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胰岛素依赖型糖尿病患者的临床观察

The clinical observation of Insulin dependent diabetics

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【作者】 朱志旭; 白悦心; 欧阳安; 谢亚钢;

【Author】 Zhu Zhixu, et al Endocrinological Group of Internal Medicine Department, of the First Affiliated Hospital of Henan Medical College

【机构】 河南医学院一附院; 河南医学院一附院内科内分泌组; 河南医学院一附院内科内分泌组 内分泌进修医师;

【摘要】 观察5例初发的胰岛素依赖型糖尿病患者,经用胰岛素治疗一段时间后,病情稳定好,有的仅用小剂量或停用胰岛素,单用饮食疗法或口服磺脲类药,病情也能稳定半年到一年。这说明这些患者胰岛尚有部分功能。其病情可自然暂时缓解。即所谓糖尿病患者的“蜜月期”。这些病人在应激情况下,可再次出现酮症或酮症酸中毒。因此,对这些病人应注意随访观察。

【Abstract】 After a period of treatment with Insulin, the condition of the 5 cases of Insulin dependent diabetics under our observation was improved and stable. Then Insulin was withdrawn or given only with a small dosage, or they were treated with diet alone or sulfonylureas, and their condition was still stable for half to one year. The fact can prove that the β cells can still have part of their function and condition of the patients can improve spontaneously. It’s so called." honeymoon period" of the patients. When they get stim ulated, the ketoacidosis will occur in them again. So to follow up these patients is very important.

【关键词】 糖尿病; 胰岛素; 分类法;
【Key words】 Diabetes Millitus; Insulin; Classiffication;
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