体重没涨，裤腰却紧了：该关注什么？Same weight, tighter waist: what should you look at?
从裤腰和体重的不同变化，整理自己想进一步了解的问题。Start with questions about changes in weight and waist size.
中文文章Article in Chinese
体重 · 血糖 · 生活方式Weight · Blood glucose · Lifestyle
胖糖代谢Metabolic Health
药食同源｜调理糖胖代谢Food, daily habits and metabolic health
这个方向，从这里开始START HERE
从饮食、体重和日常习惯开始，了解代谢健康。Explore metabolic health through food, weight and everyday habits.
把墙上的问题，带进阅读里。Take a question from the wall into your reading.
诊室的展板谈到糖尿病、糖脂代谢与长期管理。从下面的问题开始，在已有文章里继续了解。The clinic posters discuss diabetes, glucose and lipid metabolism, and long-term care. Start with a question below and continue with an article from this site.
- 糖尿病筛查风险Diabetes screening risk填6项，了解自己的糖尿病筛查风险：中国糖尿病风险评分Six inputs to understand diabetes screening risk
- 读懂血脂四项Understanding lipid results化验单词典·第二批：血脂四项，四个数字各管什么Four blood lipid measurements: what each number tells you
- 读懂「逆转」Understanding reversal claims看到「逆转糖尿病」的宣传，先弄清它承诺了什么Seeing claims that diabetes can be reversed: what exactly is being promised?
- 两次复诊之间Between follow-up visits两次复诊之间，医生还在关心什么What matters to a doctor between follow-up visits?
把问题说清楚START WITH A QUESTION
沟通前，可以先从这些问题开始Questions to bring into a conversation
沟通前可整理什么WHAT TO ORGANIZE BEFORE TALKING
可以先记下最想问的事、最近的变化、已有检查资料、正在使用的药和补充剂，以及医生说的下一步。You can first note what you most want to ask, recent changes, available reports, current medicines and supplements, and the next step discussed with the doctor.
下载空白沟通工具卡 · 中文PDFDownload blank conversation cards · Chinese PDFs
相关文章RELATED ARTICLES
去医院减重，为什么还要抽血Why might a weight-management visit include blood tests?打开文章 · 中文Open article · In Chinese两次复诊之间，医生还在关心什么What matters to a doctor between follow-up visits?打开文章 · 中文Open article · In Chinese开始减重治疗前，把长期费用和时间也谈进去Before starting weight-loss treatment, discuss the long-term cost and time too打开文章 · 中文Open article · In Chinese
健康工具与实用阅读
看懂指标，也为下一次沟通做好准备
三篇短文、三张打印卡，以及一张可当场计算的糖尿病风险评分表。
These reading guides and tools are available in Chinese.
化验单词典
糖化血红蛋白、尿酸、尿白蛋白/肌酐比值：先看懂指标，再准备复诊问题。
阅读完整文章流感疫苗应季提醒
了解接种前需要询问的事项，把病历、用药与生病时的血糖安排准备好。
阅读完整文章展开家庭准备清单
当次浏览可勾选，打印时会带上勾选状态；刷新或关闭后不保留。
中国糖尿病风险评分
了解适用范围和评分依据，计算后带着结果向医护人员咨询。
阅读完整文章使用范围
评分适用于20—74岁、尚未确诊糖尿病的普通人群；孕期及已确诊者不使用此表判断检查安排。评分不是诊断。有明显口渴、多尿或不明原因体重下降时，请及时就医，不等待评分。
动手算一算
在本页完成计算，不保存、不上传填写内容。关闭或刷新后需要重新填写。
计分依据：《中国2型糖尿病防治指南（2020年版）》表5；筛查解释参照《中国糖尿病防治指南（2024版）》。完整依据、测量方法及适用说明见上方风险评分文章。
查看本次打印内容
复诊指标记录卡
记录日期：________________ 复诊日期：________________
把完整化验单一起带上。记录数值时写清单位，参考范围和个人控制目标由医生结合病情解释。
| 指标 | 本次结果／单位／日期 | 上次结果／单位／日期 | 想问医生的一句话 |
|---|---|---|---|
| 糖化血红蛋白 HbA1c |
|||
| 血尿酸 UA |
|||
| 尿白蛋白／肌酐比值 UACR |
需要补充的情况
近期疾病、用药变化或想补充的问题：
________________________________________________________________
________________________________________________________________
配套文章：化验单上的三个「熟面孔」。这张卡用于记录与沟通，不据此自行诊断或调整用药。
