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作者对伴有视网膜病变的胰岛素依赖型糖尿病(IDDM)患者进行随机前瞻性研究,以确定在非选择性糖尿病门诊病人中,每日注射2种胰岛素可能达到接近正常血糖的程度,和能否延缓糖尿病并发症的进展。 74例伴视网膜病变的IDDM病人随机分为继续普通糖尿病管理(U组)或较强化的治疗方案(A组),后者用特慢胰岛素作基本控制和进餐时用可溶性胰岛素,对饮食管理加强指导。建议病人进食中度低脂肪、富含纤维的高碳水化合物食物。在家每日4次餐
The authors conducted a prospective randomized prospective study of patients with insulin-dependent diabetes mellitus (IDDM) with retinopathy to determine if daily injections of two insulin doses approached normal blood glucose levels in nonspecific diabetic outpatients and whether they could be delayed Progress in diabetic complications. Seventy-four IDDM patients with retinopathy were randomized to continue with general diabetes management (group U) or a more intensive treatment regimen (group A), with the latter using essential insulin as a basic control and eating insulin with soluble insulin to enhance diet management guide. Patients are advised to consume moderately low-fat, fiber-rich, high-carbohydrate foods. Eat 4 times daily at home