糖尿病控制不良 十年病患約1/3視網膜病變

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 12csc.html
更新日期:2008/07/01 20:00
（中央社記者陳清芳台北一日電）國內百萬糖尿病患百萬人，但控制不良比率始終高居不下，財團法人糖尿病關懷基金會執行長、台北榮總新陳代謝科主治醫師蔡世澤今天指出，十年左右的糖尿病患，就有三分之一以上的病患已出現各種程度的視網膜病變。


行政院衛生署國民健康局於2003年委託中華民國公共衛生學會的調查，發現四十五歲以上的人有一成四的女性、一成五五的男性血糖過高，在這些血糖過高的人中，有七成六的女性、近六成七男性知道他們的血糖過高。


這項調查顯示，血糖過高的人之中，百分之五十五點三的男性、百分之六十五的女性有服藥，而這些服藥的人，有六成左右沒有把血糖控制在理想範圍；整體而言，所有血糖過高的人當中有八成的人血糖控制不好。


蔡世澤指出，最近幾個大型的研究顯示，大多數成年人的糖化血色素值以六點五到七為宜，國內糖尿病患的糖化血色素值大多控制在八到九之間，以致罹病十年的患者，超過三分之一就有程度不一的視網膜病變。


他說，據美國喬士林糖尿病中心與哈佛大學在今年六月發表於「眼科學誌」的三年研究顯示，糖尿病患使用胰島素增敏劑，可減少中度視網膜病惡化成重度，成效達三分之二；在遏止病患從重度演變成嚴重視網膜病變的比率也近六成。


另外，根據全球二十多國、為期五年、一萬一千一百四十名第二型糖尿病患者的研究結果顯示，將糖化血色素值控制六點五以下，能夠減少發生腎病變的危險機率達分之二十一，且對遏止大血管的病變也呈現正面的效益。970701

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