{"id":15808,"date":"2025-09-08T15:21:36","date_gmt":"2025-09-08T15:21:36","guid":{"rendered":"https:\/\/ziveprobiotika.sk\/?p=15808"},"modified":"2025-10-22T07:59:47","modified_gmt":"2025-10-22T07:59:47","slug":"diabetes-mellitus-ii-typu-cukrovka","status":"publish","type":"post","link":"https:\/\/ziveprobiotika.sk\/cz\/diabetes-mellitus-ii-typu-cukrovka\/","title":{"rendered":"Diabetes mellitus II. typu \u2013 cukrovka"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Diabetes II. typu: \u017eivotn\u00ed styl pod lupou<\/h2>\n\n\n\n<p>Dnes m\u016f\u017eeme klidn\u011b konstatovat, \u017ee cukrovka druh\u00e9ho typu, odborn\u011b <strong>diabetes mellitus II. typu<\/strong>, pat\u0159\u00ed mezi nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed civiliza\u010dn\u00ed onemocn\u011bn\u00ed dne\u0161ka. Nejde v\u0161ak jen o \u010d\u00edsla ve statistik\u00e1ch. Je to hlavn\u011b odraz na\u0161eho \u017eivotn\u00edho stylu a prost\u0159ed\u00ed, ve kter\u00e9m \u017eijeme. Faktem z\u016fst\u00e1v\u00e1, \u017ee na diabetes mellitus trp\u00ed stovky milion\u016f obyvatel na na\u0161\u00ed planet\u011b. Jejich celkov\u00fd pod\u00edl na celkov\u00e9 populaci se zvy\u0161uje, ve vysp\u011bl\u00fdch zem\u00edch se pohybuje a\u017e kolem 9-10% a po\u010d\u00edt\u00e1 se, \u017ee u dal\u0161\u00edch 5-10% procent populace z\u016fst\u00e1v\u00e1 nediagnostikov\u00e1n. Jeho \u0161\u00ed\u0159en\u00ed pravd\u011bpodobn\u011b souvis\u00ed p\u0159edev\u0161\u00edm s civiliza\u010dn\u00edmi faktory, relativn\u00edm dostatkem vysoce kalorick\u00e9 a energeticky hodnotn\u00e9 stravy as t\u00edm souvisej\u00edc\u00edm \u0161\u00ed\u0159en\u00edm nezdrav\u00fdch stravovac\u00edch n\u00e1vyk\u016f. Nakonec, komplikace diabetu se tak\u00e9 pod\u00edlej\u00ed na rostouc\u00edm po\u010dtu pacient\u016f s kardiovaskul\u00e1rn\u00edmi chorobami.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Co je diabetes II. typu?<\/h3>\n\n\n\n<p><strong>Diabetes mellitus<\/strong>\u00a0(zn\u00e1m\u00e1 tak\u00e9 jako <strong>cukrovka<\/strong>,\u00a0<strong>cukrov\u00e1 \u00faplavice<\/strong>,\u00a0<strong>diabetes<\/strong>,\u00a0<strong>diabetismus<\/strong>) je nehomogenn\u00ed skupina chronick\u00fdch metabolick\u00fdch onemocn\u011bn\u00ed, spojen\u00fdch se zv\u00fd\u0161enou hladinou gluk\u00f3zy v krvi \u2013 hyperglyk\u00e9mi\u00ed, kterou zp\u016fsobuje porucha sekrece nebo \u00fa\u010dinku inzul\u00ednu. Zjednodu\u0161en\u011b povedn\u00e9, cukrovka znamen\u00e1, \u017ee m\u00e1 \u010dlov\u011bk <strong>hodn\u011b cukru v krvi<\/strong>. Tento cukr se naz\u00fdv\u00e1 <strong>gluk\u00f3za<\/strong> a t\u011blo ho pot\u0159ebuje jako <strong>palivo<\/strong>, podobn\u011b jako auto pot\u0159ebuje benz\u00edn. Kdy\u017e j\u00edme, potrava se v \u017ealudku rozlo\u017e\u00ed a cukr se dostane do krve. Aby se cukr dostal z krve do bun\u011bk (kde se pou\u017e\u00edv\u00e1 jako energie), <strong>t\u011blo pot\u0159ebuje hormon zvan\u00fd inzul\u00edn<\/strong>. Inzul\u00edn je jako <strong>kl\u00ed\u010d<\/strong>, kter\u00fd otev\u00edr\u00e1 dve\u0159e do bun\u011bk a pust\u00ed dovnit\u0159 cukr.