上海市天平社区糖尿病患者血糖控制现况调查

A prevalence survey on the status of blood glucose control in diabetes mellitus (OM) patients in Tianping community of Shanghai

[目的]评价上海市天平社区糖尿病患者血糖控制的现状,为改善社区糖尿病管理提供依据。[方法]自2006年9月至2008年9月,对上海市天平社区糖尿病患者逐步建立档案卡,期间每6个月由社区卫生服务中心医生对其进行随访、检测血糖、分析影响血糖水平的因素、评价血糖控制满意度,并进行健康宣教、干预。[结果]糖尿病患者建卡数由2006年9月的105例增加至2008年9月的282例;29.95%的病人有糖尿病家族史;期间5次评价血糖控制良好率分别为61.91%、81.91%、75.88%、74.85%、73.04%,82.26%;血糖控制良好的患者饮食能按要求执行。[结论]该社区糖尿病防治工作总体情况良好,血糖控制水平比较满意。

[ Objective] To provide foundation for improving the management of DM patients by monitoring and evaluating the status of blood glucose control among DM patients for two years in a community of Shanghai. [ Methods] From September 2006 to September 2008, the doctors of a community health service center established the archives of the DM patients step by step, did regular follow- up, tested blood glucose levels, evaluated situation of blood glucose control, analyzed the influencing factors of blood glucose and did health education and intervention to the DM patients in this community of Shanghai. [ Results] The number of archives of DM patients increased from 105 in September 2006 to 282 in September 2008 in this community of Shanghai. Nearly 30 percent of DM patients have family history. Regular evaluation of well controlled rate of blood glucose among DM patients was 61.91%, 81. 91%, 75.88%, 74.85% and 73.04% respectively. 82.26% DM patients had their diet completely meet the recom- mendation of doctors. [ Conclusion] The diabetes prevention and control work of this community is in good conditions. The blood glucose level in DM patients is comparatively well controlled.