流感疫苗家庭准备卡
接种地点：________________ 预约日期：________________
其他要问接种医生的事：________________________________________
是否接种和选择何种疫苗，以接种门诊评估及当地供应为准。
中国糖尿病风险评分 · 空白手填表
适用于20—74岁、尚未确诊糖尿病的普通人群。孕期及已确诊者不使用此表判断检查安排。
年龄：________ 性别：________ 身高(cm)：________ 体重(kg)：________
BMI：________ 腰围(cm)：________ 收缩压(mmHg)：________ 家族史：________
BMI＝体重（公斤）÷身高（米）÷身高（米），按未取整值计分。家族史指父母、兄弟姐妹或子女中有人患糖尿病。腰围按最低肋缘与髂嵴上缘中点水平测量，正常呼气末读数。
| 项目 | 分段 | 分值 |
|---|---|---|
| 年龄（岁） | 20≤年龄<25 / 25≤年龄<35 / 35≤年龄<40 / 40≤年龄<45 / 45≤年龄<50 / 50≤年龄<55 / 55≤年龄<60 / 60≤年龄<65 / 65≤年龄≤74 | 0 / 4 / 8 / 11 / 12 / 13 / 15 / 16 / 18 |
| 体重指数BMI（kg/m²） | BMI<22 / 22≤BMI<24 / 24≤BMI<30 / BMI≥30 | 0 / 1 / 3 / 5 |
| 腰围（cm），男 | 腰围<75 / 75≤腰围<80 / 80≤腰围<85 / 85≤腰围<90 / 90≤腰围<95 / 腰围≥95 | 0 / 3 / 5 / 7 / 8 / 10 |
| 腰围（cm），女 | 腰围<70 / 70≤腰围<75 / 75≤腰围<80 / 80≤腰围<85 / 85≤腰围<90 / 腰围≥90 | 0 / 3 / 5 / 7 / 8 / 10 |
| 收缩压（mmHg） | 收缩压<110 / 110≤收缩压<120 / 120≤收缩压<130 / 130≤收缩压<140 / 140≤收缩压<150 / 150≤收缩压<160 / 收缩压≥160 | 0 / 1 / 3 / 6 / 7 / 8 / 10 |
| 糖尿病家族史 | 无 / 有 | 0 / 6 |
| 性别 | 女 / 男 | 0 / 2 |
总分：________／51 记录日期：________________
达到25分应进一步与医生讨论检查。低于25分不能排除糖尿病，也不能据此决定不用筛查；年龄、超重、家族史、高血压及既往血糖异常等仍需综合考虑。
有明显口渴、多尿、不明原因体重下降时及时就医，不等待评分。
计分依据：中国2型糖尿病防治指南（2020年版）表5；筛查解释参照中国糖尿病防治指南（2024版）。
READ & EXPLORE
从问题找文章Find an article
围绕眼前关心的事，找到一篇可以开始读的文章。Find a starting point for a question from everyday life. Full articles are in Chinese.
例如：外卖、血糖、走路、陪父母。按标题、导读和关键词查找。Try food, glucose, walking or family. Search titles, introductions and keywords.
共 84 篇文章84 articles
减到目标体重以后，生活该怎么继续？After reaching your target weight, what comes next?
把达到目标之后的饮食、活动与日常安排放在一起想一想。Consider everyday routines after reaching a weight goal.
中文文章Article in Chinese去医院减重，为什么还要抽血Why might a weight-management visit include blood tests?
了解减重门诊中抽血检查相关的常见疑问。Explore common questions about blood tests at a weight-management visit.
中文文章Article in Chinese拿到一张1200千卡食谱，先别急着照抄Before following a 1,200-calorie meal plan
看到具体热量的食谱时，先整理它是否适合自己的疑问。Explore questions to ask before copying a calorie-based meal plan.
中文文章Article in Chinese体检写着糖尿病前期，接下来要弄清什么A checkup says prediabetes: what should you clarify next?
从体检报告上的糖尿病前期开始，整理下一步要问的问题。Start with questions after a checkup mentions prediabetes.
中文文章Article in Chinese蛋白质是不是越多越好：先把身体情况说清楚Is more protein always better? Start with your health circumstances
讨论蛋白质之前，先把自己的身体情况带进交流。Bring your health circumstances into a conversation about protein.
中文文章Article in Chinese减重针会把胃缩小吗Do weight-loss injections shrink the stomach?
围绕减重针和胃的关系，辨清常见说法中的疑问。Explore a common question about weight-loss injections and the stomach.
中文文章Article in Chinese血糖变好了，为什么仍要讨论随访Blood glucose has improved. Why discuss follow-up?
