Diabetic Complications Screening Plan
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Diabetic Complications Screening Plan
糖尿病最嚴重的後果是出現糖尿病併發症。事實上，血糖持續過高會損害視網膜、腎臟及神經線，有機會導致失明、腎衰竭及足部潰瘍。早期的糖尿病併發症一般也沒有徵狀，年度糖尿病併發症篩查現已成為糖尿病基本護理的一部份。
誰應接受糖尿病併發症篩查?
所有患有一型或二型糖尿病的人士都應進行年度糖尿病併發症篩查。一型糖尿病患者應在確診 5 年後進行第一次併發症篩查，而二型糖尿病患者則應在確診時進行第一次併發症篩查，因二型糖尿病患者一般也會在病發後數年才被確診。
如何進行糖尿病併發症篩查？
糖尿病併發症篩查包括抽血、驗尿、測試足部敏感度及由視光師拍攝眼底照片。整個過程大概需要半個上午。所有篩查結果由內分泌及糖尿病科專科醫生評估，報告於一星期內完成。如需見內分泌及糖尿病科專科醫生，則需另行預約。
在接受糖尿病併發症篩查前應如何預備?
・ 抽血前需禁食8 小時並停用糖尿病藥物
・ 您可於抽血後恢復進食及服用糖尿病藥物
・ 抽血、驗尿及足部敏感度測試會在診所進行，眼底照片則會在眼科中心進行。倘若配戴眼鏡，請謹記帶備。
在接受篩查後應如何跟進？
倘若在接受篩查後並沒有發現患上糖尿病性視網膜病、腎病和神經病變，仍要切記繼續監控糖尿病，並應在一年後進行下一次篩查，以及早發現併發症的發生。
相反，如透過篩查發現患上糖尿病併發症，請不要擔心! 現時有許多針對不同類型糖尿病併發症而且可以有效控制血糖的嶄新治療方法，其中一些甚至有機會令併發症逆轉。您的醫生將與您詳細討論這些治療選擇以作進一步跟進。
The most devastating consequence of diabetes mellitus is the development of diabetic complications. Persistently elevated blood glucose can damage the retina, kidneys and nerves, resulting in blindness, kidney failure and foot ulcers. Most people do not have symptoms in the early stages of these complications. Regular annual screening for detection and management of diabetic retinopathy, nephropathy and neuropathy is now a standard part of diabetes management.
Who should have Diabetic Complications Screening?
People suffering from diabetes mellitus (both types 1 and 2) should undergo annual diabetic complications screening. For type 1, screening should start 5 years after diagnosis. For type 2, screening should start at the time of diagnosis as many patients with type 2 diabetes are undiagnosed for years.
How is Diabetic Complications Screening done?
Standard annual diabetic complications screening includes blood and urine tests, testing for the sensation of the feet, and photo-taking of the retina by an optometrist. The full set of tests will take about half a morning to complete. All results will be reviewed by an endocrinologist and the reports will be available within 1 week. Consultation with the endocrinologist can be requested as an additional service.
How should I prepare for the Diabetic Complications Screening?
・ Please be on an empty stomach for 8 hours or more and stop all diabetes medication(s) for the blood tests
・ You may resume eating and medications after the blood tests.
・ Blood and urine tests as well as the testing of the sensation of the feet will take place in the clinic whilst the retinal photo will be done at our satellite eye clinic. Please bring along your usual glasses if available.
What happens after the Screening?
If after the screening, you are found to be free from diabetic retinopathy, nephropathy and neuropathy, then, congratulations! It is recommended that you should continue to maintain your good work in keeping your diabetes under control and you should have the next screening in a year's time to ensure timely diagnosis of complications.
If you are found to have diabetic complications from the screening, do not worry just yet. There are many new treatments available for different types of diabetic complications and with good glycemic control, some of these complications can be reversed. Your doctor will discuss these options with you.
糖尿病最严重的后果是出现糖尿病併發症。事实上，血糖持续过高会损害视网膜、肾脏及神经线，有机会导致失明、肾衰竭及足部溃疡。早期的糖尿病併發症一般也没有徵状，年度糖尿病併發症筛查现已成为糖尿病基本护理的一部份。
谁应接受糖尿病併發症筛查?
所有患有一型或二型糖尿病的人士都应进行年度糖尿病併發症筛查。一型糖尿病患者应在确诊 5 年后进行第一次併發症筛查，而二型糖尿病患者则应在确诊时进行第一次併發症筛查，因二型糖尿病患者一般也会在病發后数年才被确诊。
如何进行糖尿病併發症筛查？
糖尿病併發症筛查包括抽血、验尿、测试足部敏感度及由视光师拍摄眼底照片。整个过程大概需要半个上午。所有筛查结果由内分泌及糖尿病科专科医生评估，报告于一星期内完成。如需见内分泌及糖尿病科专科医生，则需另行预约。
在接受糖尿病併發症筛查前应如何预备?
・ 抽血前需禁食8 小时并停用糖尿病药物
・ 您可于抽血后恢復进食及服用糖尿病药物
・ 抽血、验尿及足部敏感度测试会在诊所进行，眼底照片则会在眼科中心进行。倘若配戴眼镜，请谨记带备。
在接受篩查後應如何跟進？在接受筛查后应如何跟进？
倘若在接受筛查后并没有發现患上糖尿病性视网膜病、肾病和神经病变，仍要切记继续监控糖尿病，并应在一年后进行下一次筛查，以及早發现併發症的發生。
相反，如透过筛查發现患上糖尿病併發症，请不要担心! 现时有许多针对不同类型糖尿病併發症而且可以有效控制血糖的崭新治疗方法，其中一些甚至有机会令併發症逆转。您的医生将与您详细讨论这些治疗选择以作进一步跟进。
