Âå¾Ç¨¤«×¡G§C¦å¿}¯g
³¢µúÆ[Âå¥Í(Dr. Jason Kwok)
§C¦å¿}·|¤Þ°_ÀY©ü²´ªá¡Bµê®z¥F¤O¡B¶^˨ü¶Ë¡B¥æ³q·N¥~µ¥©M¼W¥[±w¤W¥¢´¼¯gªº·ÀI¡C¨S¦³±µ¨ü¾A·íªºªvÀø¡A§C¦å¿}·|¾ÉPµjÅË¡B¥¢¥hª¾Ä±¡B¬Æ¦Ü¦º¤`¡C
¶EÂ_§C¦å¿}¯g
¨Ï¥Î¯Ø®q¯À©Î¨ä¥¦Âåªv¿}§¿¯fÃĪ«ªº¤HY·Pı¨ì§C¦å¿}¯gªº¼xª¬À³¥ß¨è¨Ï¥Î¦å¿}»ö(blood glucose meter)´ú¶q¦å¿}ªº¤ô¥¡AY¬O§C©ó70 mg/dL(©Î4 mmol/L)«KÀ³¥ß¨è±µ¨ü¾A·íªºªvÀø¡CY¥X²{§C¦å¿}ªº±wªÌ¨Ã¨S¦³ªA¥Î·|°§C¦å¿}ªºÃĪ«¡AÂå¥Í·|¦V±wªÌ¬d°Ý¥H¤Uªº°ÝÃD¡X¡X(¤@)¥X²{ªº¼xª¬¡GY¼xª¬¤£¤Ó©úÅã¡AÂå¥Í·|«Øij±wªÌ¸T¹¹L©]©Î§óªø®É¶¡¡AÅý§C¦å¿}ªº¼xª¬¥X²{¡A¥OÂå¥Í¯à§@¥X·Ç½Tªº¶EÂ_¡F¦³»Ýn®ÉÂå¥Í¥i¯à«Øij±wªÌ¦bÂå°|¸Ì¸T¹§óªøªº®É¶¡¡A¤Þµo§C¦å¿}¯gªº¼xª¬¡C(¤G)¥X²{¼xª¬®Éªº¦å¿}¤ô¥¡C(¤T)·í¦å¿}¤ô¥«ì´_¥¿±`®É¼xª¬¬O§_®ø°h¡CÂå¥Í¤]·|¦V±wªÌ¬d¸ß¨ä¥¦¬ÛÃöªº°ÝÃD©M°µ¸Ô²Óªº¨ÅéÀˬd¡C
ªvÀø§C¦å¿}¯g
(¤@)§Y®É³B²z¡GY·Pı§C¦å¿}ªº¼xª¬¡AÀ³¥ß¨è¡X¡X
(¥Ò)¦Y©Î¶¼15§J³t®ÄºÒ¤ô¤Æ¦Xª«(fast-acting carbohydrates)¡G³o¬O§t¿}¡B¦ý¤£§t³J¥Õ½è©Î¯×ªÕ¡B®e©ö¦b¤HÅ餺¤Æ¬°¿}¥÷ªº¶¼¹¡A¥]¬A¡X¡X¤T¦Ü¥|²É¤è¿}¡B±N¤T¯ù°Í©Î¤T¥]½©¿}·»¤J¤ôùØ¡B150²@¤ÉªG¥Ä©Î³n©Ê¶¼®Æ(soft drink¡B§Y«D°sºë¶¼®Æ¡A«UºÙ¨T¤ô¡F¦ý¤£n´îªÎ¨T¤ô¡A¦]¬°¥¦Ì¤£§t¿}¥÷)¡B¤@ªM²æ¯×¥¤¡B¤T¯ù°Í(¬ù15²@¤É)»e¿}¡B¤TÁûµw¿}µ¥¡C¤£n¶i¹§t³J¥Õ½è©Î¯×ªÕªº¶¼¹¡A¦]¬°¥¦Ì·|´îºC¿}¥÷ªº§l¦¬¡C
(¤A)15¤ÀÄÁ¤§«á¦A¶q¦å¿}¤ô¥¡A¦pªG¤´µM¬O§C©ó70 mg/dL(©Î4 mmol/L)¡A¦A¦Y©Î¶¼15§J³t®ÄºÒ¤ô¤Æ¦Xª«¡AµM«á15¤ÀÄÁ«á¦A¶q¦å¿}¤ô¥¡A«Âгo¨Ç¨BÆJª½¦Ü¦å¿}¤ô¥°ª©ó70 mg/dL(©Î4 mmol/L)¡C
