| 肝源性糖尿病糖代谢异常的临床分析 |
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| 引用本文： | 杨立新. 肝源性糖尿病糖代谢异常的临床分析[J]. 四川医学, 2008, 29(3): 292-293 |
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| 作者姓名： | 杨立新 |
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| 作者单位： | 首都医科大学附属北京朝阳医院消化内科,北京,100020 |
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| 摘 要： | 目的 比较分析肝源性糖尿病与2型糖尿病患者血糖、胰岛素、C肽水平、胰岛素敏感指数、胰岛素抵抗指数,指导临床治疗.方法 肝源性糖尿病与2型糖尿病患者,均行OGTT试验,并计算胰岛素敏感指数、胰岛素抵抗指数.结果 肝源性糖尿病患者胰岛素敏感性高于2型糖尿病患者(P＜0.05),胰岛素抵抗指数低于2型糖尿病患者(P＜0.05).结论 肝源性糖尿病患者需降糖治疗时,应首先采用胰岛素治疗,与2型糖尿病患者相比,剂量应较小.
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| 关 键 词： | 肝源性糖尿病 胰岛素抵抗 胰岛素敏感性指数 |
| 文章编号： | 1004-0501（2008）03-0292-02 |
| 收稿时间： | 2007-10-11 |
| 修稿时间： | 2007-10-11 |
Clinic study on glucose metabolic disorder in patients with hepatic diabetes |
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| YANG Li-xin. Clinic study on glucose metabolic disorder in patients with hepatic diabetes[J]. Sichuan Medical Journal, 2008, 29(3): 292-293 |
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| Authors: | YANG Li-xin |
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| Abstract: | Objective To investigate the differences of glucose, insulin, C-piptide, index of insulin sensitivity and HOMA-IR between the hepatic diabetes and type 2 diabetics. Methods 15 hepatic diabetes and 15 type 2 diabetics were enrolled in the OGTT. Index of insulin sensitivity and HOMA-IR were used for result analysis. Results Compared with type 2 diabetics, Index of insulin sensitivity is higher in hepatic diabetes, but the level of HOMA- IR decreased. Conclusion Antthyperglycemic treatment in hepatic diabetes should always use insulin and be carefully weighed up in each individual. |
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| Keywords: | hepatic diabetes insulin resistance insulin sensitivity index |
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