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血糖控制与糖尿病并发症:强化 IDDM 控制是否合理?

Glucose Control and Diabetic Complications: Is tight control of IDDM justified?

出版信息

Can Fam Physician. 1991 Jun;37:1409-20.

Abstract

Tight glucose control is clearly beneficial in the pregnant insulin-dependent diabetic. In other areas (retinopathy, established nephropathy, and hypoglycemia) the question whether tight control of diabetes is justified remains unanswered. Preliminary evidence suggests that tight control, if begun early, can prevent clinical nephropathy and neuropathy.

摘要

严格的血糖控制显然对妊娠胰岛素依赖型糖尿病患者有益。在其他方面(视网膜病变、已确诊的肾病和低血糖),严格控制糖尿病是否合理的问题仍未得到解答。初步证据表明,如果早期开始严格控制,可以预防临床肾病和神经病变。

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本文引用的文献

1
Pregnancy complicating diabetes.妊娠合并糖尿病
Am J Med. 1949 Nov;7(5):609-16. doi: 10.1016/0002-9343(49)90382-4.
3
LONGEVITY AND MORTALITY OF DIABETICS.糖尿病患者的寿命与死亡率
Am J Public Health Nations Health. 1965 Mar;55(3):416-23. doi: 10.2105/ajph.55.3.416.
6
Tight metabolic control of overt diabetes in pregnancy.孕期显性糖尿病的严格代谢控制。
Am J Med. 1980 Jun;68(6):845-52. doi: 10.1016/0002-9343(80)90204-1.
8
Kidney complications.肾脏并发症。
Diabetes. 1982;31(Suppl 1 Pt 2):71-81. doi: 10.2337/diab.31.1.s71.
10
Intensive ambulatory treatment of insulin-dependent diabetes.
Ann Intern Med. 1982 Aug;97(2):225-30. doi: 10.7326/0003-4819-97-2-225.

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