{"id":1538,"date":"2024-04-21T18:22:52","date_gmt":"2024-04-21T11:22:52","guid":{"rendered":"https:\/\/yhoccongdong.org\/tieu-duong\/?p=1538"},"modified":"2024-05-12T18:26:56","modified_gmt":"2024-05-12T11:26:56","slug":"mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/","title":{"rendered":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024"},"content":{"rendered":"<h2><\/h2>\n<p style=\"text-align: right\"><em><strong>Bi\u00ean d\u1ecbch: L\u1ea1i Th\u1ecb C\u1ea9m Nhung<\/strong><\/em><\/p>\n<p style=\"text-align: right\"><em><strong>Hi\u1ec7u \u0111\u00ednh: BS. Cao M\u1ea1nh Long<\/strong><\/em><\/p>\n<h2><\/h2>\n<h2><b>C\u1ea3i thi\u1ec7n vi\u1ec7c ch\u0103m s\u00f3c v\u00e0 n\u00e2ng cao s\u1ee9c kh\u1ecfe trong c\u1ed9ng \u0111\u1ed3ng<\/b><\/h2>\n<p><span style=\"font-weight: 400\">B\u1ed5 sung th\u00eam c\u00e1c d\u1eef li\u1ec7u v\u1ec1 chi ph\u00ed, c\u1ee5 th\u1ec3 li\u00ean quan \u0111\u1ebfn <a href=\"https:\/\/yhoccongdong.com\/tieu-duong\/su-that-ve-insulin-doi-voi-benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\">insulin<\/a> v\u00e0 c\u00e1c thi\u1ebft b\u1ecb theo d\u00f5i glucose. Gi\u1edbi thi\u1ec7u m\u00f4 h\u00ecnh ch\u0103m s\u00f3c b\u1ec7nh m\u1ea1n t\u00ednh (CCM) v\u1edbi 6 th\u00e0nh t\u1ed1 c\u1ed1t l\u00f5i \u0111\u1ec3 gi\u1ea3m chi ph\u00ed cho h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u0169ng nh\u01b0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c t\u1ed1i \u01b0u.<\/span><\/p>\n<h2><b>Ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/b><\/h2>\n<p><span style=\"font-weight: 400\">C\u00e1ch ti\u1ebfp c\u1eadn c\u1ea5u tr\u00fac h\u01a1n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n bao g\u1ed3m x\u00e1c nh\u1eadn ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u, v\u1edbi<a href=\"https:\/\/yhoccongdong.com\/tieu-duong\/xet-nghiem-hba1c\/\" target=\"_blank\" rel=\"noopener\"> x\u00e9t nghi\u1ec7m HbA1c<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400\">X\u00e9t nghi\u1ec7m t\u1ef1 kh\u00e1ng th\u1ec3 ti\u1ec3u \u0111\u1ea3o t\u1ee5y ti\u00eau chu\u1ea9n h\u00f3a gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t.<\/span><\/p>\n<p><span style=\"font-weight: 400\">C\u00e1c khuy\u1ebfn ngh\u1ecb s\u00e0ng l\u1ecdc ti\u1ec3u \u0111\u01b0\u1eddng \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n th\u1ebf h\u1ec7 hai, b\u1ecb vi\u00eam t\u1ee5y c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh ho\u1eb7c m\u1eafc b\u1ec7nh x\u01a1 nang.<\/span><\/p>\n<h2><b>Ph\u00f2ng ng\u1eeba ho\u1eb7c tr\u00ec ho\u00e3n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Theo d\u00f5i nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1. Teplizumab khuy\u1ebfn c\u00e1o \u0111\u1ec3 tr\u00ec ho\u00e3n s\u1ef1 kh\u1edfi ph\u00e1t c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1 giai \u0111o\u1ea1n 3 (giai \u0111o\u1ea1n c\u00f3 bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng) \u1edf nh\u1eefng ng\u01b0\u1eddi t\u1eeb 8 tu\u1ed5i tr\u1edf l\u00ean m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1 giai \u0111o\u1ea1n ti\u1ec1n l\u00e2m s\u00e0ng (giai \u0111o\u1ea1n 2).<\/span><\/p>\n<h2><b>\u0110\u00e1nh gi\u00e1 y t\u1ebf to\u00e0n di\u1ec7n v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1ec7nh \u0111\u1ed3ng m\u1eafc<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400\">Ti\u00eam ch\u1ee7ng: B\u1ed5 sung v\u1eafc xin ng\u1eeba virus h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p (RSV) cho ng\u01b0\u1eddi ng\u01b0\u1eddi t\u1eeb 60 tu\u1ed5i tr\u1edf l\u00ean.