SDTM系统管理对2型糖尿病胰岛素泵强化治疗的影响

目的 探讨糖尿病分阶段达标管理模式(staged diabetes target management,SDTM)对2型糖尿病胰岛素泵强化治疗后的影响.方法 以2019年3月—2020年3月本院内分泌科54例接受胰岛素泵强化治疗的2型糖尿病住院患者为研究对象,随机分为两组.试验组27例,患者出院后通过SDTM系统追踪管...

Effect of SDTM System Management on Intensive Insulin Pump Therapy in Patients With Type 2 Diabetes Mellitus

Objective To explore the effect of staged diabetes target management(SDTM) on type 2 diabetes with intensive insulin pump therapy. Methods From March 2019 to March 20 20, 54 inpatients with type 2 diabetes who received intensive insulin pump therapy in the Department of Endocrinology of our hospital were selected as the research objects. They were randomly divided into two groups. In the experimental group, 27 patients were tracked and managed by SDTM system after discharge, while in the control group, 27patients received routine outpatient follow-up after discharge.The levels of FPG, 2 hPG and HbA1c before and 3, 6, 9 months after intervention were compared between the two groups.Results After intervention, FPG( 6.90 ± 1.14) m m o l/L, 2hPG(10.02±1.67) mmol/L, HbA1c(6.89±0.91)% at 3 months,FPG(6.15±1.02) mmol/L, 2 hPG(8.86±1.40) mmol/L, HbA1c(6.26 ± 0.85) % a t 6 months, FPG(5.83±0.96) mmol/L, 2 hPG(8.23±1.24) mmol/L, HbA1c( 5.85 ± 0.90) % at 9 months in the experimental group, were better than those in the control group(P < 0.05). At 3, 6, 9 months after intervention, the blood glucose control rate of the experimental group were 37.04%,77.78% and 100% respectively, which were higher than those of the control group(P < 0.05). Conclusion After intensive insulin pump treatment of type 2 diabetes, SDTM system management can effectively improve the effect of blood glucose control and promote blood glucose reaching the standard.