论文部分内容阅读
目的探讨对糖尿病患者予自我血糖监测和社区管理后对其血糖控制的效果。方法将64例在我社区中心就诊的2型糖尿病患者随机分为SMBG组和对照组各32例,2组均进行常规药物治疗和定期复诊,SMBG组在此基础上予自我血糖监测和社区管理措施,持续1年。观察2组患者的症状性低血糖事件及心脑血管事件的发生率及血糖控制情况。结果 SMBG组的空腹血糖、餐后2h血糖及糖化血红蛋白均明显低于对照组(P<0.01),SMBG组的症状性低血糖事件的发生率也低于对照组(P<0.01)。结论自我血糖监测和社区管理可有效控制糖尿病患者的血糖,减少并发症,提高患者的生活质量。
Objective To investigate the effect of glycemic control on patients with diabetes mellitus after self blood glucose monitoring and community management. Methods Sixty-four patients with type 2 diabetes mellitus who were treated in our community center were randomly divided into two groups: SMBG group and control group, with 32 cases in each group. Both groups received routine medical treatment and regular follow-up. On the basis of this, SMBG group self-blood glucose monitoring and community management Measure for 1 year. The incidence of symptomatic hypoglycaemic events and cardiovascular and cerebrovascular events and the control of blood glucose in the two groups were observed. Results Fasting blood glucose, 2h postprandial blood glucose and glycosylated hemoglobin in SMBG group were significantly lower than those in control group (P <0.01). The incidence of symptomatic hypoglycemia in SMBG group was also lower than that in control group (P <0.01). Conclusion Self blood glucose monitoring and community management can effectively control the blood sugar of diabetic patients, reduce complications and improve the quality of life of patients.