tag:blogger.com,1999:blog-32668365361436665342024-03-18T11:03:47.211+08:00余宜叡醫師 糖尿病 減肥 體檢 暖醫與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comBlogger1645125tag:blogger.com,1999:blog-3266836536143666534.post-54617041957993966502024-03-09T11:30:00.004+08:002024-03-09T11:30:14.850+08:00善用胰島素 血糖穩文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj6aDmiXAzWvlC7BZzDAkyMZswPlnPKzVrqAnI_rCJb8dxV8Y9jShVWLiOu9MD8MtLuPPDw1nQ_xhM2IrZoLfDCOqE9yqDy1wXv2WIfxaN6iYEY_ce4jJ8uPk7fiBtNsbV77sFDyDPaZhbHaNhngNbONnDzwi1BBFZG_-fmcqcP2AqmYItSWZZK8SDV0Vta/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj6aDmiXAzWvlC7BZzDAkyMZswPlnPKzVrqAnI_rCJb8dxV8Y9jShVWLiOu9MD8MtLuPPDw1nQ_xhM2IrZoLfDCOqE9yqDy1wXv2WIfxaN6iYEY_ce4jJ8uPk7fiBtNsbV77sFDyDPaZhbHaNhngNbONnDzwi1BBFZG_-fmcqcP2AqmYItSWZZK8SDV0Vta/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_01.PNG" /></a><br /><br /><br />「謝謝基層前輩的推薦分享糖尿病治療這部分」 <br /><br />「搭配個案印證「善用藥,血糖穩」」 <br /><br />「裡面還是有許多要注意與衛教的地方」<br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhw-jJPvKCPSuOPj-yq_eA9_mQSD35niihKw7Jn4_ZmBZefmSZEalThEFOuFfadlK4SgtH1MtQXFOvyoWF4WPuvaKrVP7WSKQu9UjmagAVzVMcwEnnLbjV7qjoijLBjrGc1mhxiL85qj7xxGiZLwvwtT4lGzheeEhc66eXWiqz_agapBoHy6wupon1v0zkc/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhw-jJPvKCPSuOPj-yq_eA9_mQSD35niihKw7Jn4_ZmBZefmSZEalThEFOuFfadlK4SgtH1MtQXFOvyoWF4WPuvaKrVP7WSKQu9UjmagAVzVMcwEnnLbjV7qjoijLBjrGc1mhxiL85qj7xxGiZLwvwtT4lGzheeEhc66eXWiqz_agapBoHy6wupon1v0zkc/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_02.PNG" /></a><br /><br /><h3 style="text-align: left;">醫師公會 </h3><br />很高興的第一次在彰化縣醫師公會演講,其實之前經常帶著孩子參加彰化縣醫師公會的出遊,留下許多美好的回憶,而這次是來分享胰島素實務,也很謝謝基層前輩的推薦分享糖尿病治療這部分。 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmpJCUbcpBcYQpRgHBuWADTZNOcZvU1VzGj3aehlu_YRUCJd-yLqkms5aOJJK6VVSJKNQCkmyngfYOgadoFfWnrAO10JSCkW993AqRHiqjvr-Ykr88QGjR-2nYlrrMny8YgmANh5llTCvefabWmIWpthSR1H2OIXMQi4dX3_jd9XSwXaviuZsal30RC6ew/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmpJCUbcpBcYQpRgHBuWADTZNOcZvU1VzGj3aehlu_YRUCJd-yLqkms5aOJJK6VVSJKNQCkmyngfYOgadoFfWnrAO10JSCkW993AqRHiqjvr-Ykr88QGjR-2nYlrrMny8YgmANh5llTCvefabWmIWpthSR1H2OIXMQi4dX3_jd9XSwXaviuZsal30RC6ew/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_03.PNG" /></a><br /><br /><div><h3 style="text-align: left;">個案印證 </h3><br />講述糖尿病與胰島素的臨床重點,搭配個案印證「善用藥,血糖穩」,而且可以穩定非常非常久,可能三至五年後加藥,甚至還有機會緩解糖尿病,減少胰島素劑量或口服藥,不過這也需要患者的好好配合,願意與醫療團隊一起努力。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAcjy6XbepDimMD5YMtZ4m0-dw1bl_oit4DPZvy_SKYQvMwlIN4keKKs0ggvm0QXiW-PEgy1Q38K-fl8V_kUw8hNinIyz66wDR2txN5UUmr4xnOyDGZWtYVnLWAjQCBVOCtEBGRiUk8mEV-iv0MXxt04OBCl8sfWf82hyphenhyphent2uJ5EtxX1rvDi-EUdxt1tSBe/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAcjy6XbepDimMD5YMtZ4m0-dw1bl_oit4DPZvy_SKYQvMwlIN4keKKs0ggvm0QXiW-PEgy1Q38K-fl8V_kUw8hNinIyz66wDR2txN5UUmr4xnOyDGZWtYVnLWAjQCBVOCtEBGRiUk8mEV-iv0MXxt04OBCl8sfWf82hyphenhyphent2uJ5EtxX1rvDi-EUdxt1tSBe/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_04.PNG" /></a><br /><br /><h3 style="text-align: left;">沒有絕對 </h3><br />基礎胰島素的初次給予,若是遇到血糖很高的患者,其實可以再往上調一些,沒有絕對的數字,同時也要看你配合那些口服藥,另外也要考慮有時就是這個高血糖,患者真心真意的改變生活型態,若是使用太高劑量的胰島素,很容易發生低血糖。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3X4zynPryR3LXHOU-YAnSssDVAgPAINd5ZcgIHsC2iuu0XVaBETIBJHkBsV9pU-zz5NxzrNTyvoIn4qQqKUJRTYFZ9Y6XR2EmbHx2FEwGmaJq0wYbYNS1Tig2nkDq7t_KUfT4lSU5XDE1slddo_STAtqQUpSDd2IGA_llReVAfVg17iOYhQI_a7LAZ99U/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3X4zynPryR3LXHOU-YAnSssDVAgPAINd5ZcgIHsC2iuu0XVaBETIBJHkBsV9pU-zz5NxzrNTyvoIn4qQqKUJRTYFZ9Y6XR2EmbHx2FEwGmaJq0wYbYNS1Tig2nkDq7t_KUfT4lSU5XDE1slddo_STAtqQUpSDd2IGA_llReVAfVg17iOYhQI_a7LAZ99U/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_05.PNG" /></a><br /><br /><h3 style="text-align: left;">前期因應 </h3><br />其實很多人都已經糖尿病前期,但卻不知如何因應,直接分享個人的處置與建議,飲食與運動介入外,於適當的時機用藥,可以有效延緩糖尿病前期的進展;回答這些問題,有些回應是濃縮經驗做簡短分享,但其實裡面還是有許多要注意與衛教的地方,畢竟醫療端做足衛教,患者端才能少不適地治療。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfarUxyb5WzKAbNyPkJraNUlZDpJmzjE5WV669ZejDLIdGHe6I_j1_uVfcc9Me4rMWvGykIb10PM0TK-tshfU0E80FKp7XxOJU_rwcfIlqR83S_VpHl-SLBHDUGtCCUK-YXJKSoX68pVioMXA-QQc1rP5EzKEJbBHZcS0HXilGrEp0llSzYJwgMpoCDqFo/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfarUxyb5WzKAbNyPkJraNUlZDpJmzjE5WV669ZejDLIdGHe6I_j1_uVfcc9Me4rMWvGykIb10PM0TK-tshfU0E80FKp7XxOJU_rwcfIlqR83S_VpHl-SLBHDUGtCCUK-YXJKSoX68pVioMXA-QQc1rP5EzKEJbBHZcS0HXilGrEp0llSzYJwgMpoCDqFo/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_06.PNG" /></a><br /><br /><h3 style="text-align: left;">學習才會 </h3><br />仍有前輩不知排糖藥是什麼,當下也盡力讓前輩知道排糖藥有那幾種可以選擇。有學才會,沒有學不會,本來就是正常的,不過學沒到位就擅用藥,這將會是一場災難,提醒自己不要成為這樣的醫師。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSl9iEwQBRAApjD58t4Fu43FGZczUvvTEQMy9Kk-mejwPfLrezphT9kGRxJiFHOr6kUIXLqrnNe_ZNgNNDyPvPZwi_qmHY-SiyJDwwr0l9-d-aPcGvIYnMF0LsNkiO1rp2tN2HWSwRK1aN_3-IPexttsnTBpJF4fuxf92w8MrIoNiWBRCW4VZyiqVw9rLq/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSl9iEwQBRAApjD58t4Fu43FGZczUvvTEQMy9Kk-mejwPfLrezphT9kGRxJiFHOr6kUIXLqrnNe_ZNgNNDyPvPZwi_qmHY-SiyJDwwr0l9-d-aPcGvIYnMF0LsNkiO1rp2tN2HWSwRK1aN_3-IPexttsnTBpJF4fuxf92w8MrIoNiWBRCW4VZyiqVw9rLq/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_07.PNG" /></a><br /><br /><h3 style="text-align: left;">願意多付 </h3><br />即使當其他醫師糖尿病後線的救火隊,也不會得到比較多的給付,但累積經驗,努力爭取合理的報酬,如果能讓學生有成就感地成績進步,學費多收一點,相信很多父母都會覺得值得,同樣的情況,也希望如果能讓患者更有生活品質地與糖共舞,診治療費多收一點,相信很多子患者子女都會覺得值得!最後很謝謝從住院醫師就很認真的可欣學妹專程前來聆聽,以及PGY學弟前來聆聽<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLWdDWXLP9dsQTuukKNK6-bxMCi0vUETToi306Foc4X_x6L5QBlBr7oBKXR4KlwX7F-kuwiEEL0ehYpjc06QXzGKJn1KKNpP9X-VS1_nMVqt9n03xK2VBQy_gASwsU0i2YgdZ4gNBOv_-qwXYjLlp12zUr1MtlcC4TTPOVzSJjJyHMhNHGxCrZkj5zYznP/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_08.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiLWdDWXLP9dsQTuukKNK6-bxMCi0vUETToi306Foc4X_x6L5QBlBr7oBKXR4KlwX7F-kuwiEEL0ehYpjc06QXzGKJn1KKNpP9X-VS1_nMVqt9n03xK2VBQy_gASwsU0i2YgdZ4gNBOv_-qwXYjLlp12zUr1MtlcC4TTPOVzSJjJyHMhNHGxCrZkj5zYznP/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%83%B0%E5%B3%B6%E7%B4%A0_insulin_tresiba_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_08.PNG" /></a></div></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2024/01/thought-after-202401-januvia-sharing-04.html">善用藥 血糖穩</a></div><div><a href="https://dmcaretw.blogspot.com/2024/03/thought-after-202403-dpp4i-and-metformin-sharing-04.html">提升團隊的血糖藥認知</a></div><div><a href="https://dmcaretw.blogspot.com/2024/03/thought-after-202403-obesity-case-sharing.html">有效開心的體重管理</a></div><div><a href="https://dmcaretw.blogspot.com/2024/03/thought-after-20240222-zoster-vaccine-sharing-04.html">有效預防,皮蛇不再</a></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-31619081256996226832024-03-09T10:29:00.011+08:002024-03-09T10:31:02.940+08:00有效預防,皮蛇不再文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZmTc-b9u-nmgQGadBXY5PklpXheszOWXBAvZIQiaoeeRe4-ExJGxeKFMtA5vZKk2VnHqEWd_VDwKUmDQpT0zj192Wpt6xyGOOFRCiabn80ju275rBv4HL3zUAgKlJkZMfeaR9zFUsNELfin6bj8YLRv3l2zBjTGTi-Dp1auMbxt8AIUCYAJDr-AKT3V-z/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZmTc-b9u-nmgQGadBXY5PklpXheszOWXBAvZIQiaoeeRe4-ExJGxeKFMtA5vZKk2VnHqEWd_VDwKUmDQpT0zj192Wpt6xyGOOFRCiabn80ju275rBv4HL3zUAgKlJkZMfeaR9zFUsNELfin6bj8YLRv3l2zBjTGTi-Dp1auMbxt8AIUCYAJDr-AKT3V-z/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_01.PNG" /></a><br /><br /><br />「分享實際的情況,得到提問人會心的一笑」 <br /><br />「在糖尿病治療時,實務上如何推廣疫苗」 <br /><br />「接種更好的疫苗,減少疾病發生」 <br /><br /><a name='more'></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4tJ8iTtTAibZmGJy5P4YDtbqBdsEfMHUAwBwFwOdnRj9uHCBw3B-4etBRjpGMDJne-FGuot5qPjQrHtUkwCbj83SZtuQSfQnGuC6-jXjQxr_X0LPuxNzS42APL_5qmOH-TDyvBM1P9-L1_qJILuFJz-vXKkXmv1Dn_BIh7BBGS7-R2xb0QkjIDSay_dDD/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4tJ8iTtTAibZmGJy5P4YDtbqBdsEfMHUAwBwFwOdnRj9uHCBw3B-4etBRjpGMDJne-FGuot5qPjQrHtUkwCbj83SZtuQSfQnGuC6-jXjQxr_X0LPuxNzS42APL_5qmOH-TDyvBM1P9-L1_qJILuFJz-vXKkXmv1Dn_BIh7BBGS7-R2xb0QkjIDSay_dDD/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_02.PNG" /></a><br /><br /><h3 style="text-align: left;">會前交流 </h3><br />一開始討論到,我們這裡的患者和都會區的患者不一樣,不一定有經濟能力負擔此疫苗,醫師則分享實際的情況,得到提問人會心的一笑,因為其實主要是看你如何衛教與解說,提高疫苗的認同感與價值感。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrUMpcKX7-v6pkIOKHAnDYoi67J4ma5qWgs8g4te7yfQ28jaQ02FQrWQwm80O52ehi9-IVnbdRUT6_SL_u6lSM4g38eEpKahU20MrrNveMpgsYW1t8-QP7gcg85jJs3BiNJiOgoMpcsL8HGmmslpvYD59YA1lnGhcRiFUXsUsJjizoUSZmxQoI4magoQP_/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrUMpcKX7-v6pkIOKHAnDYoi67J4ma5qWgs8g4te7yfQ28jaQ02FQrWQwm80O52ehi9-IVnbdRUT6_SL_u6lSM4g38eEpKahU20MrrNveMpgsYW1t8-QP7gcg85jJs3BiNJiOgoMpcsL8HGmmslpvYD59YA1lnGhcRiFUXsUsJjizoUSZmxQoI4magoQP_/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_03.PNG" /></a><br /><br /><h3 style="text-align: left;">回應患者 </h3><br /> 當然如果連我們醫療人員都不能認同的話,其實推廣或衛教總是會少那一份真切需要感。此外提問疫苗接種會有副作用,其實自己的經驗,有時還是會得到患者回饋說:「醫師,上次打那個疫苗很不舒服」但以利大於弊的角度跟患者衛教,大部分的患者都能接受。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTPW0iQRvDdJ1JWB_JjMH2XybJjnyH__pUF5JceTfD_CBNkVGURFUwlephLIA9du8Br57ONkIjkQl63OWnHSj5Ra1zR9sF7Ic31iav8UtaKBh6NlBfYl2vvKVbx6MOqCtTxSRSjg5P8bdcRH4sz7dxGnj6ThHnF__GRzZCH7wLlWa9Net3I9UEGfuPgOtO/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTPW0iQRvDdJ1JWB_JjMH2XybJjnyH__pUF5JceTfD_CBNkVGURFUwlephLIA9du8Br57ONkIjkQl63OWnHSj5Ra1zR9sF7Ic31iav8UtaKBh6NlBfYl2vvKVbx6MOqCtTxSRSjg5P8bdcRH4sz7dxGnj6ThHnF__GRzZCH7wLlWa9Net3I9UEGfuPgOtO/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_04.PNG" /></a><br /><br /><h3 style="text-align: left;">實務分享</h3><br />一樣的主題,不同的著重處。除了分享適合接種族群外,加強了糖尿病患者這族群,分享在糖尿病治療時,實務上如何推廣疫苗,回應患者問題,以及從分享的研究重點中,建立接種疫苗的正確心態。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmGw6DAkbOsjZ3u6J1AMyoS3JfHW-LVhFiv9YjMgkk1mpSY7NqRwYHnVuuxoOJ_u-JbSAZoOEYaUTHk-JK8b_ByTJ-LTYw9gQHgdANAMFLMdEfZfXpEWfJaK-Zy7ATIS2CzET8RuQQjLMgNwm2u5ZGhYGpTjxyecpWD8WJyq5XQFYher0povyt-0kKN6qL/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmGw6DAkbOsjZ3u6J1AMyoS3JfHW-LVhFiv9YjMgkk1mpSY7NqRwYHnVuuxoOJ_u-JbSAZoOEYaUTHk-JK8b_ByTJ-LTYw9gQHgdANAMFLMdEfZfXpEWfJaK-Zy7ATIS2CzET8RuQQjLMgNwm2u5ZGhYGpTjxyecpWD8WJyq5XQFYher0povyt-0kKN6qL/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_05.PNG" /></a><br /><br /><h3 style="text-align: left;">值得使用 </h3><br />很高興打過舊型的疫苗的與會醫師,聽講後想接種新型的疫苗。預算許可的情況下,請讓自己、自己的親友或患者,接種更好的疫苗,減少疾病發生,提升生活品質,有效預防,皮蛇不再;就如同治療糖尿病的思維一樣,讓自己、自己的親友或患者,使用更好、更穩定、更有生活品質的好藥,血糖達標,與糖共舞! <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcNtzGQIirmFFfhiLgsb6-ZPNFMG2nEzNqu0VIwFKLWT_-9vpDzOLdKV7Sy2ryKvXi6rIFHygqu2ffZJ8iV0yiROpVwEG-OubquoovDwfBlvpTqjwxQMjuRTgoHrgMQbIIYswCz_yx-RjprMDWFGoeJKQDGCn1c1tOKXsICvPDCZNtpB3mqxPas36Niod2/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcNtzGQIirmFFfhiLgsb6-ZPNFMG2nEzNqu0VIwFKLWT_-9vpDzOLdKV7Sy2ryKvXi6rIFHygqu2ffZJ8iV0yiROpVwEG-OubquoovDwfBlvpTqjwxQMjuRTgoHrgMQbIIYswCz_yx-RjprMDWFGoeJKQDGCn1c1tOKXsICvPDCZNtpB3mqxPas36Niod2/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_06.PNG" /></a><br /><br /><h3 style="text-align: left;">會後交流 </h3><br />會後交流到醫療群的評分越來越嚴格,以及對外科系的開業醫師不甚公平,因為醫療群的分數大部分需內科取分…不同區域,醫療生態有趣地不一樣,連不健康的行為也是…大膽設定新目標,積極規劃、招募合適人才、提升團隊動力、不忘共好…等,這是研討會額外的學習與收穫。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCc-tn2_fv53eSA4YBCv79wSEU2a8eGQ3ragZ8WQCpMXOuzVpv-poLhzAEJF9xALqnxICsiOHZ0n2LFF1iZa-0N87bWEy561omeQ650A5CjZpbwcIVGKZN5JxylRR_kZLF_0UOaxESVc3P0F4jNrz49qztZrJSigBGK6m9mbRPwZSIivtmsewvwJa-Z1ZO/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCc-tn2_fv53eSA4YBCv79wSEU2a8eGQ3ragZ8WQCpMXOuzVpv-poLhzAEJF9xALqnxICsiOHZ0n2LFF1iZa-0N87bWEy561omeQ650A5CjZpbwcIVGKZN5JxylRR_kZLF_0UOaxESVc3P0F4jNrz49qztZrJSigBGK6m9mbRPwZSIivtmsewvwJa-Z1ZO/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E7%9A%AE%E8%9B%87_%E5%B8%B6%E7%8B%80_%E7%9A%B0%E7%96%B9_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_07.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-04.html">划算的健檢</a><br /><a href="https://dmcaretw.blogspot.com/2024/01/thought-after-202401-januvia-sharing-04.html">善用藥 血糖穩</a></div><div><a href="https://dmcaretw.blogspot.com/2024/03/thought-after-202403-dpp4i-and-metformin-sharing-04.html">提升團隊的血糖藥認知</a></div><div><a href="https://dmcaretw.blogspot.com/2024/03/thought-after-202403-obesity-case-sharing.html">有效開心的體重管理</a></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-46788218916273999942024-03-09T10:11:00.006+08:002024-03-09T10:11:36.023+08:00有效開心的體重管理文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEii7FpEwRysggDir1x5a7YHJwJ2mK7EWKCMGvxKhXCCqhOHEvHwqe2V8ubo3NcmjxxoyqmljijmLSuzj_y52fBtb4QddCk2_iwgjsB-N90Fm3W4xr0N76o5qGTLtUxtltEp7BXVAGa2xZYWVXplgN-qeBztr1LsC2qtXfNbocGretErL9UQT0jUgue9-_PY/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEii7FpEwRysggDir1x5a7YHJwJ2mK7EWKCMGvxKhXCCqhOHEvHwqe2V8ubo3NcmjxxoyqmljijmLSuzj_y52fBtb4QddCk2_iwgjsB-N90Fm3W4xr0N76o5qGTLtUxtltEp7BXVAGa2xZYWVXplgN-qeBztr1LsC2qtXfNbocGretErL9UQT0jUgue9-_PY/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_01.PNG" /></a><br /><br /><br />「從基層轉介至體重管理門診的原因」 <br /><br />「針對特別的減重方式,提供個人觀點給聽眾參考」 <br /><br />「減少患者的不適,有效且開心地體重管理」<br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgupnmxU0-7EuPS0S9NhyvUvrfi0wqDVsV6OTYyT-J1xVZNWj2Gk2fEfqxwgebFdgCl1UNTzcF7vEiF6BXfTgJfMyC3E4smiECRWP2L8oeEE9PosTeKapKynzbbAoYZpd6EP44xk1E3SDNWZfiV3qbDTEMFiotH2pmGb1xjIzyok43TgDa_FBHbxHaNgFzz/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgupnmxU0-7EuPS0S9NhyvUvrfi0wqDVsV6OTYyT-J1xVZNWj2Gk2fEfqxwgebFdgCl1UNTzcF7vEiF6BXfTgJfMyC3E4smiECRWP2L8oeEE9PosTeKapKynzbbAoYZpd6EP44xk1E3SDNWZfiV3qbDTEMFiotH2pmGb1xjIzyok43TgDa_FBHbxHaNgFzz/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_02.PNG" /></a><br /><br /><h3 style="text-align: left;">個案分享 </h3><br />分享不同類型的體重管理患者,有成年人、有青少年、也有特殊族群;從基層轉介至體重管理門診的原因,給基層同儕前輩們注意與參考,有時不是用最強最高劑量的藥物減重就好了。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0VN9eXMzlj1E0DBNqscCW2pclhXT2j7QuwR9btJeArwt7oJgYFh6HB5xW9o3Dv0KeiLy5A3wRphh8UhOx5RbD60hQmxx8eAMaeqOSYGJ274LRcd8s9atxPtc_zeVu0WhOItoidgCBeG17s5SkiCltnscmWXmuC5GHX8ELvIfCc8-NJwE-3gduqCdImQtS/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0VN9eXMzlj1E0DBNqscCW2pclhXT2j7QuwR9btJeArwt7oJgYFh6HB5xW9o3Dv0KeiLy5A3wRphh8UhOx5RbD60hQmxx8eAMaeqOSYGJ274LRcd8s9atxPtc_zeVu0WhOItoidgCBeG17s5SkiCltnscmWXmuC5GHX8ELvIfCc8-NJwE-3gduqCdImQtS/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_03.PNG" /></a><br /><br /><h3 style="text-align: left;">臨床實務 </h3><br />針對特別的減重方式,提供個人觀點給聽眾參考,沒有最好的體重管理方式,只有最適合的體重管理方式,最後不忘丟一個有趣的問題給大家去思考,「○○○對患者或醫療人員,到底是好還是不好?」 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtDMHrG8Jp6U7HUcDpQ3yvJUc8Ja9AKMyXKzbg_NBKbMBWhcT4sMAwtiKWa_XulnTE4mwzlSqBgg8w6d9lNwZSv0RmeKT5xOSTSnJvdPiPKshD_YzcuxegTUDsLc4mL1OmHD0LcNH04dnrLjq4G96wU7AVRAm5Z1q3mIcsGeYZYz_6tMv1VznUqBTxRy90/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhtDMHrG8Jp6U7HUcDpQ3yvJUc8Ja9AKMyXKzbg_NBKbMBWhcT4sMAwtiKWa_XulnTE4mwzlSqBgg8w6d9lNwZSv0RmeKT5xOSTSnJvdPiPKshD_YzcuxegTUDsLc4mL1OmHD0LcNH04dnrLjq4G96wU7AVRAm5Z1q3mIcsGeYZYz_6tMv1VznUqBTxRy90/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_04.PNG" /></a><br /><br /><h3 style="text-align: left;">疾病不再 </h3><br />當某個疾病被消滅或大幅減少時,對醫療人員不一定是好事,至少以目前的系統制度下是這樣子,君不見自從強制規定要戴安全帽之後,某專科獨門(其他科無法介入)且產值高的手術大幅減少,造成此專科需另闢新戰場,介入原本不需要去碰的領域。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiG0fUUydSKgt2Wb6GJ0qrDsKMzbMRtmtZKkI-qzf1ag4qBvglfbPVKWXN4DqMh1hxTUnXwgewFAc2ZRBBud89c4FkKnKa425cYIY8JhgALLZs1m07_RZ5mnFsk9TZLKsy7BC3JwlccZqLolhTRpwznD1XMft9lPDIldiKuuNgTkgsFc16YeWQrDrnDNDHW/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiG0fUUydSKgt2Wb6GJ0qrDsKMzbMRtmtZKkI-qzf1ag4qBvglfbPVKWXN4DqMh1hxTUnXwgewFAc2ZRBBud89c4FkKnKa425cYIY8JhgALLZs1m07_RZ5mnFsk9TZLKsy7BC3JwlccZqLolhTRpwznD1XMft9lPDIldiKuuNgTkgsFc16YeWQrDrnDNDHW/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_05.PNG" /></a><br /><br /><h3 style="text-align: left;">另闢戰場 </h3><br />只要是吃不飽的情況下,會讓人另闢戰場。越來越多科別,甚至以前想不到的科別,都開始投入體重管理,因為目前體重管理是自費,再者在點值打折的情況,實為另一個維持營運的重點項目,也因此減重減脂工作坊的學員就是會多一點。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhaJweEN_eW1o0DWHQmF88yK7H3j1OieCTOVP_B8M0qa-hojF056mAZecUQZak5-iXoK6x9IqszUGAylaXeDElORkEWIF5iQ1Yv8UYecZ7Ux6R7xNuGamf5CLY112nLu0hSJHCO4uvVIl0m6Thd-3wHCpVLhHhfkwk5D4Gy3NkWsEikRnNTU_RSVf7AqTvB/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhaJweEN_eW1o0DWHQmF88yK7H3j1OieCTOVP_B8M0qa-hojF056mAZecUQZak5-iXoK6x9IqszUGAylaXeDElORkEWIF5iQ1Yv8UYecZ7Ux6R7xNuGamf5CLY112nLu0hSJHCO4uvVIl0m6Thd-3wHCpVLhHhfkwk5D4Gy3NkWsEikRnNTU_RSVf7AqTvB/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_06.PNG" /></a><br /> <br /><h3 style="text-align: left;">問答時間</h3><br />「藥物能幫患者減多少體重?」是醫療人員與患者常會問到的問題?但其實和目標設定,選擇搭配的其他治療有很大的關係,無法給予絕對的答案,如何有專業又有報酬,是醫師一直在努力的地方,期許自己的實務分享,提升體重管理的照護,減少患者的不適,有效且開心地體重管理。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizp9ytIiM4hJjjgb9LQ6x60jEDCbTePcOYxsjvprvORkYf_-8T3XIs07EoWJT2iAYpX-ChJJ61LDkUod-pgaoxlEOR3WxHJYWAiaks-Gx3wbG6xOocYkr-313giSMPt_5A8F-Nv2t9mEJE3oHP86Ugn9JcpQ6aPWXzRpeamVbgeqCfX4GeMfoxMOqrk67q/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizp9ytIiM4hJjjgb9LQ6x60jEDCbTePcOYxsjvprvORkYf_-8T3XIs07EoWJT2iAYpX-ChJJ61LDkUod-pgaoxlEOR3WxHJYWAiaks-Gx3wbG6xOocYkr-313giSMPt_5A8F-Nv2t9mEJE3oHP86Ugn9JcpQ6aPWXzRpeamVbgeqCfX4GeMfoxMOqrk67q/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_saxenda_%E5%96%84%E7%BA%96%E9%81%94_%E8%87%A8%E5%BA%8A_%E5%80%8B%E6%A1%88_%E5%AF%A6%E5%8B%99_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E5%BF%83%E5%BE%97_07.