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目的:调查分析糖尿病患者动态血糖与指尖血糖差异,寻找动态血糖监测的优势。方法:选择2010年5月至2010年12月期间在我科收住院的Ⅱ型糖尿病18例,Ⅰ型糖尿病2例,应用动态血糖监测系统(CGMS)对病人进行血糖监测。结果:CGMS监测示为3例出现血糖值<3.9mmo l/L,临床及既往指尖血糖监测未发现低血糖;1例糖尿病患者出现Somogyi反应,临床无认知,导致血糖控制不理想;1例糖尿病患者出现黎明现象,临床未发现,血糖控制欠佳。结论:CGMS与传统指端血糖监测方法的检测结果呈显著相关,准确而可靠,可作为目前血糖监测的补充手段。
Objective: To investigate the difference of dynamic blood glucose and fingertip blood glucose in patients with diabetes to find out the advantages of dynamic blood glucose monitoring. Methods: 18 cases of type 2 diabetes mellitus and 2 type 1 diabetes mellitus admitted to our hospital from May 2010 to December 2010 were selected. Blood glucose was monitored by CGMS. Results: CGMS monitoring showed that blood sugar level was <3.9mmo l / L in 3 cases. No hypoglycemia was found in clinical and previous fingertip blood glucose monitoring. One case of Somogyi reaction in diabetic patients was clinically unrecognized, resulting in unsatisfactory glycemic control. 1 Cases of patients with diabetes dawn, the clinical did not find that poor blood sugar control. CONCLUSION: CGMS is significantly correlated with the results of traditional finger-based blood glucose monitoring, accurate and reliable, and can be used as a supplementary measure for the current blood glucose monitoring.