首页|诺和灵70/30和格列齐特缓释片对胰岛素治疗血糖控制欠佳肥胖2型糖尿病患者的疗效

诺和灵70/30和格列齐特缓释片对胰岛素治疗血糖控制欠佳肥胖2型糖尿病患者的疗效

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目的 探讨诺和灵70/30与格列齐特缓释片联合治疗经胰岛素治疗血糖控制欠佳的肥胖2型糖尿病患者临床应用效果.方法 选取本院2015年12月~2017年3月收治的经胰岛素治疗血糖控制欠佳的肥胖2型糖尿病患者96例作为本次研究对象,随机均分为研究组和对照组,每组48例.研究组给予诺和灵70/30(即诺和灵30R)联合格列齐特缓释片治疗,对照组接受诺和灵30R联合瑞格列奈治疗.结果 治疗后研究组FBG、2h PG、HbAlc、HOMA-IR下降幅度以及HOMA-IS上升幅度优于对照组(P<0.05);治疗后研究组BMI较治疗前差异无统计学意义,对照组BMI较之前显著提高(P<0.05),CRP较之前差异无统计学意义.结论 应用诺和灵30R、格列齐特缓释片联合治疗后可使经单独使用胰岛素血糖控制不佳的肥胖2型糖尿病患者获得更为理想的临床疗效,有利于保障其用药有效性、安全性.
Curative effect of Novolin 70/30 and Gliclazide Sustained-release Tablets on insulin therapy for poorly controlled obese patients with type 2 diabetes mellitus
Objective To explore the clinical efficacy of combination therapy with promethrin and gliclazide sustained-release tablets in the treatment of obese patients with type 2 diabetes mellitus with poor blood glucose control. Methods Selected from December 2015 to March 2017 in our hospital treated 96 cases of insulin treatment of poor blood glucose control in obese patients with type 2 diabetes, were randomly divided into study group and control group, 48 cases in each group.The study group were treated with Novolin 70/30(Novolin 30R)combined with Gliclazide Sustained-release Tablets,while the patients in control group were treated with Novolin 30R combined with repaglinide. Results The decrease of FBG, 2h PG, HbAlc, HOMA-IR and the increase of HOMA-IS in the study group were better than those in the control group (P<0.05).There was no significant difference in BMI between the two groups after treatment and BMI in the control group was significantly higher than that before treatment (P<0.05),CRP was not statistically significant before treatment.Conclusion The application of Novolin 30R and Gliclazide Sustained-release Tablets after treatment can make the use of insulin alone poor glycemic control in obese patients with type 2 diabetes have more desirable clinical efficacy,is conducive to ensuring the safety and effectiveness of drugs.

type 2 diabetesobesitypoor glycemic controlNovolin 30Rgliclazideapplication effect

金秀青、何建群

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兰溪市人民医院 药剂科,浙江 兰溪 321100

2型糖尿病 肥胖 血糖控制欠佳 诺和灵30R 格列齐特 应用效果

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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