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-insulin-toujeo-sharing-04.html">穩糖胰起go</a></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-04.html">划算的健檢</a><br /><a href="https://dmcaretw.blogspot.com/2024/01/thought-after-202401-januvia-sharing-04.html">善用藥 血糖穩</a></div><div><a href="https://dmcaretw.blogspot.com/2024/03/thought-after-202403-dpp4i-and-metformin-sharing-04.html">提升團隊的血糖藥認知</a></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-51729391411552471372024-03-09T09:52:00.008+08:002024-03-09T09:52:37.795+08:00提升團隊的血糖藥認知文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPlOVbFUXgIvXJpU6PuZlJQQXteUZWLkNvf1R1Mv0q6EfMrF8ngQxop9QmLyRrMwIfAblX0wAcaHaLdyJKcIfiucTXcO7tLyMZ61YAzz4K9dxl2cbPVWsBmhFDMsMn47hzzGY2xavwz96pM_SQLncp3DhhoGeRXGjk22qn_RY1cBNmjgsgeWB4-ZoNcYCI/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPlOVbFUXgIvXJpU6PuZlJQQXteUZWLkNvf1R1Mv0q6EfMrF8ngQxop9QmLyRrMwIfAblX0wAcaHaLdyJKcIfiucTXcO7tLyMZ61YAzz4K9dxl2cbPVWsBmhFDMsMn47hzzGY2xavwz96pM_SQLncp3DhhoGeRXGjk22qn_RY1cBNmjgsgeWB4-ZoNcYCI/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_01.PNG" /></a><br /><br /><br />「佐證其穩定血糖上的療效與低副作用」 <br /><br />「在某些國家的使用量已經是第一名了」 <br /><br />「藥物的副作用發生,有時不是想像中的那麼風平浪靜」 <br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpo6YdAPzwjPYtYN8fmaGGcI2jY5c9bBReoK1a7-GKxByy3NDIgcZwovx311hmYn0-0eZu7Q_4B46u49Z3qEqaYNmdn3clWVA4h9Y2LBNPhuWVehnzr6Dkbe4mF7qqR5idXHvEsDIi-8zpSuBRmO1eJ8_gQf2_u92j1tQLWc2QzGouQStjLQXQGZWXKRUU/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpo6YdAPzwjPYtYN8fmaGGcI2jY5c9bBReoK1a7-GKxByy3NDIgcZwovx311hmYn0-0eZu7Q_4B46u49Z3qEqaYNmdn3clWVA4h9Y2LBNPhuWVehnzr6Dkbe4mF7qqR5idXHvEsDIi-8zpSuBRmO1eJ8_gQf2_u92j1tQLWc2QzGouQStjLQXQGZWXKRUU/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_02.PNG" /></a><br /><br /><h3 style="text-align: left;">藥物特色 </h3><br />新增DPP-4抑制劑臨床新資料,佐證其穩定血糖上的療效與低副作用,實務上也真的與很多血糖藥百搭。不同家藥廠的DPP-4抑制劑有不同的特色與優缺點,瞭解優缺點後,就能找到合適族群,發揮藥物的最佳功效。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeVnWqDhxTjYGLA4qKYs1cebIqN2HMLJLRp7I4HI1SwfKgpF21xfzw7SJAi6Jt4qh1uv8p54R3xPiOSdO8oavJwZw0ZwHni2dDCeXtdbKi9PySNedcWnzSBo6zqxmqQq5cVje3dFz-PBBVXjrj0DJxyRT1Bzh4Y8S2Rss_3PWlcLSRCovV25PlhxBgr1nP/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeVnWqDhxTjYGLA4qKYs1cebIqN2HMLJLRp7I4HI1SwfKgpF21xfzw7SJAi6Jt4qh1uv8p54R3xPiOSdO8oavJwZw0ZwHni2dDCeXtdbKi9PySNedcWnzSBo6zqxmqQq5cVje3dFz-PBBVXjrj0DJxyRT1Bzh4Y8S2Rss_3PWlcLSRCovV25PlhxBgr1nP/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_03.PNG" /></a><br /><br /><h3 style="text-align: left;">仍有優勢 </h3><br />相較另一常用老藥,DPP-4抑制劑比較沒有低血糖與體重增加的副作用,更重要的是,研究顯示糖尿病治療的時間一拉長,DPP-4抑制劑的續航力更勝一籌,也許在更新的血糖藥問世後,DPP-4抑制劑已經不是當炸雞子,但因為使用的時間、療效、副作用與藥費,在某些國家的使用量已經是第一名了。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaFtoYCZOxfHC0YliN1Q8DlfAym8wRXqIx8TeK1KODl1_HZimwpcOHTsA1qw1LqgvRCPxQDwfTrpuJs93RuMvngGkDj7eIx_1qVxQtxUZC4BFYjBTZN0MfSNd52wnq0XAIhjtvvU4olwxRgqgK_gxU4xIkqgvMLWiFYb7kLJvtGNc9BtJsrW2wLcVjH566/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaFtoYCZOxfHC0YliN1Q8DlfAym8wRXqIx8TeK1KODl1_HZimwpcOHTsA1qw1LqgvRCPxQDwfTrpuJs93RuMvngGkDj7eIx_1qVxQtxUZC4BFYjBTZN0MfSNd52wnq0XAIhjtvvU4olwxRgqgK_gxU4xIkqgvMLWiFYb7kLJvtGNc9BtJsrW2wLcVjH566/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_04.PNG" /></a><br /><br /><h3 style="text-align: left;">逐漸成長 </h3><br />糖尿病患者的藥物順從,有時不是想像中的那麼美好,藥物的副作用發生,有時不是想像中的那麼風平浪靜,常常患者就會團隊成員裡不經意地透露出來,若能轉化患者的回饋,或將其分享在團隊間,可以找出患者穩糖問題點,有效處置後,提升糖尿病治療兩大目標的達成:1。減少併發症、2。維持生活品質,期待醫療人員們逐漸成長。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6xAZgUQvqq4QCG-JFxrouQ4h9HmsMHqSh5jNpSYvKxAPYXhHE0Pyfg2hiqJffduQGs5NoJRYhfBXU6Ei7uSPqumL1StuVN6jMJ7G95rOC46ppoiUfCwW5P5BMzkssS-IiFGDkdC817Hl0lMwqbqNRE127XrnHD46l9LqOsFlpCWvM8w67r_qZtsZsrYyB/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6xAZgUQvqq4QCG-JFxrouQ4h9HmsMHqSh5jNpSYvKxAPYXhHE0Pyfg2hiqJffduQGs5NoJRYhfBXU6Ei7uSPqumL1StuVN6jMJ7G95rOC46ppoiUfCwW5P5BMzkssS-IiFGDkdC817Hl0lMwqbqNRE127XrnHD46l9LqOsFlpCWvM8w67r_qZtsZsrYyB/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_05.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-introduce-cgm-to-patients-04.html">從血糖值留意生活習慣</a></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-insulin-toujeo-sharing-04.html">穩糖胰起go</a></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-04.html">划算的健檢</a><br /><a href="https://dmcaretw.blogspot.com/2024/01/thought-after-202401-januvia-sharing-04.html">善用藥 血糖穩</a></div></div><div><br /></div><br />與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-43600855209356690432024-03-08T20:49:00.008+08:002024-03-08T20:50:07.399+08:00長期糖尿用藥 易產生的缺乏文/戴郁玲營養師 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmL6WFAFV-Mv4DBydnlqL9Jr1T55NgY1Ue5JgBQQcEvl86HSambH6lVCUj4PYvZNjaCloR1V0Bt-lLa9JUQVO-Afw_oIpNp1yEqQNXh4ZR0NLGFe70RWWZgM9Er7O6uJJzu0PAEI3xCJ4d552VwLCaVioKVb78_mG23_xYSY36qqenam0675Obaum5kux4/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmL6WFAFV-Mv4DBydnlqL9Jr1T55NgY1Ue5JgBQQcEvl86HSambH6lVCUj4PYvZNjaCloR1V0Bt-lLa9JUQVO-Afw_oIpNp1yEqQNXh4ZR0NLGFe70RWWZgM9Er7O6uJJzu0PAEI3xCJ4d552VwLCaVioKVb78_mG23_xYSY36qqenam0675Obaum5kux4/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_01.PNG" /></a><br /><br /><br />「可降低GLP-1的分解,維持GLP-1的濃度」 <br /><br />「Metformin的 CP值最高」 <br /><br />「針對B12缺乏者,可優先選擇攝取肉類、肝臟」 <br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6urq8qLCBuQlkBXqY0GhRdFWnExhx6tMjZr7XHNdryxZb5WNARJtxZtdsoOtbqgdlw_jjI8F2xzF3DbGkNOMa_JrTxgzXWWWXS8YvM8anfyzmKlYY8e3rJ4DwhJhervMDwweH6cFip6FJ-YwBI-W_hFrNXWj01Q8mBmUvdnDrAJaNfKVN6VWRjPOXFr57/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6urq8qLCBuQlkBXqY0GhRdFWnExhx6tMjZr7XHNdryxZb5WNARJtxZtdsoOtbqgdlw_jjI8F2xzF3DbGkNOMa_JrTxgzXWWWXS8YvM8anfyzmKlYY8e3rJ4DwhJhervMDwweH6cFip6FJ-YwBI-W_hFrNXWj01Q8mBmUvdnDrAJaNfKVN6VWRjPOXFr57/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_02.PNG" /></a><br /><br /><h3 style="text-align: left;">勾起回憶 </h3><br />這次余主任演講「Take Easy to Simplify Complex T2D Journey」,是糖尿病口服降血糖藥物的相關課程,收獲滿滿,不僅僅複習了穩糖藥物,也勾起膳食療養學課程的口服降糖藥生化作用機轉。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkdEdNP6wZINnvtJbrPcv9dNI8EK-nS76Ap33kfBlMYQ8bTW0rmf5adB17Rr1po8OJgcKUVuRFcRSf_zGYt2EUS7QtgO6Wm5TFRHQtbooTFKmQiXz6xkW8RK7-_tehEjBcjlRCSByiWWeN9EWdku3UoMG_lRmLxaeg6DZrgERhYFlB5ADI3d-FC5oUdQm5/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkdEdNP6wZINnvtJbrPcv9dNI8EK-nS76Ap33kfBlMYQ8bTW0rmf5adB17Rr1po8OJgcKUVuRFcRSf_zGYt2EUS7QtgO6Wm5TFRHQtbooTFKmQiXz6xkW8RK7-_tehEjBcjlRCSByiWWeN9EWdku3UoMG_lRmLxaeg6DZrgERhYFlB5ADI3d-FC5oUdQm5/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_03.PNG" /></a><br /><br /><h3 style="text-align: left;">血糖藥物 </h3><br />臨床上穩糖藥物有很多種,醫師針對病患的特性與狀態,開立適合藥物。口服藥大致歸類成五項,有不同的作用機轉:第一、刺激胰島素分泌(Sulfonyurea、Meglitazone);第二、胰島素增敏劑(TZD)加強胰島素的周邊及肝的敏感度;第三、糖苷酶抑制劑(a-glucosidase, inhibitor),抑制胰臟a-Amylase及腸中a-Glucosidase,進而抑制醣類的消化及吸收;第四、DPP-4抑制劑,主要抑制Glucagon上升,實證醫學顯示效果也不錯,可降低GLP-1的分解,維持GLP-1的濃度;第五、雙胍類Metformin主要作用是抑制食慾、延遲腸道吸收葡萄糖、促進glucose在腸道厭氧性作用,以及增加人體對糖分利用,來達到降血糖的作用。<div><br /></div><div> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkwah30f8WHqbqxDYYWN_FVfsNCP7GATx2bRg5G0XqGcGH_wTu97IldVtebMLAde2eu55WjhKvsMMCdAu8KgnCoRUfmTFLxxL5JRTJ465jcNwYei0NsGVypdjTOFtWtjEh-vRz0VOvGHyqItdka_eJ8oCA0kybMpe97Lzl13fRsf22m0KOhMg2PLpUs5Gt/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkwah30f8WHqbqxDYYWN_FVfsNCP7GATx2bRg5G0XqGcGH_wTu97IldVtebMLAde2eu55WjhKvsMMCdAu8KgnCoRUfmTFLxxL5JRTJ465jcNwYei0NsGVypdjTOFtWtjEh-vRz0VOvGHyqItdka_eJ8oCA0kybMpe97Lzl13fRsf22m0KOhMg2PLpUs5Gt/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_04.PNG" /></a><br /><br /><h3 style="text-align: left;">飲食介入 </h3><br />其中Metformin的 CP值最高、有療效佳、費用便宜的優勢,適合一般糖尿病病患使用。需要注意的是,雖然目前已有這麼多好的穩糖藥物,不過藥物之外,患者仍要搭配飲食調整,從自我的飲食做起,才能駕馭糖糖危機。</div><div><br /></div><div> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAn12_VKFa7Ir-SbR4Zk5cqKBJIwriTXALBZjSpXxJPsqGDRbwDfj8NFHkXlSp1ygvXmX6pOhnTk4S60R7o_cq9d34X5hRI30f2Oom2Vjvxuwq3bVtLPuceZEewHvI2FMfwMqfYqTzBwP9vjaxLTxmFR09Dswr0b4Xg59sJVN-bMaEfoAdYBbyXgF_KQ93/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAn12_VKFa7Ir-SbR4Zk5cqKBJIwriTXALBZjSpXxJPsqGDRbwDfj8NFHkXlSp1ygvXmX6pOhnTk4S60R7o_cq9d34X5hRI30f2Oom2Vjvxuwq3bVtLPuceZEewHvI2FMfwMqfYqTzBwP9vjaxLTxmFR09Dswr0b4Xg59sJVN-bMaEfoAdYBbyXgF_KQ93/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_05.PNG" /></a><br /><br /><h3 style="text-align: left;">可能缺乏</h3><br />目前Metformin藥物算是治療效果蠻不錯的藥物,但文獻上與實證醫學發現長期使用Metformin會影響維生素B12吸收不良,導致貧血與周邊神經症狀,所以除了特別注意個人飲食營養,最好定期一年一次偵測血中B12含量,避免缺乏造成的併發症與不適。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkU_HoUrMr3KmB9oVs86DsnSeLAeq_9PzkNu2SZLif-2YmkSMOGZwhzZhiwakAv5YPF3a2H1hOwiPzLgD4vYGzjLEA7YAUSWti_wTPTkJkFuedK5mBt00MLNfvZzhqCW1nFw-DMve4Qt8DMHBknK3SSgUpRjTnDKgjYphyphenhyphenRY6uDgGift89UiEmsh8dHHbK/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkU_HoUrMr3KmB9oVs86DsnSeLAeq_9PzkNu2SZLif-2YmkSMOGZwhzZhiwakAv5YPF3a2H1hOwiPzLgD4vYGzjLEA7YAUSWti_wTPTkJkFuedK5mBt00MLNfvZzhqCW1nFw-DMve4Qt8DMHBknK3SSgUpRjTnDKgjYphyphenhyphenRY6uDgGift89UiEmsh8dHHbK/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_06.PNG" /></a><br /><br /><h3 style="text-align: left;">補充攝取 </h3><br />營養師的角度來看,適當補充維生素B天然食材,像一天三餐,可選全榖雜糧類食物(胚芽米、紫米、小麥、芋頭、栗子等等),而針對B12缺乏者,可優先選擇攝取肉類、肝臟。要特別注意的是,植物性食品不含維生素B12,長期茹素食者需特別注意B12缺乏,建議此族群要定期追蹤。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhq1VaooMiomW9kasmDMdW6gVODJuFHtIaYMBX__bi_gbn9y5rO8T5T28q2TjxPZq_vnGFhze4SGvl3ahxeN7ZAF25N-NFNsYX93yPV5wm_mej-f8jL8geRGJe3hNm3LPNKB5kBHniePdEbHNNqTawnYl7N0qt8s0rA5yMIiitq5-mlcv7dDulVWfspd_RU/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhq1VaooMiomW9kasmDMdW6gVODJuFHtIaYMBX__bi_gbn9y5rO8T5T28q2TjxPZq_vnGFhze4SGvl3ahxeN7ZAF25N-NFNsYX93yPV5wm_mej-f8jL8geRGJe3hNm3LPNKB5kBHniePdEbHNNqTawnYl7N0qt8s0rA5yMIiitq5-mlcv7dDulVWfspd_RU/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%A3%E6%9C%8D%E8%97%A5_metformin_%E7%87%9F%E9%A4%8A_%E7%BC%BA%E4%B9%8F_dpp4%E6%8A%91%E5%88%B6%E5%8A%91_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01_07.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div></div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/10/thought-after-20231022-hyperlipidemia-hypertension-and-presentation-skill-sharing-08.html">好學習 好衛教</a><span style="color: #999999;">(林沛均護理師)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-20231022-hyperlipidemia-hypertension-and-presentation-skill-sharing-09.html">課後實用的學習</a><span style="color: #999999;">(周佳汶營養師)</span><br /><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-202311-contrave-clinical-sharing-01.html">茹素減重分享</a><span style="color: #999999;">(林尚輝醫師)</span></div><div><a href="https://dmcaretw.blogspot.com/2024/01/thought-after-202401-januvia-sharing-01.html">臨床實務學DPP-4抑制劑穩糖</a><span style="color: #999999;">(Ada)</span></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-43080044724126190782024-03-02T07:31:00.003+08:002024-03-02T07:31:41.844+08:00糖友看過來 「零症狀」血糖仍可能超標<p></p><div>文/余宜叡<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMHXwhx7z-IE3GNrLE6k6tsivfdb9W-Cn5blCUTRDCPq-AyP_X1kmie_AnrduXnhYZIqEkmEFBBrxL04Mrsl3uWzav2Qqh8w8o7HhvOlZSAk0rYcHZI58m9RZCXQZPMRLR3i2XvzGtlsuh2a22_Ynp43F_5LraeroCBBhEEseqqGYCeo54UNoQ78VG_SpY/s960/20240302%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E7%B3%96%E5%8F%8B%E7%9C%8B%E9%81%8E%E4%BE%86%20%E3%80%8C%E9%9B%B6%E7%97%87%E7%8B%80%E3%80%8D%E8%A1%80%E7%B3%96%E4%BB%8D%E5%8F%AF%E8%83%BD%E8%B6%85%E6%A8%99.png"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMHXwhx7z-IE3GNrLE6k6tsivfdb9W-Cn5blCUTRDCPq-AyP_X1kmie_AnrduXnhYZIqEkmEFBBrxL04Mrsl3uWzav2Qqh8w8o7HhvOlZSAk0rYcHZI58m9RZCXQZPMRLR3i2XvzGtlsuh2a22_Ynp43F_5LraeroCBBhEEseqqGYCeo54UNoQ78VG_SpY/s16000/20240302%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E7%B3%96%E5%8F%8B%E7%9C%8B%E9%81%8E%E4%BE%86%20%E3%80%8C%E9%9B%B6%E7%97%87%E7%8B%80%E3%80%8D%E8%A1%80%E7%B3%96%E4%BB%8D%E5%8F%AF%E8%83%BD%E8%B6%85%E6%A8%99.png" /></a><br /><br /><br />「按時用藥,不代表血糖達標」<br /><br />「通常要超過300mg/dl,甚至更高才易有感覺」<br /><br />「連續血糖儀可取得更多血糖值,瞭解血糖起伏」</div><div><br /><div><a name='more'></a><p><img src="https://4.bp.blogspot.com/-4fINInSjkCs/XJ1ST9vt1NI/AAAAAAABiqY/sjGHW2Qy9RYN2__kxiz0MynztROwX-6_ACLcBGAs/s1600/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25872.PNG" /></p></div><div><br /></div><div><br /><div>全文詳見 <a href="https://health.ltn.com.tw/article/paper/1633389">20240302自由時報</a><br /><div><br /><br />延伸閱讀<br /><br /></div></div></div></div><div><br /></div><div><div><span style="color: #999999;">20231210</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231210-medicine-for-obesity-you-should-know-01.html">高劑量≠高成效 破解減重藥3迷思</a></div><div><span style="color: #999999;">20231230</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231230-diabetic-patient-should-stable-blood-sugar-and-do-more-to-prevent-cancer.html">糖尿病友認真穩糖 也要預防癌症</a></div><div><span style="color: #999999;">20240128</span> <a href="https://dmcaretw.blogspot.com/2024/01/ltn-20240128-lower-carbohydrate-lower-blood-sugar.html">忌糖沒忌醣 血糖不降反升</a><br /><span style="color: #999999;">20240219 </span> <a href="https://dmcaretw.blogspot.com/2024/02/ltn-20240219-diabetic-medicine-and-weight-gain.html">調整4類血糖藥 有效穩糖不增重</a></div></div><br /><br />與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-67978282903608789152024-03-01T11:04:00.002+08:002024-03-01T11:04:36.518+08:00決心,決定面對糖尿病的方式文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhW8EhA_fGOKoiKI5dDasDNKeT0eNQcGk406ebQRGVyomWlsDkeXQD_nkA1x3ZezeXSef-zAKVEu9GnTb59eRtCDZvE-Ncvlx5ZkunlaHByd40-xLqlHRXf4_FC2FfREtAaGzp0I8ci4L4QDe4nYV2GUYX0yzKFYvv7leZwNKn9n7uagzbaEH5EJBB9AnC7/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhW8EhA_fGOKoiKI5dDasDNKeT0eNQcGk406ebQRGVyomWlsDkeXQD_nkA1x3ZezeXSef-zAKVEu9GnTb59eRtCDZvE-Ncvlx5ZkunlaHByd40-xLqlHRXf4_FC2FfREtAaGzp0I8ci4L4QDe4nYV2GUYX0yzKFYvv7leZwNKn9n7uagzbaEH5EJBB9AnC7/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_01.PNG" /></a><br /><br /><br />「像正常人一樣,正常吃喝」 <br /><br />「陷入糖化血色素小於7%的迷思」 <br /><br />「穩糖達標的決心,決定了你面對糖尿病的方式」<br /> <br /><a name='more'></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRQSN8VnLfrVDM9k5uy2roc9STaYkvRfhyRISj5YS3FjICNnRiWE0YXUVn4JiIBuS-DXlIPwnT_WE1NqYMxjRlk6tUN2LITlEC_xTEBOtMkZa86P4c6zCo-saiuY_BIop-TGTmOddZg3So6IaB7iKMbtmV80aRZlnqWUlzYoFy9Ky1Z7ctx-yJ85aZcnaM/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhRQSN8VnLfrVDM9k5uy2roc9STaYkvRfhyRISj5YS3FjICNnRiWE0YXUVn4JiIBuS-DXlIPwnT_WE1NqYMxjRlk6tUN2LITlEC_xTEBOtMkZa86P4c6zCo-saiuY_BIop-TGTmOddZg3So6IaB7iKMbtmV80aRZlnqWUlzYoFy9Ky1Z7ctx-yJ85aZcnaM/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_02.PNG" /></a><br /><br /><h3 style="text-align: left;">分析優缺 </h3><br />重點提示,將美敦力連續血糖儀的優缺點分析得很好,也許是貴一點,但提早警示的功能,讓使用者可早點應因高血低糖,不需等到血糖很低或很高時,才做處置,而與自我血糖監測相去不遠的精準度也是賣點之一。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4FpSp7pVnyhYoRDhUgHEC8yZumUYiBOnm5O5l13DPP5J1w-gnSFZ5mP3AyDcLYts9UahGcXngwtohV0BBG4lZcfjGAbih7mm8B8E4J-9eCSX5bS-FZPKRjSqHGLwW7_6pIaJcQ9QEk_tdc9ZiImyiRaxM1ub2d60ZGY30p0celaZx_BsDxP0vNgmo2Y1P/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4FpSp7pVnyhYoRDhUgHEC8yZumUYiBOnm5O5l13DPP5J1w-gnSFZ5mP3AyDcLYts9UahGcXngwtohV0BBG4lZcfjGAbih7mm8B8E4J-9eCSX5bS-FZPKRjSqHGLwW7_6pIaJcQ9QEk_tdc9ZiImyiRaxM1ub2d60ZGY30p0celaZx_BsDxP0vNgmo2Y1P/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_03.PNG" /></a><br /><br /><div><h3 style="text-align: left;">與糖共舞 </h3><br />以胰島素幫浦個案,直接說明科技治療的聰明與神奇,可以像正常人一樣,正常吃喝,同時幫浦自動依傳送的血糖值,精準給予胰島素劑量,血糖一直維持在正常值內。馬文雅醫師曾說過,「用胰島素,沒有降不下來的血糖」,而醫師要說的是,「用胰島素幫浦,沒有高低離譜的血糖值。」 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjCevzPcIcf1tDnAZ1xU4WbPBRM60kYFFN4n1B7wEU3wbS-NY2QxJ3SO7TVFmajrtoSCDT3WPguoAF1k_nfg9njI-99L3Ir6SzSfoK_IEMmiBVRX3saUUmOHJX9nWSxwesMKH0cODgKoujV1BWslNNNgVhTPECuHo-4tzm2iQKMp0I_-q2oRiaIF-Gqu_w/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhjCevzPcIcf1tDnAZ1xU4WbPBRM60kYFFN4n1B7wEU3wbS-NY2QxJ3SO7TVFmajrtoSCDT3WPguoAF1k_nfg9njI-99L3Ir6SzSfoK_IEMmiBVRX3saUUmOHJX9nWSxwesMKH0cODgKoujV1BWslNNNgVhTPECuHo-4tzm2iQKMp0I_-q2oRiaIF-Gqu_w/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_04.PNG" /></a><br /><br /><h3 style="text-align: left;">血糖迷思 </h3><br />我們都知道高血糖危害,但常常忽略低血糖與血糖起伏的危害,加上醫療人員也不小心陷入糖化血色素小於7%的迷思,以為只要糖尿病血色素小於7%,患者就是按時用藥,飲食定量的乖寶寶,但實務上常常不是如此…此時連續血糖儀更能協助低血糖的確認,進而給予飲食、運動與藥物調整上的依據。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbg8q2D9F-lDhc4y1fl2YV9b5zcHslWJA9x7YGDCRJBCcuG_eSGUn-UzhCvmXVDmqxOzI1PkDuC6o1mkLq8SJC0FnB6YkgOckMI1x2l8_Ge-xwyCsCDKeEYohBRcZyKKoNerpLiupf8ujMiBfWGgTMTV2t8Sx-nhM3to1S3SlZgSSN0l1BLIyPUARcrd6U/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbg8q2D9F-lDhc4y1fl2YV9b5zcHslWJA9x7YGDCRJBCcuG_eSGUn-UzhCvmXVDmqxOzI1PkDuC6o1mkLq8SJC0FnB6YkgOckMI1x2l8_Ge-xwyCsCDKeEYohBRcZyKKoNerpLiupf8ujMiBfWGgTMTV2t8Sx-nhM3to1S3SlZgSSN0l1BLIyPUARcrd6U/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_05.PNG" /></a><br /><br /><h3 style="text-align: left;">即早介入 </h3><br />趁胰臟還保有一定功能的情況下,適當使用連續血糖儀或有效自我血糖監測,搭配適量的口服與針劑藥,臨床上還是有不少吃得隨心所欲,糖化血色素一直小於7%的患者。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4BpdFEYFHAGCYm97X9fRrV8ehjMGmwGY8Le8Sme3lNSfYG9gqHlzqnJ8IOmUIEEcmBpxEX-EiAfiSj4JTzmtUzpDLSOK_E93J2Jrfp_pBA_Z44HUjWevXUOmrNMhhIlJdW2N_Llt47wPZRbrM_AoZd759kSz6Nm0-P7QqYt3WNEJSRlJWeqJD3OdsVCse/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4BpdFEYFHAGCYm97X9fRrV8ehjMGmwGY8Le8Sme3lNSfYG9gqHlzqnJ8IOmUIEEcmBpxEX-EiAfiSj4JTzmtUzpDLSOK_E93J2Jrfp_pBA_Z44HUjWevXUOmrNMhhIlJdW2N_Llt47wPZRbrM_AoZd759kSz6Nm0-P7QqYt3WNEJSRlJWeqJD3OdsVCse/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_06.PNG" /></a><br /><br /><h3 style="text-align: left;">面對糖尿 </h3><br />穩糖達標的決心,決定了你面對糖尿病的方式。不同預算有不同的穩糖治療療程,雖然最能隨心所欲地進食,不需自我血糖監測的療程,可能所費不貲,但血糖穩定達標,健康久久(沒洗腎、沒中風…)更是無價!