* DII\D THAI BINH STV 616N(08) 2005 I I i a I a a IinU Ulucose miu i I I T I I I r t I a t a a a '!aa a ! I I I t I I a I t I NHA XUAT BAN Y HOC PGS TS TA vAtt eir.lH BENH IIft IHAII DUONG I I TANG GTUGI|SE MAU THI., VTEN TB11dp6 o11 y DU6C ir+Ar s6i \/ glilr 6: NHA XUAT BAN Y HgC Ha NOr - 2006 ]uu MUG LUG Ph.rn I Daicutmg vd ddi th6o tlulng - ting glucose m6u I \lu dau \hung dau an lich su quan trgng - ., i ThLrdt ngti 11 11 t4 vI nhfrng quan ni€m hien dai 16 l Chdn do6n v) '" phAn loai bOnh d6i th6o dudng Nhirng dac didrn ntii troi c[la b€nh d6i thSo dudng Chien luoc phdng chong d6i th6o dudng typ 24 37 cfu vd d6i thrio tluong Viet Nam \hring nghior-r crlu vd dich t€ hgc II Nh0ng nghi€n cfu can thi6p dAu tiOn o Vi6t Nam 50 He thong thang bang glucose m6u co thi L Cdc hornron lam tang glucose mdu II Hom.ron lim giam glucose m6u III Mrmg thay ddi c[ra Insulin b€nh lf d6i th6o duong 70 70 I\' 9L Cac nghi€n , -1 V 50 60 't3 89 Cdc chdt chua hoirn todn 16 t6c dung sinh hoc Chuyd'n ho6 glucose l \hung van dd co bin vi r6i loan chuyCn h6a lipid b€nh 99 dii th6o duong i Dai cuong II Nhtng thay ddi sinh ly benh cira doc lipid iil Rdi loan chuydn ho6 lipid o ngudi d6i thrio dudng I\' Sinh b€nh hoc rdi loan chuydn h5a lipid bOnh d6i th6o duong V Chdn dodn vh didu tri rdi loan lipid m6u Phan II Lam sirng vi tliiu tri c6c thd ddi th6o tluong ,i D:ii th6o duong typ I i Dac didm sinh lf bdnh IL PhAn loai III Tri6u chfng lAm sdng I\' Du b6o vd du phbng \' Di€u tri b€nh Ddi thrio duong typ I Dac didm sinh lf benh lI Nhirng van dd dang duo c nghiOn cfu sinh bOnh hqc kh6ng insulin IIL Phdn loai ddi th6o dubng typ IV TriOu chfng vd dau hiOu V Didu tri -, Cric thd tl6i th6o dudng dnc bi€t hiem gnp I D6i th6o dudng khoi ph6t o ngudi tr6 tudi II Cric thd lam sdng cria MODY III N,l6t sd hinh th6i d6i th6o dudng dac bi6t kh6c IV B€nh lf kh6c cfra tuydn V Cic bdnh nQi tiet kh6c 106 106 r07 115 rr7 131 145 r47 t47 173 174 t76 L87 2t4 214 229 257 259 264 285 285 287 293 302 302 ;ii.*r VI Ddi tliSo dLrdng c6 nguyen nhdn hien-r gAp khiic 303 Ddi thdo dudng o ngutri cao tudi i Sinh li b€nh 304 304 lI Nhfng var-r d€ crin luu f x6c clinh chAn