摘要
住院糖尿病患者往往病情较重且相对复杂,其血糖波动大,变异性高,更难控制,而住院高血糖可增加患者的并发症和死亡风险,延长住院时间,增加住院费用。此外,我国住院高血糖患者更多分布在非内分泌科,而非内分泌科住院医生对血糖管理不甚熟悉。如何对这类人群进行有效的血糖管理,尤其是胰岛素的应用,这是困扰临床医生的一个难题。本文将对这一问题做以综述,以期对临床医生有所帮助。
Inpatients with diabetes often suffer from severe and relatively complex conditions. Their blood glucose fluctuate greatly, the variability is high, and it is more difficult to control. Hyperglycemia in hospital can increase the risk of complications and death, prolong the length of stay and increase the cost of hospitalization. In addition, most of the inpatients with hyperglycemia in China are distributed in the non-endocrine department, but the clinicians in the non-endocrine department are not very familiar with blood glucose management. How to carry on the effective blood glucose management to these patients, especially the application of insulin. This is a difficult problem for clinicians. This article will review this problem in order to be helpful to clinicians.
作者
赵维纲
ZHAO Wei-gang(Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy ofMedical Sciences, Beijing 100730, China)
出处
《药品评价》
CAS
2019年第13期7-9,共3页
Drug Evaluation
关键词
住院高血糖
住院糖尿病
糖尿病管理模式
胰岛素治疗策略
胰岛素类似物
Inpatient Hyperglycemia
Inpatient Diabetes
Diabetes Management Model
Insulin Therapy Strategy
Insulin Analogues