摘要
1例2型糖尿病患者使用口服降糖药物治疗血糖控制不佳,加用甘精胰岛素治疗3个月,空腹静脉血糖由10.6mmol/L降至6.06mmol/L,糖化血糖蛋白由8.7%降至7.9%。患者监测餐后2小时指血血糖11~14mmol/L,加用磷酸西格列汀100mg qd治疗3个月。后监测空腹指血血糖5-7mmol/L,餐后2小时指血血糖8~11mmol/L,复查糖化血红蛋白7.2%。无不良反应和低血糖发生。结论:口服降糖药控制不佳的2型糖尿病患者,调整为甘精胰岛素联合口服降糖药后可有效控制血糖。
One type 2 diabetes patient treated with oral antidiabetic drugs was administrated into the Endocrinology Department because of poor glucose control. Insulin glargine w as added to the patient for 3 months,the fasting venous glucose reduced to 6. 06 mmol/L from 10. 6 mmol/L,glycosylatedhemoglobinreduced to 7. 9% from 8. 7%. Because of high postprandialglucose( 11-14 mmol/L),sitagliptin phosphate w as added for another 3 months. The patient got better fasting glucose of 5-7 mmol/L,postprandialglucose of 8-11 mmol/L and glycosylatedhemoglobinof 7. 2%. There w ere no adverse effects and hypoglycemia during treatment. Conclusion: Combining insulin glargine and oral antidiabetic drugs can achieve better glucose control in type 2 diabetes patient.
作者
刘兆祥
赵文惠
Zhaoxiang Liu;Wenhui Zhao(Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Universit)
出处
《实用糖尿病杂志》
2018年第3期66-67,共2页
Journal of Practical Diabetology
关键词
2型糖尿病
甘精胰岛素
口服降糖药
type 2 diabetes
insulin glargine
oral antidiabetic drugs