<\/span><\/li>\n<li><span style=\"font-weight: 400\">S\u1ee9c kh\u1ecfe x\u01b0\u01a1ng: \u0110\u01b0\u1ee3c s\u1eeda \u0111\u1ed5i\/c\u1eadp nh\u1eadt m\u1ed9t c\u00e1ch to\u00e0n di\u1ec7n &#8211; bao g\u1ed3m vi\u1ec7c \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3, nh\u1eadn di\u1ec7n v\u00e0 qu\u1ea3n l\u00fd.<\/span><\/li>\n<li><span style=\"font-weight: 400\">B\u1ec7nh gan: C\u00e1c thay \u0111\u1ed5i &#8220;Ti\u00eau chu\u1ea9n s\u1ed1ng&#8221; n\u0103m 2023 \u0111\u01b0\u1ee3c t\u00edch h\u1ee3p, bao g\u1ed3m c\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 s\u00e0ng l\u1ecdc v\u00e0 qu\u1ea3n l\u00fd. C\u00e1c thay \u0111\u1ed5i v\u1ec1 danh ph\u00e1p \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t (b\u1ec7nh gan nhi\u1ec5m m\u1ee1 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng chuy\u1ec3n h\u00f3a; MASLD) \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn nh\u01b0ng ch\u01b0a \u00e1p d\u1ee5ng.<\/span><\/li>\n<\/ul>\n<h2><b>Khuy\u1ebfn kh\u00edch c\u00e1c h\u00e0nh vi t\u1ed1t \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400\">T\u1eadp trung v\u00e0o vi\u1ec7c h\u01b0\u1edbng d\u1eabn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 ng\u01b0\u1eddi b\u1ec7nh cho c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe\/nh\u00e2n vi\u00ean y t\u1ebf h\u01a1n l\u00e0 c\u00e1c h\u01b0\u1edbng d\u1eabn cho ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/li>\n<li><span style=\"font-weight: 400\">N\u0103m th\u1eddi \u0111i\u1ec3m quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nhu c\u1ea7u t\u01b0 v\u1ea5n gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe c\u00f3 c\u1ea5u tr\u00fac v\u1ec1 ti\u1ec3u \u0111\u01b0\u1eddng: Khi m\u1edbi ch\u1ea9n \u0111o\u00e1n; khi kh\u00f4ng \u0111\u1ea1t m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb h\u00e0ng n\u0103m; khi c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 ph\u1ee9c t\u1ea1p (y t\u1ebf\/th\u1ec3 ch\u1ea5t\/t\u00e2m l\u00fd- x\u00e3 h\u1ed9i); v\u00e0 khi c\u00f3 c\u00e1c thay \u0111\u1ed5i trong cu\u1ed9c s\u1ed1ng v\u00e0 vi\u1ec7c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Dinh d\u01b0\u1ee1ng: C\u1eadp nh\u1eadt h\u01b0\u1edbng d\u1eabn chung v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n cho ti\u1ec3u \u0111\u01b0\u1eddng, ch\u1ea5t b\u00e9o l\u00e0nh m\u1ea1nh, nh\u1ecbn \u0103n theo t\u00edn ng\u01b0\u1ee1ng t\u00f4n gi\u00e1o, \u0103n theo nh\u1ecbp sinh h\u1ecdc, ch\u1ea5t l\u00e0m ng\u1ecdt kh\u00f4ng dinh d\u01b0\u1ee1ng (d\u1ef1a tr\u00ean h\u01b0\u1edbng d\u1eabn c\u1ee7a WHO n\u0103m 2023).<\/span><\/li>\n<li><span style=\"font-weight: 400\">Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t: C\u1eadp nh\u1eadt v\u1ec1 x\u00e1c \u0111\u1ecbnh l\u1ed1i s\u1ed1ng t\u0129nh t\u1ea1i, l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c t\u1eadp luy\u1ec7n c\u01b0\u1eddng \u0111\u1ed9 cao.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Cai thu\u1ed1c l\u00e1: H\u1ecfi v\u1ec1 ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c, n\u1ebfu c\u00f3 gi\u1edbi thi\u1ec7u\/chuy\u1ec3n tuy\u1ebfn \u0111\u1ebfn c\u01a1 s\u1edf\/chuy\u00ean gia\/ch\u01b0\u01a1ng tr\u00ecnh cai ph\u1ed1i h\u1ee3p c\u1ea3 tham v\u1ea5n t\u00e2m l\u00fd v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p d\u01b0\u1ee3c l\u00fd. C\u00e1c th\u1ea3o lu\u1eadn v\u1ec1 c\u1ea7n sa c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c th\u00eam v\u00e0o.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh s\u00e0ng l\u1ecdc t\u00e2m l\u00fd x\u00e3 h\u1ed9i m\u1ed9t c\u00e1ch nh\u1ea5t qu\u00e1n (v\u1ec1 ch\u1ee9ng tr\u1ea7m u\u1ea5t ti\u1ec3u \u0111\u01b0\u1eddng, stress, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, ngu\u1ed3n l\u1ef1c t\u00e0i ch\u00ednh\/x\u00e3 h\u1ed9i\/gia \u0111\u00ecnh\/c\u1ea3m x\u00fac, ti\u1ec1n s\u1eed t\u00e2m th\u1ea7n, tr\u1ea7m c\u1ea3m, ch\u1ee9ng s\u1ee3 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft).