心理性胰岛素抵抗及应对策略

糖尿病易导致严重的慢性并发症，已成为影响人们生活质量的一种常见疾病。早期应用胰岛素是使2型糖尿病患者血糖得到良好控制、减少并发症发生的有效手段。但许多患者不愿接受或延迟胰岛素治疗。本文旨在探讨胰岛素应用过程中患者及医护人员存在的心理障碍，即心理性胰岛素抵抗，并进一步阐述其应对策略。

The Relation between the Therapy for Lumbar Spondylosis and the Restitution of Homeostasis

Diabetes is one of the most common chronic incurable diseases to affect patients＇ quality of life, and is particularly unusual in that it is associated with the development of severe chronic complications. To achieve tight glycemic control and decreasing complications in type 2 diabetic patients, it may be advantageous to introduce insulin therapy much earlier in the disease course. Unfortunately, many patients are reluctant to begin insulin and may delay starting insulin therapy for significant periods of time. This paper introduces the psychologic obstacle, psychological insulin resistance, of the patients, doctors and nurses in the course of insulin treatment, and then to explain its coping strategies.