Diabetes mellitus(DM) is a highly prevalent condition affecting about 347 million people worldwide. In addition to its numerous clinical implications, DM also exerts a negative effect on patient's sleep quality.Im...Diabetes mellitus(DM) is a highly prevalent condition affecting about 347 million people worldwide. In addition to its numerous clinical implications, DM also exerts a negative effect on patient's sleep quality.Impaired sleep quality disrupts the adequate glycemic control regarded as corner stone in DM management and also lead to many deleterious effects causing a profound impact on health related quality of life. This article outlines various factors leading to impaired sleep quality among diabetics and delineates how individual factor influences sleep. The article also discusses potential interventions and lifestyle changes to promote healthy sleep among diabetics.展开更多
目的探究院外连续动态监测干预对2型糖尿病患者夜间低血糖发生情况的影响。方法选取我院收治的100例2型糖尿病患者,随机将其分为研究组(n=49,院外连续动态监测干预)和对照组(n=51,常规院外护理)。比较两组的空腹血糖(FPG)、餐后2 h血糖(...目的探究院外连续动态监测干预对2型糖尿病患者夜间低血糖发生情况的影响。方法选取我院收治的100例2型糖尿病患者,随机将其分为研究组(n=49,院外连续动态监测干预)和对照组(n=51,常规院外护理)。比较两组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平、糖化血红蛋白(HbA1C)、夜间低血糖发生率,糖尿病自我管理行为量表(SDSCA)、2型糖尿病患者生活质量评定量表(DMQLS)评分。结果干预后,两组的FPG、2 h PG水平及HbA1C均降低,且研究组低于对照组(P<0.05);干预后,研究组的夜间低血糖发生率低于对照组(P<0.05)。干预后,两组的SDSCA各维度评分及总分均升高,且研究组高于对照组(P<0.05)。干预后,两组的DMQLS各维度评分及总分均升高,且研究组高于对照组(P<0.05)。结论院外连续动态监测干预可有效控制2型糖尿病患者血糖水平,降低夜间低血糖发生率,提高自我管理能力及生活质量,值得临床推广及应用。展开更多
文摘目的 :探讨强化胰岛素治疗的2型糖尿病患者夜间低血糖的危险因素。方法 :对501例强化胰岛素治疗2型糖尿病患者的临床资料进行回顾性分析,收集发生至少1次以上夜间低血糖患者临床资料,对收集的变量进行单因素分析和多因素分析。结果:高体质量指数(body mass index,BMI)、高三酰甘油和高空腹血糖是强化胰岛素治疗的2型糖尿病患者发生夜间低血糖的保护因素(均P<0.05),而平均血糖波动幅度(mean amplitude of plasma glucose excursions,MAGE)、血糖标准差(standard deviation of blood glucose,SDBG)增高则是危险因素(P<0.05)。结论:应加强夜间低血糖危险因素的防控,规范血糖监测,加强对患者的观察处理,避免夜间低血糖的发生。
文摘Diabetes mellitus(DM) is a highly prevalent condition affecting about 347 million people worldwide. In addition to its numerous clinical implications, DM also exerts a negative effect on patient's sleep quality.Impaired sleep quality disrupts the adequate glycemic control regarded as corner stone in DM management and also lead to many deleterious effects causing a profound impact on health related quality of life. This article outlines various factors leading to impaired sleep quality among diabetics and delineates how individual factor influences sleep. The article also discusses potential interventions and lifestyle changes to promote healthy sleep among diabetics.
文摘目的探究院外连续动态监测干预对2型糖尿病患者夜间低血糖发生情况的影响。方法选取我院收治的100例2型糖尿病患者,随机将其分为研究组(n=49,院外连续动态监测干预)和对照组(n=51,常规院外护理)。比较两组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)水平、糖化血红蛋白(HbA1C)、夜间低血糖发生率,糖尿病自我管理行为量表(SDSCA)、2型糖尿病患者生活质量评定量表(DMQLS)评分。结果干预后,两组的FPG、2 h PG水平及HbA1C均降低,且研究组低于对照组(P<0.05);干预后,研究组的夜间低血糖发生率低于对照组(P<0.05)。干预后,两组的SDSCA各维度评分及总分均升高,且研究组高于对照组(P<0.05)。干预后,两组的DMQLS各维度评分及总分均升高,且研究组高于对照组(P<0.05)。结论院外连续动态监测干预可有效控制2型糖尿病患者血糖水平,降低夜间低血糖发生率,提高自我管理能力及生活质量,值得临床推广及应用。