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短期胰岛素泵持续皮下泵入胰岛素强化治疗。结果:全部患者在胰岛素泵短期强化治疗期间,血糖很快被控制在目标水平,在治疗后3~6个月,复查血清C肽胰岛B细胞功能,发现胰岛素峰值,胰岛素分泌曲线明显回升。40例中有11例胰岛素用量较少,血糖控制平稳,停用胰岛素,仅依靠运动、饮食治疗;有7例依靠运动、饮食治疗+口服二甲双胍或艾汀治疗,血糖控制理想;有10例口服降糖药物;有12例小剂量胰岛素诺和灵30R皮下注射治疗,血糖控制均较为理想。结论:胰岛素泵强化治疗后血糖控制及胰岛功能改善明显优于治疗前。
Short-term insulin pump subcutaneous pump insulin into the intensive treatment. Results: All patients under the short-term intensive insulin pump therapy, blood glucose was quickly controlled at the target level, 3 to 6 months after treatment, review of serum C-peptide islet B cell function and found that insulin peak, insulin secretion curve rose significantly. Among the 40 cases, 11 cases had less insulin dosage, stable blood glucose control, insulin withdrawal, relying on exercise and diet alone; 7 cases were relying on exercise and diet therapy plus oral metformin or Etaner treatment with good glycemic control; 10 patients Hypoglycemic drugs; 12 cases of low-dose insulin noradren 30R subcutaneous injection therapy, blood glucose control are more ideal. Conclusion: The improvement of glycemic control and islet function after intensive insulin treatment is better than that before treatment.