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四、糖尿病的代谢控制与慢性并发症发生的关系胰岛素问世之前,糖尿病人尤其幼年起病者多因急性酮症酸中毒及严重全身感染而死亡。由于病势发展凶猛,自然过程较短,因而在还未及演变成慢性并发症之前即夭折。近六十多年来,一些幼年或青年得病者在胰岛素治疗后,平均病程和寿限均明显延长,慢性并发症逐步形成并成为糖尿病致死和致残的突出问题。糖尿病并发症种类繁多,研究较多的为血管与神经病变。微血管病变主要表现为视网膜病和肾小球病,两者可同时存在,合称为视网
Fourth, the metabolic control of diabetes and the relationship between chronic complications Before the advent of insulin, diabetes, especially juvenile onset and more due to acute ketoacidosis and severe systemic infection and death. Due to the fierce development of the disease, the natural process is short and therefore premature and not yet evolved into a chronic complication. In the recent sixty years, some young patients or young patients have significantly prolonged their average duration and lifespan after insulin treatment. Chronic complications have gradually taken shape and become prominent problems of death and disability caused by diabetes. A wide range of diabetic complications, more research for the vascular and neuropathy. Microvascular disease is mainly manifested as retinopathy and glomerular disease, both can exist at the same time, collectively known as the visual field