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诊断误区:在临床工作中,发现绝大多数糖尿病患者得病几年或几十年,只做过空腹血糖、尿糖的检查,就认为糖尿病已经确诊,开始服用降糖药,其实这是错误的.现代医学认为,糖尿病是一种内分泌代谢紊乱性疾病,由于胰岛素绝对或相对不足所引起的糖、脂肪和蛋白质代谢失常.血糖、尿糖增高只是糖尿病的标,其根本在“胰岛功能低下”.所以诊断糖尿病的客观指标是胰岛素释放试验、C-肽兴奋试验,有条件的还可以检查胰岛素受体结合率.通过以上的试验可以确定糖尿病是Ⅰ型还是Ⅱ型,病情稳定与否,病程属轻度、中度还是重度,对于治疗和预后起着重要的指导作用.需要特别指出的是:糖耐量试验、胰岛素释放试验、C-肽兴奋试验一定要同时做.这样便于诊断对照观察,确切了解病情,避免误诊、误治.
Diagnostic errors: In clinical work, found that the vast majority of diabetic patients get sick for several years or decades, only done fasting blood glucose, urine sugar check, that diabetes has been diagnosed, began taking hypoglycemic agents, in fact, this is wrong Modern medicine believes that diabetes is a disorder of endocrine and metabolic disorders, due to absolute or relative lack of insulin caused by metabolic disorders of sugar, fat and protein.Only high blood sugar and urine glucose is the standard of diabetes, which is fundamental in the “islet dysfunction” Therefore, the objective indicators of diabetes diagnosis is insulin release test, C-peptide excitability test, conditional insulin receptor binding rate can also be checked by the above test can determine whether diabetes is type I or type II, the disease is stable or not, the duration Is mild, moderate or severe, for the treatment and prognosis plays an important guiding role .Need to be specifically pointed out that: glucose tolerance test, insulin release test, C-peptide excitability test must be done at the same time. This is easy to diagnose the control observation, Exact understanding of the disease, to avoid misdiagnosis, mistreatment.