A my Chai
MD, Internal Medicine
B.A.\u00a0from\u00a0Johns Hopkins University, USA<\/p>\n\n\n\n
Dotaz \u010dten\u00e1\u0159e: Pro\u010d se l\u00e9ka\u0159i st\u00e1le p\u0159edepisuj\u00ed metformin, kdy\u017e m\u00e1 tak hrozn\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky a moc dob\u0159e nefunguje? <\/p>\n\n\n\n
Odpov\u011b\u010f:
Metformin je v podstat\u011b jeden z nejlep\u0161\u00edch l\u00e9k\u016f na cukrovku, kter\u00e9 m\u00e1me. Zasv\u011bcenci ze Silicon Valley ho nyn\u00ed u\u017e\u00edvaj\u00ed, aby si prodlou\u017eili \u017eivot, i kdy\u017e nemaj\u00ed cukrovku. St\u00e1le v\u00edce technologick\u00fdch expert\u016f ze Silicon Valley se obrac\u00ed na tento levn\u00fd l\u00e9k na cukrovku, aby jim pomohl \u017e\u00edt d\u00e9le. <\/p>\n\n\n\n
Metformin m\u016f\u017ee tak\u00e9 pomoci s fibromyalgi\u00ed, z\u00e1n\u011btem a hubnut\u00edm. M\u016f\u017ee m\u00edt vliv na prevenci rakoviny a dlouhov\u011bkost, jak na to ukazuj\u00ed studie na zv\u00ed\u0159atech. <\/p>\n\n\n\n
A hrozn\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky? Ehm, ne. N\u011bkte\u0159\u00ed lid\u00e9 s n\u00edm maj\u00ed siln\u00fd pr\u016fjem a nevolnosti, ale to je pravd\u011bpodobn\u011b asi 5 % pacient\u016f a obvykle tyto probl\u00e9my vy\u0159e\u0161\u00ed nahrazen\u00ed l\u00e9kovou formou metforminu s prodlou\u017een\u00fdm a pomalej\u0161\u00edm uvol\u0148ov\u00e1n\u00edm. <\/p>\n\n\n\n
V m\u00e9 osobn\u00ed praxi m\u00e1m p\u0159esn\u011b 3 pacienty, kte\u0159\u00ed m\u011bli vedlej\u0161\u00ed \u00fa\u010dinky metforminu, kter\u00e9 byly natolik z\u00e1va\u017en\u00e9, \u017ee ho p\u0159estali u\u017e\u00edvat. V\u011bt\u0161ina lid\u00ed v\u0161ak nem\u00e1 \u017e\u00e1dn\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky. Je to tak\u00e9 nejlep\u0161\u00ed a nejbezpe\u010dn\u011bj\u0161\u00ed l\u00e9k prvn\u00ed volby jak pro cukrovku (2. typu), tak i pro prediabetes. <\/p>\n\n\n\n
U prediabetu pom\u00e1h\u00e1 p\u0159edch\u00e1zet odum\u00edr\u00e1n\u00ed bun\u011bk slinivky b\u0159i\u0161n\u00ed, kter\u00e9 produkuj\u00ed inzulin. To m\u00e1 dlouhodob\u00e9 \u00fa\u010dinky na zdrav\u00ed pacienta a dramaticky oddaluje n\u00e1stup diabetu a komplikace souvisej\u00edc\u00ed s n\u00edm. Kde jste z\u00edskal informace, z internetu? ADA ve sv\u00fdch pokynech doporu\u010duje metformin jako l\u00e9k \u010d\u00edslo jedna pro diabetes 2. typu a doporu\u010duje ho u\u017e\u00edvat po dobu, kdy je funkce ledvin v po\u0159\u00e1dku.<\/p>\n\n\n\n
Quora Digest<\/p>\n\n\n\n
Ariel Poler je zku\u0161en\u00fd investor, kter\u00fd tr\u00e1v\u00ed dny cestov\u00e1n\u00edm po oblasti Sanfrancisk\u00e9ho z\u00e1livu a setk\u00e1v\u00e1n\u00edm se s podnikateli. Nyn\u00ed, kdy\u017e mu je n\u011bco m\u00e1lo p\u0159es pades\u00e1t, tak\u00e9 mnohem v\u00edce p\u0159em\u00fd\u0161l\u00ed o sv\u00e9m vlastn\u00edm zdrav\u00ed, tak\u017ee se sna\u017e\u00ed udr\u017eet si n\u00edzkou hladinu stresu zdrav\u00fdm stravov\u00e1n\u00edm a pravideln\u00fdmi v\u00fdlety za kitesurfingem. <\/p>\n\n\n\n
