血糖控制良好的2型糖尿病患者血糖波动分析  

Analysis of Blood Glucose Variability in Type 2 Diabetes Patients with Well Controlled Blood Glucose

作　　者：钟绍[1] 方玲娜[1] 潘颖[1] 朱文华[1] 沈鲜安[1] 卢冰[1] 计莹[1] 曹雪明[1] 

机构地区：[1]江苏大学附属昆山医院,昆山市第一人民医院,江苏昆山215300

出　　处：《中国血液流变学杂志》2010年第1期95-97,共3页Chinese Journal of Hemorheology

摘　　要：目的观察血糖控制良好的2型糖尿病患者血糖波动情况。方法选取62例2型糖尿病患者，根据其HbAlc值分为A、B、C、D四组。用动态血糖监测系统（CGMs）进行48h血糖监测，分析其血糖波动相关指标。结果D组的HbAlc显著大于其他三组，四组间的日内平均血糖波动幅度和日内血糖波动次数无差别。糖化血红蛋白与日内平均血糖波动幅度、日内血糖波动次数和日问血糖平均绝对差均不相关。结论血糖控制良好的2型糖尿病患者存在明显的血糖波动，主要是由餐后血糖升高引起。Objective To observe the blood glucose variability in type 2 diabetes patients with well controlled blood glucose.Methods According to the HbAlc levels,62 patients with type 2 diabetes were randomly distributed to four groups,A,B,C,D.Blood glucose were monitored for 24 hours by Continuous Glucose Monitoring System （CGMS） followed by measuring parameters related with blood glucose variation.Results The HbA 1 c of group D was significantly higher than the other three groups.The average variation frequency and range of blood glucose during one day exhibit no significant difference among four groups. There is no correlation between HbA 1 c and variation range and frequency of blood glucose during one day.Conclusion There＇s significant variability in type 2 diabetes patients with blood glucose well controlled. The variability was mainly caused by increased postprandial blood glucose.

关 键 词：糖化血红蛋白 动态血糖监测系统 糖尿病 2型 

分 类 号：R587.1[医药卫生—内分泌]