妊娠期糖尿病自我血糖监测的指导及随访

Direction and following survey of pregnant women diagnosed with Gestational diabetes

目的探讨妊娠期糖尿病患者自我血糖监测和健康教育指导意义。方法 2009年5～10月对28例妊娠期糖尿病患者进行糖尿病基本知识、自我血糖监测的意义及方法、血糖监测的时间点和频率等方面的健康教育指导,同时给予为期一月的随访。结果本组28例妊娠期糖尿病患者,接受健康教育指导后第四周,26例(92.9%)能按计划进行自我血糖监测,22例(78.6%)正确掌握血糖监测的操作要点,17例(60.7%)能复述自我血糖监测注意事项,25例(89.3%)监测血糖后按时记录。结论加强糖尿病教育、并进行强化随访管理可提高妊娠期糖尿病患者自我血糖监测的依从性。

Objective To increase the knowledge of pregnant women diagnosed with Gestational diabetes about their disease and how they controlled it with diet,exercise and insulin administration. Methods Systematic search for randomized trials and observation studies for inclusion studies had to report on self monitoring blood glucose（SMBG） in gestaional diabetes managed with hypoglycemic agents and or diet alone,HbALC or clinical outcome,had at least 28 patients follow-up in one months and at least 5 months education from 2009/5-10th month.Results After 4 weeks education,26 cases did SMBG,22 cases properly performed and 17 cases knew the proper technique and precaution using self monitoring of blood glucose.Conclusions It is likely that SMBG is beneficial in some circumstances.More information is needed at the Level of the individual patient.Educational tools timing and frequency of monitoring response to those who constitute effective patient education and long term clinical outcome.