2 型糖尿病患者长期家庭血糖监测的随访分析简

目的 观察2型糖尿病家庭血糖监测频次与综合管理对患者血糖、血脂控制的影响.方法 回顾性调查了165例2型糖尿病患者13年家庭血糖监测频次,以及综合管理措施对血糖、血脂控制的影响.结果 2000年进行自我血糖监测的患者仅为14%,到2012年进行自我血糖监测率达98%.2000年患者空腹血糖（FPG）、餐后血糖（PPG）、糖化血红蛋白（HbA1c）、三酰甘油（TG）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）的达标率分别为,17%、12%、18%、25%、24%、25%;到2012年165例患者以上指标达标率分别为,65%、63%、49%、54%、61%、59%;HbA1c和TG在不同的监测频次下有统计学意义（P〈0.05）.结论 2型糖尿病家庭血糖监测频次对患者血糖、血脂控制情况均有很大的影响;一体化中心对糖尿病患者进行综合管理是一种可行的方法.

Following-up and nursing patients with type 2 diabetes mellitus by a long-term blood glucose monitoring at home

Objective To explore the effect of blood glucose monitoring at home on blood glucose and blood fat of type 2 diabetes mellitus patients. Methods Retrospectively investigated 165 cases with type 2 diabetes as long as 13 years,to explore the effect of blood glucose monitoring at home and integrated management on blood glucose and blood fat. Results 14% patients used blood glucose at home in 2000.98% patients used blood glucose at home in 2012. Tile control rate of FPG,PPG, HbA1 c, TG, HDL-C, LDL-C respectively was 17% ,12% ,18% ,25% ,24% ,25% in 2000. The control rate of FPG,PPG,HbAle,TG,HDL-C,LDL-C respectively was 65% ,63% ,49% ,54% ,61% ,59% in 2012. The control rate of HbAlc and TG are significant difference in difference monitoring frequences （P 〈 0.05 ）. Conclusion The blood glucose monitoring at home greatly affected the blood glucose and blood fat control. So, take measures to promote the positivity and compliance of blood glucose monitoring at home with type 2 diabetes is particularly important.