动态血糖监测在老年2型糖尿病患者降糖治疗中的应用价值

目的：通过对老年2型糖尿病患者进行动态血糖监测了解降糖治疗的疗效,评价动态血糖监测系统的应用价值,确定其在治疗老年2型糖尿病患者中的地位。方法：选取2008年8月至2013年8月住院的老年2型糖尿病患者95例,随机分为对照组48例和观察组47例,对照组行予常规的指尖血糖监测,观察组行动态血糖监测,比较两组患者血糖的控制情况。结果：观察组患者治疗后平均血糖、高血糖持续时间、低血糖持续时间、血糖最大波波动幅度、平均血糖波动幅度、血清糖化白蛋白及餐后2h血糖等与治疗前相比较比较,差异均有统计学意义,P〈0.05。对照组患者治疗后平均血糖、高血糖持续时间、低血糖持续时间、血糖最大波波动幅度、平均血糖波动幅度、血清糖化白蛋白及餐后2h血糖等与治疗前相比较比较,差异均无统计学意义,P〉0.05。两组患者空腹血糖治疗前、后差异均无统计学意义,P〉0.05。结论：动态血糖监测系统用于监测老年2型糖尿病患者的降糖治疗疗效优于常规血糖检测。

Value of dynamic blood sugar monitoring application in glucose-lowering treatment of aged patients with type 2 diabetes

Objective：To understand the therapeutic effect of hypoglycemic,to evaluate the application value of the dynamic blood sugar monitoring system,and to determine its status in the treatment of elderly patients with type 2 diabetes through the study of the blood sugar monitoring dynamic of elderly patients with type 2 diabetes.Methods：95 elderly patients with type 2 diabetes in the hospital from August 2008 to August 2013 were selected,and were randomly divided into control group（48 cases） and observation group（47 cases）,the control group were gave the conventional fingertip blood sugar monitoring,and the observation group were gave dynamic blood sugar monitoring,blood sugar control of two groups were compared.Results：the differences between average duration of blood sugar,high blood sugar,duration of low blood sugar,blood sugar is the most big Bob swings,average blood sugar fluctuation,serum glycated albumin and postprandial blood glucose 2 h after treatment in observation group with before treatment were statistically significant,（P〈 0.05）.and difference that in control group were no statistically significant（P〉 0.05）.Differences of fasting blood glucose before and after treatment in both groups were not statistically significant（P 〉0.05）.Conclusion：Glucose-lowering treatment curative effect of dynamic blood sugar monitoring system for monitoring of elderly patients with type 2 diabetes is superior to the conventional blood glucose testing.