摘要
目的:探讨阿卡波糖联合胰岛素治疗老年2型糖尿病血糖控制不佳者的临床疗效。方法:收治老年2型糖尿病血糖控制不佳患者70例,对单用阿卡波糖、单用长效胰岛素者或单用预混胰岛素血糖控制不佳的患者采用阿卡波糖联合胰岛素治疗,对其诊治情况进行回顾性分析。结果:治疗后与治疗前相比,FBG、2 h PG水平均明显降低;患者的血糖达标时间明显缩短;胰岛素使用的剂量明显减少,差异均有统计学意义(P<0.05)。阿卡波糖联合长效胰岛素患者低血糖的发生率10.3%,较阿卡波糖联合预混胰岛素者的24.3%明显降低,差异有统计学意义(P<0.05)。结论:阿卡波糖联合胰岛素治疗老年2型糖尿病血糖控制不佳的患者具有良好效果。
Objective:To evaluate the clinical efficacy of acarbose combined with insulin in the treatment of elderly type 2diabetes with poor glycemic control.Methods:70 elderly type 2 diabetes with poor glycemic control were selected. We treatedpatients with acarbose combined with insulin who were treated by single acarbose,single use of long-acting insulin or single use ofpre-mixed insulin and blood glucose control poor before.We retrospectively analyzed the diagnosis and treatment of it.Results:After treatment,the levels of FBG and 2 hPBG were significantly lower;the time when the goal of blood glucose control arrived wassignificantly shortened;the dose of insulin was significantly reduced compared with before the treatment;the differences werestatistically significant(P<0.05). the incidence of hypoglycemia of acarbose combined with long-acting insulin was 10.3%,whichwas lower than 24.3% of acarbose combined with pre-mixed insulin,and the difference was statistically significant(P<0.05).Conclusion:Acarbose combined with insulin in the treatment of elderly type 2 diabetic patients with poor glycemic control has agood effect.
作者
陆涛
张黔丽
Lu Tao;Zhang Qianli(The People's Hospital of Qiannan 558000)
出处
《中国社区医师》
2016年第12期38-39,共2页
Chinese Community Doctors
关键词
阿卡波糖
胰岛素
老年
2
型糖尿病
Acarbose
Insulin
Elderly
Type 2 diabetes mellitus
