Name: 【TED】肥胖隱藏的更大危機(Is the obesity crisis hiding a bigger problem?)
Uploaded: 2014-07-22T12:00:01.000Z
Duration: 16 min 16 s

I got paged by the E.R. around 2 in the morning

大約淩晨兩點左右我被急診室叫去

to come and see a woman with a diabetic ulcer

看一位女病人她得了因糖尿病而引起的

I can still remember sort of that smell of rotting flesh

我至今還能記得聞到的那種肉類腐爛的味道

And everybody there agreed this woman was very sick

The question that was being asked of me was a different one,

which was, did she also need an amputation?

I'd love so desperately to believe that I treated that woman

我很後悔那天夜裡面對那位女士時

on that night with the same empathy and compassion

心中沒有帶著同樣的同情與悲憫

who came to the E.R. three nights earlier

that turned out to be advanced pancreatic cancer.

In her case, I knew there was nothing I could do

that was actually going to save her life.

I could do anything possible to make her stay

more comfortable. I brought her a warm blanket

舒服一點的事情 我幫她找了條毛毯

But more importantly, see, I passed no judgment on her,

更重要的是，我一點也不覺得這姑娘有錯

So why was it that, just a few nights later,

as I stood in that same E.R. and determined

當我站在同一個急救室並且決定

that my diabetic patient did indeed need an amputation,

我的這位元糖尿病病人需要截肢手術時

why did I hold her in such bitter contempt?

You see, unlike the woman the night before,

And we all know that's from eating too much

無節制的飲食和缺乏運動，對吧？

我的意思是，節食和運動很難嗎？

As I looked down at her in the bed, I thought to myself,

if you just tried caring even a little bit,

哪怕你稍微注意一點兒自己的身體

you wouldn't be in this situation at this moment

為什麼當時我能心安理得的責備她呢？

我自以為是的覺得她肯定就是我想到那樣。

她得了糖尿病，基本就是這個情況。

immune-based therapies for melanoma, to be specific,

黑色素瘤的細胞免疫力療法，具體來說

and in that world I was actually taught to question everything,

在那個領域裡，我被教著去質疑一切

and hold them to the highest possible scientific standards.

並且在研究中嚴格遵守最高的科研準則。

Yet when it came to a disease like diabetes

that kills Americans eight times more frequently than melanoma,

這種致死幾率高於黑色素瘤八倍的疾病時候

I never once questioned the conventional wisdom.

I actually just assumed the pathologic sequence of events

我當時真的認為糖尿病的發病機理

Three years later, I found out how wrong I was.

Despite exercising three or four hours every single day,

and following the food pyramid to the letter,

I'd gained a lot of weight and developed something

You can think of insulin as this master hormone

你們可以把胰島素想像成一種荷爾蒙

that controls what our body does with the foods we eat,

它能控制我們的身體對攝入的食物做出反應

This is called fuel partitioning in the lingo.

Now failure to produce enough insulin is incompatible with life.

And insulin resistance, as its name suggests,

胰島素抵抗，就像字面上意思一樣

is when your cells get increasingly resistant

意味著你的細胞變得越來越不受

to the effect of insulin trying to do its job.

can't keep up with the resistance and make enough insulin.

Now your blood sugar levels start to rise,

and an entire cascade of pathologic events

sort of spirals out of control that can lead to heart disease,

會突然爆發並且可能導致心臟病

and amputations, just like that woman a few years earlier.

或者截肢，就像幾年前的那位女士一樣

With that scare, I got busy changing my diet radically,

adding and subtracting things most of you would find

做了一些的改變得益於新的食譜

I did this and lost 40 pounds, weirdly while exercising less.

儘管我鍛煉得少了，我還是減掉了40磅

I, as you can see, I guess I'm not overweight anymore.

你們可以看到，我現在沒有超重

More importantly, I don't have insulin resistance.

更重要的是，我沒有胰島素抵抗症了

with these three burning questions that wouldn't go away:

How did this happen to me if I was supposedly

字幕列表影片播放

【TED】肥胖隱藏的更大危機(Is the obesity crisis hiding a bigger problem?)

disease

epidemic

effect

diabetes