实用医学杂志 ›› 2023, Vol. 39 ›› Issue (2): 175-179.doi: 10.3969/j.issn.1006⁃5725.2023.02.009

• 专题报道 • 上一篇    下一篇

德谷胰岛素联合利拉鲁肽在血糖控制不佳的 2型糖尿病患者中的应用

 段纬喆 王中京   

  1. 华中科技大学同济医学院附属武汉中心医院内分泌科(武汉430012)
  • 出版日期:2023-01-25 发布日期:2023-01-25
  • 通讯作者: 王中京 E⁃mail:doctorwangzj@163.com
  • 基金资助:
    武汉市卫健委资助医学重大项目课题(编号:WG20M01)


Effect of insulin digitalis combined with lilalutide on type 2 diabetes patients with poor blood glucose con⁃trol

DUAN Weizhe,WANG Zhongjing
  

  1. Department of Endocrinology,the Central Hospital of Wuhan Affiliated to Tongji Medical College of Huazhong University of Science & Technology,Wuhan 430012,China
  • Online:2023-01-25 Published:2023-01-25
  • Contact: WANG Zhongjing E⁃mail:doctorwangzj@163.com

摘要:

目的 观察德谷胰岛素与利拉鲁肽联合降糖方案在血糖水平控制不佳的 2 型糖尿病患 者中的应用效果观察。方法 选取 2021 1-12 月华中科技大学同济医学院附属武汉中心医院内分泌 科收治血糖控制不佳的 2 型糖尿病患者 60 例,进行前瞻性观察研究,按随机数字表法 1∶1 分配为对照 组和试验组,各 30 例。对照组采用甘精胰岛素联合谷赖胰岛素治疗方案,试验组采用德谷胰岛素联合 利拉鲁肽治疗方案,均治疗 12 周。采用方差分析及 t 检验统计方法,比较两组治疗前后糖化血红蛋白值 HbA1c)、空腹血糖值(FPG)、空腹血清 C 肽值(FCP)、餐后 2 h 血清 C 肽值(2hPCP)、胰岛素抵抗指数 HOMA⁃IR)、体质指数(BMI)水平,以及基础胰岛素使用量、降糖临床疗效。结果 治疗 12 周后,两组 HbA1c、FPG 值均较治疗前降低(均 P < 0.01),但两组间值比较,差异无统计学意义(P > 0.05);试验组 FCP、2hPCP 值均高于对照组,但试验组 HOMA⁃IR 值低于对照组(t = 8.757、23.760、6.998,均 P < 0.01); 试验组基础胰岛素使用量、BMI 值低于对照组,试验组总有效率高于对照组(χ2 = 15.37,P < 0.01)。 结论 德谷胰岛素与利拉鲁肽联合方案治疗血糖水平控制不佳的 2 型糖尿病患者,该类患者血糖控制 平稳,有效,不良反应少,且有降糖之外的获益。

关键词:

2型糖尿病, 血糖控制不佳, 德谷胰岛素, 利拉鲁肽

Abstract:

Objective To observe the effect of combined hypoglycemic regimen of insulin digu and liraglu⁃ tide on type 2 diabetes patients with poorly controlled blood glucose. Methods From January to December 2021 60 type 2 diabetes patients with poor blood glucose control who were admitted to the Endocrinology Department of Wuhan Central Hospital were selected for a prospective observational study. The patients were divided into the con⁃ trol group and the test group in equal number with the random number table method. The control group was treated with insulin glargine combined with insulin glulisine for 12 weeks,and the test group with insulin degludec com⁃ bined with liraglutide for 12 weeks as well. Analysis of variance and t⁃test statistical methods were used to compare the glycosylated hemoglobin(HbA1c),fasting blood glucose(FPG),fasting serum C ⁃ peptide(FCP),2⁃ hour postprandial serum C⁃peptide(2hPCP),insulin resistance index HOMA⁃IR),body mass index(BMI)levels daily dosage of basal insulin,and clinical effect of lowering blood sugar between the two groups. Results After 12 weeks treatment,the levels of HbA1c and FPG in both groups were lower than those before treatment(P < 0.01), but there was no significant difference between the two groups(P > 0.05). The levels of FCP and 2hPCP in the test group were higher than those in the control group. The level of HOMA⁃IR in the test group was lower than that in the control group(t = 8.757,23.760,6.998,P < 0.01). The daily dose of basal insulin and the BMI in the test group were lower than those in the control group as well,and the total effective rate in the test group was signifi⁃ cantly higher compared with the control group(χ2 = 15.37,P < 0.01). Conclusion The therapy with Degu insulin and lilalutide combined is effective and stable in the treatment of type 2 diabetes patients with poor blood glucose control. It has few adverse reactions and other benefits as well besides glucose reduction.


Key words: type 2 diabetes mellitus, poor blood glucose control, insulin degludec, liraglutide

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