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血糖自我监测依从性对2型糖尿病患者糖脂代谢的影响 被引量:8

Influence of blood glucose serf-monitoring on glucolipid metabolism in patients with type 2 diabetes mdlitus
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摘要 目的探讨2型糖尿病患者血糖自我监测依从性对血糖、血脂控制的影响。方法回顾性分析167例2型糖尿病患者12年血糖自我监测频次达标率、血糖达标率、血脂达标率,并探讨其相关性。结果2000年患者血糖自我监测频次达标率仅为14%,2011年患者血糖自我监测频次达标率为98%;167例患者2000年的空腹血糖(FPG)、餐后2h血糖(2hPBG)、糖化血红蛋白(HbA1C)、甘油三酯(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%;2011年167例患者以上指标达标率分别为64%,62%,49%,54%,60%,58%。血糖自我监测达标率与血糖、血脂达标率呈正相关(P〈0.01)。结论2型糖尿病患者血糖自我监测频次达标率对血糖、血脂控制情况均有很大的影响,而教育患者重视疾病是提高血糖自我监测依从性的关键。 Objective To discuss the influence of blood glucose self-monitoring on glucolipid metabolism in patients with type 2 diabetes mellitus. Methods Blood glucose self-monitoring on glycolipin metabolism of 167 cases with type 2 diabetes mellitus for 12 years were analyzed retrospectively. Results The compliance rate of self monitoring of blood glucose was up by 84% on 10 years ago. Among 167 patients, the control rates of fasting blood glucose (FPG), 2-hour postprandial blood glucose (2hPBG), glycosylated hemoglobin (HbAlc), triglyceride (TG) and high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) respectively were 17%, 12%, 18%, 25%, 24%, 25% in 2000, and were 64%, 62%, 49%, 54%, 60%, 58% ,respectively in 2011. The compliance rate of bloodglucose self-monitoring was positively correlated with the control rate of glucolipid metabolism (P 〈 0.01 ). Conclusions The frequency of blood glucose self-monitoring has a great influence on the glucolipid metabolism. And the level, of blood glucose self-monitoring is the key factor of prevention of risk factors.
出处 《中华现代护理杂志》 2013年第9期1002-1004,共3页 Chinese Journal of Modern Nursing
关键词 血糖自我监测 糖尿病 2型 血糖 血脂代谢 Blood glucose self-monitoring Diabetes mellitus, type 2 Blood glucose Glucolipid metabolism
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