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目的:分析总结类固醇性糖尿病的临床特点及治疗方法。方法:回顾分析40例类固醇性糖尿病患者的临床资料,除严格控制饮食,适度运动外,根据具体情况,采取单一或联合使用降糖药物。结果:40例患者均未停止原来的GC治疗方案,对全部患者随访半年,30例逐渐减量及停用激素后,停用降糖药物半年未再复发,其余10例患者需继续使用降糖药物治疗。结论:使用GC治在治疗过程中定期监测尿糖和血糖,早发现,早治疗,科学合理用药,特别是40岁以上、身体肥胖、有糖尿病家族史的患者,避免发生漏诊产生严重后果。
Objective: To analyze and summarize the clinical characteristics and treatment of steroid-induced diabetes. Methods: The clinical data of 40 patients with steroid-induced diabetes mellitus were retrospectively analyzed. Except for strict diet control and moderate exercise, single or combined antidiabetic drugs were taken according to the specific circumstances. Results: All the 40 patients did not stop the original GC treatment. All the patients were followed up for half a year, 30 patients were gradually reduced and stopped using hormone. medical treatement. Conclusions: Regular monitoring of urine sugar and blood sugar during the course of treatment by GC is an effective method to prevent early diagnosis, early treatment, scientific and rational use of drugs, especially those over 40 years of age with obesity and a family history of diabetes to avoid serious consequences of missed diagnosis.