糖尿病患者永远都不该对医生撒这些谎

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."

回答医生问题时撒点善意的谎言会造成多大的伤害呢？事实上，如果你患有糖尿病，善意的谎言会反过来折磨你。"有时候，病人不会告诉医生真相，"《糖尿病傻瓜指南》《傻瓜都能看懂的1型糖尿病》和"傻瓜"系列的其它健康书籍的作者、内分泌学家艾伦·L·鲁宾医学博士说道。"也许你是希望医生喜欢你，又或者你害怕他/她责骂你。你害怕被人说三道四。但如果不说实话，你的糖尿病症状会更加严重。"

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

下列常见的谎言可能会扰乱你的血糖和健康：

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

谎言一："我定期检查血糖。"

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.

血糖检测是控制糖尿病的有效工具。加利福尼亚凯沙常驻医疗计划（Kaiser Permanente Medical Care Program）的研究人员对44181人进行了研究，研究表明：在1型糖尿病患者中，三分之二的人都不会根据美国糖尿病协会推荐的次数检查血糖。在国家卫生研究院对1480名2型糖尿病患者的研究中，24%的患者使用胰岛素，65%的患者服用口服药物，80%的患者通过饮食和锻炼控制自己的血糖水平，但他们却说自己不到一个月才会检测一次血糖。

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.

该谎言存在的问题：按照推荐的次数检查血糖能够更好地控制每日及长期血糖水平。能让你尽快了解什么方法有用，什么方法没用，鲁宾医生说道。

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，那你每天得检查4次--如果你使用了胰岛素泵或每天注射3次或3次以上的胰岛素或怀孕，那你每天需要检查7次。2型糖尿病患者应按照医生推荐的次数进行检查--如果使用胰岛素或血糖没有得到很好的控制或怀孕，那就得检查更多次，美国糖尿病协会表示。

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

谎言二："我一直都吃药的，每种药都吃。"

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、药价高、不方便或"我为什么要担心"的态度吧。Johns Hopkins的专家表示，不管是什么情况，20%至40%的糖尿病患者都不服用医生开给他们的控制血糖的药物或注射剂。