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目的应用动态血糖监测(CGMS)分析胃转流手术后2型糖尿病患者血糖变化情况。方法 21例胃转流手术后的2型糖尿病患者术后未进食3d应用CGMS监测血糖,分析动态血糖漂移变化情况。结果 21例患者平均血糖7.5mmol/L,其中11例发生低血糖(≤2.8mmol/L),发生率52.4%(11/21)。结论 2型糖尿病患者胃转流手术后患者的血糖波动较大,临界低血糖和低血糖事件发生率较高,临床观察、治疗中可通过及时调整用药予以纠正,必要时上调血糖控制标准,以减少发生低血糖的风险。
Objective To evaluate the changes of blood glucose in patients with type 2 diabetes mellitus after gastric bypass surgery by dynamic blood glucose monitoring (CGMS). Methods Twenty-one patients with type 2 diabetes mellitus after gastric bypass surgery underwent blood glucose monitoring by CGMS after 3 days without eating, and analyzed the changes of dynamic blood sugar drifts. Results The average blood glucose of 21 patients was 7.5mmol / L, of which 11 cases had hypoglycemia (≤2.8mmol / L), the incidence rate was 52.4% (11/21). Conclusions Patients with type 2 diabetes mellitus after gastric bypass surgery have a large fluctuation of blood glucose and a high incidence of critical hypoglycemia and hypoglycemia. Clinical observation and treatment can be corrected by timely adjustment of medication, raising the blood glucose control standard if necessary Reduce the risk of hypoglycemia.