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[近期胰岛素依赖型糖尿病的临床病程及治疗控制的可能性]

[Clinical course of recent insulin-dependent diabetes mellitus and possibilities of controlling it therapeutically].

作者信息

Dryáková M, Bartos V, Karasová L, Růzicková J, Lánská V, Malý J

机构信息

Institut klinické a experimentální medicíny, Praha.

出版信息

Cas Lek Cesk. 1990 Nov 30;129(48):1516-9.

PMID:2257600
Abstract

Intensive insulin treatment in a recent stage of IDDM promotes metabolic compensation of the disease regardless which regime of conventional or unconventional treatment is used. In thus treated patients more frequently complete or partial metabolic remission is achieved. C-peptide in patients in remission is much higher than in other patients, and conversely there are fewer persons without residual B-cell secretion. The manifestation of diabetes has an impact also on the clinical course of the disease. Normoglycaemia with possible metabolic remission associated with easy insulin administration a flexible lifestyle have a favourable effect on the onset of the life-long disease and eliminate to a minimum factors which have a negative psychosomatic impact on the patient.

摘要

在胰岛素依赖型糖尿病(IDDM)近期阶段进行强化胰岛素治疗可促进疾病的代谢代偿,无论采用常规还是非常规治疗方案。接受此类治疗的患者更常实现完全或部分代谢缓解。缓解期患者的C肽水平远高于其他患者,反之,无残余B细胞分泌的患者较少。糖尿病的表现也会影响疾病的临床进程。血糖正常以及可能出现的代谢缓解,再加上胰岛素给药简便和生活方式灵活,对这种终身疾病的发病具有有利影响,并将对患者产生负面心身影响的因素降至最低。

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