目的:通过对本组病例观察,提高对胰岛素规范应用的重视。方法:对36例随意应用胰岛素造成低血糖后反应性高血糖患者,监测空腹、三餐后、凌晨3:00及出现症状时的随机血糖,根据血糖情况调整胰岛素用量。结果:胰岛素平均用量减少35%。结论:胰岛素过量可以造成低学糖甚至危机生命,但也可至血糖反应性升高,使血糖难以控制达标。 Objective: Through the observation of this group of patients, improve the application of insulin standard attention. Methods: Thirty - six patients with reactive hyperglycemia induced by hypoglycemia after random application of insulin were monitored for fasting, fasting blood glucose after 3 meals, 3:00 am and symptom onset, and insulin dosage was adjusted according to blood glucose level. Results: The average amount of insulin was reduced by 35%. CONCLUSION: Excessive insulin can cause low sugars or even crisis life, but may also lead to hyperglycemic reactivity, making it difficult to control blood glucose compliance.