{"id":2964,"date":"2012-07-27T07:34:56","date_gmt":"2012-07-27T04:34:56","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=2964"},"modified":"2012-07-27T07:34:56","modified_gmt":"2012-07-27T04:34:56","slug":"tip-2-diabetli-hastalarda-oruc-tutmanin-riski","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=2964","title":{"rendered":"\u201cTip 2 diabet\u201dli hastalarda oru\u00e7 tutman\u0131n riski"},"content":{"rendered":"

Sa\u011fl\u0131k meslek mensuplar\u0131 oru\u00e7 tutman\u0131n tip 2 diabet\u2019li hastalardaki riskinin fark\u0131nda olmal\u0131d\u0131r.<\/span><\/p>\n

Diabetes in the Middle East<\/strong><\/p>\n

www.thelancet.com Vol 380 August 2012 <\/strong><\/p>\n

<\/strong><\/p>\n

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B\u00fct\u00fcn d\u00fcnyada Tip 2 diabet\u2019in g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 giderek art\u0131yor. Bu hastal\u0131k genetik ve \u00e7evre \u015fartlar\u0131n\u0131n kompleks bir etkile\u015fimi sonucunda ortaya \u00e7\u0131k\u0131yor.Bu g\u00fcne kadar tip 2 diabet\u2019in ortaya \u00e7\u0131kmas\u0131nda 40 dan fazla genetik fakt\u00f6r\u00fcn yer ald\u0131\u011f\u0131na inan\u0131lmaktad\u0131r.<\/span><\/p>\n

H\u0131zl\u0131 kentle\u015fme, beslenme al\u0131\u015fkanl\u0131klar\u0131n\u0131n de\u011fi\u015fmesi hareketsiz ya\u015fam tarz\u0131 ile paralel olarak tip 2 diabet\u2019e rastlanma s\u0131kl\u0131\u011f\u0131 giderek artmaktad\u0131r.<\/span><\/p>\n

Bu gibi ge\u00e7i\u015fler, geli\u015fmekte olan \u00fclkelerde h\u0131zla olu\u015fmakta ve bu nedenle geli\u015fmekte olan \u00fclkelerde \u00a0tip 2 diabet\u2019in yayg\u0131la\u015fmas\u0131nda, geli\u015fmi\u015f \u00fclkelere nazaran daha \u00e7arp\u0131c\u0131 bir art\u0131\u015f olaca\u011f\u0131 beklenmektedir.<\/span><\/p>\n

2030 y\u0131l\u0131na kadar b\u00fct\u00fcn d\u00fcnyadaki tip 2 diabet vakalar\u0131ndaki en b\u00fcy\u00fck art\u0131\u015f\u0131n Orta Do\u011fuda olmas\u0131 bekleniyor.D\u00fcnya sa\u011fl\u0131k \u00f6rg\u00fct\u00fc 2006-2015 y\u0131llar\u0131 aras\u0131nda kronik hastal\u0131klar nedeniyle \u00f6l\u00fcmlerdeki ar\u015ft\u0131n en fazla Afrika ve Orta Do\u011fu \u00fclkelerinde g\u00f6r\u00fclece\u011fini tahmin ediyor. 24 \u00e7al\u0131\u015fman\u0131n sistematik olarak g\u00f6zden ge\u00e7irilmesi sonucunda Orta Do\u011fuda tip 2 diabet vakalar\u0131n\u0131n % 10.5 oran\u0131nda artt\u0131\u011f\u0131 g\u00f6r\u00fclmektedir. Her y\u0131l 20 ya\u015f veya \u00fcst\u00fc \u0130ranl\u0131 \u015fehir n\u00fcfusunun %1\u2019inden fazlas\u0131nda \u00a0tip 2 diyabet ortaya \u00e7\u0131kmaktad\u0131r.<\/span><\/p>\n

Orta Do\u011fuda tip 2 diabet\u2019in artmas\u0131nda, rafine karbonhidratlar\u0131n (\u00f6r beyaz pirin\u00e7) y\u00fcksek oranda t\u00fcketilmesi \u00a0ve fiziksel aktivitenin daha \u00f6nceki jenerasyonlara g\u00f6re daha d\u00fc\u015f\u00fck seviyede olmas\u0131 gibi \u00e7e\u015fitli fakt\u00f6rler rol oynamaktad\u0131r.<\/span><\/p>\n

Orta Do\u011fuda en yayg\u0131n din \u0130slamd\u0131r. Her y\u0131l 50 milyondan fazla tip 2 diabetli M\u00fcsl\u00fcman ramazan boyunca oru\u00e7 tutmaktad\u0131r. Sa\u011fl\u0131k meslek mensuplar\u0131 \u00a0oru\u00e7 tutman\u0131n tip 2 diabetli hastalardaki riskinin fark\u0131nda olmal\u0131d\u0131r. Bir\u00e7ok din g\u00f6revlisine g\u00f6re oru\u00e7 tutan ki\u015filerin oral veya \u00a0intraven\u00f6z yolla ila\u00e7 almalar\u0131na izin verilmemektedir. Tip 2 diabetli hastalarda oru\u00e7 tutarken hipogisemi en b\u00fcy\u00fck sa\u011fl\u0131k riskidir. Bu hastalarla ilgilenen doktorlar\u0131n ramazan ay\u0131 boyunca ilac\u0131n dozunu ayarlamalar\u0131 \u00f6nemli bir zorluktur.<\/span><\/p>\n

Tip 2 diabetli hastalar\u0131n kontrol alt\u0131nda tutulmas\u0131 \u00f6nemli olmakla beraber koruyucu \u00f6nlemler \u00fczerinde \u00f6nemle durulmal\u0131d\u0131r. Bir \u00e7ok randomize klinik \u00e7al\u0131\u015fma diyet ve eksersiz ile diabetin kontrol alt\u0131na al\u0131nabilece\u011fni g\u00f6stermektedir. Bir kontroll\u00fc \u00e7al\u0131\u015fmada diyet de\u011fi\u015fikli\u011fi ile \u00a0riskin % 31 azald\u0131\u011f\u0131n\u0131, eksersizin artt\u0131r\u0131lmas\u0131 ile riskin % 46 azald\u0131\u011f\u0131 , her ikisinin birlikte uygulanmas\u0131 ile de riskin % 42 oran\u0131nda azald\u0131\u011f\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr.<\/span><\/p>\n

Orta Do\u011fuda halk ve politikac\u0131lar diabetin risk fakt\u00f6rlerinin daha fazla fark\u0131na varmal\u0131 ve prediyabetli ki\u015fileri te\u015fhis etmek b\u00f6ylece erken m\u00fcdahale ile komplikasyonlardan korumak i\u00e7in ulusal tarama programlar\u0131 uygulanmal\u0131d\u0131r.<\/span><\/p>\n


Farrokh Habibzadeh
<\/strong><\/span>The Lancet Middle East Edition, NIOC Medical Education and Research Center, Shiraz, Iran<\/strong><\/p>\n

Diabetes in the Middle East<\/a><\/span><\/p>\n

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Sa\u011fl\u0131k meslek mensuplar\u0131 oru\u00e7 tutman\u0131n tip 2 diabet\u2019li hastalardaki riskinin fark\u0131nda olmal\u0131d\u0131r. Diabetes in the Middle East www.thelancet.com Vol 380...<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[62],"tags":[],"class_list":["post-2964","post","type-post","status-publish","format-standard","hentry","category-sagliktan-haberler"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2964"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/2964\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2964"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2964"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}