远程血糖管理对2型糖尿病患者血糖控制及达标率的影响

目的探讨不同血糖管理模式对2型糖尿病患者血糖控制及达标率的影响。方法选取2016年1月至2017年9月于我院内分泌科就诊的305例2型糖尿病患者,随机分为远程随访组及门诊随访组。通过为期1年的随访,比较两组患者血糖、HbA1c、血糖达标率等指标的变化。结果随访6个月及1年时,两组患者的空腹血糖、餐后2h PG及HbA1c水平均较基线时明显下降(P0.05)。随访1年时,远程随访组患者的餐后2h PG及HbA1c水平均较门诊随访组明显降低(P0.05)。随访1年时,远程随访组HbA1c达标率明显高于门诊随访组(P0.05)。结论糖尿病患者远程血糖管理具有一定的有效性和实用性,对患者长期的血糖控制、延缓并发症的发生发展具有十分积极的意义。

Impacts of remote blood glucose management on blood glucose control and standard-reaching rate of patients with type 2 diabetes mellitus

Objective To investigate the impacts of different blood glucose management modes on blood glucose controland standard-reaching rate of patients with type 2 diabetes mellitus(T2DM).Methods From January 2016 to September 2017,305 patients with T2DM admitted to the endocrinology department of our hospital were randomly divided into the long-distance follow-up group and the outpatient follow-up group.Through a one-year follow-up visit,the changes in blood glucose,glycosylated hemoglobin (HbA1c),blood glucose standard-reaching rate and other indicators in the two groups were compared.Results During a follow-up of 6 months and 1 year,the fasting blood glucose,2 hours postprandial blood glucose and HbA1c levels of the two groups were significantly lower than those at baseline(P<0.05).During the follow-up period of 1 year,2 hours postprandial blood glucose and HbA1c levels in the remote follow-up group were significantly lower than those in the outpatient follow-up group(P<0.05).The HbA1c standard-reaching rate in the remote follow-up group was significantly higher than that in the outpatient follow-up group at 1-year follow-up(P<0.05).Conclusion Remote blood glucose management for diabetic patients has certain effectiveness and practicability and has very positive significance for long-term blood glucose control of patients so as to delay the occurrence and development of complications.