肝源性糖尿病46例诊治分析

Diagnosis and treatment in 46 patients with hepatic diabetes

目的探讨胰岛素治疗肝源性糖尿病的疗效。方法治疗组采用胰岛素加保肝类药物治疗肝源性糖尿病(HD)24例,对照组采用口服降糖类药物加保肝类药物治疗HD 22例,记录治疗前后肝功能、血糖的变化。结果治疗组患者肝功能的改善、血糖的控制等方面优于对照组。结论胰岛素具有降血糖,促进肝糖原合成的作用,是治疗HD的首选药物。

Objective To evaluate efficacy of insulin for management of hepatic diabetes. Methods Insulin and other drugs were employed for treating Hepatic diabetes （HD） in 24 cases. Oral hypoglycemics were used in 22 cases as control group. Registration for change of patients＇hepatic function and blood sugar. Results The improvement of hepatic function and blood sugar in therapeutic group were prior to what in control group. Conclusion The study shows that insulin can downregulate blood sugar and stimulate to synthesize hepatic glycogen.