{"id":180621,"date":"2025-07-31T15:36:39","date_gmt":"2025-07-31T12:36:39","guid":{"rendered":"https:\/\/medclinics.com\/istanbulda-tip-1-ve-tip-2-diyabet-icin-kok-hucre-tedavisi-c-peptid-ve-hba1c-hie-prof-dr-erdinc-civelek-md-phd-c-tarafindan-sunulan-bilgiler\/"},"modified":"2025-12-10T00:43:12","modified_gmt":"2025-12-09T21:43:12","slug":"kok-hucre-tedavisi-diyabet-istanbul-tip1-tip2","status":"publish","type":"post","link":"https:\/\/medclinics.com\/tr\/kok-hucre-tedavisi-diyabet-istanbul-tip1-tip2\/","title":{"rendered":"\u0130stanbul&#8217;da Tip 1 ve Tip 2 Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi \u2013 C-Peptid ve HbA1c HIE &#8211; Prof. Dr. Erdin\u00e7 Civelek, MD, PhD (C) taraf\u0131ndan sunulan bilgiler"},"content":{"rendered":"\n<p><em> Prof. Dr. Erdin\u00e7 Civelek<\/em>, <em>MD, PhD (C)<\/em> taraf\u0131ndan yaz\u0131lm\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p><strong>C-Peptit, HbA1c ve Daha \u0130yi Bir Ya\u015fam \u0130\u00e7in Sessiz Umut<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"living-with-diabetes-between-numbers-and-daily-burden\">Diyabetle Ya\u015famak: Rakamlar ve G\u00fcnl\u00fck Y\u00fck Aras\u0131nda <\/h2>\n\n\n\n<p>Baz\u0131 hikayeler sessizce ba\u015flar. Bir \u00e7ocuk doktorun muayenehanesinde oturmu\u015f, kafas\u0131 kar\u0131\u015f\u0131k bir \u015fekilde, her \u015feyi de\u011fi\u015ftirecek s\u00f6zleri dinliyor: &#8220;V\u00fccudun art\u0131k yeterince ins\u00fclin \u00fcretmiyor.&#8221;  <br>\u0130\u015fte burada diyabet i\u00e7in k\u00f6k h\u00fccre tedavisi devreye giriyor.<\/p>\n\n\n\n<p>Lisa \u015fu anda otuzlu ya\u015flar\u0131n\u0131n ba\u015f\u0131nda ve bir anne, ancak bu s\u00f6zleri 15 ya\u015f\u0131ndayken doktorundan duymu\u015ftu. O g\u00fcnden beri, bilin\u00e7alt\u0131nda bir korku onun s\u00fcrekli arkada\u015f\u0131 oldu ve hayat\u0131n\u0131n geri kalan\u0131nda ins\u00fclin enjeksiyonu yapmak zorunda kalaca\u011f\u0131 d\u00fc\u015f\u00fcncesi onu s\u0131k s\u0131k hayal k\u0131r\u0131kl\u0131\u011f\u0131na u\u011fratt\u0131. Ve makul \u00f6l\u00e7\u00fcde normal bir hayat s\u00fcrebilmek i\u00e7in harcamak zorunda oldu\u011fu t\u00fcm \u00e7abadan b\u0131km\u0131\u015f durumda. Bu konuda yaln\u0131z da de\u011fil.   <\/p>\n\n\n\n<p>Diyabetiniz varsa, bu hastal\u0131kla m\u00fcmk\u00fcn oldu\u011funca iyi bir \u015fekilde ya\u015famaya \u00e7al\u0131\u015f\u0131rs\u0131n\u0131z. Bu, d\u0131\u015far\u0131dan g\u00f6r\u00fcnd\u00fc\u011f\u00fcnden \u00e7ok daha zordur. S\u00fcrekli kan \u015fekerinizi kontrol etmek, \u00f6l\u00e7mek, ins\u00fclin enjekte etmek, yediklerinize dikkat etmek vb. gibi bir\u00e7ok \u015feyi yapman\u0131z gerekir.  <\/p>\n\n\n\n<p>G\u00f6r\u00fcnmeyen veya \u00f6l\u00e7\u00fclemeyen etkiler de ayn\u0131 derecede \u00f6nemlidir. T\u00fcm kurallara uyup doktorun s\u00f6yledi\u011fi her \u015feyi harfiyen uygulasan\u0131z bile, bazen normalden daha fazla, \u00e7evrenizdeki di\u011fer insanlardan daha fazla yorgun hissedebilir, kendinizi g\u00fcvensiz hissedebilir ve bir \u015fekilde bunu hayat\u0131n\u0131z\u0131n geri kalan\u0131nda s\u00fcrd\u00fcrmek istemedi\u011finizi hissedebilirsiniz. <\/p>\n\n\n\n<p>Y\u0131llar ge\u00e7tik\u00e7e tedavi y\u00f6ntemleri geli\u015fti. Peki, geleneksel ins\u00fclin tedavisinin \u00f6tesinde, v\u00fccudun kendi dengesini yeniden kazanmas\u0131na yard\u0131mc\u0131 olacak bir yol olsayd\u0131 &#8211; abart\u0131l\u0131 reklamlarla de\u011fil, biyoloji yoluyla? <\/p>\n\n\n\n<p>\u0130\u015fte burada k\u00f6k h\u00fccre tedavisi devreye giriyor. Bu sihirli bir \u00e7\u00f6z\u00fcm de\u011fil. Ancak baz\u0131lar\u0131 i\u00e7in tedavi s\u00fcrecinin \u00f6nemli bir par\u00e7as\u0131 haline gelebilir. K\u00f6k h\u00fccre tedavisi, baz\u0131 diyabet hastalar\u0131 i\u00e7in oyunun kurallar\u0131n\u0131 de\u011fi\u015ftirebilir. \u00d6zellikle de iki kan belirteci olan C-peptid ve HbA1c, k\u00fc\u00e7\u00fck ama anlaml\u0131 bir ye\u015fil \u0131\u015f\u0131k yakt\u0131\u011f\u0131nda.    <\/p>\n\n\n\n<p>Hadi ba\u015flayal\u0131m\u2026<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>\u0130\u00e7indekiler Tablosu<\/h2><nav><ul><li><a href=\"#living-with-diabetes-between-numbers-and-daily-burden\">Diyabetle Ya\u015famak: Rakamlar ve G\u00fcnl\u00fck Y\u00fck Aras\u0131nda<\/a><\/li><li><a href=\"#two-types-of-diabetes-type-1-and-type-2\">\u0130ki Tip Diyabet, Tip 1 ve Tip 2<\/a><\/li><li><a href=\"#what-stem-cells-do-and-why-it-matters-for-diabetes\">K\u00f6k H\u00fccrelerin \u0130\u015flevi &#8211; Ve Diyabet \u0130\u00e7in \u00d6nemi<\/a><\/li><li><a href=\"#why-we-always-look-at-these-two-values-c-peptide-and-hb-a-1-c\">Neden Her Zaman Bu \u0130ki De\u011feri \u0130nceleyelim: C-Peptit ve HbA1c<\/a><\/li><li><a href=\"#is-this-therapy-for-me-understanding-suitability\">Bu Terapi Bana Uygun mu? Uygunlu\u011fu Anlamak<\/a><\/li><li><a href=\"#how-the-process-works-step-by-step\">S\u00fcre\u00e7 Nas\u0131l \u0130\u015fler \u2013 Ad\u0131m Ad\u0131m<\/a><\/li><li><a href=\"#what-can-you-expect-and-what-not-to-expect\">Ne Bekleyebilirsiniz &#8211; Ve Ne Beklememelisiniz<\/a><\/li><li><a href=\"#what-are-the-risks\">Riskler Nelerdir?