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糖尿病 糖尿病

Overview

糖尿病 mellitus has become an epidemic in the United States with about 1 million people over age 20 diagnosed with the condition each year. 大约有1700万人,占美国人口的6%.S. 人口, 有糖尿病, 一种身体不能产生或不能正常使用胰岛素的疾病, 胰腺中产生的一种将糖转化为能量的激素.

糖尿病, 是美国第六大死因, 会导致严重的健康并发症,如失明吗, 肾功能衰竭, 神经损伤和下肢截肢的必要性. 除了, 糖尿病是心血管疾病的主要危险因素, 大大增加了患心脏病和中风的风险.

糖尿病的类型

糖尿病主要有三种类型:

1型糖尿病. 大约5%到10%的糖尿病患者患有1型糖尿病. 这是一种自身免疫性疾病, meaning the body's own immune system mistakenly attacks 和 destroys the insulin-producing cells in the pancreas. 病人 with type 1 diabetes have very little or no insulin, 和 must take insulin everyday. 尽管这种情况可以出现在任何年龄, 通常在儿童和年轻人中被诊断出来, 这就是为什么它以前被称为青少年糖尿病.

2型糖尿病. Accounting for 90 to 95 percent of those with diabetes, type 2 is the most common form. 通常, it's diagnosed in adults over age 40 和 80 percent of those with type 2 diabetes are overweight. 因为肥胖的增加, 2型糖尿病的诊断年龄越来越小, 包括儿童. 最初是2型糖尿病, 胰岛素就产生了, 但是胰岛素不能正常工作, 导致胰岛素抵抗. Eventually, most people with type 2 diabetes suffer from decreased insulin production.

妊娠期糖尿病. 妊娠期糖尿病是在怀孕期间发生的. 它在非裔美国人中更常见, 印第安人, 拉丁裔和有糖尿病家族史的人. 通常, 交货后就会消失, although the condition is associated with an increased risk of developing diabetes later in life.

我们治疗糖尿病的方法

UCSF offers comprehensive diabetes care founded on our cutting-edge research program. 作为联邦政府认可的糖尿病研究中心, we strive to quickly translate laboratory discoveries into improved treatments 和 even cures. We are one of the few medical centers in the nation that can perform islet transplants for type 1 diabetes, providing a temporary cure that allows many recipients to live diabetes free for the first time in their lives. U.S. 新闻 & World Report consistently ranks UCSF Medical Center among the top five hospitals in the country for diabetes care.

We complement medical care with a variety of 课程及工作坊 covering topics such as healthful cooking 和 exercise, 以及为糖尿病患者提供支持的网络. Our mission is to empower patients with the tools 和 information they need to lead full, 健康的生活.

探索我们所做的

截肢预防中心为困难病例提供了希望

对于有失去肢体危险的糖尿病患者, our specialists in numerous fields draw on groundbreaking research to offer cutting-edge care.

奖 & 识别

迹象 & 症状

If you think that you have diabetes, visit your doctor immediately for a definite diagnosis. 常见症状包括:

  • 尿频
  • 过度的渴望
  • 不明原因的体重减轻
  • 极度饥饿
  • 突然的视力变化
  • 手或脚刺痛或麻木
  • 很多时候感觉很累
  • 皮肤非常干燥
  • 愈合缓慢的疮
  • 感染比平时多

有些人可能只会遇到上面列出的几种症状. About 50 percent of people with type 2 diabetes don't experience any 症状 和 don't know they have the disease.

诊断

Your doctor will first ask about your medical history 和 perform a physical examination to check for 症状 of diabetes 和 high blood sugar. 糖尿病 usually is diagnosed with the following tests that measure the glucose levels in your blood:

  • 空腹血糖试验. 这是诊断1型和2型糖尿病的标准测试. You must not eat or drink anything for at least eight hours prior to this simple test in which blood is drawn to check your sugar levels. A diagnosis of diabetes will be made if you have a fasting blood sugar level of 126 milligrams per deciliter or higher on two separate days.
  • 其他测试. 糖尿病 also may be diagnosed based on a r和om high glucose level of 200mg/dl 和 症状 of the disease. 你的十大赌博平台排行榜可能希望你做一个口服葡萄糖耐量试验, 糖尿病的传统检测方法是什么.

治疗

The goal of diabetes management is to keep blood glucose levels as close to normal as safely possible. 因为糖尿病会大大增加患心脏病的风险 外周动脉疾病, measures to control blood pressure 和 cholesterol levels are an essential part of diabetes treatment as well.

糖尿病患者必须对自己的日常护理负责. 这包括监测血糖水平, 饮食管理, 保持体力活动, 控制体重和压力, 监测口服药物和, 如果需要, 胰岛素通过注射或泵使用. 帮助患者实现这一目标, UCSF's 糖尿病 Teaching Center offers self-management educational programs that emphasize individualized diabetes care. The program enables patients to make more consistent 和 appropriate adjustments in their therapy 和 lifestyle.

饮食管理和身体活动

Modifying eating habits 和 increasing physical activity are typically the first steps toward reducing blood sugar levels. 在UCSF医疗中心, all patients work with their doctor 和 certified dietician to develop a dietary plan. Our Teaching Center conducts workshops that provide patients with information on food nutrient content, 健康烹饪与运动.

胰岛素治疗

People with type 1 diabetes require multiple insulin injections each day to maintain safe insulin levels. 胰岛素也经常用于治疗2型糖尿病. 使用胰岛素泵是一种替代注射的方法. 泵大约呼机大小,通常系在腰带上. Insulin is delivered through a small tube (catheter) that is placed under the skin (usually in the abdomen).

胰岛素主要有四种类型:

  • 快速
  • 短效
  • Intermediate-acting
  • 长效

你的十大赌博平台排行榜会决定你的剂量和多久需要注射一次胰岛素. 没有标准的胰岛素剂量,因为它取决于你的体重等因素, 当你吃东西的时候, 你多久锻炼一次?你的身体产生多少胰岛素.

口服药物

Sometimes blood sugar levels remain high in people with type 2 diabetes even though they eat in a healthy manner 和 exercise. 当这种情况发生时,可能会开出药丸形式的药物. 药物以几种不同的方式起作用. 其中包括提高人体天然胰岛素的有效性, 降低血糖生成, 增加胰岛素分泌,抑制血糖吸收. 口服糖尿病药物有时与胰岛素联合服用.

进一步了解我们的 网上糖尿病教育课程及工作坊 在加州大学旧金山分校糖尿病中心.

加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only 和 is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.

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