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本文报道了调查中初发现的非胰岛素依赖型糖尿病39例的胰岛素释放试验结果,其胰岛素分泌曲线呈低反应延迟型。以胰岛素释放试验峰值≥60μU/ml 和<30μU/ml 为标准,可将糖尿病分成胰岛素分泌增多型、减少型和障碍型,其百分组成分别为61. 54%、7. 69%、30. 77%。胰岛素指数IRI/BS、∑IRl/∑BS、△IRI/△BS,∑△IRI/∑△BS 均可作为糖尿病诊断的参考。空腹血糖或糖负荷3小时血糖值在正常范围的糖尿病,胰岛素释放反应较好,△IRI/△BS 值较高,病情较轻。
This article reports the results of the insulin release test of 39 cases of non-insulin-dependent diabetes mellitus initially found in the survey. The insulin secretion curve showed a delayed response with low response. To insulin release test peak ≥ 60μU / ml and <30μU / ml as the standard diabetes can be divided into increased insulin secretion type, reduced type and disorder, the percentage of 61.54%, respectively, 7. 69%, 30. 77%. Insulin index IRI / BS, ΣIRl / ΣBS, △ IRI / △ BS, Σ △ IRI / Σ △ BS can be used as a reference for the diagnosis of diabetes. Fasting blood glucose or sugar load 3 hours of blood glucose in the normal range of diabetes, insulin release response is better, △ IRI / △ BS value higher, less serious.