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糖尿病已经成为影响广大群众健康的常见病和多发病,在我国其发病率仅次于高血压。由糖尿病引起的各种并发症也在逐年增加,故积极预防和治疗糖尿病,防止或延缓糖尿病并发症的发生,是一项艰巨的任务。而防止或延缓糖尿病并发症的发生根本在于积极采取科学有效的治疗方法,将血糖控制在理想的水平。在临床工作中我们经常遇到一些经过药物和胰岛素治疗后血糖水平仍在15mmol/l以上的顽固性高血糖病人,当其胰岛素的用量达到1.5U/kg时,其血糖非但不降反而增高。为了探讨对这类顽固性高血糖病人的有效治疗方法,我们自2005-2009年采用胰岛素强化联合胰岛素增敏剂治疗顽固性高血糖病人取得了良好的疗效,现总结汇报如下。
Diabetes has become a common disease and frequently-occurring disease affecting the general public health, its incidence in our country is second only to hypertension. Various complications caused by diabetes are also increasing year by year. Therefore, it is a daunting task to actively prevent and treat diabetes and prevent or delay the occurrence of diabetic complications. And to prevent or delay the occurrence of complications of diabetes simply lies in actively taking a scientific and effective treatment, the blood sugar control in the ideal level. In clinical work, we often encounter some patients with refractory hyperglycemia whose blood glucose level is still above 15mmol / l after being treated with drugs and insulin. When the dosage of insulin reaches 1.5U / kg, the blood glucose not only decreases but does not decrease but rises. In order to explore the effective treatment of such refractory hyperglycemic patients, we have achieved good results since 2005-2009 with insulin-enhanced insulin sensitizers in patients with refractory hyperglycemia, are summarized in the report below.