摘要
本文探讨了糖皮质激素在糖尿病患者中的应用及对血糖管理的影响。通过文献综述与临床分析,明确了糖皮质激素通过促进糖异生、抑制葡萄糖利用等机制升高血糖,加重糖尿病代谢紊乱,并可能诱发糖皮质激素诱导的糖尿病。本文总结了糖尿病患者使用糖皮质激素时的血糖管理策略,包括生活方式干预、口服降糖药和胰岛素治疗,并强调需根据糖皮质激素用量动态调整胰岛素剂量。通过加强血糖监测、优化降糖方案,可有效平衡治疗效果与不良反应,减少糖皮质激素对血糖的不良影响。
This article discusses the application of glucocorticoids in diabetes mellitus patients and its effect on blood glucose management.Through literature review and clinical analysis,it is clear that glucocorticoids increase blood glu-cose by promoting gluconeogenesis and inhibiting glucose utilization,aggravate diabetic metabolic disorders,and may induce glucocorticoid-induced diabetes.The article summarizes the blood glucose management strategies of diabetes mellitus patients when using glucocorticoids,including lifestyle intervention,oral hypoglycemic drugs and insulin therapy,and emphasizes the need to dynamically adjust the insulin dose according to the dosage of glucocorticoids.By strengthening blood glucose monitoring and optimizing the hypoglycemic regimen,the therapeutic effect and side ef-fects can be effectively balanced,thereby reducing the adverse effects of glucocorticoids on blood glucose.
作者
再米热·艾山江
靳瑾
Zaimire Aishanjiang;JIN Jin(Department of Endocrinology,the Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang Uygur Autonomous Region,China)
出处
《糖尿病新世界》
2025年第19期189-193,共5页
Diabetes New World
关键词
糖尿病
糖皮质激素
糖皮质激素诱导性高血糖
血糖管理
Diabetes mellitus
Glucocorticoid
Steroid-induced diabetes mellitus
Blood glucose management