<\/span><\/li>\n<li><span style=\"font-weight: 400\">Khuy\u1ebfn kh\u00edch c\u00e1c chu\u1ed7i th\u00f3i quen gi\u00fap ng\u1ee7 ngon. <\/span><\/li>\n<\/ul>\n<h2><b>M\u1ee5c ti\u00eau v\u1ec1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/b><\/h2>\n<p><span style=\"font-weight: 400\">H\u01b0\u1edbng d\u1eabn v\u1ec1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p \u0111\u1ea7y \u0111\u1ee7 \u1edf ch\u01b0\u01a1ng n\u00e0y.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Th\u1ea3o lu\u1eadn v\u1ec1 \u0111i\u1ec3m m\u1ea1nh v\u00e0 h\u1ea1n ch\u1ebf c\u1ee7a x\u00e9t nghi\u1ec7m HbA1c v\u00e0 c\u00e1c protein glycated h\u00f3a kh\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400\">B\u1ed5 sung c\u00e1c k\u1ebft qu\u1ea3 \u0111o CGM v\u00e0o ph\u1ea7n m\u1ee5c ti\u00eau \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400\">B\u1ed5 sung n\u1ed9i dung v\u1ec1 gi\u1ea3m li\u1ec1u thu\u1ed1c.<\/span><\/p>\n<p><span style=\"font-weight: 400\">T\u0103ng c\u01b0\u1eddng t\u1eadp trung v\u00e0o vi\u1ec7c \u0111\u00e1nh gi\u00e1, ng\u0103n ng\u1eeba v\u00e0 qu\u1ea3n l\u00fd nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, n\u00e2ng cao nh\u1eadn th\u1ee9c v\u00e0 t\u01b0 v\u1ea5n gi\u00e1o d\u1ee5c v\u1ec1 t\u00ecnh tr\u1ea1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft cho ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n<h2><b>C\u00e1c thi\u1ebft b\u1ecb c\u00f4ng ngh\u1ec7<\/b><\/h2>\n<p><span style=\"font-weight: 400\">C\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00e2ng cao k\u1ef9 n\u0103ng theo y\u00eau c\u1ea7u \u0111\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb v\u00e0 c\u00f4ng ngh\u1ec7.<\/span><\/p>\n<p><span style=\"font-weight: 400\">C\u00e1c khuy\u1ebfn ngh\u1ecb v\u1ec1 l\u1ee3i \u00edch c\u1ee7a CGM v\u00e0 thi\u1ebft b\u1ecb b\u01a1m insulin t\u1ef1 \u0111\u1ed9ng cho c\u00e1c nh\u00f3m b\u1ed5 sung.<\/span><\/p>\n<h2><b>Ki\u1ec3m so\u00e1t b\u00e9o ph\u00ec v\u00e0 c\u00e2n n\u1eb7ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400\">T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c qu\u1ea3n l\u00fd c\u00e2n n\u1eb7ng \u1edf b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng; l\u1ee3i \u00edch \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1eeb vi\u1ec7c gi\u1ea3m c\u00e2n.<\/span><\/li>\n<li><span style=\"font-weight: 400\">S\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 BMI v\u00e0 c\u00e1c s\u1ed1 \u0111o ph\u00e2n b\u1ed1 m\u1ee1 trong c\u01a1 th\u1ec3 (v\u00f2ng b\u1ee5ng, t\u1ec9 s\u1ed1 v\u00f2ng b\u1ee5ng\/v\u00f2ng m\u00f4ng, t\u1ec9 s\u1ed1 v\u00f2ng b\u1ee5ng\/chi\u1ec1u cao).<\/span><\/li>\n<li><span style=\"font-weight: 400\">C\u00e1 nh\u00e2n h\u00f3a vi\u1ec7c gi\u1ea3m c\u00e2n v\u00e0 ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng: Xem x\u00e9t t\u1ea5t c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn (h\u00e0nh vi l\u1ed1i s\u1ed1ng, thu\u1ed1c, ph\u1eabu thu\u1eadt).<\/span><\/li>\n<li><span style=\"font-weight: 400\">Ch\u01b0\u01a1ng tr\u00ecnh duy tr\u00ec c\u00e2n n\u1eb7ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb cho nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau gi\u1ea3m c\u00e2n.<\/span><\/li>\n<li><span style=\"font-weight: 400\">C\u00e1c ch\u1ea5t ch\u1ee7 v\u1eadn th\u1ee5 th\u1ec3 GLP-1 ho\u1eb7c GIP\/GLP-1 hi\u1ec7u qu\u1ea3 (t\u1ee9c l\u00e0 semaglutide, tirzepatide) \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau c\u00e2n n\u1eb7ng b\u1ec1n v\u1eefng.