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胰岛素与磺脲类药物联合治疗II型糖尿病。

Combined insulin-sulfonylurea treatment of type II diabetes.

作者信息

Bingham P R, Riddle M C

出版信息

Diabetes Educ. 1989 Sep-Oct;15(5):450-5. doi: 10.1177/014572178901500516.

DOI:10.1177/014572178901500516
PMID:2673707
Abstract

The literature on type II (noninsulin-dependent diabetes mellitus) proposes many forms of treatment. This diversity suggests that there is no single best way to treat this condition. At Oregon Health Sciences University, we have been using the combination of insulin given in the evening and sulfonylurea drugs given during the day as an alternative to multiple-dose insulin regimens when diet or diet and oral hypoglycemic agent therapies do not achieve adequate glucose control. This approach, while effective in our experience, is not widely accepted. This paper reviews the literature on combined insulin and sulfonylurea therapy for treatment of certain stages of type II diabetes, the rationale for use of this therapy, and our experience to date.

摘要

关于II型(非胰岛素依赖型糖尿病)的文献提出了多种治疗方式。这种多样性表明,治疗这种疾病没有单一的最佳方法。在俄勒冈健康与科学大学,当饮食或饮食与口服降糖药治疗无法实现充分的血糖控制时,我们一直将晚间注射胰岛素与白天服用磺脲类药物相结合,作为多剂量胰岛素治疗方案的替代方法。根据我们的经验,这种方法虽然有效,但并未被广泛接受。本文回顾了关于胰岛素与磺脲类药物联合治疗II型糖尿病某些阶段的文献、使用这种治疗方法的基本原理以及我们目前的经验。

相似文献

1
Combined insulin-sulfonylurea treatment of type II diabetes.胰岛素与磺脲类药物联合治疗II型糖尿病。
Diabetes Educ. 1989 Sep-Oct;15(5):450-5. doi: 10.1177/014572178901500516.
2
Efficacy of insulin and sulfonylurea combination therapy in type II diabetes. A meta-analysis of the randomized placebo-controlled trials.胰岛素与磺脲类药物联合治疗II型糖尿病的疗效:随机安慰剂对照试验的荟萃分析
Arch Intern Med. 1996 Feb 12;156(3):259-64.
3
Combined therapy with a sulfonylurea plus evening insulin: safe, reliable, and becoming routine.
Horm Metab Res. 1996 Sep;28(9):430-3. doi: 10.1055/s-2007-979832.
4
Combination sulfonylurea-insulin therapy in the treatment of noninsulin-dependent diabetes mellitus.
Conn Med. 1991 Nov;55(11):634-6.
5
[Combined insulin and sulfonylurea treatment in diabetes mellitus].
Harefuah. 1986 Jan 1;110(1):11-4.
6
Combination use of sulfonylureas and insulin in the treatment of noninsulin-dependent diabetes mellitus.
Pharmacotherapy. 1992;12(4):292-9.
7
The combined treatment with insulin and sulfonylurea in non-insulin-dependent diabetic patients with secondary failure. Rationale and guidelines.
Diabetes Res Clin Pract. 1988;4 Suppl 1:75-81. doi: 10.1016/0168-8227(88)90019-8.
8
Insulin: either alone or combined with oral hypoglycemic agents.胰岛素:单独使用或与口服降糖药联合使用。
Prim Care. 1988 Sep;15(3):665-83.
9
Diabetes care: what should we try to achieve?糖尿病护理:我们应努力实现什么目标?
J Fam Pract. 1991 Oct;33(4):343-4.
10
[Testing insulin and sulfonylurea sensitivity in type II diabetes mellitus].
Orv Hetil. 1984 Dec 16;125(51):3103-6.

引用本文的文献

1
Treatment of non-insulin-dependent diabetes mellitus and its complications. A state of the art review.非胰岛素依赖型糖尿病及其并发症的治疗。一篇前沿综述。
Drugs Aging. 1994 Jun;4(6):470-91. doi: 10.2165/00002512-199404060-00004.