健康醫療網／記者林怡亭報導

30歲的阿翰體重高達120公斤，原想透過胃繞道手術快速減重，但害怕手術風險，因而打退堂鼓，後經醫師診斷竟發現罹患第2型糖尿病，血糖超標，糖化血色素超過8%；在使用口服降血糖藥物合併長效型胰島素治療，並搭配單車運動，控制血糖也減重，沒想到半年後成功減重30公斤，體重降至90公斤。他從此更成了單車愛好者，甚至單日從台北騎單車到高雄，瘦得健康又安全！

▲ 天主教耕莘醫療財團法人耕莘醫院內分泌科蘇景傑主任（圖／健康醫療網提供）

許多第2型糖尿病患者都是長期飲食習慣不良、過度肥胖引起，罹病後，又因為血糖控制不佳，擔心會低血糖，相對攝取較多的食物，從此日益肥胖。天主教耕莘醫療財團法人耕莘醫院內分泌科蘇景傑主任表示，由於新型長效型胰島素類似物，為六聚體分子，透過極細的筆針施打，經皮下吸收後，與血清中蛋白質結合，能慢慢發揮藥效，可以減少低血糖的情況，對於體重減輕也會有幫助。

蘇景傑主任說明，大多糖尿病患者以為施打胰島素是病情失控，但其實胰島素並非血糖控制不好或病入膏肓才使用，從國外大規模研究得知，第2型糖尿病患者，胰島細胞在罹患糖尿病後會逐漸衰敗，所以需施打胰島素補充。在糖尿病罹病初期就施打胰島素，對於血糖控制也會有很好效果，經國外大型試驗證實，一天注射一次胰島素，就可以使6成以上控制不良的患者，糖化血色素降到標準值7％以下，更年菜2017菜單對胰臟細胞的衰敗有預防之效，並可延緩併發症產生。

糖尿病患者的治療目標，除了穩定血糖，控制體重也相當重要！蘇景傑主任建議可從改善飲食習慣著手，嚴格控制食物的攝取新竹年菜外賣量，並選擇體積較大卻熱量低的食物，較有飽足感，例如去油高湯加蔬菜熬湯、蒟蒻製品、蕃茄、無糖或加代糖之愛玉、仙草、洋菜凍、茶凍等。台南年菜訂購

藥物治療方面，蘇景傑主任表示，可以選擇某些比較不會增加體重的口服藥或針劑，施打胰島素治療時，不要固定注射在同一處，也比較不會使脂肪增生。國外也有動物實驗證實，使用可與白蛋白結合的新型長效年菜預購 台中型胰島素治療，會影響大腦對於飽足感的反應，因而攝取較少的食物，熱量減少，體重自然就能夠獲得控制。

