{"id":9038,"date":"2023-09-25T17:18:29","date_gmt":"2023-09-25T09:18:29","guid":{"rendered":"https:\/\/www.stdhc.org.hk\/express\/?p=9038"},"modified":"2025-09-07T11:48:42","modified_gmt":"2025-09-07T03:48:42","slug":"diabetes-mellitus-drugs","status":"publish","type":"post","link":"https:\/\/www.stdhc.org.hk\/express\/diabetes-mellitus-drugs\/","title":{"rendered":"\u7cd6\u5c3f\u75c5\u85e5\u7269"},"content":{"rendered":"<h2><strong>\u7c21\u4ecb<\/strong><\/h2>\n<p>\u7cd6\u5c3f\u75c5\u662f\u9999\u6e2f\u4e3b\u8981\u7684\u6162\u6027\u75be\u75c5\u4e4b\u4e00\uff0c\u4ea6\u662f\u672c\u6e2f\u7b2c\u5341\u4f4d\u6700\u5e38\u898b\u7684\u81f4\u547d\u75be\u75c5\u3002\u76ee\u524d\uff0c\u6bcf\u7d04 10 \u540d\u9999\u6e2f\u4eba\u4e2d\u5c31\u6709 1 \u540d\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u5728 65 \u6b72\u6216\u4ee5\u4e0a\u7684\u4eba\u7fa4\u4e2d\uff0c\u6709\u8d85\u904e 20% \u7684\u4eba\u60a3\u6709\u7cd6\u5c3f\u75c5\u3002\u7cd6\u5c3f\u75c5\u6e90\u81ea\u65bc\u4ee3\u8b1d\u5931\u8abf\u3002\u7576\u80f0\u81df\u5206\u6ccc\u4e0d\u8db3\u80f0\u5cf6\u7d20\uff08\u4e00\u578b\u7cd6\u5c3f\u75c5\u7684\u4e3b\u56e0\uff09\u6216\u8eab\u9ad4\u7d30\u80de\u5c0d\u80f0\u5cf6\u7d20\u7522\u751f\u6297\u62d2\uff08\u4e8c\u578b\u7cd6\u5c3f\u75c5\u7684\u4e3b\u56e0\uff09\u6642\uff0c\u8840\u6db2\u4e2d\u7684\u7cd6\u5206\u4fbf\u7121\u6cd5\u88ab\u7d30\u80de\u5438\u6536\u904b\u7528\uff0c\u4ee5\u81f4\u8840\u7cd6\u4e0a\u5347\u3002\u904e\u5269\u7684\u7cd6\u5206\u85c9\u5c3f\u6db2\u6392\u51fa\u9ad4\u5916\uff0c\u56e0\u6b64\u7a31\u70ba\u7cd6\u5c3f\u75c5\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\u8a3a\u65b7<\/strong><\/h2>\n<p>\u7cd6\u5c3f\u75c5\u7684\u5fb5\u72c0\u5305\u62ec\u5c3f\u983b\u3001\u53e3\u6e34\u3001\u808c\u9913\u3001\u5bb9\u6613\u75b2\u5026\u7b49\uff0c\u4f46\u4ea6\u6709\u90e8\u4efd\u60a3\u8005\u6c92\u6709\u4efb\u4f55\u75c7\u72c0\u3002\u56e0\u6b64\uff0c\u7cd6\u5c3f\u75c5\u7684\u8a3a\u65b7\u4e3b\u8981\u6839\u64da\u75c5\u4eba\u7684\u8840\u7cd6\u53ca\u7cd6\u5316\u8840\u7d05\u7d20\u6578\u503c\u3002<\/p>\n<table width=\"616\">\n<tbody>\n<tr>\n<td width=\"274\"><\/td>\n<td width=\"107\">\u6b63\u5e38<\/td>\n<td width=\"107\">\u7cd6\u5c3f\u75c5\u524d\u671f<\/td>\n<td width=\"128\">\u7cd6\u5c3f\u75c5<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">\u7a7a\u8179\u8840\u7cd6\u6c34\u5e73\uff08mmol\/L\uff09<\/td>\n<td width=\"107\">\u5c11\u65bc 5.6<\/td>\n<td width=\"107\">5.6 \u81f3 6.9<\/td>\n<td width=\"128\">\u591a\u904e\u6216\u7b49\u65bc 7<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">\u9910\u5f8c\u5169\u5c0f\u6642\u8840\u7cd6\u6c34\u5e73\uff08mmol\/L\uff09<\/td>\n<td width=\"107\">\u5c11\u65bc 7.8<\/td>\n<td width=\"107\">7.8 \u81f3 11.0<\/td>\n<td width=\"128\">\u591a\u904e\u6216\u7b49\u65bc 11.1<\/td>\n<\/tr>\n<tr>\n<td width=\"274\">\u7cd6\u5316\u8840\u7d05\u7d20\uff08%\uff09<\/td>\n<td width=\"107\">\u5c11\u65bc 5.7<\/td>\n<td width=\"107\">5.7 \u81f3 6.4<\/td>\n<td width=\"128\">\u591a\u904e\u6216\u7b49\u65bc 6.5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><\/h2>\n<p>&nbsp;<\/p>\n<h2><strong>\u98a8\u96aa\u56e0\u7d20\u53ca\u4f75\u767c\u75c7<\/strong><\/h2>\n<p>\u80a5\u80d6\u3001\u5438\u7159\u3001\u9ad8\u8840\u58d3\u3001\u9ad8\u8840\u8102\u7b49\u5747\u6703\u589e\u52a0\u60a3\u4e0a\u7cd6\u5c3f\u75c5\u53ca\u76f8\u95dc\u6162\u6027\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u3002\u7cd6\u5c3f\u75c5\u7684\u6162\u6027\u4f75\u767c\u75c7\u5305\u62ec\u51a0\u5fc3\u75c5\u3001\u5fc3\u8870\u7aed\u3001\u4e2d\u98a8\u3001\u814e\u8870\u7aed\u3001\u8996\u7db2\u819c\u75c5\u8b8a\u3001\u795e\u7d93\u75c5\u8b8a\u3001\u611f\u67d3\u7b49\u3002\u6025\u6027\u4f75\u767c\u75c7\u5305\u62ec\u6025\u6027\u8840\u7cd6\u904e\u4f4e\u6216\u904e\u9ad8\uff0c\u5169\u8005\u5747\u6709\u81f4\u547d\u98a8\u96aa\u3002\u56e0\u6b64\uff0c\u53ca\u65e9\u9810\u9632\u3001\u7be9\u67e5\u548c\u7a4d\u6975\u7ba1\uf9e4\u7cd6\u5c3f\u75c5\u81f3\u70ba\u91cd\u8981\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\u6cbb\u7642<\/strong><\/h2>\n<p>\u76ee\u524d\u7cd6\u5c3f\u75c5\u4e26\u6c92\u6709\u6839\u6cbb\u7684\u65b9\u6cd5\uff0c\u53ea\u53ef\u900f\u904e\u63a7\u5236\u75c5\u60c5\u4ee5\u6e1b\u4f4e\u51fa\u73fe\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u3002\u6539\u8b8a\u751f\u6d3b\u6a21\u5f0f\u662f\u63a7\u5236\u8840\u7cd6\u7684\u5fc5\u8981\u689d\u4ef6\uff0c\u7121\u8ad6\u7cd6\u5c3f\u75c5\u4eba\u662f\u5426\u6b63\u5728\u670d\u7528\u7cd6\u5c3f\u85e5\u7269\uff0c\u5747\u9700\u914d\u5408\u826f\u597d\u7684\u751f\u6d3b\u7fd2\u6163\u3002\u4ee5\u4e0b\u70ba\u4e00\u4e9b\u5065\u5eb7\u751f\u6d3b\u6a21\u5f0f\u7684\u5efa\u8b70\uff1a<\/p>\n<ol>\n<li>\u4fdd\u6301\u9069\u91cf\u904b\u52d5\uff08\u6bcf\u5468 