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初诊治疗方案不同的2型糖尿病患者5年后的疗效评估 被引量:1

Evaluation on Glycemic Control 5 Years Later to Newly Diagnosed Type 2 Diabetes Mellitus with Different Initial Treatments
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摘要 目的探讨糖尿病初诊时胰岛素强化治疗后5年的疗效。方法根据是否采用胰岛素强化治疗将42例初诊2型糖尿病分为胰岛素强化治疗组(22例)和普通治疗组(20例),5年后对两组患者用药及相关情况进行评估。结果5年后胰岛素强化治疗组血糖达标及并发症控制均优于普通治疗组,糖化血红蛋白≥8.6%者再次进行胰岛素强化治疗其剂量小于普通治疗组。结论早期胰岛素强化治疗有利于控制血糖,同时可阻止并发症发生。 Objective To investigate the efficacy of intensive insulin treatment for newly diagnosed type 2 diabetes mellitus (T2DM) 5 years after the initial treatment. Methods 42 newly diagnosed T2DM patients 5 years ago were divided into two groups according to their primary treatment protocols (22 in intensive insulin treatment group and 20 in conventional treatment group), and the glycemic control was investigated. Results Patients in the intensive treatment group had better glycemic control and fewer hyperglycaemia associated complications than patients without early intensive insulin treatment, and they needed lower insulin dosage when glycosylated hemoglobin Alc (HbA1 c)≥ 8.6%. Conclusion Early application of intensive insulin treatment for type 2 diabetes mellitus could be advantageous to long - time glycemic control and prevent hyperglycaemia associated complications.
作者 叶曦 陈晓文
出处 《医学新知》 CAS 2009年第4期215-217,共3页 New Medicine
关键词 初诊治疗方案 2型糖尿病 5年后评估 treatment protocols in initiation type 2 diabetes mellitus evaluation after 5 years
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