<\/p>\n\n\n\n<p>Ale u cukrovky se n\u011bco pokaz\u00ed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bu\u010f <strong>t\u011blo nevyr\u00e1b\u00ed dost inzul\u00ednu<\/strong><\/li>\n\n\n\n<li>Nebo inzul\u00edn <strong>nefunguje spr\u00e1vn\u011b<\/strong><\/li>\n\n\n\n<li>Nebo <strong>ob\u011b<\/strong><\/li>\n<\/ul>\n\n\n\n<p>A tak cukr <strong>z\u016fst\u00e1v\u00e1 v krvi<\/strong> a nejde tam, kde m\u00e1, tedy do bun\u011bk. To m\u016f\u017ee b\u00fdt pro t\u011blo <strong>nebezpe\u010dn\u00e9<\/strong>, pokud se to ne\u0159e\u0161\u00ed. B\u00fdv\u00e1 doprov\u00e1zena poruchou metabolismu cukr\u016f, tuk\u016f a b\u00edlkovin. Chronick\u00e1 hyperglyk\u00e9mie p\u0159i DM se poj\u00ed s dlouhodob\u00fdm po\u0161kozen\u00edm, dysfunkc\u00ed nebo selh\u00e1n\u00edm r\u016fzn\u00fdch org\u00e1nov\u00fdch syst\u00e9m\u016f, zvl\u00e1\u0161t\u011b o\u010d\u00ed, ledvin, nerv\u016f, srdce a c\u00e9v. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Patofyziologie nebo pro\u010d vznik\u00e1 cukrovka?<\/h3>\n\n\n\n<p>Zv\u00fd\u0161en\u00ed koncentrace gluk\u00f3zy k krvi zap\u0159\u00ed\u010di\u0148uje bu\u010f relativn\u00ed nebo absolutn\u00ed nedostatek polypeptidov\u00e9ho hormonu inzul\u00ednu. Ten se tvo\u0159\u00ed ve specializovan\u00fdch B-bu\u0148k\u00e1ch ve slinivce b\u0159i\u0161n\u00ed a sni\u017euje hladinu gluk\u00f3zy v krvi t\u00edm, \u017ee stimuluje jej\u00ed vychyt\u00e1v\u00e1n\u00ed z krve. Krom\u011b toho ovliv\u0148uje i dal\u0161\u00ed metabolick\u00e9 procesy. C\u00edlov\u00fdmi org\u00e1ny jsou hlavn\u011b j\u00e1tra, svaly a tukov\u00e1 tk\u00e1\u0148. Jeho sekrece se d\u011bl\u00ed na baz\u00e1ln\u00ed, tedy trvalou a prandi\u00e1ln\u00ed, kr\u00e1tkodob\u011b zv\u00fd\u0161enou, stimulovanou p\u0159\u00edjmem potravy. Podn\u011bt\u016f k vylu\u010dov\u00e1n\u00ed inzul\u00ednu je n\u011bkolik, d\u016fle\u017eit\u00fdm je zv\u00fd\u0161en\u00ed hladiny gluk\u00f3zy v krvi. Na regulaci hladiny gluk\u00f3zy v krvi se pod\u00edl\u00ed n\u011bkolik dal\u0161\u00edch hormon\u016f, nap\u0159\u00edklad takov\u00fd glukagon, produkovan\u00fd A-bu\u0148kami slinivky b\u0159i\u0161n\u00ed, kter\u00fd hladinu gluk\u00f3zy zvy\u0161uje.