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观察空腹血糖 (fastingplasmaglucoseFPG)正常的II型糖尿病 (IIDM )患者空腹、餐后血糖 (postchallengeplasmaglucosePPG)与血脂的关系 ,了解IIDM患者血脂代谢的特点 ,以及血糖控制对血脂代谢的影响。方法 :对全部分析对象进行空腹血糖、血脂 ,餐后 2h血糖、血脂测定。结果 :空腹血糖正常而餐后血糖异常者 ,血脂代谢开始紊乱 ,餐后血脂TG、LDL -C、apoB差异最为显著 ;IIDM患者合并有明显的血脂代谢异常 ,血糖控制仅能使少部分患者异常的血脂代谢完全恢复正常。结论 :应重视空腹血糖正常而餐后 2h血糖异常人群的血脂分析 ,IIDM的治疗不仅仅是控制血糖 ,而应全面纠正异常的代谢状况 ,及早防止动脉粥样硬化的形成
To observe the relationship between fasting blood glucose and fasting plasma glucose in fasting plasma glucose (IIDM) patients with fasting blood glucose (FPG), and to understand the characteristics of blood lipid metabolism in patients with IIDM and the effects of glycemic control on lipid metabolism. Methods: All the subjects were fasting blood glucose, blood lipids, 2h postprandial blood glucose, blood lipid determination. Results: Fasting blood glucose and postprandial blood glucose abnormalities, dyslipidemia began to disorder, postprandial blood lipids TG, LDL-C, apoB differences were the most significant; IIDM patients with significant dyslipidemia, blood glucose control only a small number of patients with abnormal The blood lipid metabolism completely returned to normal. Conclusion: We should pay attention to the fasting blood glucose and blood glucose analysis in 2h postprandial people with abnormal glucose. The treatment of IIDM should not only control blood sugar, but also correct abnormal metabolic status and prevent the formation of atherosclerosis