糖尿病的胰岛素治疗缪从庆.pptVIP

长期强化治疗适应症 内生胰岛功能非常差者 (1) 1型DM (2) 病程长的2型DM 需要血糖达标的2型DM (1) 为预防/延缓并发症发生 (2) 黎明现象突出者 (3) 妊娠糖尿病 多数2型糖尿病患者不需要 * Slide 6-6 TYPE 2 DIABETES…A PROGRESSIVE DISEASE Natural History of Type 2 Diabetes The natural history of type 2 diabetes shows the progressive emergence of the disorder. Well before diagnosis, patients may have had significant hyperglycemia for years, perhaps more than a decade. Patients with type 2 diabetes have altered islet b-cell function and impaired in