150 \u5206\u9418\u7684\u4e2d\u7b49\u5f37\u5ea6\u5e36\u6c27\u9ad4\u80fd\u904b\u52d5\uff09<\/li>\n<li>\u5747\u8861\u98f2\u98df\uff08\u4e09\u4f4e\u4e00\u9ad8\uff1a\u4f4e\u9e7d\u3001\u4f4e\u7cd6\u3001\u4f4e\u8102\u80aa\u3001\u9ad8\u7e96\uff09<\/li>\n<li>\u4fdd\u6301\u5065\u5eb7\u9ad4\u91cd<\/li>\n<li>\u907f\u514d\u5438\u7159\u548c\u98f2\u9152<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u82e5\u55ae\u9760\u751f\u6d3b\u6a21\u5f0f\u7684\u6539\u8b8a\u7121\u6cd5\u6709\u6548\u63a7\u5236\u8840\u7cd6\uff0c\u4fbf\u6709\u53ef\u80fd\u9700\u8981\u670d\u7528\u85e5\u7269\u3002\u7cd6\u5c3f\u75c5\u85e5\u7269\u5206\u4ee5\u4e0b\u6578\u7a2e\uff1a<\/p>\n<table width=\"653\">\n<tbody>\n<tr>\n<td width=\"139\"><strong>\u85e5\u7269\u7a2e\u985e\u53ca\u4f8b\u5b50<\/strong><\/td>\n<td width=\"45\"><strong>\u964d\u8840\u7cd6\u7684\u6210\u6548<\/strong><\/td>\n<td width=\"60\"><strong>\u51fa\u73fe<span style=\"color: #ff0000;\">\u4f4e\u8840\u7cd6<\/span>\u7684\u6703<\/strong><br \/>\n<strong><sup>\u8a3b<\/sup><\/strong> <strong><sup>1<\/sup><\/strong><\/td>\n<td width=\"45\"><strong>\u5c0d\u9ad4\u91cd\u7684\u5f71\u97ff<\/strong><\/td>\n<td width=\"46\"><strong>\u5291\u578b<\/strong><\/td>\n<td width=\"143\"><strong>\u4f5c\u7528\u6a5f\u5236<\/strong><\/td>\n<td width=\"174\"><strong>\u53ef\u80fd\u526f\u4f5c\u7528<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>\u96d9\u80cd\u985e Biguanides<\/strong><\/p>\n<p>Metformin<\/td>\n<td width=\"45\">\u9ad8<\/td>\n<td width=\"60\">\u8f03\u4f4e<\/td>\n<td width=\"45\">\u4e0d\u5927<\/td>\n<td width=\"46\">\u53e3\u670d<\/td>\n<td width=\"143\">\u6e1b\u5c11\u809d\u81df\u88fd\u9020\u8461\u8404\u7cd6\u3001\u63d0\u5347\u7d30\u80de\u5c0d\u80f0\u5cf6\u7d20\u7684\u654f\u611f\u5ea6<\/td>\n<td width=\"174\">\u5641\u5fc3\u3001\u8179\u7009\u3001\u8139\u6c23<\/p>\n<p>\u4e73\u9178\u4e2d\u6bd2 <sup>\u8a3b<\/sup><sup> 2 \u00a0<\/sup>(\u7f55\u898b)<\/p>\n<p>\u7dad\u751f\u7d20B12 \u7f3a\u4e4f\u75c7 <sup>\u8a3b<\/sup><sup> 3<\/sup><\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>\u78fa\u80fa\u5c3f\u7d20\u5291 Sulphonylureas<\/strong><\/p>\n<p><span style=\"text-decoration: underline;\">Gli<\/span>clazide, <span style=\"text-decoration: underline;\">Gli<\/span>mepiride, <span style=\"text-decoration: underline;\">Gli<\/span>pizide<\/td>\n<td width=\"45\">\u9ad8<\/td>\n<td width=\"60\"><span style=\"color: #ff0000;\">\u8f03\u9ad8<\/span><\/td>\n<td width=\"45\"><span style=\"color: #ff0000;\">\u4e0a\u5347<\/span><\/td>\n<td width=\"46\">\u53e3\u670d<\/td>\n<td width=\"143\">\u523a\u6fc0\u80f0\u81df\u7d30\u80de\uff0c\u4ee5\u589e\u52a0\u80f0\u5cf6\u7d20\u5206\u6ccc<\/td>\n<td width=\"174\">\u982d\u6688\u3001\u982d\u75db\u3001\u8178\u80c3\u4e0d\u9069\u5fcc\u7528\u65bc\u5c0d\u78fa\u80fa\u985e\u85e5\u7269 (Sulfonamides, \u5982\u78fa\u80fa\u985e\u6297\u751f\u7d20) \u904e\u654f\u4eba\u58eb<\/p>\n<p>\u5fcc\u7528\u65bc\u5c0d\u8836\u8c46\u75c7<\/p>\n<p>(G6PD \/ \u8461\u8404\u7cd6\u516d\u78f7\u9178\u53bb\u6c2b\u9175\u7d20\u7f3a\u4e4f\u75c7) \u60a3\u8005<\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>\u567b\u5511\u70f7\u4e8c\u916e <\/strong><strong>Thiazolidinediones<\/strong><\/p>\n<p>Pioglitazone<\/td>\n<td width=\"45\">\u9ad8<\/td>\n<td width=\"60\">\u8f03\u4f4e<\/td>\n<td width=\"45\"><span style=\"color: #ff0000;\">\u4e0a\u5347<\/span><\/td>\n<td width=\"46\">\u53e3\u670d<\/td>\n<td width=\"143\">\u63d0\u5347\u7d30\u80de\u5c0d\u80f0\u5cf6\u7d20\u7684\u654f\u611f\u5ea6\u3001\u6e1b\u5c11\u809d\u81df\u88fd\u9020\u8461\u8404\u7cd6<\/td>\n<td width=\"174\">\u6c34\u816b<\/p>\n<p>\u4e0d\u9069\u7528\u65bc\u5fc3\u81df\u8870\u7aed\u60a3\u8005<\/p>\n<p>\u589e\u52a0\u9aa8\u6298\u98a8\u96aa (\u7f55\u898b)<\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>SGLT-2 <\/strong><strong>\u6291\u5236\u5291<\/strong><strong> ^<\/strong><\/p>\n<p>Cana<span style=\"text-decoration: underline;\">gliflozin<\/span>, Dapa<span style=\"text-decoration: underline;\">gliflozin<\/span>, Empa<span style=\"text-decoration: underline;\">gliflozin<\/span><\/td>\n<td width=\"45\">\u4e2d\u81f3\u9ad8<\/td>\n<td width=\"60\">\u8f03\u4f4e<\/td>\n<td