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Jingdong book

新编糖尿病防治指南

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Books Fitness & Health Prevention & treatment of common diseases

Jingdong book

新编糖尿病防治指南

Name: 新编糖尿病防治指南
Brand: Jingdong book
SKU: 3120003511
Price: 23.42 USD
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《新编糖尿病防治指南》由中国中医研究院西苑医院糖尿病专家陈艳主任医师主纷。全书以问答形式阐述了糖尿病的病因、临床表现、诊断、实验室检查、自我检测等内容至点介绍了糖尿病的饮食疗法、口服降糖药和胰岛素治疗、运动疗法、中医治疗、常见并发症防治及糖尿病教育与护理等知识。《新编糖尿病防治指南》内容丰富，深入浅出，语言通俗，实用性强，适合糖尿病患者及基层医务人员阅读。

Catalogue

一、基础知识
1．胰岛激素从哪里来？有何生理功能？
2．什么是糖尿病？
3．什么是1型糖尿病？
4．什么是2型糖尿病？
5．什么是LaDa糠尿病？
6．什么是线粒体基因突变糖尿病？临床有何特点？
7．糖尿病如何分型？1型、2型糖尿病各有何特点？
8．什么叫蜜月期？为什么在蜜月期胰岛素需求量减少？
9．青春期对1型糖尿病有何影响？
10．1型糖尿病患者能突然停用胰岛素吗？
11．为什么城市居民糖尿病的发病率比农村高？
12．糖尿病会遗传吗？
13．什么叫血糖？血糖浓度是如何维待的？
14．什么叫肝糖原？肝糖原从哪里来？什么叫糖异生作用？有何意义？
15．如何理解“初相胰岛素分泌”？其临床意义是什么？
16．糖尿病患者三天不吃饭空腹血糖会降低吗？不规律饮食危害性有哪些？
17．引起糖尿病患者血糖开高的原因有哪些？高血糖有何危害性？
18．积极控制餐时高血糖有何重要意义？
19．如何理解糖耐量增龄变化？
20．为什么糖耐量减低者易患心血管疾病？
21．什么是正常糖耐量？什么是糖耐量减低？
22．糖耐量减低是糖尿病吗？
23．何谓肥胖症？与糖尿病有何关系？
24．何谓胰岛素抵抗？肥胖型糖尿病患者易产生胰岛素抵抗吗？
25．什么是胰岛素抵抗综合征？
26．吸烟对胰岛素敏感性有影响吗？
27．何谓苏木杰反应？何谓黎明现象？苏木杰反应和黎明现象有何不同？
28．糖尿病有哪些危害？
29．糖尿病的发病形式有几种？
30．气候变化能引起糖尿病病情反复吗？
31．糖尿病患者的主要死因是什么？
32．糖尿病患者是否可以结婚？婚后能否怀孕？
33．糖尿病能根治吗？

二、糖尿病的病因、病理及临床表现
34．西医如何认识糖尿病的病因？
35．中医如何认识糖尿病的病因？
36．糖尿病的诱发因素是什么？
37．1型、2型糖尿病的发病原理是什么？
38．糖尿病的主要症状是什么？
39．糖尿病有哪些早期信号？
40．糖尿病患者都有自觉症状吗？
41．为什么有的糖尿病患者出现消瘦？有的出现肥胖？有的呈高胰岛素血症？

三、糖尿病的实验室检查与自我检测
42．血糖的测定方法有哪些?为什么血糖值有差别?
43．空腹、餐后全血血糖与血浆血糖正常值各多少?
44．什么叫糖尿?何谓肾糖阈?肾性糖尿是怎么回事?
45．怎样使用尿糖试纸?
46．测24小时尿糖定量怎样留尿标本?
47．什么是四段尿?
48．什么是四次尿糖?
49．尿量与尿糖有什么关系?
50．尿量和尿次的变化与胰岛素治疗有何关系?
51．什么是糖化血红蛋白?其临床意义是什么?
52．胰岛素强化治疗对控制糖尿病并发症有何意义?糖化血红蛋白与平均血糖水平的关系怎样?
53．什么是胰岛素释放试验?有何临床意义?
54．什么是C肽?C肽测定有何临床价值?
55．怎样留取C肽测定标本?注意事项是什么?
56．哪些患者适合做静脉葡萄糖耐量试验?
57．影响口服葡萄糖耐量试验的因素有哪些?
58．口服葡萄糖耐量一胰岛素释放试验如何测定?
59．血液流变学检查包括哪些内容?有何临床意义?
60．什么是酮体?如何自查尿酮体?
61．酮尿症与酮血症的关系如何?
62．糖尿病酮症酸中毒时的检验指标有何异常?
63．糖尿病患者在哪些情况下要注意检查尿酮体?
64．为什么糖尿病患者要查血脂?
65．尿蛋白定量的临床意义是什么?
66．为什么糖尿病患者要定期检查肝、肾功能?
67．为什么肝功能不全时胰岛素用量随之波动?肾功能不全时胰岛素用量减少?
68．在什么情况下容易出现尿糖阳性而血糖正常?
69．为什么有的糖尿病患者血糖增高而尿糖为阴性?
70．自我监测血糖和尿糖有哪些好处?
71．糖尿病患者怎样自我监测血糖?监测血糖有什么重要性?
72．糖尿病患者怎样自我监测尿糖?尿糖测定时应该注意什么?
73．糖尿病控制的化验标准是什么?

