摘要
目的 探讨胰岛素泵与连续动态血糖监测联合应用对初诊2型糖尿病的治疗效果及对胰岛功能的影响。方法 选取2021年3月—2022年3月连云港市赣榆区人民医院初诊2型糖尿病患者70例为研究对象,依据治疗方案的不同将其分为对照组和研究组,每组35例。对照组予以胰岛素泵联合监测七段血糖应用,研究组予以胰岛素泵联合连续动态血糖监测应用。比较两组治疗效果、治疗前后血糖水平、空腹C肽(FC-P)、胰岛功能水平(HOMA-IR)(C-P)、血糖达标时间、血糖波动及胰岛素用量情况。结果 研究组治疗总有效率97.14%,高于对照组82.86%,差异有统计学意义(P<0.05)。治疗后,研究组FPG、2 hPG、HOMA-IR(C-P)水平均低于对照组,差异有统计学意义(P<0.05),研究组FC-P水平高于对照组,差异有统计学意义(P<0.05)。治疗后,研究组血糖达标时间、血糖波动值及胰岛素用量均低于对照组,差异有统计学意义(P<0.05)。结论胰岛素泵与连续动态血糖监测联合应用对初诊2型糖尿病患者具有积极意义,可提升治疗效果,有效改善患者血糖水平及胰岛功能,降低胰岛素用量,利于病症好转、恢复。
Objective To investigate the therapeutic effect of insulin pump combined with continuous continuous blood glucose monitoring on newly diagnosed type 2 diabetes mellitus and its effect on pancreatic islet function.Methods A total of 70 newly diagnosed type 2 diabetes patients in Ganyu District People’s Hospital of Lianyungang City from March 2021 to March 2022 were selected as the research objects.They were divided into control group and study group according to different treatment plans,35 cases in each group.The control group was given an insulin pump combined with seven-segment blood glucose monitoring,and the study group was given an insulin pump combined with continuous continuous blood glucose monitoring.The therapeutic effect,blood glucose level,fasting Cpeptide,level of islet function(HOMA-IR)(C-P),time to reaching the blood glucose standard,blood glucose fluctuation and insulin dosage before and after treatment were compared between the two groups.Results The total effective rate of treatment in the study group was 97.14%,which was higher than that in the control group,which was 82.86%,and the difference was statistically significant(P<0.05).After treatment,the levels of FPG,2 hPG,and HOMA-IR(CP) in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The level of FC-P in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the time to reach the blood glucose standard,blood glucose fluctuation value and insulin dosage in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The combined application of insulin pump and continuous blood glucose monitoring has positive significance for newly diagnosed patients with type 2 diabetes mellitus,which can improve the treatment effect,effectively improve the blood sugar level and islet function of patients,and reduce the dosage of insulin,which is conducive to the improvement and recovery of the disease.
作者
赵忠涛
ZHAO Zhongtao(Department of Endocrinology,People's Hospital of Ganyu District,Lianyungang,Jiangsu Province,222100 China)
出处
《糖尿病新世界》
2022年第17期186-189,共4页
Diabetes New World Magazine
关键词
胰岛素泵
连续动态血糖监测
初诊2型糖尿病
血糖水平
胰岛功能
Insulin pump
Continuous blood glucose monitoring
Newly diagnosed type 2 diabetes
Blood glucose level
Islet function
