碳水化合物敏感系数和胰岛素敏感系数在大剂量向导治疗中影响因素的研究

    The influencing factor analysis of the insulin-to-carbohydrate ratio and insulin sensitivity factor in bolus wizard trentment

    • 摘要: 目的:初步探讨使用胰岛素泵大剂量向导计算器对治疗糖尿病的准确性的影响因素。方法:纳入100例2型糖尿病患者,使用胰岛素泵(CSII)治疗8 d,监测每天8次指血糖,据第1天平均血糖将患者分为3组,观察3组碳水化合物敏感系数(ICR)和胰岛素敏感系数(ISF)并作分析。结果:3组患者治疗第8天ICR和ISF差异均有统计学意义(P<0.01);治疗8 d,ICR和ISF均显著升高(P<0.01);ICR和ISF与早餐后血糖、晚餐后血糖、午餐后血糖均呈线性负相关关系(P<0.01)。结论:使用大剂量向导调整血糖过程中,ICR和ISF与患者第1天平均血糖、三餐后血糖有关;如果在治疗中不断及时调整ICR和ISF,可提高向导胰岛素剂量的准确性。

       

      Abstract: Objective: To investigate the factor influencing the accuracy of diabetes treated with insulin bolus wizard pump calaculateor.Methods: A total of 100 type 2 diabetic patients were treated with insulin pump for 8 days,and the blood glucose level was measured for 8 times in a day.The patients were divided into 3 groups according to the mean blood glucose level of the first day.The insulin-to-carbohydrate ratio(ICR) and insulin sensitivity factor(ISF) between three groups were analyzed.Results: The ICR and ISF value in 3 groups significantly increased at 8th day of treatment(P<0.01),and the differences of ICR and ISF between three groups were statistically signifcant(P<0.01).The ICR and ISF were linearly negative correlation with the blood glucose level after breakfast,supper,and lunch(P<0.01).Conclusions: In the process of treating diabetes with bolus wizard,the ICR and ISF are related to the mean blood glucose level on the first day and glucose after meal.The timely adjusting the ICR and ISF can improve the accuracy of insulin use.

       

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