{"id":5697,"date":"2018-08-13T15:45:41","date_gmt":"2018-08-13T07:45:41","guid":{"rendered":"https:\/\/assure.ruppell.io\/diabetes\/"},"modified":"2025-09-04T11:21:06","modified_gmt":"2025-09-04T11:21:06","slug":"diabetes","status":"publish","type":"post","link":"https:\/\/www.accuramedical.hk\/hk\/diabetes\/","title":{"rendered":"\u3010\u814e\u81df\u5065\u5eb7\u3011\u6b63\u8996\u7cd6\u5c3f\u75c5\uff0c\u7a4d\u6975\u61c9\u5c0d\u6700\u91cd\u8981\uff01"},"content":{"rendered":"\n
\n

\u7cd6\u5c3f\u75c5\u6108\u4f86\u6108\u5e74\u8f15\u5316\uff0c\u5168\u7403\u75c5\u767c\u7387\u6b63\u4e0d\u65b7\u4e0a\u5347\u3002\u5728\u9999\u6e2f\uff0c\u6bcf\u5341\u500b\u6210\u5e74\u4eba\u4e4b\u4e2d\u4fbf\u4e00\u4eba\u60a3\u6709\u7cd6\u5c3f\u75c5\u3002<\/p>\n\n\n\n

\u5176\u5be6\u7cd6\u5c3f\u75c5\u4e26\u975e\u4e0d\u6cbb\u4e4b\u75c7\uff0c\u53ea\u8981\u7a4d\u6975\u914d\u5408\u6cbb\u7642\uff0c\u4e26\u5728\u904b\u52d5\u3001\u98f2\u98df\u548c\u751f\u6d3b\u7fd2\u6163\u5404\u65b9\u9762\u4f5c\u51fa\u8abf\u6574\uff0c\u5c07\u5927\u5e45\u6e1b\u4f4e\u60a3\u4e0a\u4f75\u767c\u75c7\u7684\u6a5f\u6703\uff0c\u800c\u4fdd\u6301\u5fc3\u60c5\u958b\u6717\u66f4\u5c0d\u63a7\u5236\u75c5\u60c5\u5341\u5206\u91cd\u8981\u3002<\/p>\n\n\n\n

\u751a\u9ebc\u662f\u7cd6\u5c3f\u75c5?<\/strong><\/h2>\n\n\n\n

\u7cd6\u5c3f\u75c5\u5c6c\u65bc\u6162\u6027\u75c5\u7684\u4e00\u7a2e\uff0c\u4e3b\u8981\u662f\u56e0\u70ba\u8eab\u9ad4\u7684\u80f0\u5cf6\u7d20\u5206\u6ccc\u4e0d\u8db3(Insulin Deficiency)\uff0c\u6216\u5c0d\u80f0\u5cf6\u7d20\u53cd\u61c9\u4e0d\u8db3\uff0c\u6709\u6297\u963b\u6027(Insulin Resistance)\uff0c\u5c0e\u81f4\u8840\u7cd6\u6c34\u5e73\u904e\u9ad8<\/strong><\/span>\uff0c\u9577\u9060\u800c\u8a00\u8a98\u767c\u5404\u985e\u8207\u8840\u7ba1\u75c5\u8b8a\u76f8\u95dc\u7684\u75be\u75c5\u548c\u4f75\u767c\u75c7\u3002<\/p>\n\n\n\n

\u7c21\u55ae\u4f86\u8aaa\uff0c\u80f0\u5cf6\u7d20\u662f\u4e00\u7a2e\u8377\u723e\u8499\u3002\u7576\u6211\u5011\u9032\u98df\u5f8c\uff0c\u98df\u7269\u4e2d\u7684\u78b3\u6c34\u5316\u5408\u7269(\u5305\u62ec\u7cd6\u4efd\u548c\u6fb1\u7c89\u8cea\u7b49) \u6703\u88ab\u6d88\u5316\u548c\u8f49\u8b8a\u70ba\u8461\u8404\u7cd6\u3002\u9019\u500b\u6642\u5019\uff0c\u80f0\u81df \u03b2\u7d30\u80de\u6703\u5206\u6ccc\u51fa\u80f0\u5cf6\u7d20\uff0c\u7528\u4ee5\u4fc3\u9032\u8840\u6db2\u88e1\u7684\u8461\u8404\u7cd6\u9032\u5165\u809d\u81df\u3001\u808c\u8089\u548c\u8102\u80aa\u7d30\u80de\u5167\u7522\u751f\u80fd\u91cf\uff0c\u4e26\u6291\u5236\u809d\u81df\u5236\u9020\u8840\u7cd6\u548c\u9632\u6b62\u8102\u80aa\u5206\u89e3\uff0c\u5f9e\u800c\u964d\u4f4e\u8840\u7cd6\u6c34\u5e73\u3002\u7576\u8eab\u9ad4\u80f0\u5cf6\u7d20\u5206\u6ccc\u4e0d\u8db3\u6216\u80f0\u5cf6\u7d20\u4e0d\u80fd\u767c\u63ee\u529f\u80fd\u6642\uff0c\u8840\u7cd6\u6c34\u5e73\u4fbf\u6703\u904e\u9ad8\uff0c\u904e\u591a\u7684\u7cd6\u4efd\u4ea6\u6703\u7d93\u7531\u814e\u81df\u5f9e\u5c0f\u4fbf\u6392\u51fa\uff0c\u56e0\u800c\u6709\u300c\u7cd6\u5c3f\u75c5\u300d\u9019\u500b\u540d\u7a31\u3002<\/p>\n\n\n\n

