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糖尿病儿童尿糖与血糖的关系。

Relationship between urinary and blood glucose in diabetic children.

作者信息

Griffin N K, Smith M A, Jenkins P A, Werther G, Baum J D

出版信息

Arch Dis Child. 1979 May;54(5):371-4. doi: 10.1136/adc.54.5.371.

DOI:10.1136/adc.54.5.371
PMID:475413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1545575/
Abstract

The relationship of urine glucose concentration with 'average' blood glucose concentration for the corresponding period was investigated in 10 juvenile diabetics during the performance of 15 inpatient metabolic profiles. 0% glucosuria was associated with 'average' blood glucose concentrations less than 6.4 mmol/l (less than 115 mg/100ml), 2% glycosuria with concentrations greater than 8.6 mmol/l (greater than 154 mg/100ml), and over 5% glycosuria with concentrations greater than 11.3 mmol/l (greater than 204 mg/100ml). Urinary glucose loss was large (greater than 278 mmol; greater than 5g) when the 'average' blood glucose was greater than 11.1 mmol/l (greater than 200 mg/100ml). Because many diabetics have blood glucose concentrations up to 11.1 mmol/l, it is advantageous if glucosuria up to 5% is detectable by routine home urine tests. The 2-drop Clinitest method detects glycosuria up to 5% without significant loss of accuracy and is recommended in preference to the 5-drop method.

摘要

在10名青少年糖尿病患者进行15次住院代谢状况评估期间,研究了相应时间段内尿糖浓度与“平均”血糖浓度之间的关系。尿糖为0%时,“平均”血糖浓度低于6.4毫摩尔/升(低于115毫克/100毫升);尿糖为2%时,血糖浓度高于8.6毫摩尔/升(高于154毫克/100毫升);尿糖超过5%时,血糖浓度高于11.3毫摩尔/升(高于204毫克/100毫升)。当“平均”血糖高于11.1毫摩尔/升(高于200毫克/100毫升)时,尿糖损失量很大(大于278毫摩尔;大于5克)。由于许多糖尿病患者的血糖浓度可达11.1毫摩尔/升,因此如果通过常规家庭尿检能够检测出高达5%的尿糖将是有益的。两滴Clinitest法在不显著降低准确性的情况下可检测出高达5%的尿糖,因此推荐优先于五滴法使用。

相似文献

1
Relationship between urinary and blood glucose in diabetic children.糖尿病儿童尿糖与血糖的关系。
Arch Dis Child. 1979 May;54(5):371-4. doi: 10.1136/adc.54.5.371.
2
Glucosuria in children with diabetes: advantages of the 2-drop Clinitest method.糖尿病患儿的糖尿:两滴班氏尿糖定性试剂法的优势
Diabetes Care. 1979 Jul-Aug;2(4):349-52. doi: 10.2337/diacare.2.4.349.
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Variations in renal threshold for glucose in Type 1 (insulin-dependent) diabetes mellitus.1型(胰岛素依赖型)糖尿病患者肾糖阈的变化
Diabetologia. 1984 Mar;26(3):180-2. doi: 10.1007/BF00252403.
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Blood testing compared with urine testing in the long term control of diabetes.血液检测与尿液检测在糖尿病长期控制中的比较。
Arch Dis Child. 1983 Apr;58(4):294-7. doi: 10.1136/adc.58.4.294.
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[Outpatient management of diabetic children and adolescents: control of fractional 24-h glucosuria (author's transl)].糖尿病儿童和青少年的门诊管理:24小时尿糖分数的控制(作者译)
Monatsschr Kinderheilkd (1902). 1977 Feb;125(2):88-93.
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Determination of glucosuria, an obsolete form of self-monitoring in diabetes?
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[Urine glucose monitoring at home becomes easier and more precise with a new test-tape: diabur-test 5000 (author's transl)].使用新型试纸条(尿糖测试5000,作者译)在家进行尿糖监测变得更加轻松和精确。
Monatsschr Kinderheilkd. 1982 Apr;130(4):218-20.
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The limited clinical value of home urine testing by diabetic patients.糖尿病患者进行家庭尿液检测的临床价值有限。
J Gen Intern Med. 1986 Jul-Aug;1(4):243-7. doi: 10.1007/BF02596192.

引用本文的文献

1
Home monitoring of diabetic control.糖尿病控制的家庭监测。
Arch Dis Child. 1981 Dec;56(12):897-9. doi: 10.1136/adc.56.12.897.
2
The limited clinical value of home urine testing by diabetic patients.糖尿病患者进行家庭尿液检测的临床价值有限。
J Gen Intern Med. 1986 Jul-Aug;1(4):243-7. doi: 10.1007/BF02596192.
3
Management of diabetics with the use of a microprocessor: comparison of insulin treatments based on blood and urine glucose levels.使用微处理器管理糖尿病患者:基于血糖和尿糖水平的胰岛素治疗比较。
Acta Diabetol Lat. 1988 Jan-Mar;25(1):33-40. doi: 10.1007/BF02581243.
4
Caring for the child with diabetes.照顾患有糖尿病的儿童。
Ir J Med Sci. 1979;148 Suppl 2:69-74. doi: 10.1007/BF02938142.

本文引用的文献

1
Self-monitoring of blood-glucose. Improvement of diabetic control.血糖自我监测。改善糖尿病控制。
Lancet. 1978 Apr 8;1(8067):732-5. doi: 10.1016/s0140-6736(78)90855-3.
2
Home monitoring of blood-glucose. Method for improving diabetic control.血糖的家庭监测。改善糖尿病控制的方法。
Lancet. 1978 Apr 8;1(8067):729-32. doi: 10.1016/s0140-6736(78)90854-1.