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重症糖尿病在治疗前,葡萄糖负荷试验呈现显著的高血糖曲线、血清胰岛素及 C 肽反应值峰值缺如者,统称为疑似胰岛素依赖型糖尿病(IDD)。观察这些患者入院后的治疗结果,可据胰岛素治疗反应及需要程度,将其分为两型:需长期应用胰岛素治疗的真性型及仅需短期使用胰岛素治疗的假性型。此两型的主要区别,除对胰岛素治疗反应不同外,后者经短期胰岛素治疗。可使其葡萄糖耐量试验的血糖值明显降低,血中胰岛素及 C 肽值上升;前者则仍停留在治疗前水平。假性型中部分患者表现为应用胰岛素后病情好转,而停用胰岛素则病情又渐恶化,有必要再次给予胰岛素,此部分患者介乎真性型和假性型之间,称为间歇型。
Severe diabetes before treatment, glucose load test showed a significant hyperglycemic curve, serum insulin and C-peptide peak value of the lack of persons, collectively referred to as suspected insulin-dependent diabetes (IDD). Observe these patients after admission treatment results, according to the extent of insulin response and treatment needs, it will be divided into two types: the need for long-term insulin treatment of true type and only short-term insulin treatment of pseudo-type. The main difference between the two types, in addition to the different response to insulin treatment, the latter by short-term insulin treatment. Can make its glucose tolerance test significantly lower blood glucose levels, blood insulin and C peptide values; the former is still at the pre-treatment level. Some patients with pseudo-performance of the performance of insulin after the condition improved, while the withdrawal of insulin is the condition deteriorating, it is necessary to give insulin again, this part of the range between the true type and pseudo type, known as the intermittent type.