{"id":11385568,"date":"2009-07-15T00:00:00","date_gmt":"2009-07-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/diabetes-a-potapeni\/"},"modified":"2009-07-15T00:00:00","modified_gmt":"2009-07-14T22:00:00","slug":"diabetes-a-potapeni","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/diabetes-a-potapeni\/","title":{"rendered":"Diabetes a pot\u00e1p\u011bn\u00ed"},"content":{"rendered":"

Diabetes (cukrovka) je onemocn\u011bn\u00ed, p\u0159i kter\u00e9m t\u011blo nedok\u00e1\u017ee produkovat nebo dostate\u010dn\u011b \u00fa\u010dinn\u011b reagovat na inzul\u00edn, co\u017e je hormon pot\u0159ebn\u00fd pro vyu\u017eit\u00ed gluk\u00f3zy (cukru) v krvi. U zdrav\u00fdch jedinc\u016f se udr\u017euje hladina plazmatick\u00e9 gluk\u00f3zy v pom\u011brn\u011b \u00fazk\u00e9m rozmez\u00ed od 70 do110 miligram\u016f na decilitr krve (mg¥dL-1). U lid\u00ed trp\u00edc\u00edch diabetes se vyskytuj\u00ed hladiny plazmatick\u00e9 gluk\u00f3zy v\u00fdznamn\u011b odli\u0161n\u00e9.
Hlavn\u00edm probl\u00e9mem a nebezpe\u010d\u00edm souvisej\u00edc\u00edm s diabetem je skute\u010dnost, \u017ee n\u00edzk\u00e9 hladiny krevn\u00ed gluk\u00f3zy (hypoglykemie) mohou nep\u0159\u00edzniv\u011b ovliv\u0148ovat stavy v\u011bdom\u00ed. Dlouhodob\u011b zv\u00fd\u0161en\u00e1 hladina krevn\u00ed gluk\u00f3zy (hyperglykemie) m\u016f\u017ee m\u00edt za n\u00e1sledek probl\u00e9my krevn\u00edho ob\u011bhu a zhor\u0161en\u00e9 vid\u011bn\u00ed.
 <\/p>\n

Neschopnost produkovat inzul\u00edn je zn\u00e1m\u00e1 jako diabetes typu 1, nebo-li diabetes mellitus vy\u017eaduj\u00edc\u00ed inzul\u00edn (IRDM). Nedostate\u010dn\u00e1 produkce inzul\u00ednu nebo necitlivost t\u011blesn\u00fdch bun\u011bk na inzul\u00edn se ozna\u010duje jako diabetes typu 2, nebo-li diabetes dosp\u011bl\u00fdch. Lid\u00e9 trp\u00edc\u00ed diabetem, obzvl\u00e1\u0161t\u011b typu 1, se zpravidla nemohou \u00fa\u010dastnit \u010dinnost\u00ed, p\u0159i kter\u00fdch by n\u00e1hl\u00e1 ztr\u00e1ta v\u011bdom\u00ed mohla znamenat velk\u00e9 nebezpe\u010d\u00ed. Takovou \u010dinnost\u00ed je i p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed, proto\u017ee sn\u00ed\u017een\u00e9 v\u011bdom\u00ed by ur\u010dit\u011b ovlivnilo schopnost pot\u00e1p\u011b\u010de postarat se o sebe nebo o ostatn\u00ed. P\u0159i stanovov\u00e1n\u00ed pravidel pro pot\u00e1p\u011b\u010de trp\u00edc\u00ed diabetem se v r\u016fzn\u00fdch zem\u00edch do\u0161lo k r\u016fzn\u00fdm v\u00fdsledk\u016fm.
 <\/p>\n

