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瑞格列奈联合中效胰岛素治疗继发磺酰脲类药物失效的2型糖尿病疗效观察
引用本文:郑恂,王瑞明. 瑞格列奈联合中效胰岛素治疗继发磺酰脲类药物失效的2型糖尿病疗效观察[J]. 中国临床保健杂志, 2006, 9(4): 344-345
作者姓名:郑恂  王瑞明
作者单位:安徽淮北矿业集团公司矿工总医院内分泌科,淮北,235000;安徽淮北矿业集团公司矿工总医院内分泌科,淮北,235000
摘    要:目的观察瑞格列奈联合中效胰岛素(NPH)对继发性磺酰脲类药物失效的2型糖尿病疗效,探寻治疗继发性磺脲类失效的新方法。方法28例继发性磺脲类失效的2型糖尿病(T2DM)患者,停服磺脲类,改服瑞格列奈,睡前注射NPH,观察治疗前后空腹血糖、餐后血糖、HbA1c、体重指数(BM I)、低血糖发生情况、瑞格列奈和NPH的用量。结果瑞格列奈联合NPH治疗12周后,空腹血糖、餐后血糖、HbA1c较治疗前显著下降,BM I无明显变化,低血糖发生率低。结论瑞格列奈联合NPH治疗继发性磺脲类失效的2型糖尿病安全有效。

关 键 词:糖尿病  2型  磺酰脲化合物  治疗无效  瑞格列奈
文章编号:1672-6790(2006)04-0344-02
收稿时间:2006-02-08
修稿时间:2006-02-08

The efficacy of repaglinide plus neutral pratamine hagedom for the glucose control of type 2 diabetics with secondary sulphonylurea failure
ZHENG Xun,WANG Ruiming. The efficacy of repaglinide plus neutral pratamine hagedom for the glucose control of type 2 diabetics with secondary sulphonylurea failure[J]. Chinese Journal of Clinical Healthcare, 2006, 9(4): 344-345
Authors:ZHENG Xun  WANG Ruiming
Abstract:Objective To investigate the effect of repaglinide and NPH in the treatment of secondary sulphonylureas failure in patients with type 2 diabetes mellitus. Methods 28 cases of type 2 diabetics were given repaglinide and NPH then sulphonylureas were gaven up. FBG ,PBG, HbAl c and BMI were measured before and after treatment for 12 weeks. Results FBG ,PBG,and HbA1c declined significantly,while BMI had no change at 12- week. The frequency of hypoglycemia was low. Conclusion The repaglinide plus NPH in type diabetics with secondary sulphonylureas failure is effective and safe for the glucose control.
Keywords:Diabetes mellitus  type 2  Sulfony lurea compounds  Treatment failure  Repaglinide
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