{"id":12519,"date":"2018-03-12T11:21:26","date_gmt":"2018-03-12T03:21:26","guid":{"rendered":"\/\/www.afterroberto.com\/?p=12519"},"modified":"2023-08-21T17:03:20","modified_gmt":"2023-08-21T09:03:20","slug":"%e3%80%90%e4%ba%86%e8%a7%a3%e7%b3%96%e5%b0%bf%e7%97%85%e3%80%91%e6%96%b0%e5%88%86%e9%a1%9e%e6%b3%95-%e7%b2%be%e6%ba%96%e6%8b%86%e8%a7%a3%e7%b3%96%e5%b0%bf%e7%97%85","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e3%80%90%e4%ba%86%e8%a7%a3%e7%b3%96%e5%b0%bf%e7%97%85%e3%80%91%e6%96%b0%e5%88%86%e9%a1%9e%e6%b3%95-%e7%b2%be%e6%ba%96%e6%8b%86%e8%a7%a3%e7%b3%96%e5%b0%bf%e7%97%85\/","title":{"rendered":"\u3010\u4e86\u89e3\u7cd6\u5c3f\u75c5\u3011\u65b0\u5206\u985e\u6cd5 \u7cbe\u6e96\u62c6\u89e3\u7cd6\u5c3f\u75c5"},"content":{"rendered":"
\u3010\u660e\u5831\u5c08\u8a0a\u3011\u64da\u885b\u751f\u7f72\u6578\u5b57\uff0c\u7cd6\u5c3f\u75c5\u5728\u672c\u6e2f\u6700\u5e38\u898b\u7684\u81f4\u547d\u75be\u75c5\u4e2d\u6392\u7b2c10\u4f4d\uff0c2016\u5e74\u4fbf\u6709498\u4eba\u6b7b\u4ea1\u3002\u96a8\u7740\u4eba\u53e3\u8001\u5316\u53ca\u80a5\u80d6\u4eba\u6578\u4e0a\u5347\uff0c\u9810\u8a08\u60a3\u8005\u4eba\u6578\u6703\u589e\u52a0\u3002<\/p>\n
\u73fe\u6642\u7cd6\u5c3f\u75c5\u5206\u6709\u4e00\u578b\u53ca\u4e8c\u578b\uff0c\u4e00\u578b\u60a3\u8005\u7d04\u4f543%\uff0c\u903e\u4e5d\u6210\u60a3\u8005\u5c6c\u65bc\u4e8c\u578b\u3002\u4e0d\u904e\uff0c\u65e9\u524d\u6709\u5916\u570b\u79d1\u5b78\u5bb6\u5efa\u8b70\uff0c\u7cd6\u5c3f\u75c5\u6309\u75c5\u60c5\u53ca\u75c5\u56e0\u61c9\u7d30\u5206\u62105\u985e\uff0c\u9019\u7a2e\u5206\u985e\u6cd5\u8ddf\u73fe\u6642\u5e38\u7528\u7684\u5206\u985e\u6709\u4ec0\u9ebc\u5206\u5225\uff1f<\/p>\n
\u3010\u6709\u7247\u3011\u7cd6\u5c3f\u75c5\u4eba\u300c\u8b58\u98f2\u8b58\u98df\u300d \u7f8e\u98df\u7576\u524d\u98df\u5f97\u958b\u5fc3\u53c8\u653e\u5fc3<\/a><\/p>\n <\/p>\n \u7cd6\u5c3f\u75c5\u662f\u8207\u80f0\u5cf6\u7d20\u6709\u95dc\u7684\u6162\u6027\u75be\u75c5\uff0c\u80f0\u5cf6\u7d20\u662f\u80f0\u81df\u5206\u6ccc\u51fa\u4f86\u7684\u8377\u723e\u8499\uff0c\u8ca0\u8cac\u4fc3\u4f7f\u8840\u6db2\u4e2d\u7684\u8461\u8404\u7cd6\u9032\u5165\u4eba\u9ad4\u7d30\u80de\uff1b\u82e5\u5206\u6ccc\u4e0d\u8db3\uff0c\u5c31\u6703\u4ee4\u8461\u8404\u7cd6\u7a4d\u805a\u8840\u6db2\u4e2d\uff0c\u5c0e\u81f4\u8840\u7cd6\u904e\u9ad8\u3002\u9999\u6e2f\u4e2d\u6587\u5927\u5b78\u5167\u79d1\u53ca\u85e5\u7269\u6cbb\u7642\u5b78\u7cfb\u540d\u8b7d\u81e8\u7240\u526f\u6559\u6388\u5468\u632f\u4e2d\u6307\u51fa\uff0c\u73fe\u6642\u7cd6\u5c3f\u75c5\u4e3b\u8981\u5206\u70ba\u5169\u5927\u985e\uff1a<\/p>\n \u60a3\u8005\u56e0\u907a\u50b3\u6216\u514d\u75ab\u7cfb\u7d71\u554f\u984c\uff0c\u5c0e\u81f4\u9ad4\u5167\u51fa\u73fe\u80f0\u5cf6\u7d20\u6297\u9ad4\uff0c\u7834\u58de\u80f0\u81df\u03b2-\u7d30\u80de\u5206\u6ccc\u80f0\u5cf6\u7d20\u529f\u80fd\uff0c\u4ee4\u8eab\u9ad4\u56b4\u91cd\u7f3a\u4e4f\u80f0\u5cf6\u7d20\uff0c\u8840\u7cd6\u56b4\u91cd\u8d85\u6a19\uff0c\u6709\u53ef\u80fd\u5f15\u767c\u6025\u6027\u916e\u9178\u4e2d\u6bd2\uff0c\u82e5\u4e0d\u53ca\u6642\u6cbb\u7642\uff0c\u6703\u6709\u6b7b\u4ea1\u98a8\u96aa\uff0c\u4ed6\u5011\u9700\u7d42\u751f\u6ce8\u5c04\u80f0\u5cf6\u7d20\u3002<\/p>\n \u6210\u56e0\u4e3b\u8981\u6709\u4e8c\uff0c\u4e00\u3001\u80f0\u5cf6\u7d20\u5206\u6ccc\u4e0d\u8db3\uff0c\u6210\u56e0\u6216\u662f\u907a\u50b3\u6216\u662f\u5e74\u8001\u5c0e\u81f4\u80f0\u81df\u9000\u5316\uff1b\u4e8c\u3001\u4e0d\u826f\u98f2\u98df\u7fd2\u6163\u3001\u80a5\u80d6\u53ca\u7f3a\u4e4f\u904b\u52d5\uff0c\u5c0e\u81f4\u8eab\u9ad4\u51fa\u73fe\u80f0\u5cf6\u7d20\u62b5\u6297\uff08Insulin Resistance\uff09\uff0c\u9700\u8981\u66f4\u591a\u80f0\u5cf6\u7d20\u4f86\u964d\u4f4e\u8840\u7cd6\u6c34\u5e73\u3002\u8209\u4f8b\u6b63\u5e38\u4eba\u53ef\u7528\u4e00\u7c92\u80f0\u5cf6\u7d20\u958b\u555f\u7d30\u80de\u8b93\u4e00\u7c92\u7cd6\u9032\u5165\uff0c\u4f46\u6709\u80f0\u5cf6\u7d20\u62b5\u6297\u7684\u60a3\u8005\u53ef\u80fd\u9700\u752810\u7c92\u80f0\u5cf6\u7d20\u624d\u505a\u5230\uff0c\u6e1b\u6162\u8f49\u5316\u8461\u8404\u7cd6\u7684\u529f\u80fd\u3002\u65e9\u671f\u60a3\u8005\u53ef\u901a\u904e\u98f2\u98df\u53ca\u904b\u52d5\u63a7\u5236\u75c5\u60c5\u3002<\/p>\n \u3010\u660e\u5831\u8b80\u8005\u512a\u60e0\u50f9\u3011\u539f\u5927\u5730 \u7a00\u6709\u7cd6 \u2013 \u5c08\u70ba\u300c\u95dc\u6ce8\u8840\u7cd6\u300d\u53ca\u300c\u63a7\u5236\u9ad4\u91cd\u300d\u4eba\u58eb\u7814\u88fd \u7acb\u5373\u7db2\u4e0a\u8a02\u8cfc \u512a\u60e0\u81f32020\u5e743\u670830\u65e5<\/a><\/p>\n \u5468\u632f\u4e2d\u6307\uff0c\u5373\u4f7f\u8eab\u9ad4\u51fa\u73fe\u80f0\u5cf6\u7d20\u62b5\u6297\uff0c\u80f0\u81df\u6703\u56e0\u61c9\u8840\u7cd6\u8abf\u6574\uff0c\u8f03\u4e00\u822c\u4eba\u5206\u6ccc\u51fa\u66f4\u591a\u80f0\u5cf6\u7d20\uff0c\u62b5\u6d88\u80f0\u5cf6\u7d20\u62b5\u6297\uff0c\u300c\u4f46\u5206\u6ccc\u4e0d\u80fd\u7121\u9650\u589e\u52a0\uff0c\u4e45\u800c\u4e45\u4e4b\u80f0\u81df\u529f\u80fd\u6703\u8b8a\u5dee\uff0c\u82e5\u5230\u67d0\u500b\u968e\u6bb5\u7121\u6cd5\u62b5\u6d88\uff0c\u4fbf\u6703\u51fa\u73fe\u7cd6\u5c3f\u75c5\u300d\u3002\u4e2d\u592e\u80a5\u80d6\u548c\u80f0\u5cf6\u7d20\u62b5\u6297\u7336\u5982\u96d9\u751f\u5152\uff0c\u4f46\u80a5\u4eba\u672a\u5fc5\u4e00\u5b9a\u6709\u80f0\u5cf6\u7d20\u62b5\u6297\u3002<\/p>\n \u4e0d\u60f3\u8840\u7cd6\u98c7\u5347\uff1f\u7cd6\u5c3f\u75c5\u4eba\u8b58\u8a08\u6578\u98df\u5f97\u958b\u61f7<\/a><\/p>\n \u5206\u62c65\u985e \u6cbb\u7642\u65b9\u6848\u66f4\u6e96\u78ba<\/strong> \u7b2c1\u985e\u300c\u81ea\u8eab\u514d\u75ab\u56b4\u91cd\u7cd6\u5c3f\u75c5\u300d<\/p>\n Severe autoimmune diabetes\uff08SAID\uff09<\/p>\n \u591a\u5728\u5e74\u8f15\u6642\u767c\u75c5\uff0c\u8207\u73fe\u6642\u4e00\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u76f8\u4f3c\uff0c\u60a3\u8005\u5927\u81f4\u4e0a\u5065\u5eb7\uff0c\u9ad4\u91cd\u6b63\u5e38\u81f3\u504f\u7626\uff0c\u56e0\u514d\u75ab\u7cfb\u7d71\u554f\u984c\u5c0e\u81f4\u7121\u6cd5\u5206\u6ccc\u80f0\u5cf6\u7d20\u3002<\/p>\n \u5468\uff1a\u6b64\u985e\u8207\u4e00\u578b\u7cd6\u5c3f\u75c5\u76f8\u4f3c\uff0c\u4f30\u8a08\u9999\u6e2f\u7cd6\u5c3f\u75c5\u60a3\u8005\u6578\u5b57\u8f03\u5c11\uff0c\u53ef\u80fd\u4f4e\u904e3%\uff0c\u53ea\u5f971%\u81f32%\u3002<\/p>\n \u7b2c2\u985e\u300c\u80f0\u5cf6\u7d20\u7f3a\u4e4f\u56b4\u91cd\u7cd6\u5c3f\u75c5\u300d<\/p>\n Severe insulin-deficient diabetes\uff08SIDD\uff09<\/p>\n \u8207\u7b2c1\u985eSAID\u76f8\u4f3c\uff0c\u60a3\u8005\u5c6c\u5e74\u8f15\uff0c\u9ad4\u91cd\u6b63\u5e38\u81f3\u504f\u7626\uff0c\u514d\u75ab\u7cfb\u7d71\u6c92\u6709\u554f\u984c\uff0c\u56e0\u80f0\u5cf6\u7d20\u5206\u6ccc\u4e0d\u8db3\uff0c\u51fa\u73fe\u7cd6\u5c3f\u75c5\uff0c\u5e38\u51fa\u73fe\u8207\u7cd6\u5c3f\u75c5\u76f8\u95dc\u7684\u773c\u75be\u3002<\/p>\n \u5468\uff1a\u9019\u985e\u75c5\u4eba\u662f\u9ad4\u578b\u504f\u7626\u7684\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u4f54\u672c\u6e2f\u60a3\u8005\u7d0410\uff05\u81f315%\u3002<\/p>\n \u7b2c3\u985e\u300c\u80f0\u5cf6\u7d20\u62b5\u6297\u56b4\u91cd\u7cd6\u5c3f\u75c5\u300d<\/p>\n Severe insulin-resistant diabetes\uff08SIRD\uff09<\/p>\n \u60a3\u8005\u53ef\u5206\u6ccc\u80f0\u5cf6\u7d20\uff0c\u4f46\u6709\u80f0\u5cf6\u7d20\u62b5\u6297\uff0c\u8eab\u9ad4\u80a5\u80d6\uff0c\u8f03\u5927\u53ef\u80fd\u51fa\u73fe\u814e\u75c5\u3002<\/p>\n \u5468\uff1a\u6b64\u985e\u60a3\u8005\u6709\u4ee3\u8b1d\u7d9c\u5408\u75c7\uff0c\u4f30\u8a08\u672c\u6e2f\u60a3\u8005\u7d0415%\u81f320%\u3002<\/p>\n \u7b2c4\u985e\u300c\u80a5\u80d6\u6709\u95dc\u8f15\u5ea6\u7cd6\u5c3f\u75c5\u300d<\/p>\n Mild obesity-related diabetes\uff08MOD\uff09<\/p>\n \u60a3\u8005\u80a5\u80d6\uff0c\u6c92\u6709\u4ee3\u8b1d\u7d9c\u5408\u75c7\uff0c\u6c92\u6709\u80f0\u5cf6\u7d20\u62b5\u6297\u3002<\/p>\n \u5468\uff1a\u9019\u4e9b\u60a3\u8005\u96d6\u7136\u80a5\u80d6\uff0c\u4f46\u6c92\u6709\u4ee3\u8b1d\u7d9c\u5408\u75c7\uff0c\u4e0d\u904e\u61c9\u6709\u975e\u5e38\u5c0f\u91cf\u7684\u80f0\u5cf6\u7d20\u62b5\u6297\u3002\u6b64\u985e\u60a3\u8005\u4f54\u672c\u6e2f\u60a3\u800520%\u3002\u540c\u6a23\u662f\u7cd6\u5c3f\u75c5\u53ca\u80a5\u80d6\u60a3\u8005\uff0c\u6709\u5426\u9ad8\u8840\u58d3\u3001\u8840\u8102\u7d0a\u4e82\u53ca\u86cb\u767d\u5c3f\u7b49\u554f\u984c\uff0c\u4e3b\u8981\u8996\u4e4e\u500b\u4eba\u7684\u907a\u50b3\u56e0\u7d20\u3002<\/p>\n \u7b2c5\u985e\u300c\u5e74\u9f61\u6709\u95dc\u8f15\u5ea6\u7cd6\u5c3f\u75c5\u300d<\/p>\n Mild age-related diabetes\uff08MARD\uff09<\/p>\n \u8f03\u5e74\u9577\u6642\u767c\u75c5\uff0c\u5fb5\u72c0\u8f03\u8f15\u5fae\u3002<\/strong> \u5468\u632f\u4e2d\u8868\u793a\uff0c\u7b2c4\u985e\u7684MOD\u53ca\u7b2c5\u985e\u7684MARD\u5927\u591a\u5c6c\u65bc\u7cd6\u5c3f\u75c5\u524d\u671f\uff0c\u75c5\u60c5\u76f8\u5c0d\u8f03\u8f15\u53ca\u767c\u5c55\u8f03\u6162\u3002\u300c\u5