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糖尿病患者发生心血管疾病的危险性为正常人的2—3倍,部份可能与脂质代谢异常有关。而良好的血糖控制可以改善脂质紊乱。作者对糖尿病高脂血症的总发生率进行估计并确认哪一组糖尿病患者的高脂血症较为突出,其中有多少比率的糖尿病高脂血症患者可以获得良好的血糖控制,从而筛选出专一的降脂治疗的对象。本研究包括Ⅰ型糖尿病患者108例,Ⅱ型糖尿病191例。每例均测定了体重指数(BMI),HbA_1<8%为血糖控制良好、8-10%为可接受的血糖控制,>10%为控制不良),甘油三酯(TG)、胆固醇(TC)、果糖胺和HDL-C(高密度脂蛋白胆固醇)。血清果糖胺<3.6mmol/L 视为血
The risk of developing cardiovascular disease in diabetic patients is 2-3 times more than normal, and some may be related to abnormal lipid metabolism. Good glycemic control can improve lipid disorders. The authors estimated the overall incidence of diabetic hyperlipidemia and identified which group of diabetic patients with hyperlipidemia is more prominent, and how many of the patients with diabetic hyperlipidemia can get good glycemic control, thus screening A lipid-lowering treatment of the object. The study included 108 patients with type 1 diabetes and 191 patients with type 2 diabetes. Body mass index (BMI) was measured in each case, HbA 1 <8% was well controlled for blood glucose, 8-10% was acceptable for glycemic control and> 10% was poorly controlled), triglycerides (TG), cholesterol , Fructosamine and HDL-C (high-density lipoprotein cholesterol). Serum fructosamine <3.6mmol / L as blood