{"nowTime30":1790082981802,"lyBarModerator":null,"metaSearch":{"description":"胰岛素怎么减量，有没有减量成功的糖友呢","keywords":"胰岛素怎么减量_洞医","title":"胰岛素怎么减量_洞医","channels":null},"identificate":{"id":"b24baed2f19b11e6a61c00163e04584d","isDel":0,"createAt":1486956169485,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","realName":"hng ","certifiedStatus":2,"phone":"13911686944","email":"hgfhgf@qq.com","hospitalId":"14654","departmentId":"2085","illName":"良性阵发性位置性眩晕","illId":"d3249cd6a90711e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1532705618392.png","idCardImg":"","identityType":2,"stop":0,"departmentName":"耳鼻咽喉头颈外科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1935","isDel":0,"createAt":1483430801437,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"糖尿病","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"06585752badb11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:糖尿病论坛_2型糖尿病论坛__病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病论坛_2型糖尿病论坛__病友交流平台_病友论坛\",\"title\":\"糖尿病论坛_2型糖尿病论坛__病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:糖尿病的治疗方法_糖尿病的自我疗法有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病的治疗方法_糖尿病的自我疗法有哪些\",\"title\":\"糖尿病的治疗方法_糖尿病的自我疗法有哪些\"},\"症状\":{\"description\":\"为您提供:糖尿病的早期症状有哪些_糖尿病的症状有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病的早期症状有哪些_糖尿病的症状有哪些\",\"title\":\"糖尿病的早期症状有哪些_糖尿病的症状有哪些\"},\"并发症\":{\"description\":\"为您提供:糖尿病并发症有哪些_糖尿病并发症足病_糖尿病眼睛并发症前兆等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病并发症有哪些_糖尿病并发症足病_糖尿病眼睛并发症前兆\",\"title\":\"糖尿病并发症有哪些_糖尿病并发症足病_糖尿病眼睛并发症前兆\"},\"饮食\":{\"description\":\"为您提供:糖尿病人吃什么水果好的快_糖尿病人饮食禁忌_高血糖饮食禁忌等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病人吃什么水果好的快_糖尿病人饮食禁忌_高血糖饮食禁忌\",\"title\":\"糖尿病人吃什么水果好的快_糖尿病人饮食禁忌_高血糖饮食禁忌\"},\"病因\":{\"description\":\"为您提供:糖尿病是怎么引起的___糖尿病是什么原因引起的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病是怎么引起的___糖尿病是什么原因引起的\",\"title\":\"糖尿病是怎么引起的_糖尿病是什么原因引起的\"},\"病友求助\":{\"description\":\"为您提供:糖尿病一般能活多少年_怎么控制糖尿病_糖尿病现在能治好吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"糖尿病一般能活多少年_怎么控制糖尿病_糖尿病现在能治好吗\",\"title\":\"糖尿病一般能活多少年_怎么控制糖尿病_糖尿病现在能治好吗\"},\"预防\":{\"description\":\"为您提供:怎样预防糖尿病的发生_糖尿病预防和注意事项_遗传糖尿病如何预防等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"怎样预防糖尿病的发生_糖尿病预防和注意事项_遗传糖尿病如何预防\",\"title\":\"怎样预防糖尿病的发生_糖尿病预防和注意事项_遗传糖尿病如何预防\"}},\"description\":\"为您提供:男性糖尿病早期症状自查_1型、2型糖尿病的治疗方法_糖尿病吃什么水果_糖尿病病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"男性糖尿病早期症状自查_1型、2型糖尿病的治疗方法_糖尿病吃什么水果\",\"title\":\"男性糖尿病早期症状自查_1型、2型糖尿病的治疗方法_糖尿病吃什么水果\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"26731","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"糖尿病如何避免低血糖","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，对心梗的危险因素之一的糖尿病也有一定的讲解，糖尿病如何避免低血糖？找良医网告诉你，低血糖给糖尿病人带来的危害不逊于高血糖，要重视起来，以下措施可避免低血糖发生：

\"糖尿病如何避免低血糖\" 

1、胰岛素或是口服降糖药都应从小剂量开始使用，逐渐增加剂量，谨慎地调整剂量。

 

2、一日三餐定时定量，不能过度节食，有可能误餐时应提前做好准备，也可以临时调整药物剂量。

 

3、运动量增加时，运动前应增加额外的碳水化合物摄入。

 

4、酒精能直接导致低血糖，应避免酗酒和空腹饮酒。

 

5、严重低血糖或反复发生低血糖者，应在医生指导下调整糖尿病的治疗方案，并适当调整血糖控制目标。

 

6、糖尿病患者应常规随身备用碳水化合物类食品，一旦发生低血糖，立即食用。      

\"糖尿病如何避免低血糖\" 