\u7cd6\u5c3f\u75c5\u7684<\/strong>\u5206\u985e\uff1a<\/strong><\/h2>\n\n\n\n
\u4e00\u578b\u7cd6\u5c3f\u75c5<\/span><\/strong><\/td>–       \u8207\u907a\u50b3\u548c\u514d\u75ab\u7cfb\u7d71\u7684\u56e0\u7d20\u6709\u95dc\uff0c \u4ee4\u80f0\u5cf6\u7d20\u5206\u6ccc\u4e0d\u8db3

–       \u8f03\u5e38\u898b\u65bc\u5152\u7ae5\u548c\u9752\u5c11\u5e74<\/p>–       \u5fc5\u9808\u63a5\u53d7\u80f0\u5cf6\u7d20\u6ce8\u5c04\u6cbb\u7642<\/span><\/td><\/tr>

\u4e8c\u578b\u7cd6\u5c3f\u75c5<\/strong><\/span><\/td>–       \u4e3b\u8981\u8207\u907a\u50b3\u3001\u4e0d\u5065\u5eb7\u98f2\u98df\u7fd2\u6163\u3001 \u80a5\u80d6\u3001\u7f3a\u4e4f\u904b\u52d5\u53ca\u5438\u7159\u7b49\u98a8\u96aa\u56e0\u7d20\u6709\u95dc\uff0c\u4ee4\u8eab\u9ad4\u5c0d\u80f0\u5cf6\u7d20\u7684\u53cd\u61c9\u4e0b\u964d

–       \u8f03\u5e38\u898b\u65bc\u6210\u5e74\u4eba\uff0c\u7cd6\u5c3f\u75c5\u60a3\u8005\u4f54\u4e5d\u6210\u70ba\u4e8c\u578b\u7cd6\u5c3f\u75c5<\/p><\/td><\/tr>

\u598a\u5a20\u7cd6\u5c3f\u75c5<\/strong><\/span><\/td>–       \u5728\u61f7\u5b55\u671f\u9593\u51fa\u73fe\u7684\u751f\u7406\u8b8a\u5316\uff0c\u4ee4\u80f0\u5cf6\u7d20\u4e0d\u80fd\u6b63\u5e38\u904b\u4f5c

–       \u4e00\u822c\u6703\u5728\u7522\u5f8c\u6d88\u5931<\/p>–       \u6703\u589e\u52a0\u65e5\u5f8c\u60a3\u4e0a\u4e8c\u578b\u7cd6\u5c3f\u75c5\u7684\u98a8\u96aa<\/span><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u8a3a\u65b7\uff1a<\/h2>\n\n\n\n

\u7cd6\u5c3f\u75c5\u53ef\u900f\u904e\u8840\u6db2\u6aa2\u67e5\u4f86\u78ba\u8a3a\uff0c\u4ee5\u4e0b\u662f\u4e16\u754c\u885e\u751f\u7d44\u7e54\uff08WHO\uff09\u5c0d\u7cd6\u5c3f\u75c5\u7684\u5b9a\u7fa9\uff1a<\/p>\n\n\n\n

    \n
  1. \u7a7a\u8179\u8840\u7cd6\u503c\u2265 7.0 mmol \/ L\uff0c\u6216<\/li>\n\n\n\n
  2. \u53e3\u670d\u8461\u8404\u7cd6\u8010\u91cf\u8a66\u9a57\uff08OGTT\uff092\u5c0f\u6642\u5f8c\u7684\u8840\u7cd6\u503c\u2265 11.1 mmol \/ L\uff0c\u6216<\/li>\n\n\n\n
  3. \u7cd6\u5316\u8840\u7d05\u7d20(\u53cd\u5f71\u6700\u8fd12 \u81f33 \u500b\u6708\u5167\u7684\u8840\u7cd6\u63a7\u5236\u60c5\u6cc1) HbA1c \u503c\u2265 6.5\uff05<\/li>\n<\/ol>\n\n\n\n

