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高胰岛素性糖尿病具有胰岛素抵抗(IR)已被多数人认可。而高胰岛素合并高血压、高血脂、冠心病、肥胖(X综合征)却常被忽视。作者采用李光伟的空腹胰岛素血糖乘积倒数即1/(Fins×FBG)<0.8作IR的诊断标准。观察了NIDDM171例(157)91.81％<0.8;FBG正常的125例健康人(22)17.6％<0.8。因此对肥胖、高血压、高血脂、冠心病应常规检查胰岛素敏感性,对有IR者应同时给以胰岛素增敏剂治疗。
Insulin resistance (IR) in hyperinsulinemic diabetes has been recognized by the majority. High insulin combined with hypertension, hyperlipidemia, coronary heart disease, obesity (syndrome X) is often overlooked. The author uses Li Guangwei fasting insulin blood glucose product reciprocal 1 / (Fins × FBG) <0.8 for the diagnosis of IR. The NIDDM171 cases (157) 91.81% <0.8; the normal FBG 125 healthy people (22) 17.6% <0.8. Therefore, obesity, hypertension, hyperlipidemia, coronary heart disease should be routinely examined insulin sensitivity, IR should also be treated with insulin sensitizers.