摘要
终末期糖尿病肾病血液透析患者由于受各种因素影响,应用糖化血红蛋白不能准确反映其血糖控制情况,糖化白蛋白、果糖胺及动态血糖监测系统能更准确评估患者血糖控制情况。且患者血液透析过程中血糖波动大,血液透析期间低血糖尤其是无症状低血糖发生率高,发生的原因复杂,各种糖调节激素变化可能是导致血糖波动的重要原因,本文就终末期糖尿病肾病血液透析患者糖代谢相关指标的变化进行综述。
Due to various factors, hemodialysis patients with end-stage diabetic nephropathy cannot accurately reflect their glycemic control through the application of glycosylated hemoglobin. However glycated albumin, fructosamine, and continuous glucose monitoring system can more accurately assess the patients’ glycemic control. And owing to large fluctuations of blood glucose with hemodialysis patients, hypoglycemia has the high incidence during hemodialysis, especially asymptomatic hypoglycemia. It has complex reasons to glycemic change, the most important reason maybe changes of the glucose regulating hormone. This review summarized changes of glucose metabolism in hemodialysis patients with end-stage diabetic nephropathy.
出处
《中华临床医师杂志（电子版）》
CAS
2015年第4期93-97,共5页
Chinese Journal of Clinicians(Electronic Edition)
关键词
糖尿病肾病
肾透析
糖代谢指标
Diabetic nephropathies
Renal dialysis
Glucose metabolism
