{"id":18539,"date":"2023-02-20T15:41:29","date_gmt":"2023-02-20T08:41:29","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=18539"},"modified":"2023-02-20T15:41:29","modified_gmt":"2023-02-20T08:41:29","slug":"tang-duong-huyet-do-thuoc-noi-tiet-o-nguoi-dai-thao-duong-xu-tri-nhu-the-nao","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/02\/20\/tang-duong-huyet-do-thuoc-noi-tiet-o-nguoi-dai-thao-duong-xu-tri-nhu-the-nao\/","title":{"rendered":"T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do thu\u1ed1c n\u1ed9i ti\u1ebft \u1edf ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, x\u1eed tr\u00ed nh\u01b0 th\u1ebf n\u00e0o ?"},"content":{"rendered":"

B\u1ea3n ch\u1ea5t c\u00e1c thu\u1ed1c n\u00e0y l\u00e0 nh\u1eefng n\u1ed9i ti\u1ebft t\u1ed1, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau. Nh\u00ecn chung, h\u1ea7u h\u1ebft c\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y\u00a0t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft\u00a0do th\u00fac \u0111\u1ea9y t\u0103ng t\u1ed5ng h\u1ee3p th\u00eam nhi\u1ec1u \u0111\u01b0\u1eddng glucose m\u1edbi ho\u1eb7c do l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a insulin \u1edf c\u00e1c m\u00f4.<\/p>\n

1. C\u00e1c thu\u1ed1c n\u1ed9i ti\u1ebft l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n\u00a0<\/b>\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h4>\n

1.1.\u00a0<\/i>Glucocorticoid<\/i><\/h4>\n

Glucocorticoid l\u00e0 m\u1ed9t n\u1ed9i ti\u1ebft t\u1ed1 c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00e1 r\u1ed9ng r\u00e3i trong\u00a0\u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp, hen ph\u1ebf qu\u1ea3n, d\u1ecb \u1ee9ng…<\/p>\n

C\u00e1c lo\u1ea1i thu\u1ed1c glucocorticoid th\u01b0\u1eddng d\u00f9ng l\u00e0: Prednisolon, methylprednisolon, dexamethasone… D\u00f9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo \u0111\u01b0\u1eddng u\u1ed1ng, hay ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch, ti\u00eam t\u1ea1i kh\u1edbp… th\u00ec thu\u1ed1c n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, th\u1eadm ch\u00ed g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng.<\/p>\n

Ngay c\u1ea3 \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi ch\u01b0a ho\u1eb7c kh\u00f4ng m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, n\u1ebfu ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng glucocorticoid d\u00e0i ng\u00e0y, c\u0169ng c\u00f3 nguy c\u01a1 m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Nguy\u00ean nh\u00e2n l\u00e0 do glucocorticoid kh\u00f4ng nh\u1eefng l\u00e0m t\u0103ng t\u1ed5ng h\u1ee3p glucose m\u00e0 c\u00f2n l\u00e0m t\u0103ng \u0111\u1ec1 kh\u00e1ng insulin (l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a insulin) .<\/p>\n

\"\"
Nhi\u1ec1u lo\u1ea1i thu\u1ed1c g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/figcaption><\/figure>\n

1.2.\u00a0<\/i>N\u1ed9i ti\u1ebft t\u1ed1 tuy\u1ebfn gi\u00e1p (L-T4)<\/i><\/h4>\n

V\u1edbi c\u00e1c thu\u1ed1c nh\u01b0 levothyroxin, levothyrox, L-thyroxin… l\u00e0 c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n b\u1ecb\u00a0suy tuy\u1ebfn gi\u00e1p. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n suy tuy\u1ebfn gi\u00e1p l\u1ea1i c\u00f3 k\u00e8m theo b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Tuy nhi\u00ean, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft ch\u1ec9 x\u1ea3y ra khi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1edf li\u1ec1u cao. V\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb li\u1ec1u th\u1ea5p ho\u1eb7c trung b\u00ecnh v\u00e0 \u1edf trong t\u00ecnh tr\u1ea1ng b\u00ecnh gi\u00e1p th\u00ec r\u1ea5t hi\u1ebfm khi c\u00f3 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