176\u5be6\u5167\u5206\u6ccc\u53ca\u7cd6\u5c3f\u79d1\u91ab\u751f\u5728\u6cbb\u7642\u6642\uff0c\u5df2\u77e5\u73fe\u6642\u7684\u4e8c\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u6709\u4e0d\u540c\u60c5\u51b5\uff0c\u4e0d\u80fd\u5283\u4e00\u6cbb\u7642\uff0c\u4f8b\u5982SIDD\u53caSIRD\u5c31\u5c6c\u65bc\u5169\u500b\u6975\u7aef\u75c5\u7406\u3002\u662f\u6b21\u7814\u7a76\u7d50\u679c\u6709\u66f4\u660e\u78ba\u7684\u75c5\u7406\u5206\u6790\uff0c\u4f8b\u5982\u6cbb\u7642\u6642\u5c0dSIDD\u53caSIRD\u75c5\u4eba\u8981\u63a1\u7528\u8f03\u9032\u53d6\u7684\u7642\u6cd5\uff0c\u5176\u4ed6\u5982MOD\u6216MARD\u56e0\u75c5\u60c5\u8f03\u8f15\u5fae\uff0c\u4f75\u767c\u75c7\u98a8\u96aa\u8f03\u4f4e\uff0c\u6cbb\u7642\u65b9\u6848\u53ef\u6eab\u548c\u4e9b\u3002\u9019\u4e9b\u5206\u985e\u53ef\u8b93\u4e00\u822c\u91ab\u8b77\u4eba\u54e1\u5c0d\u7cd6\u5c3f\u75c5\u6709\u66f4\u6df1\u5165\u7684\u8a8d\u8b58\uff0c\u6709\u52a9\u5236\u5b9a\u66f4\u6e96\u78ba\u7684\u6cbb\u7642\u65b9\u6848\uff0c\u4f46\u6bcb\u9808\u56e0\u6b64\u6539\u8b8a\u7cd6\u5c3f\u75c5\u5b9a\u7fa9\uff0c\u5c0d\u666e\u7f85\u5927\u773e\u4f86\u8aaa\uff0c\u5206\u5169\u578b\u5df2\u8db3\u5920\u3002\u300d<\/p>\n \u6587\u3001\u5716\uff1a\u8a31\u671d\u8335<\/p>\n \u7d71\u7c4c\uff1a\u912d\u5bf6\u83ef<\/p>\n \u7de8\u8f2f\uff1a\u6881\u5c0f\u73b2<\/p>\n \u96fb\u90f5\uff1afeature@mingpao.com<\/a><\/p>\n \u76f8\u95dc\u6587\u7ae0\uff1a\u73fe\u4e3b\u8981\u5206\u5169\u985e \u903e\u4e5d\u6210\u60a3\u8005\u5c6c\u4e8c\u578b<\/h2>\n
\u4e00\u578b\u7cd6\u5c3f\u75c5<\/h2>\n
\u4e8c\u578b\u7cd6\u5c3f\u75c5<\/h2>\n
\n\u65e9\u524d\u745e\u5178\u9686\u5fb7\u5927\u5b78\u7cd6\u5c3f\u75c5\u4e2d\u5fc3\u53ca\u82ac\u862d\u5206\u5b50\u91ab\u5b78\u7814\u7a76\u6240\uff0c\u65bc\u91ab\u5b78\u671f\u520aThe Lancet Diabetes and Endocrinology\u767c\u8868\u5831\u544a\uff0c\u6307\u61c9\u8a72\u5c07\u73fe\u6642\u7684\u7cd6\u5c3f\u75c5\u5206\u985e\uff0c\u75312\u5206\u62c6\u70ba5\u985e\u3002\u5468\u632f\u4e2d\u8b1b\u89e3\uff1a<\/p>\n
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\n\u7cd6\u5c3f\u75c5\u4f75\u767c\u75c7\u5f71\u97ff\u5927<\/a>
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