Glucose Tolerance Test

Glucose Tolerance Test (GTT) yog ib qho tseem ceeb ntawm kev kuaj mob uas siv los ntsuas seb koj lub cev ua cov piam thaj li cas (qab zib). Nws feem ntau yog siv los kuaj mob ntshav qab zib mellitus thiab gestational diabetes, nrog rau saib xyuas lub cev cov lus teb rau cov piam thaj hauv cov tib neeg uas muaj kev pheej hmoo ntawm kev tsim cov mob no. Kev ntsuas ntsuas koj cov ntshav qab zib tom qab koj haus cov kua qabzib nplua nuj, pab cov kws kho mob txiav txim siab seb koj lub cev tswj cov piam thaj li cas thiab seb nws puas yog qhov qhia txog kev tiv thaiv insulin lossis cov piam thaj metabolism tsis zoo.

Glucose Tolerance Test yog dab tsi?

Glucose Tolerance Test (GTT) yog ib qho kev kuaj mob uas siv los ntsuas lub cev muaj peev xwm ua cov piam thaj. Nws yog feem ntau siv los kuaj mob ntshav qab zib mellitus, ntshav qab zib gestational, thiab ntshav qab zib ua ntej, thiab nws tuaj yeem muab kev pom rau cov xwm txheej xws li insulin tsis kam.

Qhov kev sim no suav nrog kev haus cov kua qabzib, tom qab ntawd cov ntshav coj mus kuaj ntawm lub sijhawm tshwj xeeb los ntsuas seb lub cev teb li cas rau cov piam thaj. GTT pab txiav txim siab sai npaum li cas koj lub cev tuaj yeem tshem cov piam thaj los ntawm koj cov hlab ntsha, muab cov ntaub ntawv tseem ceeb ntawm koj txoj haujlwm insulin thiab tag nrho cov piam thaj metabolism.

GTT feem ntau ua nyob rau hauv ob hom:

• Qhov ncauj Glucose Tolerance Test (OGTT): Qhov no yog daim ntawv tshaj plaws, qhov twg koj haus cov kua qab zib, thiab koj cov ntshav raug kuaj ntau zaus hauv ob peb teev.
• Intravenous Glucose Tolerance Test (IVGTT): Hauv qhov ntsuas no, cov piam thaj tau txhaj ncaj qha rau hauv cov hlab ntsha, thiab cov ntshav kuaj tau raug coj los ntawm qee ntu. Txoj kev no yog siv tsawg dua tab sis tej zaum yuav raug sau rau hauv qee kis.

Qhov Kev Ntsuas Glucose Tolerance Ua Li Cas?

Glucose Tolerance Test feem ntau yog ua nyob rau hauv ib qho chaw kho mob zoo li lub chaw kuaj mob lossis chaw kho mob. Ntawm no yog ib kauj ruam los ntawm kauj ruam qhia txog yuav ua li cas qhov kev xeem ua:

1. Lub Sijhawm yoo mov: Ua ntej qhov kev xeem pib, koj yuav raug qhia kom yoo mov tsawg kawg 8 mus rau 12 teev. Qhov no txhais tau tias tsis muaj zaub mov lossis dej haus (tshwj tsis yog dej) thaum lub sijhawm no. Qhov no ua kom ntseeg tau tias koj cov ntshav qab zib nyob ntawm qhov pib thiab tsis cuam tshuam los ntawm kev noj zaub mov tsis ntev los no.
2. Thawj Ntshav Draw: Thaum mus txog ntawm qhov chaw kuaj mob, tus kws kho mob yuav kos cov qauv ntshav los ntawm koj cov leeg los ntsuas koj cov qib qabzib hauv qab. Thawj qhov qauv no yog tsim nyog los tsim kom muaj cov ntshav qab zib thawj zaug ua ntej noj cov kua qabzib.
3. Haus cov tshuaj Glucose: Tom qab thawj zaug nqus ntshav, koj yuav raug hais kom haus cov kua nplaum uas muaj qabzib. Cov tshuaj no feem ntau muaj 75 grams qabzib (rau cov neeg laus), uas yog yaj hauv dej. Cov saj ntawm cov tshuaj yuav qab zib thiab tsis kaj siab rau qee tus neeg.
4. Ntshav Qab Zib: Tom qab noj cov kua qabzib, koj cov ntshav yuav raug coj mus rau ib ntus, feem ntau ntawm 30 feeb, 1 teev, 2 teev, thiab qee zaum 3 teev tom qab haus cov piam thaj. Cov ntshav kuaj no yog siv los ntsuas seb koj cov ntshav qab zib hloov li cas thaum lub sijhawm.
5. Xyuas: Cov neeg ua haujlwm kho mob yuav saib xyuas koj rau cov tsos mob ntawm kev tsis xis nyob lossis kev mob tshwm sim thaum kuaj. Tag nrho cov txheej txheem feem ntau yuav siv li 2 mus rau 3 teev, nyob ntawm seb yuav tsum tau kuaj ntshav li cas.