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"Klasifik\u00e1cia_diabetes_mellitus\">Klasifikace diabetes mellitus<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"1._Diabetes_mellitus_1._typu_(DM1T)\">1. Diabetes mellitus 1. typu (DM1T)<\/h3>\n\n\n\n<p>Je zn\u00e1m t\u00e9m\u011b\u0159 \u00fapln\u00fdm nebo \u010d\u00e1ste\u010dn\u00fdm nedostatkem inzul\u00ednu. Vznik\u00e1 v\u011bt\u0161inou v d\u011btsk\u00e9m, tedy mlad\u0161\u00edm v\u011bku, ale z\u0159\u00eddka i ve vy\u0161\u0161\u00edm v\u011bku ne\u017e LADA (Late Autoimmune Diabetes of Adults), co\u017e je latentn\u00ed autoimunitn\u00ed diabetes v dosp\u011blosti. DM1T je autoimunitn\u00ed onemocn\u011bn\u00ed (v\u011bt\u0161inou) au \u010d\u00e1sti p\u0159\u00edpad\u016f se p\u016fvod onemocn\u011bn\u00ed ani ned\u00e1 zjistit. Bez l\u00e9\u010dby vznik\u00e1 rozvrat metabolismu. Ten je charakterizov\u00e1n nap\u0159\u00edklad hyperglyk\u00e9mi\u00ed, t\u011b\u017ekou dehydratac\u00ed a ketoacid\u00f3zou, proto\u017ee pacienti s DM1T nemaj\u00ed \u017e\u00e1dnou, respektive minim\u00e1ln\u00ed sekre\u010dn\u00ed kapacitu inzul\u00ednu. Jejich \u017eivot z\u00e1vis\u00ed na dod\u00e1v\u00e1n\u00ed inzul\u00ednu zven\u010d\u00ed (exogenn\u00ed) injekc\u00ed, inzul\u00ednov\u00fdm perem, injek\u010dn\u00edm portem nebo inzul\u00ednovou pumpou.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"2._Diabetes_mellitus_2._typu_(DM2T)\">2. Diabetes mellitus 2. typu (DM2T)<\/h3>\n\n\n\n<p>Tento typ je typick\u00fd inzul\u00ednovou rezistenc\u00ed (necitlivost\u00ed na \u00fa\u010dinek inzul\u00ednu) s defektem sekrece inzul\u00ednu, co\u017e znamen\u00e1, \u017ee tukov\u00e9, jatern\u00ed a svalov\u00e9 bu\u0148ky nereaguj\u00ed na inzul\u00edn spr\u00e1vn\u011b. Tento stav se naz\u00fdv\u00e1 inzul\u00ednov\u00e1 rezistence. Vyskytuje se 7 a\u017e 10kr\u00e1t \u010dast\u011bji ne\u017e DM1T. Projevuje se p\u0159ev\u00e1\u017en\u011b ve vy\u0161\u0161\u00edm v\u011bku (dosp\u011blosti) a to zejm\u00e9na u ob\u00e9zn\u00edch lid\u00ed, ale ojedin\u011ble se m\u016f\u017ee vyskytovat iu mlad\u00fdch lid\u00ed a v rodin\u00e1ch s autosom\u00e1ln\u011b dominantn\u00ed d\u011bdi\u010dnost\u00ed (MODY diabetes, tedy Maturity Onset Diabetes of the Young). Za nejd\u016fle\u017eit\u011bj\u0161\u00ed exogenn\u00ed (vn\u011bj\u0161\u00ed) faktory se pova\u017euj\u00ed nadm\u011brn\u00fd p\u0159\u00edjem potravy, nevhodn\u00e9 slo\u017een\u00ed stravy, nedostatek fyzick\u00e9 aktivity, obezita, kou\u0159en\u00ed a jin\u00e9 nezdrav\u00e9, v\u011bt\u0161inou civiliza\u010dn\u00ed n\u00e1vyky. Nemoc m\u016f\u017ee prob\u00edhat roky bez p\u0159\u00edznak\u016f a v\u011bt\u0161inou se zjist\u00ed n\u00e1hodou, \u010dasto p\u0159i vy\u0161et\u0159en\u00ed v r\u00e1mci diagnostiky jin\u00e9ho onemocn\u011bn\u00ed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"3._In\u00e9_\u0161pecifick\u00e9_typy_diabetes_mellitus\">3. Jin\u00e9 specifick\u00e9 typy diabetes mellitus<\/h3>\n\n\n\n<p>Vznikaj\u00ed n\u00e1sledkem genetick\u00fdch defekt\u016f funkce B-bun\u011bk, genetick\u00e9 poruchy \u00fa\u010dinku inzul\u00ednu, onemocn\u011bn\u00ed slinivky b\u0159i\u0161n\u00ed (pankreatitida, n\u00e1dor), d\u00e1le endokrinn\u00edch onemocn\u011bn\u00ed a poruch jako glukagonom, akromegalie \u010di Cushing\u016fv syndrom, \u00fa\u010dinkem l\u00e9k\u016f (glukokortikoidy) av r\u00e1mci vrozen\u00fdch onemocn\u011bn\u00ed Klinefelter\u016fv syndrom, Down\u016fv a Turner\u016fv syndrom).