动态血糖监测在2型糖尿病患者治疗中的应用效果  

Application of Dynamic Blood Glucose Monitoring in the Treatment of Type 2 Diabetes Mellitus

作　　者：冯清 Feng Qing(Department of Endocrinology,Dongping County People's Hospital,Tai'an 271500,Shandong Province,China)

机构地区：[1]东平县人民医院内分泌科,山东泰安271500

出　　处：《中国社区医师》2024年第21期30-32,共3页Chinese Community Doctors

摘　　要：目的:分析动态血糖监测在2型糖尿病患者治疗中的应用效果。方法:选择2021年4月—2022年4月东平县人民医院收治的2型糖尿病患者100例作为研究对象,随机分为对照组与观察组,各50例。对照组实施采集指尖血检测,观察组实施动态血糖监测,均根据血糖水平调整治疗方案。比较两组血糖水平、胰岛素水平、血糖持续时间、低血糖持续时间、低血糖发生率、血糖达标率。结果:治疗前,两组空腹血糖、餐后1 h血糖、餐后2 h血糖、空腹胰岛素、胰岛素抵抗指数及胰岛素分泌指数比较,差异无统计学意义(P>0.05);治疗后,两组空腹血糖、餐后1h血糖、餐后2h血糖、胰岛素抵抗指数低于治疗前,且观察组低于对照组,两组胰岛素分泌指数、空腹胰岛素高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗前,两组高血糖、低血糖持续时间及波动幅度比较,差异无统计学意义(P>0.05);治疗后,两组高血糖、低血糖持续时间短于治疗前,且观察组短于对照组,两组血糖波动幅度低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组低血糖发生率低于对照组,血糖达标率高于对照组,差异有统计学意义(P<0.05)。结论:动态血糖监测在2型糖尿病患者治疗中的应用效果显著,能够控制患者血糖和胰岛素水平,延长血糖维持时间,降低低血糖发生率。Objective:To analyze the application effect of dynamic blood glucose monitoring in the treatment of type 2 diabetes.Methods:A total of one hundred patients with type 2 diabetes treated in Dongping County People's Hospital from April 2021 to April 2022 were selected as the study objects and randomly divided into control group and observation group,with fifty patients in each group.The control group was subjected to fingertip blood detection,and the observation group was subjected to dynamic blood glucose monitoring,and the treatment plan was adjusted according to the blood glucose level.Blood glucose level,insulin level,blood glucose duration,hypoglycemia duration,incidence of hypoglycemia and blood glucose compliance rate were compared between the two groups.Results:Before treatment,there were no significant differences in fasting blood glucose,1 h postprandial blood glucose,2 h postprandial blood glucose,fasting insulin,insulin resistance index and insulin secretion index between the two groups(P>0.05);after treatment,fasting blood glucose,1 h postprandial blood glucose,2 h postprandial blood glucose and insulin resistance index in both groups were lower than before treatment,and observation group was lower than control group,insulin secretion index and fasting insulin in two groups were higher than before treatment,and observation group was higher than control group,the difference was statistically significant(P<0.05);before treatment,there was no significant difference in the duration and fluctuation range of hyperglycemia and hypoglycemia between the two groups(P>0.05);after treatment,the duration of hyperglycemia and hypoglycemia in the two groups was shorter than before treatment,and the observation group was shorter than the control group,and the fluctuation range of blood glucose in the two groups was lower than before treatment,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);the incidence of hypoglycemia in the observation group was lower th

关 键 词：动态血糖监测 2型糖尿病 血糖达标 

分 类 号：R587.1[医药卫生—内分泌]