正常人的空腹血糖

正常人的空腹血糖 正常人的空腹血糖维持在3.3~6.1mmol/L(60~110mg/dl)，餐后半小时到1小时之间一般在10.0mmol/L(180mg/dl)以下，最多也不超过 11.1mmol/L(200 mg/dl)，餐后2小时又回到7.8mmol/L(140 mg/dl)。 胰岛素怎样计算用量 (一)怎样估算其初始用量: 糖尿病患者在开始使用胰岛素治疗时，一律采用短效胰岛素。而且，一定在饮食与运动相对稳定的基础上，依下列方法估算初始用量，而后再依病情监测结果调整。 1、按空腹血糖估算:血糖浓度通常有两种表示方法:一种是毫摩尔/升(mmol/L),一种是毫克/分升(mg/dl)。这两个血糖浓度单位可以相互转换，转换系数是18。由mmol/L转换成mg/dl需乘以18;反之由mg/dl转换成mmol/l需除以18 每日胰岛素用量(μ)=[空腹血糖(mg/dl)-100]x10x体重(公斤)x0.6?1000?2 100为血糖正常值; x 10换算每升体液中高于正常血糖量; x 0.6是全身体液量为60%; the needs of future rehabilitation centre. facilitates future expansion of the hospital-wide voice communications, reducing costs due to expansion. Taking into account the special nature of public hospital, from a security point of view, the internal network of centres for the rehabilitation of the project system and Internet construction independently. to protect data within medical rehabilitation center from influence of external network, ensure safe and reliable medical information. Intranet for the hospital's internal network and not the hospital external link external network and an external network and data Association, two independent sets of network equipment. Medical network to four-room for 2 large Gigabit switches at the core, double-machine ?1000是将血糖mg换算为克; ?2是2克血糖使用1μ胰岛素。 5 -3.06 6 2.448 7 7.956 8 13.464 9 18.972 10 24.48 11 29.988 12 35.496 13 41.004 14 46.512 15 52.02 16 57.528 17 63.036 18 68.544 19 74.052 20 79.56 21 85.068 22 90.576 23 96.084 the needs of future rehabilitation centre. facilitates future expansion of the hospital-wide voice communications, reducing costs due to expansion. Taking into account the special nature of public hospital, from a security point of view, the internal network of centres for the rehabilitation of the project system and Internet construction independently. to protect data within medical rehabilitation center from influence of external network, ensure safe and reliable medical information. Intranet for the hospital's internal network and not the hospital external link external network and an external network and data Association, two independent sets of network equipment. Medical network to four-room for 2 large Gigabit switches at the core, double-machine 24 101.592 25 107.1 为避免低血糖，实际用其1/2--1/3量。 2、按24小时尿糖估算:病情轻，无糖尿病肾病，肾糖阈正常者，按每2克尿糖给1μ胰岛素。 3、按体重计算:血糖高，病情重,0.5--0.8μ/kg;病情轻，0.4--0.5μ/kg;病情重，应激状态，不应超过1.0μ/kg。 4、按4次尿糖估算:无糖尿病肾病，肾糖阈基本正常，按每餐前尿糖定性"+"多少估算。一般一个"+"需4μ胰岛素。 5、综合估算:体内影响胰岛素作用的因素较多，个体差异较大，上述计算未必符合实际，故应综合病情、血糖与尿糖情况，先给一定的安全量，然后依病情变化逐步调整。 (二)怎样分配胰岛素用量 按上述估算的情况，每日三餐前15--30分钟注射，以早餐前>晚餐前>午餐前的用量来分配。由于早餐前体内拮抗胰岛素的激素分泌较多，故胰岛素用量宜大一些;而一般短效胰岛素作用高峰时间2--4小时，因此午餐前用量最小;多数病人睡前不再用胰岛素，至the needs of future rehabilitation centre. facilitates future expansion of the hospital-wide voice communications, reducing costs due to expansion. Taking into account the special nature of public hospital, from a security point of view, the internal network of centres for the rehabilitation of the project system and Internet construction independently. to protect data within medical rehabilitation center from influence of external network, ensure safe and reliable medical information. Intranet for the hospital's internal network and not the hospital external link external network and an external network and data Association, two independent sets of network equipment. Medical network to four-room for 2 large Gigabit switches at the core, double-machine 次日晨再用，故晚餐前又比午餐前要用量大。如睡前还用一次，则晚餐前要减少，而睡前的用量更少，以防夜间低血糖。 糖尿病肾病患者的首选药物一般都是使用胰岛素治疗，糖尿病病因也是由于患者体内的胰岛功能缺陷或胰岛分泌不足引起的。所以使用胰岛素治疗糖尿病肾病是一个比较好的治疗方法。那么，使用胰岛素治疗时用量怎么控制呢,听听细胞渗透修复中心专家的建议吧。 糖尿病肾病的胰岛素用量: 糖尿病肾病患者和糖尿病患者一样，首先要控制好血糖，但是二者的胰岛素的用量却是不同的。 糖尿病肾病患者要随着病情的发展，适当的调整胰岛素的用量。 糖尿病肾病的患者，由于肾脏本身对胰岛素灭能下降，患者(尤其?型糖尿病)基础胰岛素水平增高，故胰岛素的需用量明显减少。 (三)怎样调整胰岛素剂量 在初始估算用量观察2--3天后，根据病情、血糖、the needs of future rehabilitation centre. facilitates future expansion of the hospital-wide voice communications, reducing costs due to expansion. Taking into account the special nature of public hospital, from a security point of view, the internal network of centres for the rehabilitation of the project system and Internet construction independently. to protect data within medical rehabilitation center from influence of external network, ensure safe and reliable medical information. Intranet for the hospital's internal network and not the hospital external link external network and an external network and data Association, two independent sets of network equipment. Medical network to four-room for 2 large Gigabit switches at the core, double-machine 尿糖来进一步调节用量。 1、据4次尿糖定性调整:只适用于无条件测血糖且肾糖阈正常的病人。依据前3--4天的4次尿糖定性进行调整:早餐前胰岛素用量依据午餐前尿糖，午餐前胰岛素用量依据晚餐前尿糖，晚餐前胰岛素用量依据睡前或次日晨尿(包括当天晨尿)。 2、根据血糖调整:糖尿病人，尤其是I型糖尿病及肾糖阈不正常的病人，应根据三餐前与睡前的血糖值来调整胰岛素用量，详见下表: 血糖值(mmol/l)mg/dl 餐前胰岛素增量 其它处理 <2.8 <50 减少2--3μ 立即进餐 2.8--3.9 50--70 减少1--2μ 3.9--7.2 70--130 原剂量 7.2--8.3 130--150 加1μ 8.3--11.1 150--200 加2μ 11.1--13.9 200--250 加3μ 13.9--16.6 250--300 加4--6μ 16.6--19.4 300--350 加8--10 μ 餐前活动量增加减1--2μ或加餐 加餐前活动量减少 加1--2μ the needs of future rehabilitation centre. facilitates future expansion of the hospital-wide voice communications, reducing costs due to expansion. Taking into account the special nature of public hospital, from a security point of view, the internal network of centres for the rehabilitation of the project system and Internet construction independently. to protect data within medical rehabilitation center from influence of external network, ensure safe and reliable medical information. Intranet for the hospital's internal network and not the hospital external link external network and an external network and data Association, two independent sets of network equipment. Medical network to four-room for 2 large Gigabit switches at the core, double-machine