首页|德谷门冬双胰岛素治疗口服降糖药控制不佳2型糖尿病的效果分析

德谷门冬双胰岛素治疗口服降糖药控制不佳2型糖尿病的效果分析

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目的 分析德谷门冬双胰岛素(Insulin Degludec/Insulin Aspart,IDegAsp)治疗口服降糖药(Oral Antidia-betic Drugs,OADS)控制不佳2型糖尿病的效果.方法 选取2022年8月—2023年7月济南市章丘区中医医院收治的92例OADS控制不佳2型糖尿病患者为研究对象,参照随机数表法分为两组,各46例.对照组采用甘精胰岛素治疗,研究组采用IDegAsp治疗.比较两组血糖水平、血糖波动值、低血糖发生率.结果 治疗3个月后,研究组糖化血红蛋白、餐后2 h血糖、空腹血糖均低于对照组,差异有统计学意义(P均<0.05);研究组血糖标准差、24 h平均血糖值、餐后血糖波动值均低于对照组,差异有统计学意义(P均<0.05).研究组血糖达标时间(6.15±1.52)d短于对照组的(7.89±1.60)d,差异有统计学意义(t=5.347,P<0.05).两组低血糖发生率对比,差异无统计学意义(P>0.05).结论 IDegAsp能够有效改善OADS控制不佳2型糖尿病患者的血糖值,抑制其血糖波动,且未增加低血糖发生风险.
Efficacy of Degu Aspart Dual Insulin in the Treatment of Type 2 Diabetes Mellitus Poorly Controlled by Oral Antidiabetic Agents
Objective To analyze the effect of insulin degludec/insulin aspart(IDegAsp)on type 2 diabetes mellitus poorly controlled by oral antidiabetic agents(OADS).Methods Ninety-two patients with type 2 diabetes with poorly controlled OADS treated in Zhangqiu District Hospital of Traditional Chinese Medicine of Jinan City from August 2022 to July 2023 were selected as the study objects,and they were divided into two groups with 46 cases each ac-cording to random number table method.The control group was treated with insulin glargine,and the study group was treated with IDegAsp.Blood glucose level,blood glucose fluctuation value and incidence of hypoglycemia were com-pared between the two groups.Results After 3 months of treatment,the glycosylated hemoglobin,2 h postprandial blood glucose and fasting blood glucose in the study group were lower than those in the control group,and the differ-ences were statistically significant(all P<0.05).The blood glucose standard deviation,24 h average blood glucose value and postprandial blood glucose fluctuation value of the study group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The blood glucose standard time of the study group(6.15±1.52)d was shorter than that of the control group(7.89±1.60)d,and the difference was statistically significant(t=5.347,P<0.05).There was no significant statistically difference in the incidence of hypoglycemia between the two groups(P>0.05).Conclusion IDegAsp can effectively improve the blood glucose value of type 2 diabetes patients with poorly controlled OADS,inhibit their blood glucose fluctuations,and does not increase the risk of hypoglycemia.

Insulin degludec/insulin aspartInsulin glargineOral antidiabetic agentsPoor blood glucose controlType 2 diabetes

李燕祥、刘永兰、石文霞

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济南市章丘区中医医院门诊西药房,山东济南 250200

济南市章丘区中医医院静配中心,山东济南 250200

德谷门冬双胰岛素 甘精胰岛素 口服降糖药 血糖控制不佳 2型糖尿病

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)