糖尿病患者永遠都不該對醫生撒這些謊

How harmful can a little white lie be when it comes to answering questions from your doc? Actually, if you have diabetes, little white lies can come back to haunt you. "Sometimes, people don't tell their doctor the truth," says endocrinologist Alan L. Rubin, MD, author of Diabetes for Dummies, Type 1 Diabetes for Dummies and other health books in the "Dummies" series. "You may want your doctor to like you. Or you may be afraid he or she will scold you. You may be afraid of being judged. But if you don't tell the truth, your diabetes care could suffer."

回答醫生問題時撒點善意的謊言會造成多大的傷害呢？事實上，如果你患有糖尿病，善意的謊言會反過來折磨你。"有時候，病人不會告訴醫生真相，"《糖尿病傻瓜指南》《傻瓜都能看懂的1型糖尿病》和"傻瓜"系列的其它健康書籍的作者、內分泌學家艾倫·L·魯賓醫學博士說道。"也許你是希望醫生喜歡你，又或者你害怕他/她責罵你。你害怕被人說三道四。但如果不說實話，你的糖尿病症狀會更加嚴重。"

Here's how common fibs could mess with your blood sugar and your health:

下列常見的謊言可能會擾亂你的血糖和健康：

Lie #1: "I check my blood sugar regularly."

謊言一："我定期檢查血糖。"

Blood glucose monitoring is a powerful tool for keeping your diabetes in control. But 2 out of 3 people with type 1 diabetes don't check their blood sugar as often as recommended by the American Diabetes Association, according to a study of 44,181 people by researchers from California's Kaiser Permanente Medical Care Program. In a National Institutes of Health study of 1,480 people with type 2 diabetes, 24% of those who used insulin, 65% who used oral medications for diabetes, and 80% who controlled their blood sugar with diet and exercise said they tested their blood sugar less than once a month.

血糖檢測是控制糖尿病的有效工具。加利福尼亞凱沙常駐醫療計劃（Kaiser Permanente Medical Care Program）的研究人員對44181人進行了研究，研究表明：在1型糖尿病患者中，三分之二的人都不會根據美國糖尿病協會推薦的次數檢查血糖。在國家衛生研究院對1480名2型糖尿病患者的研究中，24%的患者使用胰島素，65%的患者服用口服藥物，80%的患者通過飲食和鍛鍊控制自己的血糖水平，但他們卻說自己不到一個月纔會檢測一次血糖。

The problem with that: Testing as recommended helps keep your daily and long-term glucose levels in better control. It helps you spot what's working and what's not working sooner, Dr. Rubin says.

該謊言存在的問題：按照推薦的次數檢查血糖能夠更好地控制每日及長期血糖水平。能讓你儘快瞭解什麼方法有用，什麼方法沒用，魯賓醫生說道。

If you have type 1, you may have to test 4 times a day - and up to 7 if you use an insulin pump, or give yourself three or more insulin shots daily or are pregnant. And type 2s should check as recommended by the doctor-you'll likely have to check more often if you use insulin, if your blood sugar isn't well-controlled or if you're pregnant, according to the American Diabetes Association. "

如果你是1型糖尿病患者，那你每天得檢查4次--如果你使用了胰島素泵或每天注射3次或3次以上的胰島素或懷孕，那你每天需要檢查7次。2型糖尿病患者應按照醫生推薦的次數進行檢查--如果使用胰島素或血糖沒有得到很好的控制或懷孕，那就得檢查更多次，美國糖尿病協會表示。

Lie #2: "I take all of my medications, all the time."

謊言二："我一直都吃藥的，每種藥都吃。"

Blame it on side effects, the price tag, inconvenience or a 'what, me worry?' attitude. In any case, about 20 to 40% of people with diabetes don't take blood sugar-controlling pills or injections the way their doctor prescribed them, according to experts from Johns Hopkins.

要怪就怪副作用、藥價高、不方便或"我爲什麼要擔心"的態度吧。Johns Hopkins的專家表示，不管是什麼情況，20%至40%的糖尿病患者都不服用醫生開給他們的控制血糖的藥物或注射劑。