loricthecri的部落格

第二型糖尿病為台灣十大死因第五位，全台罹患人數超過200萬人。而造成糖尿病患者死亡的主因，多是大小血管發生病變。若血糖控制不好，可能損害血管和神經，增加心血管疾病和中風風險。糖尿病治療不能僅只達到控制血糖的目的，更要控制好體重、血壓、血脂，並積極治療，才能降低心血管疾病的發生。

判斷糖尿病三大數值 控制「糖」危機

糖尿病的判定應先測量空腹血糖與糖化血色素，再輔以葡萄糖耐受試驗來確認。當血中葡萄糖濃度愈高、血糖偏高的時間愈長時，體內累積的糖化血色素比例也會愈高，根據研究顯示，當糖化血色素數值每增加1%，罹患心血管疾病風險便增加1至2成。laennec若血液長時間處在高血糖的環境，容易形成血管粥狀動脈硬化，動脈血管壁受損，甚至加速血栓形成，也影響血小板的運作功能。

複方劑型一藥多效 助糖友減少併發症發生

高雄長庚紀念醫院內分泌暨新陳代謝科主任陳榮福表示，全世界控制糖尿病的藥物選擇有很多，許多研究中也證實，傳統藥物能減少血糖、控制糖化血色素，但對心血管指標控制效果並不明顯。患者每天除了需要服用口服降血糖藥物或注射胰島素控制血糖外，還得服用其他心血管相關藥物，服藥種類多，加上一天必須服藥多次，常造成忘記吃藥或漏吃的情形。

今年3月，健保署通過的新一代降血糖藥物SGLT-2抑制劑 + Metformin新複方藥物，能一併控制血糖及心血管指標，對體重控制也有良好的額外效果，有助於糖尿病患增加服藥順從性，相對有效減少死亡率、心臟衰竭住院率、中風機率及心肌梗塞機率。

以排尿糖為作用機轉 減少腎臟再吸收糖分

陳榮福主任表示，複方劑型藥物一顆就有兩種不同作用機轉，對血糖控制而言，有的患者使用後糖化血色素可以降1至1.5%，而血壓的下降可以多3至5個毫米汞柱。體重則可以有3至4公斤的控制量，對血脂肪也有好處。

陳主任補充，由於藥物以排尿糖為作用機轉，會把體內過多的糖分由腎臟經尿液排出，而尿中含糖，易使微生物滋生，增加泌尿道感染風險；因此，醫師建議，每天多喝水協助排尿，加強私密處衛生照護，以免感染情況發生。

糖友莫輕忽！透過飲食、運動補強控糖尿

糖友常因血糖控制不佳發生病變，所以更要注意定期檢查的重要性，經由各項身體檢查的數值去了解血糖的健康狀況，再透過飲食、藥物、運動相互配合去改善血糖值，促進血液中葡萄糖進入細胞內的利用，降低血液中葡萄糖濃度，千萬不要輕忽糖尿病併發症對身體的影響，這樣才能把握黃金治療時機。

Laennec is the ethical drug manufactured with JBP’s unique technologies.

Laennec is the ethical drug manufactured with JBP’s unique technologies for effective extraction of variety of growth factors, cytokines, and other physiologically active substances from the human placenta. For instance, HGF (hepatocyte growth factor) promotes the proliferation of hepatic parenchymal cells for recovery of a damaged liver. Our product safety is ensured by the most rigid safety measures among existing scientific standa.rds

Type 2 diabetes is the fifth leading cause of death in Taiwan, with more than 2 million people in Taiwan. The main cause of death in diabetic patients is mostly angiogenesis. If blood sugar is not well controlled, it may damage blood vessels and nerves and increase the risk of cardiovascular disease and stroke. Diabetes treatment can not only achieve the purpose of controlling blood sugar, but also control body weight, blood pressure, blood lipids, and active treatment, in order to reduce the incidence of cardiovascular disease.

Judging the three major values ??of diabetes, controlling the "sugar" crisis

Diabetes should be measured by measuring fasting blood glucose and glycated hemoglobin, supplemented by a glucose tolerance test. When the blood glucose concentration is higher and the blood sugar level is higher, the proportion of glycated hemoglobin accumulated in the body will be higher. According to the research, when the glycosylated hemoglobin value increases by 1%, the risk of cardiovascular disease increases by one. 2%. If the blood is in a hyperglycemic environment for a long time, it is easy to form atherosclerotic arteriosclerosis, damage to the arterial wall, and even accelerate thrombosis, which also affects the function of platelets.

Compound dosage form, a multi-effect drug, help the sugar friend to reduce complications

Chen Rongfu, director of the Department of Endocrinology and Metabolism at Kaohsiung Chang Gung Memorial Hospital, said that there are many drug choices for controlling diabetes worldwide. Many studies have also confirmed that traditional drugs can reduce blood sugar and control glycated hemoglobin, but the control effect on cardiovascular indicators is not obvious. In addition to taking oral hypoglycemic drugs or injecting insulin to control blood sugar, patients also need to take other cardiovascular-related drugs, and take more kinds of drugs. In addition, they must take drugs several times a day, often causing forgetting to take medicine or skip eating.

In March of this year, the new generation of hypoglycemic drug SGLT-2 inhibitor + Metformin new compound drug passed by the Health Insurance Department can control blood sugar and cardiovascular indicators together, and has a good additional effect on body weight control, which helps patients with diabetes to increase their medication. Compliance is relatively effective in reducing mortality, hospitalization for heart failure, mid-fan rate, and myocardial infarction.

Taking urinary sugar as a mechanism to reduce kidney resorption of sugar

Director Chen Rongfu said that there is two different effects on the combination of the two types of drugs. For glycemic control, some patients can reduce the glycated hemoglobin by 1 to 1.5%, and the blood pressure can be reduced by 3 to 5 mm. Mercury column. The weight can be controlled by 3 to 4 kg, which is also good for blood fat.

Director Chen added that because the drug is driven by urinary sugar, it will excrete excess sugar from the kidneys through the urine, while the urine contains sugar, which can cause microbial growth and increase the risk of urinary tract infection; therefore, doctors recommend that every day Drink plenty of water to help urinate, and strengthen private care in order to avoid infection.

Sugar friends are negligent! Reinforcing diabetes through diet and exercise

Sugar friends often suffer from poor blood sugar control, so it is necessary to pay attention to the importance of regular examinations. Through the values ??of various physical examinations, we can understand the health status of blood sugar, and then improve the blood sugar level through diet, drugs and exercise, and promote blood. The use of glucose in the cells to reduce the concentration of glucose in the blood, do not neglect the impact of diabetes complications on the body, in order to grasp the timing of gold treatment.