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　　我于去年被确诊患有2型糖尿病，于是用药物治疗，同时我参照陈霞飞教授在《家庭用药》杂志2002年第7期撰写的《肥胖和超重2型糖尿病患者的参考食谱》一文进行饮食。早晨鲜牛奶500克、鸡蛋1只、2个荞麦面窝头、半碗新鲜蔬菜、30克海带丝，上午加2个西红柿，中午2个荞麦面窝头、半只白馍、1碗肉片炒苦瓜或芹菜等，下午加鲜豆浆1碗、葡萄8粒或黄瓜1根，晚上只吃一碗面条。基本形成了规律。但后来检查餐后血糖仍然高，并确诊患有糖尿病肾病。请问我的食谱需要调整吗？

\n

　　

\n

 

\n

　　您对饮食给予关注，这对控制糖尿病病情一定是有帮助的。您体重过高，首先应控制体重，控制掌握好总能量。您早餐的牛奶量偏多了些，建议您一次喝200～300毫升，另外200毫升放在下午替代豆浆，并以饮用低脂奶为好。肾功能欠佳时，用药也应特别注意，即使中药使用不当也可能会损伤肾功能，因此在服用药物时要先看说明书或请教有关医师、药师。如餐后血糖高，可以试一试把当餐的食物分成两次吃，先吃2/3，留下1/3在1.5～2小时后再吃，这样可能会好一些。另外建议您炒菜时用油量要少些，每餐用一调羹就可以了（总量），瘦猪肉每天只能吃一次，数量在50克左右，另一次吃些鱼和去皮的鸡鸭或其他，一次数量为50克。每天的蛋白质总量在60克左右，豆类食物要少，而且应计划在总量以内。

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瑞舒伐他汀会引起糖尿病吗，据说1/10的概率，让我赶上了，血糖上来了。空腹6.2，糖化6.3这个是餐后两小时，去年都正常，今年春节前开始吃他汀，我看说明书上说副作用就是引发糖尿病，还好八月份体检就发现了，前几天去医院做了糖耐和胰岛素释放测试，调整饮食，加强运动就行，不用吃药，我应该算糖尿病高危人群，高血压，高血脂，甲减，遗传，这些都和糖尿病脱不了关系


","barId":"1935","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":16},{"id":"25830","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"糖尿病人可以做造影吗","content":"

今天医生说我妈糖尿病15年了，血管肯定有问题了，让直接住院造影，不要门诊做CTA了。我总觉得不放心，想明天再换个医生问问糖尿病人可以做造影吗，大家怎么看


","barId":"1935","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":17},{"id":"2513","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"视力时好时坏要小心糖尿病","content":"

\"56cd1ad144c45.jpg\"/

前几天刘先生来看眼科，他说：“近几个月来眼睛看电脑有时清清楚楚，有时又模模糊糊。”

我问他：“你多大年纪了，是干什么的？”

他说：“今年35岁，业务推销。”

“喝酒吗？你体重近来有变化吗”

“就是经常喝酒，生活一点也不规律，近几个月好像还瘦了十多斤，而且容易疲劳。”

我给他检查发现好像后囊下皮质区有无数分散的灰色点状混浊。

我问他“你有糖尿病吗？”

“不知道，我父亲好像有糖尿病十年了，他经常服治疗糖尿病的药。”

“这样吧，你明天不吃早餐抽血验血糖。”

今天我刚上班他就把化验报告给我。“啊，血糖还不低啦，空腹血糖14.2mmol/L，糖化血红蛋白8.2%，你有糖尿病”。我告诉他。

“啊！我也有糖尿病，是糖尿病引起眼睛看东西模糊吗？”他有点惊讶。

我说：“是的，当血糖升高时，房水渗入晶状体内，使之更加变凸，形成近视。当血糖降低时，晶状体内水分渗出，晶状体变扁平，形成远视，所以你电脑有时清楚，有时模糊。近几个月你没有做体育锻炼，没有吃减肥药，体重减轻了十多斤，这也是糖尿病初期症状。因为在糖尿病初期症状时，血液内的葡萄糖不能被充分利用，从而使得糖尿病初期患者的体重突然减轻。”

我这么一说他的情绪一下就低落了，看上去他有些紧张。

我告诉他：“你也不要太着急，糖尿病是全球性疾病，目前全球糖尿病患者估计全球有1.2亿，有人预计到2025年全球糖尿病患者达3.8亿，我国是全球糖尿病患者人数最好多的国家之一，也是糖尿病患者增长最快的国家之一，目前我国至少有糖尿病患者2000万，尤其是北京、上海、广州等大城巿，糖尿病患病率高达8%左右。你只有控制好血糖，预防糖尿病的并发症也问题不大。”

“那我现在怎么办咧。”

“你去看内分泌科，控制好血糖，一般3个月来看看眼科，如眼睛有变化随时来找我。”我顺手递给他一张名片，告诉他我上班的时间。

“谢谢张教授。”他走出了诊室。

我看着他离去的背影，心想他要早点自己注意生活习惯，不饮酒或少饮酒，避免进甜食、高脂食品，多做运动，生活有规律性，也许他不会发病；如果发现体重变化快，视力变化快，也应该早点就医；如果他从现在起注意饮食、适当运动、药物治疗、加强血糖监测，也许可以防止或延缓并发症的发生和发展。


