??????????-????????????

???? ,?????;   ????  ,java??;  ????    ,?????;????     ,??????;     ,????;     ?  ,??????;  ? ???? ???? ???? ???? ???? ????

???? ??? ????   ????     ?????????   ???????????? [2009-7-28]   

     ?????????????????????????????????????“????”???1????2?????????????????;?????????????????

1.?? ????????????(8.89?10.0mmol/L)??????????????????????????????????????????24h????5000?10000ml?????????????????????????????????????

2.?? ??????????????????????????????????????????????????????????????????????????

3.?? ???????????????????????(???????????????????)??????????????????????????????????;?????????????????(??0.829mmoL/L)??????????????????????????????????????????????????????????????????????????????????????????????“????”??????????????;????????????????????????????????????????????????

4.???? ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

5.?? ??????????????????????????????????????????????????????????????????????????

6.???? ?????????????????????????????????????????????????????????????????????????????????

7.??? ???????????????????????????????????????(???1????2??????????????)???????????(???2????);??????????????????????(????????????????)???(???????????????)?????(???????????)?

????????????

1.FPG??????????????????????????FPG?????IGT??????????????????????????????????????????????OGTTFPG?7.0mmol/L?95%???P2hPG?11.1mmol/L????FPG?7.0mmol/L?<5%????P2hPG<11.1mmol/L?P2hPG?11.1mmoL/L??????????FPG????7.0mmol/LFPG??????IGT?????????

2.????OGTT?P2hPG<7.8mmol/L???IFG?;?P2hPG7.8?11.1mmol/L?IGT(IFG??IGT?????92%????28%);?8%?????(P2hPG<7.8mmol/L)????IFG???70%?IGT??FPG<6.1mmol/L;IFG?????????????????????????????????????????IGT??????????

3.“??”???8h????????;“????”????????????????1h??

4.????????OGTT??????????FPG???

5.2003???????????????????6.1mmol/L??5.6mmol/L???????

????????????????????????????????????????????????????????????????????????????????????????????????????

(?)??????????????????????????????????????????????

1.???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

2.??????????????????????????????2????????????????

(?)????????????????????????(VPG)?????????(CBG)????????(VBG)????????????????????????VPG????????CBG?10%?VBG?15%???????????????????????????????????????????????????????????????????????????????????????2??????????

(?)????????????????????????????????????(????????????????????????????????????)???????????????????????????????????????????????

1.?????????(oral glucose tolerance test,OGTT)????????????100g??WHO???75g(?????????kg????1.75g?????75g)??????????1/2123???????????????????

??????(??15?50?)?????70?100mg/dl(??????????)???????30?60???(50??????)?????170mg/dl2????????????3?????????????100g?75g????????????????????50?????????????1???????10?????10mg/dl

???????????1985?WHO??????????

???????????????????200mg/dl(11.1mmol/L)???????????140mg/dl(7.8mmol/L)???????

?????????OGTT(???????75g)???kg??1.75g?????75g)2?????200mg/dl(11.1mmol/L)?????????>140mg/dl?<200mg/dl??????(TGT)

???????????????????????????????OGTT???1°?2°???200mg/dl?????????140mg/dl

????????????????

???????????1

?1???????(WHO)?????????

?????????(OGTT)??mg/dl(mmol/L)

??????????????

???(DM)

???(?)????2h?120(6.7)

?180(10.0)?140(7.8)

?200(11.1)?120(6.7)

?200(11.1)

???????(IGT)

???????2h<120(6.7)

?120(6.7)?

<180(10.0)<120(78)

?140(7.8)?

<200(11.1))<120(6.7)

?140(7.8)?

<200(11.1)

???????????????????????????????????????????????????(????????????????????????????)????(????????????????)???

2.??2h??????????100g???????????2??????2h???????140mg/dl???????200mg/dl?????

??????????????????????3d???????????????250g/d????????

??????????????????????????????

1.????????????????????????????????5?20µu/ml???????5µu/ml?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

2.??????????????????????????????????????????????????????????????????????????????????????(G)????(IRI)??(IRI)/G?????????(????25µu/mg)??????????????????????????????????????????????????

3.C??????????????????????????????????????80%?????????4.8????????????????????C?????????????????????????????????????????????10?11????????????????????????C???????????????????????????????????????????????C?????24?????????????????

???C?????????2?????????????C??1.0±0.23mg/dl???????????60??????3.1ng/ml?Block????????100g??????C??1.3±0.3ng/ml?60??????4.4±0.8ng/ml??????2??????2.3ng/ml?5???????????5????C???????????????????

?24???C???????24???C??36±4µg?????1.1±0.5µg?????24±7µg??C????????????????5%?????????0.1%

??C?????????????????????????????????????

4.HbA1c??????????????????????2?3?????????HbA1c6%HbA1?8%?????????

5.??????????????2.13±0.24mmol/L(????0.3mmol/L)????1?4???????HbA1c??????????????????????

?????????????????????????OGTT??????????????????????????????????????????????????????????

????????

?????????????????????????????????????????????????????????????;???????????????????;????????????;????????????????????;????????????????

1.???? ???????????????????????????“??????????”???????????????????????????????????????????????????????????????“????????????????????”??????????????????????????“?”??????????????“????????????????????????”?????????????

2.???????? ??????????????????????????????????????????????????????“??????”???????????????????????????????????????????????????????????????????????????????????????????????????????

3.???????? ?????????????????;??????????;????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

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