血糖读数改善以后，继续了解随访需要讨论的事情。Explore follow-up conversations after glucose readings improve.
中文文章Article in Chinese第一次去减重门诊，为什么可能遇到不同专业的人Why might a weight-management clinic involve different professionals?
第一次去减重门诊前，了解不同专业参与交流的情境。Explore the different professionals you may meet at a weight-management clinic.
中文文章Article in Chinese书名里的非药物疗法，和正在吃的药是什么关系Non-drug therapies: how do they relate to the medicines you take?
从书名中的非药物疗法出发，整理它与现有用药相关的疑问。Explore questions about non-drug approaches and current medicines.
中文文章Article in Chinese两次复诊之间，医生还在关心什么What matters to a doctor between follow-up visits?
在两次复诊之间，看看有哪些日常情况可以留作交流。Notice everyday matters to discuss between follow-up visits.
中文文章Article in Chinese管血糖这件事，也要和做饭的人聊一聊Managing blood glucose: include the person who cooks
从家里谁做饭开始，聊聊血糖管理中的共同安排。Start a conversation about glucose care with the person who prepares meals.
中文文章Article in Chinese每天都在算、测、记，管理的心累也值得说出来The emotional toll of counting, measuring and tracking every day
把日常计算、测量和记录带来的心累也说出来。Make room to talk about the burden of daily tracking.
中文文章Article in Chinese体检报告拿到以后，怎样把异常变成一次有效沟通After a checkup: turning abnormal results into a useful conversation
面对体检报告上的异常，先整理一次沟通想问清的事。Turn questions about a checkup report into a conversation.
中文文章Article in Chinese有糖尿病，出远门前怎样和医生一起做准备Planning a trip with diabetes: preparing with your doctor
准备出远门时，把旅途安排和现有管理情况一起讨论。Discuss travel plans alongside your current diabetes care.
中文文章Article in Chinese孩子需要管理体重，家里的一天可以先看哪里A child needs help managing weight: where can the family start?
从家庭一天的生活安排，看看孩子体重管理可以聊什么。Explore a child's weight-management questions through family routines.
中文文章Article in Chinese买给父母的无糖饼干，还要翻到背面看一看Buying sugar-free biscuits for your parents? Check the back of the pack too
买无糖饼干时，把包装正面和背面的信息放在一起看。Look beyond the front label when buying sugar-free biscuits.
中文文章Article in Chinese家里测的血糖和医院不一样，先看是不是在比同一件事Different glucose readings at home and in hospital: are you comparing the same thing?
比较两次血糖读数之前，先对照测量时的具体情况。Compare the circumstances behind two glucose readings.
中文文章Article in Chinese平时血糖偏高，家里也要备好低血糖的应对Usually high blood glucose? Be prepared for low blood glucose too
平时读数偏高时，也把低血糖相关准备列入沟通。Include low-glucose preparation in conversations about usually high readings.
中文文章Article in Chinese明明不喝酒，体检为什么还会写着脂肪肝Why might a checkup find fatty liver even if you do not drink alcohol?
体检出现脂肪肝时，从不喝酒也会遇到的疑问说起。Explore questions after a checkup mentions fatty liver.
中文文章Article in Chinese夜里鼾声很大，白天还是困：减重时也该聊聊睡眠Loud snoring at night, sleepy by day: discuss sleep during weight management
夜间打鼾和白天犯困，也可以成为减重沟通的话题。Bring snoring and daytime sleepiness into a weight-management conversation.
中文文章Article in Chinese糖尿病复查已经抽了血，为什么还要留一杯尿Blood tests at a diabetes checkup: why is a urine sample needed too?
糖尿病复查时，了解抽血之外留尿检查相关的问题。Explore questions about urine samples at a diabetes checkup.
中文文章Article in Chinese看到「逆转糖尿病」的宣传，先弄清它承诺了什么Seeing claims that diabetes can be reversed: what exactly is being promised?
看到逆转宣传时，先看清其中承诺了什么。Read the promise behind a claim about reversing diabetes.
中文文章Article in Chinese开始减重治疗前，把长期费用和时间也谈进去Before starting weight-loss treatment, discuss the long-term cost and time too
开始减重治疗前，把长期时间和费用放进讨论。Discuss time and costs before starting weight-loss treatment.
中文文章Article in Chinese看到停药反弹的新闻，先把研究读完整Seeing news about rebound after stopping medication: read the study in full first
面对停药反弹的新闻，回到研究本身读清楚。Return to the study behind a headline about rebound after stopping medication.
中文文章Article in Chinese戴上血糖监测贴后，为什么反而不敢吃饭了？Why did a glucose sensor make eating feel harder?
