Diabetes Review: Heart, Kidney and Glycaemic Goals | Part 2 | 糖尿病 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字；遇到過度簡化或舊門檻，請搭配下方提示與原始資料閱讀。這是概念學習材料，不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All patients with albuminuria or heart failure gain kidney
and heart protection from an SGLT2 inhibitor,
independent of HbA1c.
Is the glucose near normal yet the patient vomiting on empagliflozin?
Suspect euglycaemic ketoacidosis and stop the drug on sick days.
On the diagnostic list for metabolic syndrome sit waist, triglycerides, HDL,
blood pressure and fasting glucose, never LDL.
Lucid targets protect: HbA1c below 7 per cent for most adults,
but 8.0 to 8.5 for the frail elderly, because hypoglycaemia harms faster.


All patients with albuminuria or heart failure gain kidney
and heart protection from an SGLT2 inhibitor,
independent of HbA1c.
Is the glucose near normal yet the patient vomiting on empagliflozin?
Suspect euglycaemic ketoacidosis and stop the drug on sick days.
On the diagnostic list for metabolic syndrome sit waist, triglycerides, HDL,
blood pressure and fasting glucose, never LDL.
Lucid targets protect: HbA1c below 7 per cent for most adults,
but 8.0 to 8.5 for the frail elderly, because hypoglycaemia harms faster.

Medical Notes · 醫學學習提示

  1. 回顧糖尿病選藥、急症辨識與個別化目標
  2. SGLT2 適用者可獲心腎保護，並非所有患者皆適用
  3. 須依心衰竭、腎功能、禁忌與藥物證據選擇
  4. 符合適應症時，心腎保護不只看 HbA1c
  5. 使用恩格列淨且嘔吐，即使血糖不高也須警覺
  6. 疑酮酸中毒立即停藥並緊急就醫驗酮，勿僅在家觀察
  7. 代謝症候群評估腰圍、三酸甘油脂與 HDL
  8. 另含血壓與空腹血糖；LDL 仍須另評估心血管風險
  9. 許多非孕成人 HbA1c 目標低於 7%，須個別調整
  10. 衰弱長者重在避免低血糖，不一律訂為 8–8.5%

References