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Манинил на перерегистрации. Чем адекватно заменить? Консультация эндокринолога Вопрос врачу
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Елена Аладышева
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Объясняю ситуацию. Соседке из соседнего дома, (видимся редко) лет 65. год назад поставлен диагноз СД 2 типа. На маниниле все было хорошо, компенсировано, диету соблюдает. Сейчас манинила в аптеках города нет. Ничего альтернативного не назначили. Похудела за 2 мес. на 7 кг. Сахар 14.

Врач-консультант

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Наталье Лагутиной-Чернышовой
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Болезнь Коудена

Снижение веса, высокий сахар,это видимо натощак, (а перед обедом, перед ужином, перед сном еще выше ?) Можно комбинированную терапию, утром Амарил 6мг, а вечером в22час Лантус (дозу подобрать), а лучше инсулин НОВОМИКС 2раза, перед завтраком и перед ужином

Елена Аладышева
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На ацетон надо проверить , если кетоацидоз, то и обсуждать нечего, госпитализация и инсулинотерапия

Елена Аладышева
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Займусь ей в понедельник вплотную. У нее нормально все держалось на 2 таблетки манинила 3,5. Пока он не пропал из продажи.

Евгения Заичкина (Номоконова)
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Елена! Желательно узнать, какое лечение компенсирует диабет у этой пациентки, чтобы наше обсуждение не прошло впустую.

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