胰岛素照护系统下随访次数对血糖控制不良患者血糖波动的影响

Effect of the Number of Follow-up Visits on Blood Glucose Fluctuation in Patients with Poor Blood Glucose Control under Insulin Care System

目的探讨利用胰岛素照护系统管理血糖控制不良患者的成效,分析随访次数多少对患者血糖波动的影响。方法选取2019年1—12月在北京瑞京糖尿病医院血糖控制不良(糖化血红蛋白≥8.5%)的胰岛素注射患者175例为研究对象,对所有患者进行长期追踪回访管理,根据回访频率分为规范回访组(≥6次,n=87),常规回访组(<6次,n=88),对比两组最终成效。结果干预前,两组实验室指标比较,差异无统计学意义(P>0.05);干预后,规范回访组患者日内最大血糖波动幅度(LAGE)低于常规回访组,差异有统计学意义(P<0.05)。规范回访组胰岛素注射操作正确率高于常规回访组,差异有统计学意义(P<0.05)。规范回访组HbA1c水平低于常规回访组,但差异无统计学意义(P>0.05)。结论胰岛素照护系统下规范接受随访不仅改善了胰岛素注射的2型糖尿病患者血糖波动情况,而且提高了患者胰岛素注射技能。

Objective To investigate the effectiveness of using the insulin care system to manage patients with poor blood glucose control and to analyze the effect of the number of follow-up visits on patients'blood glucose fluctuations.Methods Selected 175 patients with insulin injection with poor glycemic control(glycated hemoglobin 8.5%)in Beijing Ruijing Diabetes Hospital from January to December 2019 as the study subjects.All patients were managed by long-term follow-up return visits.According to the frequency of return visits,they were divided into standardized return visit group(≥6 times,n=87)and routine return visit group(<6 times,n=88)to compare the management effectiveness.Results Before intervention,there was no statistically significant difference in laboratory indicators between the two groups(P>0.05);after intervention,the maximum daily blood glucose fluctuation(LAGE)in the standardized follow-up group was lower than that in the conventional follow-up group,the difference was statistically significant(P<0.05).The correct rate of insulin injection in the standardized follow-up group was higher than that in the conventional follow-up group,the difference was statistically significant(P<0.05).The HbA1c level in the standardized follow-up group was lower than that in the conventional follow-up group,but the difference was not statistically significant(P>0.05).Conclusion The standardized receiving follow-up under insulin care system not only improved the blood glucose fluctuation of insulin-injected type 2 diabetes mellitus patients,but also improved the insulin injection skills of patients.