C\u01a1 ch\u1ebf g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a n\u1ed9i ti\u1ebft t\u1ed1 tuy\u1ebfn gi\u00e1p ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, nh\u01b0ng m\u1ed9t ph\u1ea7n l\u00e0 do thu\u1ed1c l\u00e0m t\u0103ng \u0111\u1ec1 kh\u00e1ng v\u00e0 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a insulin.<\/p>\n

1.3.<\/i>\u00a0Thu\u1ed1c tr\u00e1nh thai\u00a0\u0111\u01b0\u1eddng u\u1ed1ng<\/i><\/h4>\n

C\u00e1c thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng c\u00f3 b\u1ea3n ch\u1ea5t l\u00e0 c\u00e1c steroid (estrogen, progesterone) c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, do c\u0169ng l\u00e0m t\u0103ng \u0111\u1ec1 kh\u00e1ng v\u1edbi insulin \u1edf c\u00e1c m\u00f4. Nguy c\u01a1 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a thu\u1ed1c gia t\u0103ng \u1edf c\u00e1c ph\u1ee5 n\u1eef b\u1ecb th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec, ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3.<\/p>\n

Tuy nhi\u00ean, c\u00e1c thu\u1ed1c tr\u00e1nh thai \u0111\u01b0\u1eddng u\u1ed1ng, c\u0169ng gi\u1ed1ng nh\u01b0 2 lo\u1ea1i thu\u1ed1c n\u00eau tr\u00ean, kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, m\u00e0 khi d\u00f9ng th\u00ec c\u1ea7n theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 d\u00f9ng thu\u1ed1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n

1.4.<\/i>\u00a0Hormone tuy\u1ebfn t\u1ee5y<\/i><\/h4>\n

C\u00f3 2 n\u1ed9i ti\u1ebft t\u1ed1 c\u1ee7a tuy\u1ebfn t\u1ee5y l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 glucagon v\u00e0 insulin. Trong \u0111\u00f3, glucagon l\u00e0 hormone polypeptid n\u1ed9i sinh do c\u00e1c t\u1ebf b\u00e0o alpha (t\u1ebf b\u00e0o \u03b1) c\u1ee7a \u0111\u1ea3o langerhans t\u1ee5y s\u1ea3n xu\u1ea5t. Glucagon c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 glucose huy\u1ebft b\u1eb1ng c\u00e1ch k\u00edch th\u00edch ph\u00e2n gi\u1ea3i glycogen v\u00e0 t\u00e2n t\u1ea1o glucose \u1edf gan. Trong b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, glucagon \u0111\u01b0\u1ee3c d\u00f9ng \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u h\u1ea1 glucose huy\u1ebft n\u1eb7ng \u1edf ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng khi d\u00f9ng insulin ho\u1eb7c thu\u1ed1c u\u1ed1ng h\u1ea1 glucose huy\u1ebft.<\/p>\n

Insulin l\u00e0 m\u1ed9t hormone do t\u1ebf b\u00e0o \u03b2 c\u1ee7a \u0111\u1ea3o t\u1ee5y b\u00e0i ti\u1ebft, c\u00f3 vai tr\u00f2 l\u00e0m gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb l\u00e0m h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/p>\n

C\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 glucagon v\u00e0 insulin ho\u1ea1t \u0111\u1ed9ng tr\u00e1i ng\u01b0\u1ee3c nhau. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa 2 n\u1ed9i ti\u1ebft t\u1ed1 n\u00e0y s\u1ebd g\u00e2y ra s\u1ef1 t\u0103ng v\u1ecdt ho\u1eb7c h\u1ea1 th\u1ea5p c\u1ee7a \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

1.5.<\/i>\u00a0<\/i>Hormone<\/i>\u00a0t\u1ee7y th\u01b0\u1ee3ng th\u1eadn<\/i><\/h4>\n

