肥胖和糖尿病是心血管病的独立危险因素,非胰岛素依赖型(Ⅱ型)糖尿病患者易发生肥胖,两者常同时存在。作者用一种控制热量饮食治疗,以迅速降低并发Ⅱ型糖尿病肥胖者的体重,本文旨在评价该疗法用于肥胖的Ⅱ型糖尿病患者的安全性和有效性。作者研究了6例女性Ⅱ型糖尿病患者,其实际体重为标准体重的143%～297%(平均±SEM,201.8%±21.4%)。空腹血糖值为10.7～22.7mmol/L。平均年龄为52岁.糖尿病病程10～20(平均13.3)年。除2例有高血压病史外,均无其他心血管病史。实验室检查除血糖、甘油三酯升高外均无其他异常。住代谢病房48天。起初8天为对照期,病人接受普通维持体重饮食,并停用所有药物;后40天为治疗期,给患者进 Obesity and diabetes are independent risk factors for cardiovascular disease. Non-insulin-dependent (type II) diabetes is predisposed to obesity and often co-exists. The authors used a controlled calorie diet to rapidly reduce body weight in people with type 2 diabetes who are obese. This article aims to evaluate the safety and efficacy of the therapy for type 2 diabetes in obese individuals. The authors studied 6 women with type 2 diabetes who had an actual body weight of 143% to 297% of standard body weight (mean ± SEM, 201.8% ± 21.4%). Fasting blood glucose value of 10.7 ~ 22.7mmol / L. The average age was 52. Diabetes duration 10 to 20 (average 13.3) years. There was no other history of cardiovascular disease except 2 patients with a history of hypertension. Laboratory tests in addition to blood sugar, triglyceride were no exception. Live metabolic ward 48 days. The first 8 days for the control period, the patient received general maintenance weight diet, and disable all drugs; after 40 days for the treatment period, to patients