只需贴在足底，不用口服药物就能轻松控制血糖，在网络上大做宣传的“化糖贴”以其宣称的具有强大的功效而受到关注。那么——“化糖贴”真的有效吗？

Just stick on foot,Don't oral drug will easily be able to control blood sugar,On the network big do propaganda"Change sugar paste"With its claim has strong effect and attention.So --"Change sugar paste"Really effective??

　　据国际糖尿病联盟数据显示，2010年糖尿病患者已达2.85亿，估计到2030年全球将有近5亿人患糖尿病。而亚洲包括中国在内的发展中国家已经成为糖尿病的重灾区。在我国，20岁以上的成年人中，年龄标化的糖尿病患病率达9.7%，糖尿病前期比例高达15.5%。不少人为了治疗糖尿病，寻找起了新的“灵丹妙药”。市场上，各种名为“化糖贴”的药物一时间火爆了起来。

According to the international diabetes federation data display,In 2010 patients with diabetes has reached 285 million,Estimates that by 2030, the world will have nearly 500 million developed diabetes.While Asian developing countries including China has become a major disaster area of diabetes.In our country,20 years old adults,Age of standardized the prealence of diabetes up to 9.7%,Pre-diabetes rates as high as 15.5%.Many people in order to treat diabetes,Looking for the new"panacea".market,Various called"Change sugar paste"Drug time hot up.

　　网上广告漏洞百出 Online advertising loopholes

　　笔者在网上搜索“化糖贴”的有关内容，发现竟多达二十多万条，其中一个很火的“化糖贴”广告网页上介绍，“化糖贴”是一种贴在足底的药物足贴。“化糖贴贴敷涌泉穴，独有的经穴传感技术，可以让贴剂中的有效成分药力提升1000倍，在远红外作用下，打通肾经，疏通全身经络，加速血液循环与自身代谢，清除细胞表面的毒素垃圾，激活修复受损的细胞胰岛素受体，使胰岛素能够顺利与受体结合，打通葡萄糖进入细胞的大门，从而恢复人体化糖本能，从根本上平稳血糖。”

The author search on the net"Change sugar paste"The relevant contents of the,As many as twenty found that more than ten thousand a,One of the very fire"Change sugar paste"Advertising on the web page is introduced,"Change sugar paste"Is a stick in the thenar drug medicament."Turn sugar paste paste apply yongquan cave,Unique meridian sensing technology,Can let the effective composition patch it 1000 times ascension,Under the action of the far infrared,Through the kidney,Dredge meridian body,Accelerate the blood circulation and metabolism of itself,Clear cell surface of toxins garbage,Activate repair the damaged cell insulin receptor,Make insulin to be able smoothly and receptors,Through glucose into the cells of the gate,So as to restore the human body change sugar instinct,Fundamentally stable blood sugar."

　　对于此种说法，果壳网达人、大连医科大学消化内科硕士君玉琅表示完全不赞同。“商家阐述的这个药物作用机制就是个‘大乱炖’。”他解释说，其中既出现了穴位、经络，又出现了远红外、血液循环、代谢、细胞、胰岛素、受体。既出现了西医，又出现了中医。而“中西医完全是两个系统，学医的人都知道，根本就相互不通，不能互相解释的”。

For this kind of view,Fruit shell WangDa people/Dalian medical university digestive medicine master king jade wares said fully disapprove of."Merchants set forth the drug effect mechanism is a‘Stew in’."He explained that,Among them is appeared acupuncture point/meridian,Again appeared far infrared/Blood circulation/metabolism/cell/insulin/receptor.Both appeared in western medicine,Again the doctor of traditional Chinese medicine.and"Traditional Chinese and western medicine is completely two system,The person all know,,There is mutual impassability,Can't explain to each other".

　　另外，他还表示，这段阐释中漏洞百出。“‘细胞表面毒素’，这根本就是无稽之谈！有任何一点专业知识的人，都不会说出这种滑稽的词汇。”

In addition,He also said,This period in the interpretation of loopholes."‘Cell surface toxins’,This is fundamentally pigs might fly!Any professional knowledge,Never say such a funny vocabulary."

