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目的探讨胰岛素泵在继发性药物失效2型糖尿病治疗中的价值。方法回顾8例继发性药物失效的2型糖尿病患者,使用胰岛素泵强化治疗后及时改用诺和灵30R分两次皮下注射治疗,分析治疗前后血糖控制达标时间及控制效果。结果血糖均显著下降,平均控制达标天数5.5d,并顺利过渡用诺和灵30R治疗,血糖控制稳定。结论对口服药物失效的2型糖尿病患者短期应用胰岛素泵强化治疗,能快速重新控制血糖,并指导诺和灵30R的临床应用。
Objective To investigate the value of insulin pump in the treatment of secondary drug-induced type 2 diabetes mellitus. Methods Eight patients with type 2 diabetes who had secondary drug failure were retrospectively treated with insulin pump and twice daily subcutaneous injection with Novolin 30R. The time and the control effect of glycemic control before and after treatment were analyzed. The results of blood glucose were significantly decreased, the average control of the standard number of days 5.5d, and the smooth transition with Norogen 30R treatment, blood glucose control and stability. Conclusion Short-term intensive insulin treatment of type 2 diabetes patients with oral medication failure can rapidly regain blood glucose control and guide the clinical application of Novolin 30R.