City Hospital, Birmingham, United Kingdom.
City Hospital, Birmingham, United Kingdom.
Diabetes Res Clin Pract. 2011 Aug;93(2):e87-e91. doi: 10.1016/j.diabres.2011.05.015. Epub 2011 Jun 1.
It is uncertain what should be done with insulin dose if starting exenatide. In the ABCD nationwide exenatide audit, many patients with type 2 diabetes had worsened glycaemia when insulin was stopped. If starting exenatide, insulin should not be stopped but weaned off only if there is significant glycaemic response.
如果开始使用艾塞那肽,胰岛素剂量应该如何调整尚不确定。在 ABCD 全国性艾塞那肽审计中,许多 2 型糖尿病患者在停用胰岛素后血糖恶化。如果开始使用艾塞那肽,不应停用胰岛素,仅当血糖有显著改善时才可逐渐减量。