掃描式葡萄糖監測系統在2型糖尿病患者血糖和飲食管理中的應用研究

周敏　許玄　劉沙沙

[摘要] 目的 探討掃描式葡萄糖監測系統對2型糖尿病血糖控制和飲食控制的影響。 方法 選取2018年2～10月就診的2型糖尿病患者64例，將患者隨機分成研究組與對照組，其中研究組32例，采用掃描式葡萄糖監測系統進行血糖監測，對照組32例，采用常規血糖檢測儀。在篩選訪視和第 3個月隨訪時收集并完成患者相關資料采集。 結果 研究組血糖波動最大幅度、血糖漂移幅度均值及低血糖發生例次均小于對照組（P<0.05）;研究組患者血糖達標天數高于對照組（P<0.05）;研究組患者的血糖自我監測行為得分明顯高于對照組（P<0.05）;3個月隨訪時，研究組患者的TG、TC、HDL-C、LDL-C低于對照組（P<0.05）。 結論 掃描式葡萄糖監測系統可便捷、及時的監測血糖，提高患者血糖自我監測的積極性與參與度，并通過血糖監控結果及時調整飲食結構，是2型糖尿病患者血糖監測和管理的有效手段。

[關鍵詞] 2型糖尿病;掃描式葡萄糖監測系統;血糖自我監測;血糖;飲食

[中圖分類號] R587.1;R473? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2019）15-0128-04

Application of scanning glucose monitoring system in blood glucose and diet management in patients with type 2 diabetes

ZHOU Min XU Xuan LIU Shasha

Department of Endocrinology and Metabolism， the Second Affiliated Hospital of Nanchang University， Nanchang? ?330006， China

[Abstract] Objective To explore the effect of scanning glucose monitoring system on blood glucose control and diet control in type 2 diabetes. Methods Sixty-four patients with type 2 diabetes who were treated between February 2018 and October 2018 were randomly divided into study group and control group. Among them， 32 patients in the study group were monitored by scanning glucose monitoring system and 32 patients in the control group were given conventional blood glucose meters. Patients' data were collected and completed at screening visits and at the 3rd month follow-up. Results The maximum amplitude of blood glucose fluctuation， the mean value of blood glucose fluctuation and the incidence of hypoglycemia were lower in the study group than in the control group（P<0.05）. The numbers of days with blood glucose level meeting the standard in the study group were more than those in the control group（P<0.05）. The self-monitoring behavioral scores were significantly higher than in the study group than in the control group（P<0.05）. At 3 months follow-up， the TG， TC， HDL-C， and LDL-C in the study group were lower than those in the control group（P<0.05）. Conclusion The scanning glucose monitoring system can monitor blood sugar conveniently and timely， improve the enthusiasm and participation of patients to conduct blood glucose self-monitoring， and timely adjust the diet structure through blood glucose monitoring results， which is an effective means for monitoring and managing blood glucose in patients with type 2 diabetes.

[Key words] Type 2 diabetes; Scanning glucose monitoring system; Blood glucose self-monitoring; Blood glucose; Diet