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磺脲类继发失效糖尿病患者加用胰岛素疗效观察
引用本文:孟春梅,吴丹,王锦平. 磺脲类继发失效糖尿病患者加用胰岛素疗效观察[J]. 黑龙江医学, 2007, 31(8): 584-585
作者姓名:孟春梅  吴丹  王锦平
作者单位:哈尔滨二四二医院,黑龙江,哈尔滨,150080;哈尔滨二四二医院,黑龙江,哈尔滨,150080;哈尔滨二四二医院,黑龙江,哈尔滨,150080
摘    要:
目的 探讨磺脲类药物继发性治疗失效的2型糖尿病患者加用甘精胰岛素(IG)或中效胰岛素(NPH)后的疗效.方法 2006-05~2006-11,对我院56例磺脲类药物继发性失效的糖尿病患者,改用格列美脲控释片,并分别睡前注射甘精胰岛素(24例)或中效胰岛素(32例),观察16周内多点血糖变化及16周前后HbAlc,空腹及餐后血糖.结果 两组均有显著的降血糖效果,且疗效及所用剂量相近,但IC组低血糖事件明显少于NPH组.结论 睡前注射甘精胰岛素或中效人胰岛素对磺脲类继发性失效者均有较高的达标率.

关 键 词:糖尿病  磺脲类  继发性失效  甘精胰岛素
文章编号:1004-5775(2007)08-0584-02
修稿时间:2007-05-10

Effect of Treatment by Adding Insulin Glargineon Patients with Second Failure of Sulfonylureas
MENG Chun-mei,WU Dan,WANG Jin-ping. Effect of Treatment by Adding Insulin Glargineon Patients with Second Failure of Sulfonylureas[J]. Heilongjiang Medical Journal, 2007, 31(8): 584-585
Authors:MENG Chun-mei  WU Dan  WANG Jin-ping
Affiliation:The 242 Hospital of Harbin, Harbin 150080, China
Abstract:
Objective To investigate the effect of insulin glaring(IG) add weutral protam ine hagedorn(NPH) on metabolic control in type 2 diabetic patients who secondly failed to sulfonylureas(SU) trerment.Methods 56 diabetic patients with second su failure were sdudied in our hospital during May,2006 to Nov,2006 and they were divided into two groups 24 treated with glipizide extended release tablets GERT plus IG injection while 32 with gert plus NPH fasting annd postprandial blood glucose,HbAlc,were in all patients at different following points.Results Blood glucose decreased obviousy and similarly in two groups,however hyproglycemia occurred less in IG group interetingly fasting and.Conclusion Combination treatment with IG or NPH has good effect on metabolic control in second su faillure patients.
Keywords:Diabetes mellitus   Sulfonylureas   Second failure   Insulin grargin
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