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Nh\u1ea5n m\u1ea1nh v\u00e0o vi\u1ec7c \u0111\u00e1nh gi\u00e1 l\u1ea1i vi\u1ec7c \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1nh gi\u00e1 l\u1ea1i m\u1ee5c ti\u00eau v\u00e0 ng\u0103n ng\u1eeba s\u1ef1 tr\u00ec ho\u00e3n.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Xem x\u00e9t l\u1ee3i \u00edch l\u00e2u d\u00e0i c\u1ee7a ph\u1eabu thu\u1eadt, theo d\u00f5i qu\u00e1 tr\u00ecnh gi\u1ea3m c\u00e2n sau ph\u1eabu thu\u1eadt v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c r\u00e0o c\u1ea3n c\u0169ng nh\u01b0 c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p b\u1ed5 sung n\u1ebfu c\u1ea7n.<\/span><\/li>\n<\/ul>\n<h2><b>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1eddng huy\u1ebft<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Insulin analogue (ho\u1eb7c inhaled) \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng h\u01a1n \u1edf h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng type 1 \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00ecnh tr\u1ea1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400\">C\u00e2n nh\u1eafc glucagon (t\u1ed1t nh\u1ea5t l\u00e0 lo\u1ea1i t\u00e1c d\u1ee5ng nhanh) cho ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng insulin ho\u1eb7c c\u00f3 nguy c\u01a1 b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft cao.<\/span><\/p>\n<p><span style=\"font-weight: 400\">C\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p s\u1edbm \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng type 2 \u0111\u1ec3 r\u00fat ng\u1eafn th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<p><span style=\"font-weight: 400\">T\u0103ng c\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u00e2n n\u1eb7ng \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 2 v\u00e0 kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch\/b\u1ec7nh th\u1eadn m\u1ea1n \u0111i k\u00e8m. C\u00e1 nh\u00e2n h\u00f3a c\u00e1c l\u1ef1a ch\u1ecdn v\u00e0 \u01b0u ti\u00ean c\u00e1c lo\u1ea1i thu\u1ed1c gi\u00fap gi\u1ea3m b\u1ec7nh tim m\u1ea1ch, suy tim v\u00e0 b\u1ec7nh th\u1eadn m\u1ea1n.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ch\u1ea5t ch\u1ee7 v\u1eadn th\u1ee5 th\u1ec3 GIP\/GLP-1 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c b\u1ed5 sung c\u00f9ng v\u1edbi ch\u1ea5t ch\u1ee7 v\u1eadn th\u1ee5 th\u1ec3 GLP-1, \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb, \u01b0u ti\u00ean ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi insulin.<\/span><\/p>\n<p><span style=\"font-weight: 400\">C\u00e2n nh\u1eafc s\u1eed d\u1ee5ng insulin \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o n\u1ebfu c\u1ea7n thi\u1ebft, nh\u01b0ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00e1c n\u1ebfu c\u00f3 nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n<h2><b>B\u1ec7nh tim m\u1ea1ch v\u00e0 qu\u1ea3n l\u00fd nguy c\u01a1<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400\">Bempedoic \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb nh\u01b0 m\u1ed9t l\u1ef1a ch\u1ecdn \u0111\u1ec3 ph\u00f2ng ng\u1eeba ti\u00ean ph\u00e1t \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng dung n\u1ea1p statin. Bempedoic, ch\u1ea5t \u1ee9c ch\u1ebf PCSK9 v\u00e0 inclisiran \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb l\u00e0 li\u1ec7u ph\u00e1p h\u1ea1 lipid thay th\u1ebf\/b\u1ed5 sung n\u1ebfu kh\u00f4ng dung n\u1ea1p ho\u1eb7c kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau. (Ti\u1ec3u m\u1ee5c m\u1edbi v\u1ec1 kh\u00f4ng dung n\u1ea1p Statin).<\/span><\/li>\n<li><span style=\"font-weight: 400\">S\u00e0ng l\u1ecdc suy tim kh\u00f4ng tri\u1ec7u ch\u1ee9ng \u1edf ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng b\u1eb1ng BNP ho\u1eb7c NT-proBNP.