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糖适平治疗271例NIDDM的临床评价

A CLINICAL EVALUATION OF GLURENORM IN THE TREATMENT OF TYPE Ⅱ DIABETES MELLITUS

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【摘要】 271例Ⅱ型糖尿病患者经用糖适平(GL)治疗5或7个月后,空腹及餐后血糖、HbA1、尿糖及尿蛋白均较治疗前明显降低(P<0.01).空腹及餐后血糖分别较治前平均降低21.48%和25.41%。GL治疗总有效率为85.6%。低血糖反应发生率为0.7%。其他副反应有嗜睡6例,瘙痒、腹胀和面部刺痛各1例。血像及肝肾功能无特殊变化。本药适应证除与一般磺脲类(SU)相同外,尤适于:(1)老年糖尿病;(2)糖尿病伴轻至中度肾功能减退;(3)用其他SU反复有低血糖发作者;(4)其他SU失效者。GL剂量为112.40±66.50mg/d(15~270mg/d),较国外报告为高。

【Abstract】 271 cases of NIDDM treated for 5 or 7 months with Glurenorm (GL) were studied. After 5-month treatment with GL the FBG and PBG decreased significantly from 9.87±0.18 to 7.78±0.11 mmol/L (P<0.01), and from 15.27±0.30 to 11.39±0.21 mmol/L (P<0.01), respectively. So did the HbA1,UG and UP. A 5-month treatment of GL yielded an effective glucose-lowering rate of 85.6% with an average daily dose of 112.4±66.5 mg (15-270 mg). The occurrence of hypoglycemic events (mild) was 0.7%. No other serious side effects were found. Thus, GL is a safe and effective sulfonylurea (SU) with very low risk of hypoglycemia. It can be indicated for all NIDDM patients suitable for other SU, and especially appropriate for: 1) elderly diabetics; 2) diabetic nephropalhy with mild to moderate renal insufficiency; 3) recurrent and severe episodes of hypoglycemia after treatment with other SU.

  • 【文献出处】 中华内分泌代谢杂志 ,Chinese Journal of Endocrinology and Metabolism , 编辑部邮箱 ,1993年01期
  • 【被引频次】9
  • 【下载频次】43
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