摘要
目的探讨定期血糖监测对促使社区老年糖尿病患者血糖达标的益处。方法随机抽取徐家汇街道社区卫生服务中心2010～2011管理年度确诊的老年2型糖尿病患者110例,随机分为干预组和对照组各55例;干预组进行定期血糖监测,对照组按患者意愿测定血糖指标,通过12个月的观察,研究两组患者在血糖控制上的差异,尤其是糖化血红蛋白改变的差异。结果干预组患者的空腹血糖值平均为(6.68±1.10)mmol/L,明显低于对照组的(7.11±1.10)mmol/L(P<0.05);餐后血糖值平均为(11.09±1.98)mmol/L,明显低于对照组的(12.47±2.10)mmol/L(P<0.05)。患者的血糖达到控制良好标准者占31.6%,明显高于对照组15.8%(P<0.05)。干预组糖化血红蛋白(HbA1c)平均为(6.60±0.87)%,明显低于对照组(7.22±1.03)%(P<0.05);HbA1c控制良好率为47.5%,明显高于对照组的30.8%(P<0.05)。结论通过定期血糖监测可以使糖尿病患者自觉选择有利于血糖控制的生活方式,易于有效获得并维持特定的血糖目标。血糖监测是糖尿病管理中的重要组成部分,其结果可被用来反映饮食治疗、运动治疗和药物治疗的效果,对治疗方案的调整具有指导意义。
Objective To investigate the impact of regular blood glucose monitoring on blood glucose control benefits in elder patients with diabetes. Methods 110 cases of elderly type 2 diabetic patients that had been confirmed by CHSC （ Community Health Service Center） in 2010 -2011 annual management were involved in this study, they were randomly divided into interven- tion and control groups,55 cases in each group;in order to study the difference of the two groups of patients on glycemic control, regular monitoring of blood glucose were tested in the intervention group when glycemic index were tested in the control group ac- cording to the wishes of patients in 12 months of observation. Results Compared with the control group,patients in intervention group had better control in fasting plasma glucose[ FPG： （7. 1 1 ± 1.10） mmol/L to （6.68 ± 1.10） mmol/L] ,2-hour postprandi- al blood glucose[2hPG： （ 12.47 ± 2. 10） mmol/L to （ 11.09 ± 1.98） mmol/L] glycemic well-controlled rate（ 18.4% to 31.6% ） ,glycosylated hemoglobin（7.22% ＋ 1.03% to 6.60% ＋0.87% ） and HbAlc well-controlled rate（30.8% to 47.5%, P 〈 0. 05 ）. Conclusion Regular blood glucose monitoring allowed diabetic patients to consciously choose a lifestyle conducive to the treatment of blood glucose control, easy to obtain and maintain specific glycemic goals. Blood glucose monitoring was an impor- tant part of diabetes management, blood glucose monitoring, the results can be used to reflect the effect of diet therapy, exercise therapy and drug therapy, and instructive guide the adjustment of the treatment program.
出处
《中华全科医学》
2012年第11期1751-1752,共2页
Chinese Journal of General Practice
关键词
老年
2型糖尿病
血糖监测
血糖达标率
Elder
Type 2 diabetes
Blood glucose monitoring
Compliance rate of blood glucose
