论文部分内容阅读
目的采用动态血糖监测系统(CGMS)观察接受胰岛素治疗的老年糖尿病气阴两虚证患者的血糖波动特点。方法采用CGMS(Mini Med)进行连续72 h血糖监测,获得51例接受胰岛素治疗的老年糖尿病气阴两虚证患者的平均血糖水平(MBG)、低血糖时间百分率(DBLL)、血糖水平标准差(SDBG)、最大血糖波动幅度(LAGE)、平均血糖波动幅度(MAGE)和日间血糖平均绝对差(MODD)。结果 51例接受胰岛素治疗的老年糖尿病气阴两虚证患者的血糖波动参数如下:MBG为(9.39±2.13)mmol/L,DBLL为(1.92±2.92)%,MAGE为(5.42±2.61)mmol/L,SDBG为(2.35±0.86)mmol/L,LAGE为(10.98±3.41)mmol/L,MODD为(2.03±0.76)mmol/L。结论接受胰岛素治疗的老年糖尿病气阴两虚证患者的血糖波动增大,SDBG和MAGE均增加,而LAGE明显大于正常。
Objective To observe the characteristics of blood glucose fluctuation in elderly patients with Qi and Yin Deficiency Syndrome treated with insulin by dynamic blood glucose monitoring system (CGMS). Methods CGMS (Mini Med) was used to monitor blood glucose for 72 hours continuously. MBL, MBLL, DBD, and standard deviation of blood glucose level were calculated in 51 patients with diabetes mellitus with deficiency of both qi and yin treated with insulin. SDBG), maximum blood glucose level (LAGE), average blood glucose level (MAGE) and mean daytime blood glucose (MODD). Results The blood glucose parameters of 51 elderly patients with diabetes mellitus and Qi-Yin Deficiency Syndrome treated with insulin were as follows: MBG was (9.39 ± 2.13) mmol / L, DBLL was (1.92 ± 2.92)%, MAGE was (5.42 ± 2.61) L, SD was (2.35 ± 0.86) mmol / L, LAGE was (10.98 ± 3.41) mmol / L and MODD was (2.03 ± 0.76) mmol / L respectively. Conclusion The elderly patients with diabetes Qi and Yin Deficiency Syndrome treated with insulin increased blood glucose levels, SDBG and MAGE increased, while LAGE was significantly greater than normal.