中青年2型糖尿病患者睡眠状况及糖代谢状况调查

摘要

目的：通过对中青年2型糖尿病昼夜节律及糖代谢状况的调查，了解该年龄阶段2型糖尿病患者的睡眠质量及睡眠障碍时的血糖调节状况。方法从厚街社区中青年2型糖尿病患者中随机抽取300名进行问卷调查，主要涉及匹兹堡睡眠质量指数及一般临床指标，并结合空腹及餐后2h血糖、糖化血红蛋白结果进行统计分析。结果中青年2型糖尿病患者存在明显睡眠障碍，血糖波动大，胰岛素抵抗明显，血糖达标率低。结论中青年2型糖尿病患者本身存在睡眠时间短、睡眠延迟问题，睡眠障碍增加胰岛素抵抗，进而影响血糖调节。%Objective To understand sleep quality and glucose regulation in young patients with type 2 diabetes by the investigation of circadianrhythmandglucosemetabolism.Methods 300sampleswereselectedrandomlyfrommiddle-agedandyoungpatientswithtype 2 diabetes in Houjie community.Indicators including Pittsburgh sleep quality index and general clinical indicators as well as fasting and postprandial 2 hours blood glucose and glycosylated hemoglobin were analyzed.Results Young and middle-aged patients with type 2 dia-betes suffer from sleep disorders , great fluctuations in blood sugar , insulin resistance and blood sugar low success rate.Conclusion Middle-aged and young patients with type 2 diabetes suffer from short sleep time and sleep latency problems , and sleep disorders and these in-crease insulin resistance which , in turn, affect blood glucose regulation.