<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP4GOB3mW6d9hRNnCcYbO0rltxaD2KF1szYCfgZAX4w7ewTIwcLgVEibb7VaD0RF_qlxOQRV9oWKY-TDpZzsQ_-CH5jaA08MjLZl3CnT5piiZp67pjRVUCnwBDOCjCNAff_sqo_nlGi2n_jjF88jtNz22oFeiRRcpYuzGGE7Kop-I4k8C5Sxb4uA67uvbn/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP4GOB3mW6d9hRNnCcYbO0rltxaD2KF1szYCfgZAX4w7ewTIwcLgVEibb7VaD0RF_qlxOQRV9oWKY-TDpZzsQ_-CH5jaA08MjLZl3CnT5piiZp67pjRVUCnwBDOCjCNAff_sqo_nlGi2n_jjF88jtNz22oFeiRRcpYuzGGE7Kop-I4k8C5Sxb4uA67uvbn/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_CGM_pump_%E9%80%A3%E7%BA%8C%E8%A1%80%E7%B3%96%E5%84%80_%E5%B9%AB%E6%B5%A6_%E9%81%94%E6%A8%99_%E7%94%9F%E6%B4%BB%E5%93%81%E8%B3%AA_%E5%AD%B8%E7%BF%92_%E8%A8%98%E9%8C%84_%E7%AD%86%E8%A8%98_07.PNG" /></a></div></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-201912-diabtest-treatment-learning.html">考量經濟的穩糖處方</a></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-14days-health2sync-journey-of-blood-sugar-discovery.html">體驗14天血糖探索服務之旅</a><br /><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-2023-JDS-annual-meeting.html">2023年日本糖尿病年會心得</a></div><div><a href="https://dmcaretw.blogspot.com/2024/01/thought-after-2023-easd-annual-meeting.html">2023年歐洲糖尿病年會心得</a></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-38184807354998816322024-02-20T12:01:00.010+08:002024-02-20T12:01:43.586+08:00減少猝死憾事發生 做好五件事文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQOG-EnNlOz8MmlmnGwyDwvIYfMa2TpCtWZWdKaLW58hVaDhbvr7DP44-lBl_KNurLxyG87GEWJtQi139JDGT75UQft2K13WDczP1WPSYB4UPxIU4FHQlNWc-LtOpsdEtxfzgkN-Uk1t_kPlEIRwjuIGAgvWXVoIryph0bxtUbi4buX2mPSUzHLk6G1Av9/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQOG-EnNlOz8MmlmnGwyDwvIYfMa2TpCtWZWdKaLW58hVaDhbvr7DP44-lBl_KNurLxyG87GEWJtQi139JDGT75UQft2K13WDczP1WPSYB4UPxIU4FHQlNWc-LtOpsdEtxfzgkN-Uk1t_kPlEIRwjuIGAgvWXVoIryph0bxtUbi4buX2mPSUzHLk6G1Av9/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__01.PNG" /></a><br /><br /><br />「多做一些處置,減少憾事發生」 <br /><br />「三高若已達用藥標準,請定期規律用藥」 <br /><br />「健檢自己的心血管情況,是否有鈣化或阻塞」<br /> <br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoioTVsiBFjf-aBfQUkGwiSFM3dfd_EaSXShSmIhU5RX3rJdzi12houCb1YIGb6QUXsru3wq8xjzptnsogzP0LYuZx0V3_isdJUYR5QFA4qQRSkJIkBqeMMn45funNIMNo0wvP_zfFv51eFGRb2XRhTamGXIpRIMaYRH9MzsFPUv_6pxtW3e7MIALut0zS/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoioTVsiBFjf-aBfQUkGwiSFM3dfd_EaSXShSmIhU5RX3rJdzi12houCb1YIGb6QUXsru3wq8xjzptnsogzP0LYuZx0V3_isdJUYR5QFA4qQRSkJIkBqeMMn45funNIMNo0wvP_zfFv51eFGRb2XRhTamGXIpRIMaYRH9MzsFPUv_6pxtW3e7MIALut0zS/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__02.PNG" /></a><div><br /></div><div>「知名皮膚科診所「于賓診所」院長彭于賓昨天(26日)傳出在上海過世的消息,引起皮膚科醫學界譁然,許多人到他個人臉書粉專表達哀悼。據了解,彭于賓昨天早上到入住飯店的健身房跑步,怎料卻突發急性心肌梗塞,被發現時已倒臥在地,目前其家屬並未對外透露更多細節。」(出自2024年1月26日自由時報) <br /><br />「強烈大陸冷氣團來襲,參加「2023台北馬拉松」的3名選手跑到一半倒地,送醫時一度OHCA(喪失生命跡象),不過送醫後已恢復心跳。」(出自2023年12月17日聯合報) <br /><br />其實能多做一些處置,減少憾事發生。 <br /><div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUDHo_o7dJ6WL-BM3xSKkgqhyFg0UFrAn-ZuGErB9Rz8eZBoTySyv76VteHKtJkdhjNSVsqflGUld3B8PIGovRsI1hFkJFNOcPyjDI1A51iEtu95IPJnv7-T-pf1Vl1QBULNc7vMGGdaz9wIgxTm4hyphenhyphen2kNA_l9Mx47pcT2IW0zzVNsidJAkwShhyL7wDvB/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjUDHo_o7dJ6WL-BM3xSKkgqhyFg0UFrAn-ZuGErB9Rz8eZBoTySyv76VteHKtJkdhjNSVsqflGUld3B8PIGovRsI1hFkJFNOcPyjDI1A51iEtu95IPJnv7-T-pf1Vl1QBULNc7vMGGdaz9wIgxTm4hyphenhyphen2kNA_l9Mx47pcT2IW0zzVNsidJAkwShhyL7wDvB/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__03.PNG" /></a><br /><br /><h3 style="text-align: left;">一.穩定三高 </h3><br />掌握三高數值。可善用成人健檢或高級健檢,得知血壓、血脂與血糖的數值,若數值已超標,建議儘早介入。<br /><br />三高按時用藥。三高若已達用藥標準,請定期規律用藥,若要減藥停藥,請務必與主治醫師溝通討論。三高自行停藥大部分都不會有任何不適,但也因無任何不適,對全身器官日積月累的傷害才是可怕,而擅自停藥會增加心血管事件發生的風險,也會導致健檢時的心血管健康情況不佳。</div><div><br /></div><div> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCJ32obXk3_svlwOxnw3tC-Evr6vgcgcWoQPEBXpikYH-i6PDw_Sy6ovjhNct4G35MRhNW5LUyd0996bFLvtDO8b4PiyfAGxEORhdf4LAzDBHMN3X6345Ibr7tiZ3r7HMW1hYaIDR8W2MrnimWjhuaaRR9yiAPhurzf255rMT-HiRfTU7BDr0S9Jf6FX6Y/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiCJ32obXk3_svlwOxnw3tC-Evr6vgcgcWoQPEBXpikYH-i6PDw_Sy6ovjhNct4G35MRhNW5LUyd0996bFLvtDO8b4PiyfAGxEORhdf4LAzDBHMN3X6345Ibr7tiZ3r7HMW1hYaIDR8W2MrnimWjhuaaRR9yiAPhurzf255rMT-HiRfTU7BDr0S9Jf6FX6Y/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__04.PNG" /></a><br /><br />對於未達三高用藥標準的族群,可以延緩或逆轉三高。於糖尿病前期、血壓前期或血脂偏高,主動與醫療團隊討論,是否藉由飲食與運動,甚至藥物早期介入;藥物若不符合給付條件,需要自費。<br /> <br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiYcs7hcSMUFtI6iz0iNQM1Y8WWsz8g7UiebBXEwQsQ4_QeQ46MwGdj3plRTkAzAbTERZOT3HjP7wYjWV8NDMeoVP3xdCUDW5WJWjSz_xX1et5fSTs58huFHlf2uPBLVTa9FfqjwnJzlVkp4WDQYTNxWQouPks0G2t8D3qLfMdkjOw-DOSTjymUca-yBUBo/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiYcs7hcSMUFtI6iz0iNQM1Y8WWsz8g7UiebBXEwQsQ4_QeQ46MwGdj3plRTkAzAbTERZOT3HjP7wYjWV8NDMeoVP3xdCUDW5WJWjSz_xX1et5fSTs58huFHlf2uPBLVTa9FfqjwnJzlVkp4WDQYTNxWQouPks0G2t8D3qLfMdkjOw-DOSTjymUca-yBUBo/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__05.PNG" /></a><br /><br /><span style="font-size: large;"><b>實體/線上吃對動夠照護</b></span><br /><br /></div><div> 「吃對動夠」說來容易,但做起來就會遇到一定的困難,否則不會大部分的人,飲食仍不正常不健康,運動仍久久一次,藉由員榮專業的醫療團隊,以實體或線上照護的模式,協助患者養成「吃對動夠」的好習慣,進而有機會減少三高用藥,甚至逆轉三高前期 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0L8hVccVlTzTSFBdHE24VROw-Ip0VGZ8pH1SsGDZ7WLcnvSHPINUSdRCzBURPFz6e15lX44bFV0InQvJDtfeIarBGSj9CqTj5-6YMrfd8W4uEHx8NFfhwgSJLG-Hx8Oscixm_17_Mh8onlHD1UOZsRTHxNnjU-FK-6F4uaGTJMDGEjwQhdh0PD4WN3VJ9/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0L8hVccVlTzTSFBdHE24VROw-Ip0VGZ8pH1SsGDZ7WLcnvSHPINUSdRCzBURPFz6e15lX44bFV0InQvJDtfeIarBGSj9CqTj5-6YMrfd8W4uEHx8NFfhwgSJLG-Hx8Oscixm_17_Mh8onlHD1UOZsRTHxNnjU-FK-6F4uaGTJMDGEjwQhdh0PD4WN3VJ9/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__06.PNG" /></a><br /><br /><h3 style="text-align: left;">二.戒菸 </h3><br />戒除菸癮。可尋求戒菸門診協助,由醫療團隊介入,加上戒菸藥物輔助,可提高戒除菸癮的機率。目前國健署每年補助共8週兩輪的戒菸療程,想戒除菸癮的人可善加利用。 <br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYh-t5VZGhva-fFGn_EiQA0j8Ihgb880upuh75l1KgLG8ABhfJ8jB6sDb6TeTf4raKeAWnV01nyUD7966b1elUfsVLNi_XoQqQYWql7zazuK1RqU0DKVkuyM_iyEB0xOYpNIuh74oYFzRUChyphenhyphenHlgyqwmhj45A8BkjdMw_34ISvhk9i3slGxdTmJQ3DZeVV/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYh-t5VZGhva-fFGn_EiQA0j8Ihgb880upuh75l1KgLG8ABhfJ8jB6sDb6TeTf4raKeAWnV01nyUD7966b1elUfsVLNi_XoQqQYWql7zazuK1RqU0DKVkuyM_iyEB0xOYpNIuh74oYFzRUChyphenhyphenHlgyqwmhj45A8BkjdMw_34ISvhk9i3slGxdTmJQ3DZeVV/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__07.PNG" /></a><br /><br /><h3 style="text-align: left;">三.掌握心血管健康 </h3><br />健檢自己的心血管情況,是否有鈣化或阻塞。經由冠狀動脈電腦斷層,可得知冠狀動脈是否有鈣化與阻塞,鈣化指數越高,表示血管彈性不好,易產生心血管事件;經由頸動脈超音波可初步判斷頸動脈的阻塞程度。若是血管嚴重鈣化或阻塞,需與專科醫師討論是否需用藥。<br /> <br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEig20Y_uqRCdb-Hz5xMx845e08s7jl4UI02iwyncPyqtTobiJU-9G7BiEbryAR05nZPpa45Q2y4X2Go11DoQ890uFGMPNOsbqety-w4kN4ZjJDoRnyf5Pt7Kmryw_I7zr8lrVKYX32_Dcf6VFkuFyN0Ks_UozVBXBDDQwuBTv8Ft4nSuPnOuaaRWOY0HTNJ/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__08.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEig20Y_uqRCdb-Hz5xMx845e08s7jl4UI02iwyncPyqtTobiJU-9G7BiEbryAR05nZPpa45Q2y4X2Go11DoQ890uFGMPNOsbqety-w4kN4ZjJDoRnyf5Pt7Kmryw_I7zr8lrVKYX32_Dcf6VFkuFyN0Ks_UozVBXBDDQwuBTv8Ft4nSuPnOuaaRWOY0HTNJ/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__08.PNG" /></a><br /><br /><h3 style="text-align: left;">四.體重管理 </h3><br />維持標準體態,建議若身體質量指數BMI≧27,超過三個月以上,體重仍紋風不動,甚至體重節節上升,可尋求專業醫療團隊協助體重管理,藉由飲食、運動、藥物,甚至心理等多元介入,有效減重不復胖,進而促使三高數值進步,甚至還可逆轉減藥。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhPvyz4gatNtsAF9e63smUvS7yXDMbK-Gil9u2sC3GdFm9SSxqn7bu2MEbdPtlqQPCCC4EsACv0njAjIaekA7V23wOsHD6w1f5Aub3kL3PCjielJLr-hQtSOJFgU-nUfetnxgITldrLtHCD_qTwoksihMKuL1JlpyPTG4eWyxapJWO5HF46eiW853BIcP2/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__09.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhPvyz4gatNtsAF9e63smUvS7yXDMbK-Gil9u2sC3GdFm9SSxqn7bu2MEbdPtlqQPCCC4EsACv0njAjIaekA7V23wOsHD6w1f5Aub3kL3PCjielJLr-hQtSOJFgU-nUfetnxgITldrLtHCD_qTwoksihMKuL1JlpyPTG4eWyxapJWO5HF46eiW853BIcP2/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__09.PNG" /></a><br /><br /><h3 style="text-align: left;">五.做好保暖 </h3><br />寒流來襲,天氣變冷,記得做好保暖,建議洋蔥式穿衣法,室外就添加衣物,室內就脫下衣物。 <br /><br />建議執行完整的健康檢查,掌握身體健康情況、維持血壓、血脂與血糖在標準值內、戒除菸癮、維持體態,做好保暖,減少猝死憾事發生!<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfyJgMnCltNOozQ7bI_Xwj7SVJmr0zBSOkeI0zRacKifnOnYU6-BtqEGv4xm0TIf5CzfYOKxZAiOFdv8tkKZ7oh7Uw_u1VFmV1ySvKWjEkYYgF7W6RH0dWoj3LDo_wC3TRWLYJb5-YbnuZf41ag36q-VvJiMsssub5KV_L5FyHRGMbeBLMIVzZUi8BvOes/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__11.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfyJgMnCltNOozQ7bI_Xwj7SVJmr0zBSOkeI0zRacKifnOnYU6-BtqEGv4xm0TIf5CzfYOKxZAiOFdv8tkKZ7oh7Uw_u1VFmV1ySvKWjEkYYgF7W6RH0dWoj3LDo_wC3TRWLYJb5-YbnuZf41ag36q-VvJiMsssub5KV_L5FyHRGMbeBLMIVzZUi8BvOes/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__11.PNG" /></a></div><div><br /></div><div><div>註:危險因子:1.高血壓2.糖尿病3.男性≧45歲4.女性≧55歲或停經沒有雌激素療法者5.有早發性冠心病家族史。危險因子越多,血脂給付藥的標準越低。</div><div>註:特殊族群的血脂用藥標準更低,LDL≧100mg/dl(糖尿病或有心血管病疾病)LDL≧70mg/dl有裝過支架或心肌梗塞過。</div></div><div><br /></div><div><br /></div><div>員榮醫院可提供服務</div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJdE9-g2-G6Ar3rx8dEuZI9vnew1bvw0heIbpjbgCVpMoaxUpnKfR3RZxOxCMn9s3hEftYZgkD7h7CrDdDpWPxJ1x-QbTFgbZRusC6Sw5_sGhJ5ldzpbmHXBt7F2m8WcCBAWjwu8g11garo9kJqWGyHnOUWb0xcoKj9Ohp_Xg8o0JRn916zuK2bPL_8dRy/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__10.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJdE9-g2-G6Ar3rx8dEuZI9vnew1bvw0heIbpjbgCVpMoaxUpnKfR3RZxOxCMn9s3hEftYZgkD7h7CrDdDpWPxJ1x-QbTFgbZRusC6Sw5_sGhJ5ldzpbmHXBt7F2m8WcCBAWjwu8g11garo9kJqWGyHnOUWb0xcoKj9Ohp_Xg8o0JRn916zuK2bPL_8dRy/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__10.PNG" /></a><br /><div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFL84gJkuEoqNzaUCimyNGWpReAUiH2SNgEH6vt_VVYETH3vnWpN2XlNHF9WnCjjTWHx6XgEqj4ButuX35dVVD-VTNuoGTwA-bClya9oDesyNK2OdX02Z_Od1f4DbOUl9h4BEcsyf2D4lK8Zo3Hl1dJjc3Ksp6KkrO57wvn9gecJbdIdPQbZvAG9RiRmLk/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__12.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhFL84gJkuEoqNzaUCimyNGWpReAUiH2SNgEH6vt_VVYETH3vnWpN2XlNHF9WnCjjTWHx6XgEqj4ButuX35dVVD-VTNuoGTwA-bClya9oDesyNK2OdX02Z_Od1f4DbOUl9h4BEcsyf2D4lK8Zo3Hl1dJjc3Ksp6KkrO57wvn9gecJbdIdPQbZvAG9RiRmLk/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%BF%83%E8%A1%80%E7%AE%A1_%E4%B8%89%E9%AB%98_%E7%8C%9D%E6%AD%BB_%E9%A0%90%E9%98%B2_%E8%A1%9B%E6%95%99_%E5%93%A1%E6%A6%AE_%E9%99%A2%E8%A8%8A__12.PNG" /></a></div></div></div></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2020/01/thought-after-202001-hypertension-lipid-diabetic-neuropathy-meeting.html">長久累積 決定命運</a><br /><a href="http://dmcaretw.blogspot.com/2021/02/patient-using-Injection-medicine-too-late.html">相見恨晚的血糖治療</a></div><div><a href="http://dmcaretw.blogspot.com/2022/07/health2sync-on-line-care-case-sharing-01.html">數位工具助減重 改善胃食道逆流</a></div><div><a href="https://dmcaretw.blogspot.com/2022/11/20220908-covid-19-muscle-immune-change-and-how-to-handle-on-radio.html">新冠下身體產生的變化與因應</a> <span style="color: #999999;">線上廣播</span></div></div><div><span style="color: #999999;"><br /></span></div><div><span style="color: #999999;"><br /></span></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-87590332731953326652024-02-19T21:15:00.003+08:002024-02-19T21:15:52.991+08:00調整4類血糖藥 有效穩糖不增重文/余宜叡<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEWeLABmoz_XcMjK3fJTn2sRc3NlmSuyNz0wmUQ2PA5x2p_vN5Z16roZmnSTrftdE1mvT6WtD3gsbT6-xmnf3maqJgn8AGbxorOqeGPTvYenw0THO0nt-jf8lh-IEcwku-Wzu_aue_b2C-kFsWbieu5h3asNj9kmZ-Nwcjpl4RAlYZgrC7kuarQCAZoGv8/s960/20240219%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E8%AA%BF%E6%95%B44%E9%A1%9E%E8%A1%80%E7%B3%96%E8%97%A5%20%E6%9C%89%E6%95%88%E7%A9%A9%E7%B3%96%E4%B8%8D%E5%A2%9E%E9%87%8D.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhEWeLABmoz_XcMjK3fJTn2sRc3NlmSuyNz0wmUQ2PA5x2p_vN5Z16roZmnSTrftdE1mvT6WtD3gsbT6-xmnf3maqJgn8AGbxorOqeGPTvYenw0THO0nt-jf8lh-IEcwku-Wzu_aue_b2C-kFsWbieu5h3asNj9kmZ-Nwcjpl4RAlYZgrC7kuarQCAZoGv8/s16000/20240219%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E8%AA%BF%E6%95%B44%E9%A1%9E%E8%A1%80%E7%B3%96%E8%97%A5%20%E6%9C%89%E6%95%88%E7%A9%A9%E7%B3%96%E4%B8%8D%E5%A2%9E%E9%87%8D.PNG" /></a><br /><br /><br />「治療藥物的使用,可能伴隨著體重增加,其中包含降血糖藥物」<br /><br />「增加體重的4類藥物,分別為胰島素insulin、磺醯脲素SU類、glinide類藥物與TZD類」<br /><br />「與醫療團隊討論,是否可調整成不易增加體重的血糖治療組合,有效穩糖且不增加體重」<div><br /><div><a name='more'></a><p><img src="https://4.bp.blogspot.com/-4fINInSjkCs/XJ1ST9vt1NI/AAAAAAABiqY/sjGHW2Qy9RYN2__kxiz0MynztROwX-6_ACLcBGAs/s1600/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25872.PNG" /></p></div><div><br /></div><div><br /><div>全文詳見 <a href="https://health.ltn.com.tw/article/paper/1631316">20240219自由時報</a><br /><div><br /><br />延伸閱讀<br /><br /></div></div></div></div><div><br /></div><div><div><div><span style="color: #999999;">20231127</span> <a href="https://dmcaretw.blogspot.com/2023/11/ltn-20231127-hba1c-less-7-decrease-the-speed-of-adding-medicine.html">糖化血色素小於7% 有效延緩加藥速度</a></div><div><span style="color: #999999;">20231210</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231210-medicine-for-obesity-you-should-know-01.html">高劑量≠高成效 破解減重藥3迷思</a></div><div><span style="color: #999999;">20231230</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231230-diabetic-patient-should-stable-blood-sugar-and-do-more-to-prevent-cancer.html">糖尿病友認真穩糖 也要預防癌症</a></div><div><span style="color: #999999;">20240128</span> <a href="https://dmcaretw.blogspot.com/2024/01/ltn-20240128-lower-carbohydrate-lower-blood-sugar.html">忌糖沒忌醣 血糖不降反升</a></div></div></div><br /><br />與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-77059656059434026352024-02-03T14:56:00.002+08:002024-02-03T14:56:17.724+08:002023年回顧與感謝文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5xU2ZpjMc11_e-16oOihL_IpXo-106P0Ufl9oUhMv95gU8-5cmQGjw2CN_lXD1PtamMKgTKvblN5kU6iGsE5ws9IZ8Jf4D17UDEaM255TnvuEK15HtfGbRxrHHDUIm6ryXlAbONj9RCpHGqxMOK_4v9xHi6es_TQNO2QHodYc0urlbGOOzXtgUfEyR3MB/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5xU2ZpjMc11_e-16oOihL_IpXo-106P0Ufl9oUhMv95gU8-5cmQGjw2CN_lXD1PtamMKgTKvblN5kU6iGsE5ws9IZ8Jf4D17UDEaM255TnvuEK15HtfGbRxrHHDUIm6ryXlAbONj9RCpHGqxMOK_4v9xHi6es_TQNO2QHodYc0urlbGOOzXtgUfEyR3MB/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__01.PNG" /></a><br /><br /><br />「讓每位信任醫師的糖尿病患者,有生活品質地血糖達標」 <br /><br />「教學、提醒、鼓勵與容錯,努力提升同仁的能力」 <br /><br />「尋求健康、家庭、工作、收入與夢想的平衡之道」 <br /><br /><a name='more'></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmktiul43ci4fc8GNwqeqyazkUXZSWV5Tm8Q06KmDBhubPFwMl-EG0nyWz7GC9X5lZWL5vYXuyk4ZVDAKGUvEjgeTaVyYNnn4LZYG7IhPKcwzVngJF6jcyHlUc28q__gjPwwPtt4ck2oQ6wPpF4-vULiorGrczEtSEeXqkqhjTScpb-LWwnqsnpGIo-lta/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmktiul43ci4fc8GNwqeqyazkUXZSWV5Tm8Q06KmDBhubPFwMl-EG0nyWz7GC9X5lZWL5vYXuyk4ZVDAKGUvEjgeTaVyYNnn4LZYG7IhPKcwzVngJF6jcyHlUc28q__gjPwwPtt4ck2oQ6wPpF4-vULiorGrczEtSEeXqkqhjTScpb-LWwnqsnpGIo-lta/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__02.PNG" /></a><br /><br /><h3 style="text-align: left;">第一次 </h3><br />拍了人生第一支廣告,發現到拍廣告沒想像中那麼容易,謝謝團隊們的鼓勵、協助與幫忙。<br />上了人生第一個電視節目,但講話一直卡卡的。<br />出了人生第一本書,其實兩年前就要完成的…應謝編輯的鼓勵與催稿(壓迫)<br /> 與視網膜一起拍廣告,原來視網膜是這麼客氣的人。<br />參加日本鹿兒島的日本年會,以及德國漢堡的歐洲糖尿病年會,讓自己可以借鏡國外。<br /> 第一次荷比盧法瑞之旅,疫情後重啟家庭出國之旅。<br />第一次拜訪開業的工作坊學員,確認其很棒且繼續成長的穩糖能力,一定會造福許多高雄的患者。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnz2VZtXRbP9_5c8RANrlJsQVbnoRTSIQXENONS5xMIwPthSHTCXdbyf-1MXJ75D2m_xJZLhLXWurwOXM4XSgc0rQeh42y0_Ft_jUfhqBxgtBbBV-gHyhq2h3ymFaTD4Q4q6PptlrHDb-uCCkVqa_yG3vc4Yi_Uvko6EKVBua-HyHwri7yCJ6bmneuU-jG/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__03.PNG"><img border="0" height="334" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnz2VZtXRbP9_5c8RANrlJsQVbnoRTSIQXENONS5xMIwPthSHTCXdbyf-1MXJ75D2m_xJZLhLXWurwOXM4XSgc0rQeh42y0_Ft_jUfhqBxgtBbBV-gHyhq2h3ymFaTD4Q4q6PptlrHDb-uCCkVqa_yG3vc4Yi_Uvko6EKVBua-HyHwri7yCJ6bmneuU-jG/w640-h334/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__03.PNG" width="640" /></a><br /><br /><h3 style="text-align: left;">完成的事 </h3><br />18篇報紙衛教文章,主要是穩糖、減重與常見慢性病;54場演講。主要是體重管理、糖尿病、疫苗與健康檢查…等,感謝給予機會的院所、醫療群、機關與藥廠,持續提升醫療人員的照護能力,以及民眾的健康識能(素養),減少醫病之間的隔閡。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2b-yeZAIn6ySHM7-CPWRGNGa_l8tR2uw6xNu1m8WHkpy1EcJZmm9rwqCi5D9VMjNab4m5-NiGI6b74aRXz6_Q4FwrwDXCDrO7EWAbbXfYBa8MYJPf4F-2Mgh3vBe2NUzn0AllAC8HqnQSqVliMBv-R7Tw4w4f_pCm1oqtCR3KBN3G7FudblO_CSHYgLRW/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2b-yeZAIn6ySHM7-CPWRGNGa_l8tR2uw6xNu1m8WHkpy1EcJZmm9rwqCi5D9VMjNab4m5-NiGI6b74aRXz6_Q4FwrwDXCDrO7EWAbbXfYBa8MYJPf4F-2Mgh3vBe2NUzn0AllAC8HqnQSqVliMBv-R7Tw4w4f_pCm1oqtCR3KBN3G7FudblO_CSHYgLRW/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__04.PNG" /></a><br /><br /><h3 style="text-align: left;">持續的事</h3><br />累積越來越多體重管理個案,已經有兩大特殊族群的定期回診,每每都能從患者們身上學習許多;累積越來越多與糖共舞的患者,也許沒辦法一診看個50人以上,但就是努力地讓每位信任醫師的糖尿病患者,有生活品質地血糖達標。機關團體的衛教演講邀約,同時也提供合理的報酬與車馬費;上過與工作坊的學員,持續報名與糖共舞其他系列的工作坊;提升部門與醫院同仁的能力,不論是教育訓練、讀書會,還是個案研討會。 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgty9Lwl8fFTa5pd-HRb2mvs6ZQcpFltMDGKEmOsxpWX6OOOXmud3Juoi8zeMvV-6M9ZnWMK022WSVARfwFW36dTVXgQDpjNCgIX5jhqvnhfweqC1Yf1PsVRNaQdlPsmvG4V7GDDd7zmEEWJ_t77gxZ8g2X0Zqsan1vP1R9cu8zQvNpU3l4NKKz0W555hIL/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgty9Lwl8fFTa5pd-HRb2mvs6ZQcpFltMDGKEmOsxpWX6OOOXmud3Juoi8zeMvV-6M9ZnWMK022WSVARfwFW36dTVXgQDpjNCgIX5jhqvnhfweqC1Yf1PsVRNaQdlPsmvG4V7GDDd7zmEEWJ_t77gxZ8g2X0Zqsan1vP1R9cu8zQvNpU3l4NKKz0W555hIL/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__05.PNG" /></a><br /><br /><h3 style="text-align: left;">充電放鬆 </h3><br />提升自我的醫療照護能力,主題包含糖尿病、體重管理、血脂、血壓、頭痛、疫苗…等;出國參加研討會,除了新知外,也交流國外醫療的系統制度與工作情況;欣賞影集、動漫與電影,放鬆抒壓外,也學習價值觀與人生觀,反思對人事物的看法與做法。<br /> <br /> 註:最近在追的動漫:葬送的芙莉蓮、黑色五頁草、進擊的巨人…等。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLBLCfXJtrXHbPM2vz2RvSCYdf-AFFWeEWe1JyU64Ouzo12EMB7VcnUbU7J6972pFdS5yvXV59hUn-jWep2vCj8Ke2xyEIWtjXeuMqdrptmAG-GH7YIIZkeSfR99k8bpfUJRgydkcwcxTDyDvX0o30v-6c2nQJSFwdI1LZJWUP13DJ6INemp1JrhFlwplS/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLBLCfXJtrXHbPM2vz2RvSCYdf-AFFWeEWe1JyU64Ouzo12EMB7VcnUbU7J6972pFdS5yvXV59hUn-jWep2vCj8Ke2xyEIWtjXeuMqdrptmAG-GH7YIIZkeSfR99k8bpfUJRgydkcwcxTDyDvX0o30v-6c2nQJSFwdI1LZJWUP13DJ6INemp1JrhFlwplS/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__06.PNG" /></a><br /><br /><h3 style="text-align: left;">領導管理</h3><br />好主管就是好教學者。