论文部分内容阅读
目的 比较空腹血糖增高和糖负荷后血糖增高的临床特征。方法 采用横断面分析的方法 ,对重庆地区 2 1～ 89岁人群进行了调查 ,根据空腹血糖和糖负荷后 2h血糖 ,将调查人群分为正常糖代谢 (NGT)、单纯空腹血糖受损 (iIFG)、单纯糖耐量低减 (iIGT)、联合糖调节受损 (IFG/IGT)、单纯空腹高血糖 (IFH)、单纯负荷后高血糖 (IPH)和联合血糖增高 (IFH/IPH) 7组 ,分别比较各组的糖脂代谢状况。结果 iIGT和IPH分别是IGR和DM的主要类型 ,分别占IGR的 6 1.4 %和初发DM的 6 0 .5 %。i IFG、iIGT、IFG/IGT、IPH、IFH/IPH各组的检出率均随着年龄的增加而有增高趋势。IGR人群中 ,IFG/IGT的SBP更高 ,脂代谢异常更明显 ,iIFG与iIGT则具有相似的代谢特征 ;DM患者中 ,FH组代谢紊乱重于IPH组。结论 iIGT和IPH分别是IGR和DM的主要类型 ,测定餐后 2h血糖有助于筛查到iIGT和IPH。
Objective To compare the clinical features of elevated fasting glucose and elevated glucose after glucose loading. Methods The cross-sectional analysis was used to investigate the population aged 21-89 in Chongqing. According to the fasting plasma glucose and 2-hour post-glycemic load, the survey population was divided into normal glucose metabolism (NGT), impaired fasting blood glucose (iIFG (IGT), impaired IFG / IGT, IFH, IPH and IFH / IPH groups were significantly higher than those in control group The glucose and lipid metabolism of each group were compared. Results The major types of IGR and DM were iIGT and IPH, respectively, accounting for 6 1.4% of IGR and 60.5% of those with initial DM. The detection rates of i IFG, iIGT, IFG / IGT, IPH and IFH / IPH all increased with age. In IGR population, IFG / IGT had higher SBP, more abnormal lipid metabolism, and iIFG and iIGT had similar metabolic characteristics. Among DM patients, FH group had more metabolic disorders than IPH group. Conclusions iIGT and IPH are the main types of IGR and DM, respectively. The determination of 2h postprandial blood glucose helps to screen iIGT and IPH.