width=\"45\">\u6e1b\u8f15<\/td>\n<td width=\"46\">\u53e3\u670d<\/td>\n<td width=\"143\">\u964d\u4f4e\u814e\u81df\u5c0d\u8461\u8404\u7cd6\u7684\u518d\u5438\u6536\uff0c\u4ee5\u589e\u52a0\u5c3f\u6db2\u4e2d\u7cd6\u4efd\u7684\u6392\u6cc4<\/td>\n<td width=\"174\">\u4f4e\u8840\u58d3 [\u5b9c\u591a\u559d\u6c34]<\/p>\n<p>\u5c3f\u983b [\u5b9c\u65e9\u4e0a\u670d\u85e5]<\/p>\n<p>\u6ccc\u5c3f\u751f\u6b96\u7cfb\u7edf\u611f\u67d3 <sup>\u8a3b<\/sup><sup> 4<\/sup><\/p>\n<p>\u7cd6\u5c3f\u75c5\u916e\u9178\u4e2d\u6bd2 <sup>\u8a3b<\/sup> <sup>5<\/sup> (\u7f55\u898b)<\/p>\n<p>\u4f5b\u5c3c\u723e\u6c0f\u58de\u75bd <sup>\u8a3b<\/sup> <sup>6<\/sup> (\u7f55\u898b)<\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>GLP-1 <\/strong><strong>\u53d7\u9ad4\u4fc3\u6548\u5291<\/strong><strong> #<\/strong><\/p>\n<p>Exenatide, Dula<span style=\"text-decoration: underline;\">glutide<\/span>, Lira<span style=\"text-decoration: underline;\">glutide<\/span>, Sema<span style=\"text-decoration: underline;\">glutide<\/span><\/td>\n<td width=\"45\">\u9ad8<\/td>\n<td width=\"60\">\u8f03\u4f4e<\/td>\n<td width=\"45\">\u6e1b\u8f15<\/td>\n<td width=\"46\">\u76ae\u4e0b\u6ce8\u5c04<\/td>\n<td width=\"143\">\u4eff\u9020\u8178\u6ccc\u7d20\uff0c\u5f9e\u800c\u589e\u52a0\u80f0\u5cf6\u7d20\u4e26\u4e14\u6291\u5236\u5347\u7cd6\u7d20\u5206\u6ccc\u3001\u5ef6\u7de9\u80c3\u6392\u7a7a\u4e26\u589e\u52a0\u98fd\u8179\u611f<\/td>\n<td width=\"174\">\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9 <sup>\u8a3b<\/sup><sup> 7<\/sup><\/p>\n<p>\u5641\u5fc3\u3001\u5614\u5410\u3001\u8179\u7009<\/p>\n<p>\u6025\u6027\u80f0\u81df\u708e <sup>\u8a3b <\/sup><sup>8 <\/sup>(\u7f55\u898b)<\/p>\n<p>\u5438\u5165\u6027\u80ba\u708e <sup>\u8a3b 9 <\/sup>(\u4e0d\u5e38\u898b)<\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>DDP-4 <\/strong><strong>\u9176\u6291\u5236\u5291<\/strong> <strong>*<\/strong><\/p>\n<p>Alo<span style=\"text-decoration: underline;\">gliptin<\/span>,<br \/>\nLina<span style=\"text-decoration: underline;\">gliptin<\/span>, Sita<span style=\"text-decoration: underline;\">gliptin<\/span>, Saxa<span style=\"text-decoration: underline;\">gliptin<\/span>, Vilda<span style=\"text-decoration: underline;\">gliptin<\/span><\/td>\n<td width=\"45\">\u4e2d<\/td>\n<td width=\"60\">\u8f03\u4f4e<\/td>\n<td width=\"45\">\u4e0d\u5927<\/td>\n<td width=\"46\">\u53e3\u670d<\/td>\n<td width=\"143\">\u6e1b\u5c11\u8178\u6ccc\u7d20\u7684\u5206\u89e3\uff0c\u5f9e\u800c\u589e\u52a0\u80f0\u5cf6\u4e26\u4e14\u6291\u5236\u5347\u7cd6\u7d20\u5206\u6ccc<\/td>\n<td width=\"174\">\u4e0a\u547c\u5438\u9053\u611f\u67d3\u5fb5\u72c0<\/p>\n<p>\u982d\u75db\u3001\u95dc\u7bc0\u75db<\/p>\n<p>\u6025\u6027\u80f0\u81df\u708e <sup>\u8a3b<\/sup><sup> 8 <\/sup>(\u7f55\u898b)<\/p>\n<p>\u5927\u75b1\u6027\u985e\u5929\u75b1\u7621 <sup>\u8a3b<\/sup><sup> 10 <\/sup>(\u7f55\u898b)<\/p>\n<p>\u5fc3\u8870\u7aed (Alogliptin, Saxagliptin) (\u4e0d\u5e38\u898b)<\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>\u8461\u8404\u7cd6\u7518\u9176\u6291\u5236\u5291 **<\/strong><\/p>\n<p>Acarbose<\/td>\n<td width=\"45\">\u4e2d<\/td>\n<td width=\"60\">\u8f03\u4f4e<\/td>\n<td width=\"45\">\u4e0d\u5927<\/td>\n<td width=\"46\">\u53e3\u670d<\/td>\n<td width=\"143\">\u6e1b\u6162\u8178\u9053\u4e2d\u78b3\u6c34\u5316\u5408\u7269\u7684\u6d88\u5316\u548c\u8461\u8404\u7cd6\u7684\u5438\u6536<\/td>\n<td width=\"174\">\u8139\u6c23\u3001\u8179\u7009\u3001\u8179\u75db<\/p>\n<p>\u809d\u9175\u7d20\u4e0a\u5347\u3001\u809d\u708e (\u7f55\u898b)<\/td>\n<\/tr>\n<tr>\n<td width=\"139\"><strong>\u80f0\u5cf6\u7d20 Insulin<\/strong><\/p>\n<p>(\u53c3\u770b\u4ee5\u4e0b\u300c\u5ef6\u4f38\u95b1\u8b80\u300d\u90e8\u4efd\u4ee5\u4e86\u89e3\u4e0d\u540c\u7a2e\u985e\u7684\u80f0\u5cf6\u7d20)<\/td>\n<td width=\"45\">\u9ad8<\/td>\n<td width=\"60\"><span style=\"color: #ff0000;\">\u8f03\u9ad8<\/span><\/td>\n<td width=\"45\"><span style=\"color: #ff0000;\">\u4e0a\u5347<\/span><\/td>\n<td width=\"46\">\u76ae\u4e0b\u6ce8\u5c04<\/td>\n<td width=\"143\">\u88dc\u5145\u8eab\u9ad4\u7f3a\u4e4f\u7684\u80f0\u5cf6\u7d20<\/td>\n<td width=\"174\">\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9\u3001\u6ce8\u5c04\u90e8\u4f4d\u8102\u80aa\u589e\u751f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>^\u300cSGLT-2 \u6291\u5236\u5291\u300d\u53c8\u7a31\u9209\u8461\u8404\u7cd6\u5354\u540c\u8f49\u904b\u86cb\u767d\uff08Sodium-glucose cotransporter 2 