目前的主管教導我很多人事物、自費發展與策略,自己也努力成為好的主管,教學、提醒、鼓勵與容錯,用力提升同仁的能力,成為加薪的良好基礎。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZGg2tOyV1D7DACdmjdq5XNyO2_U0qagyx6p824ftdbNeWHNeMu40sAx6goZJfAWTMd64QL_suHYg0EgP6a2E-sQ1Ah21q3Z0R9KFUK-EHD7pZmkdY_wvSfvylI30cJ6eymEm-92GYlI6TZneKM9VkzIZbNCA8He4-Dex7dq9GJN8-ZCUGfMXF6ML7reok/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZGg2tOyV1D7DACdmjdq5XNyO2_U0qagyx6p824ftdbNeWHNeMu40sAx6goZJfAWTMd64QL_suHYg0EgP6a2E-sQ1Ah21q3Z0R9KFUK-EHD7pZmkdY_wvSfvylI30cJ6eymEm-92GYlI6TZneKM9VkzIZbNCA8He4-Dex7dq9GJN8-ZCUGfMXF6ML7reok/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__07.PNG" /></a><br /><br /><h3 style="text-align: left;">職涯分享 </h3><br />與學弟妹分享自己的職涯與進修原因,不論是寫成文章或線上交流。提供他們另一參考與可能,期許他們可少走一些冤枉路,對的事也許開始會很辛苦,但做就對了,不過記得一個前提,自己要先活下來,不要一直為五斗米折腰。尋找工作時,若有面談的機會,真的不要客氣地前往,面談才有機會瞭解人家的禮遇度或嫌棄度,有時就因此拿到好的offer,工作開心、能力精進、薪水提升,完成夢想。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoX6iLBPzQ7eswElPMfbW-wXJkIjvIu1SnJ7CyEO3hax-e8XG4Xd5O-8xTsxuVZeFnd3KbK-ruLs-lZygsJkW_zKhodn0WICvFew21-vu9K7IU8YrWkgi0-j2zkATrufXct-Ak3EqU7MlxkXmSjKQt4pUmYU1MTnAfFy-q0W5cS5j860QRZR-R5fbpz7SP/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__08.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoX6iLBPzQ7eswElPMfbW-wXJkIjvIu1SnJ7CyEO3hax-e8XG4Xd5O-8xTsxuVZeFnd3KbK-ruLs-lZygsJkW_zKhodn0WICvFew21-vu9K7IU8YrWkgi0-j2zkATrufXct-Ak3EqU7MlxkXmSjKQt4pUmYU1MTnAfFy-q0W5cS5j860QRZR-R5fbpz7SP/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__08.PNG" /></a><br /><br /><h3 style="text-align: left;">感恩的心 </h3><br />謝謝師長們幫忙為書寫序,讓書增色許多;謝謝讀者們的回饋、提問、提醒與鼓勵,確認出版書可以造福更多臨床工作者,以及為糖尿病或肥胖所苦的族群;謝謝孩子的教導,讓醫師找回遺忘很久的那份勇往直前,提醒自己要更有同理心,若能對患者有同理心,為什麼不能對家人也能有同理心;謝謝另一半的辛苦與協助,提醒自己要適時讓另一半放鬆休息與有自己的時間;謝謝師長們的分享,不論是臨床上、學習上、領導上、設定目標上或心態上等。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjI7P3Xb5o971j7_als9_207LwWUFeqDkeDFAh9hkbRrk9VfYO8mYuOCaPJqmnIniLQ8Y_q78lU133Pbu6pfKBjDYUcVeT1qc3p8aII6e7ygYbLxLDPJR4ROyvTg7p82xX4XwWCdR25QZnOsQkeQHlBcyuVknP-lO59bgogNIKNOsQ8b8jGrgHRh_0GTJZ3/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__09.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjI7P3Xb5o971j7_als9_207LwWUFeqDkeDFAh9hkbRrk9VfYO8mYuOCaPJqmnIniLQ8Y_q78lU133Pbu6pfKBjDYUcVeT1qc3p8aII6e7ygYbLxLDPJR4ROyvTg7p82xX4XwWCdR25QZnOsQkeQHlBcyuVknP-lO59bgogNIKNOsQ8b8jGrgHRh_0GTJZ3/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__09.PNG" /></a><br /><br /><h3 style="text-align: left;">定期檢視</h3><br />剩最2023年的最後幾天,將使用多年的信用卡剪掉了,留著幾張主力,除有效管理之外,也更能善用信用卡。有時很多選擇,反而會有更大的困擾,套用在目標設定與工作學習上,也是一樣,提醒自己要讓自己有一些時間去思考與修正,定期檢視盤點目前情況,工作分配、目標取捨,排好優先順序,避免忙盲茫。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg8NzA6Pm4O7t3IlPcYmATYvlCgwAgGJILBkThZGEK2wOEldk4GzVjuIAVwaTsLCovPtXNtsx1z-wbwEOctuTY_XdWyR_VSWx_a4ddCfLKte1M6r5QOphERPKutQt-SVoiDxqxWkSt0aG0YP1-u1XaDL6Xx7IC0M1JaXCF1vLmUcx2LdNMgaW1tCS62naXT/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__10.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg8NzA6Pm4O7t3IlPcYmATYvlCgwAgGJILBkThZGEK2wOEldk4GzVjuIAVwaTsLCovPtXNtsx1z-wbwEOctuTY_XdWyR_VSWx_a4ddCfLKte1M6r5QOphERPKutQt-SVoiDxqxWkSt0aG0YP1-u1XaDL6Xx7IC0M1JaXCF1vLmUcx2LdNMgaW1tCS62naXT/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__10.PNG" /></a><br /><br /><h3 style="text-align: left;">期待2024 </h3><br />2024年會有更多的嘗試與挑戰,主動出擊、盡力而為、不忘初衷、尋求健康、家庭、工作、收入與夢想的平衡之道,一步一步地完成待辦清單,也祝福看完此篇文章的你,一同逐步實現自己的夢想,畢竟有些事現在不做,以後可能沒機會做了。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir81zcU2kOJDmifZ8AKz9Ntmv4JKfqTzWZ8VmzyWIPBil6UinZ-WyN4sATdab7D_SJqcpnIrXXd_GOxXo6RnEsFaYCxW3-NiV5SUb6HaxjIWREgE5dRpnHEkd4yUDsGq5Fo8jFl3tPEb0AVmOaZB1-AwYYfsmWHOJpPt4b0pzmg6yuT6mPMtbY0Jv0aZKi/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__11.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir81zcU2kOJDmifZ8AKz9Ntmv4JKfqTzWZ8VmzyWIPBil6UinZ-WyN4sATdab7D_SJqcpnIrXXd_GOxXo6RnEsFaYCxW3-NiV5SUb6HaxjIWREgE5dRpnHEkd4yUDsGq5Fo8jFl3tPEb0AVmOaZB1-AwYYfsmWHOJpPt4b0pzmg6yuT6mPMtbY0Jv0aZKi/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_2024_%E5%9B%9E%E9%A1%A7_%E5%8F%8D%E6%80%9D_%E5%BF%83%E5%BE%97_%E6%84%9F%E8%AC%9D__11.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><a href="https://dmcaretw.blogspot.com/2021/01/thought-after-2020-review.html">2020年回顧與感謝</a><br /><a href="https://dmcaretw.blogspot.com/2022/01/thought-after-2021-review.html">2021年回顧與感謝</a><br /><a href="https://dmcaretw.blogspot.com/2023/01/thought-after-2022-review.html">2022年回顧與感謝</a></div><div><br /></div><div><a href="http://dmcaretw.blogspot.com/2022/04/thought-after-high-school-student-consultation.html">選牙或選醫的建議</a></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-4344536538671532802024-01-28T05:52:00.001+08:002024-02-19T21:29:51.107+08:00忌糖沒忌醣 血糖不降反升文/余宜叡<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj9lhuT0MPUjx1r1H390IRZ3aW8IjBPPZzdpDIEXwdp-qW3Py95imZvIghgugd__eGbpTtjZcd3cJfbByU8PUaafJcuj4n5FfDllNAV-pAoZFFtcJG-1EAZRdgRZTdc-XuXAlZ3p-Y9vNAsekr1xzofJmipSaggbZ9Em4b53F0vjaQ9Pi4d7DwKiqdyHXWX/s960/20240128%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E5%BF%8C%E7%B3%96%E6%B2%92%E5%BF%8C%E9%86%A3%20%E8%A1%80%E7%B3%96%E4%B8%8D%E9%99%8D%E5%8F%8D%E5%8D%87.png"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj9lhuT0MPUjx1r1H390IRZ3aW8IjBPPZzdpDIEXwdp-qW3Py95imZvIghgugd__eGbpTtjZcd3cJfbByU8PUaafJcuj4n5FfDllNAV-pAoZFFtcJG-1EAZRdgRZTdc-XuXAlZ3p-Y9vNAsekr1xzofJmipSaggbZ9Em4b53F0vjaQ9Pi4d7DwKiqdyHXWX/s16000/20240128%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E5%BF%8C%E7%B3%96%E6%B2%92%E5%BF%8C%E9%86%A3%20%E8%A1%80%E7%B3%96%E4%B8%8D%E9%99%8D%E5%8F%8D%E5%8D%87.png" /></a><br /><br /><br />「戒掉之前愛吃的甜點、蛋糕以及餅乾,這次的糖尿病怎麼還退步?」<br /><br />「雖少吃了精緻的甜食,卻攝取了更多其他醣類」<br /><br />「適量享用甜點,同時減少整體醣類的攝取,糖化血色素進步而不困惑、不煩惱」<br /><div><br /><div><a name='more'></a><p><img src="https://4.bp.blogspot.com/-4fINInSjkCs/XJ1ST9vt1NI/AAAAAAABiqY/sjGHW2Qy9RYN2__kxiz0MynztROwX-6_ACLcBGAs/s1600/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25872.PNG" /></p></div><div><br /></div><div><br /><div>全文詳見 <a href="https://health.ltn.com.tw/article/paper/1628372">20240128自由時報</a><br /><div><br /><br />延伸閱讀<br /><br /></div></div></div></div><div><br /></div><div><div><span style="color: #999999;">20231120</span> <a href="https://dmcaretw.blogspot.com/2023/11/ltn-20231120-diabetes-cgm-continuous-glucose-monitoring-you-should-know-01.html">裝置連續血糖儀 穩糖不必餓肚子</a></div><div><span style="color: #999999;">20231127</span> <a href="https://dmcaretw.blogspot.com/2023/11/ltn-20231127-hba1c-less-7-decrease-the-speed-of-adding-medicine.html">糖化血色素小於7% 有效延緩加藥速度</a></div><div><span style="color: #999999;">20231210</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231210-medicine-for-obesity-you-should-know-01.html">高劑量≠高成效 破解減重藥3迷思</a></div><div><span style="color: #999999;">20231230</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231230-diabetic-patient-should-stable-blood-sugar-and-do-more-to-prevent-cancer.html">糖尿病友認真穩糖 也要預防癌症</a></div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-55497757207084988792024-01-21T14:50:00.005+08:002024-03-09T11:30:51.791+08:00善用藥 血糖穩文/余宜叡<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZGh0Q7XxzF388updJR_V2Vl0m7T-sFmTCokGg0qRG29ATlWBf_HZz1uOjvRsQwI_jV18S82v1HosBKGR52Gi4zNc9JsT2Uy6cUJGLlMSU6Hy-jwYB3RUys_RFrHy-tKmI-KxuYv_3qKLrHX4rZuOcmUThJoUOlMGRm90bOLZJoXOmOrceC-VFljZ8mVTL/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZGh0Q7XxzF388updJR_V2Vl0m7T-sFmTCokGg0qRG29ATlWBf_HZz1uOjvRsQwI_jV18S82v1HosBKGR52Gi4zNc9JsT2Uy6cUJGLlMSU6Hy-jwYB3RUys_RFrHy-tKmI-KxuYv_3qKLrHX4rZuOcmUThJoUOlMGRm90bOLZJoXOmOrceC-VFljZ8mVTL/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_01.PNG" /></a><br /><br /><br />「DPP-4抑制劑仍有其不可取代,以及與其他血糖藥併用治療的地位」 <br /><br />「早點使用複方或三方或加上胰島素,才是較合乎臨床的積極治療」 <br /><br />「你以為替患者省荷包,其實是讓患者增風險」<br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgI21x3zs3q2JKnx9961mR8at8QJLtHmWxGeF3BttUJ6dlmj4ecQfTMzs8_VXYVJjGdi_ktjb16A_YNx_iRSF_QvPtB_f4oNrIIBQiNqQqzbGih9xF8aNbCFOxoJZUB6qd-12bICEZVg4L479MCXIB2lxQy1eVDujNmANvPiJ5YxynOpaSfa_apGpzXPtu4/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgI21x3zs3q2JKnx9961mR8at8QJLtHmWxGeF3BttUJ6dlmj4ecQfTMzs8_VXYVJjGdi_ktjb16A_YNx_iRSF_QvPtB_f4oNrIIBQiNqQqzbGih9xF8aNbCFOxoJZUB6qd-12bICEZVg4L479MCXIB2lxQy1eVDujNmANvPiJ5YxynOpaSfa_apGpzXPtu4/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_02.PNG" /></a><br /><br /><h3 style="text-align: left;">條件限制 </h3><br />這是一場有嚴格限制的演講,因此與平常的分享就有不一樣的地方,少了問答互動,但多了臨床實務分享,此外也補充糖尿病口服藥(MET、SU、TZD、排糖藥與腸泌素)的相關知識,臨床上真的很少患者只用1-2種藥物就能血糖達標。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhupzIJQPNFfDuNaqbWbkbGY45mYioTS2qnsachq0rMmK7HbEt_4y8Ogo5VtHF2QWd9ccrbP0zrohaYpaK725D61XN4BB-s1AH7YjLOtkEFvVw6iaJKGoHgsnhe30qzsVtK_qgy9N8RRS_kpiGEReX_6MKc5FdC5HB1t3GDedLT3FQbbdEr_5M79IIsj6Op/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhupzIJQPNFfDuNaqbWbkbGY45mYioTS2qnsachq0rMmK7HbEt_4y8Ogo5VtHF2QWd9ccrbP0zrohaYpaK725D61XN4BB-s1AH7YjLOtkEFvVw6iaJKGoHgsnhe30qzsVtK_qgy9N8RRS_kpiGEReX_6MKc5FdC5HB1t3GDedLT3FQbbdEr_5M79IIsj6Op/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_03.PNG" /></a><br /><br /><h3 style="text-align: left;">首發DPP-4抑制劑</h3><br />分享多年前就開立過的第一種DPP-4抑制劑,到現在還記得當時開立的新奇感,與患者穩定血糖的好療效。即使在排糖藥是當紅炸雞子的情況下,DPP-4抑制劑仍有其不可取代,以及與其他血糖藥併用治療的地位。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwZGovGx7GpXopuYI2Vhc-mCFGVJjJTmyySCa-0ZBGux1bYbUuOYzAbRrJe7UgnTJu1FguQftj8JVh51hIv81VqQLdQqA5ifZ511L0kQ-NsEgN7_azktiHWjAjaRBLCGqjtPnQeEHpvgLFE9PlplqlrMwKizyPuqxFA-T7dMy0g_gBCRkYVbg5AMgPpqBU/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwZGovGx7GpXopuYI2Vhc-mCFGVJjJTmyySCa-0ZBGux1bYbUuOYzAbRrJe7UgnTJu1FguQftj8JVh51hIv81VqQLdQqA5ifZ511L0kQ-NsEgN7_azktiHWjAjaRBLCGqjtPnQeEHpvgLFE9PlplqlrMwKizyPuqxFA-T7dMy0g_gBCRkYVbg5AMgPpqBU/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_04.PNG" /></a><br /><br /><h3 style="text-align: left;">介入時機 </h3><br />血糖偏高時,才加藥介入嗎?感覺糖化血色素會降更多?研究收案族群的糖化血色素就是這麼高(大於8%),並非鼓勵臨床上要等血糖這麼高才介入第二種藥;血糖越不好的族群,糖化血色素越高,血糖藥的降幅會越高,研究產生的數字會比較好看,但臨床實務還是希望患者糖化血色素小於7%,減少併發症的發生與加藥速度,因此早點使用複方或三方或加上胰島素,才是較合乎臨床的積極治療。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeBiTURze8IE6FW8YJ5v1hlRvdVPRXnH-TqHxS7fl__WwLuB_d2Hg5jhvp31iBBpvAcUt5kn27VI-KJlPenqudHfFNhUAFzoyB3R1HelEDusj0n_79DinFoHI-wyOFupaPxT5snNATRLQHZWk-KAfu0qf-z_M2pCpM4CpnEsei_0GZrmrPHIxoPbooheSD/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeBiTURze8IE6FW8YJ5v1hlRvdVPRXnH-TqHxS7fl__WwLuB_d2Hg5jhvp31iBBpvAcUt5kn27VI-KJlPenqudHfFNhUAFzoyB3R1HelEDusj0n_79DinFoHI-wyOFupaPxT5snNATRLQHZWk-KAfu0qf-z_M2pCpM4CpnEsei_0GZrmrPHIxoPbooheSD/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_05.PNG" /></a><br /><br /><h3 style="text-align: left;">減少核刪 </h3><br />單方情況下,如何符合給付標準?醫師以院內有的複方武器為例子,只要選對複方或再加上一點口服藥,就能有足量的二甲雙胍或SU,沒有被核刪的理由,再者一定讓使用排糖藥的族群,必需擇一自費;什麼時候可以開檔使用,直接以目前的藥局管理政策回答這個問題。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCd1bRpsUuU3He3mtBhWcKcrshvM4nSB3PaHgWx3alYMx7CTUOU6N88JvLOzPn5tJuMjra3oEx5ZHu14Kbi4b9Rscy-pky4XK9Zrj5KGiGMR7Pw0B4ZEIAu0Eew3NXn9nYtq3DHFFPNLcsuVidwVbNEGQZcVb41rews6gcK69Y9fqFKxE8lXG44-SPmj0y/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCd1bRpsUuU3He3mtBhWcKcrshvM4nSB3PaHgWx3alYMx7CTUOU6N88JvLOzPn5tJuMjra3oEx5ZHu14Kbi4b9Rscy-pky4XK9Zrj5KGiGMR7Pw0B4ZEIAu0Eew3NXn9nYtq3DHFFPNLcsuVidwVbNEGQZcVb41rews6gcK69Y9fqFKxE8lXG44-SPmj0y/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_06.PNG" /></a><br /><br /><h3 style="text-align: left;">省小失大 </h3><br />既然醫師很少讓患者超標半年以上,符合dpp-4抑制劑加排糖藥的給付條件,不論是否有納入給付,或給付條件嚴重或寬鬆,對於醫師的臨床開立,反而影響不大,沒那麼困擾;其實讓患者越符合目前的給付條件來用藥,某些角度來看是害到患者…@_@你以為替患者省荷包,其實是讓患者增風險(加藥速度、血糖沒達標、併發症風險…) <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOOibAbo9KKsDhPqc2HY-w3OOjZK5ac9yMM_3ikop5v2bPl4YY2o_cHcmMDo8biQhPfaWhVeokxR2EX-2NgPkPEiFn_xKayzXICB3Myu1WxtA2Cx8ljpSvcfSYbwO1rLMok_fRenbHO5KE-PDYR_vSwugmhlDDf7iAnax_SGNShJIhb_Exn7H774QDtu-m/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOOibAbo9KKsDhPqc2HY-w3OOjZK5ac9yMM_3ikop5v2bPl4YY2o_cHcmMDo8biQhPfaWhVeokxR2EX-2NgPkPEiFn_xKayzXICB3Myu1WxtA2Cx8ljpSvcfSYbwO1rLMok_fRenbHO5KE-PDYR_vSwugmhlDDf7iAnax_SGNShJIhb_Exn7H774QDtu-m/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_07.PNG" /></a><br /><br /><h3 style="text-align: left;">藥物黑洞 </h3><br />後續的交流討論,發現許多患者都有服藥順從性的問題,常常拿了健保給付的藥物後,不規律使用或自行停藥,等到累積很多,再拿回來藥局回收,你又能奈他何?重點這些回收的藥物只能銷毀,無法再利用,這是很明顯且不小的藥物黑洞,自費或無上限部分負擔,可以有效減少這個問題,但以目前的上限200元部分負擔,減少黑洞的效果有限… <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAhaJyhvQ8Cy4ZPOlcLyqtEcY7Id2Dsi-Aa-gQqZci-6qUCHkZ2XcUm2EbEXshn-Qs_E_1LbF14sceZiAPrCH-edHGQieKCuVAovgeNvuEbvHCG2peeV1UpyCRi1cJMG_jz8cD83_ZgdnHypq8WtGw766nE52-Wqx1cYnImLsJQeITXGpxscTuI3UiVlFl/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_08.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAhaJyhvQ8Cy4ZPOlcLyqtEcY7Id2Dsi-Aa-gQqZci-6qUCHkZ2XcUm2EbEXshn-Qs_E_1LbF14sceZiAPrCH-edHGQieKCuVAovgeNvuEbvHCG2peeV1UpyCRi1cJMG_jz8cD83_ZgdnHypq8WtGw766nE52-Wqx1cYnImLsJQeITXGpxscTuI3UiVlFl/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_08.PNG" /></a><br /><br /><h3 style="text-align: left;">更新知識 </h3><br />隨著健康資訊取得的方便,患者的健康識能一直在提升,不少患者家屬開始知道血糖藥的基本特性與副作用,醫療人員實有必要更新糖尿病治療新知,掌握臨床注意事項,才能在對的患者身上,給予對的溝通衛教,使用對(合適)的治療組合,產生對的療效。<div><br /></div><div> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzfoQ96McXwvr862gzZhBfKktqiHb_u4PEH8IB_aZjp7zDyGnfRXiyi8sAGratgsv5OobRNHPshW5lELwcYQBUxj-d49zUFdbQVfRKaRV9lzPh_uxvOrYmODIellMD316u56qpOTNoCLv1_ofZyHGwG_SXeObei0_rGRbXnDa5Oq6EULWulYiHWNEvUSqs/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_09.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzfoQ96McXwvr862gzZhBfKktqiHb_u4PEH8IB_aZjp7zDyGnfRXiyi8sAGratgsv5OobRNHPshW5lELwcYQBUxj-d49zUFdbQVfRKaRV9lzPh_uxvOrYmODIellMD316u56qpOTNoCLv1_ofZyHGwG_SXeObei0_rGRbXnDa5Oq6EULWulYiHWNEvUSqs/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02_09.PNG" /></a><div><br /><br />延伸閱讀<br /><br /><br /><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-202311-contrave-clinical-sharing-04.html">對的族群,對的療程與收費</a><br /><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-introduce-cgm-to-patients-04.html">從血糖值留意生活習慣</a></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-insulin-toujeo-sharing-04.html">穩糖胰起go</a></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-04.html">划算的健檢</a></div><br /><br /></div></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-41880121679811684642024-01-20T15:06:00.014+08:002024-01-21T14:54:23.751+08:00臨床實務學DPP-4抑制劑穩糖文/Ada<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEio6zctDYRNzrt66iGmWBObHZ4PaOI7HbAx1A0Rlbn1VbW167BEMjK6NtcuBeixL_rZVSm13mRpCUjpuLKq5HhDqNRl8fqrjR3tT8MYgA3W8S7eLHFFXjl-tKLBBEfQniicq67EG0uHGrkeoSzdloxbWTi6CMCIoJD3LJeWlJuVhouE7HeO5ftp1mI9K6Rz/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEio6zctDYRNzrt66iGmWBObHZ4PaOI7HbAx1A0Rlbn1VbW167BEMjK6NtcuBeixL_rZVSm13mRpCUjpuLKq5HhDqNRl8fqrjR3tT8MYgA3W8S7eLHFFXjl-tKLBBEfQniicq67EG0uHGrkeoSzdloxbWTi6CMCIoJD3LJeWlJuVhouE7HeO5ftp1mI9K6Rz/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_01.PNG" /></a><br /><br /><br />「安全且沒什麼副作用」 <br /><br />「更有效促成患者達標,還可以降低胰島素的用量」 <br /><br />「遇到的臨床問題,給予個人的建議與解法」 <br /><br /><a name='more'></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnX2O6ZxwRzAaRel2XJZbo0_ol4YUGr6N3fsV2atFfATG1vpshCZnwaKfWATPEaXblWXMzaFBuzWLDFbblSThcWNmo5bcEpK9tF_XBdIf8ZSIcKtrWW1a3wMN5-0rHevUA_t0Z4nwctbCAroyzZ_Vmil29mDpTZ17G-HzwfzUp6qlaObytZKH5QW_CFX_b/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnX2O6ZxwRzAaRel2XJZbo0_ol4YUGr6N3fsV2atFfATG1vpshCZnwaKfWATPEaXblWXMzaFBuzWLDFbblSThcWNmo5bcEpK9tF_XBdIf8ZSIcKtrWW1a3wMN5-0rHevUA_t0Z4nwctbCAroyzZ_Vmil29mDpTZ17G-HzwfzUp6qlaObytZKH5QW_CFX_b/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_02.PNG" /></a><br /><br /><h3 style="text-align: left;">藥物定位 </h3><br />榮幸邀請余宜叡主任分享在糖尿病治療上的臨床經驗,除了分享處方的方式外,也提到當初選擇單方的原因。隨著時代的進步,新的guideline提倡新藥的器官保護,但是主任分享到Jan○○的好處,安全且沒什麼副作用,降糖效果是他個人使用經驗裡dpp-4抑制劑裡最佳的,同時可與很多血糖藥併用。<br /> <br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwyo_QTcc4IvZKlirFG4fxo6UQzfeVHGsEn8FH4ILRdBsM2lT0A-PMMNZPqcKyMd-qL02C1xnPWga3VojgJg0T7J4UL5SN-N9oUKzVCf_hJPZevtDXTH62iW8KYKtyC_wOWR4XFWJWpuAgiOA3-C4o92oEfMok4lusnVRskdyDZk30Wb1xexee0mJuGHf7/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwyo_QTcc4IvZKlirFG4fxo6UQzfeVHGsEn8FH4ILRdBsM2lT0A-PMMNZPqcKyMd-qL02C1xnPWga3VojgJg0T7J4UL5SN-N9oUKzVCf_hJPZevtDXTH62iW8KYKtyC_wOWR4XFWJWpuAgiOA3-C4o92oEfMok4lusnVRskdyDZk30Wb1xexee0mJuGHf7/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_03.PNG" /></a><br /><br /><h3 style="text-align: left;">臨床現況</h3> <br /> 心內門診很多患者已經有心血管共病,甚至有的做完心導管,回頭看才發現是糖尿病引發冠狀動脈的問題,還是必須要回頭協助病患穩糖、神內醫師也是會遇到各類型的糖尿病患者,若是遇到腎功能eGFR 低下的患者 ,雖要調整劑量,但一樣可以協助病患穩糖,而且藥師與衛教師除了更好跟患者衛教外,也會一同檢視病患的身體狀況,協助患者達標。<br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJAOiRNrF2Y8FkcNXGluYj5LSTb5MXOsAZAPxM4JUw9mJLFzUmj4HjADfllQHXQ9KRj5j_iilvKUEspCe0t1OIoaV0592xUaSGJLPE5Q-1-LdnkRfs8-x8vDQEB-e4YgTiy7RdfDwJrQdjMLlotd3YZDzAw-X_TCGhMzOoXGb7sePhJFz3uQrhteSwc7uU/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJAOiRNrF2Y8FkcNXGluYj5LSTb5MXOsAZAPxM4JUw9mJLFzUmj4HjADfllQHXQ9KRj5j_iilvKUEspCe0t1OIoaV0592xUaSGJLPE5Q-1-LdnkRfs8-x8vDQEB-e4YgTiy7RdfDwJrQdjMLlotd3YZDzAw-X_TCGhMzOoXGb7sePhJFz3uQrhteSwc7uU/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_04.PNG" /></a><br /><br /><h3 style="text-align: left;">好用的血糖藥_DPP-4抑制劑 </h3><br />Jan○○○於排糖藥不耐受的患者可以轉換使用,合併排糖藥或胰島素使用,療效都是不錯的,前者可以協助患者血糖達標,後者可以更有效促成患者達標,還可以降低胰島素的用量,同時減少胰島素的常見副作用發生:低血糖與體重增加。自費Jan○○○的部份,患者接受度其實是高的,但需先做好溝通,不用擔心跟患者提自費。<div><br /></div><div> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEid7eQmmjoMXZp_0L3PPeITGXWNY3cp7crbSzW2u9N27FrDOzn0RCQZO9AWn81gjD8bE01dOdcu8Rwm1pPHP3UBBMo5rqr9EQPwoivzJoBE3rizqc9gIU8Q0vlzaYrNOVdyVvCabP0UQGYAdbrOYy-6Nxr4xyMCPS0-wZPDn2Hr5N2MhI7aDynBtRKqhsIW/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEid7eQmmjoMXZp_0L3PPeITGXWNY3cp7crbSzW2u9N27FrDOzn0RCQZO9AWn81gjD8bE01dOdcu8Rwm1pPHP3UBBMo5rqr9EQPwoivzJoBE3rizqc9gIU8Q0vlzaYrNOVdyVvCabP0UQGYAdbrOYy-6Nxr4xyMCPS0-wZPDn2Hr5N2MhI7aDynBtRKqhsIW/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_05.PNG" /></a><br /><br /><h3 style="text-align: left;">用藥順從 </h3><br />再好的藥,再厲害的調整藥物,都比不上病患乖乖吃藥來的重要,而Jan○○ 屬於DPP-4抑制劑類藥物,穩糖效果不差,而且幾乎沒有副作用,讓醫生與衛教師更好跟患者溝通,單方一天一顆,病患更願意規則用藥,與其他藥物併用,可讓超標一些的患者直接達標。