Pot\u00e9, co se zjistilo, \u017ee mnoho jedinc\u016f trp\u00edc\u00edch diabetes typu 1 se pot\u00e1p\u00ed \u00fasp\u011b\u0161n\u011b a bez probl\u00e9m\u016f, zm\u00edrnila v roce 1991 l\u00e9ka\u0159sk\u00e1 komise p\u0159i britsk\u00e9 organizaci British Sub Aqua Club (BSAC) podm\u00ednky pro p\u0159ijet\u00ed mezi sv\u00e9 \u010dleny. Lid\u00e9 s diabetem typu 1 se nyn\u00ed sm\u011bj\u00ed v\u011bnovat pot\u00e1p\u011bn\u00ed v r\u00e1mci zm\u00edn\u011bn\u00e9 organizace BSAC, pokud se u nich nevyskytuj\u00ed kardiovaskul\u00e1rn\u00ed nebo jin\u00e9 komplikace (4).  L\u00e9ka\u0159sk\u00e9 p\u0159edpisy v USA a v mnoha jin\u00fdch zem\u00edch z\u016fstaly konzervativn\u011bj\u0161\u00ed. N\u011bkte\u0159\u00ed auto\u0159i v\u0161ak doporu\u010duj\u00ed zva\u017eov\u00e1n\u00ed mo\u017enost\u00ed pot\u00e1p\u011bt se p\u0159\u00edpad od p\u0159\u00edpadu individu\u00e1ln\u011b, jin\u00ed p\u0159ipou\u0161t\u011bj\u00ed, \u017ee se v buducnu z\u0159ejm\u011b p\u0159edpisy zm\u00edrn\u00ed.
 <\/p>\n

V roce 1993 rozeslala organizace Divers Alert Network dotazn\u00edky v\u0161em sv\u00fdm \u010dlen\u016fm (co\u017e bylo tehdy 115 300), aby se zjistilo, kolik pot\u00e1p\u011b\u010d\u016f trp\u00edc\u00edch diabetem se aktivn\u011b pot\u00e1p\u00ed navzdory existuj\u00edc\u00edmu z\u00e1kazu.
Celkem 164 pot\u00e1p\u011b\u010d\u016f s diabetem (z toho 129 s diabetes typu 1) uvedlo, \u017ee bez v\u011bt\u0161\u00edch komplikac\u00ed provedli v\u00edce ne\u017e 27 000 ponor\u016f s d\u00fdchac\u00edm p\u0159\u00edstrojem (2). N\u011bkte\u0159\u00ed z nich v\u0161ak zaznamenali p\u0159\u00edznaky hypoglykemie, i kdy\u017e \u017e\u00e1dn\u00fd z nich neztratil v\u011bdom\u00ed.
 <\/p>\n

\u00da\u010dinek pom\u011brn\u011b m\u00edrn\u00e9ho rekrea\u010dn\u00edho pot\u00e1p\u011bn\u00ed na hladiny plazmov\u00e9 gluk\u00f3zy nejsou nijak p\u0159esn\u011b dolo\u017eeny. V roce 1997 zah\u00e1jila DAN mezi certifikovan\u00fdmi rekrea\u010dn\u00edmi pot\u00e1p\u011b\u010di v\u00fdzkum na jejich odezvu. Ned\u00e1vno byly zve\u0159ejn\u011bny v\u00fdsledky zm\u00edn\u011bn\u00e9ho v\u00fdzkumu ve v\u011bdeck\u00e9 literatu\u0159e (3). Z\u00e1v\u011bre\u010dn\u00e1 zpr\u00e1va shrnuje z\u00edskan\u00e9 v\u00fdsledky a nazna\u010duje mo\u017en\u00e9 budouc\u00ed kroky. Z\u00e1jemce o podrobn\u00e9 informace o proveden\u00e9m v\u00fdzkumu odkazujeme na zve\u0159ejn\u011bn\u00fd \u010dl\u00e1nek.<\/p>\n