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"4._Gesta\u010dn\u00fd_diabetes_mellitus\">4. Gesta\u010dn\u00ed diabetes mellitus<\/h3>\n\n\n\n<p>Je to diabetes kter\u00fd se rozvinul v pr\u016fb\u011bhu t\u011bhotenstv\u00ed. Pokud \u017eena m\u011bla diabetes ji\u017e p\u0159ed ot\u011bhotn\u011bn\u00edm jedn\u00e1 se i nad\u00e1le o p\u0159\u00edslu\u0161n\u00fd typ zm\u00edn\u011bn\u00fd v\u00fd\u0161e. U gesta\u010dn\u00edho diabetu se ale v\u011bt\u0161inou jedn\u00e1 o diabetes, prob\u00edhaj\u00edc\u00ed pod obrazem DM 2. typu, m\u016f\u017ee se v\u0161ak aktivovat i DM 1. typu, co\u017e znamen\u00e1 zv\u00fd\u0161en\u00e9 riziko vrozen\u00fdch v\u00fdvojov\u00fdch vad d\u00edt\u011bte a vy\u017eaduje zv\u00fd\u0161enou p\u00e9\u010di, sledov\u00e1n\u00ed a l\u00e9\u010dbu.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"Diagnostika_diabetes_mellitus\">Diagnostika diabetes mellitus<\/h2>\n\n\n\n<p>K podez\u0159en\u00ed vedou anamnestick\u00e9 \u00fadaje \u2013 polydipsie, polyurie, slabost, hubnut\u00ed, v\u00fdskyt DM v pokrevn\u00edm p\u0159\u00edbuzenstv\u00ed a jin\u00e9. Diagn\u00f3zu v\u0161ak lze potvrdit pouze laboratorn\u00edm vy\u0161et\u0159en\u00edm. Nejjednodu\u0161\u0161\u00ed je vy\u0161et\u0159en\u00ed glyk\u00e9mie \u2013 hladiny cukru v krvi nala\u010dno a cukru (a ketol\u00e1tek) v mo\u010di. Pokud zjist\u00edme p\u0159\u00edtomnost gluk\u00f3zy v mo\u010di \u2013 glykosurii a nala\u010dno opakovan\u011b v\u00fdraznou hyperglyk\u00e9mii (nad 7,8 mmol\/lv \u017eiln\u00ed krvi) nebo v pr\u016fb\u011bhu dne je postprandi\u00e1ln\u00ed glyk\u00e9mie (po j\u00eddle) nad 11,1 mmol\/l, potvrzuje to diagn\u00f3zu.<\/p>\n\n\n\n<p>K diagnostice diabetes mellitus pat\u0159\u00ed i dal\u0161\u00ed vy\u0161et\u0159en\u00ed s c\u00edlem zjistit p\u0159\u00edpadnou p\u0159\u00edtomnost komplikac\u00ed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"toc_ciele-inzulinovej-liecby\"><strong>C\u00edle inzul\u00ednov\u00e9 l\u00e9\u010dby<\/strong><\/h2>\n\n\n\n<p><strong>L\u00e9\u010dba inzul\u00ednem<\/strong>\u00a0udr\u017euje hladinu cukru v krvi v po\u017eadovan\u00e9m rozmez\u00ed a pom\u00e1h\u00e1 p\u0159edch\u00e1zet v\u00e1\u017en\u00fdm\u00a0<strong>komplikac\u00edm.<\/strong> Pacienti s\u00a0<strong>cukrovkou 1. typu<\/strong>\u00a0pot\u0159ebuj\u00ed inzul\u00ednovou l\u00e9\u010dbu, proto\u017ee se tak nahrazuje\u00a0<strong>inzul\u00edn, kter\u00fd si t\u011blo nevyr\u00e1b\u00ed.