自1921年发明胰岛素并应用于临床以来,糖尿病死于酮症酸中毒已减少至1％以下,死于感染者也降至5.4％。目前对糖尿病患者最大威胁却是心血管疾病,据报告有半数以上死于冠心病。冠心病已成为糖尿病最常见且最危险的并发症,而高血糖、高血脂症又是冠心病的易患因子及危险因子,颇受临床注意。本文对高血糖和高血脂与冠心病的关系进行初步分析和探讨。 Since insulin was invented in 1921 and applied to the clinic, the death from diabetes ketoacidosis has been reduced to less than 1%, and deaths from infection have also dropped to 5.4%. Currently the greatest threat to diabetes is cardiovascular disease, more than half of them are reported to have died of coronary heart disease. Coronary heart disease has become the most common and the most dangerous complication of diabetes, and hyperglycemia, hyperlipidemia is a predisposing factor and risk factor for coronary heart disease, popular clinical attention. This article on hyperglycemia and hyperlipidemia and coronary heart disease were analyzed and discussed.