目的 观察短期应用胰岛素泵强化治疗对新诊断2型糖尿病患者血糖控制的有效性和安全性,及对B细胞功能的影响. 方法 新诊断2型糖尿病79例,随机分为2组,1组用胰岛素泵进行持续皮下胰岛素(诺和锐)输注(CSII组)(40例)；另外1组用预混胰岛素(诺和锐30)多次皮下注射(39例)即多次皮下注射胰岛素(MSII组).比较治疗前后血糖、血胰岛素及C肽变化情况及血糖达标时间、胰岛素用量、低血糖事件. 结果 2组均能有效地控制血糖,但CSII组能更快使高血糖状态得以控制,C肽水平较MSII组明显改善(P＜0.05).CSII组较MSII组血糖达标时间更短,胰岛素用量更少,且低血糖事件的发生率显著减少. 结论 短期胰岛素泵强化治疗新诊断的2型糖尿痛患者,具有快速而安全地控制血糖、改善胰岛B细胞功能的优势,是新诊断的2型糖尿病患者一种安全有效的临床治疗方法.%Objective To observe the effects of short-term intensive treatment of insulin pump on blood sugar control and safety in patients with newly dianosed type 2 diabetes,and to investigate the changes of the function of B-cell. Methods Seventy-nine newly diagnosed type 2 diabetic patients were randomly divided into two groups. One group were treated with insulin pump in continuous subcutaneous insulin (BiAsp) infusion (CSII group) (40 cases) jAnother group were repeatedly treated with premixed insulin (BiAsp30) in subcutaneous injection(39 cases) .namely subcutaneous injections of insulin ( MSII group). The blood glucose,blood insulin and c-peptide, blood glucose target time, insulin dosage and hypo-glycemia events were recorded. Results Both groups could effectively control blood sugar, but the blood glucose was controlled more quickly, and the levels of insulin and c-peptide were improved more obviously in CSII group than those in MSII group. The incidence of hypoglycemia in CSII group was also significantly reduced. Conclusions Short-term intensive treatment with insulin pump can quickly and safely control blood sugar in patients with newly diagnosed type 2 diabetes, and improve the function of B-cell.
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