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2型糖尿病患者体脂分布与胰岛素抵抗的关系

程雯 马志强 张妍 徐婷 陈淑雯

诊断学理论与实践2011,Vol.10Issue(5):479-481,3.
诊断学理论与实践2011,Vol.10Issue(5):479-481,3.

2型糖尿病患者体脂分布与胰岛素抵抗的关系

Body fat distribution and insulin resistance index in type 2 diabetes mellitus

程雯 1马志强 2张妍 1徐婷 1陈淑雯1

作者信息

  • 1. 上海市宝山区中心医院内分泌科,上海201900
  • 2. 上海市宝山区顾村地段医院内科,上海200000
  • 折叠

摘要

Abstract

Objective To investigate the influence of body fiat distribution on insulin insistence index in patients with type 2 diabetes mellitus. Methods Two hundred and forty- eight patients with type 2 diabetes mellitus were enrolled in this study. Height, body weight, waist circumference, abdominal circumference, hip circumference, fasting blood glucose, 2 hour postprandial blood glucose, fasting insulin, HbAlc, serum total cholesterol, serum triglyceride, high density lipoprotein cholesterol and low density lipoprotein cholesterol were determined; body mass index (BMI), waist-hip ratio (WHR) and insulin resistance index were calculated. The relations between BMI, WHR, lipid metabolism and insulin resistance were studied. Results Insulin resistance index in obesity group was significantly higher than that in non-obesity group (P<0.05), and the insulin resistance index were essentially similar between patients with metabolically-obese normal weight and patients with peripheral type obesity. This suggested that insulin resistance index increases with the increase of body fat, no matter it is overall or regional. Conclusions In patients with type 2 diabetes mellitus, insulin resistance index increases with the increase of body fat, no matter it is overall or regional.

关键词

2型糖尿病/体质量指数/腰臀比/胰岛素抵抗指数

Key words

Type 2 diabetes mellitus/ Body mass index/ Waist-hip ratio/ Insulin resistance index

分类

医药卫生

引用本文复制引用

程雯,马志强,张妍,徐婷,陈淑雯..2型糖尿病患者体脂分布与胰岛素抵抗的关系[J].诊断学理论与实践,2011,10(5):479-481,3.

诊断学理论与实践

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