Krasil'nikova E I, Almazov V A, Blagosklonnaia I V
Department of Faculty Therapy, State Medical Univesity, Saint-Petersburg.
Klin Med (Mosk). 1996;74(8):40-3.
Biochemical and immunological indices were studied with regard to insulin dose in 321 patients with diabetes mellitus type I. Overdosage of insulin in these patients induced significantly more frequently clinical manifestations of atherosclerosis, marked shifts in lipid spectrum of the serum and in immunological picture. In diabetics on physiological doses of insulin atherosclerosis is a rare finding, lipid spectrum and immunological indices in stable normoglycemia did not differ much from controls. Implication of chronic insulin overdosage in mechanism of atherosclerosis onset is suggested.
对321例I型糖尿病患者的生化和免疫指标与胰岛素剂量的关系进行了研究。这些患者胰岛素过量更频繁地引发动脉粥样硬化的临床表现、血清脂质谱和免疫状况的明显变化。使用生理剂量胰岛素的糖尿病患者中,动脉粥样硬化很少见,血糖稳定时的脂质谱和免疫指标与对照组差异不大。提示慢性胰岛素过量参与了动脉粥样硬化发病机制。