<\/span><\/li>\n<li><span style=\"font-weight: 400\">S\u00e0ng l\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i vi kh\u00f4ng tri\u1ec7u ch\u1ee9ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 c\u1ed5 ch\u00e2n-c\u00e1nh tay n\u1ebfu tu\u1ed5i \u226550, c\u00f3 b\u1ea5t k\u1ef3 b\u1ec7nh l\u00fd vi m\u1ea1ch n\u00e0o, bi\u1ebfn ch\u1ee9ng b\u00e0n ch\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng, t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch do ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 10 n\u0103m tr\u1edf l\u00ean.<\/span><\/li>\n<li><span style=\"font-weight: 400\">S\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf SGLT2 ho\u1eb7c SGLT1\/2 n\u1ebfu m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 suy tim (t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i).<\/span><\/li>\n<li><span style=\"font-weight: 400\">N\u1ebfu s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf SGLT2, h\u00e3y t\u01b0 v\u1ea5n v\u1ec1 c\u00e1c nguy c\u01a1 v\u00e0 d\u1ea5u hi\u1ec7u nhi\u1ec5m toan ceton \u1edf b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 1 ho\u1eb7c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng d\u1ec5 b\u1ecb nhi\u1ec5m ceton v\u00e0 n\u1ebfu \u00e1p d\u1ee5ng ch\u1ebf \u0111\u1ed9 \u0103n ketogenic (h\u01b0\u1edbng d\u1eabn kh\u00e1c khuy\u1ebfn ngh\u1ecb \u0111i\u1ec1u n\u00e0y cho nh\u1eefng ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf SGLT2).<\/span><\/li>\n<\/ul>\n<h2><b>B\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh v\u00e0 qu\u1ea3n l\u00fd nguy c\u01a1<\/b><\/h2>\n<p><span style=\"font-weight: 400\">\u0110\u01b0\u1ee3c c\u1eadp nh\u1eadt \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi s\u1ef1 \u0111\u1ed3ng thu\u1eadn gi\u1eefa ADA v\u00e0 KDIGO n\u0103m 2023 v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tr\u00ean b\u1ec7nh th\u1eadn m\u1ea1n n\u0103m 2023, bao g\u1ed3m ti\u1ebfn tri\u1ec3n c\u1ee7a CKD, theo d\u00f5i v\u00e0 khuy\u1ebfn ngh\u1ecb chuy\u1ec3n tuy\u1ebfn.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACEi) ho\u1eb7c ch\u1eb9n th\u1ee5 th\u1ec3 (ARB) \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 uACR 30\u2013299 mg\/g (kho\u1ea3ng 3\u201330 mg\/mmol) v\u00e0 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o m\u1ea1nh m\u1ebd \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 uACR \u2265300 mg\/g (30 mg\/mmol) v\u00e0\/ ho\u1eb7c eGFR &lt;60 mL\/ ph\u00fat\/1.73 m2, \u0111\u1ec3 l\u00e0m ch\u1eadm s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn v\u00e0 gi\u1ea3m c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch.<\/span><\/p>\n<h2><b>B\u1ec7nh v\u00f5ng m\u1ea1c, b\u1ec7nh l\u00fd th\u1ea7n kinh v\u00e0 ch\u0103m s\u00f3c b\u00e0n ch\u00e2n<\/b><\/h2>\n<p><span style=\"font-weight: 400\">\u0110\u00e3 c\u1eadp nh\u1eadt vi\u1ec7c s\u1eed d\u1ee5ng thu\u1eadt to\u00e1n AI \u0111\u01b0\u1ee3c FDA ph\u00ea duy\u1ec7t \u0111\u1ec3 ph\u00e2n t\u00edch \u1ea3nh ch\u1ee5p v\u00f5ng m\u1ea1c nh\u1eb1m c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn s\u00e0ng l\u1ecdc; t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng m\u1ea5t th\u1ecb gi\u00e1c.<\/span><\/p>\n<p><span style=\"font-weight: 400\">B\u1eb1ng ch\u1ee9ng h\u1ea1n ch\u1ebf v\u1ec1 mi\u1ebfng d\u00e1n lidocain 5% cho b\u1ec7nh l\u00fd \u0111au th\u1ea7n kinh v\u00e0 k\u00edch th\u00edch d\u1ea1 d\u00e0y cho b\u1ec7nh li\u1ec7t d\u1ea1 d\u00e0y (Gastroparesis).<\/span><\/p>\n<p><span style=\"font-weight: 400\">Qu\u1ea3n l\u00fd \u0111a chuy\u00ean khoa d\u00e0nh cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb lo\u00e9t b\u00e0n ch\u00e2n v\u00e0\/ ho\u1eb7c b\u00e0n ch\u00e2n c\u00f3 nguy c\u01a1 cao.