只喝疏菜湯(或只吃肉)不吃飯,酮酸中毒頻傳!

不吃飯,又傳出酮酸中毒事件!

據蘋果報導,高雄一名40多歲男子,自覺身體容易疲累,決定改以蔬菜湯為主食養生,吃了兩周,因身體不適掛急診,才發現已併發酮酸中毒,性命垂危。男子飲食清淡點吃了兩周疲累情況沒改善,臉與腿胖了起來,體重增加五公斤,同時覺得胸悶、會喘,因此到高醫急診。

醫師指出男子有腎臟病不自知,養生期間只吃蔬菜,完全沒碰澱粉等其他食物身體無法產生葡萄糖當熱量(大腦需要葡萄萄),只好轉換體內脂肪成酮體成為熱量來源,致使血液中酮體過高、引發酮酸中毒,再晚點就醫,可能併發多重器官衰竭喪命。

高醫附設醫院腎臟內科主治醫師林麗玫表示:醫界以往收治因飲食導致酮酸中毒案例,多是只吃肉的斷醣飲食,例如「阿金減肥法」。林麗玫表示男子是因胸悶、喘就醫,經檢查男子下肢浮腫,還有腎病變、高血鉀、酮酸中毒病況,隨即為男子安排洗腎療程。

林麗玫說,人體主要能量來自葡萄糖,在葡萄糖充足時,身體會先燃燒葡萄產生熱量,再把多餘葡萄糖轉換成脂肪等儲存起來。男子完全不吃澱粉,血液中葡萄糖降低,在肝醣也消耗光後,人體會逼迫體內脂肪轉換成酮體,由酮體替代葡萄糖做為產生能量來源。

林麗玫指出腎病患者需限制鉀攝取量,男子在不知有腎病情況下,大量吃蔬菜,也引發高血鉀症,造成心跳不規律,也因腎病變水腫,因此才會臉腫腿腫虛胖五公斤。

林口長庚醫院臨床毒物科主任、腎臟專科醫師顏宗海表示:腎病患者飲食,要少油、少鹽、少鉀、低蛋白,但也不可完全偏廢某種營養,例如像男子完全不吃澱粉,反而引發酮酸中毒,是有可能致命的。

只以肉類等蛋白質取代澱粉,有可能導致會酮酸中毒

國泰診所營養師張斯蘭接受建議大家減重還是要適量攝取白飯,大約一個拳頭大,約80公克左右,適當攝取白飯量才能瘦得健康。

國人流行利用「限醣飲食減重法」減重讓體重快速下降,選擇不吃澱粉,同時限制糖分攝取量,但醫生提醒,長期缺乏澱粉碳水化合物,容易引起酮酸中毒,以及慢性疾病

減少攝取澱粉碳水化合物,目的是的強迫身體脂肪的燃燒,長期減少醣類攝取也會對身體有傷害,更可能造成酮酸中毒,導致肝腎機能受損。若時間超過3個月,傷害可能會更大,甚至易導致心血管疾病,或慢性疾病產生。若每餐均以水果、青菜代替澱粉,體重會明顯下降,但患者多常會自覺免疫力下降、常常感冒、易疲倦、肚子脹氣、四肢冰冷,或月經延後的情形。

▲推薦文:利用肌肉量和基礎代謝率減肥|完成一件事就可以擁有「易瘦體質」

 ▲推薦文:生酮飲食減重又稱「限醣飲食減重法」強調高脂肪攝取…..

 


Q:什麼是糖尿病酮酸中毒?

無糖尿病或是高血糖病史,喝酒過量也會酮酸中毒(ketoacidosis)

糖尿病酮酸中毒,DKA全名:Diabetic Ketoacidosis
酮酸中毒(ketoacidosis)不等於糖尿病酮酸中毒(DKA),

繼續閱讀

台灣高達65%第I型糖尿病患,曾併發酮酸中毒,糖尿病患引發酮酸中毒 死亡率約5~10%。繼續閱讀

 

Wise Library 1985

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