(精选)【医学课件课件】2型糖尿病教学课件.pptVIP

Management of Type 2 Diabetes in the New Millennium ;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; ……” ;Greek medicine Aretaeus (130 – 200 AD) — continued “Hence the disease appears to me to have got the name of diabetes (a siphon), because the fluid does not remain in the body, but uses the man’s body as a ladder, whereby to leave it” ;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” ;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 ☆ 三餐前注射超短效胰島素配合睡前注射超 長效胰島素 ☆ 吸入型粉末性胰島素 ☆ 使用新型胰島細胞分離術和免疫抑制劑的 經皮穿肝胰島細胞移植 ☆ 利用對stem cell 的研究製造更多的胰島 細胞 ;The Triumvirate: β-cell, Muscle, and Liver 第二型糖尿病病因的三巨頭 ☆ β-cell : 病程初期胰島素分泌過多，後期 分泌不足 ☆ Muscle: 胰島素阻抗性大 ☆ Liver : 製造太多葡萄糖至血液裡 ;兩架各載滿250名乘客的客機在空 中相撞，死亡500人 ;這空中相撞意外每天發生 ;Both DC