    \u6eab\u99a8\u63d0\u793a\uff1a\u5982\u679c\u75c5\u4eba\u6c92\u6709\u5178\u578b\u7684\u7cd6\u5c3f\u75c5\u75c5\u5fb5\uff0c\u4f8b\u5982\u53e3\u6e34\u3001\u591a\u5c3f\u3001\u9ad4\u91cd\u6e1b\u8f15\u548c\u8996\u529b\u6a21\u7cca\u7b49\uff0c\u75c5\u4eba\u5fc5\u9808\u65bc\u53e6\u4e00\u5929\u63a5\u53d7\u76f8\u540c\u7684\u6e2c\u8a66\u4ee5\u78ba\u8a8d\u8a3a\u65b7\u3002\u5982\u679c\u75c5\u4eba\u6709\u5178\u578b\u7684\u7cd6\u5c3f\u75c5\u75c5\u5fb5\uff0c\u6216\u8005\u65bc\u540c\u4e00\u6b21\u9a57\u8840\u4e2d\u4e4e\u5408\u6709\u4ee5\u4e0a\u5169\u9805\u6216\u4ee5\u4e0a\u7684\u5b9a\u7fa9\uff0c\u5373\u53ef\u78ba\u8a3a\u7cd6\u5c3f\u75c5\uff0c\u6bcb\u9808\u518d\u9032\u884c\u8986\u9a57\u3002<\/em><\/p>\n\n\n\n

    \u98a8\u96aa\u56e0\u7d20\uff1a<\/h2>\n\n\n\n
      \n
    1. 45 \u6b72\u6216\u4ee5\u4e0a<\/li>\n\n\n\n
    2. \u6709\u76f4\u7cfb\u89aa\u5c6c\u60a3\u6709\u7cd6\u5c3f\u75c5<\/li>\n\n\n\n
    3. \u6709\u7a7a\u8179\u8840\u7cd6\u7570\u5e38(Impaired Fasting Glucose) \u6216\u8840\u7cd6\u8010\u91cf\u7570\u5e38(Impaired Glucose Tolerance)\u7684\u75c5\u53f2<\/li>\n\n\n\n
    4. \u80a5\u80d6\u4eba\u58eb(\u5c24\u5176\u662f\u4e2d\u592e\u80a5\u80d6)<\/li>\n\n\n\n
    5. \u60a3\u6709\u4ee3\u8b1d\u7d9c\u5408\u75c7<\/li>\n\n\n\n
    6. \u60a3\u6709\u9ad8\u8840\u58d3\u6216\u9ad8\u8840\u8102\u75c7<\/li>\n\n\n\n
    7. \u60a3\u6709\u5fc3\u8840\u7ba1\u75be\u75c5( \u5982\u51a0\u5fc3\u75c5\u3001\u5468\u908a\u8840\u7ba1\u75be\u75c5\u53ca\u4e2d\u98a8)<\/li>\n\n\n\n
    8. \u66fe\u60a3\u598a\u5a20\u7cd6\u5c3f\u75c5\u3001<\/em>\u591a\u56ca\u5375\u5de2\u7d9c\u5408\u75c7\u6216\u66fe\u751f\u7522\u904e\u5de8\u5b30\uff08\u8d85\u904e\u56db\u516c\u65a4\uff09\u7684\u5973\u58eb<\/li>\n\n\n\n
    9. \u9577\u671f\u63a5\u53d7\u985e\u56fa\u9187\u6cbb\u7642<\/li>\n\n\n\n
    10. \u7f3a\u4e4f\u904b\u52d5<\/li>\n\n\n\n
    11. \u5438\u7159<\/li>\n<\/ol>\n\n\n\n
      \n
      \"\"
      \u4e2d\u592e\u80a5\u80d6\u662f\u60a3\u4e0a\u7cd6\u5c3f\u75c5\u7684\u9ad8\u5371\u56e0\u7d20\u4e4b\u4e00\uff0c\u5927\u5bb6\u8981\u4fdd\u6301\u9a5a\u89ba\u3002<\/figcaption><\/figure>\n<\/div>\n\n\n\n

      \u5fb5\u72c0\uff1a<\/strong><\/h2>\n\n\n\n

      \u5927\u90e8\u4efd\u7cd6\u5c3f\u75c5\u60a3\u8005\u4e26\u6c92\u6709\u660e\u986f\u7684\u75c5\u5fb5\u3002\u6709\u4e0d\u5c11\u75c5\u4eba\u662f\u5728\u9032\u884c\u4f8b\u884c\u8eab\u9ad4\u6aa2\u67e5\u6216\u51fa\u73fe\u4f75\u767c\u75c7\u6642\u624d\u88ab\u78ba\u8a3a\u3002\u56e0\u6b64\u9ad8\u5371\u4eba\u58eb(\u5982\u80a5\u80d6\u8005)\u9032\u884c\u5b9a\u671f\u8840\u7cd6\u6aa2\u67e5\u662f\u975e\u5e38\u91cd\u8981\u7684\u3002<\/p>\n\n\n\n

