2型糖尿病PPT.ppt

Management of Type 2 Diabetes in the New Millennium 黃中研 Starvation diet 處方 ◎病人早上7點入院，晚上7點出院 ◎每隔2小時輪流給病人1杯咖啡和 威士忌 Egyptian medicine 1550 BC Ebers papyrus provides the following remedy to “eliminate too plentiful urine” * Water from the bird pond 鳥塘的水 * Elderberry 接骨木的果實 * Fibers of the asit plant 植物纖維 * Fresh milk 新鮮牛奶 * Beer swill 喝剩的啤酒 * Flower of the cucumber 胡瓜花 * Green dates 綠棗 Greek medicine Hippocrates (460 - 377 BC) “ The amount of urine passed was great; it was not proportional to the amount drunk but considerably in excess …… the urine was also markedly bad …… in most cases these signs signified some wasting” Greek medicine Aretaeus (130 – 200 AD) “Diabetes is a wonderful affection, being a melting down of the flesh and limbs into urine …… the patient is short-lived, for the melting is rapid, the death speedy. Life is disgusting and painful; ……” Hindu medicine Samhitas (written in Sanskrit) described Iksumeha — sugar cane urine Madhumeha — honey urine Hindu medicine — continued — “The patient gradually loses strength, flesh and healthy glow of complexion” — “Advanced cases were complicated with abscesses, carbuncles, bad smelling breaths, and even loss of consciousness” Hindu medicine — continued “An idle man who indulges in day-sleep or is in the habit of taking sweet liquids or fat- making food, will ere long fall an easy victim of the disease” Type 2 diabetes mellitus ≠ hyperglycemia (dys) Metabolic syndrome — WHO definition by 1998 Type 2 diabetes or Impaired fasting glucose / impaired glucose tolerance or Normal glucose tolerance with insulin resistance plus any two of the following ◎ Hypertension ◎ Dyslipidemia ◎ Obesity ◎ Microalbuminuria It is never too late to learn,but sometimes it is too early…… 治療第一型糖尿病的新發展