Metody<\/strong>
Odezva plazmov\u00e9 gluk\u00f3zy na rekrea\u010dn\u00ed pot\u00e1p\u011bn\u00ed se zji\u0161\u0165ovala u dosp\u011bl\u00fdch jedinc\u016f trp\u00edc\u00edch diabetem typu 1 a u zdrav\u00fdch pot\u00e1p\u011b\u010d\u016f tzv. kontroln\u00ed skupiny. V\u0161ichni pot\u00e1p\u011b\u010di s diabetem sv\u00e9 onemocn\u011bn\u00ed \u0159e\u0161ili medikac\u00ed (i kdy\u017e n\u011bkte\u0159\u00ed z nich jen m\u00edrn\u011b), nem\u011bli v t\u00e9to souvislosti \u017e\u00e1dn\u00e9 druhotn\u00e9 komplikace, nebyli v posledn\u00edch 12 m\u011bs\u00edc\u00edch hospitalizovan\u00ed kv\u016fli velk\u00fdm odchylk\u00e1m v hladin\u011b cukru v krvi a velmi dob\u0159e ch\u00e1pali souvislost mezi plazmovou gluk\u00f3zou a fyzickou n\u00e1mahou. V\u011bt\u0161ina ponor\u016f se uskute\u010dnila z lod\u00ed s obytn\u00fdmi kajutami nebo z \u010dlun\u016f pro jednodenn\u00ed vyj\u00ed\u017e\u010fky v subtropick\u00fdch a tropick\u00fdch vod\u00e1ch. P\u0159ed pono\u0159en\u00edm musela b\u00fdt krevn\u00ed hladina gluk\u00f3zy u ka\u017ed\u00e9ho pot\u00e1p\u011b\u010de vy\u0161\u0161\u00ed ne\u017e 80 (mg¥- dL-1). Plazmov\u00e1 gluk\u00f3za se m\u011b\u0159ila b\u011b\u017en\u011b dostupn\u00fdmi monitory z krve odebran\u00e9 p\u00edchnut\u00edm do prstu. Hodnoty se zaznamen\u00e1valy n\u011bkolikr\u00e1t p\u0159ed ponorem i po n\u011bm.<\/p>\n

V\u00fdsledky<\/strong>
V\u00fdzkumu se z\u00fa\u010dastnilo 83 pot\u00e1p\u011b\u010d\u016f: 40 trp\u00edc\u00edch diabetem typu 1 a 43 jako kontroln\u00ed skupina. Z celkov\u00e9ho po\u010dtu 1 059 sledovan\u00fdch ponor\u016f jich provedli pot\u00e1p\u011b\u010di s diabetem (typu 1) 555 a \u010dlenov\u00e9 kontroln\u00ed skupiny provedli 504 ponor\u016f. Pr\u016fm\u011brn\u00fd v\u011bk pot\u00e1p\u011b\u010de s diabetem byl 45 let, pot\u00e1p\u011bn\u00ed se v\u011bnoval t\u00e9m\u011b\u0159 9 let a diabetes m\u011bl nejm\u00e9n\u011b 15 let. U 77 procent pot\u00e1p\u011b\u010d\u016f skupiny s diabetem bylo toto onemocn\u011bn\u00ed diagnostikov\u00e1no je\u0161t\u011b p\u0159edt\u00edm, ne\u017e z\u00edskali certifikaci pro p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed. Profily pot\u00e1p\u011b\u010dsk\u00fdch v\u00fdkon\u016f byly u obou skupin podobn\u00e9. Pr\u016fm\u011brn\u00fd po\u010det ponor\u016f byl u obou skupin stejn\u00fd, t.j. 2,7 ponoru denn\u011b. Nebyl zaznamen\u00e1n \u017e\u00e1dn\u00fd p\u0159\u00edpad dekompresn\u00edho onemocn\u011bn\u00ed. <\/p>\n

U \u010dlen\u016f skupiny s diabetem typu 1 existovaly velmi v\u00fdznamn\u00e9 rozd\u00edly v hladin\u011b plazmov\u00e9 gluk\u00f3zy, nesrovnateln\u011b v\u011bt\u0161\u00ed, ne\u017e tomu bylo u \u010dlen\u016f skupiny kontroln\u00ed. V \u017e\u00e1dn\u00e9 skupin\u011b nebyly zaznamen\u00e1ny p\u0159\u00edznaky nebo komplikace souvisej\u00edc\u00ed s hypoglykemi\u00ed, a\u0165 ji\u017e b\u011bhem ponoru, nebo po v\u00fdstupu na hladinu. Bylo tomu tak i navzdory n\u00edzk\u00fdm hladin\u00e1m plazmov\u00e9 gluk\u00f3zy. Pot\u00e1p\u011b\u010di s diabetem u\u017eili dodate\u010dnou gluk\u00f3zu t\u00e9m\u011b\u0159 p\u0159ed polovinou ponor\u016f, kter\u00e9 uskute\u010dnili.
Po proveden\u00e9m ponoru a vyno\u0159en\u00ed se klesla hladina plazmov\u00e9 gluk\u00f3zy pod hodnotu 70 (mg¥- dL-1) po sedmi procentech ponor\u016f proveden\u00fdch \u010dleny skupiny s diabetem typu 1 (minim\u00e1ln\u00ed nam\u011b\u0159en\u00e1 hodnota \u010dinila 41 (mg¥dL-1) a po jednom procentu ponor\u016f proveden\u00fdch \u010dleny kontroln\u00ed skupiny (minim\u00e1ln\u00ed nam\u011b\u0159en\u00e1 hodnota 56 (mg¥dL-1).
 <\/p>\n

