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采用正常血糖高胰岛素钳夹技术测定20例初诊非胰岛素依赖型糖尿病病人及8例正常人胰岛素敏感性高低,并测定血脂水平。两组的胰岛素敏感性指数分别为5.45±3.01Vs11.4±2.9(P<0.01);TG值分别为1.69±0.41Vs1.19±0.26mmol·L-1(P<0.05);HDL-ch分别为1.29±0.24Vs1.65±0.31mmol·L-1(P<0.05)。胰岛素敏感性下降是Ⅱ型糖尿病的一个特征,高TG、低HDL-ch、血胰岛素浓度升高是胰岛素抵抗综合征的组成部分。
The insulin sensitivity of 20 newly diagnosed non-insulin-dependent diabetic patients and 8 normal controls were determined by the normal glucose hyperinsulinemic clamp technique. The levels of serum lipids were measured. The insulin sensitivity index of the two groups were 5.4 ± 3.01 VS 11.4 ± 2.9 (P <0.01), TG values were 1.69 ± 0.41 Vs1.19 ± 0.26 mmol·L- 1 (P <0.05), HDL-ch were 1.29 ± 0.24Vs1.65 ± 0.31mmol·L-1 respectively (P <0.05). Decreased insulin sensitivity is a characteristic of type 2 diabetes. High TG, low HDL-ch, and elevated serum insulin levels are part of the insulin resistance syndrome.