动态血糖监测在糖尿病治疗和教育中的作用  

The effects of continuous glucose monitoring on diabetes therapy and education

作　　者：吴辽芳[1] 李雪兵[2] 周秋红[1] 

机构地区：[1]中南大学湘雅医院内分泌科 [2]中南大学湘雅医院老年病,湖南长沙410008

出　　处：《中国现代医学杂志》2012年第24期83-86,共4页China Journal of Modern Medicine

摘　　要：目的观察利用动态血糖监测(CGM)指导糖尿病患者治疗和进行行为干预的效果。方法由内分泌科专科医务人员负责CGM的操作和管理,利用血糖图指导患者治疗方案的调整;结合患者日志和血糖图为患者设定行为目标,并进行3个月的电话回访;观察动态血糖监测数据的完整性、准确性和患者行为目标达成情况,以及干预前后糖化血红蛋白及体重指数的变化。结果 114例患者均成功完成动态血糖监测,92%的数据是完整的,94%的数据是准确的;患者一共设定了239个行为目标,按时用药、积极运动和合理饮食是患者选择最多的行为目标,目标达成率在85%以上,干预前后糖化血红蛋白比较有显著差异(P<0.01),体重指数(BMI)无明显改变。结论直观的血糖图和合作性的行为目标设定有助于患者的行为改变和患者的血糖控制;动态血糖监测在糖尿病的治疗和教育中发挥着重要的作用。【Objective】 To evaluate the effects of continuous glucose monitoring（CGM） on diabetes therapy and education.【Methods】 CGM was operated and managed by endocrinology medical staff,the continual and accurate data were used to guide the adjustment of diabetes treatment;participants were instructed to set personalized behavior change goals based on visual blood glucose monitoring data.Participants also accepted diabetes education and 3-month telephone follow up.The integrity and accuracy of glucose monitoring data were observed after the monitoring.Achievement of behavior goals were assessed at the last telephone follow-up.The pre-and post intervention level of glycosylated hemoglobin（HbA1c） and body mass index（BMI） was compared.【Results】 114 diabetic patients completed 72 h CGM,the integrity and accuracy of the data were 92% and 94% respectively.Totally 239 goals were selected,taking medication,being active and healthy eating were the most common goals,the goal attainment rate was greater than 85%.Significantly improvement of HbA1c was reported（P 0.01）.【Conclusion】 Visual glucose monitoring data and collaboratively goal setting were helpful for participants＇ glucose control and behavior change,CGM plays a significant role in diabetes treatment and education.

关 键 词：动态血糖监测 目标设定 行为干预 糖尿病教育 

分 类 号：R44[医药卫生—诊断学] R587.1[医药卫生—临床医学]