資料來源：healthnews.com.tw/

2017-01-0503:00

CONFLICT OF INTEREST? One of the members of a committee investigating the NTU president is said to be a coauthor; another is a college dean he appointedBy Sean Lin / Staff reporterAcademics yesterday questioned the integrity of a committee tasked with investigating allegations National Taiwan University （NTU） president Yang Pan-chyr （楊泮池） was involved in cowriting forged scientific papers.Quoting NTU secretary-general Lin Ta-te （林達德）, who said the five-member investigation committee includes two faculty members at the university, attorney Hsu Wen-hua （許文華） said that the two members are likely to be College of Life Sciences dean Min Ming-yuan （閔明源） and College of Medicine dean Chang Shan-chwen （張上淳）.“Assuming I am right, these two men are not suited to serve on the committee,” Hsu said, citing an NTU rule governing cases involving suspected breach of academic ethics, which states the selection of investigation committee members should not constitute a conflict of interest.Chang and Yang cowrote five scientific papers between 2003 and 2006, for which Chang was either listed as the first author or corresponding author, while Yang was listed as the corresponding author on some accounts, he said.Min was appointed acting dean by Yang when NTU professor Kuo Min-liang （郭明良） — with whom Yang coauthored four problematic articles that are now being investigated by the committee — assumed the post of Kaohsiung Medical University vice president, Hsu said.Yang later chose Min over another university professor to fill the post of College of Life Sciences dean, Hsu said.Hsu also raised doubts about why Yang was able to tell the media the constitution of the committee, which included two NTU faculty members and three Academia Sinica members, saying that Yang could have rigged the appointment of committee members.NTU should have sent the papers in question to the journals that published them for verification, and at least one other established and objective third-party academic for review to ensure the investigation’s credibility, he said.Saying that Kuo retracted his paper from the Journal of Biological Chemistry last month after the academic fraud scandal erupted, NTU professor of psychology Huang Kwang-kuo （黃光國） accused Kuo of lying when he said he was innocent at a news conference on Dec. 20.Kuo filed a request to pull the paper, which was found by the journal to contain forged results shown in six duplicated images, on Dec. 7, and on Dec. 30, the journal issued a statement that it had been retracted, Huang said.Huang asked why Kuo had not repaid Yen Men-luh （嚴孟祿）, a physician at National Taiwan University Hospital’s Department of Obstetrics and Gynecology, NT$6.73 million （US$208,617） Yen claimed to have lent Kuo between 2002 and 2014 to help Kuo pay a mortgage, referencing another academic scandal that broke last month, in which Kuo allegedly took the money in exchange for Yen to be listed as coauthor on 11 papers by his research team.He also called into question why Kuo had never mentioned the debt during his tenure as a then-National Science Council （now Ministry of Science and Technology） official, even though he was required by law to declare his personal wealth.Liu Yuan-chun （劉源俊）, president of the Chinese-language Science Monthly, said that the academia puts too much emphasis on the number of citations an academic receives when promoting professors, which has tempted many professors to use their connections for them to be listed as coauthors or forge research findings to boost the number of their publications.In response, the university reiterated that the committee is run in an objective manner.The two colleges have met several times to review the papers, and the investigation results are to be submitted to an evaluation committee and an ad hoc committee for review on Friday next week, it said.The evaluation committee will be headed by NTU vice president Chang Ching-ray （張慶瑞） and will operate independently, it said.新聞來源：TAIPEI TIMES

（中央社記者王承中、蘇龍麒台北3日電）朝野立委今天針對國防部將防空飛彈指揮部移回空軍有不同看法。民進黨立委蔡適應認為合理，但不能排擠空軍預算。國民黨團書記長江啟臣則說，國防部應說明相關考量。 媒體報導，轄有愛國者3型防空飛彈、天弓2、3型防空飛彈、鷹式防空飛彈與雄風2E型巡弋飛彈的國防部防空飛彈指揮部，今年3月再度移撥回空軍。對此國防部昨天表示，相關組織調整正研議中，但與「勇固案」無關。 蔡適應今天表示，他認為以軍事作為來看，飛指部移回空軍是最簡單明確的方法。目前台灣空防的戰管雷達由空軍負責，未來當空軍第一時間收到雷情，回報國防部後，就可依命令處理。 蔡適應指出，飛指部目前直屬國防部參謀本部，但他認為參謀本部是三軍聯合的指揮單位，下轄應是幕僚單位，所有的作戰單位都應全部移撥到各軍種，現在各國也都有這樣的想法。 但蔡適應表示，國防部須跟空軍溝通清楚，飛指部連人帶裝備移回空軍不會排擠到空軍原本的預算，不然飛指部會變成空軍最不受歡迎的單位，預算恐逐年被砍，這對於台灣希望做到先期飛彈防禦系統會大打折扣。 國民黨立法院黨團書記長江啟臣說，飛指部移編到空軍司令部，必須要有整體戰略布署，畢竟飛彈防禦是目前台灣國防重要的一環，所以之前才會抽出來成立飛指部。 他說，相關的移編特別涉及愛國者飛彈、天弓飛彈等，都是非常重要的戰略性、戰術性武器，國防部應該說清楚相關的考量，如果移編比較有效率，那麼過去又為什麼要成立飛指部？ 時代力量立委林昶佐表示，飛指部移回空軍應有助於強化統一台中年菜推薦作戰能力，但一切還要看國防部戰略布局的改革，要看國防部整體的布局。據他了解，國防部將在新的會期提出新的國防戰略。1060103
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