inhibitors\uff09<\/p>\n<p>#\u300cGLP-1 \u53d7\u9ad4\u4fc3\u6548\u5291 \u300d\u53c8\u7a31\u80f0\u5cf6\u7d20\u4fc3\u6ccc\u5291\uff08Glucagon-like peptide 1 receptor agonists\uff09<\/p>\n<p>*\u300cDDP-4 \u9176\u6291\u5236\u5291\u300d\u53c8\u7a31\u4e8c\u80bd\u57fa\u80bd\u9176-4\u6291\u5236\u5291\uff08Dipeptidyl Peptidase-4 Enzyme Inhibitors\uff09<\/p>\n<p>** \u8461\u8404\u7cd6\u7518\u9176\u6291\u5236\u5291\uff08Alpha-glucosidase inhibitors\uff09<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 1\ufe30 \u6240\u6709\u7cd6\u5c3f\u85e5\u7269\u7686\u6709\u6a5f\u6703\u5f15\u81f4<strong>\u4f4e\u8840\u7cd6<\/strong>\uff0c\u6216\u56e0\u670d\u85e5\u6642\u9593\u548c\u9032\u9910\u6642\u9593\u4e0d\u5c0d\u61c9\u3002\u60a3\u8005\u9700\u6642\u523b\u7559\u610f\u4efb\u4f55\u4f4e\u8840\u7cd6\u75c7\u72c0\uff08\u4f8b\u5982\u982d\u6688\u3001\u986b\u6296\u3001\u8996\u529b\u6a21\u7cca\u3001\u98e2\u9913\uff09\uff0c\u9069\u6642\u88dc\u5145\u7cd6\u4efd\u3002\u6709\u95dc\u4f4e\u8840\u7cd6\u7684\u8655\u7406\uff0c\u53ef\u53c3\u8003\u9999\u6e2f\u7cd6\u5c3f\u806f\u6703\u300c\u7cd6\u5c3f\u75c5 \u4f4e\u8840\u7cd6\u75c7\u300d\u55ae\u5f35\uff08 <span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"http:\/\/www.diabetes-hk.org\/uploads\/file\/leaflet_hypo.pdf\">\u6309\u6b64<\/a><\/span>\uff09\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 2\ufe30<strong>\u4e73\u9178\u4e2d\u6bd2<\/strong>\u70ba Metformin \u7f55\u898b\u4f46\u56b4\u91cd\u7684\u526f\u4f5c\u7528\uff0c\u75c7\u72c0\u5305\u62ec\u7570\u5e38\u75b2\u5026\u3001\u4e4f\u529b\u3001\u808c\u8089\u75db \u3001\u547c\u5438\u56f0\u96e3\u3001\u8179\u75db\u3001\u5fc3\u5f8b\u4e0d\u6b63\u7b49\u3002\u809d\u814e\u529f\u80fd\u4e0d\u5168\u3001\u98f2\u7528\u9152\u7cbe\u3001\u812b\u6c34\u3001\u4f7f\u7528\u9ad8\u5291\u91cf\u85e5\u7269\u7b49\u5747\u6703\u589e\u52a0\u6b64\u98a8\u96aa\u3002\u9047\u4e0a\u9019\u4e9b\u75c7\u72c0\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 3\ufe30<strong>\u7dad\u751f\u7d20B12 \u7f3a\u4e4f<\/strong>\u6216\u6703\u5f15\u81f4\u8ca7\u8840\u548c\u5468\u908a\u795e\u7d93\u75c5\u8b8a\u3002\u4e26\u975e\u6240\u6709\u670d Metformin \u7684\u75c5\u4eba\u9700\u8981\u670d\u7dad\u4ed6\u547d B12 \u88dc\u5145\u5291\uff0c\u75c5\u4eba\u5b9c\u5148\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 4\ufe30<strong>\u6ccc\u5c3f\u7cfb\u7edf\u611f\u67d3<\/strong>\u7684\u75c7\u72c0\u5305\u62ec\u6392\u5c3f\u91cf\u6216\u6b21\u6578\u589e\u52a0\u6216\u6e1b\u5c11\u3001\u5c3f\u6db2\u6df7\u6fc1\u6216\u5e36\u8840\u3001\u6392\u5c3f\u75bc\u75db\u3001\u4e0b\u5074\u80cc\u90e8\u75bc\u75db\u7b49\u3002\u670d SGLT-2 \u6291\u5236\u5291\u6642\u51fa\u73fe\u9019\u4e9b\u75c7\u72c0\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 5\ufe30<strong>\u7cd6\u5c3f\u75c5\u916e\u9178\u4e2d\u6bd2<\/strong>\u70ba SGLT-2 \u6291\u5236\u5291\u7f55\u898b\u4f46\u56b4\u91cd\u4e14\u80fd\u5f15\u81f4\u751f\u547d\u5371\u96aa\u7684\u526f\u4f5c\u7528\uff0c\u75c7\u72c0\u5305\u62ec\u5641\u5fc3\u3001\u5614\u5410\u3001\u8179\u75db\u3001\u98df\u617e\u4e0d\u632f\u3001\u547c\u5438\u56f0\u96e3\u3001\u7570\u5e38\u75b2\u52de\u7b49\uff1b\u51fa\u73fe\u9019\u4e9b\u75c7\u72c0\u61c9\u7acb\u5373\u6c42\u91ab\u3002\u9032\u884c\u624b\u8853\uff08\u6216\u5176\u4ed6\u6703\u9577\u6642\u9593\u7a7a\u8179\u7684\u72c0\u614b\uff09 \u524d\u5e7e\u5929\u6216\u9700\u505c\u670d SGLT-2 \u6291\u5236\u5291\uff0c\u8acb\u8aee\u8a62\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 6\ufe30<strong>\u4f5b\u5c3c\u723e\u6c0f\u58de\u75bd<\/strong>\u662f\u4e00\u7a2e\u7f55\u898b\u7684\u7d30\u83cc\u611f\u67d3\uff0c\u4ee4\u809b\u9580\u548c\u751f\u6b96\u5668\u9644\u8fd1\u7684\u76ae\u819a\u548c\u7d44\u7e54\u58de\u6b7b\u3002\u670d SGLT-2 \u6291\u5236\u5291\u6642\u5018\u82e5\u809b\u9580\u548c\u751f\u6b96\u5668\u90e8\u4f4d\u51fa\u73fe\u7d05\u3001\u816b\u3001\u75db\u7b49\u75c7\u72c0\u5176\u4f6f\u96a8\u7740\u767c\u71d2\u548c\u7570\u5e38\u75b2\u5026\uff0c\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 7\ufe30<strong>\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9<\/strong>\u6307\u75c5\u4eba\u5728\u4f7f\u7528\u91dd\u5291\u85e5\u7269\u5f8c\uff0c\u6ce8\u5c04\u4f4d\u7f6e\u51fa\u73fe\u7684\u4e0d\u826f\u53cd\u61c9\uff0c\u4f8b\u5982\u7d05\u75b9\u548c\u816b\u8139\u3002\u75c5\u4eba\u53ef\u900f\u904e\u5b9a\u671f\u66f4\u63db\u6ce8\u5c04\u4f4d\u7f6e\uff0c\u4ee5\u6e1b\u5c11\u51fa\u73fe\u6ce8\u5c04\u90e8\u4f4d\u53cd\u61c9\u7684\u6a5f\u6703\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 