<\/strong><\/p>\n\n\n\n<p>U pacient\u016f s&nbsp;<strong>cukrovkou<\/strong>&nbsp;<strong>2. typu<\/strong>&nbsp;inzul\u00ednov\u00e1 terapie m\u016f\u017ee b\u00fdt sou\u010d\u00e1st\u00ed l\u00e9\u010dby, ale nemus\u00ed. Je pot\u0159ebn\u00e1 obvykle tehdy, kdy\u017e&nbsp;<strong>zm\u011bna zdrav\u00e9ho \u017eivotn\u00edho stylu<\/strong>&nbsp;a jin\u00e9 mo\u017enosti l\u00e9\u010dby cukrovky nejsou dostate\u010dn\u00e9 a neudr\u017euj\u00ed&nbsp;<strong>\u017e\u00e1danou hladinu cukru v krvi.<\/strong><\/p>\n\n\n\n<p><strong>L\u00e9\u010dba inzul\u00ednem<\/strong>\u00a0je tak\u00e9 n\u011bkdy pot\u0159ebn\u00e1 k l\u00e9\u010db\u011b typu cukrovky, kter\u00e1 se vyskytuje b\u011bhem\u00a0<strong>t\u011bhotenstv\u00ed (gesta\u010dn\u00ed diabetes).<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"toc_davky-a-typy-inzulinu\"><strong>D\u00e1vky a typy inzul\u00ednu<\/strong><\/h2>\n\n\n\n<p><strong>D\u00e1vky inzul\u00ednu<\/strong>\u00a0se pod\u00e1vaj\u00ed dv\u011bma hlavn\u00edmi zp\u016fsoby:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\n<ol class=\"wp-block-list\">\n<li><strong>Baz\u00e1ln\u00ed d\u00e1vka<\/strong>\u00a0\u2013 poskytuje stabiln\u00ed mno\u017estv\u00ed pod\u00e1van\u00e9ho inzul\u00ednu b\u011bhem cel\u00e9ho dne a noci. Pom\u00e1h\u00e1 udr\u017eovat hladinu gluk\u00f3zy v krvi tak, \u017ee kontroluje, kolik gluk\u00f3zy j\u00e1tra uvol\u0148uj\u00ed (hlavn\u011b v noci, kdy je \u010das mezi j\u00eddly del\u0161\u00ed).<\/li>\n\n\n\n<li><strong>Bolusov\u00e1 d\u00e1vka<\/strong>\u00a0- poskytuje d\u00e1vku inzul\u00ednu p\u0159i j\u00eddle, aby pomohla p\u0159esunout absorbovan\u00fd cukr z krve do sval\u016f a tuku. Bolusov\u00e9 d\u00e1vky mohou tak\u00e9 pomoci upravit hladinu cukru v krvi, kdy\u017e je p\u0159\u00edli\u0161 vysok\u00e1.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n\n\n<p><strong>Existuje n\u011bkolik druh\u016f inzul\u00ednu.&nbsp;<\/strong>Typy inzul\u00ednu jsou zalo\u017eeny na n\u00e1sleduj\u00edc\u00edch parametrech:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>n\u00e1stup<\/strong>\u00a0\u2013 jak rychle za\u010dne p\u016fsobit po injekci<\/li>\n\n\n\n<li><strong>vrchol<\/strong>\u00a0\u2013 \u010das, kdy je d\u00e1vka nejsiln\u011bj\u0161\u00ed a nej\u00fa\u010dinn\u011bj\u0161\u00ed<\/li>\n\n\n\n<li><strong>trv\u00e1n\u00ed<\/strong>\u00a0\u2013 celkov\u00e1 doba, po kterou d\u00e1vka inzul\u00ednu z\u016fst\u00e1v\u00e1 v krevn\u00edm ob\u011bhu a sni\u017euje hladinu cukru v krvi<\/li>\n<\/ul>\n\n\n\n<p>N\u00ed\u017ee jsou uvedeny r\u016fzn\u00e9 typy inzul\u00ednu:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li><strong>Rychle p\u016fsob\u00edc\u00ed inzul\u00edn<\/strong>\u00a0za\u010dne \u00fa\u010dinkovat obvykle do 1\/4 hodiny a vrcholu dos\u00e1hne za circa 1 hodinu a trv\u00e1 2 a\u017e 4 hodiny. U\u017e\u00edv\u00e1 se t\u011bsn\u011b p\u0159ed j\u00eddlem nebo t\u011bsn\u011b po. \u010casto se pou\u017e\u00edv\u00e1 s d\u00e9le p\u016fsob\u00edc\u00edm inzul\u00ednem.