不同频率血糖监测对超重/肥胖中青年糖尿病前期人群血糖控制的影响  

Effects of different frequency of blood glucose monitoring on glucose control in overweight/obese young and middle aged people with prediabetes

作　　者：孙桐 屠乐琪 贾梦溪 李敏[1] Sun Tong;Tu Leqi;Jia Mengxi;Li Min(Department of Endocrinology and Metabolic Diseases,the First Affiliated Hospital of China Medical University,Shenyang 110001,China;School of Nursing,China Medical University,Shenyang 110122,China)

机构地区：[1]中国医科大学附属第一医院内分泌与代谢病科室,沈阳110001 [2]中国医科大学护理学院,沈阳110122

出　　处：《中国实用护理杂志》2024年第4期257-262,共6页Chinese Journal of Practical Nursing

基　　金：辽宁省自然科学基金(2021-MS-178)。

摘　　要：目的探讨在健康教育的基础上,不同频率的血糖监测对超重/肥胖的糖尿病前期人群血糖控制的有效性,为糖尿病前期人群血糖监测管理提供依据。方法以随机对照研究,按连续抽样法选取2021年1—3月中国医科大学附属第一医院体检中心、内分泌门诊、内分泌病房的糖尿病前期人群90例,采用抽签法随机分为A、B、C 3组,每组各30例,研究周期为12个月。A、B、C 3组均在入组时、6个月随访和12个月随访进行统一的健康教育指导。A组每6个月进行1次血糖监测,B组每3个月进行1次血糖监测,C组每个月进行1次血糖监测。记录并比较3组参与者入组时、6个月随访时及12个月随访时的糖化血红蛋白水平(HbA1c)、空腹血糖、糖负荷后2 h血糖(2 hPG)及BMI水平。结果A组男15例,女15例;B组男14例,女16例;C组男12例,女18例。A、B、C 3组的年龄分别为(48.37±10.80)、(49.20±9.75)、(44.77±12.28)岁。随访12个月时,A、B、C 3组的HbA1c分别为(6.01±0.36)%、(5.82±0.35)%、(5.64±0.27)%,3组比较差异有统计学意义(F=9.72,P<0.05);空腹血糖分别为(5.64±0.88)、(5.05±0.53)、(4.98±0.48)mmol/L,3组比较差异有统计学意义(F=9.23,P<0.05);2 hPG分别为(9.38±1.23)、(8.23±0.72)、(7.71±0.86)mmol/L,3组比较差异有统计学意义(F=23.89,P<0.05);BMI分别为(28.52±4.24)、(27.02±2.67)、(25.56±1.34)kg/m^(2),差异有统计学意义(F=7.37,P<0.05)。结论在健康教育的基础上,与常规每6个月进行1次血糖监测相比,每3个月进行1次血糖监测和每个月进行1次血糖监测,能够改善超重/肥胖的中青年糖尿病前期人群的血糖和BMI水平,为在临床实践中寻求有效、经济的血糖监测模式提供依据。Objective To explore the effectiveness of blood glucose monitoring at different frequencies on the control of blood glucose in overweight/obese prediabetes population on the basis of health education,and to provide a basis for blood glucose monitoring and management in prediabetes population.Methods A randomized controlled study was used.90 prediabetes patients from the Physical Examination Center/Endocrine Clinic/Endocrine Ward of the First Affiliated Hospital of China Medical University from January to March 2021 were selected by continuous sampling method,and were randomly divided into the group A,B and C by lottery method,with 30 patients in each group,and the study period was 12 months.Group A,B and C received unified health education guidance at enrollment,6-month follow-up,and 12-month follow-up.Group A underwent blood glucose monitoring every 6 months,group B underwent blood glucose monitoring every 3 months,group C underwent blood glucose monitoring every month.Recorded and compared the levels of glycated hemoglobin(HbA1c),fasting plasma glucose(FPG),2-hour post-load blood glucose(2 hPG),and body mass index(BMI)of three groups at the time points of enrollment,6-month follow-up,and 12-month follow-up.Results There were 15 males and 15 females in the group A,14 males and 16 females in the group B,12 males and 18 females in the group C.The ages in the group A,B and C were(48.37±10.80),(49.20±9.25)and(44.77±12.28)years old respectively.At the time point of 12-month follow-up,the HbA1c in the group A,B and C were(6.01±0.36)%,(5.82±0.35)%and(5.64±0.27)%,the difference was significant(F=9.72,P<0.05);the FPG in the group A,B and C were(5.64±0.88),(5.05±0.53)and(4.98±0.48)mmol/L,the difference was significant(F=9.23,P<0.05);the 2 hPG in the group A,B and C were(9.38±1.23),(8.23±0.72)and(7.71±0.86)mmol/L,the difference was significant(F=23.89,P<0.05);the BMI in the group A,B and C were(28.52±4.24),(27.02±2.67)and(25.56±1.34)kg/m^(2),the difference was significant(F=7.37,P<0.05).Conclusions On the ba

关 键 词：糖尿病前期 血糖自我监测 健康教育 超重 肥胖症 血糖控制 

分 类 号：R473.5[医药卫生—护理学]