Wehe i ka Diabetes Dashboard: HoʻomaopopoHbA1c, Insulin, aC-Peptide

I ka pale ʻana, ka maʻi maʻi, a me ka mālama ʻana i ka maʻi diabetes, he mea koʻikoʻi nā hōʻailona koʻikoʻi ma kahi hōʻike Lab. Ma waho aʻe o ka glucose koko hoʻokē ʻai kaulana a me ka glucose koko postprandial,HbA1c, insulina, a C-peptidehoʻokani pū kekahi i nā kuleana nui. Hana lākou e like me ʻekolu detectives, kēlā me kēia me ko lākou ʻike ponoʻī, e hōʻike ana i ka ʻoiaʻiʻo e pili ana i ke ʻano o ka hana ʻana o ke kino i ka glucose koko mai nā ʻano like ʻole.

1.Hemoglobin A1c (HbA1c): ʻO ka "Mālama Hoʻopaʻa Hoʻopaʻa" o ke Koko Koko

Hiki iā ʻoe ke noʻonoʻo iā ia he "kāleka hōʻike koko maʻamau" i nā mahina 2-3 i hala. Hoʻopaʻa ka hemoglobin i loko o kou mau koko ʻulaʻula me ka glucose i loko o ke kahe koko - kahi hana i kapa ʻia ʻo glycation.

ʻO kāna mau hana nui:

• Ka loiloi ʻana i ka mana o ka glucose koko no ka manawa lōʻihi: ʻAʻole e like me ka hoʻololi ʻana o ka manawa i nā pae glucose koko,HbA1chōʻike paʻa i ke kūlana glucose koko maʻamau i nā pule he 8-12 i hala iho nei a ʻo ia ke kūlana gula no ka loiloi ʻana i ka pono o nā ʻano lapaʻau maʻi diabetes.
• Ke kōkua ʻana i ka maʻi maʻi maʻi: E like me nā kūlana WHO, kahi HbA1cHiki ke hoʻohana ʻia ka pae ≥ 6.5% ma ke ʻano hoʻokahi criterion no ka ʻike ʻana i ka maʻi diabetes.

I ka pōkole, inā ʻo ka hoʻokē ʻai a me ka ʻai ʻana i ke koko koko he "paʻi kiʻi" o kahi manawa i ka manawa,HbA1cʻo ia ka "documentary," e hōʻike ana i ke kiʻi piha o kāu hoʻomalu glucose lōʻihi.

2. Insulin a me C-Peptide: ʻO ka hoa gula o ka hana Pancreatic

No ka hoʻomaopopo ʻana i ke kumu kumu o nā pilikia koʻikoʻi o ke koko, pono mākou e nānā i ke kumu - ka hana o nā cell beta pancreatic. ʻO kēia kahi o nā "māhoe māhoe,"InsulinaC-Peptide, komo mai.

• Insulin: Huna ʻia e nā pancreatic beta cell, ʻo ia wale nō ka hormone hiki ke hoʻohaʻahaʻa i ke kō koko. He hana ia e like me ke "kī," e wehe ana i ka puka o ke keena a hiki i ke kō koko ke komo i loko o ka cell a hoʻololi ʻia i ikehu.
• C-Peptide: He mea kēia i hana ʻia i ka manawa like a me ka nui like me ka insulin e nā beta cell. ʻAʻohe ona hana i ka hoʻohaʻahaʻa ʻana i ke kō koko ponoʻī, akā he "hōʻike ʻoiaʻiʻo" iainsulinahana ʻana.

No laila, no ke aha e hoʻāʻo ai no nā mea ʻelua i ka manawa like?

