Yue D K, Turtle J R
Aust Fam Physician. 1977 Mar;6(3):286, 289.
Insulin therapy is required in the treatment of diabetic patients manifesting persistent ketosis. Although most patients in this category are young, many elderly diabetics fall into this group. In patients without ketosis, the indications for insulin therapy are less easy to define. In general, insulin is required if blood glucose levels cannot be maintained below 200mg/100ml following adequate diet, attainment of ideal body weight, and oral hypoglycaemic therapy.
胰岛素治疗是治疗表现为持续性酮症的糖尿病患者所必需的。虽然这类患者大多是年轻人，但许多老年糖尿病患者也属于这一群体。对于没有酮症的患者，胰岛素治疗的指征较难明确。一般来说，如果在适当饮食、达到理想体重和口服降糖治疗后血糖水平仍不能维持在200mg/100ml以下，就需要使用胰岛素。
