首页|长效胰岛素对2型糖尿病患者FPG、2 hPG等指标的影响

长效胰岛素对2型糖尿病患者FPG、2 hPG等指标的影响

Effects of Long-acting Insulin on FPG,2 hPG and Other Indexes in Type 2 Diabetes Mellitus Patients

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目的 分析长效胰岛素对2型糖尿病患者空腹血糖(Fasting Plasma Glucose,FPG)、餐后2 h血糖(2-hour Postprandial Plasma Glucose,2 hPG)等指标的影响.方法 选择2021年7月—2023年7月滨州市沾化区第二人民医院收治的78例2型糖尿病患者为研究对象,以随机数表法分为对照组(口服降糖药)和研究组(口服降糖药+长效胰岛素),各39例.对比两组血糖指标、胰岛细胞功能指标及C肽水平.结果 研究组FPG、2 hPG、糖化血红蛋白和胰岛素抵抗指数明显低于对照组,空腹胰岛素、胰岛β细胞分泌指数、空腹C肽和餐后2 h C肽明显高于对照组,差异有统计学意义(P均<0.05).结论 于常规口服降糖药基础上,增加长效胰岛素治疗,可提高2型糖尿病血糖控制效果,改善胰岛细胞功能.
Objective To analyze the effects of long-acting insulin on fasting plasma glucose(FPG)and 2-hour post-prandial plasma glucose(2 hPG)in type 2 diabetes mellitus patients.Methods A total of seventy-eight patients with type 2 diabetes admitted to Zhanhua District Second People's Hospital from July 2021 to July 2023 were selected as the study objects,and they were divided into the control group(oral hypoglycemic agents)and the study group(oral hypoglycemic agents+long-acting insulin)by random number table method,with thirty-nine cases each.Blood glucose index,islet cell function index and C-peptide level were compared between the two groups.Results FPG,2 hPG,glycosylated hemoglobin A1c and insulin resistance index in the study group were significantly lower than those in the control group,fasting insulin,islet β cell secretion index,fasting C-peptide and 2-hour postpran-dial C-peptide were significantly higher than those in control group,and the differences were statistically significant(all P<0.05).Conclusion On the basis of conventional oral hypoglycemic drugs,the addition of long-acting insulin therapy can improve the blood glucose control effect of type 2 diabetes and improve the function of islet cells.

Long-acting insulinType 2 diabetes mellitusFasting plasma glucoseC-peptideFasting insulin

于智江、李春华

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滨州市沾化区第二人民医院内科,山东 滨州 256803

长效胰岛素 2型糖尿病 空腹血糖 C肽 空腹胰岛素

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(8)