瞬感扫描式葡萄糖监测在2型糖尿病患者中的应用效果  

Application eff ect of transient scanning glucose monitoring on type 2 diabetes mellitus patients

作　　者：蔡玲[1] 秦素萍[1] CAI Ling;QIN Suping(Nanjing Hospital,Nanjing Medical University,Nanjing,21001,China)

机构地区：[1]南京医科大学附属南京医院内分泌科,江苏省南京市210012

出　　处：《护理实践与研究》2022年第7期1092-1095,共4页Nursing Practice and Research

基　　金：国家重点研发计划资助(编号:2018YFC1314100)。

摘　　要：目的 观察2型糖尿病(T2DM)患者在使用个人版瞬感扫描式葡萄糖监测(FGM)过程中对其饮食、运动的影响,并分析瞬感扫描式葡萄糖监测对患者血糖控制的效果。方法 选取2017年7月—2018年2月在南京医科大学附属南京医院内分泌科就诊的T2DM门诊患者30例。患者入组时采集基本资料,并持续佩戴个人版FGM。佩戴期间原降糖药物治疗方案不变,研究者通过健康宣教,鼓励患者根据实时扫描血糖数值调整饮食及运动。比较患者佩戴FGM第1天与第13天饮食、运动的变化及血糖水平之间的差异。结果 30例T2DM患者在佩戴FGM期间均未改变原药物的治疗方案,无佩戴传感器相关的不良事件发生,无症状性低血糖的发生。与基线相比较,患者第13天运动时间、运动次数均明显增加;饮食结构改善:摄入蔬菜例数增多,吃零食和加餐例数增至2~3倍;平均血糖、血糖变异系数下降,目标范围内血糖时间升高、高血糖时间下降;干预前后比较,差异均有统计学意义(P<0.05)。低血糖时间略有下降,但差异无统计学意义(P>0.05)。结论 在不改变原有降糖药物治疗方案前提下,T2DM患者中可通过个人版FGM随时获取自身血糖变化、促进其饮食和运动行为自我管理,改善血糖的控制。Objective To observe the application resultin type 2 diabetes mellitus(T2DM) patients using personal version of transient scanning glucose monitoring(FGM) on of diet and exercise, the effect of transient scanning glucose monitoring on blood glucose control. Methods 30 T2DM outpatients in the department of endocrinology, Nanjing Hospital Affiliated to Nanjing Medical University from July 2017 to February 2018were selected. Basic data were collected at enrollment and personal FGM was equipped continuously. During the equipment period, the original hypoglycemic drug treatment regimen remained unchanged. The researchers encouraged patients to adjust their diet and exercise according to real-time scanning blood glucose values through health education. The differences of diet, exercise and blood glucose levels between the 1st day and the 13th day of patients equipped FGM were compared. Results None of the 30 T2DM patients changed their original drug treatment plan during FGM equipment, and no adverse events related to sensor equipped or asymptomatic hypoglycemia occurred. Compared with baseline, exercise time and number of patients on day 13 were significantly increased;Improved diet structure: the number of vegetables intake increased, the number of snacks and extra meals increased to 2-3 times;The mean blood glucose and the coefficient of variation of blood glucose decreased, and the time of blood glucose within the target range increased and the time of hyperglycemia decreased. There were statistically significant dif ferences before and after intervention(P<0.05).The hypoglycemic time decreased slightly, but the dif ference was not statistically significant(P>0.05). Conclusion Under the premise of not changing the original hypoglycemic drug treatment regimen, the personal version of FGM in T2DM patients could obtain the own blood glucose changes at any time, promote their self-management of diet and exercise behavior and improve the control of blood glucose.

关 键 词：瞬感扫描式葡萄糖监测 2型糖尿病 行为管理 血糖控制 

分 类 号：R473.58[医药卫生—护理学]