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2Jh4zQcEk-wnYvk4CIV59roWtIPRi_2nAgKFKS3CSp9Em53jlZ5LF-StInHl2Tafton3CzYR0Mz51MtsvdnOow6ulR-pFswwFBh_1XMQglpk4dSg9nYm1jZR8CunofiSCTZZ6zCMVihXKeE2G_Pz-bahyM1ZxiNGQ7AdYZ-w08Pz2rnT7GLkIEE-eEMEo/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh2Jh4zQcEk-wnYvk4CIV59roWtIPRi_2nAgKFKS3CSp9Em53jlZ5LF-StInHl2Tafton3CzYR0Mz51MtsvdnOow6ulR-pFswwFBh_1XMQglpk4dSg9nYm1jZR8CunofiSCTZZ6zCMVihXKeE2G_Pz-bahyM1ZxiNGQ7AdYZ-w08Pz2rnT7GLkIEE-eEMEo/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_06.PNG" /></a><br /><br /><h3 style="text-align: left;">臨床應用 </h3><br />結合血糖藥的歷史、日本DPP-4抑制劑的使用現況,自身臨床經驗,以及醫生們與衛教師們可能遇到的臨床問題,給予個人的建議與解法,我相信,這次的演講,大家都是收穫滿滿,更知道如何協助糖尿病患者穩糖達標。<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6Jba-UnWeOJmdQ2C3EP3OABrSGJj2typphfgtDt7sgTM-zf2ca09oI_ZIRxTs3IQoTSjjMf4d3iGLwjo5ycuLcahpwQEZfPOnJjn98SFf0T8HTfNHdUbbdSsLIVSSPzfpavM61ItA_04AbqjQ9NTtYUsVyX5MpjddaEahJWdsoXyp9dbtguqMz3uw8RZq/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6Jba-UnWeOJmdQ2C3EP3OABrSGJj2typphfgtDt7sgTM-zf2ca09oI_ZIRxTs3IQoTSjjMf4d3iGLwjo5ycuLcahpwQEZfPOnJjn98SFf0T8HTfNHdUbbdSsLIVSSPzfpavM61ItA_04AbqjQ9NTtYUsVyX5MpjddaEahJWdsoXyp9dbtguqMz3uw8RZq/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_januvia_%E8%87%A8%E5%BA%8A_%E5%88%86%E4%BA%AB_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04_07.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/10/thought-after-20231022-hyperlipidemia-hypertension-and-presentation-skill-sharing-07-01.html">助人助親友的學習</a><span style="color: #999999;">(蔡雨芯營養師)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/10/thought-after-20231022-hyperlipidemia-hypertension-and-presentation-skill-sharing-08.html">好學習 好衛教</a><span style="color: #999999;">(林沛均護理師)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-20231022-hyperlipidemia-hypertension-and-presentation-skill-sharing-09.html">課後實用的學習</a><span style="color: #999999;">(周佳汶營養師)</span><br /><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-202311-contrave-clinical-sharing-01.html">茹素減重分享</a><span style="color: #999999;">(林尚輝醫師)</span></div><div><br /></div></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-91828437502383369172024-01-02T05:02:00.007+08:002024-01-02T05:02:25.738+08:002023歐洲糖尿病年會心得文/余宜叡<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhaHcgvm8u36Z4OHurduJQ0P-ftXNLAolaxygsPn3t69bLWzQvf75gshEITOhAQBKqSmwi5yK5bqzVHWcutYhbNoA-1cOh_X7hKEvf9DpeTa0y5fH20y_kACcWJB6BF2_prhAO6PxEzTuz5OQ8FtLSCiD0z1AlxyTQToLcPWFcOA_SsKfF3LgQMmxyZYfc7/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhaHcgvm8u36Z4OHurduJQ0P-ftXNLAolaxygsPn3t69bLWzQvf75gshEITOhAQBKqSmwi5yK5bqzVHWcutYhbNoA-1cOh_X7hKEvf9DpeTa0y5fH20y_kACcWJB6BF2_prhAO6PxEzTuz5OQ8FtLSCiD0z1AlxyTQToLcPWFcOA_SsKfF3LgQMmxyZYfc7/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_01.PNG" /></a><br /><br /><br />「有沒有用心準備,有沒有提供新知,聽眾其實都聽得出來」 <br /><br />「糖尿病與減重的族群,才能各取所需要的腸泌素」 <br /><br />「每個人的生活品質定義都不一樣,但醫師覺得低標就是」<br /><br /><a name='more'></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqMGrttO7pvAx_IrXonM-xlEMnMTVYXqr5XyRJ8jSlQ457gVXFazKHyYaaYIDlhIJJfdlsTLcVPd0ut0IFi1zORu9YHKiixhx47cEA-sa-cLnJHCIHL5_N1bbBNlhnfdXdT8M48yi7U0M6So1ql6DfyS9ZW6PUwXmWGHJVncNgfJcNKH-Xf8xHzNc2ieNh/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqMGrttO7pvAx_IrXonM-xlEMnMTVYXqr5XyRJ8jSlQ457gVXFazKHyYaaYIDlhIJJfdlsTLcVPd0ut0IFi1zORu9YHKiixhx47cEA-sa-cLnJHCIHL5_N1bbBNlhnfdXdT8M48yi7U0M6So1ql6DfyS9ZW6PUwXmWGHJVncNgfJcNKH-Xf8xHzNc2ieNh/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_02.PNG" /></a><div><br /><h3 style="text-align: left;"> 再次參加</h3> <br /> 雖然沒有第一次2017年(慕尼黑)那次參加那麼衝擊與新鮮,但看到各國致力於糖尿病的治療與防制,以及學習的積極,還是有感動到。各國的糖尿病照護經驗很值得學習,不過因為每個國家的保險制度與醫療系統不一樣,台灣可以先挑幾個可行的試辦執行看看。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg14whHAterP6TejA91qlU3GrbptfHpeOsVI5uuCMGm5VpRSPFWOF4Tti9gY4faKgjkN3W316EQePj1vBN9rrvgw9m0HcxvxRewamtumbdxEf3R2h-jByTubnWawV4b-U-OUG-nXjydDwRZGxKsPD0yP_zhMIVV6SL-cO7i_TIIIW6GxAX7HnHslfUFfqAn/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg14whHAterP6TejA91qlU3GrbptfHpeOsVI5uuCMGm5VpRSPFWOF4Tti9gY4faKgjkN3W316EQePj1vBN9rrvgw9m0HcxvxRewamtumbdxEf3R2h-jByTubnWawV4b-U-OUG-nXjydDwRZGxKsPD0yP_zhMIVV6SL-cO7i_TIIIW6GxAX7HnHslfUFfqAn/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_03.PNG" /></a><br /><br /></div><h3 style="text-align: left;">感受得出 </h3><div><br />聽了三家以上的藥廠舉辦的演講,只能說有沒有用心準備,有沒有提供新知,聽眾其實都聽得出來,照本宣科的講公版投影片,還是有後製精美,加上臨床經驗觀點,聽眾一定會感受到其不一樣。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1l8Yannefo2AClALllTH9WiBe9vWBd9yVqeLM-L-ayN1f_ICT2Lft7PAiW-tzyu4KroYwBImcq6lAD6VJYEO0nfCoUh1gxRQf9GQeeBuAPCKDCqhcgAEKmm0jr3mgGDL-k8y_AJ4Ox8WFQnfPLOWcgeFywrxWfyOfZcdd-X_3T8PcN3s_SACz8yYDNBWl/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1l8Yannefo2AClALllTH9WiBe9vWBd9yVqeLM-L-ayN1f_ICT2Lft7PAiW-tzyu4KroYwBImcq6lAD6VJYEO0nfCoUh1gxRQf9GQeeBuAPCKDCqhcgAEKmm0jr3mgGDL-k8y_AJ4Ox8WFQnfPLOWcgeFywrxWfyOfZcdd-X_3T8PcN3s_SACz8yYDNBWl/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_04.PNG" /></a><br /><br /><h3 style="text-align: left;">誰先開立 </h3><br />「詢問現場的新代科或心臟科或腎臟科,那一位需要先開立腸泌素給患者使用?」其實沒有標準答案,而且也要看這個醫師是否知道這個藥物、院所是否有此類藥物、醫病關係好不好,再來就是務實面上的保險是否給付…等,而且不是某科醫師的責任,而是需要團隊合作推廣,其實套用在胰島素推廣也適用,如果將推廣排糖藥或減重藥物的力道,用來推廣胰島素,相信也能得到不錯的成效 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlc3alxq1aT8rQGCVBBZQmkh2AWI0Ya6kO74f8xsml5ks0kc7-NEzf-SUcLGXnad0ig0t8ih_B_3B-fT2WRScP1U3ZRE5FNyIZ-fkKM-YfLvA-BH0PsRV0C2p2CRIxye_Niv9m4AlGayA7WNvLmAPA_u1Y5BXQK3QJxtntqUvwlPVRFuw8THlQXXbnJDTZ/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlc3alxq1aT8rQGCVBBZQmkh2AWI0Ya6kO74f8xsml5ks0kc7-NEzf-SUcLGXnad0ig0t8ih_B_3B-fT2WRScP1U3ZRE5FNyIZ-fkKM-YfLvA-BH0PsRV0C2p2CRIxye_Niv9m4AlGayA7WNvLmAPA_u1Y5BXQK3QJxtntqUvwlPVRFuw8THlQXXbnJDTZ/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_05.PNG" /></a><div><br /><h3 style="text-align: left;">達標報酬 </h3><br />只是花很多心力,推廣好的治療,將患者的血糖穩得更好更久,是否多一些報酬給醫療團隊或患者嗎?如果不能的話,血糖沒達標也不會是重點,有來看病就可以?是不是很像某些臨床個案的真實情境與無奈… <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhquPtVmQVXs4EZO_gk-AxhS1EdijmV3vXJI0dypNZv0OGT9NxIzGOtfDh_OQuFGNhGILjOaUZ9IS7Cx8OnSKb6siDx0sTRc5dQY5F3DHX-UGDQdsa3QHbx0Pkw-7J2rPJGpEKjgT-aWC1Wxh9yDAoDCHD-KukdclWgXAkiAqV6DVWhDTpwVBxdmSo6sRh2/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhquPtVmQVXs4EZO_gk-AxhS1EdijmV3vXJI0dypNZv0OGT9NxIzGOtfDh_OQuFGNhGILjOaUZ9IS7Cx8OnSKb6siDx0sTRc5dQY5F3DHX-UGDQdsa3QHbx0Pkw-7J2rPJGpEKjgT-aWC1Wxh9yDAoDCHD-KukdclWgXAkiAqV6DVWhDTpwVBxdmSo6sRh2/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_06.PNG" /></a><br /><br /><h3 style="text-align: left;">青少年肥胖 </h3><br />青少年的肥胖問題介入更複雜。治療青少年肥胖的同時,常常也要治療陪同的親友,尤其是同住或準備食物的關鍵人士,否則減重成效會事倍功半;青年少若能早期介入處置肥胖的話,成人後的疾病也能減少許多,畢竟肥胖是百病的根源,請努力讓體重維持在標準內,可避免許多慢性疾病產生。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgaLvkUeF3B06c5o1l6SzfmorTx_1FzA4LgsT0NFdyKwGYTZvjmCwq5dTy8NAVljjPY1Hl4pulzqNLUU1WNMYC_p8b3xVZL1KmXAhq5x8eLdpneNCe5wXiqO1kYM2HRMAJR-aniVtyZrsAfxerZagWKnWCA03D4vVcYOaWxW6YFEWA-ugztG_PRFPoyLXk6/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgaLvkUeF3B06c5o1l6SzfmorTx_1FzA4LgsT0NFdyKwGYTZvjmCwq5dTy8NAVljjPY1Hl4pulzqNLUU1WNMYC_p8b3xVZL1KmXAhq5x8eLdpneNCe5wXiqO1kYM2HRMAJR-aniVtyZrsAfxerZagWKnWCA03D4vVcYOaWxW6YFEWA-ugztG_PRFPoyLXk6/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_07.PNG" /></a><br /><br /><h3 style="text-align: left;">軟體管理 </h3><br />羅氏的軟體管理,是不錯的糖尿病照護模式。使用羅氏軟體可於回診時,好好觀察這段期間是否有好好用藥、飲食運動執行情況,不過智抗糖已可以臨床運用了;管理軟體要有一定的經營收費,才有機會讓醫療團隊、患者與軟體三贏,醫師正努力帶著團隊實現此夢想,也欣見智抗糖一直努力地創新營運方式,讓自己能獲利、走得更久,持續提供服務。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqdIO46ERoHCxJvX-EvI5ebgLuwe5JkAV2HsNKx6RfOciKvF_ZCy_YITWQJLclOjSRE2m-1n9qG8Ii0mXaIjW3nw1ntNETLuB73CAvond_w_YYnfSLJhroDjFzyTm1uFkMiywy34dN6YSF9JiDDRzxKN6Zh5S498eIHvoYjPS4svEAtnW8aETO4g7OVf6W/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_08.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqdIO46ERoHCxJvX-EvI5ebgLuwe5JkAV2HsNKx6RfOciKvF_ZCy_YITWQJLclOjSRE2m-1n9qG8Ii0mXaIjW3nw1ntNETLuB73CAvond_w_YYnfSLJhroDjFzyTm1uFkMiywy34dN6YSF9JiDDRzxKN6Zh5S498eIHvoYjPS4svEAtnW8aETO4g7OVf6W/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_08.PNG" /></a><br /><br /><h3 style="text-align: left;">一週1次 </h3><br />自從一天一次的針劑腸泌素問世之後,一週1次的針劑胰島素,也即將著問世,接著將有更多複合新型的腸泌素研發中,相關研究也陸續發表中。除了目前即將上市諾和諾德的icode,有更多與目前一天一次的胰島素對照的研究外,禮來也開發出相似的一週一次的胰島素insulin efsitora alfa,臨床試驗中,期待更多一週1次胰島素的選擇。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXxTZIjqL00DGW2e2WtShQcOS-KiZrHLvNdzDCf4m3cW3ZHTpdw4AHyNpMcjrZfprSvpXuWpUK5tvdX-0vUORmxeLgr025kGDwJfzKWprYwb1MrhfCyiBjA4RbW051XDCEqVGMx0XoK-CII5Jc38lncMpP-qx2WDkYXI0srDXEqQj3IdC34mHOXgb7ia3m/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_09.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXxTZIjqL00DGW2e2WtShQcOS-KiZrHLvNdzDCf4m3cW3ZHTpdw4AHyNpMcjrZfprSvpXuWpUK5tvdX-0vUORmxeLgr025kGDwJfzKWprYwb1MrhfCyiBjA4RbW051XDCEqVGMx0XoK-CII5Jc38lncMpP-qx2WDkYXI0srDXEqQj3IdC34mHOXgb7ia3m/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_09.PNG" /></a><br /><br /><h3 style="text-align: left;">新型腸泌素 </h3><br />禮來的二合一新型腸泌素(tirzepatide),二合一是指GLP1外還多了GIP,有著更佳的穩糖減重效果,台灣已經取得藥證,期待後續台灣上市;禮來的新型口服腸泌素藥物orforglipron,它與目前的台灣的口服腸泌素rybelsus最大的不同是,沒有那麼飲食限制嚴重,不需空腹與禁食一段時間。這些新型腸泌素除了有更優異的減重穩糖效果外,有著臨床使用上更多的方便性,提升了患者的順從性,同時也有很高的機會取代頻率較高的治療,如一天3次的速效胰島素治療。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhblGHP7YHp_ApEe6rpTAc97zj_r3y22XYIJkzZkW54gG7DW7R4s8Gj5z8521zAqNJav53HQVVkulfcNTgGEPk_ZiVIJgYADUxGN888AtlXAHvhknIGB0OH8jBdQztR2rqrPpHjezt-IT4jZR_1sVJd9WS0Gyy6ezcfl8w1a94-StcMtkRQIO7-cQSzxHfS/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_10.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhblGHP7YHp_ApEe6rpTAc97zj_r3y22XYIJkzZkW54gG7DW7R4s8Gj5z8521zAqNJav53HQVVkulfcNTgGEPk_ZiVIJgYADUxGN888AtlXAHvhknIGB0OH8jBdQztR2rqrPpHjezt-IT4jZR_1sVJd9WS0Gyy6ezcfl8w1a94-StcMtkRQIO7-cQSzxHfS/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_10.PNG" /></a><br /><br /><h3 style="text-align: left;">早用好藥 </h3><br />此外西班牙的研究顯示,用好藥可提升糖尿病患者的生活品質,就要看政府或患者是否願意投資…臨床上也真的不少患者使用腸泌素、胰島素或排糖藥,輔助其他血糖藥,血糖達標且很有生活品質。每個人的生活品質定義都不一樣,但醫師覺得低標就是不痛苦地飲食,血糖達標,當然最好是可以隨心所欲地飲食 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOfr0V5ym4tWFGRG7wKGf6ysUO7M4BjtBpAmjICpkH4U6u05Av2VtOnDrMGFjqz91CGF4o9SxC-j4QS2Rfi1SkZeKtPnQAcOAtGKCeU04RrEbzMrc13N-633iMidvTagFCPGYyIrYNTPFej1mLh5M8Z7D8YOyXIUdbKZhEuvnGScn_aVuIlhdy_5phrb_w/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_11.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOfr0V5ym4tWFGRG7wKGf6ysUO7M4BjtBpAmjICpkH4U6u05Av2VtOnDrMGFjqz91CGF4o9SxC-j4QS2Rfi1SkZeKtPnQAcOAtGKCeU04RrEbzMrc13N-633iMidvTagFCPGYyIrYNTPFej1mLh5M8Z7D8YOyXIUdbKZhEuvnGScn_aVuIlhdy_5phrb_w/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_11.PNG" /></a><br /><br /><h3 style="text-align: left;">排糖正反 </h3><br />排糖藥的正反論述。這種演講可以直接聽到正反方的依據,也能快速掌握排糖藥的重點。最後反方最後成功勸服大家,不是全部的患者都會加排糖藥,他承認許多排糖藥保護器官的研究,但直接指出辯論主題的差異,再論述一些不適合的情況與原因,若是醫師來補充的話,會以排糖藥的副作用切入。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhge_5gAwqgJLLKLBKW9SB5jXaH38I92ePS1UEdKmZ1WMsdbHIVb1LENwOzNdNTLgZvXa7oFcT2y-76Fyr_dEMjlD91Wg0g8sWMe1H_kl7JMVL3k9ZweweeSCTg0pp0UPGuFj3LCF-NfNDLxwv-ioTVKFBdhnHRv67-di2NiSaUUGvu0Q5CGNPR25BXc8Lo/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_12.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhge_5gAwqgJLLKLBKW9SB5jXaH38I92ePS1UEdKmZ1WMsdbHIVb1LENwOzNdNTLgZvXa7oFcT2y-76Fyr_dEMjlD91Wg0g8sWMe1H_kl7JMVL3k9ZweweeSCTg0pp0UPGuFj3LCF-NfNDLxwv-ioTVKFBdhnHRv67-di2NiSaUUGvu0Q5CGNPR25BXc8Lo/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_12.PNG" /></a><br /><br /><h3 style="text-align: left;">藥物選擇 </h3><br />合適的族群還是建議優先使用排糖藥,因為連非糖尿病患者,心腎都能得到益處,不過英國的一項針對精準治療的研究顯示,非白人使用dpp-4i抑制劑療效會比排糖藥好,加上臨床上還是要考慮排糖藥的副作用,所以醫師自己只要能有生活品質地使用排糖藥族群,都可以開立排糖藥,若有藥費與療效的考量,dpp-4i抑制劑也是不錯的選擇。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWKYyjw31lnUnDfX9FHAFH5zxhVogtP-BoJghf6aaeKexDz23OeyFJ45KigZ9Q1YHPtsDdn0SF0LIrjXxCypNXHA9lKO7RyiUjtTZ15AoAtRjp6oLAOb8kEn84Xi0cfRguq1IdD2Xe6FdGdHogFDcVTD_YOxXkW59BcbYPYxJ0Q4l2U4T4OhoAr0p7hcbh/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_13.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWKYyjw31lnUnDfX9FHAFH5zxhVogtP-BoJghf6aaeKexDz23OeyFJ45KigZ9Q1YHPtsDdn0SF0LIrjXxCypNXHA9lKO7RyiUjtTZ15AoAtRjp6oLAOb8kEn84Xi0cfRguq1IdD2Xe6FdGdHogFDcVTD_YOxXkW59BcbYPYxJ0Q4l2U4T4OhoAr0p7hcbh/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_13.PNG" /></a><br /><br /><h3 style="text-align: left;">數位管理 </h3><br />數位化的血糖管理主要著重在連續血糖儀的監測,不論是給患者立即的回饋,或是可以傳輸到系統記錄或警示,甚至還可以讓胰島素幫浦自動調節胰島素的劑量,促進患者隨心所欲地與糖共舞!不過目前執行上,仍有費用經濟上的考量 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-PZDcJf_W0tGn2uLv2Iw4broKzdRsLJxVdD4m9PbjJ0LZGhOqMpvAkJ4pmq652eZYl2pep7ARInyo_6QYZJMFb95QuGsJRdBg_cG7USLv3fgIm9yjYYGyena4qQn83MAx61EglaC424Vuz8ytBoI3nhg8aYgqVfDt9B5qa7c6XHxvtflQDquGj2qFIL22/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_14.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-PZDcJf_W0tGn2uLv2Iw4broKzdRsLJxVdD4m9PbjJ0LZGhOqMpvAkJ4pmq652eZYl2pep7ARInyo_6QYZJMFb95QuGsJRdBg_cG7USLv3fgIm9yjYYGyena4qQn83MAx61EglaC424Vuz8ytBoI3nhg8aYgqVfDt9B5qa7c6XHxvtflQDquGj2qFIL22/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_14.PNG" /></a><br /><br /><h3 style="text-align: left;">臨床使用 </h3><br />不過臨床使用上仍需考慮藥物的療效、副作用、藥物適應症、藥物經濟學,以及市場機制的影響,從中取得一個平衡點,糖尿病與減重的族群,才能各取所需要的腸泌素;當新的腸泌素問世後,舊的腸泌素在治療上可能的角色也可事先規劃好;針對體位較輕的患者,腸泌素是否優先用來穩定血糖。超速效胰島素,更接近人體餐後分泌胰島素的生體機能,更能減少低血糖發生,以及施打上的限制與不便,不過可惜的是,台灣沒有引進…<br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwOXEv9E6yJMVZoDKOitil-VEwO5YVmNgbMEtaRsLZS1Jswi-seMvci63LSQlYa5zWeXciFBSI8LWeBDlzAR_kSqNEt8jZCBfBTJ193on-vKa2mYORcuF71L9-ED4mEbz-FKaeOg3SkZtYOc6wRcIWbWiP3ZSVmPdhii-LoGuCiTkl3endWjQNzHEuq9RT/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_15.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwOXEv9E6yJMVZoDKOitil-VEwO5YVmNgbMEtaRsLZS1Jswi-seMvci63LSQlYa5zWeXciFBSI8LWeBDlzAR_kSqNEt8jZCBfBTJ193on-vKa2mYORcuF71L9-ED4mEbz-FKaeOg3SkZtYOc6wRcIWbWiP3ZSVmPdhii-LoGuCiTkl3endWjQNzHEuq9RT/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_15.PNG" /></a><div><br /><h3 style="text-align: left;">值得借鏡 </h3><br />會議的線上回放的功能,可以現場挑有興趣的聽或想提出問題的參加,其他有興趣的可線上聽;或是好好出去遊玩,回來再看重點xd維持學會的運作需要入大於出,因此每屆都有在檢討收入與支出,而年會的收費就是一個很大的收入來源,如何讓各多人願意付費參加,也變成一個重點。會員的會費,除了原本的1年2年,這次新增3年與4年一次繳,同時給予一些小折扣,個人是覺得值得學會參考。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuBLZrJe6FLV6fSfZzu2f1KXXODbGXIjiHZJgECHDsF8oTmZ_UBfAjzA5jOnIYVoN3j9ww7kaMWQ2pNBVKf0v-64z_fv3v3HcCwAdHBRpNOmahU1Dm2ursfDdZm_WfaChDtV9GpZzZ31CKTKgl4vG_4bztG-3HQtzUud-x7qFWiYFm_cgCcaJIfdtrAqn2/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_16.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhuBLZrJe6FLV6fSfZzu2f1KXXODbGXIjiHZJgECHDsF8oTmZ_UBfAjzA5jOnIYVoN3j9ww7kaMWQ2pNBVKf0v-64z_fv3v3HcCwAdHBRpNOmahU1Dm2ursfDdZm_WfaChDtV9GpZzZ31CKTKgl4vG_4bztG-3HQtzUud-x7qFWiYFm_cgCcaJIfdtrAqn2/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_16.PNG" /></a><br /><br /><h3 style="text-align: left;">國際品牌 </h3><br />此次會議,韓國有許多研究分享,善用韓國的健保資料庫,發表不少重要論文,讓其他國家更認識韓國,打出韓國自己的品牌,反觀健保資料庫給醫療人員的資料庫其實已經加密,很難去這個代碼是誰,加上把醫療人員當賊的心態一直存在,先是給付上,後來連資料庫使用也是…看著韓日發表資料庫相關論文,提升自己國際能見度,衷心希望台灣能更友善地開放醫療人員使用健保資料庫,讓更多國家發現台灣醫療照護的好。</div><div><br /></div><div> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghuueLiHViSgatd1PW0v75auQ5OsOQejq0U75nYmIYeWSLJUnk95wkRaj6-lqwr2cjlWC-j1pJy84RYbtlivu9F45Q-3hXcZX65_g0bKAPVYSVli3NPIhIimLdTbLI1U4N-uJEp8KUvW-WQZddUqUMgZonw1FjMhu80um5ric6jYmlxCZvPC02z1G07naH/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_17.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghuueLiHViSgatd1PW0v75auQ5OsOQejq0U75nYmIYeWSLJUnk95wkRaj6-lqwr2cjlWC-j1pJy84RYbtlivu9F45Q-3hXcZX65_g0bKAPVYSVli3NPIhIimLdTbLI1U4N-uJEp8KUvW-WQZddUqUMgZonw1FjMhu80um5ric6jYmlxCZvPC02z1G07naH/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_17.PNG" /></a><br /> <br /><h3 style="text-align: left;">機票購買 </h3><br />參與會議的機票要早點買,避開一些(熱門)時段。可以的話,避開會議開始前一天去,以及會議結束後當天或隔一天,這時候的機票最貴,當然提早買的話,可能就不會這樣。這次年會有台灣去的醫師,買轉機一次的機票5萬多元(會議三個月前才買),而醫師是買轉兩次機,3萬五左右。(會議七個月前買的)但若是有特殊情況,如急著回台繼續臨床工作,那也沒辦法…其實參加年會的同時,延伸幾天旅行,不論是自己一個人或與親友旅行,可以順便在繁忙的臨床工作中放鬆一下,同時也會天馬行空想到一些事情與人生回顧,是很不錯的體驗。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCStJGDz9XTkRmGdXaEIbsJOJoC9BSXWkWcZ84-GmRIRKbLhl8qMopjIanigmCIZOm6qyjy2GKYP-4jZUFlgfuu4cs3IAQ2WySaZ5cRDe9_eBTEAhD2vJdgbNaFiOOVF7oH-VHITHZEAGI9LcRrp8V8mlvgVP9ZYU0JAlmYHUG6UUHRz7JaFrMGoXjYdYG/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_18.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCStJGDz9XTkRmGdXaEIbsJOJoC9BSXWkWcZ84-GmRIRKbLhl8qMopjIanigmCIZOm6qyjy2GKYP-4jZUFlgfuu4cs3IAQ2WySaZ5cRDe9_eBTEAhD2vJdgbNaFiOOVF7oH-VHITHZEAGI9LcRrp8V8mlvgVP9ZYU0JAlmYHUG6UUHRz7JaFrMGoXjYdYG/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_EASD_%E6%AD%90%E6%B4%B2_%E5%B9%B4%E6%9C%83_%E5%BE%B7%E5%9C%8B_%E6%BC%A2%E5%A0%A1_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_18.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-202310-headache-annual-meeting.html">頭痛新知補給好機會</a><span style="color: #999999;">(2023頭痛學會年會)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-201912-diabtest-treatment-learning.html">考量經濟的穩糖處方</a></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-14days-health2sync-journey-of-blood-sugar-discovery.html">體驗14天血糖探索服務之旅</a><br /><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-2023-JDS-annual-meeting.html">2023年日本糖尿病年會心得</a></div></div></div></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-89330284360584501932023-12-31T21:29:00.009+08:002023-12-31T21:31:08.420+08:002023年日本糖尿病年會心得文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBv5CLYRcyKHTen4v80XqGl3Qa1pUOR2xBp-ymlMT1SBHK6NvZH-p0XLrE4U0k6dXSnN8_mxuS4DpQjrjgnW_QeOzKLjLc3wuhDFm6mCB3jww09i5M5iKnezHL2uMi_kwI353FHNa72hFKg0xcrCiZMr05c8br9ZVCTtqvtA_EmgmGzO5sfYCCzHKUFAUu/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_1.