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2型糖尿病持续皮下胰岛素输注治疗后应用诺和锐30与诺和灵30R疗效对比
引用本文:李绍清,杨彩娴,黄启亚.2型糖尿病持续皮下胰岛素输注治疗后应用诺和锐30与诺和灵30R疗效对比[J].岭南急诊医学杂志,2008,13(2):98-99.
作者姓名:李绍清  杨彩娴  黄启亚
作者单位:暨南大学医学院第五附属医院清远市人民医院内分泌科,511500
摘    要:目的:观察比较持续皮下胰岛素输注(CSⅡ)治疗后的2型糖尿病患者改用诺和锐30和诺和灵30R治疗的临床疗效。方法:将60例经CSⅡ治疗后血糖达标(空腹血糖〈7mmol/L,餐后2小时血糖〈10mmol/L)的2型糖尿病患者随机分成诺和锐30组和诺和灵30R组各30例,观察12周内两种不同治疗方案患者空腹血糖(FBG)、早餐后2h血糖(2hPBG)、胰岛素剂量变化及低血糖发生的情况。结果:诺和锐30组全天所需药物的剂量较诺和灵30R减少约10%(P〈0.05)。结论:诺和锐30能减少胰岛素的用量;提高患者的依从性和满意度。

关 键 词:胰岛素类似物  预混  血糖控制  2型糖尿病

Contrastive Study on Efficacy between Biphasic Human Insulin 30R and Biphasic Insulin Aspaa 30 in Patients with Type 2 Diabetic Mellitus after CSH Therapy
LI Shao-qing,YANG Cai-xian,HUANG Qi-ya.Contrastive Study on Efficacy between Biphasic Human Insulin 30R and Biphasic Insulin Aspaa 30 in Patients with Type 2 Diabetic Mellitus after CSH Therapy[J].Lingnan Journal of Emergency Medicine,2008,13(2):98-99.
Authors:LI Shao-qing  YANG Cai-xian  HUANG Qi-ya
Institution:(Department of Endocrinology and Metabolism, The Fifth Affiliated Hospital of Medical College, Jinan University, Qingyuan 511500, Guangdong Province, China)
Abstract:Objective: To compare the therapeutic effects of using biphasic human insulin 30R(Novolin 30R) and biphasic insulin aspart 30 (Aspart 30)in patients with type 2 diabetic mellitus after CSII therapy. Methods: 60 patients with type 2 diabetic mellitus,randomly divided into two groups and each group included 30 cases, were treated by short term intensive Aspart 30 or Novolin 30R. Compared the level of fasting plasma glucose(FPG), 2 hours postprandial glucose(2hPG), HbA1C ,insulin dose and the incidence of hypoglycemia between two groups in 12 weeks. Results: After the treatment, the insulin dose was significantly decreased 10% in Aspart 30 group (P<0.05). Conclusions: Compared with Novolin 30R, Aspart 30 can decrease the insulin dose and improve the compliance and satisfaction in patient with type 2 diabetic mellitus after CSII therapy.
Keywords:insulin aspart  prmix  plasma glucose control  type 2 diabetic mellitus
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