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糖尿病的防与治你知道吗？

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Books Fitness & Health Prevention & treatment of common diseases

糖尿病的防与治你知道吗？

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☆一本预防、治疗并重的糖尿病红宝书，糖尿病*席专家的责任之作！
防：得了糖尿病就没有后悔药！但得糖尿病前有后悔药。有家族糖尿病史的人患病几率是一般人的2—4倍，杨文英主任为你画一条红线，远离糖尿病，其实也不难。
治：糖尿病不是幸福的终点，只要坚持用科学的方法调养、治疗，就可以不让生活质量因为患糖尿病而降低，并且可以与健康人一样长寿！
☆一本书常备做你的家庭医生，一个挂号让你与*席专家零距离，DINGJI品牌血糖仪及线上健康管理时刻为你的健康保驾护航！
赠品说明：
提前电话预约，可持本书到北京三诺健恒糖尿病医院接受杨文英主任亲自诊疗，免收挂号费，享受半年线上健康管理，更可获得杨文英主任亲笔签名，及价值800元的三诺血糖仪一台。

Content Description

糖尿病是一种世界性的流行疾病，不仅慢慢摧残患者的身体，打击患者的精神，而且还会掏空患者的钱袋。因此，充分认识糖尿病，尽早发现糖尿病的征兆，提前敲响警钟，进而达到预防糖尿病蔓延的目的，无疑具有造福患者的重要意义。

本书由《养生堂》当家主持人悦悦，对话中日友好医院内分泌科主任杨文英教授，当身为糖尿病高危人群一员的美女主持，遇到患糖尿病多年的糖尿病医生——她们用自己的切身经验告诉你：糖尿病可以预防，只要了解糖尿病的预防知识；得了糖尿病也能像正常人一样活出质量，活得长寿，只要运用科学的方法。

Author Description

杨文英，主任医师，教授，博士后导师；中日友好医院内分泌代谢病中心主任；亚洲糖尿病学会副主席；曾任中华医学会糖尿病分会主任委员；卫生部慢病咨询委员会委员，糖尿病组副组长；《中华糖尿病杂志》主编，现任荣誉主编；科技部国家863计划专家库专家，享受政府特殊津贴；中央保健委员会特聘专家。

先后荣获：2012年北京市科技进步一等奖，中华医学会科技进步二等奖；2012年度*guo卫生系统先进个人；2013年*届亚洲糖尿病学会（AASD）糖尿病流行病学奖；2015年第二届中华医学会糖尿病分会科学贡献奖。

悦悦，*接“地气儿”“的健康节目主持人；北京卫视金牌栏目《养生堂》《我是大医生》主持第27届中国电视金鹰奖主持人奖；2012年度中国电视艺术委员会“年度主持人”。

Catalogue

预防篇糖前期可以逆转
第一章糖尿病要早认识，才能早预防
糖尿病很“流行” ／ 3
揭开糖尿病的神秘面纱／ 5
糖尿病的四大类型／ 7
认识血糖和胰岛素／ 12
是谁升高了你的血糖？／ 16
糖尿病伤你有多深？／ 18
关于糖尿病的几点认识／ 28
第二章认识糖前期，预防糖尿病
你离糖尿病有多远？／ 35
糖尿病的诊断标准／ 39
糖耐量低减：糖尿病前期的危险警报／ 42
糖尿病可以预防吗？／ 45
合理监测血糖，明明白白生活／ 51
治疗篇糖尿病可以战胜
第一章糖尿病的饮食治疗
糖尿病可以战胜／ 61
科学饮食，战胜糖尿病／ 63
糖尿病患者在吃上的误区／ 76
糖尿病患者主食怎么吃／ 86
糖尿病患者蔬菜怎么吃／ 91
糖尿病患者水果怎样吃／ 94
糖尿病患者应该怎样吃肉／ 98
糖尿病患者怎么喝饮料／ 102
糖尿病患者怎么吃豆制品／ 106
第二章糖尿病的运动治疗
糖尿病运动疗法益处多／ 109
运动处方要量身定制／ 111
科学、合理地安排运动／ 116
当心运动不当反而适得其反／ 125
糖尿病足患者应如何运动／ 132
第三章糖尿病的药物治疗
科学用药，为糖尿病保驾护航／ 137
磺脲类药物—最早应用的口服降糖药／ 143
双胍类药物—效果好、安全性高的降糖药／ 150
α- 葡萄糖苷酶抑制剂类药物—餐后高血糖的克星／ 158
格列奈类药物—更智能的胰岛素促泌剂／ 163
肠促胰素类药物—智能降糖新突破／ 167
胰岛素治疗／ 170
第四章治疗糖尿病并发症
血糖控制好了，还会出现并发症吗／ 178
警惕！糖尿病并发症的17 个危险信号／ 181
糖尿病急性并发症／ 183
糖尿病慢性并发症／ 189