<\/li>\n\n\n\n<li><strong>B\u011b\u017en\u00fd nebo kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00ed inzul\u00edn<\/strong>\u00a0se dostane do krevn\u00edho ob\u011bhu do 1\/2 hodiny po u\u017eit\u00ed, vrchol dos\u00e1hne do 2 a\u017e 3 hodin a vydr\u017e\u00ed 3 a\u017e 6 hodin. Tento typ inzul\u00ednu se u\u017e\u00edv\u00e1 p\u016fl hodiny p\u0159ed j\u00eddlem. \u010casto se pou\u017e\u00edv\u00e1 s d\u00e9le p\u016fsob\u00edc\u00edm inzul\u00ednem.<\/li>\n\n\n\n<li><strong>St\u0159edn\u011bdob\u011b p\u016fsob\u00edc\u00ed inzul\u00edn<\/strong>\u00a0za\u010dne p\u016fsobit do 2 a\u017e 4 hodin, vrchol\u00ed za 4 a\u017e 12 hodin a trv\u00e1 12 a\u017e 18 hodin. U\u017e\u00edv\u00e1 se v\u011bt\u0161inou dvakr\u00e1t denn\u011b nebo jednou p\u0159ed span\u00edm.<\/li>\n\n\n\n<li><strong>Dlouhodob\u011b p\u016fsob\u00edc\u00ed inzul\u00edn<\/strong>\u00a0za\u010dne p\u016fsobit n\u011bkolik hodin po injekci a \u00fa\u010dinkuje p\u0159ibli\u017en\u011b 24 hodin, n\u011bkdy i d\u00e9le. Pom\u00e1h\u00e1 kontrolovat hladinu gluk\u00f3zy b\u011bhem dne. \u010casto se podle pot\u0159eby kombinuje s rychle nebo kr\u00e1tkodob\u011b p\u016fsob\u00edc\u00edm inzul\u00ednem.<\/li>\n\n\n\n<li><strong>Sm\u00ed\u0161en\u00fd inzul\u00edn<\/strong>\u00a0je kombinac\u00ed 2 r\u016fzn\u00fdch typ\u016f inzul\u00ednu. M\u00e1 baz\u00e1ln\u00ed i bolusovou d\u00e1vku ke kontrole gluk\u00f3zy po j\u00eddle a b\u011bhem dne.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<p><strong>Ke kontrole hladiny cukru v krvi<\/strong>\u00a0lze pou\u017e\u00edt jeden nebo v\u00edce druh\u016f inzul\u00ednu najednou. M\u016f\u017eeme tak\u00e9 pou\u017e\u00edvat inzul\u00edn spolu s jin\u00fdmi l\u00e9ky na cukrovku.<\/p>\n\n\n\n<p>Kdy a jak \u010dasto si mus\u00edte\u00a0<strong>pod\u00e1vat inzul\u00edn? <\/strong>To samoz\u0159ejm\u011b z\u00e1le\u017e\u00ed na n\u011bkolika faktorech, co\u017e znamen\u00e1 , \u017ee <strong>d\u00e1vkovac\u00ed sch\u00e9ma m\u016f\u017ee z\u00e1viset na:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>va\u0161\u00ed t\u011blesn\u00e9 hmotnosti<\/strong><\/li>\n\n\n\n<li><strong>typu inzul\u00ednu<\/strong><\/li>\n\n\n\n<li><strong>kolik a co j\u00edte<\/strong><\/li>\n\n\n\n<li><strong>\u00farovn\u011b<\/strong> <strong>fyzick\u00e9 aktivity<\/strong><\/li>\n\n\n\n<li><strong>hladiny cukru v krvi<\/strong><\/li>\n\n\n\n<li><strong>jin\u00fdch zdravotn\u00edch probl\u00e9m\u016f<\/strong><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Jak m\u016f\u017ee pomoci ka\u017edodenn\u00ed re\u017eim<\/h3>\n\n\n\n<p>P\u0159esto\u017ee genetiku neovlivn\u00edme, mnoho m\u016f\u017eeme zm\u011bnit v b\u011b\u017en\u00e9m dni:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Vyv\u00e1\u017een\u00e1 strava<\/strong> \u2013 d\u016fraz na \u010derstv\u00e9 potraviny, komplexn\u00ed sacharidy, dostatek vl\u00e1kniny.