糖分检测仪常见的解读耐糖含量的方法-医疗器械网

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糖分检测仪常见的解读耐糖含量的方法

分类：应用方案 2023-10-20 11:07:44 19阅读次数

OGTT是口服一定量的葡萄糖后2h内做系列血浆葡萄糖浓度测定，是评价个体血糖调节能力的标准方法，并可了解胰岛β细胞的功能。

目前WHO推荐的标准化方法为受试者在试验前3天正常活动，且每天食物中糖含量不低于150g，并停用可以影响血糖的药物。在准备测试的前10h禁食，然后在患者平静时饮入250mL含75g无水葡萄糖的糖水（国内常用82.5g一水葡萄糖代替75g无水葡萄糖）。

接着每隔半小时取血化验一次血糖，同时每隔1h测尿糖一次。血糖一般测四次, 加上空腹的看成原点，5个点绘制糖耐量曲线。（实际临床应用中，为了方便病人一般采用三点法，即空腹，1小时，2小时。）

OGTT结果解读

糖分检测仪.jpg

几种常见的结果：

1.糖耐量正常

空腹血糖正常且2h血浆葡萄糖<7.8mmol/L。

2.空腹血糖受损（IFG）

空腹血糖在6.1-7.0mmol/L之间、2h血浆葡萄糖<7.8mmol/L。

3.糖耐量受损（IGT）

空腹血糖<7.0 mmol/L、2h血浆葡萄糖在7.8-11.1mmol/L。

此类患者约1/3能恢复正常，1/3转化为糖尿病，另1/3继续保持IGT；

4.糖尿病性糖耐量

空腹血糖≥7.0mmol/L、2h血浆葡萄糖≥11.1mmol/L。

OGTT注意事项

由于糖耐量的检测受多种因素如年龄、饮食、胃肠道功能等多种因素的影响，所以重复性比较差，故一次的糖耐量异常并不足以得出最终结论（除非糖尿量异常十分明显），应在不同时间再做2次观察是否异常。

OGTT价值所在

因此，从以上我们可以看出，OGTT主要的意义在于对

（1）临床无明显症状的患者；

（2）或与糖尿病有相似症状但血糖监测不能明确诊断糖尿病；

（3）或患者有糖尿病相关并发症等的明确诊断。

另外，OGTT也可用于巨大胎儿的孕妇及有巨大胎儿生育史孕妇糖尿病风险的筛查。

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[8]未定义数组索引: page
[2]Declaration of app\common\model\TechNewsCategory::getList($filter = Array) should be compatible with app\common\model\BaseModel::getList($filter = Array, $sort = Array)
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[2]Declaration of app\common\model\TechNews::getAllList($filter = Array, $limit = 10, $order = Array, $with = Array) should be compatible with app\common\model\BaseModel::getAllList($filter = Array, $with = Array, $limit = 0, $sort = Array, $field = 'a.*', $join = Array)
[2]Declaration of app\common\model\Company::getAllList($filter = Array, $limit = 20) should be compatible with app\common\model\BaseModel::getAllList($filter = Array, $with = Array, $limit = 0, $sort = Array, $field = 'a.*', $join = Array)
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[8]Only variables should be passed by reference
[2]Declaration of app\common\model\TechNewsComment::getAllList($filter = Array, $limit = 16) should be compatible with app\common\model\BaseModel::getAllList($filter = Array, $with = Array, $limit = 0, $sort = Array, $field = 'a.*', $join = Array)
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[2]Declaration of app\common\model\Topic::getList($filter = Array) should be compatible with app\common\model\BaseModel::getList($filter = Array, $sort = Array)
[2]Declaration of app\common\model\Topic::getAllList($filter = Array, $field = 'id,md5,tit...', $limit = 0) should be compatible with app\common\model\BaseModel::getAllList($filter = Array, $with = Array, $limit = 0, $sort = Array, $field = 'a.*', $join = Array)
[2]Declaration of app\common\model\TopicInfoList::getAllList($filter = Array, $limit = 8) should be compatible with app\common\model\BaseModel::getAllList($filter = Array, $with = Array, $limit = 0, $sort = Array, $field = 'a.*', $join = Array)
[2]Declaration of app\common\model\News::getAllList($filter = Array, $limit = 16, $order = Array, $with = Array) should be compatible with app\common\model\BaseModel::getAllList($filter = Array, $with = Array, $limit = 0, $sort = Array, $field = 'a.*', $join = Array)
[8]未定义数组索引: center
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[8]未定义数组索引: wtt_list

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[ SQL ] SHOW COLUMNS FROM `tech_news` [ RunTime:0.000757s ]
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[ SQL ] SELECT `id`,`md5`,`title`,`created_time` FROM `tech_news` WHERE `review_status` = 1 AND `is_show` = 1 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.000202s ]
[ SQL ] SHOW COLUMNS FROM `user` [ RunTime:0.000701s ]
[ SQL ] SELECT `a`.* FROM `user` `a` INNER JOIN `tech_news` `b` ON `a`.`id`=`b`.`user_id` GROUP BY `a`.`id` ORDER BY `b`.`id` DESC LIMIT 10 [ RunTime:0.004602s ]
[ SQL ] SELECT * FROM `user_info` WHERE `user_id` IN (592,413,444,224,13,239,598,697,394,285) [ RunTime:0.000693s ]
[ SQL ] SHOW COLUMNS FROM `seo` [ RunTime:0.000763s ]
[ SQL ] SELECT * FROM `seo` WHERE `column_type` = '16' AND `page_type` = 'tech_news' AND `info_id` = 1432 LIMIT 1 [ RunTime:0.000198s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 1432 [ RunTime:0.001045s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 3901 [ RunTime:0.001017s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 3853 [ RunTime:0.000846s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 3298 [ RunTime:0.000961s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 3272 [ RunTime:0.001062s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 3065 [ RunTime:0.000929s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 3027 [ RunTime:0.000851s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 2935 [ RunTime:0.000887s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 2575 [ RunTime:0.000879s ]
[ SQL ] SELECT * FROM `tech_news_belong_category` WHERE `tech_news_id` = 2456 [ RunTime:0.000853s ]
[ SQL ] SELECT * FROM `user` WHERE `id` = 172 LIMIT 1 [ RunTime:0.000320s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 592 LIMIT 1 [ RunTime:0.000217s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 592 LIMIT 1 [ RunTime:0.000131s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 413 LIMIT 1 [ RunTime:0.000274s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 413 LIMIT 1 [ RunTime:0.000117s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 444 LIMIT 1 [ RunTime:0.000129s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 444 LIMIT 1 [ RunTime:0.000150s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 224 LIMIT 1 [ RunTime:0.000156s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 224 LIMIT 1 [ RunTime:0.000142s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 13 LIMIT 1 [ RunTime:0.000156s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 13 LIMIT 1 [ RunTime:0.000149s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 239 LIMIT 1 [ RunTime:0.000119s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 239 LIMIT 1 [ RunTime:0.000155s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 598 LIMIT 1 [ RunTime:0.000146s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 598 LIMIT 1 [ RunTime:0.000115s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 697 LIMIT 1 [ RunTime:0.000143s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 697 LIMIT 1 [ RunTime:0.000145s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 394 LIMIT 1 [ RunTime:0.000126s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 394 LIMIT 1 [ RunTime:0.000318s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `follow_user_id` = 285 LIMIT 1 [ RunTime:0.000124s ]
[ SQL ] SELECT COUNT(*) AS tp_count FROM `user_follow` WHERE `user_id` = 285 LIMIT 1 [ RunTime:0.000111s ]

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