8\ufe30<strong>\u80f0\u81df\u708e<\/strong>\u662f DPP-4 \u9176\u6291\u5236\u5291\u548cGLP-1 \u53d7\u9ad4\u4fc3\u6548\u5291\u4e00\u7a2e\u53ef\u80fd\u51fa\u73fe\u7684\u56b4\u91cd\u53ca\u7f55\u6709\u7684\u526f\u4f5c\u7528\uff0c\u5176\u75c7\u72c0\u5305\u62ec\u4e0a\u8179\u75db\u3001\u80cc\u75db\u3001\u5fc3\u8df3\u52a0\u901f\u3001\u767c\u71d2\u3001\u5641\u5fc3\u3001\u5614\u5410\u3001\u6e1b\u5c11\u98df\u617e\u7b49\u3002\u9047\u4e0a\u9019\u4e9b\u75c7\u72c0\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 9\ufe30GLP-1 \u53d7\u9ad4\u4fc3\u6548\u5291\u6703\u6e1b\u6162\u80c3\u6392\u7a7a\uff0c\u98df\u7269\u505c\u7559\u5728\u80c3\u90e8\u7684\u6642\u9593\u5ef6\u9577\uff0c\u5728\u9032\u884c\u5168\u8eab\u9ebb\u9189\u6216\u6df1\u5ea6\u93ae\u975c\u9ebb\u9189\u6642\uff0c\u6709\u6a5f\u6703\u589e\u52a0\u80c3\u5167\u7684\u6771\u897f\u5438\u5165\u80ba\u90e8\u7684\u6a5f\u6703\uff0c\u5c0e\u81f4<strong>\u5438\u5165\u6027\u80ba\u708e<\/strong>\u3002\u670d\u6b64\u985e\u85e5\u7269\u7684\u75c5\u4eba\u5982\u9700\u9032\u884c\u4efb\u4f55\u624b\u8853\u6216\u7a0b\u5e8f\uff0c\u61c9\u4e8b\u5148\u544a\u77e5\u91ab\u751f\u6b63\u5728\u670d\u85e5\uff0c\u53ef\u80fd\u9700\u8981\u77ed\u66ab\u505c\u7528\u85e5\u7269\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li>\u8a3b 10\ufe30<strong>\u5927\u75b1\u6027\u985e\u5929\u75b1\u7621<\/strong>\u662f\u4e00\u7a2e\u7f55\u898b\u7684\u514d\u75ab\u7cfb\u7d71\u75be\u75c5\uff0c\u6703\u4ee4\u53e3\u8154\u548c\u76ae\u819a\u51fa\u73fe\u6c34\u6ce1\u548c\u7cdc\u721b\u3002\u670dDPP-4 \u9176\u6291\u5236\u5291\u6642\u9047\u4e0a\u9019\u4e9b\u75c7\u72c0\u61c9\u7acb\u5373\u6c42\u91ab\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u96d9\u80cd\u985e\u4e2d\u7684 <strong>Metformin<\/strong> \u662f\u6700\u5e38\u7528\u65bc\u4e8c\u578b\u7cd6\u5c3f\u60a3\u8005\u7684\u964d\u8840\u7cd6\u85e5\uff0c\u56e0\u5b83\u80fd\u6709\u6548\u964d\u8840\u7cd6\uff0c\u800c\u4e14\u526f\u4f5c\u7528\u8f03\u5c11\uff0c\u4f8b\u5982\u8f03\u5c11\u5f15\u81f4\u4f4e\u8840\u7cd6\uff0c\u4e0d\u6703\u5f71\u97ff\u9ad4\u91cd\uff0c\u50f9\u9322\u8f03\u4ea6\u6613\u8ca0\u64d4\uff0c\u4f46\u8178\u80c3\u4e0d\u9069\uff08\u5982\u8179\u7009\uff09\u662f\u5e38\u898b\u7684\u526f\u4f5c\u7528\uff0c\u90e8\u4efd\u75c5\u4eba\u8f49\u670d\u9577\u6548 Metformin \u80fd\u6e1b\u4f4e\u6b64\u526f\u4f5c\u7528\u3002<\/p>\n<p><strong>SGLT-2 \u6291\u5236\u5291<\/strong>\u3001<strong>GLP-1 \u53d7\u9ad4\u4fc3\u6548\u5291<\/strong>\u548c <strong>DDP-4 \u9176\u6291\u5236\u5291<\/strong>\u662f\u8f03\u65b0\u7684\u964d\u8840\u7cd6\u85e5\u7269\uff0c\u76f8\u5c0d\u5176\u4ed6\u85e5\u7269\u8f03\u5c11\u5f15\u8d77\u4f4e\u8840\u7cd6\uff0c\u4ea6\u4e0d\u6703\u4ee4\u60a3\u8005\u9ad4\u91cd\u4e0a\u5347\u3002\u90e8\u4efd SGLT-2 \u6291\u5236\u5291\u548c GLP-1 \u53d7\u9ad4\u4fc3\u6548\u5291\u9084\u5c0d\u5fc3\u8840\u7ba1\u6216\u814e\u81df\u5177\u6709\u4fdd\u8b77\u4f5c\u7528\uff0c\u80fd\u9810\u9632\u76f8\u95dc\u75be\u75c5\uff08\u5982\u5fc3\u8870\u7aed\u3001\u4e2d\u98a8\u3001\u6162\u6027\u814e\u75c5\uff09\u3001\u5ef6\u7de9\u75c5\u60c5\u60e1\u5316\u548c\u6e1b\u4f4e\u6b7b\u4ea1\u7387\u3002\u4f46 SGLT-2 \u6291\u5236\u5291\u548c DDP-4 \u9176\u6291\u5236\u5291\u5c0d\u65bc\u964d\u8840\u7cd6\u7684\u529f\u6548\u4e0d\u53ca\u5176\u4ed6\u85e5\u7269\uff0c\u800c\u4e14\u9019\u4e9b\u65b0\u85e5\uff08\u5c24\u5176 GLP-1 \u53d7\u9ad4\u4fc3\u6548\u5291\u91dd\u5291\uff09\u7684\u50f9\u9322\u8f03\u820a\u85e5\u6602\u8cb4\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><strong>\u670d\u964d\u8840\u7cd6\u85e5\u6ce8\u610f\u4e8b\u9805<\/strong><\/h3>\n<ul>\n<li><span style=\"color: #0000ff;\">\u9808\u6309\u91ab\u751f\u6307\u793a\u7684\u6642\u9593\u53ca\u5291\u91cf\u7528\u85e5\uff0c\u5207\u52ff\u81ea\u884c\u52a0\u6e1b\u5291\u91cf\u6216\u505c\u85e5\u3002\u6709\u7591\u554f\u61c9\u8207\u91ab\u751f\u6216\u85e5\u5291\u5e2b\u5546\u8a0e\u3002<\/span><\/li>\n<li>\u5927\u90e8\u4efd\u7cd6\u5c3f\u85e5\u9700\u65bc\u9032\u9910\u6642\u6216\u9032\u9910\u524d\u4f7f\u7528\uff0c\u4ee5\u6e1b\u4f4e\u51fa\u73fe\u4f4e\u8840\u7cd6\u7684\u6a5f\u6703\u3002\u300c\u9032\u9910\u6642\u300d\u7528\u7684\u7cd6\u5c3f\u85e5\u4e00\u822c\u53ef\u5728\u9032\u9910\u524d\u3001\u9032\u9910\u671f\u9593\u6216\u9032\u9910\u5f8c\u77ed\u6642\u9593\u5167\u4f7f\u7528\uff08\u7d04 15 \u2013 30 \u5206\u9418\u5167\uff09\uff1b\u8f03\u5bb9\u6613\u5f15\u81f4\u4f4e\u8840\u7cd6\u7684\u85e5\u7269\u5982\u80f0\u5cf6\u7d20\u548c\u78fa\u80fa\u5c3f\u7d20\u5291\u5247\u4e00\u822c\u5efa\u8b70\u65bc\u300c\u9032\u9910\u524d\u300d\u4f7f\u7528\u3002<\/li>\n<li>\u5982\u679c\u5fd8\u8a18\u7528\u85e5\uff0c\u5927\u90e8\u4efd\u85e5\u7269\u53ef\u65bc\u8a18\u8d77\u6642\u5118\u5feb\u88dc\u670d\uff0c\u5207\u52ff\u4f7f\u7528\u96d9\u500d\u85e5\u91cf\u3002<\/li>\n<li>\u5fcc\u98f2\u9152\u3002\u9152\u7cbe\u80fd\u5f15\u81f4\u4f4e\u8840\u7cd6\uff0c\u9152\u7cbe\u98f2\u54c1\u4e2d\u7684\u7cd6\u4efd\u4ea6\u6703\u4ee4\u8840\u7cd6\u4e0d\u7a69\u5b9a\uff0c\u800c\u9577\u671f\u98f2\u9152\u6703\u589e\u52a0\u9ad4\u91cd\u548c\u5176\u4ed6\u6162\u6027\u75be\u75c5\uff08\u5982\u5fc3\u8840\u7ba1\u75be\u75c5\u548c\u814e\u75c5\uff09\u7684\u98a8\u96aa\uff0c\u9032\u800c\u5f71\u97ff\u7cd6\u5c3f\u75c5\u7684\u63a7\u5236\u3002\u9152\u7cbe\u4ea6\u6703\u589e\u52a0 Metformin \u5f15\u81f4\u4e73\u9178\u4e2d\u6bd2\u7684\u98a8\u96aa\u3002<\/li>\n<li>\u6240\u6709\u7cd6\u5c3f\u85e5\uff08 \u76ae\u4e0b\u6ce8\u5c04\u80f0\u5cf6\u7d20\u9664\u5916\uff09\u5728\u672c\u6e2f\u5747\u5c6c<strong><u>\u91ab\u751f\u8655\u65b9\u85e5\u7269<\/u><\/strong>\uff0c\u5e02\u6c11\u5207\u52ff\u81ea\u884c\u65bc\u85e5\u623f\u8cfc\u8cb7\u7cd6\u5c3f\u85e5\uff0c\u8aa4\u7528\u53ef\u5f15\u81f4\u56b4\u91cd\u526f\u4f5c\u7528\u3002<\/li>\n<li>\u624b\u8853\u6216\u9032\u884c\u5176\u4ed6\u9700\u9577\u6642\u9593\u7a7a\u8179\u7684\u7a0b\u5e8f\uff08\u5982\u7167\u8178\u93e1\uff09\u4e4b\u524d\u6216\u9700\u505c\u670d\u964d\u8840\u7cd6\u85e5\uff0c\u4ee5\u6e1b\u5c11\u4f4e\u8840\u7cd6\u7684\u6a5f\u6703\u3002\u8acb\u4e8b\u524d\u8aee\u8a62\u91ab\u751f\u7684\u610f\u898b\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>\u5ef6\u4f38\u95b1\u8b80\ufe30<\/p>\n<ol>\n<li>\u91ab\u52d9\u885b\u751f\u5c40\u3002\u9999\u6e2f\u7cd6\u5c3f\u75c5\u53c3\u8003\u6982\u89bd &#8211; \u6210\u5e74\u7cd6\u5c3f\u75c5\u60a3\u8005\u5728\u57fa\u5c64\u91ab\u7642\u7684\u8b77\u7406 \u3010\u75c5\u53cb\u7bc7\u3011\u30022022 \u5e74\u3002\u53d6\u81ea <a href=\"https:\/\/www.healthbureau.gov.hk\/phcc\/rfs\/tc_chi\/pdf_viewer.html?rfs=EducationalResources&amp;file=DiabetesCare_HongKongReferenceFrameworkForDiabetesCareForAdultsInPrimaryCareSettings\">https:\/\/www.healthbureau.gov.hk\/phcc\/rfs\/tc_chi\/pdf_viewer.html?rfs=EducationalResources&amp;file=DiabetesCare_HongKongReferenceFrameworkForDiabetesCareFor<br \/>\nAdultsInPrimaryCareSettings<\/a>\u3002<\/li>\n<li>\u91ab\u9662\u7ba1\u7406\u5c40 \u667a\u53cb\u7ad9\u3002\u7cd6\u5c3f\u75c5\u30022024 \u5e74\u3002\u53d6\u81ea <a href=\"https:\/\/www.smartpatient.ha.org.hk\/smart-patient-web\/disease-management\/disease-information\/disease\/DiabetesMellitus\">https:\/\/www.smartpatient.ha.org.hk\/smart-patient-web\/disease-management\/disease-information\/disease\/DiabetesMellitus<\/a>\u3002<\/li>\n<li>\u91ab\u9662\u7ba1\u7406\u5c40 \u667a\u53cb\u7ad9\u3002\u7cd6\u5c3f\u75c5\u85e5\u7269\u4e4b\u964d\u8840\u7cd6\u85e5\u30022022 \u5e74\u3002\u53d6\u81ea <a href=\"https:\/\/www.ha.org.hk\/hadf\/Portals\/0\/Docs\/Leaflets\/TC\/Medications_for_Diabetes_Mellitus-Medications_to_lower_blood_sugar.pdf\">https:\/\/www.ha.org.hk\/hadf\/Portals\/0\/Docs\/Leaflets\/TC\/Medications_for_Diabetes_Mellitus-Medications_to_lower_blood_sugar.pdf<\/a>\u3002<\/li>\n<li>\u91ab\u9662\u7ba1\u7406\u5c40 \u667a\u53cb\u7ad9\u3002\u7cd6\u5c3f\u75c5\u85e5\u7269\u4e4b\u80f0\u5cf6\u7d20\u6ce8\u5c04\u5291\u30022022 \u5e74\u3002\u53d6\u81ea<a href=\"https:\/\/www.ha.org.hk\/hadf\/Portals\/0\/Docs\/Leaflets\/TC\/Medications_for_Diabetes_Mellitus-Insulin_injections.pdf\">https:\/\/www.ha.org.hk\/hadf\/Portals\/0\/Docs\/Leaflets\/TC\/Medications_for_Diabetes_Mellitus-Insulin_injections.pdf<\/a>\u3002<\/li>\n<li>\u885e\u751f\u7f72 \u2013 \u85e5\u7269\u8fa6\u516c\u5ba4\u3002\u7cd6\u5c3f\u75c5\u85e5\u7269\u7684\u5065\u5eb7\u8a0a\u606f\u30022012 \u5e74\u3002\u53d6\u81ea<a href=\"https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_01.html\">https:\/\/www.drugoffice.gov.hk\/eps\/do\/tc\/consumer\/news_informations\/dm_01.html<\/a>\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u8cc7\u6599\u4f86\u6e90\ufe30<\/p>\n<ol>\n<li>American Diabetes Association: Standards of Care in Diabetes \u2013 2023. <em>Diabetes Care. 2023;46(Suppl 1).<\/em><\/li>\n<li>Health Bureau. Hong Kong Reference Framework \u2013 Diabetes Care for Adults in Primary Care Settings. 