<\/span><\/p>\n<h2><b>Ng\u01b0\u1eddi cao tu\u1ed5i<\/b><\/h2>\n<p><span style=\"font-weight: 400\">C\u00e1 nh\u00e2n h\u00f3a m\u1ee5c ti\u00eau \u0111\u01b0\u1eddng huy\u1ebft do t\u00ednh kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t c\u1ee7a ng\u01b0\u1eddi cao tu\u1ed5i m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Khuy\u1ebfn c\u00e1o m\u1ea1nh m\u1ebd h\u01a1n vi\u1ec7c chuy\u1ec3n sang d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft th\u1ea5p h\u01a1n.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Nh\u1ea5n m\u1ea1nh r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi cao tu\u1ed5i c\u00f3 b\u1ec7nh \u0111\u1ed3ng m\u1eafc n\u00ean \u0111\u01b0\u1ee3c k\u00ea c\u00e1c lo\u1ea1i thu\u1ed1c gi\u00fap c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng v\u1ec1 tim th\u1eadn, b\u1ea5t k\u1ec3 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n<h2><b>Tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd t\u00e2m l\u00fd x\u00e3 h\u1ed9i l\u00e0 c\u1ea7n thi\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Can thi\u1ec7p l\u1ed1i s\u1ed1ng to\u00e0n di\u1ec7n nh\u1eb1m gi\u1ea3m \u00edt nh\u1ea5t 7-10% c\u00e2n n\u1eb7ng.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Empagliflozin \u0111\u01b0\u1ee3c th\u00eam v\u00e0o danh s\u00e1ch c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean \u226510 tu\u1ed5i.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ng\u0103n c\u1ea3n vi\u1ec7c b\u1eaft \u0111\u1ea7u h\u00fat thu\u1ed1c v\u00e0 khuy\u1ebfn kh\u00edch cai thu\u1ed1c.<\/span><\/p>\n<h2><b>Qu\u1ea3n l\u00fd b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng khi mang thai<\/b><\/h2>\n<ul>\n<li><span style=\"font-weight: 400\">Theo d\u00f5i glucose \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt khuy\u1ebfn ngh\u1ecb v\u1ec1 CGM cho ph\u1ee5 n\u1eef m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1 v\u00e0 c\u00e2n nh\u1eafc \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 2 ho\u1eb7c ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Metformin v\u00e0 glyburide kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng \u0111\u1ea7u tay.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Aspirin \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u1ec1n s\u1ea3n gi\u1eadt \u0111\u01b0\u1ee3c xem x\u00e9t trong b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 n\u1ebfu c\u00f3 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 cao ho\u1eb7c nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 v\u1eeba.<\/span><\/li>\n<li><span style=\"font-weight: 400\">Khuy\u1ebfn kh\u00edch nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 \u0111\u1ed1i v\u1edbi t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/span><\/li>\n<\/ul>\n<h2><b>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/b><\/h2>\n<ol>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/diabetesonthenet.com\/wp-content\/uploads\/1.-Factsheet_ADA-standards-2024.pdf\"><span style=\"font-weight: 400\">https:\/\/diabetesonthenet.com\/wp-content\/uploads\/1.-Factsheet_ADA-stndards-2024.pdf<\/span><\/a><\/li>\n<li style=\"font-weight: 400\"><a href=\"https:\/\/diabetesjournals.org\/care\/issue\/47\/Supplement_1\"><span style=\"font-weight: 400\">https:\/\/diabetesjournals.org\/care\/issue\/47\/Supplement_1<\/span><\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bi\u00ean d\u1ecbch: L\u1ea1i Th\u1ecb C\u1ea9m Nhung Hi\u1ec7u \u0111\u00ednh: BS. Cao M\u1ea1nh Long C\u1ea3i thi\u1ec7n vi\u1ec7c ch\u0103m s\u00f3c v\u00e0 n\u00e2ng cao s\u1ee9c kh\u1ecfe trong c\u1ed9ng \u0111\u1ed3ng B\u1ed5 sung th\u00eam c\u00e1c d\u1eef li\u1ec7u