狼疮性肾炎、胰岛素抵抗  

A case of systemic lupus eythematosus and type B insulin resistence

作　　者：许一新[1] 杜宏[1] 

机构地区：[1]南京军区南京总医院内分泌科,南京210016

出　　处：《肾脏病与透析肾移植杂志》2016年第3期296-300,共5页Chinese Journal of Nephrology,Dialysis & Transplantation

摘　　要：男性29岁,2007年诊断系统性红斑狼疮、狼疮性肾炎,2013年行自体外周血干细胞移植治疗。发现血糖升高半年,口服降糖药物治疗效果不佳后予胰岛素治疗,血糖仍未能控制。经我院检查诊为B型胰岛素抵抗,予免疫抑制治疗后胰岛素抵抗改善,逐渐停用胰岛素及降糖药物,血糖恢复正常。A 29 year old male was diagnosed diabetes six months ago. He has history of systemic lupus eythematosus and lupus nephritis,and had been treated by stem cell transplantation. Both the oral hypoglycemic drug and insulin treatment failed to control the blood glucose level. After the diagnosis of type B insulin resistance in our hospital,he was given immunosuppressive therapy. The insulin resistance improved after then,and insulin and hypoglycemic drugs gradually withdraw,the glucose level returned to normal finally.

关 键 词：B型胰岛素抵抗 特殊类型糖尿病 狼疮性肾炎 

分 类 号：R587.1[医药卫生—内分泌]