门诊2型糖尿病患者口服降糖药降糖达标状况调查

目的了解门诊仅接受口服降糖药物治疗的2型糖尿病(T2DM)患者降糖达标现状及糖尿病慢性并发症、合并症的发生情况。方法收集我院门诊仅接受口服降糖药物治疗(3个月以上)的T2DM病例401例,通过问卷调查的方式收集患者血糖、HbA1c值、血压、血脂、自我管理信息、治疗方案、合并症及慢性并发症等情况,评估HbA1c≤6.5%的达标现状及糖尿病慢性并发症、合并症的发生情况。结果血糖控制现状调查显示HbA1c≤6.5%的达标率为17.5%;HbA1c>6.5%组合并心脑血管疾病、慢性并发症的比率明显高于HbA1c≤6.5%组;36.9%患者血糖监测频率≥4次每月,13.7%患者HbA1c监测频率≥4次每年;患者控制饮食、规律运动的比例分别为74.6%、51.6%;大多数患者应用2种及以上降糖药物治疗。结论门诊仅接受口服药物治疗的T2DM患者血糖控制达标率低,血糖控制不良与糖尿病合并症、慢性并发症相关。

Lnvestigation of glycemic control in type 2 diabetic out-patients who received oral antidiabetic agents

Objective To investigate the current state of glycemic control and complications in type 2 diabetes mellitus(T2DM)who cecevied oral antidiabetic agents in the out-patient clinic.Methods 401 T2DM outpatients who have recevied long-term(more than 3 months)oral antidiabetic agents were enrolled in our hospital.A questionnatirc interview was used to collect data of patients on blood glucose,glycosylated hemoglobin A1c(HbA1c),blood pressure,blood fat,self-management,therapy,complications.The good control rate of...