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目的观察胰岛素泵CSⅡ治疗血糖控制较差的2型糖尿病的疗效。方法30例血糖控制不良的2型糖尿病患者,给予胰岛素泵治疗2~7 d,平均4.5 d,血糖达到强化治疗标准后,继续应用胰岛素泵7 d,观察血糖、C肽、血胆固醇指标。结果28例经过胰岛素泵治疗后空腹血糖及餐后血糖均明显下降,餐后1、2、3 h C肽明显增加。结论CSII是目前糖尿病患者强化血糖控制较理想的方法。对于血糖控制不佳的患者,使用胰岛素泵可使血糖平稳达标,且低血糖发生率低,胰岛素用量少,能有效缓解高血糖所致的胰岛素抵抗。
Objective To observe the curative effect of insulin pump CS Ⅱ on type 2 diabetes with poor glycemic control. Methods Thirty patients with type 2 diabetes with poor glycemic control were treated with insulin pump for 2 to 7 days with an average of 4.5 days. After the blood glucose reached the standard of intensive therapy, the insulin pump was further applied for 7 days to observe the blood glucose, C-peptide and blood cholesterol. Results Fasting blood glucose and postprandial blood glucose in 28 patients after insulin pump treatment were significantly decreased, C peptide significantly increased 1,2,3 h after meal. Conclusion CSII is an ideal method for intensive glycemic control in patients with diabetes. For patients with poor glycemic control, the use of insulin pump can make blood sugar stable and standard, and low incidence of hypoglycemia, insulin dosage less, can effectively alleviate the insulin resistance caused by hyperglycemia.