　　南方医科大学南方医院内分泌代谢科副教授、副主任医师周琳表示，宣传中提到的“可以修复受损细胞胰岛素受体”是没有根据的。“糖尿病患者本身皮肤的吸收能力和修复能力比较差，贴在脚上根本起不到调理血糖的作用。”

Southern medical university hospital endocrine metabolism, an associate professor at the department/Deputy chief physician ZhouLin said,Propaganda mentioned"Can repair the damaged cell insulin receptor"There is no basis."Patients with diabetes itself skin absorption ability and repair capability is relatively poor,Stick on the foot fundamental up less than regulate blood sugar role."

　　今年5月，香港消费者委员会接到投诉，有消费者使用了内地一款名为“化糖贴”的足底贴后皮肤严重过敏、足部变红、脱皮及瘙痒。

In may this year,Hong Kong consumer council received complaints,Consumer use the mainland one named"Change sugar paste"Stick the plantar skin after severe allergies/Foot red/Peeling and itching.

　　对此，周琳表示：“这是因为糖尿病人脚部感觉较弱，若不当使用，有可能引起皮肤及软组织会破溃，建议糖尿病人谨慎应用。”

this,ZhouLin said:"This is because people with diabetes foot feeling weak,If the improper use,May cause skin and soft tissue will burst,Suggest people with diabetes care application."

　　君玉琅解释说：“因为糖尿病患者的并发症之一就是外周神经病变，症状之一就是感觉减退。所以，如果糖尿病患者使用了这种贴剂而起了水泡之类的过敏反应，患者自己是很可能感觉迟钝一些的，到时候可能会引起较正常人更严重的后果。而糖尿病患者如果发生组织损伤、外伤等，伤口是很容易感染而且愈合也会减慢的，甚至严重可能导致截肢、全身中毒等情况。”

Jun wares jade explained:"Because diabetes is one of the complications of peripheral neuropathy,One of symptoms is hypesthesia.so,If diabetes patients use the patches and get blisters and so on allergic reaction,The patient's own is very may feel dull some,There may cause a normal person more serious consequences.In diabetics in the event of tissue damage/Trauma, etc,The wound is vulnerable to infection and healing will slow down the,And even serious may lead to amputation/Systemic poisoning, etc."

常规药物最靠谱 The conventional drugs by spectrum

　　网上“化糖贴”的宣传中，有一段令当前很多靠口服药物维持血糖的糖尿病患者触目惊心的文字：“糖尿病患者的特点就是长期服用消渴、降糖药，肝、肾、胃肠等经过多年药物腐蚀备受伤害，这就是大多数糖尿病患者药越吃越多，病越治越多的原因。长期吃药，不仅使性功能减退、末梢神经遭到破坏、视力减退，同时出现心脑血管等多种并发症。”

online"Change sugar paste"Propaganda,,There is a lot to the current on oral drug maintain blood sugar diabetes deceived text:"The characteristics of patients with diabetes is long-term insomnia take/diabetes,liver/renal/Gastrointestinal etc after years of drugs is corrosion damage,This is the most people with diabetes medicine eat more more,The more the more reason for disease.Take medicine for a long time,Not only make sexual function decline/Peripheral nerve damage/Ision loss,At the same time appear cerebrovascular and so on the many kinds of complications."

　　对此，君玉琅表示：“这种说法是没有科学道理的‘忽悠’。”他解释说，绝大多数药物都要通过肝肾代谢，所以吃药是不可避免的产生肝肾损伤的。而“越吃越多”的说法是没有根据的，良好的用药、控制饮食，是可以控制糖尿病的病情的，出现“越吃越多”、“越来药物越高级”的情况，大多都是没有控制好病情，或者用药、饮食不合理，导致病情发生变化。而“长期吃药导致性功能减退、末梢神经遭到破坏、视力减退，同时出现心脑血管等多种并发症”，这完全是无稽之谈，这些都是糖尿病的典型并发症，是糖尿病基础病变导致的，跟控制糖尿病的药物不仅没有关系，降糖药物反而有一定预防并发症的作用。

this,Jun jade wares said:"This kind of view is that there is no scientific reason‘flicker’."He explained that,The vast majority of drugs will be through the hepatorenal metabolism,So take the medicine is inevitable produce liver and kidney damage.and"Eat more more more"There is no basis,Good medicine/Control diet,Is diabetes can control the illness,appear"Eat more more more"/"The drug to the senior"situation,Mostly is no good control condition,Or drug/Diet is not reasonable,Lead to illness change.and"Long-term take medicine leads to sexual function decline/Peripheral nerve damage/Ision loss,At the same time appear cerebrovascular and so on the many kinds of complications",This is totally nonsense,These are typical complications of diabetes,Is diabetes foundation in the lesions,With controlling diabetes drug not only no relationship,Oral glucose-lowering drugs but have a certain role to prevent complications.

