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回顾分析1例短期高原移居、非糖尿病患者伴高糖化血红蛋白(HbA_(1C))的临床资料和血糖波动特征。记录72h动态血糖监测图谱,发现患者餐后血糖最高达17.1mmol/L,72h最大血糖波动幅度(LAGE)达11.9mmol/L,其中血糖超过7.8mmol/L和11.1mmol/L的时间占总时间的百分比分别高达67%和12%。仅予饮食干预后随访空腹血糖控制在6.0mmol/L左右,餐后2h血糖控制在8.0mmol/L左右。葡萄糖耐量实验(OGTT)未发现的潜在高血糖是HbA_(1C)异常升高的主要原因。对于OGTT未诊断糖尿病的患者伴HbA_(1C)≥6.5%时,针对性进行动态血糖监测尤为重要。
Retrospective analysis of 1 case of short-term plateau migrants, non-diabetic patients with high glycosylated hemoglobin (HbA_ (1C)) clinical data and blood glucose fluctuations. 72h dynamic glucose monitoring map recorded and found that patients with postprandial blood glucose up to 17.1mmol / L, 72h maximum blood glucose fluctuation (LAGE) of 11.9mmol / L, of which more than 7.8mmol / L blood glucose and 11.1mmol / L of the total time Up to 67% and 12% respectively. Fasting blood glucose control was only about 6.0mmol / L after diet intervention, and blood glucose was controlled at 8.0mmol / L 2h after meal. Unpredictable potential hyperglycemia in glucose tolerance test (OGTT) is the main reason for the abnormal increase of HbA_ (1C). For OGTT undiagnosed diabetes patients with HbA_ (1C) ≥ 6.5%, the targeted dynamic glucose monitoring is particularly important.