Qhov ntau npaum li cas rau Glucose Tolerance Test

Cov txiaj ntsig ntawm Glucose Tolerance Test yog feem ntau txhais raws li qhov koj cov ntshav qabzib hloov pauv tom qab noj cov kua qabzib. Ntawm no yog cov kev ntsuas dav dav rau qhov kev ntsuas ib txwm muaj, raws li kev kuaj ntshav qabzib feem ntau ntawm qhov ncauj (OGTT):

Fasting Blood Glucose Levels (ua ntej haus cov kua qab zib)

• Li qub: Tsawg dua 100 mg / dL (milligrams ib deciliter)
• Prediabetes: 100-125 mg/dL (ua tsis taus pa ceev ceev)
• Mob ntshav qab zib: 126 mg / dL lossis siab dua (ntawm ob lub sijhawm sib cais)

1- Teev Ntshav Qab Zib Qib

• Li qub: Tsawg dua 180 mg / dL
• Prediabetes lossis Impaired Glucose Tolerance: 180-199 mg / dL
• Mob ntshav qab zib: 200 mg / dL lossis siab dua

2- Teev Ntshav Qab Zib Qib

• Li qub: Tsawg dua 140 mg / dL
• Prediabetes (Impaired Glucose Tolerance): 140-199 mg / dL
• Mob ntshav qab zib: 200 mg / dL lossis siab dua

3- Teev Ntshav Qab Zib Qib (yog ntsuas)

• Li qub: Tsawg dua 140 mg / dL
• Prediabetes: 140-199 mg / dL
• Mob ntshav qab zib: 200 mg / dL lossis siab dua

Yog tias koj cov ntshav qabzib ntau dua li ib txwm nyob rau txhua theem ntawm kev kuaj, koj tus kws kho mob tuaj yeem kuaj xyuas koj tias muaj ntshav qab zib ua ntej lossis ntshav qab zib. Qhov tshwm sim ntau dua li ib txwm tshwm sim ntawm ntau tshaj ib lub sijhawm tuaj yeem paub meej tias kev kuaj mob ntshav qab zib.

Kev siv Glucose Tolerance Test

Glucose Tolerance Test feem ntau yog siv los kuaj mob ntshav qab zib mellitus thiab gestational diabetes. Txawm li cas los xij, nws tseem tuaj yeem siv rau lwm lub hom phiaj, xws li:

• Diagnosing Type 2 Diabetes: GTT pab cov kws kho mob kuaj mob ntshav qab zib hom 2, tshwj xeeb tshaj yog rau cov tib neeg uas tseem tsis tau pom cov tsos mob tab sis muaj kev pheej hmoo rau tus kab mob vim muaj yam xws li rog rog, tsev neeg keeb kwm, lossis hnub nyoog.
• Diagnosing Gestational Diabetes: Gestational diabetes tshwm sim thaum cev xeeb tub thiab feem ntau daws tau tom qab yug menyuam. GTT yog qhov tseem ceeb rau kev kuaj mob tus mob no, uas tuaj yeem cuam tshuam rau leej niam thiab tus menyuam.
• Kev ntsuam xyuas Insulin Resistance: GTT kuj tseem tuaj yeem pab ntsuam xyuas cov tshuaj insulin tsis kam, qhov xwm txheej uas lub cev cov hlwb tsis teb zoo rau insulin. Tus mob no feem ntau yog ib qho cim ntxov ntawm hom 2 mob ntshav qab zib.
• Saib Xyuas Kev Mob Ntshav Qab Zib: Rau cov tib neeg twb tau kuaj mob ntshav qab zib, GTT yuav siv sij hawm los ntsuas seb lawv tswj lawv cov ntshav qab zib li cas thaum lub sijhawm.
• Kev Tshawb Nrhiav Tsis Txaus Glucose Tolerance: Qhov tshwm sim hauv cov kab mob prediabetes (feem ntau qhia los ntawm qhov txawv txav ntawm 2-teev cov piam thaj hauv ib teev) qhia tias tus neeg muaj kev pheej hmoo siab ntawm kev mob ntshav qab zib hom 2 thiab yuav tsum tau ua cov kauj ruam los tswj lawv cov piam thaj kom tsis txhob muaj ntshav qab zib tas li.