Book Abstract

糖耐量低减：糖尿病前期的危险警报
悦悦：杨主任，有一位患者说，体检时发现血糖偏高，被诊断为糖耐量低减。请问什么是糖耐量低减？糖耐量低减是糖尿病吗？应该怎么治疗？
糖耐量低减严格意义上说还没有达到糖尿病的诊断标准，但它却是警示患者即将发展为糖尿病的阶段，我们称之为糖尿病前期。告诉大家一个惊人的数字：我国糖尿病前期的人群正在以每年8%?10%的速度发展为糖尿病。
什么是糖耐量低减
人体糖耐量，通俗地说就是人体对葡萄糖的耐受能力。专科医生通常会对疑似糖尿病患者进行糖耐量测试，如果糖耐量试验服糖后2小时血糖为7.8 ?11.1毫摩尔/升，表明机体糖耐量能力减低，也就是说身体对糖的吸收和利用比正常人差了。
处于糖耐量减低阶段的人不会有明显的不适感，但如果细心留意，还是能够发现征兆，提前预警：有些人的饭量特别大，而且不能耐受饥饿。比如早晨吃过早饭，有的人不吃午饭也能挨到晚上，但有的人中午到了点不吃饭就饿得心慌、出汗、哆嗦，这些现象高度提示你有可能血糖已经不正常了。
哪些人需要特别注意糖耐量异常
以下提到的人群，需要高度关注：
1.有糖尿病家族史的人要注意，如果父母这一辈，甚至同胞兄妹这一辈有糖尿病，要警惕自己有可能发生糖耐量异常甚至糖尿病。
2.年龄也是一个很大的危险因素，建议40岁以后要关注自己的血糖，不管有没有家族史，每年空腹血糖查体的时候，或者每年做一些肝功、肾功检查的时候都要关注空腹血糖的点，如果超过5.6毫摩尔/升，应该做进一步的检查。
3.如果有家族史又比较偏胖，就很容易血糖不正常。
4.高甘油三酯的人非常容易同时合并血糖异常，如果你的历次检查中大夫曾经说过你的甘油三酯高，要特别注意检查血糖。
5.高血压，比如血压在140／90毫米汞柱以上，而且持续偏高，这种人也容易发生血糖不正常。
6.有些人经常坐着，不爱动，每天工作的时候坐着，回家仍然还是坐着。久坐族如果年龄超过40岁，就应该注意检查自己的血糖。
7.如果女性怀孕期间血糖不正常，或者虽然没有查过血糖，但生出的孩子超过4千克，这种人今后发生糖耐量异常、糖尿病的风险也特别高。
糖尿病前期的绝地反击
我曾经带领全国的糖尿病专家队伍做过一个调查：中国20岁以上人群有15%都处于糖尿病前期状态，即糖耐量低减阶段，但是因为几乎没有什么异常症状，所以很多人察觉不到。这个阶段是介于正常跟糖尿病之间的过渡阶段，它有个最大的特点：如果好好管理，血糖可以转为正常，逃脱糖尿病的魔咒；但如果不好好加以管理，任由其发展下去，就会转为糖尿病。因此，糖尿病前期是患者发起绝地反击的最后机会，把握好这个机会，就可以逆转病情，远离糖尿病的深渊；而错过了这个机会，就要一辈子与糖尿病相伴了。
一般来说，糖耐量低减的人应用饮食和运动进行调节，无效时才会介入药物治疗。现在市面上常见的针对糖耐量低减的药物被称为抗高血糖药物，常用的有二甲双胍、噻唑烷二酮类药、α-葡萄糖苷酶抑制剂等。这些药物主要是分别通过改善胰岛素抵抗，增加患者的葡萄糖移出率及胰岛素敏感指数，并降低空腹及餐后胰岛素水平。通过减慢双糖和淀粉类复合糖转变为葡萄糖，从而降低餐后高血糖。
正常人每日盐摄入量应该在6克左右，糖耐量低减的人则应该控制在5克以内。其实所有的调味料都应该尽量少放，过重的调味会促进食欲，增加摄入的糖分，不利于血糖的控制。
……

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