肝源性糖尿病的诊断和治疗

Diagnosis and Treatment of Hepatogenous Diabetes

肝源性糖尿病(HD)病情复杂,肝脏功能恶化与血糖控制不佳常同时出现,给患者机体与医师诊治都造成一定困难。尽早诊断和精准治疗这种肝源性的异常糖代谢对患者的预后非常关键。目前国内外对HD的概念及诊断治疗均缺乏统一的认识。HD的诊断更多是一种经过综合鉴别分析后的倾向性诊断。同样,由于并无指南性的治疗方案,饮食控制、运动疗法、口服降糖药物、胰岛素均有各自的优缺点。应依据患者病情进行个体化治疗,在保护肝功能的同时稳定血糖。

Hepatogenous diabetes(HD)is a complex condition with worsening liver function and poor glycemic control overlapping which makes many challenges to the patient′s body and doctor.Early diagnosis and precise treatment of this liverderived abnormal glucose metabolism are critical to the prognosis.At present,the concept of HD and the diagnosis and treatment of HD both lack a unified understanding at home and abroad.The diagnosis of HD is often a propensity to diagnose after comprehensive differential analysis.Similarly,dietary control,exercise therapy,oral hypoglycemic agents,and insulin have their own advantages and disadvantages because there are no guidelines for treatment.Individualized treatment should be based on the patient′s condition,stabilizing blood sugar while protecting liver function.