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分析2009年1月至2010年12月共24例老年糖尿病合并脑梗塞应用甘精胰岛素与阿卡波糖联合治疗的临床资料。结果治疗3个月后FBG2、HBG、HbA1c、LAGE较治疗前明显改善(P<0.05),极少低血糖发生。结论甘精胰岛素联合阿卡波糖之方案对于老年糖尿病并发脑梗塞患者可有效平稳控制血糖而低血糖发生率低,使用便利,为糖尿病并发脑梗塞患者治疗的优选方案之一。
Clinical data of 24 elderly patients with diabetes mellitus complicated with cerebral infarction treated with combination of insulin glargine and acarbose during January 2009 to December 2010 were analyzed. Results FBG2, HBG, HbA1c and LAGE were significantly improved 3 months after treatment (P <0.05), with very few hypoglycemia. Conclusion The combination of insulin glargine and acarbose can effectively control blood sugar in elderly diabetic patients with cerebral infarction. The incidence of hypoglycemia is low, and it is convenient to use. It is one of the best options for the treatment of patients with diabetes and cerebral infarction.