L Zang, X F Wei, Q H Guo, Y L Chen, Y Q Yin, Y Cheng, W J Gu, J M Ba, J T Dou, Z H Lyu, Y M Mu
{"title":"[2型糖尿病合并皮下胰岛素抵抗综合征1例]。","authors":"L Zang, X F Wei, Q H Guo, Y L Chen, Y Q Yin, Y Cheng, W J Gu, J M Ba, J T Dou, Z H Lyu, Y M Mu","doi":"10.3760/cma.j.cn112138-20221110-00841","DOIUrl":null,"url":null,"abstract":"患者女性，20岁，糖尿病伴多囊卵巢综合征病史6年。发病初期使用胰岛素皮下注射治疗效果佳，后停用胰岛素使用口服药治疗。近1年因血糖异常升高再次启用胰岛素皮下注射治疗，但超大剂量胰岛素皮下注射血糖控制不佳；实验室检查示空腹胰岛素轻度升高，未发现拮抗胰岛素激素水平增高的内分泌疾病，基因检测未见异常突变；静脉胰岛素输注可将血糖控制达标。最终诊断为2型糖尿病合并皮下胰岛素抵抗综合征。使用二甲双胍、恩格列净联合肌肉注射胰岛素，患者血糖控制平稳。.","PeriodicalId":24000,"journal":{"name":"Zhonghua nei ke za zhi","volume":"62 8","pages":"1025-1028"},"PeriodicalIF":0.0000,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Type 2 diabetes complicated with subcutaneous insulin resistance syndrome: a case report].\",\"authors\":\"L Zang, X F Wei, Q H Guo, Y L Chen, Y Q Yin, Y Cheng, W J Gu, J M Ba, J T Dou, Z H Lyu, Y M Mu\",\"doi\":\"10.3760/cma.j.cn112138-20221110-00841\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"患者女性，20岁，糖尿病伴多囊卵巢综合征病史6年。发病初期使用胰岛素皮下注射治疗效果佳，后停用胰岛素使用口服药治疗。近1年因血糖异常升高再次启用胰岛素皮下注射治疗，但超大剂量胰岛素皮下注射血糖控制不佳；实验室检查示空腹胰岛素轻度升高，未发现拮抗胰岛素激素水平增高的内分泌疾病，基因检测未见异常突变；静脉胰岛素输注可将血糖控制达标。最终诊断为2型糖尿病合并皮下胰岛素抵抗综合征。使用二甲双胍、恩格列净联合肌肉注射胰岛素，患者血糖控制平稳。.\",\"PeriodicalId\":24000,\"journal\":{\"name\":\"Zhonghua nei ke za zhi\",\"volume\":\"62 8\",\"pages\":\"1025-1028\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua nei ke za zhi\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112138-20221110-00841\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua nei ke za zhi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112138-20221110-00841","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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