<\/li>\n\n\n\n<li><strong>Pohyb<\/strong> \u2013 pravideln\u00e1 aktivita, i m\u00edrn\u00e1, p\u0159isp\u00edv\u00e1 k celkov\u00e9 rovnov\u00e1ze.<\/li>\n\n\n\n<li><strong>Pravidelnost<\/strong> \u2013 stabiln\u00ed rytmus j\u00eddel i sp\u00e1nku pom\u00e1h\u00e1 udr\u017eet metabolismus v rovnov\u00e1ze.<\/li>\n\n\n\n<li><strong>Podpora st\u0159evn\u00edho mikrobiomu<\/strong> \u2013 vl\u00e1knina, fermentovan\u00e1 j\u00eddla a tak\u00e9 modern\u00ed tekut\u00e1 probiotika mohou b\u00fdt sou\u010d\u00e1st\u00ed pestr\u00e9ho j\u00eddeln\u00ed\u010dku, kter\u00fd podporuje tr\u00e1ven\u00ed a p\u0159irozen\u00fd st\u0159evn\u00ed ekosyst\u00e9m.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Diabetes jako p\u0159ipom\u00ednka rovnov\u00e1hy<\/h3>\n\n\n\n<p>Diabetes II. typu se \u010dasto ozna\u010duje za \u201eonemocn\u011bn\u00ed \u017eivotn\u00edho stylu\u201c. Lze jej v\u0161ak vn\u00edmat i jinak \u2013 jako sign\u00e1l, \u017ee na\u0161e t\u011blo vol\u00e1 po \u201ev\u011bt\u0161\u00ed harmonii\u201c. U\u010d\u00ed n\u00e1s vn\u00edmat, co j\u00edme, kolik se h\u00fdbeme. jak zvl\u00e1d\u00e1me stres a jak pe\u010dujeme o svou psychickou pohodu.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5 z\u00e1sad zdrav\u00e9ho \u017eivotn\u00edho stylu u cukrovky II. typu<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Vyv\u00e1\u017een\u00fd j\u00eddeln\u00ed\u010dek<\/strong><br>Stav\u011bj na \u010derstv\u00fdch potravin\u00e1ch, zelenin\u011b, celozrnn\u00fdch obilovin\u00e1ch a kvalitn\u00edch b\u00edlkovin\u00e1ch.<\/li>\n\n\n\n<li><strong>Pravideln\u00fd pohyb<\/strong><br>Nemus\u00ed j\u00edt o sportovn\u00ed v\u00fdkony \u2013 sta\u010d\u00ed ch\u016fze, plav\u00e1n\u00ed nebo j\u00f3ga n\u011bkolikr\u00e1t do t\u00fddne.<\/li>\n\n\n\n<li><strong>Stabiln\u00ed denn\u00ed rytmus<\/strong><br>Jez v p\u0159ibli\u017en\u011b stejn\u00fdch \u010dasech, dop\u0159ej si kvalitn\u00ed sp\u00e1nek a dostatek odpo\u010dinku.<\/li>\n\n\n\n<li><strong>Podpora st\u0159evn\u00edho mikrobiomu<\/strong><br>Fermentovan\u00e9 potraviny, vl\u00e1knina a tak\u00e9 modern\u00ed tekut\u00e1 probiotika mohou b\u00fdt sou\u010d\u00e1st\u00ed pestr\u00e9 a p\u0159irozen\u00e9 stravy.<\/li>\n\n\n\n<li><strong>Stres pod kontrolou<\/strong><br>Relaxa\u010dn\u00ed techniky, pobyt v p\u0159\u00edrod\u011b \u010di jednoduch\u00e1 d\u00fdchac\u00ed cvi\u010den\u00ed pom\u00e1haj\u00ed udr\u017eovat rovnov\u00e1hu.