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目的探讨动态血糖监测系统(CGMS)的在临床中的应用效果。方法对收治2型糖尿病患者215例,年龄18～74岁。采用皮下注射胰岛素,根据病情及血糖变化联合口服降糖药,60岁以下3次/日早、中、晚餐前,>60岁2次早、晚餐前进行降低血糖,控制血糖治疗。并采用GCMS进行检测血糖。结果 215例2型糖尿病患者有200例存在餐后高血糖,早餐后一般2h血糖升高,晚餐3h血糖升高。50例出现无感知低血糖,5例患者血糖在黎明左右升高。结论利用CGMS动态检测血糖可以有效指导糖尿病患者的用药剂量,根据血糖变化及时进行调整,操作简便,无痛苦,减少患者经济支出。
Objective To investigate the clinical effect of dynamic glucose monitoring system (CGMS). Methods 215 patients with type 2 diabetes mellitus, aged 18 to 74 years old. Subcutaneous injection of insulin, according to the disease and blood glucose changes combined oral hypoglycemic agents, 60 years of age 3 times / day before breakfast, before dinner,> 60 years old 2 times early and evening before lowering blood glucose, blood glucose control. And using GCMS for blood glucose testing. Results There were 200 cases of postprandial hyperglycemia in 215 cases with type 2 diabetes. After 2 hours of general breakfast, the blood sugar increased and the blood sugar increased 3 hours after dinner. No hypoglycemia was found in 50 patients, and blood sugar in 5 patients increased at around dawn. Conclusions The dynamic detection of blood glucose using CGMS can effectively guide the dosage of diabetic patients and make adjustments in time according to the change of blood glucose. It is easy to operate and painless, and reduces the economic expenditure of patients.