监测曲线让吃饭变得紧张时，整理想和医生讨论的困扰。Explore concerns when glucose monitoring makes eating feel stressful.
中文文章Article in Chinese晚饭后走了半小时，白天坐八小时还要管吗？If you walk after dinner, does sitting all day still matter?
把晚饭后的步行和白天久坐放在同一天里看。Look at an evening walk alongside sitting during the day.
中文文章Article in Chinese围绝经期，体重没变，身体可能发生了什么变化？What can change during perimenopause when weight stays the same?
围绕围绝经期的身体变化，讨论体重之外的观察。Explore questions about body changes during perimenopause.
中文文章Article in Chinese天天吃外卖，控糖的一餐怎么搭？Everyday takeout: building a meal for blood glucose management
从主食、配菜和调味，看看食堂与外卖的一餐。Look at staples, side dishes and seasoning in a meal away from home.
中文文章Article in Chinese水果甜不甜，能判断它适不适合控糖吗？Does sweetness tell you how fruit fits into blood glucose management?
从水果的甜味出发，整理控糖时选择和份量的疑问。Explore questions about sweetness, fruit choices and portions.
中文文章Article in Chinese体重降了一阵又停住，是方法没用了吗？Weight loss has stalled: has your approach stopped working?
体重暂时不再下降时，回看这段时间的变化和疑问。Review changes and questions when weight loss reaches a pause.
中文文章Article in Chinese下班后总想找零食，这一天发生了什么？Wanting snacks after work: what happened during the day?
从下班后想吃零食的时刻，回看一天的经历。Look back over the day when you want snacks after work.
中文文章Article in Chinese发烧、腹泻、吃不下：有糖尿病，怎样提前做好生病时的准备？Diabetes and illness: preparing for fever, diarrhea or loss of appetite
围绕发热、腹泻和吃不下的情境，提前整理生病时的沟通准备。Prepare questions about diabetes care during fever, diarrhea or poor appetite.
中文文章Article in Chinese家里还剩几块月饼？先看标签，再切开分着吃Leftover mooncakes: read the label and share smaller portions
从月饼标签和分食方法入手，整理家里的日常饮食安排。Use labels and portion sharing to think about leftover mooncakes.
中文文章Article in Chinese南瓜能降血糖吗？别把一种食物当成治疗办法Can pumpkin lower blood glucose? Food is not a treatment
辨读南瓜降糖的说法，再看品种、做法和食用量。Examine claims about pumpkin, along with variety, preparation and amount.
中文文章Article in Chinese厨房找糖：和家人翻翻配料表，再看看营养成分表Finding sugar in your kitchen: ingredients and nutrition labels
和家人翻看食品标签，用记录卡区分糖的名称、含量和实际食用量。Read food labels together and distinguish sugar names, amounts and serving sizes.
中文文章Article in Chinese化验单上的三个「熟面孔」：糖化血红蛋白、尿酸、尿白蛋白/肌酐比值Three lab tests: HbA1c, uric acid and urine albumin-to-creatinine ratio
看懂三个常见化验指标，再把结果、单位和问题带到复诊沟通中。Understand three common lab tests and prepare results, units and questions for your next visit.
中文文章Article in Chinese有糖尿病，今年的流感疫苗安排了吗？Diabetes and this season's flu vaccination
依据国内当季指南，了解接种时间、门诊评估和家庭准备。Use the current Chinese guidance to prepare for flu vaccination and a conversation with the vaccination clinic.
中文文章Article in Chinese填6项，了解自己的糖尿病筛查风险：中国糖尿病风险评分Six inputs to understand diabetes screening risk
了解糖尿病风险评分的适用范围、计分方法，以及高分和低分之后怎样安排检查。Learn who the diabetes risk score is for, how it works and why screening decisions need more than a score.
中文文章Article in Chinese大闸蟹上桌了：尿酸高、血脂高、在控糖的人怎么吃Hairy crab season: choices when managing uric acid, lipids or blood glucose
把尿酸、血脂和控糖的不同情况分开考虑，准备一张聚餐前可以核对的小卡。Consider different health circumstances and prepare practical questions before a crab meal.
中文文章Article in Chinese早上一碗苏式汤面，在控糖的人怎么点：少点面、另加菜、汤少喝Ordering Suzhou noodle soup while managing blood glucose
从面量、另加蔬菜、浇头和汤汁入手，把饮食安排用到一碗苏式汤面。Consider noodle portions, vegetables, toppings and broth when ordering Suzhou noodle soup.
