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《 XXXX版中国糖尿病药物注射技术指南》介绍 XXXX0808.ppt


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《_XXXX版中国糖尿病药物注射技术指南》介绍_XXXX0808
注射部位还应考虑胰岛素在不同部位的吸收差异
腹部 87分钟
50%
较快
适合短效胰岛素
臀部 较慢
适合长效胰岛素
或中效胰岛素
大腿
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Saez-de Ibarra L, Gallego F. Factors related to lipohypertrophy in insulin-treated diabetic patients; role of educational intervention. Pract Diabetes Int 1998;15:9-11.
Young RJ, Hannan WJ, Frier BM, Steel JM, Duncan LJ. Young RJ, Hannan WJ, Frier BM, Steel JM Diabetic lipohypertrophy delays insulin absorption. Diabetes Care 1984;7:479-80.
Chowdhury TA, Escudier V. Poor glycaemic control caused by insulin induced lipohypertrophy. BMJ 2003;327:383-4.
Johansson UB. Impaired absorption of insulin aspart from lipohypertrophic injection sites. Diabetes Care 2005;28:2025-7.
Overland J, Molyneaux L, Tewari S., Fatouros R, Melville P, Foote D, et al. Lipohypertrophy: Does it matter in daily life? A study using a continuous glucose monitoring system. Diabetes Obes Metab2009;11:460-3.
Frid A, Linden B. Computed tomography of injection sites in patients with diabetes mellitus. Injection and Absorption of Insulin. Stockholm: Thesis, 1992.
Gorman KC. Good hygiene versus alcohol swabs before insulin injections (Letter). Diabetes Care 1993;16:960-1.
Schuler G, Pelz K, Kerp L. Is the reuse of needles for insulin injection systems associated with a higher risk of cutaneous complications? Diabetes Res Clin Pract 1992;16:209-12.
Workman B. Safe injection techniques. Nurs Stand 1999;13:47-53.
Bain A, Graham A. How do patients dispose of syringes? Pract Diabetes Int 1998; 15: 19-21.
Chantelau E, Schiffers T, Schutze J, Hansen B. Effect of patient-selected intensive insulin therapy on quality of life. Patient Educ Couns 1997 Feb; 30(2): 167-73.
Le Floch JP, Herbreteau C, Lange F, Perlemuter L. Biologic material in needles and cartridges after insulin injection with a pen in diabetic p

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