{"id":12851,"date":"2021-08-27T14:12:07","date_gmt":"2021-08-27T11:12:07","guid":{"rendered":"https:\/\/momslab.app\/blog\/?p=2667"},"modified":"2025-06-17T08:46:55","modified_gmt":"2025-06-17T05:46:55","slug":"tolerancija-na-glukozu-tokom-trudnoce-2","status":"publish","type":"post","link":"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/","title":{"rendered":"Tolerancija na glukozu tokom trudno\u0107e"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Tokom trudno\u0107e postoji visok rizik pove\u0107anja \u0161e\u0107era u krvi. Da bi se to sprije\u010dilo, provodi se poseban test tolerancije na glukozu. On omogu\u0107ava utvr\u0111ivanje koliko je organizam budu\u0107e mame \u201ctolerantan\u201d na glukozu i da li postoji negativan utjecaj na organizam. Ako je nivo tolerancije vi\u0161i od normale u krvi, propisuje se posebno lije\u010denje.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">U \u0161estom mjesecu trudno\u0107e odre\u0111uje se tolerancija na glukozu posebnim testom. To omogu\u0107ava otkrivanje skrivenog dijabetesa. Uspije se otkriti kod 3-6% trudnica. Smatra se da se gestacijski dijabetes javlja samo kod trudnica jer je izazvan hormonima trudno\u0107e. Drugim rije\u010dima, nakon poroda on odmah nestaje i budu\u0107a mama ne\u0107e morati patiti od njega cijeli \u017eivot.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Provjeravanje tolerancije na glukozu tokom trudno\u0107e je vrlo va\u017eno jer omogu\u0107ava sprje\u010davanje niza ne\u017eeljenih posljedica, uklju\u010duju\u0107i ra\u0111anje krupne bebe ili prenatalne komplikacije. Drugo ime za test tolerancije na glukozu je \u201cO&#8217;Sullivanov test\u201d u \u010dast nau\u010dnika koji ga je izumio. Ne postoji prava alternativa GTT-u sli\u010dne efikasnosti, ali se povremeno primjenjuju razli\u010dite metodologije.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077-1024x682.jpg\" alt=\"Tolerancija na glukozu tokom trudno\u0107e\" class=\"wp-image-7456\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077-768x511.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077-676x450.jpg 676w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/accompaniment-abortion-process_23-2149656077.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-\">\u0160ta je test tolerancije na glukozu<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Gestacijski dijabetes je stanje kada organizam ima naru\u0161enu toleranciju na glukozu. Javlja se ili se dijagnosticira tokom trudno\u0107e. Ovo poreme\u0107aj ne spada u redovni dijabetes, ali ipak predstavlja ozbiljan medicinski problem. U nedostatku tolerancije na glukozu, za majku i plod se uspostavljaju odre\u0111eni zdravstveni rizici. Osim toga, postoji velika verovatno\u0107a da \u0107e \u017eena u budu\u0107nosti razviti dijabetes tipa 2.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tokom trudno\u0107e, znatno se pove\u0107ava rezistencija na insulin. Pored toga, kompenzatorno se pove\u0107ava sekrecija insulina i mo\u017ee do\u0107i do hiperinzulinemije. Tokom prvog trimestra i prve polovine drugog trimestra nivo glukoze u krvi je ni\u017ei nego kod \u017eena koje nisu trudne. Tek u drugom trimestru se javlja rezistencija na insulin. Tokom cijele trudno\u0107e ona postepeno raste.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ova pojava ima odre\u0111eni fiziolo\u0161ki zna\u010daj. Sastoji se u tome da se adekvatno snabdije plod glukozom. Ovaj mehanizam u velikoj mjeri zavisi od uticaja hormona koje lu\u010di posteljica. Ako se pojavi gestacijski dijabetes, tada promjene insulinske rezistencije postaju izra\u017eenije u pore\u0111enju sa sli\u010dnim pokazateljima tokom normalne trudno\u0107e.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519-1024x682.jpg\" alt=\"Tolerancija na glukozu tokom trudno\u0107e\" class=\"wp-image-7457\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/asian-woman-using-lancelet-finger-woman-doing-blood-sugar-test-home-living-room_657921-519.