      \u5178\u578b\u7cd6\u5c3f\u75c5\u75c5\u5fb5\u5305\u62ec\uff1a<\/h2>\n\n\n\n
        \n
      • \u591a\u5403\u3001\u591a\u6e34\u3001\u591a\u5c3f(\u5c0f\u4fbf\u983b\u5bc6)<\/li>\n\n\n\n
      • \u9ad4\u91cd\u4e0b\u964d<\/li>\n\n\n\n
      • \u50b7\u53e3\u96e3\u7652\u5408<\/li>\n\n\n\n
      • \u5bb9\u6613\u75b2\u5026\u53ca\u6613\u53d7\u611f\u67d3\uff0c\u4f8b\u5982\u53cd\u8986\u6027\u5c3f\u9053\u708e\uff0c\u9670\u9053\u708e\u7b49<\/li>\n<\/ul>\n\n\n\n

        \u82e5\u8840\u7cd6\u9577\u671f\u8655\u65bc\u9ad8\u6c34\u5e73\uff0c\u75c5\u4eba\u53ef\u80fd\u6703\u51fa\u73fe\u5176\u4ed6\u4f75\u767c\u75c7\u7684\u5fb5\u72c0\uff0c\u4f8b\u5982\u8996\u529b\u6a21\u7cca\uff0c\u8db3\u90e8\u9ebb\u75fa\u6216\u523a\u75db\uff0c\u5fc3\u7d5e\u75db\u7b49\u3002\u82e5\u8840\u7cd6\u7a81\u7136\u6025\u5287\u98c6\u5347\uff0c\u60a3\u8005\u53ef\u80fd\u6703\u611f\u5230\u5641\u5fc3\u3001<\/em>\u5614\u5410\u3001<\/em>\u55dc\u7761\u3001<\/em>\u8179\u75db\u6216\u812b\u6c34\uff0c\u751a\u81f3\u660f\u8ff7\u3002<\/p>\n\n\n\n

        \u4f75\u767c\u75c7\uff1a<\/h2>\n\n\n\n
          \n
        • \u6025\u6027\u916e\u75c7\u9178\u4e2d\u6bd2(\u9ad8\u8840\u7cd6\u660f\u8ff7\u75c7)\uff1a\u8840\u6db2\u5167\u6709\u5927\u91cf\u7cd6\u5206\u53ca\u6709\u6a5f\u9178(\u7a31\u70ba\u916e\u9ad4)\u7a4d\u805a\uff0c\u591a\u898b\u65bc\u4e00\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3002\u6700\u5e38\u898b\u7684\u8a98\u56e0\u662f\u7531\u611f\u67d3\u800c\u8d77\u3002<\/li>\n\n\n\n
        • \u75c5\u5fb5\u5305\u62ec\uff1a\u6975\u5ea6\u53e3\u6e34\u3001\u5c0f\u4fbf\u6975\u5c11\u3001\u5fc3\u8df3\u52a0\u901f\u3001<\/em> \u5641\u5fc3\u3001<\/em>\u5614\u5410\u3001<\/em>\u8179\u75db\u6216\u812b\u6c34\uff0c\u56b4\u91cd\u7684\u6703\u795e\u667a\u4e0d\u6e05\uff0c\u751a\u81f3\u660f\u8ff7\u3002<\/li>\n\n\n\n
        • \u814e\u81df\u75c5\u8b8a\uff1a\u86cb\u767d\u5c3f\u3001<\/em>\u814e\u529f\u80fd\u53d7\u640d\uff0c\u56b4\u91cd\u7684\u66f4\u53ef\u5c0e\u81f4\u814e\u8870\u7aed<\/li>\n\n\n\n
        • \u5fc3\u8840\u7ba1\u75be\u75c5\uff1a \u4e2d\u98a8\u3001<\/em>\u5fc3\u81df\u75c5\u6216\u5916\u908a\u8840\u7ba1\u75be\u75c5<\/li>\n\n\n\n
        • \u773c\u75be\uff1a\u8996\u529b\u4e0b\u964d\u3001\u8996\u7db2\u819c\/\u9ec3\u6591\u9ede\u75c5\u8b8a\u3001\u767d\u5167\u969c\uff0c\u9752\u5149\u773c\uff0c\u56b4\u91cd\u7684\u66f4\u53ef\u5c0e\u81f4\u5931\u660e<\/li>\n\n\n\n
        • \u795e\u7d93\u7cfb\u7d71\u75be\u75c5\uff1a\u624b\u8173\u611f\u5230\u9ebb\u75fa\u6216\u75bc\u75db(\u5468\u908a\u795e\u7d93\u75c5\u8b8a)\u3001\u8155\u7ba1\u7d9c\u5408\u75c7\u3001\u80c3\u6d88\u5316\u7de9\u6162(\u7cd6\u5c3f\u75c5\u80c3\u8f15\u7671)\u3001\u8179\u7009\u3001\u8180\u80f1\u529f\u80fd\u7570\u5e38\uff0c\u6027\u529f\u80fd\u969c\u7919<\/li>\n\n\n\n
        • \u8db3\u75c5\uff1a\u9999\u6e2f\u8173\u3001<\/em>\u7070\u7532\u6216\u6f70\u760d(\u56b4\u91cd\u7684\u751a\u81f3\u8981\u622a\u80a2)<\/li>\n\n\n\n
        • \u5897\u52a0\u60a3\u7259\u5468\u75c5\u3001\u6291\u9b31\u75c7\u3001\u7126\u616e\u75c7\u3001<\/em>\u764c\u75c7\u3001<\/em>\u8166\u9000\u5316\u75c7\u548c\u611f\u67d3\u7684\u98a8\u96aa\uff0c\u548c\u589e\u52a0\u5fc3\u81df\u75c5\u6216\u4e2d\u98a8\u7684\u6b7b\u4ea1\u7387\u3002<\/li>\n<\/ul>\n\n\n\n