<\/li>\n<\/ol>\n\n\n\n<p class=\"has-small-font-size\">*D\u016fle\u017eit\u00e9 pr\u00e1vn\u00ed upozorn\u011bn\u00ed:&nbsp;<em>Informace uveden\u00e9 v tomto \u010dl\u00e1nku jsou poskytov\u00e1ny v\u00fdhradn\u011b pro vzd\u011bl\u00e1vac\u00ed a informa\u010dn\u00ed \u00fa\u010dely. Nejedn\u00e1 se o l\u00e9ka\u0159sk\u00e9 poradenstv\u00ed, diagnostiku, l\u00e9\u010dbu ani prevenci jak\u00fdchkoli nemoc\u00ed \u010di zdravotn\u00edch stav\u016f. Obsah tohoto \u010dl\u00e1nku je obecn\u00fd a nem\u00e1 p\u0159\u00edm\u00fd souvislost ani se nevztahuje na konkr\u00e9tn\u00ed produkty prod\u00e1van\u00e9 na t\u00e9to webov\u00e9 str\u00e1nce. Produkty zmi\u0148ovan\u00e9 nebo odkazovan\u00e9 na t\u00e9to str\u00e1nce jsou dopl\u0148ky v\u00fd\u017eivy a nejsou ur\u010deny pro diagnostiku, l\u00e9\u010dbu, vyl\u00e9\u010den\u00ed ani prevenci \u017e\u00e1dn\u00fdch chorob. V\u017edy se pora\u010fte se sv\u00fdm l\u00e9ka\u0159em nebo kvalifikovan\u00fdm zdravotnick\u00fdm pracovn\u00edkem p\u0159edt\u00edm, ne\u017e za\u010dnete jakoukoli novou l\u00e9\u010dbu, zm\u011bny ve stravov\u00e1n\u00ed, u\u017e\u00edv\u00e1n\u00ed dopl\u0148k\u016f stravy nebo m\u00e1te-li jak\u00e9koli zdravotn\u00ed obavy. Informace z tohoto \u010dl\u00e1nku nenahrazuj\u00ed odbornou l\u00e9ka\u0159skou konzultaci. Provozovatel t\u00e9to webov\u00e9 str\u00e1nky a prodejce produkt\u016f nenese \u017e\u00e1dnou odpov\u011bdnost za rozhodnut\u00ed p\u0159ijat\u00e1 na z\u00e1klad\u011b informac\u00ed obsa\u017een\u00fdch v tomto \u010dl\u00e1nku. Individu\u00e1ln\u00ed v\u00fdsledky se mohou li\u0161it.<\/em><\/p>","protected":false},"excerpt":{"rendered":"<p>Diabetes II. typu: \u017eivotn\u00ed styl pod lupou Dnes m\u016f\u017eeme klidn\u011b konstatovat, \u017ee cukrovka druh\u00e9ho typu, odborn\u011b diabetes mellitus II. typu, pat\u0159\u00ed mezi nejroz\u0161\u00ed\u0159en\u011bj\u0161\u00ed civiliza\u010dn\u00ed onemocn\u011bn\u00ed dne\u0161ka. Nejde v\u0161ak jen o \u010d\u00edsla ve statistik\u00e1ch. Je to hlavn\u011b odraz na\u0161eho \u017eivotn\u00edho stylu a\u2026<\/p>","protected":false},"author":2,"featured_media":15811,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70,66],"tags":[],"class_list":["post-15808","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zaujimavosti","category-zdravie-medicina-clanky"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/posts\/15808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/comments?post=15808"}],"version-history":[{"count":0,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/posts\/15808\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/media\/15811"}],"wp:attachment":[{"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/media?parent=15808"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/categories?post=15808"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ziveprobiotika.sk\/cz\/wp-json\/wp\/v2\/tags?post=15808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}