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确诊糖尿病应做哪些检查

来源:华人健康网 | 发布时间:2011-08-19 16:34:36 | www.chinesejk.com
许多糖尿病患者得病几年只检查过空腹血糖、尿糖后就开始用药,而对自己的胰岛功能、胰岛素受体结合情况一无所知。糖尿病是胰岛素分泌量不足或胰岛素不能有效发挥作用(与受体结合含量少)所致。所以检查糖尿病不仅检查空腹血糖,而且要观察餐后2小时血糖,特别应做胰岛功能检查。

  正常人空腹血糖:3.9-6.1mmoL/L,餐后2小时血糖7.8-8.9mmoL/L
如空腹血糖≥7.0mmoL/L,餐后2小时血糖≥11.1mmoL/L就可诊断糖尿病。

  如空腹血糖在6.1-7.0mmoL/L,餐后2小时血糖在7.0-11.1mmoL/L之间为糖耐量异常,是早期糖尿病的表现。而尿糖检查仅供参考,不能做为回头用药的依据。

  胰岛功能检查方法:试验者口服100克馒头或服含75克糖水300mL后观察血糖、胰岛素、C肽变化,了解胰岛功能情况,有助于糖尿病的分型、病情轻重的判断及指导治疗。






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