Features of lipid ratios in patients with newly diagnosed T2DM and effects of intensive insulin treatment on them
10.3969/j.issn.1006-5725.2017.11.016
- VernacularTitle:新诊断2型糖尿病患者血脂比值特点及短期胰岛素强化治疗对其影响
- Author:
Xiuhong LIN
;
Xilin XIONG
;
Mingtong XU
;
Juying TANG
;
Lifang MAI
;
Yan LI
;
Li YAN
- Keywords:
Type 2 diabetes mellitus;
New diagnosis;
Intensive insulin therapy;
Lipid ratios
- From:
The Journal of Practical Medicine
2017;33(11):1781-1785
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the features of lipid ratios in patients with newly diagnosed T2DM, and the effects of intensive insulin treatment on them. Methods 90 patients with newly diagnosed T2DM and 58 matched people with normal glucose were enrolled to assess height,weight,waist circumference,blood glucose and lipid profiles. BMI,TC/HDL-C,TG/HDL-C,log(TG/HDL-C),LDL-C/HDL-C,HOMA-B and HOMA-IR were calculated respectively. All the patients received the continuous subcutaneous insulin infusion with insulin pump. The treatment continued for more 10~14 days after blood glucose reached the standard. All the above indi-cators were reexamined after treatment. Results Dyslipidemia in patients with newly diagnosed T2DM mainly showed as hypertriglyceridemia and decreased HDL-C compared to the control group(P<0.05). TC/HDL-C,TG/HDL-C,log(TG/HDL-C)and LDL-C/HDL-C significantly increased in these patients(P<0.01). After short-term intensive insulin therapy,all lipid ratios were significantly decreased and the changes of lipid ratios were positively correlated with the change of HOMA-IR(P<0.05). Conclusion Short-term intensive insulin therapy for patients with newly diagnosed type 2 diabetes can significantly lower the lipid ratios related to HDL-C. The effects may be closely related to improvement of insulin resistance.
