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非胰岛素依赖型糖尿病患者黎明现象的观察
引用本文:潘长玉 李晖. 非胰岛素依赖型糖尿病患者黎明现象的观察[J]. 中华内分泌代谢杂志, 1990, 6(3): 137-139
作者姓名:潘长玉 李晖
作者单位:中国人民解放军总医院内分泌科(潘长玉,田慧,陆菊明),中国人民解放军总医院医学统计教研室(李晖)
摘    要:本文对10例NIDDM患者的黎明现象进行了观察。受试者在常规饮食和口服降糖药的情况下,于0:00~8:00时每小时抽血一次,测定BG、F、GH、GG和INS,并于0:00、3:00、5:00、8:00时分别采血测定ACTH。如按凌晨BG上升至少大于1mmol/L作为黎明现象的判定标准,则本组出现这种现象的频率为6/10。本观察结果提示,在常规治疗的NIDDM患者中,黎明现象也常见到。胰岛素作用缺乏和对抗激素F升高,可能在黎明现象的发生机理中起作用。

关 键 词:非胰岛素依赖型糖尿病  黎明现象

DAWN PHENOMENON IN NIDDM PATIENTS
Pan Chang-yuDept. of Endocrinology,Chinese PLA General Hospital. DAWN PHENOMENON IN NIDDM PATIENTS[J]. Chinese Journal of Endocrinology and Metabolism, 1990, 6(3): 137-139
Authors:Pan Chang-yuDept. of Endocrinology  Chinese PLA General Hospital
Abstract:The dawn phenomenon and its frequency in 10 NIDDM patients on conventional therapy were studied. Blood samples were taken hourly from 2400 to 0800 h for BG, F, GH, GG and INS. ACTH was measured at 2400, 0300, 0500 and 0800 h respectively. If we defined the dawn phenomenon as a rise of BG beyond 1.0 mmol/L in early morning, then 6/10 patients exhibited this phenomenon. Thus the dawn phenomenon occurs commonly in NIDDM patients treated with conventional therapy. The result of this study suggested that the deficiency of insulin effect and the increased level of counterregulatory hormone-F may play a role in the pathogenesis of dawn phenomenon of NIDDM patients.
Keywords:Non-insulin-dependent diabetes mellitus Dawn phenomenon
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