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血管紧张素转换酶抑制剂对糖代谢无不良影响，甚至可改善机体对胰岛素的敏感性、对代谢有益。它可通过改善机体对胰岛素的敏感性而诱发某些接受降血糖治疗的糖尿病患者发生低血糖。血管紧张素转换酶抑制剂可明显改善胰岛素抵抗。
Angiotensin-converting enzyme inhibitors have no adverse effect on glucose metabolism and may even improve the body’s sensitivity to insulin and may be beneficial to metabolism. It can induce hypoglycemia in some diabetic patients who receive hypoglycemic treatment by improving the body’s sensitivity to insulin. Angiotensin-converting enzyme inhibitors can significantly improve insulin resistance.