首页|甘精胰岛素联合瑞格列奈对2型糖尿病患者血糖及胰岛素功能的影响

甘精胰岛素联合瑞格列奈对2型糖尿病患者血糖及胰岛素功能的影响

Effects of Insulin Glargine Combined with Repaglinide on Blood Glucose and Insulin Function in Patients with Type 2 Diabetes Mellitus

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目的 探讨甘精胰岛素联合瑞格列奈对2型糖尿病患者血糖及胰岛素功能的影响.方法 选取2022年1月—2023年4月漳州市第五医院收治的170例2型糖尿病患者,采用随机数表法分成观察组与对照组,各85例.对照组给予甘精胰岛素治疗;观察组给予甘精胰岛素联合瑞格列奈治疗.对两组患者的血糖指标、胰岛素指标、胰岛素用量、血糖恢复时间、不良反应发生率进行观察和比较.结果 两组治疗前空腹血糖、餐后2 h血糖及糖化血红蛋白、空腹胰岛素(Fasting Insulin,FINS)、餐后2 h胰岛素(2-Hour Post Meal Insulin,2 hINS)水平比较,差异无统计学意义(P均>0.05);治疗后,观察组空腹血糖、餐后2 h血糖及糖化血红蛋白均低于对照组,FINS、2 hINS水平均高于对照组;观察组胰岛素用量少于对照组,差异有统计学意义(P均<0.05);两组血糖恢复时间,不良反应发生率比较,差异无统计学意义(P均>0.05).结论 甘精胰岛素联合瑞格列奈对2型糖尿病患者具有明显效果,可改善胰岛素功能,减少胰岛素用药,安全性高.
Objective To investigate the effects of insulin glargine combined with repaglinide on blood glucose and in-sulin function in patients with type 2 diabetes.Methods A total of one hundred and seventy patients with type 2 dia-betes treated in Zhangzhou Fifth Hospital from January 2022 to April 2023 were selected and divided into observation group and control group by random digital table method,with eighty-five patients in each group.The control group was treated with insulin glargine,and the observation group was treated with insulin glargine combined with repa-glinide.The blood glucose index,insulin index,insulin dosage,blood glucose recovery time and incidence of adverse reactions were observed and compared between the two groups.Results Before treatment,there were no statistically significant differences in the levels of fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin,Fast-ing Insulin(FINS)and 2-hour post meal insulin(2 hINS)between the two groups(all P>0.05).After treatment,the lev-els of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in observation group were lower than those in control group,the levels of FINS and 2 hINS were higher than those of control group,the dosage of insulin in the observation group was less than that in the control group,the differences were statistically significant(all P<0.05).There was no statistically significant difference in blood glucose recovery time and incidence of adverse reactions between the two groups during treatment(both P>0.05).Conclusion Insulin glargine combined with repa-glinide has obvious effect on type 2 diabetes patients,which can improve insulin function,reduce insulin use,and has high safety.

Insulin glargineRepaglinideType 2 diabetesBlood glucoseInsulin function

罗世军、陈锦凤

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漳州市第五医院内分泌科,福建漳州 363107

福建医科大学附属漳州市医院内分泌代谢二科,福建漳州 363107

甘精胰岛素 瑞格列奈 2型糖尿病 血糖 胰岛素功能

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(2)
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