中文文章Article in Chinese化验单词典·第二批：血脂四项，四个数字各管什么Four blood lipid measurements: what each number tells you
认识血脂四项的不同含义，区分报告参考值与个人目标，把问题带到复诊沟通中。Understand four lipid measurements and distinguish laboratory reference values from individual goals.
中文文章Article in Chinese饭前喝一口醋，能把血糖压下来吗？Can vinegar before a meal lower blood glucose?
看清喝醋降糖说法的证据与限制，避免把调味习惯当作治疗办法。Consider the evidence and limitations of vinegar claims without treating a condiment as treatment.
中文文章Article in Chinese甲功报告里的TSH、FT4和FT3，各在回答什么问题？What do TSH, FT4 and FT3 tell you?
同一张报告上，有的箭头向上，有的向下。先弄清调节信号与激素水平的关系，再看检查时的身体情况，报告才不容易读反。Understand the different roles of thyroid tests before discussing a report.
中文文章Article in Chinese甲功正常，为什么超声还会发现甲状腺结节？Why can a thyroid nodule appear when thyroid function is normal?
血液检查主要回答激素供应是否合适，超声主要观察甲状腺结构。两种结果可以同时成立，也需要分别理解。Distinguish blood tests of thyroid function from ultrasound findings.
中文文章Article in Chinese报告写着甲状腺结节，下一步为什么不只看大小？A thyroid nodule: why does size not tell the whole story?
尺寸、超声特征、位置、病史和前后变化，会共同影响结节的处理。拿别人的大小标准套自己，很容易走偏。Prepare questions about ultrasound findings, history and changes over time.
中文文章Article in Chinese甲状腺细针穿刺前后，哪些事情值得问清？What should you ask before and after thyroid fine-needle aspiration?
穿刺是取少量细胞帮助判断结节性质的一项检查。了解检查目的、用药准备和结果的几种可能，可以减少等待期间的误解。Prepare questions about the purpose, medicines and possible results of a thyroid biopsy.
中文文章Article in Chinese桥本甲状腺炎：抗体高，为什么不一定马上用药？Hashimoto thyroiditis: why do high antibodies not always mean treatment?
抗体提示自身免疫线索，甲功反映当前激素供应。桥本的治疗和随访，不能只围着抗体数字升降打转。Distinguish antibody findings from current thyroid hormone function.
中文文章Article in Chinese体重上升、怕冷、乏力，是甲减还是别的原因？Weight gain, cold sensitivity and fatigue: could it be hypothyroidism?
这些表现可以见于甲减，也常由其他问题引起。把症状变化、既往病史和甲功检查放在一起，才能避免漏查或过度归因。Bring symptoms, medical history and thyroid test results together.
中文文章Article in Chinese发热、颈前痛、心慌，为什么有时需要查甲状腺？Fever, front-of-neck pain and palpitations: when might the thyroid matter?
颈前疼痛合并心慌，不一定只是咽喉问题。不同类型甲状腺炎的原因与治疗并不相同，关键是先辨清炎症和激素变化的来源。Organise symptoms and questions when neck pain occurs with other changes.
中文文章Article in Chinese家人得了甲亢：情绪、睡眠与治疗，怎样一起安排？Supporting a family member with hyperthyroidism
甲亢可能影响情绪、睡眠和体力。家人的帮助可以落实到就医信息、生活分工和复查安排，同时保留患者自己作决定的空间。Discuss emotions, sleep, treatment and family responsibilities together.
中文文章Article in Chinese甲亢已经不心慌了，为什么还要继续复查？Why follow up hyperthyroidism after palpitations improve?
症状、游离激素和TSH的恢复速度可能不同。复查是为了判断治疗反应和下一步安排，不能由一次好转决定加药或停药。Understand why symptoms and thyroid test results may recover at different speeds.
中文文章Article in Chinese服抗甲状腺药时发热、咽痛，为什么不能只当感冒？Fever or sore throat while taking antithyroid medicine
甲巯咪唑、丙硫氧嘧啶治疗期间，发热或明显咽痛需要立即处理。先弄清药名与就医步骤，比自行判断是不是感冒更重要。Recognise medicine-related warning symptoms and the need for prompt medical assessment.
中文文章Article in Chinese甲功已经恢复正常，眼睛为什么还不舒服？Why can eye discomfort persist after thyroid tests return to normal?
甲状腺眼病的变化不一定与甲功同步。干涩、复视和闭眼困难需要单独评估；视力或颜色辨认发生变化时，更不能等常规复查。Keep eye symptoms and thyroid function in view as separate parts of follow-up.
