o m\u1ee5c ti\u00eau \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng h\u1ed3i s\u1ee9c: Glucose tr\u01b0\u1edbc b\u1eefa \u0103n &lt;140 mg\/dl (&lt;7.8mmol\/l) glucose b\u1ea5t k\u1ef3 &lt;180 mg\/dl (&lt;10.0 mmol\/l). M\u1ee5c ti\u00eau glucose &lt;180 \u2013 200 mg\/dl (&lt;10.0 \u2013 11.0 mmol\/l) ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh nh\u00e2n k\u00ec v\u1ecdng s\u1ed1ng ng\u1eafn. \u0110i\u1ec1u ch\u1ec9nh li\u1ec7u ph\u00e1p insulin n\u1ebfu glucose&lt;100 mg\/dl (&lt;5.6 mmol\/l) \u0111\u1ec3 tr\u00e1nh h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n<li>Theo Joint British Diabetes Society for Inpatient Care, \u00a0khuy\u1ebfn c\u00e1o m\u1ee5c ti\u00eau \u0111\u01b0\u1eddng huy\u1ebft 108 \u2013 180 mg\/dl (6.0 \u2013 10 mmol\/l) v\u1edbi kho\u1ea3ng ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c t\u1eeb 72 \u2013 216 mg\/dl (4.0 \u2013 12.0 mmol\/l).<\/li>\n<\/ul>\n<h2>4. H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 khi ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n.<\/h2>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/ha-duong-huyet-4863\/\">H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/a> l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do stress n\u1ed9i vi\u1ec7n. \u0110\u1ecbnh ngh\u0129a h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft khi glucose m\u00e1u &lt;70 mg\/dl (&lt;3.9 mmol\/l), h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng khi &lt;40 mg\/dl (&lt;2.2 mmol\/l). T\u1ec9 l\u1ec7 xu\u1ea5t hi\u1ec7n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n ICU t\u1eeb 5 &#8211; 28% t\u00f9y theo c\u01b0\u1eddng \u0111\u1ed9 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft. N\u0103m 2017, d\u1eef li\u1ec7u t\u1eeb nghi\u00ean c\u1ee9u NaDIA cho th\u1ea5y c\u00f3 18% b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u1ed9i tr\u00fa c\u00f3 t\u1eeb 1 c\u01a1n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u1edbi glucose &lt;72mg\/dl (&lt;4.0 mmol\/l).<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft bao g\u1ed3m:<\/p>\n<ul>\n<li>C\u00f3 ti\u1ec1n s\u1eed h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft tr\u01b0\u1edbc \u0111\u00f3<\/li>\n<li>L\u1edbn tu\u1ed5i<\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/suy-than-man-3199\/\">C\u00f3 b\u1ec7nh th\u1eadn m\u1ea1n<\/a><\/li>\n<li>Suy tim sung huy\u1ebft<\/li>\n<li>Suy gan<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng huy\u1ebft<\/li>\n<li>Suy dinh d\u01b0\u1ee1ng<\/li>\n<li>Ng\u01b0ng nu\u00f4i \u0103n, nu\u00f4i \u0103n kh\u00f4ng c\u00f3 \u0111\u01b0\u1eddng b\u1ed9t<\/li>\n<\/ul>\n<p>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft g\u00e2y k\u1ebft c\u1ee5c tim m\u1ea1ch x\u1ea5u nh\u01b0 t\u0103ng co b\u00f3p c\u01a1 tim, k\u00e9o d\u00e0i QT, g\u00e2y thay \u0111\u1ed5i v\u1ec1 thi\u1ebfu m\u00e1u tr\u00ean ECG, r\u1ed1i lo\u1ea1n t\u00e1i c\u1ef1c, lo\u1ea1n nh\u1ecbp v\u00e0 t\u1eed vong.<\/p>\n<h2>5. H\u01b0\u1edbng d\u1eabn ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n.<\/h2>\n<h3><strong>5.1. Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u0103ng glucose m\u00e1u cho b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh nguy k\u1ecbch <\/strong><\/h3>\n<ul>\n<li>Truy\u1ec1n insulin t\u0129nh m\u1ea1ch l\u00e0 ph\u01b0\u01a1ng ph\u00e1p l\u1ef1a ch\u1ecdn \u0111\u1ec3 ki\u1ec3m so\u00e1t glucose m\u00e1u \u1edf b\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng glucose m\u00e1u v\u00e0 t\u00ecnh tr\u1ea1ng nguy k\u1ecbch. S\u1eed d\u1ee5ng insulin nhanh, truy\u1ec1n b\u01a1m ti\u00eam \u0111i\u1ec7n (pha v\u1edbi dung d\u1ecbch natri clorua \u0111\u1eb3ng tr\u01b0\u01a1ng \u0111\u1ec3 \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 insulin 1 IU\/mL).<\/li>\n<li>C\u1ea7n c\u00f3 ph\u00e1c \u0111\u1ed3 truy\u1ec1n insulin t\u0129nh m\u1ea1ch tr\u00ean gi\u1ea5y ho\u1eb7c vi t\u00ednh h\u00f3a \u0111\u1ec3 th\u1ef1c hi\u1ec7n cho thu\u1eadn ti\u1ec7n. \u0110o glucose m\u00e1u mao m\u1ea1ch m\u1ed7i gi\u1edd l\u00fac b\u1eaft \u0111\u1ea7u, c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng 2 gi\u1edd m\u1ed9t l\u1ea7n n\u1ebfu glucose m\u00e1u \u1ed5n trong trong kho\u1ea3ng m\u1ee5c ti\u00eau. L\u01b0u \u00fd nh\u1eefng y\u1ebfu t\u1ed1 g\u00e2y sai s\u1ed1 k\u1ebft qu\u1ea3 \u0111o glucose huy\u1ebft mao m\u1ea1ch. T\u1ea1i c\u00e1c Khoa Ch\u0103m s\u00f3c t\u00edch c\u1ef1c, ph\u00f2ng ph\u1eabu thu\u1eadt: s\u1ef1 thay \u0111\u1ed5i Hct, pH m\u00e1u, SaO<sub>2<\/sub>, s\u1ed1t, m\u1ea5t n\u01b0\u1edbc v\u00e0 t\u00ecnh tr\u1ea1ng nhi\u1ec5m ceton \u0111\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn k\u1ebft qu\u1ea3 Glucose mao m\u1ea1ch. Tr\u01b0\u1eddng h\u1ee3p c\u00f3 suy tu\u1ea7n ho\u00e0n, nh\u1ea5t l\u00e0 khi c\u00f3 nhi\u1ec5m toan hay s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch l\u00e0m thay \u0111\u1ed5i l\u01b0u l\u01b0\u1ee3ng m\u00e1u mao m\u1ea1ch d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 Glucose mao m\u1ea1ch kh\u00f4ng ch\u00ednh x\u00e1c.<\/li>\n<li>C\u0103n c\u1ee9 k\u1ebft qu\u1ea3 glucose m\u00e1u mao m\u1ea1ch \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh t\u1ed1c \u0111\u1ed9 truy\u1ec1n insulin.<\/li>\n<li>Th\u00eam insulin nhanh v\u00e0o d\u1ecbch truy\u1ec1n nu\u00f4i d\u01b0 ng v\u1edbi li\u1ec1u 1 IU\/15 g carbohydrat. N\u1ebfu b\u1ec7nh nh\u00e2n \u0103n (qua sonde) ti\u00eam th\u00eam insulin nhanh d\u01b0\u1edbi da tr\u01b0\u1edbc \u0103n v\u1edbi li\u1ec1u 1 IU\/15 g carbohydrat.<\/li>\n<li>Chuy\u1ec3n sang ph\u00e1c \u0111\u1ed3 ti\u00eam insulin d\u01b0\u1edbi da n\u1ec1n \u2013 nhanh\/ph\u00f3ng (basal \u2013 bolus)\n<ul>\n<li>Khi b\u1ec7nh nh\u00e2n qua kh\u1ecfi t\u00ecnh tr\u1ea1ng nguy k\u1ecbch, glucose m\u00e1u \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 \u0103n \u0111\u01b0\u1ee3c.<\/li>\n<li>C\u1ea7n ti\u00eam insulin d\u01b0\u1edbi da \u00edt nh\u1ea5t 2 &#8211; 4 gi\u1edd tr\u01b0\u1edbc khi ng\u1eebng truy\u1ec1n insulin t\u0129nh m\u1ea1ch.<\/li>\n<li>T\u1ed5ng li\u1ec1u insulin d\u01b0\u1edbi da\/ng\u00e0y = 60 \u2013 80% nhu c\u1ea7u insulin trong 24h t\u00ednh t\u1eeb t\u1ed5ng li\u1ec1u insulin d\u00f9ng trong 6 \u2013 8h ngay tr\u01b0\u1edbc \u0111\u00f3, ph\u00e2n b\u1ed1 insulin n\u1ec1n v\u00e0 insulin nhanh nh\u01b0 trong ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n n\u1eb7ng d\u01b0\u1edbi \u0111\u00e2y.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><strong>5.2. Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u0103ng glucose m\u00e1u \u1edf b\u1ec7nh nh\u00e2n n\u1eb7ng kh\u00f4ng nguy k\u1ecbch <\/strong><\/h3>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1eb1ng insulin b\u1eaft \u0111\u1ea7u khi c\u00f3 glucose m\u00e1u \u2265 10,0 mmol\/L (180 mg\/dL) l\u1eb7p l\u1ea1i.