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我国有约50%的成人处于糖尿病前期。糖尿病前期就是血糖已经高于正常，但尚未达到糖尿病的诊断标准，包括空腹血糖偏高，和/或餐后血糖偏高。那么你知道血糖偏高但还不是糖尿病怎么控制血糖吗？本文找良医网为您详细解答！

\"血糖偏高但还不是糖尿病怎么控制血糖\" 

糖尿病前期人群是发生糖尿病的最危险人群，每年有6%~10%进展为糖尿病。因此，糖尿病前期人群要积极预防糖尿病。

 

积极预防糖尿病的好处不仅仅是可以不得或延迟得糖尿病，更可以延长寿命、减少糖尿病各种并发症。这是阜外医院内分泌和心血管病中心主任、中日友好医院内分泌首席专家李光伟教授研究团队的大庆研究30年的随访结果。

 

研究开始于1986年，共入选576例餐后血糖偏高（糖耐量受损）者，其中438例患者接受饮食和/或运动的生活方式改变的治疗。

 

经过6年积极生活方式治疗后，对受试者进行了长达30年的随访。

 

结果显示，与没有接受生活方式治疗的人相比，生活方式治疗使糖耐量受损人群的糖尿病发病时间延迟3.96年。

 

同时，生活方式治疗使糖尿病发生风险降低39%，心血管疾病发生风险降低26%，糖尿病微血管病变发生率降低35%，心血管疾病死亡率降低33%，总死亡率降低26%；平均预期寿命增加1.44年。

 

大庆研究告诉我们，不用吃药，单纯采取健康的生活方式就可以预防糖尿病、减少心脑血管疾病、延长寿命。

 

同时也告诉我们，血糖偏高者，虽然还不到糖尿病的诊断标准，也是时候开始行动了。早行动，早获益。

 

我国2型糖尿病防治指南也建议，糖尿病前期者者应通过饮食控制和运动以降低糖尿病的发生风险。具体目标为：

 

（1）超重或肥胖者体重指数（体重/身高2）达到或接近24 kg/m2，或体重至少下降7%；

（2）每日饮食总热量至少减少400~500 kcal（1 kcal=4.184 kJ）；

（3）饱和脂肪酸摄入占总脂肪酸摄入的30%以下；

（4）中等强度体力活动至少保持在150分钟/周。            

\"血糖偏高但还不是糖尿病怎么控制血糖\" 

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说！


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糖尿病人都会被医生提醒，忌口甜食，水果等，那么，糖尿病和吃甜食有关系吗？找良医网告诉你，得糖尿病和吃甜食的关系比较明确了。吃甜的多，得糖尿病的风险就高。甜饮料喝的多，得糖尿病的可能性也高。有很多研究已经说明了这一点。

 \"糖尿病和吃甜食有关系吗\"

还有研究称，如果在怀孕期间准妈妈吃甜食过多的话，孩子成年后患高血压、心脏病及糖尿病等疾病的风险较高。

 

糖尿病与饮食的关系非常密切。首先是吃的多、活动少的人容易得糖尿病。

 

另外，尤其要注意，主食与糖尿病的关系。吃的过细，比如吃细粮多，包括白米饭、面条、白面馒头等，就容易患糖尿病。甜食也在此列。

 

从专业角度讲，一个是升糖指数高的食物，一个是吃主食多，都与糖尿病有关。

 

中国人糖尿病发病率高的一个很重要因素，就是细粮吃的太多。甜食可以说是比细粮更坏的食物，升糖指数更高。所以主食要适量，且多吃粗粮，尽量不吃甜食、不喝甜饮料。

 

中国糖尿病人数正大幅上升，除主食因素外外，其他因素包括，体力活动大幅度减少、吃鸡蛋和红肉过多、吃快餐和外出就餐多、高盐高糖和高脂的零食越来越多、水果和蔬菜量不足、超重/肥胖人群增加等。        

 \"糖尿病和吃甜食有关系吗\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说！


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前一段时间胰岛素短效早中晚打16个单位睡前20单位，回到家里饮食清淡每天早晨早起坚持运动饭后运动，早中晚胰岛素每天都在减量打，医生说年后复查争取停止打胰岛素会越来越好，还不照样现在血糖控制正常范围内


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我都不打胰岛素了，现在7左右，不可能回复正常


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不要自暴自弃富贵病总比其它病要好，只要坚持运动饮食清淡一切稳定或者康复都会有机会，咱们应该一起努力坚持一个良好的习惯生活才是


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前一段时间胰岛素短效早中晚打16个单位睡前20单位，回到家里饮食清淡每天早晨早起坚持运动饭后运动，早中晚胰岛素每天都在减量打，医生说年后复查争取停止打胰岛素会越来越好，还不照样现在血糖控制正常范围内


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我都不打胰岛素了，现在7左右，不可能回复正常


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不要自暴自弃富贵病总比其它病要好，只要坚持运动饮食清淡一切稳定或者康复都会有机会，咱们应该一起努力坚持一个良好的习惯生活才是


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胰岛素怎么减量，有没有减量成功的糖友呢

 


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