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Test omogu\u0107ava da se odredi nivo \u0161e\u0107era u krvi, kao i koliko su organizmi majke i ploda podlo\u017eni glukozi, odnosno posljedice njenog delovanja.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--1\">Kada je potrebno raditi GTT<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Postoji nekoliko faktora prema kojima se odre\u0111uje kada je potrebno uraditi test tolerancije na glukozu:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ako se otkriju sumnjive vrijednosti glikemije (omogu\u0107ava preciznije odrediti stanje metabolizma ugljikohidrata);<\/li>\n\n\n\n<li>ako postoje rizici razvoja dijabetesa;<\/li>\n\n\n\n<li>BMI ve\u0107i od 25 kg\/m2;<\/li>\n\n\n\n<li>\u0161e\u0107erna bolest je u porodi\u010dnoj istoriji;<\/li>\n\n\n\n<li>niska fizi\u010dka aktivnost na redovnom nivou;<\/li>\n\n\n\n<li>problemi sa pritiskom;<\/li>\n\n\n\n<li>poreme\u0107en metabolizam lipida;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">S druge strane, treba tako\u0111er ista\u0107i nekoliko faktora kada je provo\u0111enje testa zabranjeno:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>prisutna bilo koja akutna, uklju\u010duju\u0107i i infektivna bolest;<\/li>\n\n\n\n<li>u slu\u010daju potrebe za uzimanjem lijekova koji dovode do pove\u0107anja nivoa glikemije (po\u017eeljno je prekinuti ih tri dana prije provo\u0111enja GTT-a);<\/li>\n\n\n\n<li>gestacijska starost preko 32 sedmice;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Treba imati na umu da ne uvijek postoji potreba za provo\u0111enjem ovog testa. Uglavnom se njegov izvo\u0111enje de\u0161ava individualno, nakon procjene op\u0107eg stanja rodilje i analiza od strane ljekara.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-1024x576.jpg\" alt=\"Tolerancija na glukozu tokom trudno\u0107e\" class=\"wp-image-7460\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-1024x576.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-300x169.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-768x432.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-1536x864.jpg 1536w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-100x56.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-700x394.jpg 700w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071-1600x900.jpg 1600w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/pregnant-woman-working-from-home-with-clipboard_23-2148765071.jpg 1800w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--2\">Kako se pripremiti za test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Test tolerancije na glukozu se izvodi dok se zadr\u017eava uobi\u010dajeni re\u017eim ishrane. Postoji samo jedan uslov: ne smijete smanjivati unos ugljikohidrata ispod 150 grama dnevno najmanje 3 dana prije testa. GTT se izvodi ujutro na prazan stomak, poslednji obrok treba da bude 8-14 sati prije testa. Ve\u010dera prethodnog dana treba da sadr\u017ei 30-50 grama ugljikohidrata.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tokom izvo\u0111enja testa dozvoljeno je piti vodu, trudnica treba da bude u sjede\u0107em polo\u017eaju. Pu\u0161enje je strogo zabranjeno do zavr\u0161etka testa. Osim toga, prije postupka testa tolerancije na glukozu, zabranjena je upotreba bilo kakvih lijekova koji mogu uticati na rezultate.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--3\">Faze izvo\u0111enja testa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Odre\u0111ivanje tolerancije na glukozu izvodi se u dvije faze:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Faza br. 1. U periodu do 24 sedmice (obi\u010dno odmah nakon potvrde trudno\u0107e) obavezno se provodi jedno od navedenih istra\u017eivanja: uzimanje glukoze iz venske plazme\/seruma nata\u0161te, analiza na glikozilirani hemoglobin, glukoza venske plazme\/seruma u bilo koje doba dana bez obzira na hranu.<\/li>\n\n\n\n<li>Faza br. 2. Provodi se OGTT izme\u0111u 24. i 28. sedmice trudno\u0107e. Ova faza je obavezna za sve trudnice koje su izlo\u017eene rizi\u010dnim faktorima. U ovu kategoriju spadaju i pacijentice kod kojih nisu otkriveni poreme\u0107aji u prvoj fazi.