摘要
目的:提高对糖尿病患者清晨高血糖的诊治.方法:对16例空腹血糖大于10mmoL/L的Ⅰ型糖尿病患者,进行0时至8时每小时从静脉保留导管采血,共9次,测血糖.结果:3例诊断为Somogyi现象(低血糖后高血糖),7例为黎明现象,6例为胰岛素用量不足.结论:Ⅰ型糖尿病病人治疗过程中出现高血糖常见原因有胰岛素用量不足,黎明现象和Somogyi现象,三者处理各异,应测午夜点血糖鉴别,给予合理的处理.
Objective: To enhance the diagnosis and treatment of the high glucose in the morning of the diabetic. Methods: 16 diabetes mellitus type I patients with fasting glucose above 10 mmol/ L were drawn blood for measuring glucose at each hour from 24 o'clock p.m. to 8 o' clock a.m. through an intravenous vessel. Rusults: Of the 16 cases, 3 showed somogyi phenomenon, 7 appeared dawn phenomenon and 6 were not given enough insulin. Conclusion: Insulin not given enough, the most common reasons of mellitus tpye I patient's high glucose were draw phenomenon phenomenon and somogyi phenomenon in treatment. They should be treated differently and testing midnight glucose might help us distinguish them.
出处
《河北职工医学院学报》
1999年第3期16-18,共3页
Journal of Hebei Medical College for Continuing Education