2023. Available at <a href=\"https:\/\/www.healthbureau.gov.hk\/pho\/rfs\/english\/reference_framework\/diabetes_care.html\">https:\/\/www.healthbureau.gov.hk\/pho\/rfs\/english\/reference_framework\/diabetes_care.html<\/a>.<\/li>\n<li>Centre for Health Protection, Department of Health. Diabetes Mellitus. 2023. Available at <a href=\"https:\/\/www.chp.gov.hk\/tc\/healthtopics\/content\/25\/59.html\">https:\/\/www.chp.gov.hk\/tc\/healthtopics\/content\/25\/59.html<\/a>.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>\u4f5c\u8005\ufe30\u8a3b\u518a\u85e5\u5291\u5e2b<\/p>\n<p>\u6700\u5f8c\u66f4\u65b0\u65e5\u671f\ufe302025 \u5e74 9 \u6708<\/p>\n","protected":false},"excerpt":{"rendered":"<p><strong>\u7c21\u4ecb<\/strong><\/p>\n<p>\u7cd6\u5c3f\u75c5\u662f\u9999\u6e2f\u4e3b\u8981\u7684\u6162\u6027\u75be\u75c5\u4e4b\u4e00\uff0c\u4ea6\u662f\u672c\u6e2f\u7b2c\u5341\u4f4d\u6700\u5e38\u898b\u7684\u81f4\u547d\u75be\u75c5\u3002\u76ee\u524d\uff0c\u6bcf\u7d04 10 \u540d\u9999\u6e2f\u4eba\u4e2d\u5c31\u6709 1 \u540d\u7cd6\u5c3f\u75c5\u60a3\u8005\uff0c\u5728 65 \u6b72\u6216\u4ee5\u4e0a\u7684\u4eba\u7fa4\u4e2d\uff0c\u6709\u8d85\u904e 20% \u7684\u4eba\u60a3\u6709\u7cd6\u5c3f\u75c5\u3002\u7cd6\u5c3f\u75c5\u6e90\u81ea\u65bc\u4ee3\u8b1d\u5931\u8abf\u3002\u7576\u80f0\u81df\u5206\u6ccc\u4e0d\u8db3\u80f0\u5cf6\u7d20\uff08\u4e00\u578b\u7cd6\u5c3f\u75c5\u7684\u4e3b\u56e0\uff09\u6216\u8eab\u9ad4\u7d30\u80de\u5c0d\u80f0\u5cf6\u7d20\u7522\u751f\u6297\u62d2\uff08\u4e8c\u578b\u7cd6\u5c3f\u75c5\u7684\u4e3b\u56e0\uff09\u6642\uff0c\u8840\u6db2\u4e2d\u7684\u7cd6\u5206\u4fbf\u7121\u6cd5\u88ab\u7d30\u80de\u5438\u6536\u904b\u7528\uff0c\u4ee5\u81f4\u8840\u7cd6\u4e0a\u5347\u3002\u904e\u5269\u7684\u7cd6\u5206\u85c9\u5c3f\u6db2\u6392\u51fa\u9ad4\u5916\uff0c\u56e0\u6b64\u7a31\u70ba\u7cd6\u5c3f\u75c5\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u8a3a\u65b7<\/strong><\/p>\n<p>\u7cd6\u5c3f\u75c5\u7684\u5fb5\u72c0\u5305\u62ec\u5c3f\u983b\u3001\u53e3\u6e34\u3001\u808c\u9913\u3001\u5bb9\u6613\u75b2\u5026\u7b49\uff0c\u4f46\u4ea6\u6709\u90e8\u4efd\u60a3\u8005\u6c92\u6709\u4efb\u4f55\u75c7\u72c0\u3002\u56e0\u6b64\uff0c\u7cd6\u5c3f\u75c5\u7684\u8a3a\u65b7\u4e3b\u8981\u6839\u64da\u75c5\u4eba\u7684\u8840\u7cd6\u53ca\u7cd6\u5316\u8840\u7d05\u7d20\u6578\u503c\u3002<\/p>\n<p>\u6b63\u5e38<br \/>\n\u7cd6\u5c3f\u75c5\u524d\u671f<br \/>\n\u7cd6\u5c3f\u75c5<\/p>\n<p>\u7a7a\u8179\u8840\u7cd6\u6c34\u5e73\uff08mmol\/L\uff09<br \/>\n\u5c11\u65bc 5.6<br \/>\n5.6 \u81f3 6.9<br \/>\n\u591a\u904e\u6216\u7b49\u65bc 7<\/p>\n<p>\u9910\u5f8c\u5169\u5c0f\u6642\u8840\u7cd6\u6c34\u5e73\uff08mmol\/L\uff09<br \/>\n\u5c11\u65bc 7.8<br \/>\n7.8 \u81f3 11.0<br \/>\n\u591a\u904e\u6216\u7b49\u65bc 11.1<\/p>\n<p>\u7cd6\u5316\u8840\u7d05\u7d20\uff08%\uff09<br \/>\n\u5c11\u65bc 5.7<br \/>\n5.7 \u81f3 6.4<br \/>\n\u591a\u904e\u6216\u7b49\u65bc 6.5<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u98a8\u96aa\u56e0\u7d20\u53ca\u4f75\u767c\u75c7<\/strong><\/p>\n<p>\u80a5\u80d6\u3001\u5438\u7159\u3001\u9ad8\u8840\u58d3\u3001\u9ad8\u8840\u8102\u7b49\u5747\u6703\u589e\u52a0\u60a3\u4e0a\u7cd6\u5c3f\u75c5\u53ca\u76f8\u95dc\u6162\u6027\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u3002\u7cd6\u5c3f\u75c5\u7684\u6162\u6027\u4f75\u767c\u75c7\u5305\u62ec\u51a0\u5fc3\u75c5\u3001\u5fc3\u8870\u7aed\u3001\u4e2d\u98a8\u3001\u814e\u8870\u7aed\u3001\u8996\u7db2\u819c\u75c5\u8b8a\u3001\u795e\u7d93\u75c5\u8b8a\u3001\u611f\u67d3\u7b49\u3002\u6025\u6027\u4f75\u767c\u75c7\u5305\u62ec\u6025\u6027\u8840\u7cd6\u904e\u4f4e\u6216\u904e\u9ad8\uff0c\u5169\u8005\u5747\u6709\u81f4\u547d\u98a8\u96aa\u3002\u56e0\u6b64\uff0c\u53ca\u65e9\u9810\u9632\u3001\u7be9\u67e5\u548c\u7a4d\u6975\u7ba1\uf9e4\u7cd6\u5c3f\u75c5\u81f3\u70ba\u91cd\u8981\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u6cbb\u7642<\/strong><\/p>\n<p>\u76ee\u524d\u7cd6\u5c3f\u75c5\u4e26\u6c92\u6709\u6839\u6cbb\u7684\u65b9\u6cd5\uff0c\u53ea\u53ef\u900f\u904e\u63a7\u5236\u75c5\u60c5\u4ee5\u6e1b\u4f4e\u51fa\u73fe\u4f75\u767c\u75c7\u7684\u98a8\u96aa\u3002\u6539\u8b8a\u751f\u6d3b\u6a21\u5f0f\u662f\u63a7\u5236\u8840\u7cd6\u7684\u5fc5\u8981\u689d\u4ef6\uff0c\u7121\u8ad6\u7cd6\u5c3f\u75c5\u4eba\u662f\u5426\u6b63\u5728\u670d\u7528\u7cd6\u5c3f\u85e5\u7269\uff0c\u5747\u9700\u914d\u5408\u826f\u597d\u7684\u751f\u6d3b\u7fd2\u6163\u3002\u4ee5\u4e0b\u70ba\u4e00\u4e9b\u5065\u5eb7\u751f\u6d3b\u6a21\u5f0f\u7684\u5efa\u8b70\uff1a<\/p>\n<p>\u4fdd\u6301\u9069\u91cf\u904b\u52d5\uff08\u6bcf\u5468 