“3C”大剂量向导治疗方案在糖尿病患者餐后血糖控制中的应用

Application of 3C bolus wizard on controlling postprandial glucose in diabetic patients

目的探讨＂3 C＂大剂量向导治疗方案控制糖尿病患者餐后血糖的效果。方法将本院收治的58例2型糖尿病患者在住院期间采用＂3 C＂大剂量向导治疗方案控制糖尿病患者餐后血糖,同时给予饮食护理及健康教育。观察治疗后患者血糖控制情况。结果 58例患者在3~6 d内三餐后2 h血糖控制在6.4~10.7 mmol/L,24 h血糖控制在4.8~10.7 mmol/L。结论 ＂3 C＂大剂量向导治疗方案可以在短时间内使患者餐后血糖达标,又可避免使用大剂量胰岛素所导致的低血糖发生。在使用过程中,对患者进行个体化饮食健康教育是治疗的基础,良好的护理配合是顺利实施治疗方案的前提保证。

Objective To explore the influence of 3 C bolus wizard on postprandial glucose levels in diabetic patients.Method Fifty-eight patients with type 2 diabetes in our hospital were monitored with continuous glucose monitoring system（CGMS）,continuous subcutaneous insulin infusion（CSII）and Care Link（3 C for short）for 6 days.The function of ＂3 C＂ bolus wizard was applied during treatment and all the patients were given dietary nursing and health education.The glucose level was observed.Result The level of P2 h BG of the 58 patients was between 6.4~10.7 mmol/L in 3~6 days.Conclusions Bolus wizard plays an important role in ＂3 C＂ treatment.It can make the postprandial glucose of patients satisfactorily controlled in a short time only to avoid insulin hypoglycemia because of large doses of insulin.At the same time,health education on patients can achieve remarkable results as well.