Tuy\u1ebfn t\u1ee7y th\u01b0\u1ee3ng th\u1eadn l\u00e0 n\u01a1i ch\u1ee7 y\u1ebfu s\u1ea3n xu\u1ea5t c\u00e1c hormone \u0111\u00f3ng vai tr\u00f2 l\u00e0m t\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 tim m\u1ea1ch l\u00e0 catecholamine, bao g\u1ed3m 2 n\u1ed9i ti\u1ebft t\u1ed1 adrenalin, noradrenalin. Hai n\u1ed9i ti\u1ebft t\u1ed1 n\u00e0y l\u00e0m t\u0103ng ph\u00e2n gi\u1ea3i glycogen th\u00e0nh glucose \u1edf gan, sau \u0111\u00f3 gi\u1ea3i ph\u00f3ng glucose n\u00e0y v\u00e0o m\u00e1u, l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

2. \u0110i\u1ec1u tr\u1ecb t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do thu\u1ed1c n\u1ed9i ti\u1ebft<\/b><\/h4>\n

C\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft ch\u00ednh l\u00e0 c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Tuy nhi\u00ean, n\u00f3 ch\u1ec9 g\u00e2y ra b\u1ec7nh khi c\u01a1 th\u1ec3 c\u00f3 nh\u1eefng b\u1ea5t \u1ed5n nh\u1ea5t \u0111\u1ecbnh.<\/p>\n

\u0110\u1ec3 ph\u00f2ng ng\u1eeba, c\u00e1ch t\u1ed1t nh\u1ea5t l\u00e0 th\u1ef1c hi\u1ec7n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 t\u1eadp luy\u1ec7n h\u1ee3p l\u00fd. M\u1ed9t khi \u0111\u00e3 ph\u00e1t hi\u1ec7n ra b\u1ec7nh, c\u1ea7n nhanh ch\u00f3ng th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

V\u1ec1 v\u1ea5n \u0111\u1ec1 \u0111i\u1ec1u tr\u1ecb t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft d\u00f9 l\u00e0 t\u1ea1m th\u1eddi hay m\u00e3n t\u00ednh v\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft do nguy\u00ean nh\u00e2n g\u00ec, \u0111\u1ec1u r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n

M\u1ee9c \u0111\u1ed9 g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a m\u1ed7i lo\u1ea1i thu\u1ed1c l\u00e0 kh\u00e1c nhau, kh\u00f4ng th\u1ec3 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c \u0111\u01b0\u1ee3c. Tuy nhi\u00ean c\u00f3 m\u1ed9t s\u1ed1 thu\u1ed1c hay g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft r\u00f5 r\u1ec7t v\u00e0 c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd, \u0111\u1eb7c bi\u1ec7t khi \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i. \u0110i\u1ec3n h\u00ecnh l\u00e0 thu\u1ed1c glucocorticoid, d\u00f9 ch\u1ec9 d\u00f9ng m\u1ed9t m\u00ecnh, c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng v\u00e0 l\u00e0m ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft r\u1ea5t kh\u00f3 kh\u0103n.<\/p>\n

Khi b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng b\u1ecb \u1ed1m, c\u1ea7n \u0111i\u1ec1u tr\u1ecb th\u00eam thu\u1ed1c m\u1edbi, \u0111\u1ec1u ph\u1ea3i ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean h\u01a1n, th\u1eadm ch\u00ed ph\u1ea3i \u0111o \u0111\u01b0\u1eddng huy\u1ebft 3 – 4 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p ngay khi th\u1ea5y \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao.<\/strong><\/em><\/p><\/blockquote>\n

Do \u0111\u00f3 v\u1edbi b\u1ec7nh nh\u00e2n\u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1\u00a0n\u1ebfu c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng glucocorticoid, c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc sau:<\/b><\/i><\/p>\n

