Main Content:
Introduction:
- The speaker, Dr. Fang Guangzhong, Director of Harvard Clinic, shares knowledge on preventive medicine in daily life.
- Continuing from the previous discussion, this session focuses on how to assess the risk of diabetes.
- Emphasizes the concept that "prevention is better than cure."
Traditional "Three Highs" Symptoms:
- Traditionally, diabetes symptoms include the "Three Highs": excessive eating, excessive drinking, and excessive urination.
- Excessive eating: Diabetic patients may have a strong appetite and are prone to obesity, but not all diabetics are overweight.
- Excessive drinking: Diabetics often feel thirsty even after drinking a lot of water, with a higher frequency and volume of water intake than normal.
- Excessive urination: The frequency, volume, and urgency of urination are significantly higher than usual.
- Key Point: The "Three Highs" symptoms typically appear in the later stages of diabetes. Discovering the disease at this stage may already be too late.
Quote:
"The 'Three Highs' symptoms occur in the late stages of diabetes. If you wait until then to realize you have diabetes, it may be too late."
Importance of Early Detection:
- The key to diabetes prevention is early detection rather than waiting for the "Three Highs" symptoms to appear.
- Even after being diagnosed, some people may ignore the condition or be unsure how to manage it, leading to delayed treatment.
Quote:
"Some people, even if they know they have diabetes, behave as if they don't. They may not care, not know what to do next, or even if they do know, they might not be able to manage it well."
Seeking Help from a Family Doctor:
- It is recommended to consult a trusted family doctor as a health guardian.
- Family doctors can help address both minor and major health concerns and refer patients to specialists or hospitals when necessary.
- With their expertise, family doctors can help determine whether one has diabetes.
Quote:
"The best way to know is to find a reliable family doctor. We should seek their help for all kinds of health problems."
Limitations of Blood Sugar Testing:
- While self-monitoring blood sugar levels is valuable, interpreting the results requires professional knowledge and experience.
- High blood sugar does not necessarily indicate diabetes, and normal blood sugar levels do not guarantee the absence of the disease.
Quote:
"Having high blood sugar does not necessarily mean you have diabetes, and having normal blood sugar does not necessarily mean you don't."
Conclusion:
- This session explored how to assess the risk of diabetes. The next session will discuss how family doctors diagnose diabetes.
Key Takeaways:
- The "Three Highs" symptoms are not early indicators of diabetes: Do not wait for these symptoms to take action; pay attention to other possible warning signs early.
- Early diagnosis is crucial: The earlier diabetes is detected, the better the chances of controlling the condition and preventing complications.
- A trusted family doctor is a health guardian: Seeking professional help ensures accurate diagnosis and proper treatment.
- Blood sugar test results require professional interpretation: Self-monitoring should be approached cautiously, and conclusions should not be made without medical advice.
引言：
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講者為哈佛診所院長方光中醫師，他分享日常生活中預防醫學的知識，並強調「預防勝於治療」的觀念。
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本次主題延續上次討論，著重於如何判斷自己是否可能罹患糖尿病。
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傳統的「三多」症狀：
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傳統上，糖尿病的徵兆包括「三多」：吃多、喝多、尿多1。
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吃多：糖尿病患者可能食慾特別好，容易肥胖，但並非所有糖尿病患者都肥胖1。
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喝多：糖尿病患者容易口渴，即使喝很多水仍感到渴，飲水頻率與量都較常人多1。
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尿多：小便次數、頻率與量也比一般人多1。
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重要觀點：「三多」症狀通常在糖尿病後期才會出現，此時才發現可能為時已晚1。
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引述： “三多 的 症 狀 是 發 生 在 糖 尿 病 的 後 期 。 你 就 比 較 晚 了 。 所 以 靠 著 山 多 來 知 道 自 己 有 沒 有 糖 尿 病 。 恐 怕 為 時 以 晚 。”1
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早期發現的重要性：
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早期發現糖尿病的重點在於及早察覺，而非等到出現「三多」症狀1。
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即使知道自己有糖尿病，有些人可能不重視，或不知如何處理，導致延誤治療1。
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引述： “有 些 人 即 使 知 道 自 己 有 糖 尿 病 他 也 等 於 不 知 道
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尋求家庭醫師的協助：
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建議民眾尋求信賴的家庭醫師，作為健康守護者1。
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家庭醫師可協助解決大小健康問題，若無法處理，則轉介適合的專科醫師或醫院。
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家庭醫師能以專業知識判斷是否患有糖尿病1。
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引述： “我 認 為 最 好 知 道 的 方 式 就 是 找 一 個 信 得 過 的 家 庭 醫 師 。 我 們 有 大 小 問 題 都 找 他 幫 我 們 的 忙 。”1
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血糖檢測的限制：
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雖然自行檢測血糖有其價值，但解讀結果需要專業知識與經驗。
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血糖高不一定代表罹患糖尿病，血糖不高也不一定沒有糖尿病。
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引述： “並 不 是 血 糖 高 就 一 定 是 糖 尿 病 ， 或 者 血 糖 不 高 就 一 定 沒 沒 有 糖 尿 病 。”
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結語：
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本次探討如何判斷是否患有糖尿病，下一次將繼續討論家庭醫師如何確診糖尿病。
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重要觀點總結：
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傳統「三多」症狀並非早期指標：勿等到出現「三多」才警覺，應及早關注其他可能徵兆。
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早期診斷是關鍵：越早發現，越能及時控制病情，避免併發症。
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信賴的家庭醫師是健康守護者：尋求專業協助，進行準確的診斷與治療。
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血糖檢測結果需要專業解讀：自行檢測需謹慎，不可自行判斷1。
總結來說，這段內容強調了早期發現糖尿病的重要性，以及尋求專業醫師協助的必要性。單靠「三多」症狀判斷可能太晚，而自行檢測血糖也需要專業的解讀。因此，尋求信賴的家庭醫師進行診斷和治療是較為可靠的方式。