四、糖尿病的诊断
74．糖尿病的诊断包括哪些内容?
75．世界卫生组织诊断糖尿病的标准是什么?糖耐量异常标准是什么?
76．美国糖尿病学会诊断糖尿病的标准是什么?与世界卫生组织的诊断标准有何区别?
77．美国卫生实验院的糖尿病诊断标准与世界卫生组织的有什么不同?
78．我国诊断糖尿病的标准是什么?
79．兰州会议制定的糖耐量诊断标准与修订后标准有何不同?
80．如何诊断老年性糖尿病?
81．诊断老年性糖尿病时应注意什么?
82．儿童糖尿病与成人糖尿病有何不同?儿童糖尿病的诊断标准是什么?
……
五、糖尿病的饮食疗法
六、糖尿病口服降糖药的治疗
七、糖尿病的胰岛素治疗
八、人工胰岛和胰岛移植
九、糖尿病的运动疗法
十、糖尿病的中医治疗
十一、糖尿病急性并发症及防治
十二、糖尿病慢性并发症及防治
十三、糖尿病的其他并发症及防治
十四、糖尿病教育与护理
附录

Book Abstract

引起低血糖后的高血糖反应，即苏木杰反应。重症糖尿病患者停用胰岛素后，或药物剂量不足，由于高血糖引起高渗性利尿及脱水，血容量减少，刺激肾上腺分泌，而产生反应性高血糖。
（5）出现黎明现象时，血糖升高。
（6）产生胰岛素抵抗时，血糖升高。
（7）并发各种感染时，可引起血糖升高，如感冒，泌尿系统感染等。
（8）辅助药物，如利福平等，亦可使血糖增高。
高血糖对人体的主要危害有：
（1）高血糖时，产生高渗性利尿，尿糖、尿量显著增多，严重者可引起机体脱水，甚至发生高渗性非酮症糖尿病性昏迷，以至危及生命。
（2）随着大量液体的排出，体内的电解质也随之排出，引起水、电解质紊乱，极易并发各种急性并发症。
（3）血糖增高，不断刺激胰岛β细胞分泌胰岛素，而且长期的刺激可使p细胞功能衰竭，而加重糖尿病病情。
（4）长期的高血糖，易使糖尿病并发各种感染，使病情难以控制。
（5）长期的高血糖使全身各脏器及组织发生病理改变；常见的有：①血液中葡萄糖浓度很高，但由于缺乏胰岛素，葡萄糖不能被细胞利用，组织细胞中缺乏葡萄糖，脂肪及蛋白质分解加速。②全身广泛的毛细血管管壁增厚，管腔变细，红细胞不易通过；组织细胞缺氧。③肾脏出现肾小球硬化，肾乳头坏死等。④眼底视网膜毛细血管出现微血管瘤，眼底出血、渗出等。⑤神经细胞变性，神经纤维发生节段性脱髓鞘病变。⑥心、脑、下肢等多处动脉硬化。高血糖常伴有高脂血症，冠状动脉、脑血管及下肢动脉硬化比一般人发生早，而且严重。

Introduction

糖尿病是仅次于心血管疾病和癌症之后的世界第三大疾病。据世界卫生组织（WHO）1997年报道，全球有1.25亿糖尿病患者，估计2025年将增加到3亿。中国是拥有世界第二大糖尿病患者人群的国家，1994年糖尿病患者就达2千万，到2002年全国糖尿病患者已达到4千万。目前我国糖尿病的患病率高达3.21％，并呈递增趋势。仅大城市的患病率就达5％～6％，其中一半被医师确诊患有糖尿病，而一半糖尿病患者未到医院接受检查，进行糖尿病的诊断。糖尿病容易发生各种并发症，常可导致心、脑、肾、神经及眼等多脏器损害，严重威胁人们的健康。基于上述情况，我们编写了《新编糖尿病防治指南》一书。
全书共分14个部分。第一部分概述了糖尿病的基础知识及其研究新进展。第二至第四部分介绍了糖尿病的病因、临床表现、实验室检查、自我检测及糖尿病诊断，并强调如何自我监测，以便早期发现糖尿病迹象，避免误诊、漏诊。第五至第十部分系统阐述了糖尿病饮食疗法、口服降糖药及胰岛素治疗、人工胰岛和胰岛移植、运动疗法、中医治疗等内容，重点介绍了近年新出现的口服降糖药的治疗特点；还强调了胰岛素治疗的必要性，充分展现了糖尿病治疗新进展。第十一至第十四部分重点介绍了糖尿病并发症的防治，主要对人们关心的实用性内容进行了解答。
本书内容丰富，深入浅出，语言通俗，实用性强，适合糖尿病患者与基层医务人员阅读。
由于我们的水平有限，书中不妥之处在所难免，恳请广大读者批评指正。

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