Imagine you’re a doctor. You look at your chart and you see that your next patient has Type 2 diabetes, high blood pressure, and high cholesterol.
假设你是个医生,正在看图表,而此时你看到下一个病人得了二型糖尿病,还有高血压和高胆固醇等症状。
You expect before going into the examination room that you’re going to have to discuss how to live with diabetes. Discuss ways to integrate a healthy diet and weight loss routine into the patient’s lifestyle.
在进入检查室之前,你还在期望和你的病人谈谈怎样对付糖尿病,日常生活中如何健康饮食,怎样减肥等等。
When you enter the room, the patient is different than you expected. She is 5’7″ and only 120 lbs. To look at her, no one would guess that she has all these illnesses commonly associated with obesity.
What the theoretical patient has is called lipodystrophy. Lipodystrophy is a genetic condition where a person has an abnormal lack of fatty tissues. Someone with this condition may say they feel hungry all the time. She might be able to eat endlessly and not appear to gain any weight.
For obese patients who have those symptoms, they occur because their fatty tissue is already storing fat. Initially, a patient will keep gaining weight, but when their fatty tissue reaches its limits, the body attempts to find new locations the new fat.
So the fat goes to place like the liver, heart, and pancreas. The above symptoms like Type 2 diabetes, high cholesterol, and high blood pressure then occur.
所以此时脂肪就会堆积到肝脏,心脏,胰腺等位置,然后二型糖尿性,高胆固醇,高血压等病症随即出现。
For lipodystrophy patients, the same process occurs. Because they don’t have enough fatty tissues to begin with, any excess food they eat can turn into fat that rushes straight to places such as the heart and liver.