U\u017e\u00edv\u00e1 v\u0161ak tak\u00e9 malou b\u00edlou pilulku zvanou metformin, kter\u00e1 je p\u0159edepisov\u00e1na milion\u016fm lid\u00ed s cukrovkou, aby pomohla kontrolovat vysokou hladinu cukru v krvi. Poler cukrovku nem\u00e1, ale u\u017e\u00edv\u00e1 ji z jin\u00e9ho d\u016fvodu. Douf\u00e1, \u017ee mu pom\u016f\u017ee udr\u017eet si zdrav\u00ed d\u00e9le. <\/p>\n\n\n\n
Na rozd\u00edl od n\u011bkter\u00fdch lid\u00ed v Silicon Valley, kte\u0159\u00ed st\u00e1le v\u00edce investuj\u00ed do z\u00e1zra\u010dn\u00fdch l\u00e9k\u016f a zakl\u00e1daj\u00ed spole\u010dnosti, kter\u00e9 maj\u00ed prolomit k\u00f3d st\u00e1rnut\u00ed, Poler nepl\u00e1nuje \u017e\u00edt v\u011b\u010dn\u011b. V\u011b\u0159\u00ed v\u0161ak, \u017ee u\u017e\u00edv\u00e1n\u00ed metforminu ve spojen\u00ed s jeho osobn\u00edm z\u00e1vazkem k zdrav\u00e9mu stravov\u00e1n\u00ed a cvi\u010den\u00ed pom\u016f\u017ee odd\u00e1lit n\u00e1stup v\u00e1\u017en\u00fdch zdravotn\u00edch probl\u00e9m\u016f. <\/p>\n\n\n\n
\u201eMo\u017en\u00e1 rakovinu dostanu a\u017e pozd\u011bji, t\u0159eba v 85 m\u00edsto v 83,\u201c \u0159\u00edk\u00e1 s pokr\u010den\u00edm ramen. <\/p>\n\n\n\n
Nen\u00ed s\u00e1m. Metformin za\u017e\u00edv\u00e1 v technologick\u00fdch kruz\u00edch Silicon Valley \u2013 mezi lidmi, kte\u0159\u00ed nemaj\u00ed cukrovku \u2013 tak trochu renesanci. CNBC provedla rozhovory s tuctem mana\u017eer\u016f a investor\u016f pracuj\u00edc\u00edch v technologick\u00e9m pr\u016fmyslu, kte\u0159\u00ed u\u017e\u00edvaj\u00ed tento l\u00e9k jako ochranu proti st\u00e1rnut\u00ed. N\u011bkte\u0159\u00ed byli ochotni o tom mluvit ve\u0159ejn\u011b, zat\u00edmco jin\u00ed rad\u011bji z\u016fstali v anonymit\u011b, proto\u017ee necht\u011bli, aby se to jejich zam\u011bstnavatel\u00e9 dozv\u011bd\u011bli. Jejich argumenty podporuj\u00ed i \u200b\u200bn\u011bkte\u0159\u00ed v\u00fdznamn\u00ed podporovatel\u00e9 z l\u00e9ka\u0159sk\u00e9 oblasti, v\u010detn\u011b renomovan\u00e9ho v\u00fdzkumn\u00edka st\u00e1rnut\u00ed Nira Barzilaie.<\/p>\n\n\n\n
CNBC.com Silicon Valley techies are turning to a cheap diabetes drug to help them live longer
autor: Cristina Farr<\/p>\n","protected":false},"excerpt":{"rendered":"
A my ChaiMD, Internal MedicineB.A.\u00a0from\u00a0Johns Hopkins University, USA Dotaz \u010dten\u00e1\u0159e: Pro\u010d se l\u00e9ka\u0159i st\u00e1le p\u0159edepisuj\u00ed metformin, kdy\u017e m\u00e1 tak hrozn\u00e9 vedlej\u0161\u00ed \u00fa\u010dinky a moc dob\u0159e […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14127,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-58868","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=58868"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/58868\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14127"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=58868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=58868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=58868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}