目的 比较自我血糖监测(SMBG)联合数字化糖尿病管理与传统管理模式对2型糖尿病(T2DM)患者糖尿病相关临床指标的影响.方法 连续纳入2022年1-6月于该院内分泌代谢科门诊治疗且符合本研究纳入标准的T2DM患者100例,分为试验组及对照组,试验组采取SMBG联合数字化糖尿病管理模式进行管理,对照组采取传统管理模式每月门诊随访1次.随访6个月后,比较2组空腹血糖(FBG)、糖化血红蛋白(HbA1c)、低密度脂蛋白胆固醇(LDL-C)及尿白蛋白/肌酐比值(UACR).结果 干预后试验组患者的FBG、HbA1c、LDL-C、UACR 较干预前均降低(P＜0.05).干预后,试验组患者 FBG[8.7(7.7,9.2)mmol/L vs.10.8(8.8,12.7)mmol/L,Z=-4.660,P＜0.001]、HbA1c[6.3％(5.3,7.8)％vs.8.5％(7.2,10.0)％,Z=-5.130,P＜0.001]、LDL-C[2.6(1.8,3.1)mmol/L vs.3.3(2.6,4.0)mmol/L,Z=-4.112,P＜0.001]、UACR[16.1(3.5,46.5)mg/g vs.58.4(11.9,108.0)mg/g,Z=-2.220,P=0.026]较对照组降低.结论 SMBG联合数字化糖尿病管理模式可明显改善T2DM患者的糖尿病相关临床指标.
Objective To compare the influence between self-monitoring of blood gluocose(SMBG)combined with digital diabetes management and traditional management mode on the related clinical indexes in the patients with type 2 diabetes mellitus(T2DM).Methods A total of 100 patients with T2DM treated in the endocrinology and metabolism outpatient department of this hospital from January 2022 to June 2022 and meeting the inclusion criteria of this study were successively included.They were divided into the experimental group and control group.The experimental group was managed by SMBG combined with digital diabetes man-agement mode,while the control group adopted the traditional management mode,the outpatient clinic follow up once a month.After 6 months of follow-up,fasting blood glucose,glycosylated hemoglobin(HbA1c),low density lipoprotein cholesterol(LDL-C)and urinary microalbumin/creatinine ratio(UACR)were compared between the two groups.Results The FBG,HbA1c,LDL-C,and UACR of the experimental group decreased after intervention when compared with baseline.Compared with the control group,the FBG[8.7(7.7,9.2)mmol/L vs.10.8(8.8,12.7)mmol/L,Z=-4.660,P＜0.001],HbA1c[6.3％(5.3,7.8)％vs.8.5％(7.2,10.0)％,Z=-5.130,P＜0.001],LDL-C[2.6(1.8,3.1)mmol/L vs.3.3(2.6,4.0)mmol/L,Z=-4.112,P＜0.001],UACR[16.1(3.5,46.5)mg/g vs.58.4(11.9,108.0)mg/g,Z=-2.220,P=0.026]for patients in the expriemental group after intervention were significantly decreased.Conclusion SMBG combined with digital diabetes management model can significantly improve the clinical indicators of patients.
杨军;朱秋汶;王玲;吴燕妮;漆霞;蒋孟霏;闫孝永;缪洪芸
重庆大学附属江津医院内分泌代谢科,重庆 402260重庆大学附属江津医院儿科,重庆 402260
临床医学
自我血糖监测;数字化的糖尿病管理模式;2型糖尿病;临床指标;随机对照试验
self-moniforing of blood glucose;digital diabetes management;type 2 diabetes;clinical indi-cator;randomized controlled trial
《重庆医学》 2024 (001)
79-83,88 / 6
重庆市卫生健康委医学研究项目(2022WSJK052).
10.3969/j.issn.1671-8348.2024.01.016
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