定期血糖监测对糖尿病患者血糖控制及生活方式的影响

目的:探讨定期血糖监测对糖尿病血糖控制及生活方式的影响。方法:随机抽取我中心2010-2011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,每组各55例;2组均接受正规降糖药物治疗及生活方式指导,干预组每周进行一次血糖监测,每3个月测一次糖化血红蛋白,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及生活方式上的差异。结果:干预组患者空腹血糖(FPG)由定期监测血糖前的(7.26±1.36)mmol/L降至(6.68±1.10)mmol/L;餐后2小时血糖(2HPG)由定期监测血糖前的(12.34±2.29)mmol/L降至(11.09±1.98)mmol/L;糖化血红蛋白由监测前的(7.99±1.61)%降至(6.60±0.87)%;差异具有显著性(P<0.05);生活方式亦有明显改善,差异具有显著性(P<0.05);而对照组的改变不如干预组。结论:通过定期血糖监测可以有效地控制血糖、糖化血红蛋白,促使老年2型糖尿病患者改变不良生活方式。

Impact of Regular Blood Glucose Monitoring on Blood Glucose Control and Lifestyle of Diabetic Patients

Objective: To investigate the impact of regular blood glucose monitoring on diabetic blood glucose control and lifestyle.Methods: We randomly selected 110 cases of elderly type 2 diabetic patients who have been confirmed by CHSC(Community Health Service Center) in 2010-2011.They were randomly divided into intervention and control groups,55 cases respective.Both groups received regular Glucose-lowering drugs and life style directions.The intervention group also received regular blood glucose monitoring every week and Glycosylated hemoglobin assay every 3 months,while the control group had glycemic index test according to their own wishes.Observe them for 12 months and study the difference of glycemic control and lifestyle between the two groups.Results: The intervention group had the fasting plasma glucose(FPG) decreased from7.26±1.36 mmol/L to 6.68±1.10 mmol/L,and 2-hour postprandial blood glucose(2hPG) from 12.34±2.29 mmol/L to 11.09±1.98 mmol/L,and glycosylated hemoglobin from 7.99±1.61% to 6.60±0.87%,and their way of life was significantly improved,showing significant difference(P <0.05).But the change in the control group was not as good as that in the intervention group.Conclusions: Regular monitoring can effectively control the blood glucose,and glycosylated hemoglobin,and can prompt the elderly type 2 diabetic patients to improve their unhealthy lifestyle.