血糖波动对心血管疾病意义的研究进展  

Value of Glycemic Fluctuation in Cardiovascular Disease

作　　者：王锦溪[1] 李虹伟[1] 

机构地区：[1]首都医科大学附属北京友谊医院心血管中心,北京市100050

出　　处：《中国全科医学》2013年第21期2533-2535,共3页Chinese General Practice

摘　　要：糖尿病患者患心血管疾病的风险及死亡风险均显著高于非糖尿病人群。除了当前已被临床研究反复证实的空腹血糖、餐后血糖和糖化血红蛋白水平等静态指标外,血糖波动作为反映代谢异常的动态指标,对于评价糖尿病患者以及非糖尿病人群患心血管疾病的风险和死亡风险具有重大意义。连续血糖监测可以在设定时间内不间断地记录血糖的动态变化量化评价血糖波动情况。本文总结了血糖波动对心血管疾病临床意义的前沿进展。The risk of cardiovascular disease and mortality of patients with diabetes are significantly higher than people without diabetes.Apart from static parameters including fasting blood glucose,postprandial blood glucose and hemoglobin A1c proved by clinical trials,glycemic fluctuation turns out to be an essential dynamic parameter of metabolic disturbance and plays an important role in evaluating the risk of cardiovascular disease and death in people with or without diabetes.Continuous glucose monitoring,i.e.continuing recording the dynamic variation of glucose during a certain time interval can assess the glycemic fluctuation in a quantitative way.This article summarizes the latest development in the value of glycemic fluctuation for cardiovascular disease.

关 键 词：糖尿病 心血管疾病 血糖监测 

分 类 号：R587.1[医药卫生—内分泌]