2型糖尿病糖化血红蛋白与血糖波动的相关性探讨分析

Analysis of Correlation between Type 2 Diabetes Mellitus Glycosylated Hemoglobin and Blood Glucose Fluctuation

目的：对2型糖尿病患者糖化血红蛋白及血糖波动相关性进行观察分析。方法：随机选取2010年12月一2012年12月于笔者所在医院接受诊治80例的2型糖尿病患者，使用氧化酶法对所选病例的糖化血红蛋白进行检测，然后根据糖化血红蛋白的百分含量进行分组，并用动态血糖检测系统对患者的血糖进行动态检测，观察分析糖化血红蛋白及血糖的波动相关性。结果：通过对检测结果的观察发现21例患者的糖化血红蛋白〈7％，34例患者的糖化血红蛋白在7％～10％，25例患者糖化血红蛋白〉10％，随着该指标的上升患者体内的平均血糖、血糖最高值和最低值均升高。结论：2型糖尿病患者糖化血红蛋白和体内血糖波动存在着密切的联系，糖化血红蛋白水平高的患者体内血糖波动度较高，可作为糖尿病诊治的重要依据。

Objective： To observe and analyze the relationship between glycated hemoglobin and blood glucose in patients with type 2 diabetes mellitus. Methods： Randomly selected 108 cases from December 2010 to December 2012 in our hospital with type 2 diabetes, the use of enzymatic saccharification hemoglobin in the selected cases were detected, and then grouped according to the percentage of glycated hemoglobin, the blood glucose was detected by glucose testing system, observation and analysis of the fluctuation correlation glycosylated hemoglobin and blood glucose.Results： 21 cases of glycosylated hemoglobin 〈7% of the patients, 34 patients with hemoglobin 7%-10%, glycosylated hemoglobin above 10% of 25 patients through the observation of the detection results, with the index of the average blood glucose, blood sugar rises in the patients with the highest and lowest values were rising.Conclusion： Type 2 diabetic patients and blood glucose fluctuation are closely linked, glycated hemoglobin levels in patients with high blood glucose fluctuation degree is high, it can he used as an important basis for the diagnosis and treatment of diabetes mellitus.