胰岛素泵强化治疗不同病程2型糖尿病患者的临床分析(2)
综上所述,2型糖尿病不同病程进行短期CSII治疗,均可达到有效控制血糖,缩短患者住院时间。对于年龄较轻、病程<5年的住院患者来说CSII治疗是一个安全、高效、方便的治疗方案。对于高龄、病程>5年住院患者,如果其他的治疗方法不能有效地控制血糖时,CSII治疗则是改善血糖控制的一个最佳选择。但不能忽视低血糖情况及胰岛素用量增加带来胰岛素抵抗风险。
[参考文献]
[1] 中国胰岛素泵治疗指南2011[J].中国医学前沿杂志,2011.
[2] Chon S. The effect of early insulin therapy on pancreatic beta-cellfunction and long-term glycemic control in newly diagnosed type 2diabetic patients[J].Korean J Intern Med, 2010,25(3): 273-281.
[3] Retnakaran R, Zinman B. Short-term intensified insulin treatment intype 2 diabetes: long-term effects on beta-cell function[J]. Diabetes Obes Metab, 2012, 14(Suppl 3):161-166.
[4] 中华医学会糖尿病学分会.中国2型糖尿病防治指南((2013年版)[J].中国糖尿病杂志,2014,22:附录.
[5] Park S,Choi SB. Induction of long-term normoglycemia without medication in Korean type 2 diabetes patients after continuous-subcutaneous insulin infusion therapy[J].Diabetes Metab ResRev,2003,19:124-130.
[6] Shichiri M,Kishikawa H,Ohkubo Y,et al. Long-term results of the Kumamoto Study on optimal diabetes control in type 2 dia-betic patients[J].Diabetes Care,2000,23(Suppl 2):B21-B29.
(收稿日期:2016-07-24), 百拇医药(曹萍)
[参考文献]
[1] 中国胰岛素泵治疗指南2011[J].中国医学前沿杂志,2011.
[2] Chon S. The effect of early insulin therapy on pancreatic beta-cellfunction and long-term glycemic control in newly diagnosed type 2diabetic patients[J].Korean J Intern Med, 2010,25(3): 273-281.
[3] Retnakaran R, Zinman B. Short-term intensified insulin treatment intype 2 diabetes: long-term effects on beta-cell function[J]. Diabetes Obes Metab, 2012, 14(Suppl 3):161-166.
[4] 中华医学会糖尿病学分会.中国2型糖尿病防治指南((2013年版)[J].中国糖尿病杂志,2014,22:附录.
[5] Park S,Choi SB. Induction of long-term normoglycemia without medication in Korean type 2 diabetes patients after continuous-subcutaneous insulin infusion therapy[J].Diabetes Metab ResRev,2003,19:124-130.
[6] Shichiri M,Kishikawa H,Ohkubo Y,et al. Long-term results of the Kumamoto Study on optimal diabetes control in type 2 dia-betic patients[J].Diabetes Care,2000,23(Suppl 2):B21-B29.
(收稿日期:2016-07-24), 百拇医药(曹萍)