Kawamori Ryuzo
Department of Medicine, Metabolism & Endocrinology, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Kekkaku. 2004 Jan;79(1):25-32.
Diabetes and tuberculosis are bad companions each other. In this clinical review article on diabetes, the pathophysiology of diabetes is documented from the viewpoint of both insulin secretory dynamics and insulin action on various target organs. The mechanisms why atherosclerosis is accelerated in diabetes is also mentioned. Nowadays, there are many modalities to correct the deranged glucose fluxes, thus it is not difficult to maintain near-normal glycemic excursions in diabetic patients. Strict glycemic regulation is obligatory if the patient with tuberculosis has diabetes.
糖尿病与结核病如影随形。在这篇关于糖尿病的临床综述文章中,从胰岛素分泌动力学以及胰岛素对各种靶器官的作用这两个角度阐述了糖尿病的病理生理学。文中还提及了糖尿病中动脉粥样硬化加速的机制。如今,有多种方式可纠正紊乱的葡萄糖代谢,因此在糖尿病患者中维持接近正常的血糖波动并不困难。若结核病患者同时患有糖尿病,严格的血糖调控必不可少。