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBv5CLYRcyKHTen4v80XqGl3Qa1pUOR2xBp-ymlMT1SBHK6NvZH-p0XLrE4U0k6dXSnN8_mxuS4DpQjrjgnW_QeOzKLjLc3wuhDFm6mCB3jww09i5M5iKnezHL2uMi_kwI353FHNa72hFKg0xcrCiZMr05c8br9ZVCTtqvtA_EmgmGzO5sfYCCzHKUFAUu/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_1.PNG" /></a><br /><br /><br />「選擇主會場想聽的主題」 <br /><br />「日本已應用連續血糖儀CGM在很多地方」 <br /><br />「若搭捷運到福岡機場,需再轉接駁車,不像市區搭巴士是直接到達」 <br /><br /><a name='more'></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRek2RdwIhKPonV4F3J4y5AGvllgzFwSrNplb_0pXvZCC9GHVP1mjn-Un4f744QSZeoRxkDxEA8eMjqkzaLzjrS8qRl1GibUBmXSNSVkTw-joOG8rmIECeCGN2BM5kyERd9crqVm2qLJBsX2tSsgLXvfeXSYe6MMmuhaAZbyQAi7lB_GyuQa3I19DnJGAV/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_2.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRek2RdwIhKPonV4F3J4y5AGvllgzFwSrNplb_0pXvZCC9GHVP1mjn-Un4f744QSZeoRxkDxEA8eMjqkzaLzjrS8qRl1GibUBmXSNSVkTw-joOG8rmIECeCGN2BM5kyERd9crqVm2qLJBsX2tSsgLXvfeXSYe6MMmuhaAZbyQAi7lB_GyuQa3I19DnJGAV/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_2.PNG" /></a><br /><br /><h3 style="text-align: left;">再次參加 </h3><br />距上次參加日本年會已經是四年了,這次專門再至日本聽取新知,拿衛教素材,期許提升自己的衛教功力,以及帶更多東西回台灣。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvNmTN152zQenADCtMLdrVXxdl5iJN3RXSduRSTyf-adC27MhNkNPUieK17jPm8BO2SqM3sp4M1Si_iw1_JtjGG14cw-tyZw-FkSjIGtKavYa8M63-0VTDdSBXZREoAClUQmKSAGZPnuaUyRVC9wnkz3V9HMkIjoQTIrfzBHkndnt6L-TGyBGXbKwJOTuW/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_3.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvNmTN152zQenADCtMLdrVXxdl5iJN3RXSduRSTyf-adC27MhNkNPUieK17jPm8BO2SqM3sp4M1Si_iw1_JtjGG14cw-tyZw-FkSjIGtKavYa8M63-0VTDdSBXZREoAClUQmKSAGZPnuaUyRVC9wnkz3V9HMkIjoQTIrfzBHkndnt6L-TGyBGXbKwJOTuW/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_3.PNG" /></a><br /><br /><h3 style="text-align: left;">搭新幹線 </h3><br />出福岡機場後尋找到博多車站的交通,買了票(上車用西瓜卡也可以)到車站,再去排JR PASS,排的時候,排約40分鐘,若再晚點到,就會排更久。換JR PASS時,順便將鹿兒島的新幹線換好。利用空檔30分鐘,享用博多拉麵當中餐,接著前往鹿兒島,幸運剛好搭到停站最少的新幹線。博多與鹿兒島這兩個城市之前都沒有來過,感覺人比較少,不是很擁擠的城市,很喜歡。回程則是搭乘到停比較多站的新幹線自由座(因為鹿兒島是起始站,一定會有位置),和高鐵很像,而且每個位置都有插座,而指定席位置就再大一點。 <br /><br /> 註:新幹線與台灣高鐵真的超級像,只是一些設計,日本比較貼心以及精簡。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWYqQlyJmFNSHlW3ICo7Lmw0fALwrYyjGEa7GEQnLzaLRVP60hF0jDF6GltfVUG3jCNpA8D5S7dYuJ-LwQ6BD4Aaj2lnXNDtwstWn7AhCSz3rzn9H8ZmD4mHH4lvH6m8XT6GdkNHwInh8yJ60lDIZeHFjAIUTe9qmeF2gmn1ejrzkReW5E7Axnb0pcwPpJ/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_4.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWYqQlyJmFNSHlW3ICo7Lmw0fALwrYyjGEa7GEQnLzaLRVP60hF0jDF6GltfVUG3jCNpA8D5S7dYuJ-LwQ6BD4Aaj2lnXNDtwstWn7AhCSz3rzn9H8ZmD4mHH4lvH6m8XT6GdkNHwInh8yJ60lDIZeHFjAIUTe9qmeF2gmn1ejrzkReW5E7Axnb0pcwPpJ/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_4.PNG" /></a><br /><br /><h3 style="text-align: left;">實體預約 </h3><br />每天中午的主題演講超過10個,只能做出取捨。記得要先報到成功,才能取得barco掃描,預約中午的主題演講與餐點,如果拿到預約券,就確定這場拿得到餐點,這部分與台灣線上預約不同,日本他要確定你真的有在現場,不過可能是這次舉辦在鹿兒島的關係,中午便當都剩很多?(與之前參加辦在東京的糖尿病年會比較起來)中午跳場聽兩個主題,可拿到兩份便當。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9RUhowE7ET3hFJlrronOOX0EHvMzyxjjFHZOMi8otIw9KL7Q5BcnrfzDy0SvZc4YWplvlRyeT0Han6FCXpM0r4NfuOsR9ma95tKyZq76YccbEYA9wHkOvX9YL6LdXeLUIlxiW6BnHVAQA6joVBDGhlSzbwzN9w4bN9_3Z4tBbBCVX4_wQ3tvBGhNcFCrR/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_5.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9RUhowE7ET3hFJlrronOOX0EHvMzyxjjFHZOMi8otIw9KL7Q5BcnrfzDy0SvZc4YWplvlRyeT0Han6FCXpM0r4NfuOsR9ma95tKyZq76YccbEYA9wHkOvX9YL6LdXeLUIlxiW6BnHVAQA6joVBDGhlSzbwzN9w4bN9_3Z4tBbBCVX4_wQ3tvBGhNcFCrR/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_5.PNG" /></a><br /><br /><h3 style="text-align: left;">個案交流 </h3><br />三個會場之間有一定的距離,考量交通的便利性,主要選擇主會場想聽的主題。臨床個案分享研討會,請年輕醫師分享臨床個案,提出治療上的問題,以及當下的想法做法,問答時間再由講者或更有臨床經驗的座長來補充回應,至於方式是不是適用於年輕醫師的個案,可能需臨床用了才知成效,或是可能會有效,但不一定如師長講得那麼,也有可能一樣的方式,不同的醫師執行,效果會不一樣,此外,患者的生活型態也需要考量進去,但至少提供多元解法。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjR-CyzlQb-UYTeVsMeH8bDap5bP6OtZ04YCey10z6wmzuPCcnFFtydmfJiDnJbGtto3Y1WZhxL_5SDieNZy20s9FWwOEDTiQEVuRD67xRb8OWNtl68Vc8okd20RT7gD7tLvrZXkQzqemFLvNGBsgmu6iodx656ItwmJMSuwkdLiJowbYAGYQPOyTIJNRy6/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_6.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjR-CyzlQb-UYTeVsMeH8bDap5bP6OtZ04YCey10z6wmzuPCcnFFtydmfJiDnJbGtto3Y1WZhxL_5SDieNZy20s9FWwOEDTiQEVuRD67xRb8OWNtl68Vc8okd20RT7gD7tLvrZXkQzqemFLvNGBsgmu6iodx656ItwmJMSuwkdLiJowbYAGYQPOyTIJNRy6/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_6.PNG" /></a><br /><br /><h3 style="text-align: left;">類似方式</h3><div>最近家庭醫學會年會的肥胖個案也採用此方式,但比較可惜的是,個案都是由非分享的醫師提供,若想瞭解患者更詳細的資料,常常是不清楚或不知道,然而有時這些細節,可能就是影響療效的關鍵。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8AgxIlpHVW6q6RnPB6fAKxh2AG-OHJI25hTiFROV-Q3SPdeILM9rbZbgkYi6xK0EgNjbn3asL8-iNK-IIpt-9ELzjlEEM6nPGhrrxM5g4GwrsAbkO8pBH3E11AHpGleJrVtEMHanUKwI0hgfWKFrF56yNUo0F8nM6DnRn3rgeh7Ul-AsIdEgixgceG6gg/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_7.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8AgxIlpHVW6q6RnPB6fAKxh2AG-OHJI25hTiFROV-Q3SPdeILM9rbZbgkYi6xK0EgNjbn3asL8-iNK-IIpt-9ELzjlEEM6nPGhrrxM5g4GwrsAbkO8pBH3E11AHpGleJrVtEMHanUKwI0hgfWKFrF56yNUo0F8nM6DnRn3rgeh7Ul-AsIdEgixgceG6gg/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_7.PNG" /></a><br /><br /><h3 style="text-align: left;">主題學習 </h3><br />以chatGPT來詢問最佳診療方式,但不論AI的結果與回應,最後仍需找醫療人員諮詢討論;專門醫師的訓練課程,可選要學分,或單純聆聽,對於從台灣來的醫師,當然選聆聽就好了;Incretine的演講,講者簡報精美,清楚易懂,一步一步地說明GIP與GLP,以及目前相關藥物的發展。另一類似metformin機制的藥物,作用在粒腺體,由日本藥廠開發出來,目前台灣沒引進,希望之後有機會代理引進,提供糖尿病患者更多武器。「糖尿病患者的整體治療」:神經病變(疼痛科)、血壓與血糖照護,最後則是排糖藥。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhagGX_ShVqTTCOMGsCnYniH4ZeFjY7kb9T9uJYTOjklfFPRFRY3jIsYGAj0Es9RbmebsUQBT9a3ZTOs4MULST6kJljcMD9mRlqNmhoLeJoukro-lBXlIRHHQe-6o50LsNfLBjl_x-jSuNoo7ejFqFijtwiZrqPmmS__OMRYaTDubzlFSOQQ6T_Lj1TKC3Q/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_8.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhagGX_ShVqTTCOMGsCnYniH4ZeFjY7kb9T9uJYTOjklfFPRFRY3jIsYGAj0Es9RbmebsUQBT9a3ZTOs4MULST6kJljcMD9mRlqNmhoLeJoukro-lBXlIRHHQe-6o50LsNfLBjl_x-jSuNoo7ejFqFijtwiZrqPmmS__OMRYaTDubzlFSOQQ6T_Lj1TKC3Q/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_8.PNG" /></a><br /><br /><h3 style="text-align: left;">未成年糖尿病</h3></div><div><br />專門醫「小兒糖尿病的治療」。大字流方式分享,感受到準備演講,以及對未成年糖尿病患者照護的用心,最後還提到特別加給的部分,但台灣這一塊,則由500點提升到1000點,但其實未成年糖尿病的飲食運動與藥物有不少困境要面對,此外,超過20歲,可以猜第二型為主,19歲以下的糖尿病患者,可以猜第一型… <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEib6iGJuAn6gEd-WTKQRSUC6pXUNcoQXC1kHfDDcuATxNDDHxJhbnTnyezXpmF0irCY7056J41mxYaU56LzLkG_GgYHEs2GGx_X3gH6OdGgVFfX-L3VkE8LPfFBAwpcY7szLZBuPqsy2ijaIKHtBNwBnhAbLt8zqDf4qesS1qOfUGTwUUM0O2fQXkk3X6vD/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_10.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEib6iGJuAn6gEd-WTKQRSUC6pXUNcoQXC1kHfDDcuATxNDDHxJhbnTnyezXpmF0irCY7056J41mxYaU56LzLkG_GgYHEs2GGx_X3gH6OdGgVFfX-L3VkE8LPfFBAwpcY7szLZBuPqsy2ijaIKHtBNwBnhAbLt8zqDf4qesS1qOfUGTwUUM0O2fQXkk3X6vD/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_10.PNG" /></a><br /><br /><h3 style="text-align: left;">連續血糖儀 </h3><br />CGM連續血糖儀給付條件,適用範圍…等。日本已應用連續血糖儀CGM在很多地方,連居家照護也能執行與給付,因為日本知道血糖的嚴重危害;診治糖尿病的收入,以及自費診療發展的可行性;CGM日本的大型研究:安裝連續血糖儀後對血糖控制的影響,外國人分享用自動偵測的的pump,比起胰島素+CGM更能減少低血糖的發生率;從事糖尿病治療的醫療人員,實需把患者的低血糖當做重要的事情; <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjqwCQ2tYTjApCrro7HswUA18yFyIb-KdCfYedZqJxufZhKJt5fQ49mtH8sd0nvU0idXpgseFkqBAwVIfDAA1K7ZrZ01C_s-pRt6JSgobWqsR1SG1XcPRef4qw48ZFIlcwUsY8OVbBKfSughUS2Twyqu5oYdBxQaw8c1ukBTYjcaeE-MPNhpPuG1Y6z6JYO/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_9.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjqwCQ2tYTjApCrro7HswUA18yFyIb-KdCfYedZqJxufZhKJt5fQ49mtH8sd0nvU0idXpgseFkqBAwVIfDAA1K7ZrZ01C_s-pRt6JSgobWqsR1SG1XcPRef4qw48ZFIlcwUsY8OVbBKfSughUS2Twyqu5oYdBxQaw8c1ukBTYjcaeE-MPNhpPuG1Y6z6JYO/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_9.PNG" /></a><br /><br /><h3 style="text-align: left;">血糖儀選擇 </h3><br />期待台灣有更多連續血糖儀選擇,造福更多患者。今年五月時,台灣連續血糖儀只有兩種牌子(亞培與美敦力)可選擇,而日本有更多選擇,如DEXCOM,精準但更輕巧,他們也正在評估台灣市場與接受度,對於台灣目前連續血糖儀的給付,覺得不錯,但他們不知一年只能給付兩次,因此安裝連續血糖儀的人不多…是不是安裝的人變多,就有調降的空間?!此外,醫師覺得可從民眾端著手,提升民眾對糖尿病危害的認知,民眾才願意多拿出一些費用於連續血糖儀上,促進穩糖達標。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgACuVLEGC0RNyyjIXob5kAWN-X-oBboesGNZA-KSVyvXQheoIxhhIdkyG3i9qkFUXoxpjgOUynBX7NKztE7XzDhU9pX8d_Ags0OofEVlqLhJsKxYv3Boe1ttL48syT8nsSFIWpWtIMXnJ59LI1b2B3jOaRL_tKOH6yTKN9AUCtZuzU1I4rmzjKdnVVFnAI/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_11.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgACuVLEGC0RNyyjIXob5kAWN-X-oBboesGNZA-KSVyvXQheoIxhhIdkyG3i9qkFUXoxpjgOUynBX7NKztE7XzDhU9pX8d_Ags0OofEVlqLhJsKxYv3Boe1ttL48syT8nsSFIWpWtIMXnJ59LI1b2B3jOaRL_tKOH6yTKN9AUCtZuzU1I4rmzjKdnVVFnAI/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_11.PNG" /></a><br /><br /><h3 style="text-align: left;">牙齒照護 </h3><br />牙周病之前被列為糖尿病的併發症?!後來改列成糖尿病的共病,日本糖尿病照護,檢查牙周病會給付120點,好像有點少,但至少比台灣更重視牙齒的預防,提高給付就有機會促進更多院所的投入,不過目前台灣的糖尿病照護沒有給付這一塊,另一個要去思考的是,當然給付後,要算是西醫總額,還是牙醫總額,這一定又有一番劇烈討論。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4s-HMEHl-KmN6uZAFY648y2kEhCUzXX87MApdvOP3pm7m6u98pNoyXYqQmwp9DKDPlChyphenhyphenl420R2CPjtIpV8CxLfyR0gzqSVKoorxI8Pk12pG3gK2v5RLqg3AwuSp28cj4okcDKrFk7JH62h9jho7KRP61oRCc9YpUQTph7q0ZhSGiWLZDYtFg45b9xXX3/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_12.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg4s-HMEHl-KmN6uZAFY648y2kEhCUzXX87MApdvOP3pm7m6u98pNoyXYqQmwp9DKDPlChyphenhyphenl420R2CPjtIpV8CxLfyR0gzqSVKoorxI8Pk12pG3gK2v5RLqg3AwuSp28cj4okcDKrFk7JH62h9jho7KRP61oRCc9YpUQTph7q0ZhSGiWLZDYtFg45b9xXX3/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_12.PNG" /></a><br /> <br /><h3 style="text-align: left;">早上路跑 </h3><br />每次的年會都會有路跑活動。一大早就前往,到了現場告知是要參加的人,沒有預約,不過當下填寫資料,還是拿到一件紀念T恤。想說等到0700開始,結果0710沒有開始,同時看著台子在折,東西在收…可能當天早上雨還沒有那麼大,後來雨大起來,主辦單位就決定提早結束,不過還是看到,看似當地的市民領T恤與大合照。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh62oMKUrQ8PveEnq3Ig7DXJ3gFG_17KVHexwX7O5Dp2_cXCUI4aDUhU69smZ5E-N9jBSEKS0F-6woCYel-11Pfp_NrSKbmdKzgQuzeuf9Hq3FQ3ztbWRVLS3CMcSym1LZ6LLYbcEzvp4vy7MT8I62ERGtpeWRqrRhmveDmyfd6fD87R-K6f5p0b5NiqRdp/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_13.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh62oMKUrQ8PveEnq3Ig7DXJ3gFG_17KVHexwX7O5Dp2_cXCUI4aDUhU69smZ5E-N9jBSEKS0F-6woCYel-11Pfp_NrSKbmdKzgQuzeuf9Hq3FQ3ztbWRVLS3CMcSym1LZ6LLYbcEzvp4vy7MT8I62ERGtpeWRqrRhmveDmyfd6fD87R-K6f5p0b5NiqRdp/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_13.PNG" /></a><br /><br /><h3 style="text-align: left;">晚上餐點 </h3><br />享用牛肉+黑豬肉火鍋吃到飽。聽完研討會後,發現一家吃到飽的火鍋店,加上黑豬肉是鹿兒島當地的名產,就決定享用。即使沒有預約,因為用餐的時間較晚,所以一下去就能進去用餐,原本很想加價啤酒喝到飽,但考量之後還有研討會,加上酒量不是很好,最後沒特別加價啤酒喝到飽。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1rarfoA8gF0JshftKKdmZKgrk9CZxbeMzwvgHJ4m-mMVQEII0jHjEi9jVcIA6VeZmZEMp0bCRLpqGJ5MkDUO9PxG8xV7XDqNelsAy2tN0Oh7Vv9hMh5CrRvthV3pS6rwDWNbtnJdboj4AcgBxM5M4qBVS0XN3kXCjEAZNqIUIA53Cx_p9Au8OvI7ij_mf/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_14.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1rarfoA8gF0JshftKKdmZKgrk9CZxbeMzwvgHJ4m-mMVQEII0jHjEi9jVcIA6VeZmZEMp0bCRLpqGJ5MkDUO9PxG8xV7XDqNelsAy2tN0Oh7Vv9hMh5CrRvthV3pS6rwDWNbtnJdboj4AcgBxM5M4qBVS0XN3kXCjEAZNqIUIA53Cx_p9Au8OvI7ij_mf/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_14.PNG" /></a><div><br /><h3 style="text-align: left;">道地料理 </h3><br />某一晚餐則是享用一道一道出的壽司,雖然所費不貲(9000日幣),但著實享用到道地的日本壽司料理,師傅會看你進食的情況,再出下一道壽司,同伴最後詢問那裡可以買到不錯的茶回台,結果店家直接給予兩包日本茶葉給我們。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjK9gfxvsXy5mV1Uur9LxUqI1pv3T8-W2AdX8eLExZ1qdhJDy3E7ShgSEC0udlLghxWHlfzwfipfX1QJGUB9fKukfalnptQjDd3iqb3GQT188ri6R0YMdAhlBGh_OQiTtbS2e2gQ6Llr49q5GYhVKGDTL8eTF8_aPqEuHj6yRUIoJRwGQkE_sNj1_QE0OyX/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_15.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjK9gfxvsXy5mV1Uur9LxUqI1pv3T8-W2AdX8eLExZ1qdhJDy3E7ShgSEC0udlLghxWHlfzwfipfX1QJGUB9fKukfalnptQjDd3iqb3GQT188ri6R0YMdAhlBGh_OQiTtbS2e2gQ6Llr49q5GYhVKGDTL8eTF8_aPqEuHj6yRUIoJRwGQkE_sNj1_QE0OyX/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_15.PNG" /></a><div><br /><h3 style="text-align: left;">海鮮丼+燒肉 </h3><br />某晚餐享用在地的海鮮丼,還記得因為火車時刻的關係,吃得非常趕xd燒肉吃到飽,幸運地沒等太久就可以進去,燒肉、飲料與甜點是吃到飽,若酒力不錯,還可以加選酒喝到飽,印象深刻的是,隔壁的日本高中生食量非常驚人,吃到飽的燒肉外,飯是一碗接著一碗在吃 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgMozfSayypieI_tWDcFO_GLznaBRbizH1syp_KQ-pCxUcXyMRrHZsDsU70Pp6Iktno_vDpsvk-BEPvJNgE7711Hz_tMgKzERdinZo5wFF7uMfjLb_1BmqXL9pAuSWvkpluIVjlZ3z6uhccIHP5hqMbtmNTeeSE15pj4D-bCDY4wNxC9KUC6ofsAfQ15a18/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_16.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgMozfSayypieI_tWDcFO_GLznaBRbizH1syp_KQ-pCxUcXyMRrHZsDsU70Pp6Iktno_vDpsvk-BEPvJNgE7711Hz_tMgKzERdinZo5wFF7uMfjLb_1BmqXL9pAuSWvkpluIVjlZ3z6uhccIHP5hqMbtmNTeeSE15pj4D-bCDY4wNxC9KUC6ofsAfQ15a18/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_16.PNG" /></a><br /><br /><h3 style="text-align: left;">鹿兒島漫遊 </h3><br />某天中午因會員大會的關係,有三個小時的空檔,逛了城山公園,以及附近景點,當然也陪西鄉隆盛迷去看特殊景點。逛的時候也看到不少與會人員,與我們一樣在附近逛(身上有與會的掛牌),途中還遇到一位商店大姐,非常熱情地帶我們去各個景點,路上交流不少台灣與日本的資訊,也因為大姐的關係,讓我們可從城山公園上的好視角,來看整個鹿兒島市。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlLa3t-ruxyBYvklFyYCafv53V2fOUwE17tLlxgdEeIODq7SkDOsCBI2e70HVj2rzVFxxnR3g9nBT3Dov89ptrbGmMc_88WPw-h6TlJAY4stochm4iZkISGHektu68pSpZVn5xqG0Axzw7B08yDQFZk6BY_muo_qDP8wJ81zAgHZnzF6ZSB7ctXTCjfL82/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_17.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlLa3t-ruxyBYvklFyYCafv53V2fOUwE17tLlxgdEeIODq7SkDOsCBI2e70HVj2rzVFxxnR3g9nBT3Dov89ptrbGmMc_88WPw-h6TlJAY4stochm4iZkISGHektu68pSpZVn5xqG0Axzw7B08yDQFZk6BY_muo_qDP8wJ81zAgHZnzF6ZSB7ctXTCjfL82/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_17.PNG" /></a><br /><br /><h3 style="text-align: left;">櫻島火山 </h3><br />利用年會開始前的一天,搭乘渡輪至櫻島。第一次近距離看到一直冒煙的櫻島火山,心中是很震憾,當地會火山灰多少的預報,還有火山灰的收集地;世界遺產「仙巖園」園區很大,美不勝收的同時,也瞭解島津家與其當時的影響力,最後結束行程時,特別吃了兩種在台灣吃不到的冰淇淋。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoip7HrsMizpkMyaVdCXJmyPdprmOMGloSkUp82riS1rxoPK9FQV7NvUPDAcURE6TxWwhrPPS3WtYl4IQdQ7IVzh1LzYa156pwADovZWVPJSBCbowynXCxM7sKOsloC1QA2gNCs3D5jT_GxXHkSQjBBaPbbPJ8eZ_ZkXauwRjVsBMneN3Z3kqBulwlQeIQ/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_18.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoip7HrsMizpkMyaVdCXJmyPdprmOMGloSkUp82riS1rxoPK9FQV7NvUPDAcURE6TxWwhrPPS3WtYl4IQdQ7IVzh1LzYa156pwADovZWVPJSBCbowynXCxM7sKOsloC1QA2gNCs3D5jT_GxXHkSQjBBaPbbPJ8eZ_ZkXauwRjVsBMneN3Z3kqBulwlQeIQ/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_18.PNG" /></a><br /><br /><h3 style="text-align: left;">採買行程 </h3><br /></div><div>book off有更多台灣不易看到的模型與公仔,挑合適的買回去送給孩子,一個是鳴人(火影忍者),一個是阿妮亞(間諜家家酒),回到住宿好好地泡了個澡,本想再衝一波去吃宵夜,不過想想還是好好睡覺比較實在…某一晚特別去買吹風機,挑了保護頭皮會與大風速的吹風機,第二品牌,效果也不錯。養樂多1000喝起來和常喝的養樂沒太多差異。<br /> <br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSmPfQSlqoa0DpCNCIaxd5oBM860l-y5NwM-e5_coMudBihbpelSVJ85S2bGCLT10GubFP5D_ih0cbYiPtkULhY_Qm3HOje7XGXmxy4FdL86o0-i2mftILKBNxMCkyjtcuLu3Y0pMHhQVAT00a87mEPtv0Q3a_kobyfhV2W0fGazeLlmcOTTOmu9ChqY0i/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_19.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSmPfQSlqoa0DpCNCIaxd5oBM860l-y5NwM-e5_coMudBihbpelSVJ85S2bGCLT10GubFP5D_ih0cbYiPtkULhY_Qm3HOje7XGXmxy4FdL86o0-i2mftILKBNxMCkyjtcuLu3Y0pMHhQVAT00a87mEPtv0Q3a_kobyfhV2W0fGazeLlmcOTTOmu9ChqY0i/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_19.PNG" /></a><br /><br /><h3 style="text-align: left;">放鬆行程 </h3><br />逛了當地百元商店,買了親友的禮品,離開時拖著極重的行李(30+9公斤)坐公車至火車站,與同伴一同去買吃的名產,中間還發生「誤以為」東西不見了的糗事…最後一天回去時,下著大雨的情況下,拖著大行李坐上公車,好在有同伴的幫忙,才順利將不輕的行李帶回台。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOxhlOp5O5OGYyufFf_SSMN0A5MZzmadwb9G_m8ymxPl9Zz8U7fXeHzBPkVgCp9_EN2AobJnwdleXZkjgMF1gzUocA9LjfIaSw6SKVS0TuGbZ5MNv_jc-uq08O5VfgiiGV1XGi5954JTTCNPBGzG6l2SdZXkc_h1jdJLlVubd_oQWZVi0h8eE9mty-EXcP/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_20.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiOxhlOp5O5OGYyufFf_SSMN0A5MZzmadwb9G_m8ymxPl9Zz8U7fXeHzBPkVgCp9_EN2AobJnwdleXZkjgMF1gzUocA9LjfIaSw6SKVS0TuGbZ5MNv_jc-uq08O5VfgiiGV1XGi5954JTTCNPBGzG6l2SdZXkc_h1jdJLlVubd_oQWZVi0h8eE9mty-EXcP/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_20.PNG" /></a><br /><br /><h3 style="text-align: left;">準備回台 </h3><br />若搭捷運到福岡機場,需再轉接駁車,不像市區搭巴士是直接到達。虎航check in,剛好行李重量是可以的(有秤過重還是有誰)。入關時被要求免稅商品看一下,不過有一大半是托運的…只將電器放在身上托運;利用飛機delay快40分鐘,入境再小買一些免稅紀念品。 <br /><br /><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiX_zguOHaRTWNPw0ZPeIbVMyf3Fp-MnUqosh_6Ffb_MOEQd_8zJkMQ2O8dJ2g92uzfJEwfqctP7dkDMYM5eDn2Tr3fgFD79VSPPraLdZ8dZ1imzx6Pff81ZDKNz6DNxN60eUkxvvNccEwUXNdXU4IEJ1wfjz7lc6Wbbs6KdAEEaKmaaPsM3aHmI-EZuUKt/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_21.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiX_zguOHaRTWNPw0ZPeIbVMyf3Fp-MnUqosh_6Ffb_MOEQd_8zJkMQ2O8dJ2g92uzfJEwfqctP7dkDMYM5eDn2Tr3fgFD79VSPPraLdZ8dZ1imzx6Pff81ZDKNz6DNxN60eUkxvvNccEwUXNdXU4IEJ1wfjz7lc6Wbbs6KdAEEaKmaaPsM3aHmI-EZuUKt/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_21.PNG" /></a><br /><br /><h3 style="text-align: left;">持續精進 </h3><br />匯率與收入會影響購買力與出國力,努力讓自己有更多的不可取代性與收入,持續出國參加年會進修,帶著更多先進實用知識與大家分享。 <br /><br /> <br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjK4mYeR-mw-mAQUaVL0xW1zD-t0BKlO3yc0bSil5LnlXntOQ19jKaDMipTkQBwvH9CKajVDiC4cKaRjctkH1xcofNcKvRrU2_4znW1kzsLzqrm8z8vu58Ht_cXvkakvArd-g3zJHtrscVxwmSIR-jNL4PwoOLTgvj_y7Kh-G4NiALy7_qFAnV8fnRT3IsJ/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_23.