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糖尿病患者在控制血糖过程中,不论是应用胰岛素还是口服药物治疗,都容易引发体重的增加,无法做到长期有效控制体重。大量研究显示,随体重的增加糖尿病病死率也增加,特别是由于心血管疾病所造成的死亡。为降低病死率应长期有效控制体重,可以采用下列措施:(1)制定合理目标:一般每周减重0.5～1.0 kg为宜。(2)控制饮食:采用低热量、高蛋白、低脂肪的饮食。(3)运动治疗:推荐有氧运动。(4)药物干预治疗:使用二甲双胍或噻唑烷二酮类药物,对于严重肥胖的可以使用西布曲明或奥利司他。
Diabetes patients in the control of blood sugar, whether it is the application of insulin or oral medication, are easily lead to weight gain, can not be long-term effective weight control. Numerous studies have shown that with the increase of body weight, the mortality of diabetes also increases, especially due to cardiovascular diseases. To reduce the mortality rate should be long-term effective control of body weight, you can use the following measures: (1) to develop a reasonable target: general weekly weight loss of 0.5 to 1.0 kg is appropriate. (2) control diet: the use of low-calorie, high protein, low-fat diet. (3) exercise therapy: recommended aerobic exercise. (4) drug intervention: the use of metformin or thiazolidinedione drugs, for severe obesity can be used sibutramine or orlistat.