v\u1ec1 chi ph\u00ed, c\u1ee5 th\u1ec3 li\u00ean quan \u0111\u1ebfn insulin v\u00e0 c\u00e1c thi\u1ebft b\u1ecb theo d\u00f5i glucose. Gi\u1edbi thi\u1ec7u m\u00f4 h\u00ecnh ch\u0103m s\u00f3c b\u1ec7nh m\u1ea1n [&hellip;]<\/p>\n","protected":false},"author":621,"featured_media":1571,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1053,1051,1050,1033,1019,1032,1018,1017],"tags":[708,721,1058,932,933,1059],"series":[204],"coauthors":[669],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng<\/title>\n<meta name=\"description\" content=\"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:description\" content=\"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"article:published_time\" content=\"2024-04-21T11:22:52+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-12T11:26:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/\",\"url\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/\",\"name\":\"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg\",\"datePublished\":\"2024-04-21T11:22:52+00:00\",\"dateModified\":\"2024-05-12T11:26:56+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/#\/schema\/person\/88c5bd0a7de55f3608a249b94d03e6d2\"},\"description\":\"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#primaryimage\",\"url\":\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg\",\"width\":660,\"height\":330,\"caption\":\"C\u1eadp nh\u1eadt ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng 2024\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/tieu-duong\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/#website\",\"url\":\"https:\/\/yhoccongdong.com\/tieu-duong\/\",\"name\":\"D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\",\"description\":\"M\u1ed9t trang web m\u1edbi c\u1ee7a C\u00e1c\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/yhoccongdong.com\/tieu-duong\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"vi\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/#\/schema\/person\/88c5bd0a7de55f3608a249b94d03e6d2\",\"name\":\"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/tieu-duong\/#\/schema\/person\/image\/68917f3d9577859de1061cec705d6353\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/1011efe6e1afd38b2f44f890674175df?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/1011efe6e1afd38b2f44f890674175df?s=96&d=mm&r=g\",\"caption\":\"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\"},\"url\":\"https:\/\/yhoccongdong.com\/tieu-duong\/author\/tieuduongyhcd\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","description":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/","og_locale":"vi_VN","og_type":"article","og_title":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","og_description":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","og_url":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/","og_site_name":"D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","article_published_time":"2024-04-21T11:22:52+00:00","article_modified_time":"2024-05-12T11:26:56+00:00","og_image":[{"width":660,"height":330,"url":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg","type":"image\/jpeg"}],"author":"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng","twitter_card":"summary_large_image","twitter_misc":{"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi":"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng","\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc":"11 ph\u00fat","Vi\u1ebft