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjK4mYeR-mw-mAQUaVL0xW1zD-t0BKlO3yc0bSil5LnlXntOQ19jKaDMipTkQBwvH9CKajVDiC4cKaRjctkH1xcofNcKvRrU2_4znW1kzsLzqrm8z8vu58Ht_cXvkakvArd-g3zJHtrscVxwmSIR-jNL4PwoOLTgvj_y7Kh-G4NiALy7_qFAnV8fnRT3IsJ/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_23.PNG" /></a></div><div><br /><h3 style="text-align: left;">補充資料 </h3><br />廉航:隨身10公斤,托運1件,20公斤,超過要加錢,建議回程可以加買行李重量,以利更多戰利品帶回台。日本籍航空:隨身7公斤,托運2件,每件23公斤,共46公斤。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjqFpoNjf_CMX6rr4WYcmxM7xrXVRsh9xlI6kJL74oLmYjoba9vdtrT-mu_Q-IBXedNfL4BuWXpv5lMyijnxt6bTDwRyv1hvfBT1X1PNLznpFZYxYCCO4Xea0Lc-Dhyphenhyphen9xcYIcdJjvknHf_IX7AnjH_4x62QP3GBMPb05UdfRjxl_rF1iQITosKOs5zlhSfe/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_22.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjqFpoNjf_CMX6rr4WYcmxM7xrXVRsh9xlI6kJL74oLmYjoba9vdtrT-mu_Q-IBXedNfL4BuWXpv5lMyijnxt6bTDwRyv1hvfBT1X1PNLznpFZYxYCCO4Xea0Lc-Dhyphenhyphen9xcYIcdJjvknHf_IX7AnjH_4x62QP3GBMPb05UdfRjxl_rF1iQITosKOs5zlhSfe/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_JDS_%E6%97%A5%E6%9C%AC_%E5%B9%B4%E6%9C%83_%E9%B9%BF%E5%85%92%E5%B3%B6_%E5%AD%B8%E7%BF%92_%E5%BF%83%E5%BE%97_22.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><a href="http://dmcaretw.blogspot.tw/2017/12/thought-after-2017-JDS-annual-meeting.html">2017年日本糖尿病年會心得</a><br /><div><a href="http://dmcaretw.blogspot.tw/2017/12/thought-after-2017-JDS-annual-meeting-extra.html">2017年日本糖尿病年會心得番外篇(感觸篇)</a></div></div><div><a href="http://dmcaretw.blogspot.com/2018/10/thought-after-2018-JDS-annual-meeting-part01.html">日本糖尿病年會61周年參加心得(上)</a><br /><a href="http://dmcaretw.blogspot.com/2018/10/thought-after-2018-JDS-annual-meeting-part02.html">日本糖尿病年會61周年參加心得(下</a>)</div></div></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-24469416534622317532023-12-30T06:30:00.003+08:002023-12-30T06:30:23.384+08:00糖尿病友認真穩糖 也要預防癌症<p></p><div><div>文/余宜叡<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQQhRWVcVDNcqRcVvoxoI8mSTim9-Q3KsRLhQ_uPNALjInD9esDOPA2qOqoYlmFUXt3rj9i22R4NN5gp__Xb2Fg7FMwNurOYpKZMoA5ErUi36J1aaKO6bDSpRVxz5pevIBgEVliews0StfNRe29DV90UqgnGCeOI-kFHHidfsGEd17dr8tgacFXlBtRVz_/s960/20231230%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E7%B3%96%E5%B0%BF%E7%97%85%E5%8F%8B%E8%AA%8D%E7%9C%9F%E7%A9%A9%E7%B3%96%20%E4%B9%9F%E8%A6%81%E9%A0%90%E9%98%B2%E7%99%8C%E7%97%87.png"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQQhRWVcVDNcqRcVvoxoI8mSTim9-Q3KsRLhQ_uPNALjInD9esDOPA2qOqoYlmFUXt3rj9i22R4NN5gp__Xb2Fg7FMwNurOYpKZMoA5ErUi36J1aaKO6bDSpRVxz5pevIBgEVliews0StfNRe29DV90UqgnGCeOI-kFHHidfsGEd17dr8tgacFXlBtRVz_/s16000/20231230%E8%87%AA%E7%94%B1%E6%99%82%E5%A0%B1_%E7%B3%96%E5%B0%BF%E7%97%85%E5%8F%8B%E8%AA%8D%E7%9C%9F%E7%A9%A9%E7%B3%96%20%E4%B9%9F%E8%A6%81%E9%A0%90%E9%98%B2%E7%99%8C%E7%97%87.png" /></a><br /><br /><br />「臨床不少糖友卻忽略癌症的危害」<br /><br />「與醫師討論需要優先執行哪些癌症檢查」<br /><br />「提早發現癌症,提早處置」</div><div><br /><div><a name='more'></a><p><img src="https://4.bp.blogspot.com/-4fINInSjkCs/XJ1ST9vt1NI/AAAAAAABiqY/sjGHW2Qy9RYN2__kxiz0MynztROwX-6_ACLcBGAs/s1600/%25E6%258A%2595%25E5%25BD%25B1%25E7%2589%25872.PNG" /></p></div><div><br /></div><div><br /><div>全文詳見 <a href="https://health.ltn.com.tw/article/paper/1623315">20231230自由時報</a><br /><div><br /><br />延伸閱讀<br /><br /></div></div></div></div><div><br /></div><div><span style="color: #999999;">20231009</span> <a href="http://dmcaretw.blogspot.com/2023/10/ltn-20231009-diabetes-complication-you-should-know-01.html">糖尿病6大併發症 器官受損難治癒</a><div><span style="color: #999999;">20231120</span> <a href="https://dmcaretw.blogspot.com/2023/11/ltn-20231120-diabetes-cgm-continuous-glucose-monitoring-you-should-know-01.html">裝置連續血糖儀 穩糖不必餓肚子</a></div><div><span style="color: #999999;">20231127</span> <a href="https://dmcaretw.blogspot.com/2023/11/ltn-20231127-hba1c-less-7-decrease-the-speed-of-adding-medicine.html">糖化血色素小於7% 有效延緩加藥速度</a></div><div><span style="color: #999999;">20231210</span> <a href="https://dmcaretw.blogspot.com/2023/12/ltn-20231210-medicine-for-obesity-you-should-know-01.html">高劑量≠高成效 破解減重藥3迷思</a></div><br /><br /></div></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-73394684059593666622023-12-27T08:38:00.011+08:002023-12-27T08:50:51.109+08:00健康不難文/何淑螢<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibiPQ2kKD4tEkSdXoG0R4j4irmk_fMrNGKakokAqYl6RTAWPA65mTAvliG0YQqeCI1WdjQ02JoQSwhzI_uv2d0jk2EYMx5EAOC_WyLCfSRD9kyHd1oqm7mXV-hF-uhl3jn43qRKuckLlcFSvEBI1CPu9uQE7KQh8-QxJpUEzYhJmBnq3mvFDrD-N1boJmO/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibiPQ2kKD4tEkSdXoG0R4j4irmk_fMrNGKakokAqYl6RTAWPA65mTAvliG0YQqeCI1WdjQ02JoQSwhzI_uv2d0jk2EYMx5EAOC_WyLCfSRD9kyHd1oqm7mXV-hF-uhl3jn43qRKuckLlcFSvEBI1CPu9uQE7KQh8-QxJpUEzYhJmBnq3mvFDrD-N1boJmO/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_01.PNG" /></a><br /><br /><br />「吃藥傷腎,但三高更傷啊」 <br /><br />「喝水應該確實計算量,憑感覺的多喝水通常是喝不夠的」 <br /><br />「日常生活中精緻飲食出現的頻率比自己想的更高」<br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0dZnzmdOJGsqNXXANN32NoD7M7G00r01Nd8kvfTSWOhTUTpPSeIdOVuT3wVbNPQNothPXDBu655qLVdsUy60JrteDV6LiDG5-Rls7xCd4vQZgTSRtEgZoxuasEQ4K82uUFWaFzdE3uAF-rRaek6H0HxUw_wScsr8KXFn2OX-W60CJj62De13GqHWoDRsm/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0dZnzmdOJGsqNXXANN32NoD7M7G00r01Nd8kvfTSWOhTUTpPSeIdOVuT3wVbNPQNothPXDBu655qLVdsUy60JrteDV6LiDG5-Rls7xCd4vQZgTSRtEgZoxuasEQ4K82uUFWaFzdE3uAF-rRaek6H0HxUw_wScsr8KXFn2OX-W60CJj62De13GqHWoDRsm/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_02.PNG" /></a><br /><br /><h3 style="text-align: left;">非藥vs藥 </h3><br />以前考試拿到考卷,總會逐題檢討,那現在我們拿到健檢報告,大家會怎麼做呢?對於長輩健檢報告的紅字,我也曾經認為不要吃藥就不要吃,就好好調整飲食跟運動吧!但這兩項可以改善的範圍僅僅5-40%,端看自己的飲食認知是否正確、對於運動的積極程度,以及是否能確實地持續執行,因此配合藥物的控制,加上飲食及運動的輔助,才是比較積極、有效且安全的做法。吃藥傷腎,但三高更傷啊! <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7t-WN4fCN-wcIDTTTruBobDl2maRQ-dh7mlKrBrjPTOByxFwhZLCjOPDI8URo_BS77BvuheF-i1PqbbWXws9dnI-oO0HHeWJ96zA9RrkLMO6GyCc3cAqaZTTwjqva-woV3QyfLdcqKi-4PDVb8gLWo-wqjAwwfDsiSN_MkYnm5OGhiFLtuq9QDnrP-YkJ/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7t-WN4fCN-wcIDTTTruBobDl2maRQ-dh7mlKrBrjPTOByxFwhZLCjOPDI8URo_BS77BvuheF-i1PqbbWXws9dnI-oO0HHeWJ96zA9RrkLMO6GyCc3cAqaZTTwjqva-woV3QyfLdcqKi-4PDVb8gLWo-wqjAwwfDsiSN_MkYnm5OGhiFLtuq9QDnrP-YkJ/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_03.PNG" /></a><br /><br /><h3 style="text-align: left;">三高不遠 </h3><br />高血壓、高血脂、高血糖顯然成為目前的文明病,但常常因為沒有即時且明顯的症狀,而受到大家的忽視。台灣有太多美食陷阱,加上如果本身沒有規律的運動習慣,三高離我們真的很近。藉由這次公司安排的檢查,確實瞭解自己的身體狀況,有問題的追蹤,沒問題的繼續保持,為自己的身體健康負責。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXSlNSZ9rg0T8U9Gygwt2nHljElUhiifyCdyIj6Pvy0rm7-sClPFO9Pf6xSI7tgEpSTtIGspGsSPcc0mUi6s_XYvveL1Rsgo68BJedH3jHxV2zu7IJYig7FyNc1L7UCG7Dnbg7I1B7sb7DEoOLxf7j30FCVf3lmUmRn7PyscR8KVYvjRlwC6V-xXnVK3ql/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXSlNSZ9rg0T8U9Gygwt2nHljElUhiifyCdyIj6Pvy0rm7-sClPFO9Pf6xSI7tgEpSTtIGspGsSPcc0mUi6s_XYvveL1Rsgo68BJedH3jHxV2zu7IJYig7FyNc1L7UCG7Dnbg7I1B7sb7DEoOLxf7j30FCVf3lmUmRn7PyscR8KVYvjRlwC6V-xXnVK3ql/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_04.PNG" /></a><br /><br /><h3 style="text-align: left;">自身經驗 </h3><br />多喝水、規律運動、好好吃飯這三件事說起來簡單,但我們真的做好了嗎?以自己的經驗,喝水應該確實計算量,憑感覺的多喝水,通常是喝不夠的;規律運動,必須找方法建立起習慣,像花點錢上課、找夥伴一起都可以嘗試;吃飯這件事,除了定時定量不吃宵夜,多吃原形食物、少吃精緻及加工食品,注意營養也是很重要的。我很感謝我的健身教練幫我建立的飲食觀念,我用一段時間拍照記錄飲食,再去進一步觀察分析,才發現到日常生活中精緻飲食出現的頻率,比自己想的更高,而科學化的紀錄可以幫助自己突破盲點。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqExdsjRc4-86COFUxiD8lNEdzzgkBzp4Qa3GcvtVPTrMRaF4U3CyYhIrWK49ZsQn7h5_BgLZQc8UrcCsdYxcB2bcuFKvyIURcUjPUsz4LCQNjhy2vlAcwv-fbaKgZKJ77Dm4qNFmz5apXHputq1DQjKlomgDwl90MoFTTm8Q5AXKe1vGjbNp3u6235Jli/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhqExdsjRc4-86COFUxiD8lNEdzzgkBzp4Qa3GcvtVPTrMRaF4U3CyYhIrWK49ZsQn7h5_BgLZQc8UrcCsdYxcB2bcuFKvyIURcUjPUsz4LCQNjhy2vlAcwv-fbaKgZKJ77Dm4qNFmz5apXHputq1DQjKlomgDwl90MoFTTm8Q5AXKe1vGjbNp3u6235Jli/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_05.PNG" /></a><br /><br /><h3 style="text-align: left;">重新複習 </h3><br />謝謝這次員榮醫院家醫科余宜叡主任的健檢講座分享,受益良多。希望健康觀念持續傳播,大家都能有健康身體幸福人生。<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZJlq6oiO0Y4rr7qQD_98eTvLjjD0YaCAqVSdUjDblK6pT39O2JJo0bpabJwhECl-JP6rwy_bAPg-85PfoRcblm4cnFVC4_SviDgRM8msLEB-xUOb0X6Cw31l-jtw0SCa67Zj-nra_m8SNxa_kyZqkjBbArNvhSp0PrzVAcPvHVQ7oXSzYpJN5frGRXFP8/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZJlq6oiO0Y4rr7qQD_98eTvLjjD0YaCAqVSdUjDblK6pT39O2JJo0bpabJwhECl-JP6rwy_bAPg-85PfoRcblm4cnFVC4_SviDgRM8msLEB-xUOb0X6Cw31l-jtw0SCa67Zj-nra_m8SNxa_kyZqkjBbArNvhSp0PrzVAcPvHVQ7oXSzYpJN5frGRXFP8/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E5%8F%B0%E7%81%A3%E6%B3%B0%E5%BE%B7%E8%BB%BE_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_06.PNG" /></a><br /><br /><br />延伸閱讀<br /><br /><br /><div><a href="http://dmcaretw.blogspot.com/2023/10/thought-after-yuanlin-school-student-examination-speech-01.html">動腦學習體檢異常</a><span style="color: #999999;">(員林家商 美玉校護)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-01.html">對自己的健康負責</a><span style="color: #999999;">(臺中區農業改良場 小君)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-02.html">觀念資訊兼具的健檢講座</a><span style="color: #999999;">(臺中區農業改良場 吳庭嘉)<br /></span><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-03.html">早期介入 延緩慢病</a><span style="color: #999999;">(臺中區農業改良場 林亭余)</span></div><br /><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-8243463630465808842023-12-21T09:58:00.008+08:002023-12-21T09:58:52.164+08:00測血糖SMBG表格_2024年版製作/余宜叡<br /><br /><h3 style="text-align: left;">彩色版</h3><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEGRkORth9n1npZ5Uhay5pHizj0N2zhEwQH7UT7rSC1ek34od2A3j6ArEUNQuCkQ71KNyFcw0mRfBDLEUqj2cja3FSnn7qKVI0avBdk5l3lblmt3ulsSCITIFZSta5xmEIYmwMK1wpPrP5-cF4llaS-s70Snz_tzoq-Obqhj0AVzgC-CbFuFhukByrcd9Z/s3300/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_smbg_%E8%A1%80%E7%B3%96_%E9%87%8F%E6%B8%AC_%E8%A1%A8%E6%A0%BC_%E5%BD%A9%E8%89%B2_2024.png"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEGRkORth9n1npZ5Uhay5pHizj0N2zhEwQH7UT7rSC1ek34od2A3j6ArEUNQuCkQ71KNyFcw0mRfBDLEUqj2cja3FSnn7qKVI0avBdk5l3lblmt3ulsSCITIFZSta5xmEIYmwMK1wpPrP5-cF4llaS-s70Snz_tzoq-Obqhj0AVzgC-CbFuFhukByrcd9Z/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_smbg_%E8%A1%80%E7%B3%96_%E9%87%8F%E6%B8%AC_%E8%A1%A8%E6%A0%BC_%E5%BD%A9%E8%89%B2_2024.png" /></a><br /><br /><br />「瞭解血糖數值是穩定血糖的第一步」<br /><br />「血糖之外,血壓與體重也要留意」<br /><br />「有pdf可供下載列印,QR code掃描後有資訊可以參考」<br /><br /><a name='more'></a><h3 style="text-align: left;">灰階版</h3></div><div><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYLmHFBr93ZDTLr2nG9MrDv7Cwlh_cG1ZU_2G1aC1qYCcIYgHjakiJBb0kgsHZmgqe2BgxddbmOyGsbGXifyEWB6UISRh4IwwEeq5mRU3oZ__8_bkC4f6pCv9sWy1PI4JYjd5TKAibH_SbJXPVBtRBoaQ6sWf-CJVH5IbENUZZYMn9bb68Lp25tGb02r9S/s3300/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_smbg_%E8%A1%80%E7%B3%96_%E9%87%8F%E6%B8%AC_%E8%A1%A8%E6%A0%BC_%E7%81%B0%E9%9A%8E_2024.png"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYLmHFBr93ZDTLr2nG9MrDv7Cwlh_cG1ZU_2G1aC1qYCcIYgHjakiJBb0kgsHZmgqe2BgxddbmOyGsbGXifyEWB6UISRh4IwwEeq5mRU3oZ__8_bkC4f6pCv9sWy1PI4JYjd5TKAibH_SbJXPVBtRBoaQ6sWf-CJVH5IbENUZZYMn9bb68Lp25tGb02r9S/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_smbg_%E8%A1%80%E7%B3%96_%E9%87%8F%E6%B8%AC_%E8%A1%A8%E6%A0%BC_%E7%81%B0%E9%9A%8E_2024.png" /></a><br /><br /><div><div><div><br /><a href="https://drive.google.com/file/d/1BfHlZ6P8Xr3lgZlkyaTuMiHESLNh_Zqu/view?usp=drive_link">彩色版_PDF下載</a><br /><a href="https://drive.google.com/file/d/1g3LfmIOGLRo16CyWxHAt3daJ1asoF6Td/view?usp=drive_link">灰階版_PDF下載</a><br /><br /><br />延伸閱讀<br /><br /><br /><a href="http://dmcaretw.blogspot.tw/2016/05/blog-post_42.html">血糖不穩 血糖監測_基本版</a><br /><div><a href="http://dmcaretw.blogspot.tw/2016/05/blog-post_64.html">血糖不穩 血糖監測_進階版</a></div><div><a href="http://dmcaretw.blogspot.tw/2016/05/blog-post_6.html">血糖不穩 血糖監測_終極版</a></div></div><div><br /></div><div><br /></div></div></div></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-16240169841572689682023-12-15T16:42:00.010+08:002023-12-27T08:55:58.417+08:00划算的健檢文/余宜叡 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaE_KbJ0r7-pQ8lQRXOLtAMCREMTM2DUiPWDCYluAxz4gvDcG2gasoozvy7w-dsdPAPw0fGGxq5T1YurNQF-W9MsFKGObW6LaLhJRcdopCS2ho3SU6iAXhCzsaglXCNy_zGtxWQPsrIRLPAM2VmiQ6wPK8s84VpXh-LG9WtVvoP3Qw8LRG6nrqk2JGmBoz/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaE_KbJ0r7-pQ8lQRXOLtAMCREMTM2DUiPWDCYluAxz4gvDcG2gasoozvy7w-dsdPAPw0fGGxq5T1YurNQF-W9MsFKGObW6LaLhJRcdopCS2ho3SU6iAXhCzsaglXCNy_zGtxWQPsrIRLPAM2VmiQ6wPK8s84VpXh-LG9WtVvoP3Qw8LRG6nrqk2JGmBoz/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_01.PNG" /></a><br /><br /><br />「選擇不相信、質疑,或給自己一個好理由不改變」 <br /><br />「有時苦果會嚴重且長久地影響到週遭的親人」 <br /><br />「事先投資在健康檢查真的划算多了」<br /><br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZA0rnkew-Nrc4ArqGjyjIqpeB7QyPLhHEy7vi8YMknvZmfRlYnW8p-KwMb3BMTiGPF1eiL-14ML61GjLWMid3oTH6llxj9RTvJNCVuxy61YvCYtP0arjiIezqlXe9Bb6h7Bkhl-coMRyjVjMfr4A448D7JyBt62khY1JT2Kn_PmwT8LxAH2_Qkb-kNh7R/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZA0rnkew-Nrc4ArqGjyjIqpeB7QyPLhHEy7vi8YMknvZmfRlYnW8p-KwMb3BMTiGPF1eiL-14ML61GjLWMid3oTH6llxj9RTvJNCVuxy61YvCYtP0arjiIezqlXe9Bb6h7Bkhl-coMRyjVjMfr4A448D7JyBt62khY1JT2Kn_PmwT8LxAH2_Qkb-kNh7R/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_02.PNG" /></a><br /><br /><h3 style="text-align: left;">破除謠言 </h3><br />千金難買早知道,但早知道後,有時會選擇不相信、質疑,或給自己一個好理由不改變。其中有一個提問「藥廠是不是和醫師勾結,下修治療標準,要患者多使用藥物?」,就是給自己一個不用藥好理由,醫師直接以分享的內容回應,破除謠言。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDNyfKJq9wUhYpUFzTg8gyywFBKQuHNtzznvLryXAuiSIzh6BFpHmJWMkyvrMBohrbRc6JoT8Cbh6hlffBPqCH8Yj3rgCXbq6-DDHI7qLk1wQHuIn5fyUXmRVwVkYck6KTojcau_q-7tcdQ3DPdsA-nHvssUlhlE6wR21fJc1osA0J3E_az__eplvb_aLz/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiDNyfKJq9wUhYpUFzTg8gyywFBKQuHNtzznvLryXAuiSIzh6BFpHmJWMkyvrMBohrbRc6JoT8Cbh6hlffBPqCH8Yj3rgCXbq6-DDHI7qLk1wQHuIn5fyUXmRVwVkYck6KTojcau_q-7tcdQ3DPdsA-nHvssUlhlE6wR21fJc1osA0J3E_az__eplvb_aLz/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_03.PNG" /></a><br /><br /><h3 style="text-align: left;">慢病危害</h3><br />如果瞭解疾病的危害,就會很想知道,如何有實證且有效地降低疾病風險。不想用藥的話,其實可以選擇非藥部分介入,但絕不是不執行非藥的飲食、運動部分,甚至去買沒有實證的東西來讓自己安心;已有大量研究顯示,高血壓、高血脂與高血糖…等體檢數值未達標的危害與風險;發生苦果時,有人會說就自己承擔就好,但可怕的是,有時苦果會嚴重且長久地影響到週遭的親人… <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxCLHWPNUcENDHNMi8vs2jBFAkEIhvZtifw2qXESRHWq544rBz3rP8CNDtkNkSwCi34SvGmfgNFe5bw2fIBY3rVEehR4abrRAU4YMJxLQq2WxmL8Qz57pFfII-Fy0Z3o55mhJMSO6vD_zn0sHFFROIa8-wN4DGyAZGGHdw5UsPqJ2cMUpcl7LKebkKiE36/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxCLHWPNUcENDHNMi8vs2jBFAkEIhvZtifw2qXESRHWq544rBz3rP8CNDtkNkSwCi34SvGmfgNFe5bw2fIBY3rVEehR4abrRAU4YMJxLQq2WxmL8Qz57pFfII-Fy0Z3o55mhJMSO6vD_zn0sHFFROIa8-wN4DGyAZGGHdw5UsPqJ2cMUpcl7LKebkKiE36/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_04.PNG" /></a><br /><br /><h3 style="text-align: left;">延緩慢病 </h3><br />常見疾病若要能持續且確實地執行分享的重點,將可以大幅延緩疾病發生。醫師分享很多項目,用說的很好說,但做很難做好的原因,也提供一些可行的密技,提高執行率,進而有機會養成習慣。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6iLedRpVgBoQTtFfMyBKan5vYUUkMXfqLTOME8LX_Fvlic6iYmYKE8Ogw7PhJfeWGBka6jeU4PV063BWfkM3hHrezaapF0Puy7P9K9QSNIVmV8OTMuebPDQ_V5RZXKCmS9TLS0XrjTYMEBhb3PS9_yz75IP7_yRQzIyneuPeEnYr96fP5wtflG-6-KRF2/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6iLedRpVgBoQTtFfMyBKan5vYUUkMXfqLTOME8LX_Fvlic6iYmYKE8Ogw7PhJfeWGBka6jeU4PV063BWfkM3hHrezaapF0Puy7P9K9QSNIVmV8OTMuebPDQ_V5RZXKCmS9TLS0XrjTYMEBhb3PS9_yz75IP7_yRQzIyneuPeEnYr96fP5wtflG-6-KRF2/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_05.PNG" /></a><br /><br /><h3 style="text-align: left;">癌症治療 </h3><br />因抗癌治療的進展,越來越多癌症已演變成慢性病,需長期抗戰,此時就考驗著患者的抗癌經濟能力,如果癌症治療那麼地高價以及不簡單,那為什麼不投資在能有效早期發現癌症的健康檢查上,早期發現,早期介入。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXFHSY20o8Pl0pmy5Kl0yM07RW7qbWkDd-9vxmgNfF0HXfGb4WDKCeberfKUStmbHOqEiJIfBDEjuUXCJFTYRpomq4iKUDunjZJmuRmOTkXMWTzQJp8rHSdO3JuWimepP2_t_6IkCy203_J97cULz8qrD3aZj05oxUoy-dOBFcespouhQw8PbehIYdFL3_/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_06.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXFHSY20o8Pl0pmy5Kl0yM07RW7qbWkDd-9vxmgNfF0HXfGb4WDKCeberfKUStmbHOqEiJIfBDEjuUXCJFTYRpomq4iKUDunjZJmuRmOTkXMWTzQJp8rHSdO3JuWimepP2_t_6IkCy203_J97cULz8qrD3aZj05oxUoy-dOBFcespouhQw8PbehIYdFL3_/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_06.PNG" /></a><br /><br /><h3 style="text-align: left;">提問反思 </h3><br />熱烈的提問引發醫師的反思。是什麼樣的制度,造就不少人連一毛錢都不太想花在醫療上,定錨看病檢查檢驗不應收費或收這麼貴,還覺得理所當然,完全不知○保協助給付了多少,才讓你不用花錢或花一點點錢…醫師直接舉洗腎為例,以前洗腎沒給付時,台灣洗腎患者的情況,比照現在的洗腎王國,目前的制度引發了那些問題。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizHdWXDlQA5PZdYS3cKy5MpZwz_myGIEBPjYdc9omPNvOsimejekKC_sUqnP3NVuVb6aW02FDBsHcQu4hzDfOtzdMBKmOq0wFKTVMVH00ufuLlzv2YK1iPVGFMqTxI6oH74aqaXQscYvTK-6uoRJ1Jeb4R0t0uvcKPg4TG_J7vLov6M3oVRsNJP6h1_8jY/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_07.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizHdWXDlQA5PZdYS3cKy5MpZwz_myGIEBPjYdc9omPNvOsimejekKC_sUqnP3NVuVb6aW02FDBsHcQu4hzDfOtzdMBKmOq0wFKTVMVH00ufuLlzv2YK1iPVGFMqTxI6oH74aqaXQscYvTK-6uoRJ1Jeb4R0t0uvcKPg4TG_J7vLov6M3oVRsNJP6h1_8jY/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_07.PNG" /></a><br /><br /><h3 style="text-align: left;">適當投資 </h3><br />即使是預防醫學,還有有人希望能便宜又大碗,最好是不要錢,但醫師又常聽到患者抱怨,不要錢的不一定有用或沒用。醫師直接分享幾項可行的健檢檢查,以及推薦原因,輔以個案說明慢性病與癌症的危害程度、相較於後續的醫療花費,事先投資在健康檢查真的划算多了! <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJgcfXs_TU3Tcw0ag9jFisZ5URGeaeqJkipkUmtHylEoDQ0sIC53h6Qb2Es8rqtnPoX1qLDmh4ovpYiSMQypjbzZx29QD7IS8Z6V-w9I_mhwBxntS6t2hz0ZVygu-QqMixwqBQFZug_voZWh35sMAbDrgynzTxH6kzXEgMQfr2WmFkHHWFdSUYsLyWSzkw/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_08.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJgcfXs_TU3Tcw0ag9jFisZ5URGeaeqJkipkUmtHylEoDQ0sIC53h6Qb2Es8rqtnPoX1qLDmh4ovpYiSMQypjbzZx29QD7IS8Z6V-w9I_mhwBxntS6t2hz0ZVygu-QqMixwqBQFZug_voZWh35sMAbDrgynzTxH6kzXEgMQfr2WmFkHHWFdSUYsLyWSzkw/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_08.PNG" /></a><br /><br /><h3 style="text-align: left;">感謝邀約 </h3><br />結合疾病處置與預防醫學的講座。