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什麼是酮體 ?

β-hydroxybutyrate是糖尿病DKA酮酸血症之主要成分,亞培血糖機可直接從血中測得。
因此可早期發現其昇高趨勢,進而採取迅速的處理,以減少DKA酮酸血症的危險。


血中酮體代謝
β - 羥丁酸 β-hydroxybutyrate
● 即時反應有無DKA產生的情況
● 佔酮體總量80-90%

乙醯乙酸 acetoacetate
● 對有無DKA產生的情況反應較慢
● 佔酮體總量10-20%

丙酮 acetone
● 有些尿酮試紙可檢測出來
● 酮體總量僅2%

資料來源:ADA
1. Tests of Glycemia in Diabetes
2. Sick Day Guidelines from Medical Management of Type I Diabetes
3. Medical management of Pregnancy Complicated by Diabetes
 


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