糖尿病与血糖监控ppt课件

糖尿病與血糖監控 Blood Glucose Levels in Diabetics 糖尿病病因 目前仍不知確實的病因。只知糖尿病為一緩 慢漸進性的自體免疫性疾患。自體免疫性 疾患指病人體內自發性的產生具破壞性的 抗體，而攻擊自己的組織。糖尿病童體內 可檢測出各種會破壞胰腺中的細胞的抗體 和淋巴球。細胞因而逐漸遭到破壞。當80 -90%左右的細胞被破壞後，臨床上便漸漸 出現症狀。 臨床症狀 常見的症狀有多尿、多飲、消瘦、多食、 倦怠、夜尿（甚至尿床）、腹痛、嘔吐、 口腔或陰部黴菌感染。 嚴重的會脫水。約有1/3-1/2的病童發生糖 尿病酮酸中毒（diabetic ketoacidosis, DKA ） 他的尿液中會有酮體出現，血液會轉為酸 性（血漿HCO3- 15 mEq/L），病童會有 嚴重的脫水，呼吸急促而且用力，稱為糖 尿病酮酸中毒。 正常人的血糖標準正常人的血糖標準 FPG 200 mg/dl or FPG 126 mg/dl or 2-h PG (OGTT,75 gm) 200 mg/dl Pre-diabetes Pre-diabetes ( ( IFG 52(8 Suppl 1):19-23. In the intensive group lifestyle education Goal-oriented pharmacological treatment Reduced-fat diet and exercise Smoking cessation Receive angiotensin-converting enzyme (ACE) inhibitor regardless of blood pressure. Vitamin supplementation and aspirin 我們的調查數據 (本縣與台中縣共 2150 位病人數) 16.0% 26.17.0% 37.18.0% 48.19.0% 59.110.0% 610.111.0% 711.012.0% 812.0% ACR and A1C相關性分析圖(III) 1. 34%的受檢者已有蛋白尿(Proteinuria),其中 26%為microalbuminuria. 2. Microalbuminuria 與高血壓、HbA1c和罹病年數 有正比關係。 3. 利用 Blood Creatinine level作為評估早期 腎病變的指標,敏感度不如microalbumin。 結 論 NycoCard U- Albumin - for measurement of low albumin concentrations in human urine Complete for 24 analysis: u 24 tubes of Dilution Liquid u 24 Test Devices u 2.0 mL Conjugate u 2.0 mL Washing Solution NycoCard U-Albumin kit contents TD/Test Device Plastic device sealed with aluminium foil Membrane coated with monoclonal anti- albumin antibodies Liquid absorbing layer underneath the membrane Entrapment of human albumin NycoCard Reader Stability of kit in use An opened test kit was stored refrigerated at 4C. In house reference material and NycoCard U- Albumin Control were analysed regularly over a 3 months period. No significant change in any kit component was observed during this period. NycoCard for A1C test NycoCard 產品說明 RAPID Result within 3 MINUTES during patient consultation FINGER PRICK, WHOLE BLOOD (5L) applicable (make use of blood lancet or EDTA tube) STANDARDIZED according to the recommendations of the ERL Laboratory (European Reference Laboratory) Measuring Range: