Informationfortors_revised_April14给医生的信息-关于2型糖尿病逆转治疗技术分析.docx

此处替换为文档标题 同方股份有限公司 第  PAGE 5 页 共  NUMPAGES 5 页 INFORMATION FOR DOCTORS 给医生的信息 1. Diagnosis 诊断 The possibility of reversing type 2 diabetes relates specifically to this common form of diabetes. It is important to identify rare forms of diabetes, as they will not respond in the same way. 逆转2型糖尿病的可能性与这种常见的糖尿病形式有关。重要的是要找出罕见的糖尿病，因为他们不会以同样的方式做出反应。 a) Pancreatic Diabetes. Most commonly caused by chronic pancreatitis and rarely by haemochromatosis. The associated clinical features are likely to make this diagnosis evident. 一）胰腺糖尿病。最常见的引起慢性胰腺炎和很少的血色。相关的临床特征有可能使这种诊断明显。 b) Monogenic diabetes. Onset of diabetes in teens or early adult life, usually but not exclusively in slim individuals and with a very strong family history of diabetes. Although if individuals are overweight, blood glucose control may be improved by weight loss, beta cell function will not normalise as the specific genetic change cannot be reversed. b）单基因糖尿病。糖尿病的发病在青少年或成年早期的生活，通常但不完全是在苗条的个人和一个非常强大的家族病史的糖尿病。但如果一个人超重，血糖控制可以通过减肥改善，β细胞功能不正常化为具体的遗传变化是无法逆转的 c) Slow Onset type 1 diabetes. Typically individuals present with high blood glucose levels but appear to respond to diet. Despite adequate diet blood glucose levels rise relatively rapidly and insulin therapy is required within a few years. The presence of ketones+++ in the urine associated with hyperglycaemia may be a clue to diagnosis, but any recent hypocaloric dieting would also produce urinary ketones which merely reflect the healthy physiological mechanism. 1型糖尿病起病缓慢。典型的个人目前具有高血糖水平，但似乎对饮食作出反应。尽管有足够的饮食血糖水平上升比较迅速和胰岛素治疗是需要在几年之内。存在酮+尿中与高血糖可提示诊断，但任何最近的低热量节食还会产生尿酮这仅仅反映了健康的生理机制。 2. Significant Restriction of Food Intake 食物摄入量的限制 Most individuals will be able to reduce food intake substantially with no short or medium term risks to health. However iron status should be assessed and vitamin supplementation considered when prolonged hypocaloric dieting is undertaken. 大多数人将能够减少食物摄入量，基本上没有短期