结构性血糖监测在个体化糖尿病饮食管理中的应用

Application of structural monitoring of blood glucose in the management of individualized diabetic diet

目的探讨结构性自我血糖监测在2型糖尿病患者个体化饮食管理中的应用。方法 100例患者随机分为干预组50例,对照组50例,两组均进行常规糖尿病知识教育,出院后在家进行自我糖尿病饮食管理。对照组在复诊时来医院进行血糖监测,干预组在家进行结构性自我血糖监测,观察患者干预前和干预6个月后的体质指数(BMI)﹑空腹血糖(FBG)﹑餐后2h血糖(PBG)﹑糖化血红蛋白(HbA1c),运用24h膳食回顾法调查评价饮食的依从性。结果 6个月后,干预组的BMI﹑FBG﹑PBG﹑HbA1c水平均低于对照组(P<0.05)。饮食依从性好于对照组(P<0.05)。结论结构性自我血糖监测在2型糖尿病个体化饮食管理中可有效提高患者饮食治疗依从性,提供个性化的可视性血糖数据,帮助患者控制血糖和体重。

Objective To investigate the application of structured self-monitoring of blood glucose in patients with type 2 diabetes individualized dietary management. Methods A total of 100 patients were randomly divided into two groups of 50 cases, 50 cases in the control group, both groups routine diabetes knowledge and education at home after discharge from hospital diabetic diet management, and control group in a return visit to the hospital for blood glucose monitoring in the observation group at home structured self-monitoring of blood glucose, observe the patients before the intervention and the intervention six months later, the body mass index （BMI）, fasting blood glucose （FBG）, 2h postprandial blood glucose （PBG）, glycosylated hemoglobin （HbAlc）, the use of 24-hour dietary recall method investigation evaluation of diet compli- ance. Results Six months later, the observation group, BMI, FBG, PBG, HbAlc levels were lower than the control group（P 〈 0.05）. Dietary compliance was better than the control group （P 〈 0.05）. Conclusion The structured self-monitoring of blood glucose in type 2 diabetes individualized dietary management can effectively improve the treatment of patients with diet compliance, and visibility of blood glucose data to provide personalized help patients control blood sugar and body weight.