          \u6cbb\u7642\u53ca\u9810\u9632\uff1a<\/h2>\n\n\n\n

          1. \u7dad\u6301\u5065\u5eb7\u7684\u751f\u6d3b\u65b9\u5f0f\uff1a<\/h3>\n\n\n\n

          a. \u98f2\u98df\u63a7\u5236<\/p>\n\n\n\n

            \n
          • \u5065\u5eb7\u98f2\u98df\u539f\u5247<\/li>\n\n\n\n
          • \u5c11\u98df\u591a\u9910\uff0c\u5b9a\u6642\u5b9a\u91cf\uff0c\u4e0d\u8981\u66b4\u98f2\u66b4\u98df<\/li>\n\n\n\n
          • \u9078\u64c7\u5c11\u7cd6\uff0c\u5c11\u6cb9\uff0c\u5c11\u9e7d\uff0c\u9ad8\u7e96\u7dad\uff0c\u591a\u852c\u5c11\u8089\uff0c\u4f4e\u5347\u7cd6\u503c(Glycemic Index\uff0c\u7c21\u7a31GI) \u7684\u98df\u7269<\/li>\n\n\n\n
          • \u907f\u514d\u9032\u98df\u542b\u9ad8\u98fd\u548c\u8102\u80aa\u3001\u53cd\u5f0f\u8102\u80aa\u3001\u714e\u70b8\u3001\u6fc3\u5473\u3001\u52a0\u5de5\u3001\u9183\u88fd\u6216\u7f50\u982d\u7684\u98df\u7269\uff0c\u6e1b\u5c11\u5916\u51fa\u7528\u81b3<\/li>\n\n\n\n
          • \u591a\u5403\u65b0\u9bae\u7684\u98df\u6750<\/li>\n\n\n\n
          • \u591a\u5143\u5316\u98f2\u98df\uff0c\u5118\u91cf\u651d\u53d6\u4e0d\u540c\u7684\u71df\u990a\u7d20<\/li>\n\n\n\n
          • \u8aee\u8a62\u91ab\u8b77\u4eba\u54e1\u6216\u71df\u990a\u5e2b\uff0c\u5b78\u7fd2\u300c\u91a3\u8cea\u4ea4\u63db\u6cd5\u300d\uff0c\u6309\u6bcf\u500b\u4eba\u6240\u9700\u7684\u71df\u990a\u548c\u4efd\u91cf\uff0c\u5236\u5b9a\u5408\u9069\u7684\u9910\u55ae\u3002<\/li>\n<\/ul>\n\n\n\n

            b.\u6046\u5e38\u904b\u52d5<\/p>\n\n\n\n

              \n
            • \u6bcf\u5929\u6700\u597d\u80fd\u9032\u884c\u6700\u5c1130 \u5206\u9418\u4e2d\u7b49\u5f37\u5ea6(\u4f8b\u5982\u6025\u6b65\u884c)\u7684\u5e36\u6c27\u904b\u52d5\uff0c\u6bcf\u5468\u9032\u884c5 \u5929\u3002<\/li>\n<\/ul>\n\n\n\n

              c. \u8212\u7de9\u751f\u6d3b\u58d3\u529b\uff0c\u63a7\u5236\u8ca0\u9762\u7684\u60c5\u7dd2<\/p>\n\n\n\n

              d. \u4e0d\u5438\u7159<\/p>\n\n\n\n

              e. \u907f\u514d\u98f2\u9152<\/p>\n\n\n\n

              f. \u4fdd\u6301\u9ad4\u91cd\/\u8170\u570d\u9069\u4e2d<\/p>\n\n\n\n

              2. \u6309\u9700\u8981\u63a5\u53d7\u85e5\u7269\u6cbb\u7642\uff1a<\/h3>\n\n\n\n

              \u73fe\u6642\u5df2\u6709\u4e0d\u5c11\u65b0\u6b3e\u7684\u7cd6\u5c3f\u75c5\u85e5\u7269,\u8010\u53d7\u6027\u6bd4\u8d77\u820a\u6b3e\u7684\u85e5\u7269\u7406\u60f3,\u526f\u4f5c\u7528\u4e5f\u8f03\u5c11\u3002<\/p>\n\n\n\n