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Provo\u0111enje testa tolerancije na glukozu u trudno\u0107i ima odre\u0111ene specifi\u010dnosti koje treba uzeti u obzir.&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--4\">Norme i evaluacija rezultata testa<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Rezultate GTT mo\u017ee tuma\u010diti isklju\u010divo ljekar \u2014 ginekolog, terapeut, endokrinolog. Normalna podno\u0161ljivost glukoze tokom trudno\u0107e odre\u0111uje se sljede\u0107im pokazateljima: na prazan stomak \u2014 manje od 5,1 mmol\/l, nakon sat vremena \u2014 manje od 10 mmol\/l, nakon dva sata \u2014 8,5 mmol\/l. Ako nakon analize bilo koja od ovih vrijednosti bude prekora\u010dena, to ve\u0107 ukazuje na dijagnozu GDM.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Va\u017eno je obratiti pa\u017enju na referentne vrijednosti. Tako, referentne vrijednosti glukoze u krvnoj plazmi, prilikom mjerenja na prazan stomak tokom trudno\u0107e, iznose od 4,1 do 5,1 mmol\/l. Osnovni kriterij norme:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Postoji nekoliko razloga zbog kojih tolerancija na glukozu mo\u017ee biti pove\u0107ana:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>poreme\u0107ena ravnote\u017ea ugljikohidrata;<\/li>\n\n\n\n<li>la\u017eno pozitivan rezultat zbog prenesene bolesti u akutnoj fazi, hirur\u0161kih operacija ili bilo koje druge stresne situacije;<\/li>\n\n\n\n<li>uzimanje lijekova koji uti\u010du na pove\u0107anje nivoa glikemije.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"681\" height=\"1024\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/diabetic-person-checking-their-glucose-level_52683-135701-681x1024.jpg\" alt=\"Tolerancija na glukozu tokom trudno\u0107e\" class=\"wp-image-7458\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/diabetic-person-checking-their-glucose-level_52683-135701-681x1024.jpg 681w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/diabetic-person-checking-their-glucose-level_52683-135701-200x300.jpg 200w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/diabetic-person-checking-their-glucose-level_52683-135701-67x100.jpg 67w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/diabetic-person-checking-their-glucose-level_52683-135701-299x450.jpg 299w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/diabetic-person-checking-their-glucose-level_52683-135701.jpg 740w\" sizes=\"auto, (max-width: 681px) 100vw, 681px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Posebno treba razmotriti razloge za\u0161to je tolerancija prema glukozi pove\u0107ana tokom trudno\u0107e: uzimanje lijekova koji uti\u010du na smanjenje nivoa glikemije (insulin, razni lijekovi za smanjenje \u0161e\u0107era), insulinoma, prekomerno gladovanje ili intenzivne fizi\u010dke aktivnosti uo\u010di testiranja.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--5\">Alternative GTT<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">GTT se ne provodi ako postoje neka akutna oboljenja. U ovu kategoriju \u010dak spada obi\u010dna prehlada. Bilo kakve promene ovog tipa mogu zna\u010dajno uticati na rezultate istra\u017eivanja. Pored toga, treba izdvojiti nekoliko razloga koji mogu pokazati la\u017ene rezultate pri odre\u0111ivanju tolerancije na glukozu.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Da, to je mogu\u0107e u slu\u010daju kada osmosatna dijeta nije po\u0161tovana prije darivanja krvi. Osim toga, ako je do\u0161lo do zna\u010dajnih promjena u ishrani tri dana prije testa, kao \u0161to je pove\u0107an ili smanjen unos ugljikohidrata, to tako\u0111er mo\u017ee utjecati na rezultate GTT. Poreme\u0107aji metabolizma ugljikohidrata, prekomjerna fizi\u010dka aktivnost, sna\u017ene stresne situacije, infektivne bolesti \u2014 sve to direktno uti\u010de na kona\u010dne rezultate.