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作者研究了100例成人的化学性无症状糖尿病,并与50名无糖尿病家族史的正常人相比较。平均年龄是41岁(15～53岁),其中女55例,男45例。18例超过理想体重10％以上(13％～27％),4例低于理想体重10％以下(11％～16％)。对本组病例进行了一系列的观察。血糖:患者空腹血糖均正常而糖耐量试验均不正常。糖耐量试验包括标准的口服葡萄糖耐量试验(OGTT)、口服可的松葡萄糖耐量试验(OCGTT)、或快速静脉注射葡萄糖耐量试验(RIVGTT)。经过多年观察,有些患者只有一种试验持续异常(例如OGTT),另一些患者在不同的时间对不同的试验表现异常。有些患者原来糖耐量试验正常但以后不正常。50例化学糖尿病(CD)不但糖耐量不正常,其它试验亦异常,他们中大多数OGTT异常。游离脂酸:化学糖尿病的血清脂酸在RIVGTT的最初60分钟内较高,并且恢复至空腹对照水平也延
The authors studied chemical asymptomatic diabetes in 100 adults and compared them to 50 healthy people without a family history of diabetes. The average age was 41 years (15 ~ 53 years), of which 55 were women and 45 were males. 18 cases more than the ideal body weight more than 10% (13% ~ 27%), 4 cases below the ideal body weight below 10% (11% ~ 16%). A series of observations were made on this group of patients. Blood glucose: fasting blood glucose in patients with normal glucose tolerance test are not normal. Glucose tolerance tests include the standard oral glucose tolerance test (OGTT), oral cortisone glucose tolerance test (OCGTT), or rapid intravenous glucose tolerance test (RIVGTT). After years of observation, some patients have only one type of test that persists (eg, OGTT), others have abnormalities in different tests at different times. Some patients had normal glucose tolerance test but not normal after. 50 cases of chemical diabetes (CD) not only impaired glucose tolerance, other tests were abnormal, most of them OGTT abnormalities. Free fatty acid: Serum lipids of chemical diabetes are higher in the first 60 minutes of RIVGTT and return to fasting control levels