Yuav Ua Li Cas Npaj Rau Glucose Tolerance Test

Kev npaj kom raug yog qhov tseem ceeb rau qhov tseeb Glucose Tolerance Test tshwm sim. Nov yog yam koj yuav tsum ua:

• Kev yoo mov: Qhov kev npaj tseem ceeb tshaj plaws rau GTT yog yoo mov tsawg kawg 8-12 teev ua ntej kev xeem. Koj yuav tsum tsis txhob noj lossis haus ib yam dab tsi tshwj tsis yog dej thaum lub sijhawm no.
• Tsis txhob haus luam yeeb thiab tawm dag zog: Nws raug nquahu kom tsis txhob haus luam yeeb thiab ua kom lub cev ntau dhau ua ntej kev sim, vim tias lawv tuaj yeem cuam tshuam cov ntshav qab zib.
• Tshuaj: Qhia rau koj tus kws kho mob txog txhua yam tshuaj lossis tshuaj ntxiv uas koj noj, vim qee qhov yuav cuam tshuam koj cov qib qabzib lossis cuam tshuam nrog kev kuaj. Qee zaum, tej zaum koj yuav raug hais kom tso tseg ib ntus noj cov tshuaj ua ntej kuaj.
• Kev co: Haus dej kom ntau ua ntej kuaj, tab sis tsis txhob haus dej qab zib lossis dej haus caffeinated. Kev ywg dej kom raug yuav ua rau nws yooj yim dua los nqus ntshav thiab tseem yuav tiv thaiv cov teeb meem ntawm lub cev qhuav dej thaum lub sijhawm kuaj.
• Noj cov zaub mov: Ua tib zoo noj zaub mov hauv cov hnub ua ntej mus rau qhov kev xeem. Tsis txhob noj cov piam thaj ntau lossis carbohydrates ua ntej qhov kev xeem, vim qhov no tuaj yeem cuam tshuam cov txiaj ntsig.
• Npaj rau Kev Xeem: Txij li thaum qhov kev sim yuav siv sij hawm ob peb teev, nco ntsoov npaj rau lub sijhawm xav tau thiab npaj kev thauj mus los yog tias tsim nyog, tshwj xeeb tshaj yog tias koj xav tias muaj teeb meem tom qab haus cov kua qab zib.

Cov yam ntxwv uas tuaj yeem cuam tshuam rau Glucose Tolerance Test Results

Ntau yam tuaj yeem cuam tshuam cov txiaj ntsig ntawm Glucose Tolerance Test, suav nrog:

• Kev noj haus thiab kev ua neej: Noj cov piam thaj ntau lossis carbohydrates ua ntej qhov kev sim lossis ua rau lub cev tsis muaj zog tuaj yeem cuam tshuam cov metabolism hauv qabzib thiab skew cov txiaj ntsig.
• Cev xeeb tub: Kev xeeb tub tuaj yeem cuam tshuam li cas lub cev ua cov piam thaj, uas yog vim li cas GTT feem ntau ua thaum cev xeeb tub los kuaj ntshav qab zib gestational.
• Tshuaj: Qee cov tshuaj, xws li steroids, tshuaj tiv thaiv kev yug menyuam, thiab diuretics, tuaj yeem hloov pauv cov piam thaj metabolism thiab cuam tshuam rau cov txiaj ntsig.
• Cov mob: Cov xwm txheej zoo li kev ntxhov siab, mob, lossis kev tsis haum tshuaj hormonal (xws li, polycystic zes qe menyuam syndrome lossis Cushing's syndrome) tuaj yeem cuam tshuam cov ntshav qab zib thaum lub sijhawm kuaj.
• Lub Sijhawm Xeem: Lub sijhawm ntawm cov ntshav kos yog qhov tseem ceeb los ntsuas qhov tseeb tias koj lub cev ua cov piam thaj li cas. Kev ncua sij hawm lossis tsis tuaj yeem nqa ntshav tuaj yeem cuam tshuam cov txiaj ntsig.

10 Cov Lus Nug Nquag Txog Kev Ntsuas Glucose Tolerance Test

1. Qhov Kev Ntsuas Glucose Tolerance Test ntsuas li cas?

Glucose Tolerance Test ntsuas koj lub cev muaj peev xwm ua cov piam thaj los ntawm kev kuaj xyuas koj cov ntshav qab zib li cas hloov lub sijhawm tom qab noj cov kua qabzib. Nws yog siv los kuaj ntshav qab zib, ntshav qab zib gestational, thiab insulin tsis kam.

2. Kev Ntsuas Glucose Tolerance yuav siv sijhawm ntev npaum li cas?

Qhov kev ntsuam xyuas feem ntau yuav siv li 2-3 teev, nyob ntawm seb cov ntshav kuaj ntshav li cas. Koj yuav tsum haus cov kua qabzib thiab ua kom koj cov ntshav nqus tau ib ntus thaum lub sijhawm no.

