文档介绍：甘精胰岛素联合门冬胰岛素强化治疗2型糖尿病的疗效观察钱华翔陆超(常州市第四人民医院213000)【中图分类号1R969【文献标识码]A[文章编号11672-5085(2013)30-0109-02【摘要】目的探讨甘精胰岛素联合门冬胰岛素强化治疗2型糖尿病中的有效性。方法36例2型糖尿病患者随机分为2组:A组20例,B组16例。A组给予甘精胰岛素和门冬胰岛素治疗,B组给予预混胰岛素治疗。观察空腹血糖、三餐后2h血糖、达标时间、胰岛素用量、每日血糖波动差值等指标。结果(1)2组治疗后空腹血糖、餐后2h血糖均较治疗前明显降低(P值<)o(2)治疗后2组空腹血糖、餐后2h血糖、胰岛素用量无显著性差异(P值>);达标时间A组明显短于B组(P值<);每日血糖波动A组明显小于B组(P值<)o结论甘精胰岛素联合门冬胰岛素强化治疗2型糖尿病疗效较好,尽早使血糖平稳达标,并且减少每日血糖波动。【关键词】binedwithinsulinaspartforpatientswithtype2diabetesQianHua-xiang,LuChao(TheFourthPeople'sHospitalofChangzhou,JiangsuChangzhou213000)[Abstract]Objective::36patientswithtype2diabeteswererandomlydividedintotwogroups:Agroupof20cases,,groupBweregivenpre-,2hplasmaglucoseaftermeals,standardtime,insulindosage,thedailyfluctuationsinbloodglucosediffereneeandotherindicatorswereobserved・Results:(1)Thevaluesoffastingbloodglucose,postprandial2hplasmaglucoseaftertreatmentweresign讦icantlylowerinbothgroups(P<).(2)Aftertreatment,fastingbloodglucose,postprandial2hplasmaglucose,insulindosagewerenosigrdficantdiffereneeinbothgroups(P>);standardtimeingroupAwassignificantlyshorteringroupB(P<);dailybloodglucosefluctuationsingroupAsignificantlylessthaningroupB(P<).Conclusion:binedwithinsulinaspartforpatie