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目的随访和评估短期胰岛素泵强化治疗(CSⅡ)后的初诊2型糖尿病患者自我血糖监测(SMBG)的依从性。方法 118例短期CSⅡ后获得临床缓解初诊2型糖尿病患者进行统一的自我管理教育,评估出院后3个月,6个月,1年的SMBG执行情况,并检查实验室指标。结果两组患者能坚持SMBG的人数比例在基线期和随访3个月无统计学差异(P>0.05),而在6个月及1年时有显著统计学差异(P<0.05);两组监测血糖频率的差异有显著统计学意义(P<0.001);除基线和3个月时,6个月及1年均差异有统计学意义(P<0.05)。结论进行SMBG及频次增加使得血糖控制获得更好控制,进而更好的控制病情,维持理想的生存质量。
Objective To follow up and evaluate the compliance of self-monitoring of blood glucose (SMBG) in newly diagnosed type 2 diabetic patients after short-term insulin pump therapy (CS Ⅱ). Methods A total of 118 patients with newly diagnosed type 2 diabetes mellitus received clinical self - management education after short - term CS Ⅱ. The performance of SMBG at 3 months, 6 months and 1 year after discharge was evaluated and the laboratory parameters were examined. Results There was no significant difference (P> 0.05) in the proportion of patients with SMBG between the two groups at baseline and 3 months after follow-up, but significant difference at 6 months and 1 year (P <0.05) There was a significant difference in the frequency of blood glucose monitoring between the two groups (P <0.001). There was a significant difference at 6 months and 1 year (P <0.05) except baseline and 3 months. Conclusion SMBG and frequency increase make blood sugar control more controlled, and then better control the disease and maintain the ideal quality of life.