Professional Documents
Culture Documents
/2 :
: ][
: .1384
48 ..
ISBN: 964-359- 166-2
:
.
. . . . .
. .
616/9362
84
88553429 : 88553403
88713653 :
:
:
:
:
:
:
:)(1384
5000 :
ISBN: 964-359-166-2
964-359-166-2:
..
.
.
2
.
.
.
2
.
.
.1
11
.2
13
.3
14
.4
15
.5
16
.6
17
.7 )(
21
.8
22
.9
24
.10
25
.11
26
.12 2
28
.13
29
.14
30
.15
32
.16
34
.17
35
.18
36
.19
37
.20
39
.21 2
41
.22
44
.
2-3 .
: .
1921
1955 .
.
.
90 DCCT UKPDS
.
2 . 1985 30
15 140 .
20 ) 2025( 330
%177 %42.
.
.
2 .
.
.
:
.
1
:
.
.
2
1
IGT IFG .
.1
200mg/dl
2
100mg/dl
.2
100mg/dl
:
> 125mg/dl
3
)(OGTT
110mg/dl
> 90mg/dl
):(OGTT
2 200mg/dl
IGT
2 140mg/dl 2 > 200mg/dl
IFG
110mg/dl 2 > 126mg/dl
IFG
OGTT
IGT
)(mg/dl
126
110
)(mg/dl
126
110
)(mg/dl
110
100
)(mg/dl
110
100
220
220
200
140
180
120
200
140
* .
75 :OGTT 300 3-5 .
] 2004 100mg/dl ) (IFG
IFG 110mg/dl [
3. Oral Glucose Tolerance Test
11
.1
8 :
HbA1c
.2
.3
.
.
) HbA1c ( :
) (HPLC Chromatography .
Turnover
.4
.5
.6
) OGTT ( .
.7
)(post-prandial
2 OGTT .
12
2
:
.
:
.
:
) 3(
)(
.
:
.
13
3
:
: .
:
.
:
) (
) (
.
:
.
:
.
14
) (.
:
: ) .(20
:
) .(19
: ) .(18
: ) .(16
: ) .(8
: . ...
HbA1c
/
) (
* .
15
5
:
*
:
HbA1c
)( 140/85mmHg
) (
) (
) (
* .
16
6
.
17
) (
) (HbA1c
)
(...
) (
) (
18
.
) ( .
.
) (.
:
) (.
:
.
:
.
19
.
:
: . ...
20
)(
7 )(
:
) (.
) ( .
) ( :
HbA1c
:
:
1-7 ) .(8
1-4
.
4-8 .
1-2
21
8
.
) ( :
) (
.
:
.
.
:
HbA1c 2-6
) HDL LDL ( 2-6
.
) (
.
.
:
.
:
.
:
.
22
%6/5
> %6/5
> %7/5
< 110mg/dl
110mg/dl
> 125mg/dl
)(
< 100mg/dl
100mg/dl
100mg/dl
)(post-prandial
< 135mg/dl
135mg/dl
> 160mg/dl
(18mg/dl)1mmol/L .
.
)(mg/dl
< 185
185-200
> 200
)LDL(mg/dl
< 100
100-130
> 130
HDL
> 46
39-46
< 46
TG
< 150
150-200
> 200
mmHg
< 135/85
< 135/85
23
9
:
) 0/8/kg 6g (.
.
.
)
(.
< %10 : .
) < %10 :1(PUFA .
) :2(MUFA .
: .
: .
< %15 : .
: .
: .
1. Poly unsaturated Fatly Acid
2. Mono unsaturated Fatly Acid
24
10
:
30
.
:
2-3
.
:
.
:
.
.
.
25
11
.
) (6
) (7
) (8
) (9
) (10
110mg/l
:
) (
.PPAR
: .
LDL
.
:
.
.
: .
26
.
.
) (.
:Rapiglitazid
) (post-prandial.
:
.
.
:PPAR
.
: .
.
.
) 4 (
HbA1c
) (.
. .
27
12 2
.
) (
.PPAR
:
NPH
NPH
HbA1c.
:
) .(8
:
.
)
(
28
13
.
) (6
) (8
) (9
) (10
) 4 (:
) (
TG .LDL
TG ) ( > 600mg/dl
) (apo E LDL
TG )LDL ( .
: .
:
.
29
14
.
) (6
) (8
) (9
) (10
) 4 (:
) (
) 5 1 :(5
/
)(.
:
:ACE
/) (.
:
) (
.
:
(.
: .
30
) ( .
: ACE .
: .
) (.
:II .
. ACE
. .
ACE . .
.
31
15
2.
/.
) (.
:
:
:
.
:
:
:
: .
/
) (8
) .(9
) (10
.
) (.
32
.
2
3 .
4
12
/ .
:
:
)
8 6.(10
:
) (
) (
) .(ACE
/ / .
.
:.
33
16
2
.
2
.
.
)
( :
) (
) (
< (> 30mg/g)2/5mg/mmol < (> 40mg/g)3/5mg/mmol
> 20mg/l:
/ .
) (.
) 5 1 .(5
34
17
)
(
) (:
ACE
.
0/8g/kg
.3mg/l
35
18
.
)(
) (
) (.
3-6 :
) < 140 mmHg(
85
) (
.
36
19
.
) (
).(Cladication
37
.
:
) (.
)
(
.
:
38
20
:
.
:
) (
.
) (
.
)(
600-1200mg .
Sildenafil ):
(
Alprostadil
:
.1 .
2
39
)(:
Cisapride Domperidone .
Loperamid
/ .
40
21 2
2
.
2.
/
:
:
65-100mg/dl
90-145mg/dl
)(BP < 130 mmHg
80
ACE / .
.
110mg/dl:
75gr
:
< 125mg/dl
140mg/dl.
41
.
:
) 1-2 (
:
:
= 65-100mg/dl
= 90-135mg/l
HbA1c .
:
)
1 (.
42
.
) (:
.
:
43
22
) (8
) ( :
HbA1c > %9
< 180mg/dl
< 230mg/l
44
:
)
(
.
:
)1(GIK
8
) 1-4(:
.
:
110-180mg/dl.
.
) (GIK
500CC %10:
16
10mmol 80ml/h .
20 .
12
.
:
4 .
4 .
GIK 30-60 .
.
dilutional hyponatraemia.
45
........................................................................................................................................... :
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
46
........................................................................................................................................... :
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
.........................................................................................................................................................
2
47