Diabetes, also known as diabetes, is called the plague of our age. The frequency of each
is increasing day by day. Although the frequency varies regionally in the last scans, it is 23-24%.
finds them. Glucose in the blood is accompanied by high sugar levels. hunger in blood
Measuring glucose level above 126 mg/dl and satiety level above 200 mg/dl is the diagnosis of diabetes.
it puts. Genetic, environmental and dietary factors play a role in the onset of the disease.
is playing. Ineffectiveness or deficiency of the insulin hormone produced in the pancreas
causes. Frequent dry mouth, drinking a lot of water, feeling hungry, frequent urination at night,
weight loss or increase, visual impairment, etc. with these symptoms
Fasting blood glucose measurement, insulin, c peptide, 3-month average sugar in the blood
showing Hba1c tests are performed; Treatment of patients according to the results obtained here
It is regulated by specialist physicians in the form of pills or insulin. Diet, exercise and lifestyle
changes are as important as drug treatments. For newly diagnosed patients
Dietitian support is recommended.
2. Prediabetes, Insulin resistance
As the number of patients with diabetes increases over the years, the awareness of this disease in the society increases and the public
is becoming frequently discussed. Diabetes onset, hidden sugar, insulin resistance
The described situation is increasing rapidly in outpatient clinic applications. no longer pre-diabetic
In this period, it was given great importance by scientists and extensive studies were carried out on this subject.
The overt pre-diabetic period is defined as prediabetes, and in this case, the treatment
takes its place in the guidelines. Fasting blood glucose level between 100-126 mg/dl
measurement establishes the diagnosis of prediabetes. Again, 5 of the insulin level measured at this stage
, HOMA index above 2.2 prediabetes or insulin resistance
makes the diagnosis. Examining the patients at this stage and starting their treatment early
It greatly contributes to the positive course of diabetes adventures of patients. Early
The progression time to overt diabetes of patients treated in the first stage is prolonged or the risk is completely eliminated.
can disappear. At this stage, according to the characteristics of the patient, metformin and pioglitazone
group drugs are often preferred. Diet and exercise are also an important part of treatment.
forms the step.
3. Thyroid gland and Thyroid diseases
The thyroid gland is located in the front of the neck at the level of the Adam’s apple, weighing approximately 20gr.
It is an organ responsible for hormone production. With the hormones it produces, it is almost the orchestra conductor of the body.
acting like; metabolic processes such as heat, energy, nutrition, sleep and circulation.
regulate processes. Thyroid gland is the hormone TSH secreted from the pituitary gland.
It is the main production site of T4 and T3 hormones. The cellular effects of these hormones
It controls all of the basic metabolic processes in the body.
Thyroid diseases are basically divided into two groups. The most common type of gland is low hormone
is a hypothyroid state. The most common reason for this is Hashimoto, whose frequency is increasing day by day.
thyroiditis. In this case, there is less hormone production due to damage to the gland, which
fatigue, generalized pain, drowsiness, hair loss, weight gain,
manifest as edema. After the examinations were completed, these patients were treated with thyroid hormone.
tablets are started. A regular level of hormones in the blood with regular checks
can be provided.

The other group is hyperthyroidism-thyrotoxicosis, which is popularly known as toxic goiter.
In these patients, the gland produces excess hormone due to infection, abnormal stimulus, nodule, etc.
in question. This condition is often accompanied by palpitations, sweating, insomnia, overeating,
It gives symptoms in the form of brightness, irritability, weight loss, menstrual irregularity. This situation
It is basically treated with antithyroid drugs that suppress hormone production. Patients’ clinical
surgery or radioactive iodine for patients who do not benefit from drug treatment according to their characteristics.
treatments can be planned by specialist physicians.

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