中文文章Article in Chinese孕期TSH升高，为什么不能只盯着一个数字？Raised TSH in pregnancy: why one number is not enough
孕期甲功解释要看孕周、检测方法和其他结果。异常需要及时评估，但一个TSH数字不能单独决定诊断、药量或胎儿结局。Read pregnancy thyroid results in the context of gestational age and other findings.
中文文章Article in Chinese有甲状腺问题，就该补碘或彻底忌碘吗？Thyroid problems: should you add or avoid iodine?
碘是必需营养素，过少和过多都可能带来问题。是否调整碘盐、海藻和补充剂，要结合地区饮水、功能状态与具体治疗安排。Prepare questions about iodine intake in relation to your condition and treatment.
中文文章Article in Chinese甲状腺手术后，饮食、用药和复查怎样接起来？After thyroid surgery: connecting food, medicines and follow-up
术后安排取决于切除范围、病理和恢复情况。吃什么之外，更需要弄清激素补充、血钙观察、复诊任务与必须及时就医的变化。Organise postoperative instructions, medicines, symptoms and follow-up information.
中文文章Article in Chinese开始打胰岛素，是不是以后都不能停？Does starting insulin mean you can never stop it?
胰岛素要用多久，取决于糖尿病类型和当前身体需要。把开始治疗的原因、复查依据和调整计划问清楚，比先给自己定一个停针日期更有用。Clarify why insulin is needed now and how future treatment will be reviewed.
中文文章Article in Chinese胰岛素泵和血糖监测贴，有什么区别？Insulin pumps and glucose sensors: what is the difference?
贴在身上的设备外观可能相似，承担的任务却不同。先分清监测、输注和自动协同，再讨论是否适合自己以及需要怎样的培训。Distinguish glucose monitoring from insulin delivery and discuss training needs.
中文文章Article in Chinese胰岛素总打同一个地方，为什么需要检查和轮换？Why check and rotate insulin injection sites?
反复选择熟悉、不太疼的位置，可能忽略皮下组织已经改变。规律检查和有计划轮换，有助于让注射更可靠，也要留意换到正常部位后的血糖变化。Understand injection-site changes and prepare questions about a rotation plan.
中文文章Article in Chinese胰岛素开封前后怎样保存，为什么要看具体药品？Storing insulin before and after opening
药盒有效期、离开冷藏的时间、启用后的期限，可能是三件不同的事。先核对药名、规格和装置，再把保存条件与弃用日期写在一起。Check the exact medicine, device, storage conditions and discard date.
中文文章Article in Chinese动态血糖仪（CGM）戴上之后：曲线怎么看，哪些情况要告诉医生After fitting a CGM: reading curves and discussing changes with your doctor
先看身体感受和反复出现的时段，再把曲线与吃饭、活动和用药时间放在一起。异常读数需要按情况核实，药物调整交给医生。Read patterns alongside symptoms, meals, activity and medicines. Check unexpected readings and discuss treatment changes with your doctor.
中文文章Article in Chinese做糖耐量检查前，饮食、用药和当天流程怎么确认？Preparing for an oral glucose tolerance test
口服葡萄糖耐量试验需要按规定准备、服糖和抽血。正常吃饭、不自行停药、区分孕期与非孕期流程，能减少检查当天的返工和误读。Confirm food, medicine and timing instructions for the relevant testing pathway.
中文文章Article in Chinese单位体检做过了，还需要糖尿病专项复查吗？Does a workplace health check cover diabetes follow-up?
体检报告可以复用，但项目名称相近不代表回答了同一个问题。把已有结果与糖尿病随访计划逐项对照，才能知道哪些已覆盖、哪些仍需补充。Compare existing test results with your individual follow-up plan.
中文文章Article in Chinese没有刻意减肥，却一直变瘦：就诊时需要说清哪些变化Unintentional weight loss: what changes should you report?
体重下降是否值得关注，要连同下降速度、吃饭变化和伴随症状一起判断。尤其口渴、多尿同时出现时，不宜只把变瘦当作好事。Record the timing, appetite and accompanying symptoms of weight loss.
中文文章Article in ChineseC 肽、胰岛自身抗体分别看什么？为什么不能只凭一张单判断能否停药C-peptide and islet antibodies: different questions from different tests
C 肽和胰岛自身抗体回答的是不同问题。前者帮助了解自身胰岛素分泌，后者提供分型线索，都需要放回血糖、病程和治疗背景中解读。Interpret tests alongside blood glucose, history and treatment rather than using one report alone.
中文文章Article in Chinese糖尿病营养餐，只要不甜就合适吗？先看这四件事Is a meal suitable for diabetes just because it is not sweet?