<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 insulin n\u1ec1n \u2013 nhanh (ti\u00eam d\u01b0\u1edbi da) l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ec3 ki\u1ec3m so\u00e1t glucose m\u00e1u \u1edf b\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng glucose m\u00e1u k\u00e8m b\u1ec7nh n\u1eb7ng kh\u00f4ng nguy k\u1ecbch, insulin tr\u1ed9n kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng th\u01b0\u1eddng quy do t\u0103ng nguy c\u01a1 h\u1ea1 glucose huy\u1ebft.<\/li>\n<li>C\u1ea7n c\u00f3 ph\u00e1c \u0111\u1ed3 truy\u1ec1n insulin t\u0129nh m\u1ea1ch tr\u00ean gi\u1ea5y ho\u1eb7c vi t\u00ednh h\u00f3a \u0111\u1ec3 th\u1ef1c hi\u1ec7n cho thu\u1eadn ti\u1ec7n.<\/li>\n<li>Theo d\u00f5i glucose m\u00e1u: \u0111o glucose m\u00e1u (mao m\u1ea1ch) l\u00fac \u0111\u00f3i bu\u1ed5i s\u00e1ng, tr\u01b0\u1edbc m\u1ed7i l\u1ea7n ti\u00eam insulin nhanh v\u00e0 khi nghi ng\u1edd c\u00f3 h\u1ea1 glucose m\u00e1u.<\/li>\n<li>Insulin n\u1ec1n: s\u1eed d\u1ee5ng insulin t\u00e1c d\u1ee5ng trung gian NPH ho\u1eb7c insulin t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i (glargine, detemir, Degludec).<\/li>\n<li>Insulin nhanh (bolus): s\u1eed d\u1ee5ng insulin nhanh ng\u01b0\u1eddi ho\u1eb7c insulin nhanh analog (aspart, glulisine, lispro), bao g\u1ed3m 2 th\u00e0nh ph\u1ea7n: Insulin dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n \u0103n qua mi\u1ec7ng t\u1eebng b\u1eefa. Insulin hi\u1ec7u ch\u1ec9nh: li\u1ec1u ph\u1ee5 thu\u1ed9c m\u1ee9c glucose m\u00e1u tr\u01b0\u1edbc khi ti\u00eam.<\/li>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0110T\u0110 t\u00edp 1, \u0110T\u0110 t\u00edp 2 \u0111i\u1ec1u tr\u1ecb insulin v\u00e0\/ho\u1eb7c ki\u1ec3m so\u00e1t glucose m\u00e1u k\u00e9m, t\u0103ng glucose m\u00e1u m\u1edbi ph\u00e1t hi\u1ec7n:<\/li>\n<\/ul>\n<p>&#8211; N\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng \u0103n\/nu\u00f4i d\u01b0\u1ee1ng qua mi\u1ec7ng:<\/p>\n<p>+ Insulin n\u1ec1n li\u1ec1u d\u00f9ng \u1edf nh\u00e0 tr\u01b0\u1edbc \u0111\u00f3 ho\u1eb7c 0,2 \u2013 0,3 IU\/kg c\u00e2n n\u1eb7ng, chia 2 l\u1ea7n\/24 gi\u1edd v\u1edbi insulin NPH, 1-2 l\u1ea7n\/24 gi\u1edd v\u1edbi insulin detemir v\u00e0 1 l\u1ea7n\/24 gi\u1edd v\u1edbi insulin glargine.<\/p>\n<p>+ Insulin hi\u1ec7u ch\u1ec9nh: insulin nhanh ng\u01b0\u1eddi ti\u00eam m\u1ed7i 6 gi\u1edd ho\u1eb7c insulin nhanh analog ti\u00eam m\u1ed7i 4 gi\u1edd; li\u1ec1u c\u0103n c\u1ee9 m\u1ee9c glucose m\u00e1u tr\u01b0\u1edbc khi ti\u00eam: khi glucose m\u00e1u &lt; 8,3 mmol\/L (150 mg\/dL) th\u00ec kh\u00f4ng ti\u00eam; n\u1ebfu glucose m\u00e1u tr\u00ean m\u1ee9c n\u00e0y th\u00ec c\u1ee9 2,8 mmol\/L (50 mg\/dL) tr\u00ean m\u1ee9c n\u00e0y ti\u00eam 1 \u2013 4 \u0111\u01a1n v\u1ecb insulin nhanh t\u00f9y theo m\u1ee9c \u0111\u1ed9 kh\u00e1ng insulin c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>+ Th\u00eam insulin nhanh v\u00e0o d\u1ecbch truy\u1ec1n nu\u00f4i d\u01b0\u1ee1ng v\u1edbi li\u1ec1u ban ban \u0111\u1ea7u 1 IU\/10 g carbohydrat, \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u insulin sau \u0111\u00f3.