谈中西医结合分阶段治疗新诊断2型糖尿病

Treatment of Newly Diagnosed Type 2 Diabetes with the Combination of Traditional Chinese Medicine and Western Medicine According to Different Stages

2型糖尿病是一种除心血管疾病、肿瘤外严重危害人类健康与生命的疾病。由于2型糖尿病的危害性和复杂性以及高发病率和高速度的发病率特点,给个人、家庭和社会带来了巨大压力和沉重的负担。对新诊断的2型糖尿病患者进行胰岛素泵(Subcutaneous insulin infusion,CSII)强化治疗是唤醒胰岛β细胞功能的有效手段,可减轻糖毒性、脂毒性及控制炎症,增加胰岛素敏感性,但无法遏制或延缓β细胞功能衰竭。从中医角度来看与胰岛素抵抗和β细胞功能密切相关的湿热证并没有解除。中医经典方剂葛根芩连汤(Gegen Qinlian Decoction,GQD)是治疗湿热证消渴的有效方剂,并可能在改善胰岛素抵抗,调节血脂等一定作用,对于新诊断的2型糖尿病患者,采用分阶段治疗暨在接受CSII早期强化治疗后服用以GQD为代表的清热祛湿之中药,可取得更好的疗效。

Type 2 diabetes is a serious disease except cardiovascular disease and tumor that can badly affect huaman health and life.Type 2 diabetes has become one of the most daunting causes of sickness and health in China.It takes great pressure and serious burnden to the patient family and our society. Subcutaneous insulin infusion (CSII)of short-term intensive insulin treatment is an effective method of awakening β-cell function in newly diagnosed type 2 diabetic patients.CSII can substantially reduce glucotoxicit...