              a.\u53e3\u670d\u85e5\u7269: <\/strong><\/p>\n\n\n\n

              \u96d9\u80cd\u985e(Biguanides), \u4f8b\u5982 \uff1aMetformin<\/p>\n\n\n\n

                \n
              • \u964d\u4f4e\u5fc3\u8840\u7ba1\u75be\u75c5\u98a8\u96aa<\/li>\n\n\n\n
              • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u8178\u80c3\u4e0d\u9069\uff0c\u8139\u6c23<\/li>\n<\/ul>\n\n\n\n

                \u78fa\u8132\u985e(Sulphonylureas), \u4f8b\u5982\uff1aGlimepiride<\/p>\n\n\n\n

                  \n
                • \u964d\u4f4e\u5fc3\u8840\u7ba1\u75be\u75c5\u98a8\u96aa<\/li>\n\n\n\n
                • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u4f4e\u8840\u7cd6\u75c7\u72c0\uff0c\u9ad4\u91cd\u589e\u52a0<\/li>\n<\/ul>\n\n\n\n

                  \u683c\u5217\u5948\u985e(Meglitinides), \u4f8b\u5982\uff1aRepaglinide<\/p>\n\n\n\n

                    \n
                  • \u964d\u4f4e\u9910\u5f8c\u8840\u7cd6\u6ce2\u52d5\u7684\u6a5f\u6703<\/li>\n\n\n\n
                  • \u5f48\u6027\u5291\u91cf<\/li>\n\n\n\n
                  • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u4f4e\u8840\u7cd6\u75c7\u72c0\uff0c\u9ad4\u91cd\u589e\u52a0<\/li>\n<\/ul>\n\n\n\n

                    \u5511\u70f7\u4e8c\u916e\u985e(Thiazolidinediones), \u4f8b\u5982\uff1apioglitazone<\/p>\n\n\n\n

                      \n
                    • \u8010\u53d7\u6027\u826f\u597d<\/li>\n\n\n\n
                    • \u589e\u52a0\u9ad8\u5bc6\u5ea6\u81bd\u56fa\u9187<\/li>\n\n\n\n
                    • \u964d\u4f4e\u4e09\u9178\u7518\u6cb9\u8102<\/li>\n\n\n\n
                    • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u9ad4\u91cd\u589e\u52a0\uff0c\u6c34\u816b<\/li>\n<\/ul>\n\n\n\n

                      \u8461\u8404\u7cd6\u7518\u9176\u6291\u5236\u5291(Alpha-Glucosidase Inhibitors), \u4f8b\u5982\uff1a\u963f\u5361\u6ce2acarbose<\/p>\n\n\n\n

                        \n
                      • \u964d\u4f4e\u9910\u5f8c\u8840\u7cd6\u6ce2\u52d5\u7684\u6a5f\u6703<\/li>\n\n\n\n
                      • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u8178\u80c3\u4e0d\u9069\uff0c\u8139\u6c23\uff0c\u809a\u7009<\/li>\n<\/ul>\n\n\n\n

                        DPP-4 \u6291\u5236\u5291, \u4f8b\u5982\uff1asaxagliptin<\/p>\n\n\n\n

                          \n
                        • \u8010\u53d7\u6027\u826f\u597d<\/li>\n\n\n\n
                        • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u8840\u7ba1\u6027\u6c34\u816b<\/li>\n<\/ul>\n\n\n\n

                          SGLT2 \u6291\u5236\u5291, \u4f8b\u5982 \uff1adapagliflozin<\/p>\n\n\n\n

                            \n
                          • \u7531\u65bc\u4e0d\u9700\u8981\u4f9d\u8cf4\u80f0\u81df\u529f\u80fd\uff0c\u6240\u4ee5\u5c0d\u65bc\u6240\u6709\u671f\u6578\u7684\u4e8c\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u4e5f\u6709\u6548<\/li>\n\n\n\n
                          • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u5c3f\u9053\u611f\u67d3\uff0c\u5982\u8981\u540c\u6642\u670d\u7528\u5229\u5c3f\u5291\u53bb\u964d\u4f4e\u8840\u58d3\uff0c\u812b\u6c34\u98a8\u96aa\u6703\u7565\u70ba\u589e\u52a0<\/li>\n<\/ul>\n\n\n\n

                            b. \u6ce8\u5c04\u85e5\u7269:<\/strong><\/p>\n\n\n\n

                            GLP-1\u53d7\u9ad4\u523a\u6fc0\u5291(GLP-1 receptor agonists), \u4f8b\u5982\uff1a  exenatide<\/p>\n\n\n\n

