糖尿病患易心血管病變 需控制血脂

[SILVERMAN]

糖尿病患易心血管病變 需控制血脂

【中央社╱台北三十一日電】 2007.10.31 07:47 pm


台北榮民總醫院心臟內科主治醫師常敏之今天表示，根據統計，台灣第二型糖尿病患者約有一百萬人，糖尿病患者超過百分之六十的死亡率來自心血管病變，糖尿病患除控制血糖外，對血壓及血脂肪必須做嚴格的控制，降低糖尿病對生命的威脅。

常敏之表示，第二型糖尿病指有胰島素阻抗性的病患，這些病人通常會有微尿蛋白、中廣型肥胖、血脂異常及高血壓。若病情控制不佳，可能引發中風、心肌梗塞、心衰竭等大血管病變；若發生小血管病變可能會造成腎、神經或視網膜病變，嚴重者需要洗腎，或導致失明。他表示，理想的糖尿病藥物除要能控制血糖，也要能改善血管病變的併發症。

目前醫師普遍使用的愛妥糖(Actos)及梵帝雅(Rosiglitazone)兩種胰島素增敏劑(TZD)可改善胰島素阻抗性，不過兩者都不適合易有心臟衰竭病人，梵帝雅也不適合心血管疾病的病人。

也是糖尿病友的藝人趙舜說，他患糖尿病後曾兩度中風住院，糖尿病患血壓及血脂的控制也很重要，除應按時遵照醫師指示按時服藥外，規律的生活和飲食也非常重要，且要多運動。

【2007/10/31 中央社】@ http://udn.com/

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