b\u1edfi":"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/","url":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/","name":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","isPartOf":{"@id":"https:\/\/yhoccongdong.com\/tieu-duong\/#website"},"primaryImageOfPage":{"@id":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#primaryimage"},"image":{"@id":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#primaryimage"},"thumbnailUrl":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg","datePublished":"2024-04-21T11:22:52+00:00","dateModified":"2024-05-12T11:26:56+00:00","author":{"@id":"https:\/\/yhoccongdong.com\/tieu-duong\/#\/schema\/person\/88c5bd0a7de55f3608a249b94d03e6d2"},"description":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024 - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","breadcrumb":{"@id":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#breadcrumb"},"inLanguage":"vi","potentialAction":[{"@type":"ReadAction","target":["https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/"]}]},{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#primaryimage","url":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg","contentUrl":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2024\/04\/cap-nhat-huong-dan-2024.jpg","width":660,"height":330,"caption":"C\u1eadp nh\u1eadt ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng 2024"},{"@type":"BreadcrumbList","@id":"https:\/\/yhoccongdong.com\/tieu-duong\/mot-so-cap-nhat-trong-huong-dan-cham-soc-benh-tieu-duong-theo-hiep-hoi-tieu-duong-hoa-ky-ada-2024\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Trang ch\u1ee7","item":"https:\/\/yhoccongdong.com\/tieu-duong\/"},{"@type":"ListItem","position":2,"name":"M\u1ed9t s\u1ed1 c\u1eadp nh\u1eadt trong h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng theo hi\u1ec7p h\u1ed9i ti\u1ec3u \u0111\u01b0\u1eddng Hoa K\u1ef3 (ADA) 2024"}]},{"@type":"WebSite","@id":"https:\/\/yhoccongdong.com\/tieu-duong\/#website","url":"https:\/\/yhoccongdong.com\/tieu-duong\/","name":"D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng","description":"M\u1ed9t trang web m\u1edbi c\u1ee7a C\u00e1c","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/yhoccongdong.com\/tieu-duong\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"vi"},{"@type":"Person","@id":"https:\/\/yhoccongdong.com\/tieu-duong\/#\/schema\/person\/88c5bd0a7de55f3608a249b94d03e6d2","name":"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng","image":{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/yhoccongdong.com\/tieu-duong\/#\/schema\/person\/image\/68917f3d9577859de1061cec705d6353","url":"https:\/\/secure.gravatar.com\/avatar\/1011efe6e1afd38b2f44f890674175df?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/1011efe6e1afd38b2f44f890674175df?s=96&d=mm&r=g","caption":"Ti\u1ec3u \u0110\u01b0\u1eddng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng"},"url":"https:\/\/yhoccongdong.com\/tieu-duong\/author\/tieuduongyhcd\/"}]}},"_links":{"self":[{"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/posts\/1538"}],"collection":[{"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/users\/621"}],"replies":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/comments?post=1538"}],"version-history":[{"count":0,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/posts\/1538\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/media\/1571"}],"wp:attachment":[{"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/media?parent=1538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/categories?post=1538"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/tags?post=1538"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/series?post=1538"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/yhoccongdong.com\/tieu-duong\/wp-json\/wp\/v2\/coauthors?post=1538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}