I kdy\u017e nebyla u \u017e\u00e1dn\u00e9ho pot\u00e1p\u011b\u010de s diabetem hl\u00e1\u0161en\u00e1 symptomatick\u00e1 hypoglykemie bezprost\u0159edn\u011b p\u0159ed sestupem pod vodu, b\u011bhem n\u011bj, ani bezprost\u0159edn\u011b po ponoru, byly jej\u00ed p\u0159\u00edpady zaznamen\u00e1ny v dob\u011b, kter\u00e1 s pot\u00e1p\u011bn\u00edm p\u0159\u00edmo nesouvisela. V n\u011bkter\u00fdch p\u0159\u00edpadech byly p\u0159\u00edznaky tak siln\u00e9, \u017ee pot\u00e1p\u011b\u010de probudily uprost\u0159ed noci.
V 67 p\u0159\u00edpadech p\u0159ed ponorem a v 17 p\u0159\u00edpadech po vyno\u0159en\u00ed se objevil m\u00edrn\u011bj\u0161\u00ed stupe\u0148 asymptomatick\u00e9 hyperglykemie (vysok\u00e9 krevn\u00ed gluk\u00f3zy), kdy byla hladina gluk\u00f3zy vy\u0161\u0161\u00ed ne\u017e 300 (mg¥dL-1).<\/p>\n

Diskuse<\/strong>
U pot\u00e1p\u011b\u010d\u016f s diabetem typu 1 se vyskytovaly velmi rozd\u00edln\u00e9 hodnoty hladiny plazmov\u00e9 gluk\u00f3zy, ale n\u00edzk\u00e9 hodnoty nam\u011b\u0159en\u00e9 p\u0159ed ponorem se daly snadno upravit p\u0159\u00edjmem spr\u00e1vn\u00e9 potravy. K v\u00fdsledk\u016fm tohoto v\u00fdzkumu je nutno p\u0159ipojit n\u011bkolik d\u016fle\u017eit\u00fdch pozn\u00e1mek:<\/p>\n

