20071208ADA的tip-糖尿病患者可以吃避孕药吗？

Question:
Is it safe for me to use birth control pills if I have diabetes?

问：糖尿病患者吃避孕药安全吗？

Answer:
Birth control pills appear to be safe for women with diabetes to take, and they are certainly safer than a pregnancy for which you are unprepared. There is controversy among diabetes specialists about the best form of birth control for women with diabetes. Under certain circumstances, estrogen containing birth control pills may affect blood glucose and blood cholesterol levels. For this reason, some physicians have not prescribed them for women with diabetes. Studies have shown, however, that blood glucose levels are no different in women who take birth control pills than in women who do not. Similarly, blood cholesterol and lipid levels are no different in women with diabetes who use birth control pills than in those who do not. There are other effective birth control methods, such as a diaphragm, that will not affect blood glucose at all. If you are concerned, talk to your health care team about which method of birth control will work best for you.

答：患有糖尿病的女士服用避孕药比较安全，肯定要比没有准备好就怀孕要安全的多。在糖尿病专家中关于如何避孕最好有一定争论。在一定的情况下，雌激素会会引起血糖和胆固醇升高，而避孕药里面就含有雌激素。因此，很多医生不给糖尿病患者开避孕药。但是研究表明，服用避孕药的糖尿病女士的血糖跟没有服用避孕药的并没有显著差异，同样，胆固醇和血脂也没有明显差异。除了避孕药之外还有别的避孕方式，例如避孕套，这种避孕方式肯定不会影响血糖水平。如果你对此问题比较关心，问一下你的医生看哪种避孕方式最适合你。


http://www.diabetes.org/tipoftheday.jsp?WTLPromo=HOME_tipoftheday

翻译很准确。

避孕套是应该是最值得推荐的方式。

楼主翻译得挺不错。
我觉得，文中个别句子楼主得翻译不太恰当，欢迎讨论。

Question:
Is it safe for me to use birth control pills if I have diabetes?

问：糖尿病患者吃避孕药安全吗？

Answer:

糖尿病患者使用避孕药看来是安全的，在预防计划外的怀孕则更加安全可靠。糖尿病专家对于患有DM妇女如何采取最佳方式避孕还存在争论。在一定的情况下，避孕药中的雌激素可能会影响血糖与血脂水平。
Birth control pills appear to be safe for women with diabetes to take, and they are certainly safer than a pregnancy for which you are unprepared. There is controversy among diabetes specialists about the best form of birth control for women with diabetes. Under certain circumstances, estrogen containing birth control pills may affect blood glucose and blood cholesterol levels.
还有其他有效的避孕方法，比如"（阴道）隔膜“（而非避孕套），这种方式根本不会影响血糖。（当然，采取避孕套也是很好的方式）。

There are other effective birth control methods, such as a diaphragm, that will not affect blood glucose at all.

[ 本帖最后由 平衡行者 于 2007-12-8 08:17 PM 编辑 ]

谢谢平衡的讨论，可是为什么你要翻译成“在预防计划外的怀孕则更加安全可靠”呢？我觉得这一句还是我的翻译比较合理啊，详细解释一下好吗，

以我自己的感觉来说，对于我们糖尿病人来说最好的避孕方法应该是避孕套，即安全又没有什么副作用，值得推荐！

本人的实践经验，避孕药对血糖的影响非常大，服用避孕药期间，我的胰岛素用量几乎是原来的1倍，避孕药的使用说明里面也写着会对血糖产生一定影响，所以一般糖尿病人都是不建议使用的。

哎呀~又学习了血糖知识~又学习了英语啊！