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ovisno o na\u010dinu uno\u0161enja glukoznog optere\u0107enja u organizam, razlikuju se dvije vrste GTT \u2014 peroralni i intravenski. Drugi na\u010din se primjenjuje u slu\u010daju kada trudnica iz nekog razloga ne mo\u017ee uzeti \u201cslatki koktel\u201d oralno. Sam test nije opasan.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">U slu\u010daju da se ispitivanje obavlja s optere\u0107enjem, postoji rizik od predoziranja nivoa \u0161e\u0107era u krvi. To je zbog toga \u0161to trudnica ve\u0107 ima visok nivo glukoze\u2014po\u010dinju se pojavljivati simptomi koji jasno ukazuju na poreme\u0107en metabolizam ugljikohidrata.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Analiza za odre\u0111ivanje tolerancije na glukozu se ne provodi bez razloga. Test se izvodi samo ako postoje ozbiljne sumnje na dijabetes. Nema analoga ovom istra\u017eivanju, ali s obzirom na to da se krv daje jednom po trimestru obavezno, mo\u017ee se saznati nivo \u0161e\u0107era u krvi i bez dodatnog optere\u0107enja.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220-1024x682.jpg\" alt=\"Tolerancija na glukozu tokom trudno\u0107e\" class=\"wp-image-7459\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/portrait-gorgeous-slim-brunette-white-robe-sexy-black-laced-lingerie-eating-delicious-homemade-sandwich-waffles-modern-kitchen-morning_132075-13220.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h--6\">Preporuke za trudnice<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">U slu\u010daju sni\u017eene tolerancije na glukozu, potrebno je pridr\u017eavati se specijalne dijete. Ona se odre\u0111uje uzimaju\u0107i u obzir indeks tjelesne mase trudnice i njene ukusne preferencije. Ovo omogu\u0107ava odr\u017eavanje normalnih vrijednosti \u0161e\u0107era. U slu\u010daju propisivanja specijalne dijete preporu\u010duje se potpuno isklju\u010divanje jednostavnih ugljikohidrata, kao i ograni\u010dena konzumacija slo\u017eenih ugljikohidrata.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dodatno je potrebno unositi dovoljnu koli\u010dinu proteina \u2014 meso, ribu, morske plodove, mlije\u010dne i kiselomlije\u010dne proizvode. Ishrana tokom trudno\u0107e treba biti oboga\u0107ena vlaknima i vitaminima \u2014 zelje, povr\u0107e, kiselo-slatke bobice. Posebnu pa\u017enju treba obratiti na pravilan izbor masti u skladu s koli\u010dinom utvr\u0111enom od strane ljekara. Pod potpuna ograni\u010denja spadaju \u017eivotinjske masti.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516-1024x682.jpg\" alt=\"Tolerancija na glukozu tokom trudno\u0107e\" class=\"wp-image-7462\" srcset=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516-1024x682.jpg 1024w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516-300x200.jpg 300w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516-768x512.jpg 768w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516-100x67.jpg 100w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516-675x450.jpg 675w, https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-latin-woman-pregnant-measuring-glucose-home_839833-22516.jpg 1480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Umjesto pr\u017eenja i kori\u0161tenja friteze, jela treba kuhati, dinstati, pe\u0107i i pripremati na pari. Ljekar \u0107e prilikom otkrivanja gestacijskog dijabetesa sastaviti poseban meni koji treba slijediti do kraja trudno\u0107e. Pritom se obavezno uzimaju u obzir individualne karakteristike svake \u017eene.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trudnica ne bi trebala koristiti stol broj 9 u \u010distom obliku zbog zna\u010dajnog ograni\u010denja njegovog kalorijskog sadr\u017eaja. Ljekar \u0107e detaljno objasniti plan ishrane tokom konsultacija. Ako se ne postigne potrebni nivo tolerancije na glukozu pomo\u0107u dijete, a tako\u0111er u slu\u010daju negativnog uticaja na plod, propisuju se lijekovi, odnosno inzulin.