    \n
  1. V\u0161ichni pot\u00e1p\u011b\u010di s diabetem typu 1 byli siln\u011b motivov\u00e1n\u00ed a zku\u0161en\u00ed jedinci, jejich\u017e onemocn\u011bn\u00ed se pr\u016fb\u011b\u017en\u011b alespo\u0148 m\u00edrn\u011b upravuje a kompenzuje. Navzdory tomu se u nich projevovaly pom\u011brn\u011b velk\u00e9 rozd\u00edly i zm\u011bny v nam\u011b\u0159en\u00fdch hladin\u00e1ch plazmov\u00e9 gluk\u00f3zy, a to v rozmez\u00ed vzestupu a\u017e o 283 (mg¥- dL-1) k poklesu a\u017e o 370 (mg¥dL-1). Rozsah zm\u011bny hladiny gluk\u00f3zy pot\u00e1p\u011b\u010de \u010dasto p\u0159ekvapil, i kdy\u017e se jednalo o lidi, kte\u0159\u00ed maj\u00ed se zvl\u00e1d\u00e1n\u00edm sv\u00e9ho onemocn\u011bn\u00ed zna\u010dn\u00e9 zku\u0161enosti. A jak se dalo p\u0159edpokl\u00e1dat, jedinci s m\u00e9n\u011b st\u00e1l\u00fdm pr\u016fb\u011bhem diabetem typu 1, nebo ti, kte\u0159\u00ed sv\u00e9 onemocn\u011bn\u00ed sleduj\u00ed a kompenzuj\u00ed velmi pe\u010dliv\u011b a starostliv\u011b, byli vystaveni v\u011bt\u0161\u00edmu riziku hypoglykemie.<\/li>\n
  2. Vysok\u00e1 hladina plazmov\u00e9 gluk\u00f3zy m\u016f\u017ee zv\u00fd\u0161it n\u00e1chylnost k dekompresn\u00ed nemoci, nebo m\u016f\u017ee zhor\u0161it neurologick\u00e9 dekompresn\u00ed onemocn\u011bn\u00ed (5). Z tohoto d\u016fvodu nelze pova\u017eovat jednoduch\u00e9 zvy\u0161ov\u00e1n\u00ed hladiny gluk\u00f3zy kv\u016fli sni\u017eov\u00e1n\u00ed rizika hypoglykemie (kter\u00e1 by mohla nastat b\u011bhem ponoru) za zcela bezpe\u010dnou a ne\u0161kodnou strategii.<\/li>\n
  3. Navzdory ob\u010dasn\u00fdm p\u0159\u00edpad\u016fm koncentrace plazmov\u00e9 gluk\u00f3zy v rozmez\u00ed 40-50 (mg¥dL-1), nebyly b\u011bhem tohoto v\u00fdzkumu zaznamen\u00e1ny \u017e\u00e1dn\u00e9 p\u0159\u00edznaky hypoglykemie. Tato skute\u010dnost nazna\u010duje mo\u017enost, \u017ee v n\u011bkter\u00fdch p\u0159\u00edpadech p\u0159\u00edznaky nebyly rozpozn\u00e1ny, nebo prost\u011b nebyly ozn\u00e1meny. Stejn\u011b n\u00edzk\u00e9 hladiny krevn\u00ed gluk\u00f3zy se vyskytly b\u011bhem dne jindy a ty byly zaznamen\u00e1ny a upraveny\/kompenzov\u00e1ny.<\/li>\n
  4. P\u0159\u00edznaky souvisej\u00edc\u00ed s hypo\/hypeglykemi\u00ed se mohou zam\u011bnit s p\u0159\u00edznaky jin\u00fdch zdravotn\u00edch probl\u00e9m\u016f, nap\u0159. s hypotermi\u00ed, nauseou zp\u016fsobenou mo\u0159skou nemoc\u00ed, nebo dekompresn\u00edm onemocn\u011bn\u00edm.<\/li>\n
  5. V\u0161echny sledovan\u00e9 ponory byly nekomplikovan\u00e9 rekrea\u010dn\u00ed povahy a uskute\u010dnily se za nen\u00e1ro\u010dn\u00fdch podm\u00ednek v minim\u00e1ln\u011b nebo jen m\u00edrn\u011b stresov\u00fdch podm\u00ednk\u00e1ch – v subtropick\u00fdch nebo tropick\u00fdch vod\u00e1ch. V\u011bt\u0161\u00ed stres s komplikovan\u011bj\u0161\u00ed v\u00fdbavou, n\u00e1ro\u010dn\u011bj\u0161\u00ed vodn\u00ed podm\u00ednky, t\u011b\u017e\u0161\u00ed profily pot\u00e1p\u011b\u010dsk\u00fdch v\u00fdkon\u016f nebo dokonce n\u011bjak\u00e9 mimo\u0159\u00e1dn\u00e9 okolnosti by mohly m\u00edt za n\u00e1sledek mnohem dramati\u010dt\u011bj\u0161\u00ed kol\u00eds\u00e1n\u00ed hladin plazmov\u00e9 gluk\u00f3zy.<\/li>\n
  6. Tento v\u00fdzkum se t\u00fdkal jen dosp\u011bl\u00fdch. D\u011bti mohou b\u00fdt vystaveny v\u011bt\u0161\u00edmu riziku, proto\u017ee se snadn\u011bji citov\u011b rozru\u0161\u00ed, maj\u00ed m\u00e9n\u011b zku\u0161enost\u00ed s regulac\u00ed plazmov\u00e9 gluk\u00f3zy a tak\u00e9 maj\u00ed v\u011bt\u0161\u00ed fyziologickou predispozici ke kol\u00edsavosti hladiny plazmov\u00e9 gluk\u00f3zy p\u0159i fyzick\u00e9 n\u00e1maze (1).<\/li>\n<\/ol>\n

