动态血糖监测在社区老年糖尿病管理中的应用研究

Application of dynamic glucose monitoring in management of elderly diabetic patients in a community

目的探讨动态血糖监测在规范社区糖尿病慢病管理中的作用。方法2023年6月-2023年12月从上海市金山区漕泾镇招募符合入选标准的100例2型糖尿病患者,以随机数字表法分为试验组和对照组,每组50例。所有患者予以规范的糖尿病社区慢病管理措施,观察周期均为4周。对照组采用快速血糖监测方式,试验组辅以72 h的动态血糖监测,测试结束后,社区根据动态血糖分析结果,调整患者的饮食、用药、运动等策略。结果干预4周后,试验组血糖代谢指标(FPG、HbA1c、2 h PG)值、行为管理SDSCA(饮食管理、运动管理、血糖监测、服药依从性、足部护理)评分、低血糖恐惧(HFSⅡ-BS)评分、生活质量WHOQOL-BREF(生理、心理)评分较对照组和组内干预前均低,差异均有统计学意义(P<0.05)。结论基于动态血糖监测结果的社区糖尿病慢病管理策略,可提高患者行为管理能力,更好地控制血糖异常,减少低血糖恐惧,提高生活质量。

Objective To explore the role of dynamic blood glucose monitoring in standardizing the management of chronic diabetes in the community.Methods From June 2023 to December 2023,100 patients with type 2 diabetes who met the inclusion criteria were recruited from Caojing Town,Jinshan District,Shanghai.They were randomly divided into experimental group and control group by random number table method,with 50 cases in each group.All patients were given standardized management measures for chronic diseases in community,and the observation period was 4 weeks.The control group received rapid blood glucose monitoring,while the experimental group received 72 hours of dynamic blood glucose monitoring,After the test,the community adjusted the patients diet,medication,exercise and other strategies according to the results of dynamic blood glucose analysis.Results After 4 weeks of intervention,the blood glucose metabolism indexes(FPG,HbA1c,2 h PG),behavior management SDSCA(diet management,exercise management,blood glucose monitoring,medication compliance,foot care)score,hypoglycemic fear(HFSⅡ-BS)score,and quality of life WHOQOL-BREF(physiological and psychological)score of the experimental group were lower than those of the same group before the intervention and those of the control group after 4 weeks of intervention,and the differences were statistically significant(P<0.05).Conclusion Community management strategy for chronic diabetes based on dynamic blood glucose monitoring results can improve patients behavior management ability,better control abnormal blood glucose,reduce fear of hypoglycemia,and improve quality of life.