<\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0110T\u0110 t\u00edp 2 ki\u1ec3m so\u00e1t glucose m\u00e1u t\u1ed1t b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n tr\u01b0\u1edbc \u0111\u00f3:<\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n kh\u00f4ng \u0103n qua mi\u1ec7ng: ng\u1eebng c\u00e1c thu\u1ed1c u\u1ed1ng h\u1ea1 glucose m\u00e1u, ti\u00eam insulin hi\u1ec7u ch\u1ec9nh, th\u00eam insulin nhanh v\u00e0o d\u1ecbch truy\u1ec1n nu\u00f4i d\u01b0 ng nh\u01b0 tr\u01b0\u1eddng h\u1ee3p tr\u00ean.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0103n qua mi\u1ec7ng:\n<ul>\n<li>C\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c thu\u1ed1c u\u1ed1ng h\u1ea1 glucose m\u00e1u, tr\u1eeb sulfonylurea, \u1ee9c ch\u1ebf SGLT2, n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 glucose m\u00e1u \u1ed5n \u0111\u1ecbnh.<\/li>\n<li>D\u00f9ng insulin n\u1ec1n v\u00e0 insulin nhanh nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u00ean.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/strong><\/p>\n<p>Dhatariya K, Corsino L, Umpierrez GE. Management of Diabetes and Hyperglycemia in Hospitalized Patients. [Updated 2020 Dec 30]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]<\/p>\n<p>Pasquel FJ, Lansang MC, Dhatariya K, Umpierrez GE. Management of diabetes and hyperglycaemia in the hospital. Lancet Diabetes Endocrinol. 2021 Mar;9(3):174-188.<\/p>\n<p>B\u1ed9 Y t\u1ebf 2020, \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 glucose m\u00e1u tr\u00ean 140 mg\/dl (7.8 mmol\/l), \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o xu\u1ea5t hi\u1ec7n \u1edf 22-46% b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n kh\u00f4ng nguy k\u1ecbch. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng li\u00ean quan v\u1edbi t\u0103ng nguy c\u01a1 bi\u1ebfn [&hellip;]<\/p>\n","protected":false},"author":69,"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>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n: c\u1eadp nh\u1eadt c\u00e1c khuy\u1ebfn c\u00e1o - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng, t\u1eed vong. 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M\u1ee5c ti\u00eau ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft 7.8 \u2013 10.0 mmol\/l, s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p insulin.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/kiem-soat-duong-huyet-noi-vien-cap-nhat-cac-khuyen-cao\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-07T02:37:59+00:00\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n Ch\u00ed Nguy\u1ec7n\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n Ch\u00ed Nguy\u1ec7n\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 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\/07\/kiem-soat-duong-huyet-noi-vien-cap-nhat-cac-khuyen-cao\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/kiem-soat-duong-huyet-noi-vien-cap-nhat-cac-khuyen-cao\/\",\"name\":\"Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n: c\u1eadp nh\u1eadt c\u00e1c khuy\u1ebfn c\u00e1o - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-07T02:37:59+00:00\",\"dateModified\":\"2023-05-07T02:37:59+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/b812b6273d037966dff4008e0eed896e\"},\"description\":\"T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1ed9i vi\u1ec7n l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng, t\u1eed vong. 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