ʻO ka pōmaikaʻi nui ʻo ia C-peptideʻoi aku ka paʻa a ʻoi aku ka lōʻihi o ka hapalua o ke ola ma mua o ka insulin, e ʻae iā ia e hōʻike pololei i ka hana huna maoli o nā pancreatic β-cell. I nā poʻe maʻi maʻi maʻi ma mua o ka hoʻomaʻamaʻa insulin exogenous, hiki ke hoʻomohala ʻia nā antibodies insulin, e hoʻopilikia i ka pololei o ka hoʻāʻo ʻana i ka insulin.C-peptide, akā naʻe, ʻaʻole i hoʻopilikia ʻia e kēia, no laila ke lilo nei i mea hōʻailona hilinaʻi no ka loiloi ʻana i ka mana huna huna o ka mea maʻi.

3. The Trio in Concert: A Comprehensive Picture

I ka hoʻomaʻamaʻa lāʻau lapaʻau, hoʻohui nā kauka i kēia mau hōʻailona ʻekolu e hana i kahi ʻike metabolic maopopo:

1. Hoʻokaʻawale i ke ʻano maʻi diabetes:

• No ka mea maʻi maʻi diabetes, haʻahaʻa loainsulinaaC-peptideHōʻike nā pae i kahi hemahema koʻikoʻi i ka huna ʻana o ka insulin, hiki ke hoʻokaʻawale ʻia ʻo ia ma ke ʻano he maʻi diabetes type 1.
• If insulina a C-peptideHe mea maʻamau a hoʻokiʻekiʻe paha ke kiʻekiʻe, akā ke kiʻekiʻe nei ke kō koko, hōʻike ia i ka pale ʻana i ka insulin, kahi ʻano maʻamau o ka maʻi diabetes type 2.

2. Ka loiloi ʻana i ka hana Pancreatic & InsulinKū'ē:

• ʻO ka insulina / C-peptide ʻike i ka hoʻololi ʻana o kēia mau hōʻailona ma hope o ka ʻai ʻana i nā mea inu kō, hiki ke kōkua i ka hoʻoholo ʻana i ka mālama ʻana a me ka hiki huna o nā pancreatic β-cells.
• Kiʻekiʻe insulinaa kiekie C-peptideʻO nā pae i hui pū ʻia me ke kō koko kiʻekiʻe he hōʻike pololei ia o ka pale ʻana i ka insulin.

3. Ke alakaʻi nei i nā papahana lapaʻau:

• No ka maʻi maʻi type 2 me ka hana pancreatic i mālama ʻia, ʻo nā lāʻau lapaʻau e hoʻomaikaʻi ai i ka hoʻoikaika ʻana i ka insulin ke koho mua.
• No nā poʻe maʻi me ka pau ʻole o ka hana pancreatic, pono e hoʻomaka koke ka lāʻau insulin.

Hōʻuluʻulu manaʻo

• HbA1c hōʻike i nā "hopena" o ka mālama ʻana i ke kō koko lōʻihi
• InsulinaC-Peptidee hōʻike i ka "hiki" a me ka "kūpono" o ka mīkini hoʻomalu kō i loko o kou kino.
• Hōʻike ka Glucose koko i ke ʻano o kou kino i kēia manawa.

ʻO ka hoʻomaopopo ʻana i ke koʻikoʻi o kēia mau hōʻailona ʻekolu e hiki ai ke ʻike hohonu i ka maʻi diabetes. Hāʻawi ia iā ʻoe e loaʻa nā kūkākūkā ʻike hou aʻe me kāu kauka a hana pū i ka hoʻomohala ʻana i ka nānā pilikino a me nā hoʻolālā lapaʻau no ka hoʻokele olakino ʻepekema pololei.

Ka hopena

Ke nānā mau nei mākou ʻo Baysen Medical i ka ʻenehana diagnostic e hoʻomaikaʻi i ka maikaʻi o ke ola. Ua hoʻomohala mākou i nā ʻenehana ʻenehana 5- Latex, colloidal gula, Fluorescence Immunochromatographic Assay, Molecular, Chemiluminescence Immunoassay, kā mākouHbA1c pahu ho'āʻo,ʻO ka pahu hoʻāʻo insulin ,ʻO ka pahu hoʻāʻo C-peptideHe maʻalahi ka hana a hiki ke loaʻa ka hopena hōʻike ma 15 mins