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【目的】探求适应危重老年Ⅱ型糖尿病患者的胰岛素治疗方案。【方法】应用强化胰岛素治疗危重Ⅱ型老年糖尿病患者29 例。【结果】患者的糖化血红蛋白从(17 .1 ±9) % 降至(7 .3 ±2 .6) % ,并随着血糖控制至接近正常水平,患者的一般情况及心肾功能均有改善,肺部及泌尿道感染减少、微血管并发症减轻,病情稳定后患者未发生过严重低血糖。【结论】强化胰岛素治疗较常规胰岛素治疗能显著改善患者的血糖水平。
【Objective】 To explore insulin therapy for critically ill elderly patients with type 2 diabetes. 【Methods】 Twenty - nine patients with type Ⅱ diabetes mellitus underwent intensive insulin therapy. 【Results】 The patients’ HbA1c decreased to (7.3 ± 2.6)% from (17.1 ± 9)%, and their general condition and heart and kidney function were improved with the blood glucose control approaching the normal level , Reduced lung and urinary tract infections, reduced microvascular complications, and no stable hypoglycemia in patients with stable disease. 【Conclusion】 Intensive insulin therapy can significantly improve the blood sugar level of patients compared with conventional insulin therapy.