<\/a><\/li><li><a href=\"#cell-source-and-ethics-a-crucial-question\">H\u00fccre Kayna\u011f\u0131 ve Etik: \u00d6nemli Bir Soru<\/a><\/li><li><a href=\"#what-science-tells-us-about-stem-cell-therapy-for-diabetes\">Bilim, Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi Hakk\u0131nda Bize Neler S\u00f6yl\u00fcyor?<\/a><\/li><li><a href=\"#final-thoughts-no-miracle-just-medicine-and-a-human-path-forward\">Son D\u00fc\u015f\u00fcnceler: Mucize Yok, Sadece T\u0131p Var &#8211; ve \u0130leriye Giden \u0130nsani Bir Yol<\/a><\/li><li><a href=\"#ready-to-talk\">Konu\u015fmaya haz\u0131r m\u0131s\u0131n\u0131z?<\/a><\/li><li><a href=\"#fa-qs-regarding-stem-cell-therapy-for-diabetes-type-1-2\">Tip 1 ve Tip 2 Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi ile ilgili S\u0131k\u00e7a Sorulan Sorular<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"two-types-of-diabetes-type-1-and-type-2\">\u0130ki Tip Diyabet, Tip 1 ve Tip 2<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"diabetes-type-1\">Tip 1 diyabet<\/h3>\n\n\n\n<p>Tip 1 diyabet, v\u00fccudun kendi ba\u011f\u0131\u015f\u0131kl\u0131k sistemindeki bir ar\u0131zadan kaynaklan\u0131r. Ba\u011f\u0131\u015f\u0131kl\u0131k h\u00fccreleri pankreas\u0131 korumak yerine, ins\u00fclin \u00fcreten beta h\u00fccrelerine sald\u0131rmaya ve onlar\u0131 yok etmeye ba\u015flar. Bu h\u00fccreler olmadan v\u00fccut, kan \u015fekerini kontrol alt\u0131nda tutan hormon olan ins\u00fclini yeterince \u00fcretme yetene\u011fini kaybeder. Bu tip diyabet genellikle \u00e7ocukluk veya ergenlik d\u00f6neminde ortaya \u00e7\u0131kar ve bu hastalar genellikle \u00f6m\u00fcr boyu ins\u00fclin tedavisine ihtiya\u00e7 duyar. Hastal\u0131\u011f\u0131n ba\u015flang\u0131c\u0131 ani ve \u00e7ok zorlay\u0131c\u0131 olabilir.    <\/p>\n\n\n\n<p>Bununla birlikte, her vaka ayn\u0131 yolu izlemez. \u00d6zellikle tip 1&#8217;in erken a\u015famalar\u0131nda, baz\u0131 hastalar hala pankreas\u0131n az miktarda ins\u00fclin \u00fcretti\u011fini g\u00f6steren bir belirte\u00e7 olan <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23413806\/\" target=\"_blank\" rel=\"noreferrer noopener\">C-peptid<\/a> d\u00fczeyinde \u00f6l\u00e7\u00fclebilir bir seviyeye sahiptir. K\u0131s\u0131tl\u0131 da olsa, bu kalan i\u015flev, bu h\u00fccreleri korumak veya desteklemek i\u00e7in bir f\u0131rsat sunabilir \u2014 i\u015fte burada k\u00f6k h\u00fccre tedavisi devreye girebilir.  <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"760\" height=\"507\" src=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes.webp\" alt=\"Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi\" class=\"wp-image-178201\" srcset=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes.webp 760w, https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-300x200.webp 300w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"diabetes-type-2\">Tip 2 diyabet<\/h3>\n\n\n\n<p>Tip 2 diyabet daha yava\u015f ilerler ve metabolik i\u015flev bozuklu\u011fundan kaynaklan\u0131r. Bu durumlarda v\u00fccut, ins\u00fcline d\u00fczg\u00fcn tepki vermeyi b\u0131rak\u0131r (ins\u00fclin direnci) veya zamanla \u00e7ok az ins\u00fclin \u00fcretir. Genellikle ya\u015fam tarz\u0131, kronik iltihaplanma ve genetik yatk\u0131nl\u0131kla ba\u011flant\u0131l\u0131d\u0131r. Tip 2 diyabet hastalar\u0131n\u0131n \u00e7o\u011fu, diyet, egzersiz veya ila\u00e7larla hastal\u0131\u011f\u0131 erken a\u015famada kontrol alt\u0131na alabilir, ancak baz\u0131lar\u0131 sonunda ins\u00fcline ba\u011f\u0131ml\u0131 hale gelebilir.   <\/p>\n\n\n\n<p>Basit\u00e7e s\u00f6ylemek gerekirse:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tip 1, ins\u00fclin \u00fcretimini durduran bir otoimm\u00fcn sald\u0131r\u0131y\u0131 i\u00e7erir \u2014 ancak ba\u015flang\u0131\u00e7ta baz\u0131 kal\u0131nt\u0131 fonksiyonlar hala mevcut olabilir.<\/li>\n\n\n\n<li>Tip 2, bir\u00e7ok fakt\u00f6r\u00fcn etkisiyle ins\u00fclin duyarl\u0131l\u0131\u011f\u0131 ve salg\u0131s\u0131nda yava\u015f bir bozulmad\u0131r.