每3個月要報到一次通血管，老問題。(杰PT品)
2020年1月13日 星期一
PTA 洗腎 通血管
洗腎多年的廔管，有大的動脈瘤，近日發現血流量不足，聯絡高雄長庚心臟內科鍾昇穎醫師幫患者通血管，結果：其實沒有完全阻塞，只是她的血管很tortuous, 會有兩個大Loop。（湘PT字)
2020年1月6日 星期一
日本腎友高雄小吃之旅
這位腎友是經由北部一位任教的台灣朋友安排來高雄旅遊透析，非常仔細，半年前就開始聯絡，日本透析院所也是很功夫把他的透析相關資料早早就傳來給我們，當天來洗腎時，病人太太和高雄在地一位台灣朋友來幫忙翻譯，其實我們有google翻譯也可幫忙解決一些問題。因為日本保險單位需要特別的表格讓台灣醫師填寫，上次來洗腎時另一位日本人沒有帶來，後來是經由台灣朋友又拿來給我填寫，所以這次我請日本腎友先向日本保險單位拿費用申請表格（如下，共4張）， 透析日我一併填寫，省得日後他又要麻煩一次。
看著日本腎友透析透析結束後，和家人拿著台灣小吃的折價券要去品嚐，期待快樂的神情真讓我們有著成就感！
#TravelDialysis
看著日本腎友透析透析結束後，和家人拿著台灣小吃的折價券要去品嚐，期待快樂的神情真讓我們有著成就感！
#TravelDialysis
2019年12月19日 星期四
超級加工食品(Ultra-processed Food)增加糖尿病機會
什麼是超級加工食品(Ultra-processed Food)?
https://www.bbc.co.uk/food/articles/what_is_ultra-processed_food
Ultra-processed foods就是內含你平日在家煮時，不會加入的添加物。例如： colourings, sweeteners and preservatives. 在英國，最常見的ultra-processed食物是：
Industrialised bread (11 %)
Pre-packaged meals (7.7 %)
Breakfast cereals (4.4 %)
Sausages and other reconstituted meat products (3.8 %)
以下的例子說明，同樣的食材，多一點添加物（包括糖）就成了ultra-processed foods：
1. Bread made from wheat flour, water, salt and yeast is processed, but add emulsifiers or colourings and it becomes ultra-processed.
2. Plain oats, corn flakes and shredded wheat are minimally processed, but when the manufacturer adds sugar, flavourings or colourings, they become ultra-processed breakfast cereals.
3. Plain yoghurt is minimally processed, but add sweeteners, preservatives, stabilisers or colourings and it becomes ultra-processed.
Original Investigation
Ultraprocessed Food Consumption and Risk of Type 2 Diabetes Among Participants of the NutriNet-Santé Prospective Cohort
JAMA Intern Med. Published online December 16, 2019. doi:https://doi.org/10.1001/jamainternmed.2019.5942
- Over 100,000 French adults
- 24-hour dietary recall questionnaires
- median follow-up of 6 years
- 820 participants were diagnosed with T2DM
- The risk of T2DM increased by 13% with each 10% increase in the proportion of diet comprising ultraprocessed foods.
- The authors note that in previous studies, ultraprocessed foods have been linked to increased risks for cancer, cardiovascular disease, and mortality.
結論：減少食物中添加劑，包括糖、色素、香料或是保存劑，才能不變成ultra-processed food，才不會落入T2DM。
https://www.bbc.co.uk/food/articles/what_is_ultra-processed_food
Ultra-processed foods就是內含你平日在家煮時，不會加入的添加物。例如： colourings, sweeteners and preservatives. 在英國，最常見的ultra-processed食物是：
Industrialised bread (11 %)
Pre-packaged meals (7.7 %)
Breakfast cereals (4.4 %)
Sausages and other reconstituted meat products (3.8 %)
以下的例子說明，同樣的食材，多一點添加物（包括糖）就成了ultra-processed foods：
1. Bread made from wheat flour, water, salt and yeast is processed, but add emulsifiers or colourings and it becomes ultra-processed.
2. Plain oats, corn flakes and shredded wheat are minimally processed, but when the manufacturer adds sugar, flavourings or colourings, they become ultra-processed breakfast cereals.
3. Plain yoghurt is minimally processed, but add sweeteners, preservatives, stabilisers or colourings and it becomes ultra-processed.
Original Investigation
Ultraprocessed Food Consumption and Risk of Type 2 Diabetes Among Participants of the NutriNet-Santé Prospective Cohort
JAMA Intern Med. Published online December 16, 2019. doi:https://doi.org/10.1001/jamainternmed.2019.5942
- Over 100,000 French adults
- 24-hour dietary recall questionnaires
- median follow-up of 6 years
- 820 participants were diagnosed with T2DM
- The risk of T2DM increased by 13% with each 10% increase in the proportion of diet comprising ultraprocessed foods.
- The authors note that in previous studies, ultraprocessed foods have been linked to increased risks for cancer, cardiovascular disease, and mortality.
結論：減少食物中添加劑，包括糖、色素、香料或是保存劑，才能不變成ultra-processed food，才不會落入T2DM。
2019年12月9日 星期一
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