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胰岛素强化治疗对初发2型糖尿病胰岛β细胞功能的影响

, PP. 758-760

Keywords: 胰岛素,强化治疗,β,细胞

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Abstract:

目的探讨胰岛素强化血糖控制对初发2型糖尿病(T2DM)患者β细胞功能的影响。方法选择90例初发T2DM患者随机分为观察组与对照组,两组患者均给予饮食控制与运动疗法,观察组给予胰岛素强化治疗,对照组给予口服降糖药物治疗,对比两组患者治疗前及治疗后3个月时空腹血糖(FBG)、糖化血红蛋白(HbAlc)、空腹胰岛素(FINS)、β细胞功能指数(HOMA-β)、胰岛素分泌指数(△I30/△G30)变化。结果治疗前两组患者FBG、HbAlc、FINS、HOMA-β、△I30/△G30差异无统计学意义(P均>0.05)。治疗后两组患者的FBG、HbAlc、FINS、HOMA-β、△I30/△G30较治疗前有显著改善(P均P>0.05),观察组FINS、HOMA-β、△I30/△G30高于对照组(P均结论胰岛素强化治疗可在一定程度上延缓初发T2DM患者胰岛β细胞功能的减退,有效控制血糖,延缓病情发展。

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