150 \u5206\u9418\u7684\u4e2d\u7b49\u5f37\u5ea6\u5e36\u6c27\u9ad4\u80fd\u904b\u52d5\uff09<br \/>\n\u5747\u8861\u98f2\u98df\uff08\u4e09\u4f4e\u4e00\u9ad8\uff1a\u4f4e\u9e7d\u3001\u4f4e\u7cd6\u3001\u4f4e\u8102\u80aa\u3001\u9ad8\u7e96\uff09<br \/>\n\u4fdd\u6301\u5065\u5eb7\u9ad4\u91cd<br \/>\n\u907f\u514d\u5438\u7159\u548c\u98f2\u9152<\/p>\n<p>&nbsp;<\/p>\n<p>\u82e5\u55ae\u9760\u751f\u6d3b\u6a21\u5f0f\u7684\u6539\u8b8a\u7121\u6cd5\u6709\u6548\u63a7\u5236\u8840\u7cd6\uff0c\u4fbf\u6709\u53ef\u80fd\u9700\u8981\u670d\u7528\u85e5\u7269\u3002\u7cd6\u5c3f\u75c5\u85e5\u7269\u5206\u4ee5\u4e0b\u6578\u7a2e\uff1a<\/p>\n<p><strong>\u85e5\u7269\u7a2e\u985e\u53ca\u4f8b\u5b50<\/strong><br \/>\n<strong>\u964d\u8840\u7cd6\u7684\u6210\u6548<\/strong><br \/>\n<strong>\u51fa\u73fe\u4f4e\u8840\u7cd6\u7684\u6703<\/strong><br \/>\n<strong>\u8a3b<\/strong> <strong>1<\/strong><br \/>\n<strong>\u5c0d\u9ad4\u91cd\u7684\u5f71\u97ff<\/strong><br \/>\n<strong>\u5291\u578b<\/strong><br \/>\n<strong>\u4f5c\u7528\u6a5f\u5236<\/strong><br \/>\n<strong>\u53ef\u80fd\u526f\u4f5c\u7528<\/strong><\/p>\n<p><strong>\u96d9\u80cd\u985e Biguanides<\/strong><\/p>\n<p>Metformin<br \/>\n\u9ad8<br \/>\n\u8f03\u4f4e<br \/>\n\u4e0d\u5927<br \/>\n\u53e3\u670d<br \/>\n\u6e1b\u5c11\u809d\u81df\u88fd\u9020\u8461\u8404\u7cd6\u3001\u63d0\u5347\u7d30\u80de\u5c0d\u80f0\u5cf6\u7d20\u7684\u654f\u611f\u5ea6<br \/>\n\u5641\u5fc3\u3001\u8179\u7009\u3001\u8139\u6c23<\/p>\n<p>\u4e73\u9178\u4e2d\u6bd2 \u8a3b 2 \u00a0(\u7f55\u898b)<\/p>\n<p>\u7dad\u751f\u7d20B12 \u7f3a\u4e4f\u75c7 \u8a3b 3<\/p>\n<p><strong>\u78fa\u80fa\u5c3f\u7d20\u5291 Sulphonylureas<\/strong><\/p>\n<p>Gliclazide, Glimepiride, Glipizide<br \/>\n\u9ad8<br \/>\n\u8f03\u9ad8<br \/>\n\u4e0a\u5347<br \/>\n\u53e3\u670d<br \/>\n\u523a\u6fc0\u80f0\u81df\u7d30\u80de\uff0c\u4ee5\u589e\u52a0\u80f0\u5cf6\u7d20\u5206\u6ccc<br \/>\n\u982d\u6688\u3001\u982d\u75db\u3001\u8178\u80c3\u4e0d\u9069\u5fcc\u7528\u65bc\u5c0d\u78fa\u80fa\u985e\u85e5\u7269 (Sulfonamides, \u5982\u78fa\u80fa\u985e\u6297\u751f\u7d20) \u904e\u654f\u4eba\u58eb<\/p>\n<p>\u5fcc\u7528\u65bc\u5c0d\u8836\u8c46\u75c7<\/p>\n<p>(G6PD \/ \u8461\u8404\u7cd6\u516d\u78f7\u9178\u53bb\u6c2b\u9175\u7d20\u7f3a\u4e4f\u75c7) \u60a3\u8005<\/p>\n<p><strong>\u567b\u5511\u70f7\u4e8c\u916e <\/strong><strong>Thiazolidinediones<\/strong><\/p>\n<p>Pioglitazone<br \/>\n\u9ad8<br \/>\n\u8f03\u4f4e<br \/>\n\u4e0a\u5347<br \/>\n\u53e3\u670d<br \/>\n\u63d0\u5347\u7d30\u80de\u5c0d\u80f0\u5cf6\u7d20\u7684\u654f\u611f\u5ea6\u3001\u6e1b\u5c11\u809d\u81df\u88fd\u9020\u8461\u8404\u7cd6<br \/>\n\u6c34\u816b<\/p>\n<p>\u4e0d\u9069\u7528\u65bc\u5fc3\u81df\u8870\u7aed\u60a3\u8005<\/p>\n<p>\u589e\u52a0\u9aa8\u6298\u98a8\u96aa (\u7f55\u898b)<\/p>\n<p><strong>SGLT-2 <\/strong><strong>\u6291\u5236\u5291<\/strong><strong> ^<\/strong><\/p>\n<p>Canagliflozin, Dapagliflozin, Empagliflozin<br \/>\n\u4e2d\u81f3\u9ad8<br \/>\n\u8f03\u4f4e<br \/>\n\u6e1b\u8f15<br \/>\n\u53e3\u670d<br \/>\n\u964d\u4f4e\u814e\u81df\u5c0d\u8461\u8404\u7cd6\u7684\u518d\u5438\u6536\uff0c\u4ee5\u589e\u52a0\u5c3f\u6db2\u4e2d\u7cd6\u4efd\u7684\u6392\u6cc4<br \/>\n\u4f4e\u8840\u58d3 [\u5b9c\u591a\u559d\u6c34]<\/p>\n<p>\u5c3f\u983b [\u5b9c\u65e9\u4e0a\u670d\u85e5]<\/p>\n<p>\u6ccc\u5c3f\u751f\u6b96\u7cfb\u7edf\u611f\u67d3 \u8a3b 4<\/p>\n<p>\u7cd6\u5c3f\u75c5\u916e\u9178\u4e2d\u6bd2 \u8a3b 5 (\u7f55\u898b)<\/p>\n<p>\u4f5b\u5c3c\u723e\u6c0f\u58de\u75bd \u8a3b [&#8230;]<\/p>\n","protected":false},"author":3341,"featured_media":9039,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[34,92],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/9038"}],"collection":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/users\/3341"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/comments?post=9038"}],"version-history":[{"count":21,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/9038\/revisions"}],"predecessor-version":[{"id":10898,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/posts\/9038\/revisions\/10898"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media\/9039"}],"wp:attachment":[{"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/media?parent=9038"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/categories?post=9038"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stdhc.org.hk\/express\/wp-json\/wp\/v2\/tags?post=9038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}