Objective To explore the effect of blood glucose control combined with comprehensive rehabilitation therapy in the treatment of patients with type 2 diabetes mellitus(T2DM)complicated with stroke.Methods The clini-cal data of 76 T2DM patients with stroke who were treated in the Second Affiliated Hospital of Fujian Medical Univer-sity from June 2022 to March 2024 were retrospectively selected.According to different treatment methods,they were divided into the control group(metformin sustained release tablets combined with comprehensive rehabilitation treat-ment)and the study group(human insulin injection was added based on the treatment plan of the control group),with 38 cases in each group.The levels of glucose metabolism(2-hour postprandial blood glucose,fasting blood glucose),clinical efficacy,and the risk of adverse reactions(coma,hypoglycemia,nausea/vomiting,rash)were compared be-tween the two groups.Results After 4 weeks of treatment,the glucose metabolism level of the study group were lower than those of the control group,and the differences were statistically significant(both P＜0.05).The clinical efficacy of the study group was higher than that of the control group,and the difference was statistically significant(P＜0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion On the basis of metformin and comprehensive rehabilitation therapy,human insulin injection is added to treat patients with T2DM complicated with stroke,which can effectively control glucose metabolism,has significant cu-rative effect and does not increase the risk of adverse reactions,and has high safety.
Type 2 diabetes mellitusStrokeComprehensive rehabilitation therapyBlood glucose controlClinical efficacyAdverse effects
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