血糖信息化管理系统在院外糖尿病患者血糖管理中的应用研究

Application of informatized blood glucose management system to diabetes patient outside hospital

目的:探讨血糖信息化管理系统i-GMS在院外糖尿病患者血糖管理中的应用效果。方法:选取80例2型糖尿病患者随机分为实验组(A组)和对照组(B组)。A组患者出院后采用糖管家App和智能血糖仪(个人版)对患者进行血糖监测,B组患者给予普通便携式血糖仪对患者进行血糖监测。每周电话随访1次,对2组患者出院3周后糖化白蛋白(GA)及3个月后糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(PG_(2h))、3个月内血糖监测次数及低血糖发生次数、患者对院外血糖监测管理的满意度进行对比。结果:A组3周后的GA及3个月后的Hb A1c、FPG、PG_(2h)较B组明显降低(P<0.05),差异有统计学意义;A组患者院外血糖监测次数和满意度高于B组,院外低血糖发生率低于B组,差异有统计学意义(P<0.05)。结论:I-GMS对2型糖尿病患者进行院外糖尿病自我血糖监测管理,是一种有效的管理模式。

Objective To explore the efficacy of i-GMS applied to the diabetes patient outside the hospital. Methods Totally80 type 2 diabetes mellitus patients were divided into an experiment group（Group A） and a control group（Group B）. Group A executed blood glucose monitoring by Glucose Management App and intelligent blood glucose meter（personal version）, and Group B completed monitoring by some portable blood glucose meter. Telephone follow-up was performed once a week, and the two groups were compared on glycated albumin（GA） value 3 weeks after discharging, values of HbA1c, FPG and PG_（2h） 3 months after, the times of blood glucose monitoring and hypoglycaemia as well as the patient satisfaction over the glucose management. Results Group A had the values of GA, HbA1c, FPG and PG_（2h）significantly lower than those of Group B（P 0.05）. The times of glucose monitoring and patient satisfaction in Group A were statistically higher than those of Group B,while the incidence rate of hypoglycaemia of the former was lower than that of the latter（P0.05）. Conclusion I-GMS proves efficient when used for glucose self monitoring and management of the type 2 diabetes mellitus patient.