好擔心,我係咪糖尿病呀?

2007-12-06 9:56 am
我最近喺政府醫院做左個叫OGTT測試,
醫生話我冇糖尿病,
但我返到屋企睇下個結果又有d懷疑,
個報告咁寫:
OGTT:6.4,3.9,4.5
我驗血當日一共抽左三次血,
第一次:空腹
第二次:飲糖水後一小時
第三次:飲糖水後二小時

係咪即係話我空腹時6.4, 但吾明點解飲完糖水後血糖仲低左,
係咪醫生搞錯左?

回答 (3)

2007-12-06 10:21 am
✔ 最佳答案
The blood glucose level in people have daily fluctuations and it is not unusual to have these changes, therefore it is unwise to make a diagnosis of diabetes based on just a single reading. Doctors would periodically screen for these common medical problems

The fasting(空腹) glucose level in normal subjects should be <5.6. Those within 5.6 - 7.0 is classified as Impaired Fasting Glucose. >7 suggests Diabetes Mellitus (糖尿病)
Impaired Fasting Glucose would be what we call a borderline case, not to the extent of 糖尿病, but sort of gives a signal for us to find out more. That's why the doctor ordered an OGTT, which is more specific in determining whether you have diabetes.
Other factors which affects 空腹 glucose includes whether you have really fasted overnight(or whether you have been naughty and had a snack in the morning)

OGTT means Oral Glucose Tolerance Test: done by drinking a standard amount of glucose solution(75gm glucose in 300ml water) and we usually look at the 2 hour level(2hr postpandrial). If the level is < 7.8, it is normal(Congratz, you are normal :P). If it is between 7.8 and 11.1, it is called Impaired Glucose Tolerance(IGT) and >11.1 would be Diabetes(糖尿病).

So you don't need to worry about diabetes~
But there are general health measures everyone should take to reduce the chance of heart attack or stroke~
They include:
1) Quit smoking
2) Exercise (30minutes 3-4 times per week, please, it really helps)
3) Weight reduction if overweight (BMI>25)
4) Control blood pressure (by medication and monitoring)
5) Good eating habits: regular eating habits, do not skip meals, reduce fat and cooking oil, avoid simple carbohydrates eg sweets, eat plenty of high fibre food eg whole wheat bread, apples etc
6) Regular medical followup~

Hope the above helps~
MBBS V student
2007-12-06 11:29 pm
dont be afarid
2007-12-06 10:48 am
1. 糖尿病是一種慢性疾病,由於胰臟的胰島素分泌不足或功效受障礙,血液內的葡萄糖不能轉化為能量,令血糖過高,這便是糖尿病。

2.併發症 : 可以誘發多種併發症,如冠心病、腎衰竭、白內障、視網膜病變等(可導致失明)、慢性皮膚潰瘍、組織壞死甚或要截肢等

3.糖尿病的治療
控制飲食:控制每天食物的總熱量吸收在某一範圍內。嚴重超重或患有糖尿病的人士可聽從醫生或營養師的指導,進食特定的減肥食譜。
適量運動:對於過重的病者可以協助減肥,亦可促進血液循環,減少併發症。
藥物治療:包括口服降血糖藥物及胰島素,必須按指示使用,以免產生不良反應。

肥胖因熱量的攝取多於熱量的消耗,運動.節食不是一個有效的減肥方法
一定要注意每一餐要吸收均衡的營養, 控制卡路里吸收及提升新陳代謝,
係冇做運動同節食情況底下,只係改善飲食習慣, 一個月都減左5磅 ,
但冇諗過長期便秘問題都解決埋!佢地個方法經濟又有效, 睇下幫唔幫到你,
www.yourhealthyshape.com/smilelan

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