强化血糖控制对糖尿病患者第一时相胰岛素分泌的影响(1)
[摘要] 目的 探讨门冬胰岛素30注射液联合磷酸西格列汀片强化治疗对新诊断的糖尿病患者第一时相胰岛素分泌功能的影响。 方法 选择2012年12月~2014年4月在珠海市人民医院确诊的新诊断的2型糖尿病患者46例。给予磷酸西格列汀片与门冬胰岛素30注射液强化治疗2周。在强化治疗前、后接受静脉葡萄糖耐量试验(IVGTT)并比较治疗前后血糖、胰岛素第一时相分泌、胰岛素抵抗指数(HOMA-IR)变化。 结果 与治疗前比较,强化治疗2周后空腹血糖、餐后2 h血糖降低(P < 0.05),C肽及胰岛素第一时相分泌提高(P < 0.05),HOMA-IR指数降低(P < 0.05)。 结论 联合磷酸西格列汀片与门冬胰岛素30注射液强化治疗可改善新诊断的2型糖尿病患者第一时相胰岛素分泌功能及胰岛素敏感性。
[关键词] 胰岛素强化治疗;糖尿病;磷酸西格列汀;门冬胰岛素30;第一时相胰岛素分泌
[中图分类号] R587.1 [文献标识码] A [文章编号] 1673-7210(2016)06(c)-0076-04
[Abstract] Objective To evaluate the influence of Sitagliptin phosphate combined with insulin BIAsp30 intensive therapy on first-phase insulin secretion of patients with newly diagnosed type 2 diabetics. Methods Forty-six patients with newly diagnosed type 2 diabetes from December 2012 to April 2014 in Zhuhai People's Hospital were recruited. They were treated with Sitagliptin phosphate combined with BIAsp30 for 2 weeks. Intravenous glucose tolerance tests (IVGTT) were performed before and after the treatment. The first-phase insulin secretion ......
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[关键词] 胰岛素强化治疗;糖尿病;磷酸西格列汀;门冬胰岛素30;第一时相胰岛素分泌
[中图分类号] R587.1 [文献标识码] A [文章编号] 1673-7210(2016)06(c)-0076-04
[Abstract] Objective To evaluate the influence of Sitagliptin phosphate combined with insulin BIAsp30 intensive therapy on first-phase insulin secretion of patients with newly diagnosed type 2 diabetics. Methods Forty-six patients with newly diagnosed type 2 diabetes from December 2012 to April 2014 in Zhuhai People's Hospital were recruited. They were treated with Sitagliptin phosphate combined with BIAsp30 for 2 weeks. Intravenous glucose tolerance tests (IVGTT) were performed before and after the treatment. The first-phase insulin secretion ......
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