3. Vim li cas kuv thiaj li yuav tsum tau xeem Glucose Tolerance Test?

Tej zaum koj yuav xav tau GTT yog tias koj muaj kev pheej hmoo rau ntshav qab zib, muaj cov tsos mob ntawm cov piam thaj intolerance, lossis cev xeeb tub thiab xav tau kuaj ntshav qab zib gestational.

4. Kuv yuav ua li cas yog tias kuv qaug zog lossis kiv taub hau thaum kuaj?

Yog tias koj hnov ​​​​mob lossis kiv taub hau thaum kuaj, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd. Tej zaum lawv yuav muab kev pab lossis saib xyuas koj zoo kom paub tseeb tias koj muaj kev nyab xeeb thaum ua haujlwm.

5. Kuv puas tuaj yeem noj lossis haus ib yam dab tsi thaum kuaj Glucose Tolerance Test?

Tsis yog, koj yuav tsum tsis txhob noj lossis haus ib yam dab tsi tshwj tsis yog dej thaum lub sijhawm yoo mov ua ntej kuaj. Thaum cov kua qab zib tau noj, koj yuav tsum tsis txhob noj lossis haus kom txog thaum qhov kev xeem tiav.

6. Dab tsi yog qhov tshwm sim ib txwm muaj rau Glucose Tolerance Test?

Cov txiaj ntsig zoo ib txwm qhia tau ceev cov ntshav qabzib qis dua 100 mg / dL thiab 2 teev tom qab cov piam thaj qis dua 140 mg / dL. Cov qib siab dua qhia tias tsis muaj qabzib kam rau siab lossis ntshav qab zib.

7. Yuav ua li cas yog tias kuv ua tsis tau Glucose Tolerance Test?

Yog tias koj ua tsis tiav qhov kev sim (piv txwv li, muaj qib qabzib siab), koj tus kws kho mob tuaj yeem kuaj mob ntshav qab zib ua ntej lossis ntshav qab zib thiab pom zoo kom kuaj ntxiv lossis kev kho mob los tswj koj cov ntshav qab zib.

8. Kev Ntsuas Glucose Tolerance Test muaj tseeb npaum li cas?

GTT feem ntau yog qhov tseeb hauv kev kuaj ntshav qab zib lossis ntshav qab zib ua ntej. Txawm li cas los xij, lwm yam xws li tshuaj, cev xeeb tub, thiab kev noj qab haus huv hauv lub cev tuaj yeem cuam tshuam cov txiaj ntsig.

9. Kuv yuav ua li cas yog tias kuv qhov txiaj ntsig yog ciam teb?

Yog tias koj qhov txiaj ntsig yog ciam teb, koj tus kws kho mob yuav pom zoo kom kuaj ntxiv, hloov kev ua neej (piv txwv li, noj zaub mov thiab tawm dag zog), lossis tshuaj xyuas ntau zaus los tiv thaiv qhov pib mob ntshav qab zib.

10. Puas muaj kev pheej hmoo cuam tshuam nrog Glucose Tolerance Test?

Qhov kev sim no feem ntau muaj kev nyab xeeb, tab sis koj tuaj yeem muaj qhov tsis xis nyob, xws li xeev siab lossis mob taub hau, tom qab haus cov kua qabzib. Cov teeb meem loj tsis tshua muaj.

xaus

Glucose Tolerance Test yog ib qho cuab yeej tseem ceeb rau kev kuaj mob ntshav qab zib, ntshav qab zib gestational, thiab lwm yam kev mob ntsig txog cov piam thaj metabolism. Los ntawm kev ntsuas seb koj lub cev ua cov piam thaj li cas, qhov kev sim muab cov kev nkag siab tseem ceeb rau koj txoj kev pheej hmoo ntawm kev tsim ntshav qab zib lossis lwm yam mob. Kev npaj kom raug thiab nkag siab txog cov txiaj ntsig kev xeem yog qhov tseem ceeb rau kev kuaj mob kom raug thiab kev tswj xyuas kom zoo.

Yog tias koj tau raug qhia kom mus kuaj Glucose Tolerance Test, nws yog ib qho tseem ceeb uas yuav tau ua raws li koj tus kws kho mob cov lus qhia ua tib zoo xyuas kom cov txiaj ntsig raug. Kev kuaj pom ntxov thiab kev tswj xyuas cov ntshav qab zib kom zoo tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem thiab txhim kho cov txiaj ntsig kev noj qab haus huv mus ntev. Nco ntsoov sab laj nrog koj tus kws kho mob kom nkag siab qhov tseem ceeb ntawm koj cov txiaj ntsig thiab cov kauj ruam tom ntej hauv kev tswj hwm koj txoj kev noj qab haus huv.