醫師回應同仁想知的疾病與傷害,其照護重點與預防之道,畢竟有效預防,就能減少疾病與傷害的發生,不會有後續的手術、用藥與緊急處理。因為時間的關係,需取捨內容,才能有足夠的問答時間,盡情提問與交流。最後謝謝彥均的邀約與協助,讓此次健康講座圓滿完成。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhEy5A8yQRRLm-5s7FR9D16SHcFUO9qGY3rkIh_bP9Dfsv1HCIwkH__vIJc3hG0wb1V66v07pOs7GgYrX-6MnSRtZu1sTppYMcQqcHsILAEpJ4UcCfrohGKX3Tn5Te5XFH-qymhPQl5q6d5A2d0u6mQjpVB5tQwQHMVCNRyarUG_RZUF5DY42z0b0nb2BP/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_09.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhEy5A8yQRRLm-5s7FR9D16SHcFUO9qGY3rkIh_bP9Dfsv1HCIwkH__vIJc3hG0wb1V66v07pOs7GgYrX-6MnSRtZu1sTppYMcQqcHsILAEpJ4UcCfrohGKX3Tn5Te5XFH-qymhPQl5q6d5A2d0u6mQjpVB5tQwQHMVCNRyarUG_RZUF5DY42z0b0nb2BP/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_04_09.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-20231121-zoster-vaccine-sharing-04.html">生活平衡,健康先行</a></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-202311-contrave-clinical-sharing-04.html">對的族群,對的療程與收費</a><br /><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-introduce-cgm-to-patients-04.html">從血糖值留意生活習慣</a></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202311-insulin-toujeo-sharing-04.html">穩糖胰起go</a></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-54328640019723402822023-12-15T16:33:00.006+08:002023-12-15T16:47:08.230+08:00早期介入 延緩慢病文/林亭余 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYbk3MqxsyUdG28ZGhbZ5I7rgJTHRo_LVpZTWEX8Ocwa-6HK5jRlar-fjkIvKk2e5nU_GDmXFQJbKf3cjnj0CnpvO4cBorShAo2xYwNbRL0AGZ143S9NjrURrf_HtbWlfJju50to8lRq8AZ-lNZ9MOCdykS5Haqkc83RZi55cVL3uqUMK3xjWZCgNvmZKF/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYbk3MqxsyUdG28ZGhbZ5I7rgJTHRo_LVpZTWEX8Ocwa-6HK5jRlar-fjkIvKk2e5nU_GDmXFQJbKf3cjnj0CnpvO4cBorShAo2xYwNbRL0AGZ143S9NjrURrf_HtbWlfJju50to8lRq8AZ-lNZ9MOCdykS5Haqkc83RZi55cVL3uqUMK3xjWZCgNvmZKF/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_01.PNG" /></a><br /><br /><br />「慢性病的藥物治療不能隨意停止」 <br /><br />「不僅是預防的一環,更是對生活品質的投資」 <br /><br />「慢性病治療是一個需要耐心毅力、更需要專業的長期指導」<br /><div><br /></div><div><a name='more'></a></div><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvvkXLNMDZCYVZ6jzv_LHn5XIs6KD3n-ctQURJQXp0JIkpNoN7a6ZO7-I7AW9_zIK0SU0g9MqK9DiVRFZsFr8ajNIeSJmxFPN2dF5FMlOyfuYp4QrQ743mHCbnjypRUHuE4qPsahnjhsVy65CpGNDumVwPE346WU8H0A0-lACdz1AUf1FAWuvkTbduOvQF/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvvkXLNMDZCYVZ6jzv_LHn5XIs6KD3n-ctQURJQXp0JIkpNoN7a6ZO7-I7AW9_zIK0SU0g9MqK9DiVRFZsFr8ajNIeSJmxFPN2dF5FMlOyfuYp4QrQ743mHCbnjypRUHuE4qPsahnjhsVy65CpGNDumVwPE346WU8H0A0-lACdz1AUf1FAWuvkTbduOvQF/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_02.PNG" /></a><br /><br /><h3 style="text-align: left;">慢病管理 </h3><br />聽完余醫師的詳細說明,讓我對慢性病的治療和管理有了更深刻的了解。演講強調,慢性病的藥物治療不能隨意停止,而應該在充分討論和指導下進行。這點讓我深刻體會到,自身對健康的管理不能僅僅停留在自己的理解上,而是應該與專業醫師合作,共同制定合理有效的治療方案。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmm89AFzfE3hc4g4T_4KPLHyn6oK7lhKrlvptLigYNIGwTpYkR27VhKhy2KoY6YUeq_wP0k1kTwtbACRXuh1HWd-d_aliPodFwCVipUntrHHC5AuTQtqc9L3YZ3oXyBUD8Z68ZAKjM3xKEx0R48eYxy3hoU4DsMbpSvhzqZI8zL8DepF99Yq0QQe_DNB1b/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmm89AFzfE3hc4g4T_4KPLHyn6oK7lhKrlvptLigYNIGwTpYkR27VhKhy2KoY6YUeq_wP0k1kTwtbACRXuh1HWd-d_aliPodFwCVipUntrHHC5AuTQtqc9L3YZ3oXyBUD8Z68ZAKjM3xKEx0R48eYxy3hoU4DsMbpSvhzqZI8zL8DepF99Yq0QQe_DNB1b/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_03.PNG" /></a><br /><br /><h3 style="text-align: left;">健檢原因 </h3><br />在醫師的解說下,我明白為何需要定期進行健康檢查。早期發現慢性病的跡象,能夠提前進行介入,有效地延緩疾病的發展,避免病情的惡化,這不僅有益於身體健康,還能夠減輕治療的負擔和成本。因此,我深感健康檢查的重要性,它不僅是預防的一環,更是對生活品質的投資。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmhkgqrXuikjz8uw8tG2raomKe29gBCU8sifLiKHBhPzwoF-VIKwMMSEtGRtAQPZEl6l0C7BOV3bkgtHTr8hdKG44WmtWbzY0_YrTCf-wrVuji6WfPMKCAD7ID8_e3ngH36ZzJn5mlGuM0NYwhAfbijpV69K0N5LZE1tv4EEEd8Vs153WAExXRmcPH6nLz/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmhkgqrXuikjz8uw8tG2raomKe29gBCU8sifLiKHBhPzwoF-VIKwMMSEtGRtAQPZEl6l0C7BOV3bkgtHTr8hdKG44WmtWbzY0_YrTCf-wrVuji6WfPMKCAD7ID8_e3ngH36ZzJn5mlGuM0NYwhAfbijpV69K0N5LZE1tv4EEEd8Vs153WAExXRmcPH6nLz/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_04.PNG" /></a><br /><br /><h3 style="text-align: left;">醫病溝通 </h3><br />透過這次的心得報告,我意識到自己在過去對慢性病的理解,存在一些片面和不足之處。醫師的解說讓我認識到,慢性病治療是一個需要耐心毅力、更需要專業的長期指導。我會更加重視與醫生的溝通,主動分享我的感受和觀察,以便更好地進行個性化的治療。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXDbzc06rAAKJvuxX7aJ0bvVnVaYV4XsHG-Z67jFipFdY8U9gikg4BfNSnWXvoOVcrXIVUdUwY4eprYlRzjB9tY2D2OTuwVnJly_dKy4aMet4US0VZITV8Z3YEi8L5XHgfMEVk2X0H1hxGDaVwtko1YI5XsI2djyGErG21HSGLKBfy-BlPfOfstTgyVKmC/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXDbzc06rAAKJvuxX7aJ0bvVnVaYV4XsHG-Z67jFipFdY8U9gikg4BfNSnWXvoOVcrXIVUdUwY4eprYlRzjB9tY2D2OTuwVnJly_dKy4aMet4US0VZITV8Z3YEi8L5XHgfMEVk2X0H1hxGDaVwtko1YI5XsI2djyGErG21HSGLKBfy-BlPfOfstTgyVKmC/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_03_05.PNG" /></a><br /><br /><h3 style="text-align: left;">做出調整</h3><br />總的來說,聽講後我對自己的健康管理有了更清晰的方向。我將更加認真地遵從醫生的建議,定期進行健康檢查,並且堅守用藥規範,以確保自己的身體能夠保持良好的狀態。感謝余醫師的詳細解說,讓我對健康有了更深刻的體會。<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3U5tdG-Ra8fWG18iG08m3NBxef6xWmXfNBzC-3zOERW24EOQmxu_fqheaBmSwp79Pqq2eHI8vl2s-PUbBrjkTqrSbZ5PgrGsMZjxZi0B4QjiLVjLYuEEakH4o-rOkqza_TDegyMZ0Pw7RIuFCDCJMY-0kIg8nozAqYoIiMo2z6ptSWxQQqqISij9kgaDw/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3U5tdG-Ra8fWG18iG08m3NBxef6xWmXfNBzC-3zOERW24EOQmxu_fqheaBmSwp79Pqq2eHI8vl2s-PUbBrjkTqrSbZ5PgrGsMZjxZi0B4QjiLVjLYuEEakH4o-rOkqza_TDegyMZ0Pw7RIuFCDCJMY-0kIg8nozAqYoIiMo2z6ptSWxQQqqISij9kgaDw/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_05.PNG" /></a><br /><br /><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="http://dmcaretw.blogspot.com/2023/04/thought-after-202304-kenda-reducing-smoking-and-body-weight-health-speech-01.html">更新觀念的健康講座</a><span style="color: #999999;">(建大輪胎 林女士)</span></div><div><div><a href="http://dmcaretw.blogspot.com/2023/10/thought-after-yuanlin-school-student-examination-speech-01.html">動腦學習體檢異常</a><span style="color: #999999;">(美玉校護)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-01.html">對自己的健康負責</a><span style="color: #999999;">(小君)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-02.html">觀念資訊兼具的健檢講座</a><span style="color: #999999;">(吳庭嘉)</span></div></div></div><div><span style="color: #999999;"><br /></span></div><div><span style="color: #999999;"><br /></span></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-58973879685102916602023-12-15T16:27:00.011+08:002023-12-15T16:47:18.751+08:00觀念資訊兼具的健檢講座文/吳庭嘉 <br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkpuvWaVkqMRVwGF4NoU0fsE0fFCuthUcbPx34vL8soUEleWtg70uczZXqWaxUY3d92tZtQpJ5pt27eR0a4jiJrdKqvRbc7vktcvHd0VQzsrMh6IugLQ17NGs6irpKN_Gab7kxyCnCex1u4v3KfXyzYvqn7n7LeIVd37NjI9Ht6XDURMXnRB2mR-EhPl6I/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkpuvWaVkqMRVwGF4NoU0fsE0fFCuthUcbPx34vL8soUEleWtg70uczZXqWaxUY3d92tZtQpJ5pt27eR0a4jiJrdKqvRbc7vktcvHd0VQzsrMh6IugLQ17NGs6irpKN_Gab7kxyCnCex1u4v3KfXyzYvqn7n7LeIVd37NjI9Ht6XDURMXnRB2mR-EhPl6I/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_01.PNG" /></a><br /><br /><br />「效果不好時,不必排斥用藥」 <br /><br />「有機會在病情改善的情況下,慢慢地減除藥物」 <br /><br />「家人說的並不一定比得上醫師或是醫療院所營養師說的」<br /> <br /><a name='more'></a><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjocdIeHFW8q3RQG782CFVIBmTvmuESaEMPzF1LE5mmAVCFEJCWlz9iuZQYj20rbsURHbv2asyseyluAStgruHm36JsyfShUGC6UkfjwNaZT6Tmr6oPEL93QYsqWXqjuGz8k-uKDTi_AQlOjTnRRj7W3O1pKIm0rpL6M7m2hUn39rmQ84xYvBhWDVY0vfj_/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjocdIeHFW8q3RQG782CFVIBmTvmuESaEMPzF1LE5mmAVCFEJCWlz9iuZQYj20rbsURHbv2asyseyluAStgruHm36JsyfShUGC6UkfjwNaZT6Tmr6oPEL93QYsqWXqjuGz8k-uKDTi_AQlOjTnRRj7W3O1pKIm0rpL6M7m2hUn39rmQ84xYvBhWDVY0vfj_/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_02.PNG" /></a><br /><br /><h3 style="text-align: left;">修正觀念</h3><br />這次講座比較大的收穫是,原來飲食跟運動的控制最多各有20%的效果,在初期病情不易控制,或是很努力注重飲食與增加運動時仍然效果不好時,不必排斥用藥(原來用藥控制得好可以有70%以上的效果),而且後續飲食運動等生活習慣養成,檢驗數字進步,仍然可以和醫師溝通,調整用藥方式與用藥劑量,還是有機會在病情改善的情況下,慢慢地減除藥物。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg51_qQZV1kOYUw_YvSffXMBBHiesHupCc-G1XBD3qxdYXv1G11bYnF6a4GziWtyOYiGekS5xhia0qYJsEYhLfz7WsL6Yh4oF4AKOFg1kuoqrNFa_tPyRNyDSSQc8BsCpe9XnKsGcMY_gL9d832_XfO_Y6IJtWGfE0yQ4rA5L8OOm4gCfozauiM3DhQe2F3/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg51_qQZV1kOYUw_YvSffXMBBHiesHupCc-G1XBD3qxdYXv1G11bYnF6a4GziWtyOYiGekS5xhia0qYJsEYhLfz7WsL6Yh4oF4AKOFg1kuoqrNFa_tPyRNyDSSQc8BsCpe9XnKsGcMY_gL9d832_XfO_Y6IJtWGfE0yQ4rA5L8OOm4gCfozauiM3DhQe2F3/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_03.PNG" /></a><br /><br /><h3 style="text-align: left;">問答收穫 </h3><br />最後問答討論,獲得蠻多資訊。像是最難勸進自己的親人,家人說的並不一定比得上醫師或是醫療院所營養師說的,但是有時候長輩就是很不願意去醫院,去了也不一定願意面對自己的病情,改由獎勵或是其他方式,或許可以增加長輩控制病況的意願,這也是我們晚輩需想想怎麼妥善處理。 <br /><br /><br /> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjbV4XwBCuy9rH-eQDC2Q5CsquGJZ9W52xZnJtRE1TOIk-Rbuv6iq_XCAGfnCk7SErI7I6aVC03R5kaZ4PyIreG9LCxbrM53kPIosp2Ey_awgNanWcIlciESCScV_szt9BWf8mxpp1uwIx0999GFvXor8nh8udBi3z9spMl0R1NF62fD4rT7jw6b_EaEKJm/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjbV4XwBCuy9rH-eQDC2Q5CsquGJZ9W52xZnJtRE1TOIk-Rbuv6iq_XCAGfnCk7SErI7I6aVC03R5kaZ4PyIreG9LCxbrM53kPIosp2Ey_awgNanWcIlciESCScV_szt9BWf8mxpp1uwIx0999GFvXor8nh8udBi3z9spMl0R1NF62fD4rT7jw6b_EaEKJm/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_04.PNG" /></a><br /><br /><h3 style="text-align: left;">可再優化 </h3><br /> 講座內容很豐富,也很快速地提到許多重點,像是比較常見的高血糖、高血壓、高血脂、好壞膽固醇等等的,只是你說話的語速有點太快,有時候筆記一下重點就來不及聽或記錄到下一頁簡報資訊,有點可惜。<div><br /></div><div><br /></div><div><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5w6yxEXhN-zk_DhwOY01FhhMiBu3GlfkDlvdjV6coD3lN0GlQcvlt3WNER_y-iB5m_M4wSm3ndqFM-OFiFF5NKJAwR8K-giZernvL4TwxV_SULvnInfq4A_-NqFCQxykuxMCD1BK4mWKMOcj1h3tLYHbTJN2q_b9ilP_CWz23sH0XuqDRh7kDCrdo63XP/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5w6yxEXhN-zk_DhwOY01FhhMiBu3GlfkDlvdjV6coD3lN0GlQcvlt3WNER_y-iB5m_M4wSm3ndqFM-OFiFF5NKJAwR8K-giZernvL4TwxV_SULvnInfq4A_-NqFCQxykuxMCD1BK4mWKMOcj1h3tLYHbTJN2q_b9ilP_CWz23sH0XuqDRh7kDCrdo63XP/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_05.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><span><a href="http://dmcaretw.blogspot.com/2022/10/thought-after-20221019-student-health-abnormal-finding-sharing-01.html">除了學檢,還有更多</a></span><span style="color: #999999;">(員林高中 莊同學)<br /></span><a href="http://dmcaretw.blogspot.com/2023/04/thought-after-202304-kenda-reducing-smoking-and-body-weight-health-speech-01.html">更新觀念的健康講座</a><span style="color: #999999;">(建大輪胎 林女士)</span></div><div><div><a href="http://dmcaretw.blogspot.com/2023/10/thought-after-yuanlin-school-student-examination-speech-01.html">動腦學習體檢異常</a><span style="color: #999999;">(美玉校護)</span></div><div><a href="https://dmcaretw.blogspot.com/2023/12/thought-after-202312-abnormal-health-examination-result-you-should-know-01.html">對自己的健康負責</a><span style="color: #999999;">(小君)</span></div></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-20255117639727670892023-12-15T16:18:00.007+08:002023-12-15T16:22:33.929+08:00對自己的健康負責文/小君<div><br /></div><div><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoy5ze096c3tSRlpGUSIDrnMB8SrEZ7oV5_fpGNn_z_QD3BaieEh08seo-AGgdTREynD59RfNAJttmA6vruFt9OT0nXc_Z6OJyvCqVQ1-cSUEHs08AEAcoNjriXg4Xd-Qww2TDSL4JcLmPJe6y3ZrXJavDelJR7LNfof8EM3bVqw4pkPAVjlgd_hXYeiat/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_01.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoy5ze096c3tSRlpGUSIDrnMB8SrEZ7oV5_fpGNn_z_QD3BaieEh08seo-AGgdTREynD59RfNAJttmA6vruFt9OT0nXc_Z6OJyvCqVQ1-cSUEHs08AEAcoNjriXg4Xd-Qww2TDSL4JcLmPJe6y3ZrXJavDelJR7LNfof8EM3bVqw4pkPAVjlgd_hXYeiat/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_01.PNG" /></a></div><div><br /></div><div><br />「胖、肥胖、過胖、肥胖、胖的循環」<br /><br />「唯有自己能在乎自己的健康」<br /><br />「早期知道身體健康狀況」<br /><br /><div><a name='more'></a></div><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJZcYlC5fCvZxvfdxzoeOVg6iEYml5m8HkvGdsmxxoCuOsKW2YQpk_tMriGasfkwhpL3Gz1g6_s4iNsKWJi-e9jIgyPcwCCv0ZvDPuOooKR-4VHKcqj9pYzVL4sg9yJg2f2qtlbfnjDdrUE088GvJThfcVkC4W2RfQZsL8ZpxLhADMTzES_APzaM7Sqr8j/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_02.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJZcYlC5fCvZxvfdxzoeOVg6iEYml5m8HkvGdsmxxoCuOsKW2YQpk_tMriGasfkwhpL3Gz1g6_s4iNsKWJi-e9jIgyPcwCCv0ZvDPuOooKR-4VHKcqj9pYzVL4sg9yJg2f2qtlbfnjDdrUE088GvJThfcVkC4W2RfQZsL8ZpxLhADMTzES_APzaM7Sqr8j/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_02.PNG" /></a><br /><br /><h3 style="text-align: left;">體重問題</h3><br />我是小君,從小我就是水桶般的身材,成長過程中不外乎就是胖、肥胖、過胖、肥胖、胖的循環;總之,就是個食慾好,不挑食,好養的人。<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjl0wL3dQsJjBXl1BodTGXqNmkVKx4eqv_CCJI009XO5xL_hpoaThd94i9gegk62I27Yvd03C5dpMd6f-T1LTogss2EWiGEh6rnAm3iQ_NTJgQ0IeCq4TuGOYEDTYEdZT58ijAgDQDJJwdwwzRd4fBkOVykWMlYeea2Qq-4j4TDg4khykDjol-PCjJ_p2c7/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_03.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjl0wL3dQsJjBXl1BodTGXqNmkVKx4eqv_CCJI009XO5xL_hpoaThd94i9gegk62I27Yvd03C5dpMd6f-T1LTogss2EWiGEh6rnAm3iQ_NTJgQ0IeCq4TuGOYEDTYEdZT58ijAgDQDJJwdwwzRd4fBkOVykWMlYeea2Qq-4j4TDg4khykDjol-PCjJ_p2c7/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_03.PNG" /></a><br /><br /><h3 style="text-align: left;">提醒自己</h3><br />自10年前初任公務人員在花蓮工作,9年前自費在花蓮□□做了一次公教健康檢查後,每年都有想要再去健檢,然後就這樣過了10年;課堂案例聽後,讓我反思了一件事情,說實在,唯有自己能在乎自己的健康,公務忙歸忙,還是得有健康身體!<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjep352ZJEPbulK0Ouf6MrXIz7iah4ElJDxFgGxMwkbuT8HVluU1Eib7cprbAAZxO63bueDqSIoMr9obRpQz7ZQxKBK9B_TwTcDQIw3cn_RBeMWzPmftmSwBo1tMxkr4sMZ515EvnzY8LHJnU_b7eGWLrfJjivTLRx3K9lCqbc4Hvvvs4WxtrJ0qavWGlJ1/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_04.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjep352ZJEPbulK0Ouf6MrXIz7iah4ElJDxFgGxMwkbuT8HVluU1Eib7cprbAAZxO63bueDqSIoMr9obRpQz7ZQxKBK9B_TwTcDQIw3cn_RBeMWzPmftmSwBo1tMxkr4sMZ515EvnzY8LHJnU_b7eGWLrfJjivTLRx3K9lCqbc4Hvvvs4WxtrJ0qavWGlJ1/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_04.PNG" /></a><br /><br /><h3 style="text-align: left;">身體情況</h3><br />我是有在做捐血小板分離術的捐血人,健康狀況還算可以,近年有在給一位嘉義的□□科醫師固定追蹤我的○○○狀況,固定用○○,而○○已在正常狀況沒在用藥,醫囑常提醒我瘦一點對我的健康更好,可惜那位醫師因家庭因素,已於今年11月起歇業。因家族有○○癌、○○疾病、○○○、○○病史,3年前我在花蓮□□醫院也執行了大腸鏡,慶幸腸道還算良好,無瘜肉或憩室。<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnZhlYiqOy-UQPJVbC2GOaRHfbz4mvmvBLs6fdCIdRdQUb7isbMqlDcb-k7rv8R-GDTKScExWHPGwCGHTGTVE6O1g1wXU4CqnZ6RbaMXkxJwJRKjWP2XTK2nuxl2_O3KIqjIetvH_faOcuObU9fLHKKeoR2jSlAokmg8dVSf26Vqld2t8JcVPyQ__mPbWO/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjnZhlYiqOy-UQPJVbC2GOaRHfbz4mvmvBLs6fdCIdRdQUb7isbMqlDcb-k7rv8R-GDTKScExWHPGwCGHTGTVE6O1g1wXU4CqnZ6RbaMXkxJwJRKjWP2XTK2nuxl2_O3KIqjIetvH_faOcuObU9fLHKKeoR2jSlAokmg8dVSf26Vqld2t8JcVPyQ__mPbWO/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_01_05.PNG" /></a><br /><br /><h3 style="text-align: left;">健康負責</h3><br />在當天的專題演講中,課後蠻受用的最大一點,你也看過我屬於”肥胖”等級的身材,誠如您所說的,除了一般常規體檢,建議每間隔幾年定期安排不同的自費檢查,分攤健檢經費,以及早期知道身體健康狀況,對自己也是對家人負責!<br /><br /><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiewnJ9KGMHau4XaSBa4-N6omwjapzJQhrzNhe3G99qsZuAj5bIDfdgShJ4RcMEz3oWGe7WG7nh6qBIHsSWZw5O_NtwFfQONaW91aS5Iex8ZRl3YLTZ09dqN9eC7hNeTuX7bLxudwY1fyY65aZgL3-TL4WG9thizEzsYVMp404tx18VHa7qtotthghNTqls/s960/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_05.PNG"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiewnJ9KGMHau4XaSBa4-N6omwjapzJQhrzNhe3G99qsZuAj5bIDfdgShJ4RcMEz3oWGe7WG7nh6qBIHsSWZw5O_NtwFfQONaW91aS5Iex8ZRl3YLTZ09dqN9eC7hNeTuX7bLxudwY1fyY65aZgL3-TL4WG9thizEzsYVMp404tx18VHa7qtotthghNTqls/s16000/%E8%88%87%E7%B3%96%E5%85%B1%E8%88%9E_%E7%B3%96%E5%B0%BF%E7%97%85_%E6%B8%9B%E9%87%8D_%E8%A1%80%E8%84%82%E8%A1%80%E5%A3%93_%E5%B7%A5%E4%BD%9C%E5%9D%8A_%E4%BD%99%E5%AE%9C%E5%8F%A1_%E8%BE%B2%E6%94%B9%E5%A0%B4_%E9%AB%94%E6%AA%A2_%E7%95%B0%E5%B8%B8_%E7%99%8C%E7%97%87_%E8%A1%9B%E6%95%99_%E8%AC%9B%E5%BA%A7_%E5%BF%83%E5%BE%97_02_05.PNG" /></a></div><div><br /></div><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><div><a href="http://dmcaretw.blogspot.com/2022/04/thought-after-20220415-reduce-body-weight-keys-02.html">享瘦,不傷身</a><span style="color: #999999;">(佳勳)</span></div><div><span><a href="http://dmcaretw.blogspot.com/2022/10/thought-after-20221019-student-health-abnormal-finding-sharing-01.html">除了學檢,還有更多</a></span><span style="color: #999999;">(員林高中 莊同學)<br /></span><a href="http://dmcaretw.blogspot.com/2023/04/thought-after-202304-kenda-reducing-smoking-and-body-weight-health-speech-01.html">更新觀念的健康講座</a><span style="color: #999999;">(建大輪胎 林女士)</span></div><div><a href="http://dmcaretw.blogspot.com/2023/10/thought-after-yuanlin-school-student-examination-speech-01.html">動腦學習體檢異常</a><span style="color: #999999;">(美玉校護)</span></div><br /><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-86137173032294319802023-12-14T21:03:00.009+08:002023-12-14T21:03:28.569+08:002024_ADA_糖尿病用藥指引後製/余宜叡<br /><br /><br /><a 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href="http://dmcaretw.blogspot.com/2023/05/2023-aace-glycemic-control-algorithm.html">2023_AACE_糖尿病穩糖流程</a></div><div><a href="https://dmcaretw.blogspot.com/2023/05/2023-aace-pre-diabetes-algorithm.html">2023_AACE_糖尿病前期處置流程</a></div></div><div><br /></div><div><br /></div>與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.comtag:blogger.com,1999:blog-3266836536143666534.post-51254538506344678872023-12-10T09:00:00.004+08:002023-12-11T21:41:13.114+08:00舒眠益生菌_廣告_國睡局後製/余宜叡<div><br /></div><div><br /><a 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/><div><br /></div><div>延伸閱讀</div><div><br /></div><div><br /></div><div><a href="https://dmcaretw.blogspot.com/2023/11/thought-after-using-centrum-sleep-probiotics.html"> 舒眠益生菌使用心得</a><br /><br /><br /><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><br />與糖共舞http://www.blogger.com/profile/03780481602631428120noreply@blogger.com