初发2型糖尿病患者短期胰岛素泵强化治疗后自我血糖监测的依从性分析(1)
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【摘要】目的 随访和评估短期胰岛素泵强化(CSII)治疗后的初诊2型糖尿病患者自我血糖监测(SMBG)的依从性。方法 118例短期CSII后获得临床缓解初诊2型糖尿病患者进行统一的自我管理教育，评估出院后3个月，6个月，1年的SMBG执行情况，并检查实验室指标。结果 两组患者能坚持SMBG的人数比例在基线期和随访3个月无统计学差异(P>0.05)，而在6个月及1年时有显著统计学差异(p<0.05)；两组监测血糖频率的差异有显著统计学意义(P<0.001)；除基线和3个月时，6个月及1年均有显著统计学差异(p<0.05)。结论 进行SMBG及频次增加使得血糖控制获得更好控制，进而更好的控制病情，维持理想的生存质量。
中图分类号：R587.1文献标识码：A文章编号：1005-0515(2011)10-004-02
self-monitoring of blood glucose in Subjects with Newly Diagnosed Type 2 Diabetes after Short-term Continuous Subcutaneous Insulin Infusion
Chenailing Deng wanping Wu jiyan
(Department of Endocrinology, the first affiliated hospital of Sun Yat-sen University, Guangzhou, 510080, China)
【Abstract】Objective To follow and investigate the self-monitoring of blood glucose(SMBG) in subjects with newly diagnosed type 2 diabetes after short-term continuous subcutaneous insulin infusion (CSII) and to examine the relationship between SMBG and HbA1C.Methods A total of 118 newly diagnosed type 2 diabetic subjects who have gained clinical remission (maintaining euglycemia) after short-term CSII were directed how to manage diabetes and followed up after being discharged. All subjects completed the survey about SMBG practice and the changes in SMBG frequency at the baseline, 3rd, 6th, and 12th month along with measurement of HbA1C. Results 65 subjects (remission group) maintained good glycemic control (FBG<7mmol/L, 2hPG<10mmol/L) for more than one year, and the others (nonremission group) were shorter. The baseline characteristics of both groups were comparable except for the educational attainments, FBG and 2hPG. The proportions of subjects who can insisted SMBG in remission group were significantly higher than those in nonremission group at the 6th, and 12th month (P<0.05) but not at the baseline and 3rd month(P>0.05). Significantly greater proportions of subjects about the SMBG frequency in remission group achieved throughout the follow up than those in nonremission group (p<0.001). Different SMBG frequency could significantly collected with different HbA1c (P<0.05) at the 6th, and 12th month ......
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