早期强化胰岛素治疗在2型糖尿病中的作用.pptVIP

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早期强化胰岛素治疗在2型糖尿病中的作用.ppt

早期强化胰岛素治疗在2型糖尿病中的作用

强 化 降 糖 血糖良好控制 低血糖 依从性不佳 体重增加 疗效的 争议 比我们现在做到的更早开始胰岛素治疗和胰岛素强化治疗,生活质量不会因胰岛素的使用而受到影响。 Analyses adjusting for insulin sensitivity showed that β-cell function was compromised in IGT, DM2h, DMf, and DM, relative to NGT, by 13, 12, 59, and 62% (HOMA-B) and by as much as 40, 60, 80, and 75%, using AIR. * * Results Between-group differences in glycated hemoglobin levels were lost after the first year. In the sulfonylurea–insulin group, relative reductions in risk persisted at 10 years for any diabetes-related end point (9%, P=0.04) and microvascular disease (24%, P=0.001), and risk reduction

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