(¤þ)¶iÀ\¡G¦å¿}¤ô¥«ì´_¥¿±`«áÀ³¶i¹¡A¥Héw¦å¿}¤ô¥¤Î¸É¥RÅ餺ªº¿}ì(glycogen)Àx³Æ¡C
(¤G)ÄY«§C¦å¿}ªº§Y®É³B²z¡GÄY«§C¦å¿}¬O±wªÌ»Ýn¨ä¥L¤HªºÀ°§U¤~¯à´_ì¡A¨Ò¦p±wªÌ¤£¯à¶i¹¡A¥L¥i¯à»Ýn±µ¨ü°ª¦å¿}¯Àª`®g(glucagon injection)©Î¸²µå¿}ÀR¯ß¿é²G(intravenous glucose infusion)¡A»Ýn¨Ï¥Î¯Ø®q¯Àªº¿}§¿¯f±wªÌÀ³³Æ¦³¤@Ó°ª¦å¿}¯À«æ±Ï²°(glucagon kit)§@ºò«æ¤§¥Î¡A®a¤H¤Î¿Ë¤ÍÀ³ª¾¹D¦s©ñªº¦a¤è¡CY±wªÌ¤w¥¢¥hª¾Ä±¡A¤£n±j¦æ±N¶¼¹Áýµ¹¥L¡AY§ä¤£¨ì°ª¦å¿}¯À«æ±Ï²°©Î¤£À´¨Ï¥Îªº¤èªk¡AÀ³¥ß¨è¦Vºò«æÂåÀøªA°È¨D§U¡C
(¤T)ªvÀø¼ç¦bªº°·±d¤ò¯f¡G¹w¨¾§C¦å¿}¯gªº´_µo¡AÂå¥Ín¬d¥X¼ç¦bªº°·±d¤ò¯f¦Ó¬I¥H¾A·íªºªvÀø¡A¥]¬A¡G½Õ¾ãÃĶq©Î§ï¥Î¨ä¥¦ÃĪ«µ¥¡FY¯f¦]¬O¯ØŦ¸~½F¡A±wªÌ¥i¯à»Ýn±µ¨ü¯ØŦ³Î°£¤â³N¡C
¡u§C¦å¿}¤£¦Ûı¡v
¦³¨Ç¿}§¿¯f¤H¥i¯à±w¤W¡u§C¦å¿}¤£¦Ûı¡v(Hypoglycemia unawareness)¡A¥LÌ¥i¯à¨S¦³©Î·Pı¤£¨ì§C¦å¿}ªº¼xª¬¡C¦å¿}¤£¦Ûı·|¼W¥[¿}§¿¯f¤H¥X²{»Ýn¨ä¥L¤HªºÀ°§U¤~¯à´_쪺ÄY«§C¦å¿}¯gªº·ÀI¡FY§C¦å¿}¥X²{¦b±ß¶¡®É¡A¥L̸û¤Ö·|±qºÎ¹Ú¤¤¿ô¹L¨Ó¡F¥LÌn¸g±`¶q«×¦å¿}¤ô¥¡A¤×¨ä¬O¦b°õ¦æ¥i¯à·|¥X²{¦MÀIªº¤u§@¡B¨Ò¦p¾r¨®µ¥¡C
³o¨Ç±wªÌ¥i¯à»Ýn½Õ°ª¦å¿}ªº¥Ø¼Ð½d³ò¡F¥LÌÀ³¸g±`¦bºÎı«e¶q«×¦å¿}¤ô¥¡AY¦å¿}¤ô¥§C©ó¥LÓ¤HªººÎ«e¦å¿}¥Ø¼Ð¡A¥LÀ³»PÂå¥Í°Ó°QÀ³§_¦bºÎ«e¶i¹¤p¦Y©Î½Õ¾ãÃĶq¡FÂå¥Í¤]·|«Øij¨Ï¥Î³sÄò¦å¿}ºÊ´ú(continuous glucose monitor)¡A»ö¾¹¤]·|¦b¦å¿}«ùÄò¤U°®ÉÅT°_ĵ¸¹¡C