                              \n
                            • \u4e0d\u6703\u51fa\u73fe\u4f4e\u8840\u7cd6\u75c7\u72c0<\/li>\n\n\n\n
                            • \u6e1b\u8f15\u9ad4\u91cd<\/li>\n\n\n\n
                            • \u964d\u4f4e\u9910\u5f8c\u8840\u7cd6\u6ce2\u52d5\u7684\u6a5f\u6703<\/li>\n\n\n\n
                            • \u964d\u4f4e\u4e00\u4e9b\u5fc3\u8840\u7ba1\u75be\u75c5\u98a8\u96aa<\/li>\n\n\n\n
                            • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u8178\u80c3\u4e0d\u9069\uff0c\u5641\u5fc3\uff0c\u7729\u6688\uff0c\u982d\u75db<\/li>\n<\/ul>\n\n\n\n

                              \u80f0\u5cf6\u7d20(insulin)<\/p>\n\n\n\n

                                \n
                              • \u964d\u4f4e\u5fae\u8840\u7ba1\u75be\u75c5\u98a8\u96aa<\/li>\n\n\n\n
                              • \u5e7e\u4e4e\u6240\u6709\u7cd6\u5c3f\u75c5\u60a3\u8005\u4e5f\u9069\u5408<\/li>\n\n\n\n
                              • \u53ef\u80fd\u51fa\u73fe\u7684\u526f\u4f5c\u7528\uff1a\u4f4e\u8840\u7cd6\u75c7\u72c0\uff0c\u9ad4\u91cd\u589e\u52a0<\/li>\n<\/ul>\n\n\n\n

                                \u6709\u4e0d\u5c11\u7cd6\u5c3f\u75c5\u60a3\u8005\u5728\u75c5\u60c5\u53d7\u5230\u63a7\u5236\u5f8c\uff0c\u4fbf\u81ea\u884c\u6e1b\u85e5\u751a\u81f3\u505c\u670d\u85e5\u7269\uff0c\u6700\u7d42\u4ee4\u75c5\u60c5\u60e1\u5316\uff0c\u96e3\u4ee5\u63a7\u5236\uff0c\u751a\u81f3\u51fa\u73fe\u4f75\u767c\u75c7 \uff0c\u4f8b\u5982\u4e2d\u98a8\u6216\u8db3\u90e8\u6f70\u760d\uff0c\u5efa\u8b70\u60a3\u8005\u61c9\u5148\u8aee\u8a62\u5c08\u696d\u91ab\u8b77\u610f\u898b\u3002<\/span><\/p>\n\n\n\n

                                \n
                                \"\"
                                \u6046\u5e38\u904b\u52d5\u662f\u4fdd\u6301\u8eab\u9ad4\u5065\u5eb7\u7684\u6709\u6548\u65b9\u6cd5\u3002<\/figcaption><\/figure>\n<\/div>\n\n\n\n

                                3. \u5bb6\u5c45\u8840\u7cd6\u76e3\u6e2c\uff1a<\/h3>\n\n\n\n
                                  \n
                                • \u7a7a\u8179\u8840\u7cd6\u503c\u76ee\u6a19\u70ba\u5c11\u65bc7 \u5ea6\uff08\u6700\u7406\u60f3\u70ba4 \u81f36 \u5ea6) (mmol\/L)<\/li>\n\n\n\n
                                • \u9910\u5f8c1 \u81f32 \u5c0f\u6642\u8840\u7cd6\u503c\u76ee\u6a19\u70ba\u5c11\u65bc10 \u5ea6\uff08\u6700\u7406\u60f3\u70ba6 \u81f38 \u5ea6) (mmol\/L)<\/li>\n<\/ul>\n\n\n\n

                                  4. \u5b9a\u671f\u8986\u8a3a\uff1a<\/h3>\n\n\n\n

                                  \u6bcf\u5e74\u63a5\u53d7\u8eab\u9ad4\u6aa2\u67e5\u4ee5\u8a55\u4f30\u8eab\u9ad4\u72c0\u51b5\u53ca\u76e3\u5bdf\u6709\u5426\u51fa\u73fe\u7cd6\u5c3f\u75c5\u4f75\u767c\u75c7\u3002\u5efa\u8b70\u6aa2\u67e5\u9805\u76ee\u5305\u62ec:<\/p>\n\n\n\n

                                    \n
                                  • \u9ad4\u91cd\u6307\u6a19\u53ca\u8170\u570d<\/li>\n\n\n\n
                                  • \u8840\u58d3<\/li>\n\n\n\n
                                  • \u7a7a\u8179\u8840\u7cd6\u548c\u7cd6\u5316\u8840\u7d05\u7d20<\/li>\n\n\n\n
                                  • \u8840\u8102\u6c34\u5e73<\/li>\n\n\n\n
                                  • \u814e\u529f\u80fd\u6aa2\u67e5\uff08\u5305\u62ec\u5c3f\u6db2\u86cb\u767d\u6aa2\u67e5\uff09<\/li>\n\n\n\n
                                  • \u773c\u90e8\u6aa2\u67e5<\/li>\n\n\n\n
                                  • \u8db3\u90e8\u6aa2\u67e5<\/li>\n\n\n\n
                                  • \u53e3\u8154\u6aa2\u67e5<\/li>\n<\/ul>\n\n\n\n

                                      5. \u63a5\u7a2e\u80ba\u708e\u75ab\u82d7\u53ca\u6bcf\u5e74\u63a5\u7a2e\u6d41\u611f\u75ab\u82d7\uff0c\u4ee5\u6e1b\u4f4e\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u548c\u6b7b\u4ea1\u7387<\/h3>\n\n\n\n
                                    \n

                                    \u63a7\u5236\u8840\u7cd6\u6e1b\u4f75\u767c\u75c7\u98a8\u96aa<\/span><\/h2>\n\n\n\n

                                    \u82f1\u570b\u524d\u77bb\u6027\u7cd6\u5c3f\u75c5\u7814\u7a76(UKPDS)\u986f\u793a\uff0c\u7cd6\u5316\u8840\u7d05\u7d20\uff08HbA1c\uff09\u6bcf\u964d\u4f4e1\uff05\uff0c\u4fbf\u53ef\u6e1b\u4f4e\u4ee5\u4e0b\u7cd6\u5c3f\u75c5\u4f75\u767c\u75c7\u7684\u98a8\u96aa\uff1a<\/p>\n\n\n\n

                                      \n
                                    • \u4e2d\u98a8\uff1a12\uff05<\/li>\n\n\n\n
                                    • \u5fc3\u808c\u6897\u6b7b\uff1a14\uff05<\/li>\n\n\n\n
                                    • \u5fc3\u529b\u8870\u7aed\uff1a16\uff05<\/li>\n\n\n\n
                                    • \u767d\u5167\u969c\u624b\u8853\uff1a19\uff05<\/li>\n\n\n\n
                                    • \u7cd6\u5c3f\u75c5\u76f8\u95dc\u6b7b\u4ea1\uff1a21\uff05<\/li>\n\n\n\n
                                    • \u5fae\u8840\u7ba1\u75c5\u8b8a\uff1a37\uff05<\/li>\n\n\n\n
                                    • \u5916\u5468\u8840\u7ba1\u75be\u75c5\u5c0e\u81f4\u622a\u80a2\u6216\u6b7b\u4ea1\uff1a43\uff05<\/li>\n<\/ul>\n\n\n\n

                                      \u7406\u60f3\u6307\u6a19<\/h3>\n\n\n\n
                                      \u9805\u76ee<\/td>\u7406\u60f3\u6c34\u5e73<\/td><\/tr>
                                      \u7cd6\u5316\u8840\u7d05\u7d20 HbA1c<\/td><  7%<\/td><\/tr>
                                      \u8840\u58d3 Blood Pressure<\/td>< 130\/80<\/td><\/tr>
                                      \u4f4e\u5bc6\u5ea6\u8102\u86cb\u767d\u81bd\u56fa\u9187(\u58de\u81bd\u56fa\u9187) LDL-Cholesterol\n

                                       <\/p>\n<\/td>

                                      		< 2.6\n

                                      < 1.8 \u60a3\u6709\u5fc3\u8840\u7ba1\u75be\u75c5\u7684\u4eba\u58eb<\/p>\n<\/td><\/tr>

                                      \u9ad4\u91cd\u6307\u6a19 BMI<\/td>< 23<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

                                       <\/p>\n<\/blockquote>\n\n\n\n

                                      \u9810\u9632\u52dd\u65bc\u6cbb\u7642\uff0c\u8acb\u5b9a\u671f\u9032\u884c\u8eab\u9ad4\u6aa2\u67e5\u3002\u5982\u6709\u4efb\u4f55\u7591\u554f\uff0c\u8acb\u5411\u4f60\u7684\u5bb6\u5ead\u91ab\u751f\u67e5\u8a62\u3002<\/p>\n\n\n\n

                                      \n\n\n\n

                                      \u6240\u6709\u8cc7\u8a0a\u53ea\u4f9b\u53c3\u8003\uff0c\u4e26\u975e\u6cbb\u7642\u5efa\u8b70\uff0c\u92b3\u81f4\u91ab\u7642\u4e26\u4e0d\u627f\u64d4\u4efb\u4f55\u8cac\u4efb\u3002\u5982\u6709\u7591\u554f\uff0c\u8acb\u5411\u5c08\u696d\u91ab\u8b77\u4eba\u54e1\u67e5\u8a62\u3002<\/p>\n\n\n\n

                                      \u7248\u6b0a\u6240\u6709\uff0c \u4e0d\u5f97\u7ffb\u5370\u3001\u8f49\u8f09\u3001\u7ffb\u8b6f\u6216\u4f5c\u5176\u4ed6\u7528\u9014\u3002<\/em><\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

                                      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