期刊文献+

地特胰岛素对初治2型糖尿病的疗效观察 被引量:3

下载PDF
导出
摘要 目的观察地特胰岛素对初治2型糖尿病的有效性、安全性。方法初诊2型糖尿病患者120例,按住院号单双分为治疗组62例和对照组58例。治疗组3餐前皮下注射门冬胰岛素,睡前皮下注射地特胰岛素;对照组3餐前皮下注射门冬胰岛素,睡前皮下注射鱼精蛋白锌胰岛素。两组均治疗12周。结果治疗组血糖达控制目标时间为(7.9±2.6)d,短于对照组的(8.8±1.9)d(P<0.05);治疗组胰岛素日剂量为(37.5±6.5)IU,少于对照组的(40.5±1.6)IU(P<0.05);治疗后两组空腹血糖(FBG)、餐后2 h血糖(PBG)及糖化血红蛋白(HbA1c)水平均较治疗前明显降低(P<0.05),但治疗后两组FPG、PBG及HbA1c水平比较差异无统计学意义(P>0.05)。治疗前两组患者体质量比较差异无统计学意义(P>0.05),治疗后对照组体质量增加较治疗前明显(P<0.05);治疗组治疗前后体质量比较差异无统计学意义(P>0.05)。治疗组不良反应发生率为3.23%(2/62)低于对照组的13.79%(8/58)(P<0.05)。结论地特胰岛素治疗新诊断2型糖尿病患者具有使用方便、有效控制血糖、低血糖发生率低、体质量增加少。
出处 《广西医学》 CAS 2013年第2期193-195,共3页 Guangxi Medical Journal
  • 相关文献

参考文献12

  • 1Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China [ J 1- N Engl J Med, 2010,362 (12):1 090-1 101. 被引量:1
  • 2中华医学会糖尿病学分会.中国2型糖尿病防治指南[M].北京:北京大学医学出版社,2011:15-16. 被引量:119
  • 3谢云,陈家伟.代谢记忆效应--连接代谢水平与糖尿病血管并发症的桥梁[J].中国糖尿病杂志,2009,17(3):166-168. 被引量:26
  • 4Botas P, Delqado E, Castano G, et al. Comparison of the diag- nostic criteria for diabetes mellitus,WHO-1985,ADA-1997 and WH0-1999 in the adult population of Asturiaa (Spain) [ J ]. Diabet Med,2003,20(11) :904 -908. 被引量:1
  • 5陈灏珠,林果为.实用内科学[M].第13版.北京:人民卫生出版社,2009:2005-2011. 被引量:449
  • 6潘长玉.JOSLIN糖尿病学[M].第14版.北京:人民卫生出版社,2007.702. 被引量:10
  • 7李光伟,宁光,周智广.2型糖尿病早期胰岛素强化治疗改善胰岛β细胞功能——是现实还是梦想?[J].中华内分泌代谢杂志,2006,22(4):309-312. 被引量:223
  • 8Weng JP,Li Y,Xu W,et al. Effect of intensive insulin therapy on β-cell time'don and glycaemic control in patients with newly diagnosed type 2 diabetes:a mnlficentre randomised parallel- group trial[J].Lanncet,2008,371 (9 626) :1 753 -1 760. 被引量:1
  • 9Raslova K,Bogoev M,Raz I,et al. Insulin detemir and insulin aspart: a promising basal-bolus regimen for type 2 diabetes [J]. Diabetes Res Clin Prac,2004,6(6) :193 -201. 被引量:1
  • 10Sreenan S, Virkamaki A, Zhang K, et al. Switching from NPH insulin to on-cedaily insulin detemir in basal-bolus- treated patients with diabetes mellitus:data from the Euro- pean cohort of the PREDICTIVE study [ J ]. Int J Clin Pract, 2008,62(12) :1 971 -1 980. 被引量:1

二级参考文献47

  • 1滕香宇.新型胰岛素类似物的研究进展[J].世界临床药物,2004,25(12):714-717. 被引量:17
  • 2Erol Cerasi.胰岛素生成,胰岛素分泌及2型糖尿病:问题的核心在于β细胞(英文)[J].中华内分泌代谢杂志,2005,21(3):194-198. 被引量:86
  • 3The Diabetes Control and Complications Trial Research Group.The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus.N Engl J Med,1993,329:977-986. 被引量:1
  • 4UK Prospective Diabetes Study(UKPDS)Gronp.Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33).Lancet,1998,352:837-853. 被引量:1
  • 5Cleary P,Orchard T,Zinman B,et al.Coronary calcification in the Diabetes Control and Complications Trial/Epidea'niology of Diabetes Interventions and Complications (DCCT/EDIC)cohort for the DCCT/EDIC study group.American Diabetes Association 63rd Annual Scientific Sessions.Diabetes,2003,52(Suppl 1):A152 被引量:1
  • 6Ihnat M,Thorpe J,Ceriello A.Hypothesis:the'metabolic memory',the new challenge of diabetes.Diabet Med,2007,24:582-586. 被引量:1
  • 7Yarnagishi S,Nakamura K,Imaizumi T.Advanced glycation end products (AGEs) and diabetic vascular complications.Curr Diabetes Rev,2005,1:93-106. 被引量:1
  • 8LeRoith D,Fonseca V,Vinik A.Metabolic memory in dibetes-focus on insulin.Diabetes Metab Res Rev,2005,21:85-90. 被引量:1
  • 9Meigs JB,Wilson PW,Nathan DM,et al.Prevalence and characteristics of the metabolic syndrome in the San Antonio Heart and Framingham Offspring Studies.Diabetes,2003,52:2160-2167. 被引量:1
  • 10Christopher M,Martin I,Alexander R,et al.Improving metabolic control leads to better working memory in adults with type 2 diabete,Diabetes Care,2006,29:345-351. 被引量:1

共引文献827

同被引文献58

引证文献3

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部