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本文就我院1979～1983年收治的6例合并有甲状腺疾病的糖尿病人的诊治问题提出以下讨论意见。一、糖尿病与甲状腺疾病的关系:多数学者认为两病有共同的遗传、免疫学基础,由于遗传上的缺陷和易感性以及免疫平衡的破坏,很可能发生免疫之间的重叠现象,加上其它的易感因素,可能在两病发生中起着重要作用。一、甲亢与糖尿病:多数人认为.是由于过多的甲状腺素导致糖代谢紊乱,使血糖持续升高所致。甲状腺激素对糖代谢的影响有:①促进肠道糖的吸收;②加强糖元分解和异生;③通过C—AMP激活肾上腺β受体,增强儿茶酚胺的敏感性,儿茶酚胺升高时,可使胰岛素释放受到抑制,而胰高血糖素受到刺激,血糖持续升
This article on the hospital from 1979 to 1983 admitted 6 cases of diabetic patients with thyroid disease diagnosis and treatment issues the following comments. First, the relationship between diabetes and thyroid disease: Most scholars believe that the two diseases have a common genetic, immunological basis, due to genetic defects and susceptibility and the destruction of immune balance, is likely to overlap in the immune phenomenon, coupled with other The predisposing factors may play an important role in the occurrence of both diseases. First, hyperthyroidism and diabetes: Most people think that is due to excessive thyroxine lead to glucose metabolism disorder, so that blood sugar continued to rise due to. Thyroid hormones on the impact of glucose metabolism are: ① to promote intestinal absorption of sugar; ② strengthen glycogenolysis and heterogenous; ③ C-AMP activation of the adrenal β receptor, enhance the sensitivity of catecholamines, catecholamines can make Insulin release is suppressed, while glucagon is stimulated, blood glucose continued to rise