　　周琳表示：“出现多种并发症并不是服药造成的，而是病人的血糖长期没控制好。当然，还有血压、血脂等也要控制好。”

ZhouLin said:"Appear a variety of complications is not caused by medicine,But the patient's blood sugar long-term didn't control.Of course,And blood pressure/Blood fat and so on also to have a good control."

　　对于被世界卫生组织列为三大疑难杂症之一的糖尿病，君玉琅表示，目前主流的治疗糖尿病的方案只有三种：“就是控制饮食和适当口服降糖药以及注射胰岛素。”

To be the world health organization listed as one of the three major difficult-disease diabetes,Jun jade wares said,At present the mainstream in the treatment of diabetes scheme only three:"Is the control diet and appropriate oral medicines and insulin injections."

　　周琳表示，目前医学上减少或延缓糖尿病并发症的有效途径一定是控制好血糖、血压、血脂、抗凝等综合措施。

ZhouLin said,On medicine at present to reduce or delay diabetes complication effective way must be good control of blood sugar/Blood pressure/Blood fat/Such as anticoagulant comprehensive measures.

监管还需加强 Still need to strengthen supervision

　　“化糖贴”的药理漏洞百出，而对于其药品本身的资质，也有不少人提出了疑问。君玉琅说，网上宣传到底有效无效，需要拿出大样本多中心的临床证据，随机双盲对照试验等证据。

"Change sugar paste"Pharmacological loopholes,For the drug itself qualifications,There are many people put forward question.Jun wares jade said,Online publicity exactly effective invalid,Need to get out a large sample of multicenter clinical evidence,A double-blind randomized controlled trials and evidence.

　　搜索销售“化糖贴”的网站，在其中一些网站上，有的展示了自己药品的各种资质认证证书，有的采用医院的临床验证证明。然而这些药品GMP证书、药品生产许可证的图片模糊无法识别上面的内容。点击图片无法放大，使人根本无法根据其编号证实其真实性。

Search sales"Change sugar paste"website,In some of the web site,Some demonstrated his drug various qualifications authentication certificate,Some use of hospital clinical verification proof.However, the drug GMP certificate/Pharmaceutical production license image fuzzy cannot identify the contents of the above.Click on image to can't amplification,Make the person cannot according to its Numbers confirm its authenticity.

　　尽管网上销售的“化糖贴”产品资质认证和临床试验的真实性受到了质疑，但“化糖贴”产品网上销售的宣传广告还是肆无忌惮。同时在市场上却没有该种产品销售，原来该种产品已经受到了各个药监部门的关注。

Although online sales"Change sugar paste"Product qualification certification and clinical trials by the question of authenticity,but"Change sugar paste"Products online marketing advertisement or without scruple.At the same time in the market but have not the product sales,Originally the product have been various also the attention of departments.

　　早在2010年4月16日，国家食品药品监督管理局发布《关于发布2010年第一期违法药品、医疗器械、保健食品广告公告汇总的通知》，其中就包括“化糖贴”，表示“广告含有利用患者名义作证明，不科学地表示功效的断言和保证等内容，严重欺骗和误导消费者”。此后，湖南、湖北、河北、山西等地也先后将其违规行为曝光。而在今年5月，北京、江西省食品药品监督管理局又一次对盛世临红外保健系列贴-Ⅰ型(商品名为化糖贴)、降糖清毒贴等严重违法医疗器械进行暂停销售。实习生 王铮

In early April 16, 2010,Issued by the state food and drug administration[About the release in 2010 the first phase of illegal drugs/Medical devices/Health food advertising announcement summary notice],including"Change sugar paste",said"Advertising contain patients using nominal as evidence,Don't science that efficacy of assertion and guarantee, etc,Serious deceive and mislead consumers".Since then,hunan/hubei/hebei/Shanxi, also has its violations exposure.In may this year,Beijing/Jiangxi food and drug administration ChengShiLin again for infrared health series stick - Ⅰ type(Commodity name change sugar paste)/Oral glucose-lowering poison cleansing and pasted on serious illegal medical equipment suspended sales.Interns WangZheng