<\/li>\n<\/ul>\n\n\n\n<p>Bu fark\u0131 bilmek sadece akademik bir bilgi de\u011fildir \u2014 zamanlama, kalan fonksiyon ve bireysel tepki gibi fakt\u00f6rlerin rol oynad\u0131\u011f\u0131 k\u00f6k h\u00fccre tedavisi gibi rejeneratif se\u00e7enekleri ara\u015ft\u0131r\u0131rken \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"760\" height=\"507\" src=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-in-Istanbul-in-Turkey.webp\" alt=\"T\u00fcrkiye'nin \u0130stanbul kentinde diyabet i\u00e7in k\u00f6k h\u00fccre tedavisi\" class=\"wp-image-178258\" srcset=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-in-Istanbul-in-Turkey.webp 760w, https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-in-Istanbul-in-Turkey-300x200.webp 300w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-stem-cells-do-and-why-it-matters-for-diabetes\">K\u00f6k H\u00fccrelerin \u0130\u015flevi &#8211; Ve Diyabet \u0130\u00e7in \u00d6nemi<\/h2>\n\n\n\n<p><a href=\"https:\/\/medclinics.com\/tr\/kok-hucreler\/\" target=\"_blank\" rel=\"noreferrer noopener\">K\u00f6k h\u00fccreler<\/a> genellikle v\u00fccudun &#8220;ham maddesi&#8221; olarak tan\u0131mlan\u0131r, ancak asl\u0131nda bundan \u00e7ok daha fazlas\u0131d\u0131r. K\u00f6k h\u00fccreler uyarlanabilir, ak\u0131ll\u0131 ve hasara duyarl\u0131d\u0131r. Rejeneratif t\u0131pta, \u00f6ncelikle iltihab\u0131 yat\u0131\u015ft\u0131rma, h\u00fccre onar\u0131m\u0131n\u0131 destekleme ve i\u015flevsiz sistemler aras\u0131ndaki sinyal iletimini iyile\u015ftirme \u00f6zelliklerine sahip mezenkimal k\u00f6k h\u00fccreler (MSC) ile \u00e7al\u0131\u015f\u0131yoruz.  <\/p>\n\n\n\n<p>Bu h\u00fccreler kendileri ins\u00fclin \u00fcretmezler. K\u00f6k h\u00fccreler, ins\u00fclin \u00fcreten h\u00fccreler i\u00e7in ortam\u0131 haz\u0131rlar. V\u00fccuttaki iltihaplanmay\u0131 azalt\u0131r ve v\u00fccudu kendi zararl\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k faaliyetlerinden korurlar. Pankreasa yard\u0131mc\u0131 olur ve onu korurlar, b\u00f6ylece pankreas normalden daha az olsa da ins\u00fclin \u00fcretmeye devam eder ve bazen pankreas\u0131n normal i\u015flevine geri d\u00f6nmesini ve v\u00fccudun ihtiya\u00e7 duydu\u011fu kadar ins\u00fclin \u00fcretmesini sa\u011flarlar.   <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"for-type-1-diabetes\">Tip 1 Diyabet i\u00e7in:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MSC&#8217;ler, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin beta h\u00fccrelerine sald\u0131r\u0131s\u0131n\u0131 azaltabilir. Bu, Tip 1 DM gibi t\u00fcm otoimm\u00fcn hastal\u0131klar\u0131n tedavisinde ana hedef olan k\u00f6k h\u00fccrelerin ba\u011f\u0131\u015f\u0131kl\u0131k mod\u00fclasyon i\u015flevidir. <\/li>\n\n\n\n<li>Bunlar, pankreastaki iltihab\u0131 stabilize edebilir ve doku iyile\u015fmesini destekleyebilir.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"for-type-2-diabetes\">Tip 2 Diyabet i\u00e7in:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>MSC&#8217;ler bir\u00e7ok sistemde ins\u00fclin duyarl\u0131l\u0131\u011f\u0131n\u0131 art\u0131rabilir.<\/li>\n\n\n\n<li>Kronik iltihaplanman\u0131n neden oldu\u011fu metabolik bozukluklar\u0131 gidermeye yard\u0131mc\u0131 olabilirler.<\/li>\n<\/ul>\n\n\n\n<p>Tip 1&#8217;i i\u00e7 sava\u015f olarak d\u00fc\u015f\u00fcn\u00fcn &#8211; v\u00fccut kendi ins\u00fclin \u00fcreten h\u00fccrelerine sald\u0131r\u0131yor. Tip 2&#8217;yi ise ileti\u015fim kopuklu\u011fu olarak d\u00fc\u015f\u00fcn\u00fcn &#8211; ins\u00fclin var, ancak tepki kopuk. MSC&#8217;ler kaybedilen h\u00fccrelerin yerini almaz. Ancak v\u00fccudun ila\u00e7lar\u0131n tek ba\u015f\u0131na yapamad\u0131\u011f\u0131n\u0131 yapabilece\u011fi daha g\u00fcvenli, daha sakin bir alan yarat\u0131rlar.   <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"why-we-always-look-at-these-two-values-c-peptide-and-hb-a-1-c\">Neden Her Zaman Bu \u0130ki De\u011feri \u0130nceleyelim: C-Peptit ve HbA1c<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"c-peptide-value\">C-Peptit De\u011feri<\/h3>\n\n\n\n<p>Kan\u0131n\u0131zdaki C-peptid seviyesi, pankreas\u0131n\u0131z\u0131n hala ins\u00fclin \u00fcretip \u00fcretmedi\u011fini g\u00f6sterir. Pankreas\u0131n\u0131z ins\u00fclin \u00fcretti\u011fi her seferinde, e\u015fit miktarda C-peptid de salg\u0131lar. C-peptid seviyesi, beta h\u00fccre fonksiyonunun kal\u0131p kalmad\u0131\u011f\u0131n\u0131 belirlemeye yard\u0131mc\u0131 olur. De\u011fer 0,2 ng\/ml&#8217;nin \u00fczerinde olmal\u0131d\u0131r.   <\/p>\n\n\n\n<p>Pankreas\u0131n\u0131zda yeterli k\u00f6k h\u00fccre yoksa, k\u00f6k h\u00fccre tedavisi o kadar etkili olmayabilir, \u00e7\u00fcnk\u00fc k\u00f6k h\u00fccreler mucize de\u011fildir. K\u00f6k h\u00fccreler kendileri ins\u00fclin \u00fcretmezler, ancak v\u00fccudunuzun kendi h\u00fccrelerinin daha iyi \u00e7al\u0131\u015fmas\u0131n\u0131 sa\u011flarlar. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"hb-a-1-c-value\">HbA1c De\u011feri<\/h3>\n\n\n\n<p>HbA1c, glikozillenmi\u015f hemoglobin anlam\u0131na gelir. Glikoz kan\u0131n\u0131zda dola\u015f\u0131rken, bir k\u0131sm\u0131 do\u011fal olarak hemoglobine ba\u011flan\u0131r. HbA1c testi, zaman i\u00e7inde k\u0131rm\u0131z\u0131 kan h\u00fccrelerinize ne kadar \u015feker ba\u011fland\u0131\u011f\u0131n\u0131 g\u00f6sterir. Bu h\u00fccreler yakla\u015f\u0131k 8-12 hafta ya\u015fad\u0131\u011f\u0131ndan, HbA1c testi son 3 ay i\u00e7indeki ortalama kan \u015fekerinizi yans\u0131t\u0131r &#8211; sadece o anki durumu g\u00f6steren g\u00fcnl\u00fck parmak ucu kan testi ile farkl\u0131d\u0131r.   <\/p>\n\n\n\n<p>Sa\u011fl\u0131kl\u0131 bireylerde HbA1c genellikle %5,7&#8217;nin alt\u0131ndad\u0131r. %5,7 ile %6,4 aras\u0131nda ise prediyabetten s\u00f6z edilir. %6,5 veya daha y\u00fcksek bir de\u011fer diyabeti do\u011frular. \u00c7o\u011fu hasta i\u00e7in hedef de\u011fer %7 civar\u0131ndad\u0131r, ancak %8,5&#8217;in \u00fczerindeki de\u011ferler kontrol\u00fcn yetersiz oldu\u011funu ve komplikasyon riskinin daha y\u00fcksek oldu\u011funu g\u00f6sterir.   <\/p>\n\n\n\n<p>K\u00f6k h\u00fccre tedavisi ba\u011flam\u0131nda, HbA1c de\u011ferinin d\u00fc\u015fmesi genellikle ins\u00fclin yan\u0131t\u0131n\u0131n iyile\u015fti\u011fini, iltihaplanman\u0131n azald\u0131\u011f\u0131n\u0131 ve metabolizman\u0131n daha stabil hale geldi\u011fini g\u00f6sterir. Bu da HbA1c de\u011ferini tedavi ba\u015far\u0131s\u0131n\u0131n en anlaml\u0131 g\u00f6stergelerinden biri haline getirir.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100\"><a class=\"wp-block-button__link wp-element-button\" href=\"#requestform\">\u00dccretsiz dan\u0131\u015fmanl\u0131k al\u0131n &#8230;<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"is-this-therapy-for-me-understanding-suitability\">Bu Terapi Bana Uygun mu? Uygunlu\u011fu Anlamak <\/h2>\n\n\n\n<p>Her hasta aday de\u011fildir \u2014 ve d\u00fcr\u00fcstl\u00fck \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"\u2705-type-1-candidates\">\u2705 Tip 1 Adaylar:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tespit edilebilir C-peptid (tipik olarak &gt; 0,2 ng\/ml)<\/li>\n\n\n\n<li>K\u00f6k h\u00fccre tedavisi, diyabetik n\u00f6ropati, nefropati ve retinopati gibi DM&#8217;nin baz\u0131 komplikasyonlar\u0131nda da etkilidir.<\/li>\n\n\n\n<li>T\u0131bbi talimatlar\u0131 yerine getirme isteklili\u011fi<\/li>\n\n\n\n<li>Genel sa\u011fl\u0131k durumu stabil<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"\u2705-type-2-candidates\">\u2705 Tip 2 Adaylar:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>HbA1c d\u00fczeyi s\u00fcrekli olarak %8,5&#8217;in \u00fczerinde olan hastalar<\/li>\n\n\n\n<li>\u0130ns\u00fclin enjeksiyonu gerektiren hastalar veya \u015fiddetli ins\u00fclin direnci sorunu olan hastalar<\/li>\n\n\n\n<li>V\u00fccutlar\u0131nda sistemik inflamasyon bulunan hastalar. Bu, di\u011fer fakt\u00f6rlerin yan\u0131 s\u0131ra CRP ve TNF-alfa d\u00fczeyleri kullan\u0131larak \u00f6l\u00e7\u00fclebilir. <\/li>\n\n\n\n<li>Diyabet nedeniyle metabolik sorunlar\u0131 olan hastalar. Bu durum, a\u015f\u0131r\u0131 kilo, s\u00fcrekli yorgunluk veya ya\u011fl\u0131 karaci\u011fer gibi belirtilerle kendini g\u00f6sterebilir. <\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"\u274c-unsuitable-candidates-are\">\u274c Uygun olmayan adaylar \u015funlard\u0131r:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tip 1 diyabet hastalar\u0131 ve pankreaslar\u0131 art\u0131k ins\u00fclin \u00fcretmeyen ki\u015filer. Bu, C-peptid de\u011feri olarak adland\u0131r\u0131lan de\u011fer kullan\u0131larak \u00f6l\u00e7\u00fcl\u00fcr. <\/li>\n\n\n\n<li>Aktif olarak kanser hastas\u0131 olan, ciddi enfeksiyonu olan veya kontrol edilemeyen y\u00fcksek tansiyonu olan hastalar.<\/li>\n\n\n\n<li>Mucizevi bir tedavi bekleyen hastalar da bu tedaviye uygun de\u011fildir. Ne yaz\u0131k ki mucizeler yoktur ve kimse bir gecede iyile\u015femez. <\/li>\n<\/ul>\n\n\n\n<p>Ayr\u0131nt\u0131l\u0131 bir laboratuvar analizi \u015fartt\u0131r. Bu analiz yap\u0131lmadan hi\u00e7bir tedavi karar\u0131 verilmez. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"how-the-process-works-step-by-step\">S\u00fcre\u00e7 Nas\u0131l \u0130\u015fler \u2013 Ad\u0131m Ad\u0131m<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"step-1-initial-evaluation\">Ad\u0131m 1: \u0130lk De\u011ferlendirme<\/h3>\n\n\n\n<p>Ger\u00e7ek bir konu\u015fma ile ba\u015flars\u0131n\u0131z &#8211; bir kontrol listesi ile de\u011fil. Doktorunuz \u015funlar\u0131 inceleyecektir: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diyabetinizin nas\u0131l ba\u015flad\u0131\u011f\u0131 ve nas\u0131l ilerledi\u011fi<\/li>\n\n\n\n<li>Hangi ila\u00e7lar ve komplikasyonlar mevcuttur?<\/li>\n\n\n\n<li>K\u0131sa ve uzun vadeli hedefleriniz nelerdir?<\/li>\n<\/ul>\n\n\n\n<p>Ard\u0131ndan, C-peptid ve HbA1c indeksine \u00f6zel dikkat g\u00f6sterilerek tam bir tan\u0131 paneli ger\u00e7ekle\u015ftirilir. Bu sonu\u00e7lar, tedavinin g\u00fcvenli, t\u0131bbi a\u00e7\u0131dan anlaml\u0131 ve bireysel olarak hakl\u0131 olup olmad\u0131\u011f\u0131n\u0131 belirler. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"step-2-custom-therapy-plan\">Ad\u0131m 2: Ki\u015fiye \u00d6zel Tedavi Plan\u0131<\/h3>\n\n\n\n<p>Uygunsan\u0131z, bir tedavi protokol\u00fc olu\u015fturulur:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00fccrelerin t\u00fcr\u00fc ve dozu<\/li>\n\n\n\n<li>Seans say\u0131s\u0131 (genellikle 1\u20133, 2\u20134 g\u00fcn arayla)<\/li>\n\n\n\n<li>\u0130ste\u011fe ba\u011fl\u0131 destekleyici mod\u00fcller: ekzozomlar, NAD+, y\u00fcksek doz C vitamini, mikrobiyom tedavisi<\/li>\n<\/ul>\n\n\n\n<p>K\u00f6k h\u00fccrelerden gelen h\u00fccre d\u0131\u015f\u0131 haberciler olan ekzozomlar, sinir iltihab\u0131n\u0131 hedef al\u0131rken veya diyabetik n\u00f6ropatide n\u00f6ro-reg\u00fclasyonu iyile\u015ftirirken kullan\u0131labilir. Bu nedenle, baz\u0131 hastalarda hibrit h\u00fccre bazl\u0131 tedavi olarak ekzozomlu k\u00f6k h\u00fccreleri kullanmay\u0131 tercih edebiliriz. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"step-3-outpatient-infusion\">Ad\u0131m 3: Ayakta Tedavi \u0130nf\u00fczyonu<\/h3>\n\n\n\n<p>Tedavi g\u00fcn\u00fc:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ho\u015f geldiniz ve haz\u0131rs\u0131n\u0131z<\/li>\n\n\n\n<li>Hayati belirtiler kontrol edilir<\/li>\n\n\n\n<li>\u0130nf\u00fczyon yakla\u015f\u0131k 45 dakika s\u00fcrer.<\/li>\n\n\n\n<li>Sonras\u0131nda k\u0131sa bir s\u00fcre dinlenir, ayn\u0131 g\u00fcn eve d\u00f6nersiniz.<\/li>\n<\/ul>\n\n\n\n<p>Bu deneyim genellikle sakin ge\u00e7er ve hastalar taraf\u0131ndan &#8220;olays\u0131z ama sessizce umut verici&#8221; olarak tan\u0131mlan\u0131r.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"760\" height=\"507\" src=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-Type-1-2-in-Istanbul-\u2013-C-Peptide-HbA1c-Insight-2.webp\" alt=\"\u0130stanbul'da Tip 1 ve Tip 2 Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi \u2013 C-Peptid ve HbA1c Bilgisi \" class=\"wp-image-178274\" srcset=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-Type-1-2-in-Istanbul-\u2013-C-Peptide-HbA1c-Insight-2.webp 760w, https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Stem-Cell-Therapy-for-Diabetes-Type-1-2-in-Istanbul-\u2013-C-Peptide-HbA1c-Insight-2-300x200.webp 300w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-can-you-expect-and-what-not-to-expect\">Ne Bekleyebilirsiniz &#8211; Ve Ne Beklememelisiniz<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"what-stem-cell-therapy-wont-do\">K\u00f6k H\u00fccre Tedavisi Ne Yapmaz:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tip 1 hastalarda ins\u00fclinin yerini almayacakt\u0131r.<\/li>\n\n\n\n<li>Diyabet patolojisini tedavi etmez.<\/li>\n\n\n\n<li>Bu bir garanti de\u011fildir.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"what-it-may-offer\">Sunabilece\u011fi \u015feyler:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>HbA1c genellikle 3-6 ay i\u00e7inde azal\u0131r.<\/li>\n\n\n\n<li>\u0130ns\u00fclin ihtiyac\u0131 (\u00f6zellikle tip 2&#8217;de) \u00f6nemli \u00f6l\u00e7\u00fcde azalabilir.<\/li>\n\n\n\n<li>Glikoz dalgalanmalar\u0131 daha az \u015fiddetli hale gelir<\/li>\n\n\n\n<li>Ya\u011fl\u0131 karaci\u011fer belirte\u00e7leri iyile\u015fir<\/li>\n\n\n\n<li>Bir\u00e7ok hasta daha az yorgunluk, daha net zihin ve daha fazla enerji bildirmektedir.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"emotional-and-whole-body-effects\">Duygusal ve T\u00fcm V\u00fccut \u00dczerindeki Etkileri:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Daha fazla kontrol hissi<\/li>\n\n\n\n<li>Daha iyi uyku<\/li>\n\n\n\n<li>Sa\u011fl\u0131\u011f\u0131na \u00f6zen g\u00f6sterme motivasyonu geri d\u00f6ner<\/li>\n\n\n\n<li>Kan \u015fekeri &#8220;d\u00fc\u015f\u00fc\u015fleri&#8221; konusunda azalan endi\u015fe<\/li>\n\n\n\n<li>Daha sa\u011fl\u0131kl\u0131 cilt ve di\u015f eti fonksiyonu<\/li>\n\n\n\n<li>Daha g\u00fc\u00e7l\u00fc ba\u011f\u0131\u015f\u0131kl\u0131k sistemi<\/li>\n\n\n\n<li>Hastal\u0131ktan daha h\u0131zl\u0131 iyile\u015fme<\/li>\n\n\n\n<li>N\u00f6ropatisi olan baz\u0131 hastalar hafif duyusal geri d\u00f6n\u00fc\u015f bildiriyor<\/li>\n<\/ul>\n\n\n\n<p>Bunlar\u0131n hi\u00e7biri garanti edilemez. Ancak iyile\u015fmeler ortaya \u00e7\u0131kt\u0131\u011f\u0131nda, bunlar genellikle sessiz, kademeli ve son derece anlaml\u0131d\u0131r. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-are-the-risks\">Riskler Nelerdir?<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"minor-and-temporary\">K\u00fc\u00e7\u00fck ve Ge\u00e7ici<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hafif yorgunluk<\/li>\n\n\n\n<li>Enjeksiyon b\u00f6lgesinde s\u0131cakl\u0131k veya bas\u0131n\u00e7 hissi<\/li>\n\n\n\n<li>Ba\u015f d\u00f6nmesi (nadir)<\/li>\n<\/ul>\n\n\n\n<p>Bunlar genellikle k\u0131sa s\u00fcrelidir ve kolayca y\u00f6netilebilir.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"long-term\">Uzun Vadeli<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uzun vadeli yan etkileri bilinmemektedir.<\/li>\n\n\n\n<li>Safla\u015ft\u0131r\u0131lm\u0131\u015f MSC&#8217;ler ile t\u00fcm\u00f6r b\u00fcy\u00fcmesi aras\u0131nda ba\u011flant\u0131 yoktur<\/li>\n\n\n\n<li>Genetik modifikasyon i\u00e7ermez<\/li>\n\n\n\n<li>Risk yaln\u0131zca d\u00fczenlemeye tabi olmayan sa\u011flay\u0131c\u0131larla ortaya \u00e7\u0131kar &#8211; ki biz bunu kesin olarak reddediyoruz.<\/li>\n<\/ul>\n\n\n\n<p>Sadece h\u00fccre izlenebilirli\u011fi ve sterillik konusunda AB standartlar\u0131n\u0131 kar\u015f\u0131layan GMP sertifikal\u0131 laboratuvarlarla \u00e7al\u0131\u015f\u0131yoruz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cell-source-and-ethics-a-crucial-question\">H\u00fccre Kayna\u011f\u0131 ve Etik: \u00d6nemli Bir Soru<\/h2>\n\n\n\n<p>K\u00f6k h\u00fccrelerimiz, tamamen r\u0131za ile sa\u011fl\u0131kl\u0131 do\u011fumlardan sonra ba\u011f\u0131\u015flanan g\u00f6bek kordonu dokusundan elde edilmektedir. Bunlar fetal veya embriyonik h\u00fccreler de\u011fildir. Bunlar:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Test edilmi\u015f ve sertifikaland\u0131r\u0131lm\u0131\u015f allojenik MSC&#8217;ler<\/li>\n\n\n\n<li>Viral, bakteriyel veya fungal kontaminasyon i\u00e7ermez<\/li>\n\n\n\n<li>Tamamen izlenebilir<\/li>\n\n\n\n<li>14&#8217;ten fazla bula\u015f\u0131c\u0131 ajan i\u00e7in taranm\u0131\u015ft\u0131r<\/li>\n\n\n\n<li>D\u00fc\u015f\u00fck reddi riski i\u00e7in imm\u00fcnofenotipik olarak s\u0131n\u0131fland\u0131r\u0131lm\u0131\u015f<\/li>\n<\/ul>\n\n\n\n<p>Hastadan al\u0131nan ya\u011f kaynakl\u0131 h\u00fccreleri kullanm\u0131yoruz &#8211; \u00f6zellikle tip 1&#8217;de. Otoimm\u00fcnite devam eder ve fayday\u0131 n\u00f6tralize eder. Tutarl\u0131 anti-enflamatuar sinyal iletimi i\u00e7in y\u00fcksek kaliteli, d\u0131\u015f kaynakl\u0131 MSC&#8217;lere g\u00fcveniyoruz.  <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"760\" height=\"507\" src=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Science-About-Stem-Cell-Therapy-for-Diabetes-Typ-1-and-Typ-2.webp\" alt=\"Tip 1 ve Tip 2 Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi Hakk\u0131nda Bilimsel Bilgiler\" class=\"wp-image-178281\" srcset=\"https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Science-About-Stem-Cell-Therapy-for-Diabetes-Typ-1-and-Typ-2.webp 760w, https:\/\/medclinics.com\/wp-content\/uploads\/2025\/07\/Science-About-Stem-Cell-Therapy-for-Diabetes-Typ-1-and-Typ-2-300x200.webp 300w\" sizes=\"(max-width: 760px) 100vw, 760px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"what-science-tells-us-about-stem-cell-therapy-for-diabetes\">Bilim, Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi Hakk\u0131nda Bize Neler S\u00f6yl\u00fcyor?<\/h2>\n\n\n\n<p>Diyabet i\u00e7in k\u00f6k h\u00fccre tedavisi aktif olarak ara\u015ft\u0131r\u0131lmaktad\u0131r. Veriler giderek artmaktad\u0131r ve \u015fu ana kadar bildiklerimiz \u015funlard\u0131r: <\/p>\n\n\n\n<p>Elbette ara\u015ft\u0131rmalar s\u00fcrekli ilerliyor ve t\u0131p da s\u00fcrekli yeni geli\u015fmeler kaydediyor. Ara\u015ft\u0131rmalar, mezenkimal k\u00f6k h\u00fccrelerin (MSC) ger\u00e7ek bir tedavi se\u00e7ene\u011fi olabilece\u011fini zaten g\u00f6stermi\u015ftir. Bu, \u00f6zellikle tip 2 diyabet veya hala kendileri bir miktar ins\u00fclin \u00fcretebilen <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37817652\/\" target=\"_blank\" rel=\"noreferrer noopener\">tip 1 diyabet<\/a> hastalar\u0131 i\u00e7in ge\u00e7erlidir.  <\/p>\n\n\n\n<p>Klinik \u00e7al\u0131\u015fmalar, MSC&#8217;lerin HbA1c d\u00fczeylerini d\u00fc\u015f\u00fcrmeye yard\u0131mc\u0131 olabilece\u011fini g\u00f6stermi\u015ftir. Bu da g\u00fcnl\u00fck ins\u00fclin ihtiyac\u0131n\u0131 azalt\u0131r. MSC&#8217;ler ayr\u0131ca sistemik inflamasyonu azaltmaya da yard\u0131mc\u0131 olur. Tip 2 diyabet hastalar\u0131, tedaviden sonraki ilk birka\u00e7 hafta i\u00e7inde genellikle \u00f6nemli iyile\u015fmeler ya\u015fam\u0131\u015ft\u0131r.   <\/p>\n\n\n\n<p>NHS ve Cochrane Collaboration gibi \u00f6nemli sa\u011fl\u0131k otoriteleri, k\u00f6k h\u00fccre tedavisini \u00f6zellikle kronik inflamasyon ve metabolik bozukluklar ba\u011flam\u0131nda yeni ve potansiyel olarak \u00f6nemli bir se\u00e7enek olarak s\u0131n\u0131fland\u0131rmaktad\u0131r. Ara\u015ft\u0131rmalar ayr\u0131ca k\u00f6k h\u00fccre tedavisinin g\u00fcvenli oldu\u011funu ve hastalar taraf\u0131ndan iyi tolere edildi\u011fini g\u00f6stermektedir. Ciddi yan etkileri yoktur.  <\/p>\n\n\n\n<p>Uzun vadeli \u00e7al\u0131\u015fmalar hala yetersiz olsa da, k\u00f6k h\u00fccre tedavisi, \u00f6zellikle geleneksel tedavilerin i\u015fe yaramad\u0131\u011f\u0131 durumlarda \u00e7ok umut vericidir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"final-thoughts-no-miracle-just-medicine-and-a-human-path-forward\">Son D\u00fc\u015f\u00fcnceler: Mucize Yok, Sadece T\u0131p Var &#8211; ve \u0130leriye Giden \u0130nsani Bir Yol<\/h2>\n\n\n\n<p>K\u00f6k h\u00fccre tedavisi herkes i\u00e7in uygun de\u011fildir. Ancak uygun olanlar i\u00e7in ikinci bir savunma hatt\u0131 sunabilir. \u0130ns\u00fclin veya t\u0131bbi g\u00f6zetimin yerine de\u011fil, biyolojik bir destek sistemi olarak &#8211; ila\u00e7lar\u0131n tek ba\u015f\u0131na sa\u011flayamad\u0131\u011f\u0131 \u015fekilde v\u00fccudun dengesini yeniden kazanmas\u0131na yard\u0131mc\u0131 olur.  <\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ready-to-talk\">Konu\u015fmaya haz\u0131r m\u0131s\u0131n\u0131z?<\/h2>\n\n\n\n<p><a href=\"#requestform\">\u00dccretsiz ve hi\u00e7bir y\u00fck\u00fcml\u00fcl\u00fck i\u00e7ermeyen dan\u0131\u015fmanl\u0131k i\u00e7in hemen bizimle ileti\u015fime ge\u00e7in.<\/a> Hi\u00e7bir maliyet, bask\u0131 veya varsay\u0131m yoktur.<br>\u00dccretsiz dan\u0131\u015fmanl\u0131k randevunuzu bug\u00fcn ayarlay\u0131n.<\/p>\n\n\n\n<p>Birlikte rakamlar\u0131n\u0131za, ge\u00e7mi\u015finize ve se\u00e7eneklerinize bakal\u0131m.<br>\u00c7\u00fcnk\u00fc diyabet hayat\u0131n\u0131z\u0131 \u015fekillendirebilir. Ancak umudunuzu belirlemesi gerekmez. <\/p>\n\n\n\n<p><strong>Sayg\u0131lar\u0131mla<\/strong><strong><strong>,<\/strong><\/strong><br><strong><strong>Erdinc CIVELEK, MD, PhD (C)<\/strong><\/strong><br>N\u00f6ro\u015fir\u00fcrji Profes\u00f6r\u00fc<br>\u0130mm\u00fcnoloji ve K\u00f6k H\u00fccre Doktora Aday\u0131<br>T\u00fcrkiye K\u00f6k H\u00fccre ve H\u00fccresel Tedaviler Derne\u011fi Ba\u015fkan\u0131<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"fa-qs-regarding-stem-cell-therapy-for-diabetes-type-1-2\">Tip 1 ve Tip 2 Diyabet i\u00e7in K\u00f6k H\u00fccre Tedavisi ile ilgili S\u0131k\u00e7a Sorulan Sorular<\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1753969331648\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">K\u00f6k h\u00fccreler diyabette ger\u00e7ekten bir fark yaratabilir mi?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Olabilir, ancak bu ki\u015fiye g\u00f6re de\u011fi\u015fir. Tip 1 diyabette, ba\u011f\u0131\u015f\u0131kl\u0131k sistemi ins\u00fclin \u00fcreten h\u00fccrelere sald\u0131r\u0131r. Birka\u00e7 tanesi bile \u00e7al\u0131\u015fmaya devam ediyorsa, k\u00f6k h\u00fccre tedavisi bunlar\u0131 korumaya yard\u0131mc\u0131 olabilir. Tip 2 diyabette ise k\u00f6k h\u00fccreler, ins\u00fclin tepkisini iyile\u015ftirebilir ve kronik iltihab\u0131 azaltabilir. Bu mucizevi bir tedavi de\u011fildir, ancak do\u011fru durumda, diyabeti daha do\u011fal bir \u015fekilde y\u00f6netmek i\u00e7in daha geni\u015f kapsaml\u0131 bir plan\u0131n \u00f6nemli bir par\u00e7as\u0131 haline gelebilir.    <\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1753969374851\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Diyabet i\u00e7in k\u00f6k h\u00fccre ve ekzozom tedavisi sonras\u0131nda iyile\u015fmeler genellikle ne zaman ba\u015flar?