一份餐食是否适合糖尿病管理，不能只靠甜不甜来判断。食物组合、实际分量、全天营养与用药安排，都会影响它是否适合当前需要。Consider food combinations, portions, nutrition and treatment together.
中文文章Article in ChineseDiRECT 五年随访说明了什么？读缓解率，先看分母The five-year DiRECT follow-up: read the denominator first
读糖尿病缓解率，要同时看清研究对象、时间和分母。DiRECT 五年结果提示长期维持的重要性，不能简化成人人适用的成功率。Read remission findings with attention to participants, time and denominators.
中文文章Article in Chinese清晨空腹血糖总是偏高：先还原夜间变化，再讨论怎么调High morning glucose: reconstruct the overnight pattern first
同样是早晨血糖高，可能从晚餐后就已升高，也可能在后半夜才上升。把睡前、夜间和起床时的变化连起来，才有助于找到真正需要调整的环节。Connect evening, overnight and waking readings before discussing adjustments.
中文文章Article in Chinese住院期间突然血糖高，就是得了糖尿病吗？出院后怎样接着查High glucose during a hospital stay: what happens after discharge?
急性疾病、治疗和既往血糖状况，都可能影响住院时的结果。先处理当前高血糖，再用合适的检查与出院复评厘清原因，才能避免过早下结论或漏掉后续管理。Keep current treatment and follow-up assessment connected after an inpatient finding.
中文文章Article in Chinese使用糖皮质激素后血糖升高：把用药与血糖放在同一张时间表Glucose rises after glucocorticoids: record medicines and readings together
激素相关血糖变化，常常需要同时看药名、剂量、使用时间与一天中的血糖分布。复诊准备得越具体，越容易兼顾原发病治疗和血糖安全。Bring medicine timing and daily glucose patterns to the follow-up discussion.
中文文章Article in Chinese妊娠糖尿病生完孩子以后，为什么还要复查？Why follow up gestational diabetes after giving birth?
产后血糖下降很常见，但一次正常读数不能替代复查。把首次检查、结果解释和往后随访接起来，比只盯分娩前的控制更完整。Connect the first postpartum test with interpretation and longer-term follow-up.
中文文章Article in Chinese孕期控制体重，为什么不能照搬普通减肥食谱？Why pregnancy weight management differs from an ordinary weight-loss diet
孕期需要关注增重速度，也要保证母体营养和胎儿生长。孕前体重、孕周及是否合并糖尿病，会改变适合自己的管理目标。Discuss pregnancy weight changes alongside nutrition, gestational age and individual circumstances.
中文文章Article in Chinese孩子上课总犯困、夜里打鼾，只是懒吗？A child who snores at night and feels sleepy in class
夜里打鼾、白天困倦或注意力变化，值得把睡眠情况一起看清。体重可以影响风险，但孩子胖不胖，都不能代替睡眠问题的评估。Record sleep and daytime changes without treating them as a character problem.
中文文章Article in Chinese孩子脖子总像洗不干净，要不要看看代谢情况？A child's darkened neck: when to ask about skin and metabolic health
颈部皮肤变深、变厚，可能有多种原因。停止反复搓洗，记录变化并检查皮肤，比凭颜色认定糖尿病更有用。Observe skin changes and seek assessment without diagnosing diabetes from appearance.
中文文章Article in Chinese开始用药后体重增加，复诊时怎样把时间线说清楚？Weight gain after a medicine change: preparing a timeline
部分药物会影响食欲、活动或水分，但体重增加也可能有其他原因。把药物变化与身体变化放在同一张记录里，更有助于判断。Record medicine changes and body changes together for a review.
中文文章Article in Chinese总觉得累，休息也缓不过来，就诊前记录什么？Persistent fatigue: what should you record before a consultation?
持续疲倦、容易犯困和肌肉使不上劲，可能是不同体验。把时间、活动影响和伴随变化说具体，有助于选择合适的评估。Describe timing, effects on activity and accompanying symptoms in concrete terms.
中文文章Article in Chinese体检发现颈动脉斑块，下一步应问清什么Carotid plaque on a health check: what to ask next
超声发现斑块后，重要的是把影像、既往症状和整体风险放到一起。是否用药、怎样复查，需要回答的远不止斑块有多大。Discuss imaging findings together with symptoms and overall risk.
中文文章Article in Chinese高血压为什么有时会转到内分泌科Why hypertension may lead to an endocrinology referral
部分高血压与激素异常有关，发现病因可能改变治疗。了解原醛筛查的适用条件，并带齐血压、血钾和用药资料，能让转诊更有效。Prepare blood pressure, potassium and medicine information for an assessment of possible causes.
