糖尿病教育在NIDDM治疗中的作用

The effects of diabetes education on metabolic control in NIDDM

目的探讨糖尿病教育在NIDDM治疗中的作用。方法特102例NIDDM患者随机分为教育组（52例）和对照组（50例），两组均接受口眼降糖药治疗，教育组尚需参加糖尿病学习班。结果教育组人组后3、6个月时的糖尿病知识积分上升高于对照组，糖代谢控制更好，且3个月时的改变较6个月时更显著。教育组人组后6个月时的口服降糖药用量较入组时减少。结论糖尿病教育有利于NIDDM的控制，并能降低其治疗的直接费用，但需继续教育以巩固疗效。

Objective To investigate the role of diabetes education in management of NIDDM. Methods Onehundred and two patients with NIDDM were randomly assigned to education group and control group. Both groups weregiven oral hypoglycemic agents. While the subjects in education group attended an additional diabetes education course.Results The educated subjects had a higher diabetes knowledge score and better glycemic control compared with thecontrol subjects at 3 and 6 months after entry. The changes descended with time from 3 to 6 months after entry. Inaddition, the average dosage of hypoglycemic agents in the education group reduced at 6 month after entry. ConclusionDiabetes education is helpful to the management and reduction of direct cost of treatment in NIDDM. Continuededucation is required for persistent glycemic control.