摘要
目的 探究分析动态血糖监测指导下的个体化胰岛素治疗对血糖控制的影响。方法 选取2024年1月至2024年12月期间,院内糖尿病患者共60例,作为此次研究对象。通过随机数表法,将60例患者随机分为对照组与观察组。对照组采用常规胰岛素治疗,观察组采用动态血糖监测指导下的个体化胰岛素治疗。对比两组血糖水平及血糖控制相关指标。结果 治疗前两组空腹血糖及餐后2h血糖对比,P>0.05。干预后观察组空腹血糖,餐后2h血糖,胰岛素使用剂量,血糖达标天数以及平均血糖漂移幅度均低于对照组,P<0.05。结论 动态血糖监测指导下的个体化胰岛素治疗可更为显著地改善患者血糖水平及血糖控制相关指标,值得推广与应用。
关键词: 动态血糖监测;个体化胰岛素治疗;血糖控制;血糖水平
Abstract
Objective To explore and analyze the impact of personalized insulin therapy guided by dynamic blood glucose monitoring on blood glucose control. Methods From January 2024 to December 2024, 60 patients with diabetes in the hospital were selected as the subjects of this study. 60 patients were randomly divided into a control group and an observation group using a random number table method. The control group received conventional insulin therapy, while the observation group received personalized insulin therapy guided by dynamic blood glucose monitoring. Compare the blood glucose levels and blood glucose control related indicators between two groups. Results Comparison of fasting blood glucose and 2-hour postprandial blood glucose between the two groups before treatment, P>0.05. After intervention, the observation group had lower fasting blood glucose, 2-hour postprandial blood glucose, insulin dosage, days of blood glucose compliance, and average blood glucose drift compared to the control group, P<0.05. Conclusion Individualized insulin therapy guided by dynamic blood glucose monitoring can significantly improve patients' blood glucose levels and blood glucose control related indicators, and is worthy of promotion and application.
Key words: Dynamic blood glucose monitoring; Individualized insulin therapy; Blood glucose control; Blood sugar level
参考文献 References
[1] 赵晓兰. 动态血糖监测联合胰岛素治疗妊娠期糖尿病的效果及对患者妊娠结局的影响[J].大医生,2024,9(16):130-132.
[2] 肖跃洲.全院血糖管理模式下实时动态血糖监测联合胰岛素皮下泵在围手术期2型糖尿病患者中的应用价值[D].江苏大学,2024.
[3] 田重兴,宋敏,郭亚丽. 动态血糖监测联合胰岛素泵治疗对妊娠期糖尿病患者血糖血脂水平及妊娠结局的影响[J].糖尿病新世界,2024,27(04):43-46.
[4] 姜建珍,徐晓薇. 连续动态血糖监测在预防2型糖尿病患者住院期间发生低血糖的价值研究[J].糖尿病新世界,2023,26(17):185-189.
[5] 朱晓晓. 动态血糖监测联合胰岛素泵标准化治疗对妊娠期糖尿病患者糖脂代谢水平的影响[J].中国标准化,2023, (16):269-272.
[6] 母玉洁,柳彬彬,张琨,等. 连续动态血糖监测联合胰岛素泵治疗初诊2型糖尿病患者的效果[J].中国民康医学,2023,35(12):41-43.
[7] 戴德泉,吴晓安,高建斌. 动态血糖监测(CGM)联合胰岛素强化治疗应用于2型糖尿病肾病的临床研究[J].罕少疾病杂志,2024,31(10):63-65.
[8] 胡琼,张文俊,姚丽娟. 胰岛素强化治疗联合动态血糖监测在全院糖尿病患者中的应用价值[J].糖尿病新世界, 2022,25(23):9-12.
[9] 赵忠涛. 胰岛素泵与连续动态血糖监测联合应用对初诊2型糖尿病的治疗效果及对胰岛功能的影响分析[J].糖尿病新世界,2022,25(17):186-189.
[10] 岳悦,郑桂玲. 实时动态血糖监测系统对2型糖尿病患者胰岛素泵强化治疗中血糖波动监测的价值探讨[J].中国医疗器械信息,2022,28(08):16-18.