中文文章Article in Chinese运动是良医：两位患者给我的提醒Exercise as medicine: lessons from two patients
两段诊疗经历，让运动从诊室里的一句叮嘱，变成需要认真制定、执行和随访的治疗计划。Two clinical experiences show why physical activity needs an individual plan, follow-through and review.
中文文章Article in Chinese家里的体脂秤：体脂率、内脏脂肪这些数，能信几分Body fat scales at home: how much can you trust the numbers?
体重是称出来的，许多身体成分指标是模型估算出来的。统一条件看长期变化，同时看腰围、体力和检查结果，比追逐小数点更有意义。Compare longer-term changes under consistent conditions, alongside waist size, physical ability and clinical checks.
中文文章Article in Chinese拿AI看化验单靠谱吗：能帮上什么忙，哪些事一定要问医生Can AI help you read a lab report?
AI可以帮你理解词语、整理问题，但报告识别和医学解释都可能出错。先保护个人信息、逐项核对原报告，再把治疗决定交给医生。AI may explain terms and organize questions. Protect personal information, check the original report and discuss treatment with your doctor.
中文文章Article in Chinese糖友耳朵疼，别只当中耳炎Ear pain with diabetes: more than a middle ear problem
耳痛之外，留意面部无力、听力变化和眩晕，把近期血糖、用药及肾功能检查一起告诉医生。Discuss facial weakness, hearing changes or dizziness alongside ear pain and recent diabetes treatment.
中文文章Article in Chinese想去美国看病的1型糖尿病家庭，后来怎么样了What happened to the family considering overseas care for type 1 diabetes?
一个1型糖尿病家庭关于治疗选择的问答：先问清要解决的问题、方案差异，以及回家后由谁接续管理。Questions about treatment options, practical differences and ongoing care after returning home.
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可以保留关键词到全站查找，或清空本页筛选。Keep your keywords and search the whole site, or clear the filters.
搜索全站 133 篇文章Search all 133 articles看一幅简化示意图
身体怎样利用葡萄糖？
默认由你控制步骤。也可以播放、暂停，或显示全部步骤。手机上由上向下阅读。
四步葡萄糖关系简化示意
01 · 食物与葡萄糖
食物和身体自身都可成为葡萄糖的来源。
第 1 / 4 步
查看完整文字与参考依据
食物中的部分营养经过消化吸收，可成为葡萄糖来源；身体也能制造葡萄糖。深青实线表示图中简化的来源与摄取关系。上方胰腺产生胰岛素，赭色虚线表示它参与细胞摄取调节的信号，不是葡萄糖经过的通道。肝脏等其他器官和调节过程未完整画出。本图不是完整生理模型，不用于判断个体情况。
从一个点，读回一段记录。
下面的曲线完全为教学绘制，没有真实数值，也没有健康判断。
纵轴：示意高低横轴：观察顺序 →
先看清：横轴是观察顺序，纵轴仅表示示意高低。这里没有真实血糖数值，也没有诊断阈值。
Interactive learning visual
This simplified glucose diagram and reading exercise are available in Chinese. Switch to Chinese to use them. They do not provide individual medical advice.
从这里开始START HERE
这个方向，
与你有什么关系？How does this relate
to everyday life?
适合关注体重、血糖与代谢健康的人，以及希望了解相关知识的家人。For people interested in weight, blood glucose and metabolic health, and for family members who want to understand more.
本站内容用于一般健康知识分享，不替代个体化诊断与治疗。涉及个人健康问题，请咨询合适的医疗专业人员。The content on this website is for general health education and does not replace individual diagnosis or treatment. For personal health concerns, consult an appropriate healthcare professional.
围绕这些话题展开TOPICS TO EXPLORE
读懂胖与糖Understanding weight and glucose
从常见概念与问题入手，建立对肥胖和糖尿病的基本认识。Explore common concepts and questions about obesity and diabetes.
生活方式与代谢Lifestyle and metabolism
围绕饮食、活动与日常习惯，讨论生活方式管理的相关知识。Learn about lifestyle management through topics in food, activity and everyday habits.
长期管理的视角A long-term perspective
关注健康信息的理解与记录，以及与专业人员沟通时值得厘清的问题。Explore how to understand and record health information, and the questions to discuss with health professionals.
让知识与交流，继续发生。Keep learning. Stay connected.
健康科普、活动与合作交流，可通过以下方式联系刁建华。For health education, activities and collaboration, contact Dr. Diao Jianhua using the details below.