入院-出院的胰岛素方案转化:血糖长期达标的关键

Inpatient-to-outpatient Transition of Insulin Therapy:Mainstay for Persistent Reaching Target of Glucose Control

血糖长期达标是糖尿病患者疾病管理的重要环节,院外血糖控制不佳是影响患者血糖控制的重要因素。许多患者因院外血糖不达标而反复出入院。住院治疗期间,入院-出院的胰岛素治疗方案的衔接不够顺畅,患者依从性不佳影响了糖尿病患者院外血糖控制。广大医生在制订治疗方案时,需一步明确入院-出院的胰岛素具体方案及方案转换与剂量调整原则,做到血糖的平稳过渡,实现血糖长期达标。

Persistent reaching target of glucose had become the mainstay for anti-hyperglycemic medication of diabetes.Poor control of blood glucose in outpatients resulted into failure of blood glucose control.Many patients suffered from repeated hospitalization and discharging.During hospitalization,insufficient inpatient-to-outpatient transition of insulin therapy and undesirable compliance of patients undermined the blood control in outpatients.When clinician set to establish therapeutic schedule,there was a great need for clinicians to validate principle,specific strategy,transition and dosage titration of insulin therapy during hospitalization and post-discharge duration.That would benefit the smooth transition to long-term target of glucose control.