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  • \u0110o \u0111\u01b0\u1eddng huy\u1ebft tr\u01b0\u1edbc m\u1ed7i b\u1eefa \u0103n v\u00e0 tr\u01b0\u1edbc khi \u0111i ng\u1ee7 (4 l\u1ea7n\/ng\u00e0y).<\/i><\/li>\n
  • N\u1ebfu \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng tr\u00ean 150 mg\/dl (8,3 mmol\/l) th\u00ec ti\u00eam th\u00eam 1 m\u0169i insulin t\u00e1c d\u1ee5ng nhanh (Lispro).<\/i><\/li>\n
  • Khi ph\u1ea3i d\u00f9ng glucocorticoid d\u00e0i ng\u00e0y, \u0111\u01b0\u1eddng huy\u1ebft c\u0169ng t\u0103ng c\u1ed1 \u0111\u1ecbnh th\u00ec \u0111\u1ed3ng th\u1eddi \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u c\u1ee7a m\u0169i ti\u00eam insulin b\u00e1n ch\u1eadm ho\u1eb7c ch\u1eadm cho t\u1edbi khi kh\u00f4ng c\u1ea7n ph\u1ea3i ti\u00eam th\u00eam m\u0169i insulin t\u00e1c d\u1ee5ng nhanh n\u1eefa.<\/i><\/li>\n
  • Khi b\u1eaft \u0111\u1ea7u gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u1eebng h\u1eb3n glucocorticoid th\u00ec c\u0169ng gi\u1ea3m li\u1ec1u d\u1ea7n m\u0169i insulin b\u00e1n ch\u1eadm ho\u1eb7c ch\u1eadm.<\/i><\/li>\n<\/ul>\n
    \"\"
    Ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 ki\u1ec3m k\u1ecbp th\u1eddi so\u00e1t m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft.<\/figcaption><\/figure>\n

    V\u1edbi b\u1ec7nh nh\u00e2n\u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2\u00a0c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng glucocorticoid, c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc:<\/b><\/i><\/p>\n

      \n
    • \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0\/ho\u1eb7c li\u1ec1u c\u1ee7a c\u00e1c thu\u1ed1c u\u1ed1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. Tuy nhi\u00ean bi\u1ec7n ph\u00e1p n\u00e0y hi\u1ebfm khi \u0111\u1ee7 \u0111\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft.<\/i><\/li>\n
    • N\u00ean tu\u00e2n theo ph\u01b0\u01a1ng ph\u00e1p \u00e1p d\u1ee5ng v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1: Ti\u00eam th\u00eam insulin nhanh khi \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng nh\u1ea5t th\u1eddi trong giai \u0111o\u1ea1n ng\u1eafn, c\u00f2n ti\u00eam th\u00eam insulin b\u00e1n ch\u1eadm ho\u1eb7c ch\u1eadm khi \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao k\u00e9o d\u00e0i.<\/i><\/li>\n
    • Tr\u01b0\u1eddng h\u1ee3p c\u00e1c thu\u1ed1c g\u00e2y \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng nh\u1eb9, c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng huy\u1ebft b\u1eb1ng c\u00e1ch \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n, t\u1eadp th\u1ec3 d\u1ee5c, ho\u1eb7c cho th\u00eam thu\u1ed1c u\u1ed1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft (n\u1ebfu b\u1ec7nh nh\u00e2n ch\u01b0a d\u00f9ng) ho\u1eb7c t\u0103ng li\u1ec1u thu\u1ed1c.<\/i><\/li>\n<\/ul>\n

      Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u1ea3n ch\u1ea5t c\u00e1c thu\u1ed1c n\u00e0y l\u00e0 nh\u1eefng n\u1ed9i ti\u1ebft t\u1ed1, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau. Nh\u00ecn chung, h\u1ea7u h\u1ebft c\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y\u00a0t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft\u00a0do th\u00fac \u0111\u1ea9y t\u0103ng t\u1ed5ng h\u1ee3p th\u00eam nhi\u1ec1u \u0111\u01b0\u1eddng glucose m\u1edbi ho\u1eb7c do l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a insulin \u1edf c\u00e1c m\u00f4. […]<\/p>\n","protected":false},"author":3,"featured_media":18541,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-18539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=18539"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18539\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/18541"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}