性价比 高 证据等级 A 换回:死亡率 花钱:少 耗时:少 需毅力:些

第 7 条 · 确诊糖尿病就去查一次眼底,之后按医生给的间隔查;每年查一次脚

要花什么

一次散瞳眼底检查几十到几百元。足部检查通常包含在门诊里,不另花钱。难在眼睛和脚都没不舒服的时候也要记着去查。

说人话

糖尿病伤到眼底、伤到脚,在坏到看不见、烂起来之前几乎没有感觉。早查出来还有得治。2 型糖尿病确诊当时就查一次散瞳眼底,1 型在发病 5 年后开始查。查过一两次没事、血糖也达标的,可以放宽到一两年一次。脚每年查一次。

能换回什么(收益)

糖尿病伤到眼底叫视网膜病变,伤到脚叫糖尿病足。这两样在出问题之前几乎没有感觉。早查出来还有得治。等到看不见或者脚烂起来,就晚了

原始来源

美国糖尿病学会 (2026). 糖尿病诊疗标准 2026·第 12 章 视网膜病变、神经病变与足部护理. Diabetes Care:「People with type 2 diabetes should have an initial dilated and comprehensive eye examination by an ophthalmologist or optometrist at the time of the diabetes diagnosis.」「Adults with type 1 diabetes should have an initial dilated and comprehensive eye examination by an ophthalmologist or optometrist 5 years after the onset of diabetes.」「If there is no evidence of retinopathy from one or more annual eye exams and glycemic indicators are within the goal range, then screening every 1–2 years may be considered.」「Perform a comprehensive foot evaluation at least annually to identify risk factors for ulcers and amputations.」https://doi.org/10.2337/dc26-S012