智慧健康2024,Vol.10Issue(30) :71-73,77.DOI:10.19335/j.cnki.2096-1219.2024.30.021

德谷门冬双胰岛素与门冬胰岛素30短期强化治疗2型糖尿病的临床效果对比

Clinical Effect Observation of Insulin Degludec Aspart and Insulin Aspart 30 in Short-term Intensive Treatment of Type 2 Diabetes

吴桂花
智慧健康2024,Vol.10Issue(30) :71-73,77.DOI:10.19335/j.cnki.2096-1219.2024.30.021

德谷门冬双胰岛素与门冬胰岛素30短期强化治疗2型糖尿病的临床效果对比

Clinical Effect Observation of Insulin Degludec Aspart and Insulin Aspart 30 in Short-term Intensive Treatment of Type 2 Diabetes

吴桂花1
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作者信息

  • 1. 徐州市第七人民医院,江苏 徐州 221004
  • 折叠

摘要

目的 对于既往接受口服降糖药物治疗血糖控制不佳的2型糖尿病患者,对比分析德谷门冬双胰岛素(IDegAsp)与门冬胰岛素30(IAsp30)皮下注射方案对血糖控制的效果.方法 选取2021年1月—2022年6月江苏省丰县中医医院内分泌科收治的2型糖尿病患者60例为研究对象(所有患者此前均口服降糖药物,但血糖控制不佳),依照治疗方法不同将其分为德谷门冬双胰岛素组(IDegAsp组)和门冬胰岛素30组(IAsp30组),每组30例,强化治疗2周,比较两组患者治疗后血糖、低血糖发生率及血糖波动情况.结果 胰岛素强化治疗2周后,IDegAsp组血糖低于IAsp30组(P<0.05);IDegAsp组低血糖发生率为6.7%,低于IAsp30组(26.7%)(P<0.05);IDegAsp组血糖波动幅度为低于IAsp30组(P<0.05).结论 2型糖尿病患者进行胰岛素强化治疗时,IDegAsp每日2次注射方案优于IAsp30每日2次注射方案,具有控糖更优、血糖波动幅度小、低血糖风险低的优势.

Abstract

Objective To investigate and observe clinical effect of blood glucose control of subcutaneous injection of IDegAsp or IAsp30 in treatment of type 2 diabetes patients with poor blood glucose control,which is coverted from oral hypoglycemic drugs.Methods The paper chose 60 patients with type 2 diabetes with poor blood glucose control in Endocrinology Department of Fengxian County TCM Hospital from January 2021 to June 2022,treated with oral hypoglycemic drugs.According to different treatment methods,patients were divided into two groups:degludec aspart insulin group(IDegAsp group)and insulin aspart 30 group(IAsp30 group),with 30 cases in each group.Incidence of blood glucose,hypoglycemia,and blood glucose fluctuation was compared between two groups after two weeks of intensive treatment.Results After 2 weeks of intensive insulin therapy,blood glucose levels in the IdiogAsp group were lower than the IAsp30 group,difference was statistically significant(P<0.05).Incidence of hypoglycemia in the IdegAsp group was 6.7%,lower than 26.7%in the IAsp30 group,difference was statistically significant(P<0.05).The fluctuation range of blood glucose in the IdiogAsp group was(2.13±0.82)mmol/L,lower than(4.65±1.11)mmol/L in the IAsp30 group,difference was statistically significant(P<0.05).Conclusion During the intensive insulin treatment of type 2 diabetes patients,IDegAsp twice daily injection scheme is better than IAsp30 twice daily injection scheme,which has advantages of better glucose control,lower blood glucose fluctuation,and lower risks of hypoglycemia.

关键词

德谷门冬双胰岛素/门冬胰岛素30/糖尿病,2型/血糖监测

Key words

Insulin degludec aspart/Insulin aspart 30/Type 2 diabetes/Blood glucose monitoring

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出版年

2024
智慧健康

智慧健康

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