本集特別邀請到 台中榮民總醫院 婦產科暨婦女泌尿專科醫師——謝筱芸醫師，一起深入探討糖尿病對女性骨盆健康的影響。
許多糖尿病女性常出現頻尿、急尿、漏尿或反覆泌尿道感染，這些症狀究竟是來自血糖控制不良、神經病變，還是骨盆底功能障礙？本集從臨床實務出發，說明常見泌尿症狀的鑑別診斷重點，並分享婦女泌尿科醫師如何與骨盆復健、內科新陳代謝科及家醫科跨團隊合作，協助病患在藥物治療與生活調整之間取得平衡。
節目也特別談到：雖然部分排糖藥物可能增加泌尿道感染風險，但血糖控制不良對泌尿與骨盆健康的影響更為關鍵。如何在診斷、治療與提升病患遵醫囑性之間取得臨床平衡，是照顧糖尿病女性不可忽視的一環。
🎧 本集重點段落
02:15 糖尿病對女性骨盆器官與功能的影響
05:50 糖尿病相關泌尿症狀 vs. 骨盆底功能障礙的鑑別診斷
12:30 跨團隊合作：與新陳代謝科、家醫科共同協助血糖控制
17:30 治療策略的平衡點：如何提升病患遵醫囑性
下一集： 我們將深入探討更年期婦女的陰道健康保養，請不要錯過!
In this episode, we are joined by Dr. Hsiao-Yun Hsieh, an obstetrician-gynecologist and urogynecology specialist from Taichung Veterans General Hospital, to discuss the impact of diabetes on female pelvic health.
Women with diabetes commonly experience lower urinary tract symptoms such as urinary frequency, urgency, incontinence, and recurrent urinary tract infections. These symptoms may result from poor glycemic control, diabetic neuropathy, pelvic floor dysfunction—or a combination of all three. In this conversation, we focus on clinical reasoning and differential diagnosis, helping clinicians better distinguish diabetes-related urinary symptoms from pelvic floor disorders.
We also explore the importance of interdisciplinary collaboration among urogynecology, pelvic rehabilitation, endocrinology, and family medicine in supporting optimal glycemic control and improving patient outcomes. While certain glucose-lowering medications may increase the risk of urinary tract infections, this episode emphasizes that poorly controlled blood glucose remains the most significant contributor to urinary and pelvic symptoms.
Finally, we discuss how clinicians can strike a balance between diagnosis, treatment strategies, and patient adherence—an essential component of long-term diabetes and pelvic health management.
⏱️ Episode Chapters
02:15 Effects of diabetes on female pelvic organs and function
05:50 Differentiating diabetes-related urinary symptoms from pelvic floor dysfunction
12:30 Interdisciplinary care: collaborating with endocrinology and family medicine
17:30 Finding the clinical balance between treatment strategies and patient adherence
🔜 Coming Up Next
Next episode: We will shift our focus to vaginal health in menopausal women, discussing evidence-based strategies for maintaining vaginal tissue health, managing genitourinary symptoms of menopause (GSM), and integrating medical and rehabilitative care across the lifespan.