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Bu herkesin sordu\u011fu bir soru \u2014 ke\u015fke net bir cevab\u0131 olsayd\u0131. Ancak \u00e7o\u011fu insan ani bir de\u011fi\u015fiklik hissetmez. Bir anahtar\u0131n \u00e7evrilmesi gibi bir \u015fey de\u011fildir. Daha s\u0131k olan \u015fey ise&#8230; birka\u00e7 hafta sonra geriye d\u00f6n\u00fcp bakt\u0131\u011f\u0131n\u0131zda bir \u015feylerin hafifledi\u011fini fark etmenizdir. Belki \u015feker seviyeniz art\u0131k o kadar fazla dalgalanm\u0131yordur. Belki daha iyi uyuyorsunuz ya da \u00f6\u011fleden sonralar\u0131 o kadar yorgun hissetmiyorsunuz. Baz\u0131 hastalar ins\u00fclin ihtiyac\u0131n\u0131n biraz azald\u0131\u011f\u0131n\u0131 fark ederler. Ama asl\u0131nda, ilk olarak laboratuvar sonu\u00e7lar\u0131n\u0131z konu\u015fur. V\u00fccut, y\u00fcksek sesle bir \u015fey s\u00f6ylemeden \u00f6nce f\u0131s\u0131ldama e\u011filimindedir.        <\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1753969418429\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Doktorlar neden k\u00f6k h\u00fccre tedavisi \u00f6ncesinde her zaman C-peptidi kontrol ediyorlar?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>\u00c7\u00fcnk\u00fc ins\u00fclin testlerinin g\u00f6steremedi\u011fi bir \u015feyi bize g\u00f6sterir. V\u00fccudunuz ins\u00fclin \u00fcretti\u011fi her seferinde, bir g\u00f6lge gibi C-peptid de \u00fcretir. Kan\u0131n\u0131zda hala C-peptid g\u00f6r\u00fcyorsak, bu pankreas\u0131n\u0131z\u0131n hala \u00e7al\u0131\u015fmaya devam etti\u011fi anlam\u0131na gelir. Bu iyi bir haberdir. K\u00f6k h\u00fccrelerin hala destekleyebilece\u011fi bir \u015fey oldu\u011fu anlam\u0131na gelir. Bu olmadan, \u00f6zellikle uzun s\u00fcreli tip 1 diyabette, k\u00f6k h\u00fccre tedavisi muhtemelen pek yard\u0131mc\u0131 olmayacakt\u0131r.     <\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1753969461360\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">K\u00f6k h\u00fccre tedavisi diyabet hastalar\u0131 i\u00e7in g\u00fcvenli midir?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Evet, uygun bir t\u0131bbi ortamda yap\u0131ld\u0131\u011f\u0131nda. \u00c7o\u011fu ki\u015fi tedaviden sonra kendini iyi hisseder \u2014 belki k\u0131sa bir s\u00fcre i\u00e7in biraz yorgun veya s\u0131cak hissedebilir. Ciddi sorunlar nadirdir, \u00f6zellikle GMP sertifikal\u0131 laboratuvarlar s\u00f6z konusu oldu\u011funda. MedClinics&#8217;te, yaln\u0131zca s\u0131k\u0131 g\u00fcvenlik kurallar\u0131na uyan h\u00fccreleri kullan\u0131yoruz. Gen d\u00fczenleme, fetal h\u00fccreler, kestirmeler yok. Sadece dikkatli bir \u015fekilde kullan\u0131lan, d\u00fczenlemeye tabi t\u0131p var.     <\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1753969511910\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Ekzozomlar diyabet tedavisinde de yard\u0131mc\u0131 olabilir mi, yoksa tam k\u00f6k h\u00fccrelere mi ihtiya\u00e7 vard\u0131r?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Ekzozomlar, k\u00f6k h\u00fccreler taraf\u0131ndan sal\u0131nan k\u00fc\u00e7\u00fck habercilerdir ve kendi ba\u015flar\u0131na dikkat \u00e7ekmeye ba\u015flam\u0131\u015flard\u0131r. Ekzozom tedavisi tek ba\u015f\u0131na fayda sa\u011flayabilir &#8211; \u00f6zellikle diyabetik n\u00f6ropati gibi iltihaplanma veya sinir hasar\u0131 ile m\u00fccadele eden ki\u015filer i\u00e7in. K\u00f6k h\u00fccrelerin yerini tamamen almamalar\u0131la birlikte, g\u00fc\u00e7l\u00fc iyile\u015ftirici sinyal ta\u015f\u0131y\u0131c\u0131lar\u0131 olarak i\u015flev g\u00f6rebilirler ve metabolik d\u00fczenlemede rol oynayabilirler. Baz\u0131 hastalar i\u00e7in, ekstra etki sa\u011flamak amac\u0131yla k\u00f6k h\u00fccre tedavi plan\u0131na bile eklenirler.   <\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prof. Dr. Erdin\u00e7 Civelek, MD, PhD (C) taraf\u0131ndan yaz\u0131lm\u0131\u015ft\u0131r. C-Peptit, HbA1c ve Daha \u0130yi Bir Ya\u015fam \u0130\u00e7in Sessiz Umut Diyabetle [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":178200,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1863,10],"tags":[1638],"class_list":["post-180621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tip-1-ve-tip-2-diyabet-icin-kok-hucre-tedavisi","category-uncategorized-tr","tag-kok-hucre"],"_links":{"self":[{"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/posts\/180621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/comments?post=180621"}],"version-history":[{"count":0,"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/posts\/180621\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/media\/178200"}],"wp:attachment":[{"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/media?parent=180621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/categories?post=180621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medclinics.com\/tr\/wp-json\/wp\/v2\/tags?post=180621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}