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对于Ⅰ型糖尿病人应立即决定用胰岛素治疗。除少数情况外,如在Ⅰ型糖尿病的“蜜月期”,胰岛素治疗一般不能间断,是终生必须的。此认识至今无异议。近20年的治疗进展主要有二:一是药用胰岛素本身的进步,如高纯度胰岛素、半合成及全生物合成人胰岛素的问世;其二是胰岛素注射方法的改进,即胰岛素泵的应用。这种泵的作用是使输注胰岛素模拟生理状态,包括与进餐后血糖升高相同步。这样既能尽量使血糖控制在生理范围,又可避免或减少低血糖症和高胰岛素血症。良好的血糖控制能防止或减少糖尿病合并症的发生。关于Ⅱ型糖尿病的胰岛素治疗问题一直颇多争格。争论的主要问题有:Ⅱ型糖尿病人是否需要严论地(或称为良好地)控制血糖;标准是什么;Ⅱ
For type 1 diabetes patients should immediately decide to use insulin treatment. With only a few exceptions, such as the “honeymoon” of type 1 diabetes, insulin therapy generally can not be discontinued and is life-long. This understanding so far no objection. Progress in the past 20 years there are two main: First, the progress of medicinal insulin itself, such as high-purity insulin, semi-synthetic and biologically synthesized human insulin advent of the second is the improvement of insulin injection, the application of insulin pump. The role of this pump is to infuse insulin into a simulated physiological state, including synchronizing with elevated blood glucose after a meal. This will not only try to make blood sugar control in the physiological range, but also to avoid or reduce hypoglycemia and hyperinsulinemia. Good glycemic control can prevent or reduce the incidence of diabetic complications. Insulin treatment of type II diabetes has been a lot of controversy. The main issues debated are: Does type 2 diabetes require a controlled (or well-controlled) glycemic control; what is the standard?