    Jedinci s diabetem, kter\u00fdm je povoleno pot\u00e1p\u011bt se, si mus\u00ed b\u00fdt v\u011bdomi n\u00e1sleduj\u00edc\u00edch skute\u010dnost\u00ed:<\/p>\n

      \n
    1. Mezi p\u0159\u00edznaky t\u011b\u017ek\u00e9 hypoglykemie pat\u0159\u00ed z\u00e1chvaty a ztr\u00e1ta v\u011bdom\u00ed, co\u017e m\u016f\u017ee m\u00edt pod vodou smrteln\u00e9 n\u00e1sledky.<\/li>\n
    2. Neexistuje \u017e\u00e1dn\u00fd spolehliv\u00fd zp\u016fsob, jak zajistit klidn\u00e9 a bezpe\u010dn\u00e9 podm\u00ednky p\u0159i pot\u00e1p\u011bn\u00ed tak, jak je to mo\u017en\u00e9 p\u0159i n\u011bjak\u00e9 \u010dinnosti na pevnin\u011b. Podm\u00ednky ve vod\u011b a na vod\u011b se mohou velmi rychle zm\u011bnit a co bylo p\u0159ed chv\u00edli norm\u00e1ln\u00edm a klidn\u00fdm sestupem pod vodu v m\u00edrn\u00fdch podm\u00ednk\u00e1ch, se m\u016f\u017ee v z\u00e1p\u011bt\u00ed vyvinout ve fyzicky velmi n\u00e1ro\u010dnou situaci.<\/li>\n
    3. Zvl\u00e1dnut\u00ed v\u00e1\u017en\u00e9ho onemocn\u011bn\u00ed je ve vzd\u00e1len\u00fdch oblastech obt\u00ed\u017en\u011bj\u0161\u00ed ne\u017e ve zn\u00e1m\u00e9m prost\u0159ed\u00ed.<\/li>\n
    4. Partner p\u0159i pot\u00e1p\u011bn\u00ed zpravidla p\u0159edpokl\u00e1d\u00e1, \u017ee ka\u017ed\u00fd z dvojice pot\u00e1p\u011b\u010d\u016f dok\u00e1\u017ee v p\u0159\u00edpad\u011b pot\u0159eby poskytnout sv\u00e9mu druhovi stejn\u011b kvalitn\u00ed a rychlou pomoc. To nemus\u00ed platit v p\u0159\u00edpad\u011b, \u017ee jeden z nich je posti\u017een n\u011bjakou zdravotn\u00ed poruchou.<\/li>\n
    5. Diabetes m\u016f\u017ee b\u00fdt progresivn\u00ed nemoc\u00ed a s jej\u00edm p\u0159\u00edpadn\u00fdm progresem se m\u016f\u017ee zvy\u0161ovat i riziko p\u0159i pot\u00e1p\u011bn\u00ed.<\/li>\n<\/ol>\n

       <\/p>\n","protected":false},"excerpt":{"rendered":"

      Diabetes (cukrovka) je onemocn\u011bn\u00ed, p\u0159i kter\u00e9m t\u011blo nedok\u00e1\u017ee produkovat nebo dostate\u010dn\u011b \u00fa\u010dinn\u011b reagovat na inzul\u00edn, co\u017e je hormon pot\u0159ebn\u00fd pro vyu\u017eit\u00ed gluk\u00f3zy (cukru) v krvi….<\/p>\n","protected":false},"author":1,"featured_media":11374233,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[1521],"class_list":["post-11385568","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","authors-neal-pollock-ph-d-cs_cz"],"acf":[],"yoast_head":"\nDiabetes a pot\u00e1p\u011bn\u00ed - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/diabetes-a-potapeni\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diabetes a pot\u00e1p\u011bn\u00ed - 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