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肥胖的2型糖尿病患者代谢状态分析 被引量:3

Analysis of the metabolic state in 2 diabetes mellitus with obesety
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摘要 目的:通过观察42例肥胖的糖尿病患者和25例非肥胖的糖尿病患者的代谢状态,了解其代谢紊乱的特点和程度,为改善糖尿病人的代谢状态及血管并发症的防治提供临床依据。结果:肥胖组甘油三酯水平明显高于非肥胖组。血总胆固醇水平两组间无明显差异。可见明显的LDL-c升高和HDL-c降低。血浆胰岛素、血尿酸水平及24小时尿微量白蛋白排泄量肥胖组均有明显增高。两组间比较均有统计学意义。结论:在肥胖的2型糖尿病有明显的代谢紊乱,肥胖越严重,所引起的代谢紊乱越严重。所以对2型糖尿病伴有肥胖的患者应予以重视,对其各种代谢异常进行综合治疗。 Objective: To investigate type 2 diabetes patients with obesity for prevention and management of diabetes complication,the authors observed 42 obese type 2 diabetes patients and 25 nonobese patients in this study. Results: Serum triglycerides levels decrease significantly. Plasma insuline levels and were significantly higher in type 2 diabetes with obesity than those in controls. LDL-c levels were increased and HDL-c levels decretion of 24 hours were signifine levels and uric acid and urinary aldumin escretion of 24 hours were significantly increased. Conclution: In obesith type 2 diabetes patients suffer from a metabolic disorder, when obesith is getting severe, metabolic disorder will be more severe, thereby suppling to type 2 diabetes patients with obesity must attach great importance for effectively controlling the metabolic disorder and preventing the devlopment of complications.
作者 张喆 孟东
出处 《现代中西医结合杂志》 CAS 2000年第2期95-96,共2页 Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词 糖尿病 肥胖 代谢紊乱 thpe 2 DM\ \ obesity \ \ metabolic disorder
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