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trudnice ne smiju koristiti tablete za smanjenje \u0161e\u0107era u krvi. Inzulinska terapija se propisuje od strane endokrinologa. Tokom cijele trudno\u0107e, \u017eene trebaju biti pod stalnim nadzorom troje ljekara: endokrinologa, terapeuta i ginekologa porodilista. Pacijentice moraju redovno biti fizi\u010dki aktivne. To mogu biti \u0161etnje na svje\u017eem zraku, posebna joga ili plivanje.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tokom trudno\u0107e postoji visok rizik pove\u0107anja \u0161e\u0107era u krvi. Da bi se to sprije\u010dilo, provodi se poseban test tolerancije na glukozu. On omogu\u0107ava utvr\u0111ivanje koliko&#8230;<\/p>\n","protected":false},"author":11,"featured_media":7461,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","tstyn_error":""},"categories":[839,821],"tags":[],"class_list":["post-12851","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trudnoca-bs","category-zensko-zdravlje-bs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tolerancija na glukozu tokom trudno\u0107e \u2014 kako otkriti<\/title>\n<meta name=\"description\" content=\"\u0160ta je test tolerancije na glukozu. Kada je potrebno raditi analizu. Priprema za test i faze njegovog izvo\u0111enja. Norma i ocjena rezultata. Alternative GTT. 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Preporuke za trudnice.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/\" \/>\n<meta property=\"og:site_name\" content=\"MomsLab\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/groups\/411203776330965\/\" \/>\n<meta property=\"article:published_time\" content=\"2021-08-27 11:12:07+00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-17 05:46:55+00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-blonde-girl-holding-glucometer-device-smiling-with-idea-question-pointing-finger-with-happy-face-number-one_839833-15666.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1480\" \/>\n\t<meta property=\"og:image:height\" content=\"986\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Evgeniya Sikach\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u041d\u0430\u043f\u0438\u0441\u0430\u043d\u043e \u0430\u0432\u0442\u043e\u0440\u043e\u043c\" \/>\n\t<meta name=\"twitter:data1\" content=\"Evgeniya Sikach\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u041f\u0440\u0438\u043c\u0435\u0440\u043d\u043e\u0435 \u0432\u0440\u0435\u043c\u044f \u0434\u043b\u044f \u0447\u0442\u0435\u043d\u0438\u044f\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 \u043c\u0438\u043d\u0443\u0442\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/\"},\"author\":{\"name\":\"Evgeniya Sikach\",\"@id\":\"https:\/\/momslab.app\/blog\/#\/schema\/person\/2fa72662f9b70a870b84cd77ed5d8b71\"},\"headline\":\"Tolerancija na glukozu tokom trudno\u0107e\",\"datePublished\":\"2021-08-27 11:12:07+00\",\"dateModified\":\"2025-06-17 05:46:55+00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/\"},\"wordCount\":1539,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/momslab.app\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-blonde-girl-holding-glucometer-device-smiling-with-idea-question-pointing-finger-with-happy-face-number-one_839833-15666.jpg\",\"articleSection\":[\"Trudno\u0107a\",\"\u017densko zdravlje\"],\"inLanguage\":\"ru-RU\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/\",\"url\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/\",\"name\":\"Tolerancija na glukozu tokom trudno\u0107e \u2014 kako otkriti\",\"isPartOf\":{\"@id\":\"https:\/\/momslab.app\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/momslab.app\/blog\/bs\/tolerancija-na-glukozu-tokom-trudnoce-2\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/momslab.app\/blog\/wp-content\/uploads\/2021\/08\/young-blonde-girl-holding-glucometer-device-smiling-with-idea-question-pointing-finger-with-happy-face-number-one_839833-15666.jpg\",\"datePublished\":\"2021-08-27 11:12:07+00\",\"dateModified\":\"2025-06-17 05:46:55+00\",\"description\":\"\u0160ta je test tolerancije na glukozu. 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