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The effect of insulin therapy and plasma glucose levels on corrected QT intervals in patients with type 2 diabetes

机译:胰岛素治疗和血浆葡萄糖水平对2型糖尿病患者校正QT间期的影响

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This study aims is to investigate the effect of medium-term insulin therapy (3 months) and plasma glucose levels on corrected QT intervals (QTc) in patients with type 2 diabetes. The subjects were 17 patients with type 2 diabetes who had poor glycemic control and were changed to insulin therapy from sulfonylurea or diet therapy alone. QTc, fasting plasma glucose (FPG), hemoglobin A1c (HbA1c), serum potassium and body weight were measured at baseline and after 3 months of insulin therapy. A significant increase of QTc (0.406?±?0.027 to 0.421?±?0.025 s, P =0.0025) and a significant decrease in HbA1c (10.9?±?1.9 to 7.9?±?1.7%, P =0.0002) were found after 3 months of insulin therapy. QTc showed no correlation with FPG, HbA1c or body weight before insulin therapy and the change in QTc was not correlated with the change in FPG, HbA1c or body weight from before to after insulin therapy. In this study, insulin therapy for 3 months caused a significant increase of QTc in patients with type 2 diabetes. However, given the small size of the trial, further studies with larger number of patients are needed.
机译:这项研究的目的是调查中期胰岛素治疗(3个月)和血浆葡萄糖水平对2型糖尿病患者校正QT间期(QTc)的影响。研究对象为17例2型糖尿病患者,他们的血糖控制不佳,仅通过磺酰脲类或饮食疗法转用胰岛素治疗。在基线水平和胰岛素治疗3个月后测量QTc,空腹血糖(FPG),血红蛋白A1c(HbA1c),血清钾和体重。发现QTc显着增加(0.406±±0.027至0.421±±0.025 s,P = 0.0025)和HbA1c显着降低(10.9±±1.9至7.9±±1.7%,P = 0.0002) 3个月的胰岛素治疗。胰岛素治疗前,QTc与FPG,HbA1c或体重无相关性,胰岛素治疗前后QTc的变化与FPG,HbA1c或体重的变化无相关性。在这项研究中,胰岛素治疗3个月导致2型糖尿病患者的QTc显着增加。但是,由于试验规模小,需要对更多患者进行进一步研究。

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