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近年来有关糖尿病表现的一些复习集中于胃肠道空腔器官。本文概述葡萄糖不耐受、糖尿病与肝、胆道及胰腺机能障碍间的关系。肝约5%未经选择的糖尿病患者有慢性肝病,5%慢性肝病患者继发胰岛素依赖性糖尿病。另外,70%的慢性肝病和50%的急性病毒性肝炎患者有葡萄糖不耐受。慢级肝病患者继发葡萄糖不耐受和胰岛素依赖性糖尿病:使慢性肝病患者易于发生葡萄糖不耐受的主要缺陷是总体胰岛素抵抗;在葡萄糖不耐受的同时,存在显著增高的血浆胰岛素及对外源性胰岛素不敏感。胰岛素抵抗可能是肝和非肝胰岛素作用的结果,其程度与肝和非肝因素对胰岛素的反应性相关。因而,胰岛
In recent years, some reviews on the performance of diabetes have focused on the organs of the gastrointestinal tract. This article outlines the relationship between glucose intolerance, diabetes and liver, biliary and pancreatic dysfunction. About 5% of unselected diabetic patients have chronic liver disease, and 5% of patients with chronic liver disease secondary to insulin-dependent diabetes. In addition, 70% of chronic liver disease and 50% of patients with acute viral hepatitis have glucose intolerance. Secondary to glucose intolerance and insulin-dependent diabetes mellitus in patients with chronic liver disease: The main drawback to the susceptibility of patients with chronic liver disease to glucose intolerance is the overall insulin resistance; there is a significant increase in plasma insulin and its effect on glucose intolerance, Insulin is not sensitive. Insulin resistance may be a result of the effects of both liver and non-hepatic insulins to a degree that correlates with the responsiveness of the liver and non-hepatic factors to insulin. Thus, islets