瞬感扫描式血糖监测系统联合二甲双胍治疗在超重初发2型糖尿病患者中的应用

Application of flash glucose monitoring system combined with metformin in overweight patients diagnosed as primary type 2 diabetes

  • 摘要: 目的 比较瞬感扫描式血糖监测系统与传统指尖血糖监测对超重初发2型糖尿病患者健康生活模式建立及代谢指标的差异。 方法 将102例超重初发2型糖尿病患者随机分为研究组与对照组。研究组采用口服二甲双胍联合瞬感扫描式血糖仪监测系统进行血糖管理及生活方式干预。对照组采用口服二甲双胍联合指尖血糖监测仪定时监测。记录2组患者不同时点血糖值。观察2组患者干预前后体质量、腰围、血糖、血脂、胰岛功能等代谢指标以及糖尿病患者自我管理行为量表(SDSCA)评分的变化。 结果 干预14 d后, 2组患者SDSCA评分均较干预前升高,差异有统计学意义(P<0.05); 研究组与对照组干预前后体质量差值(△BW)、体质量指数差值(△BMI)、腰围差值(△WC), 甘油三酯差值(△TG)、空腹血糖差值(△FPG)、胰岛素差值(△Ins)、尿酸差值(△UA)、糖尿病患者自我管理行为量表评分差值(△SDSCA)比较,差异均有统计学意义(P<0.05), 但总胆固醇差值(△TC)、低密度脂蛋白胆固醇差值(△LDL-C)、高密度脂蛋白胆固醇差值(△HDL-C)差异无统计学意义(P>0.05)。干预期间,研究组患者的血糖标准差(SDBG)、平均血糖波动幅度(MAGE)低于对照组,差异有统计学意义(P<0.05)。 结论 瞬感动态血糖监测系统相对于传统指尖血糖监测,能够促进患者建立健康生活模式,有益于超重初发2型糖尿病患者体质量的控制,有助于血糖、血脂达标,减轻胰岛素抵抗,改善胰岛功能。

     

    Abstract: Objective To investigate the differences in the establishment of healthy lifestyle patterns and metabolic indicators in overweight patients newly diagnosed as type 2 diabetes by flash glucose monitoring versus traditional fingertip blood glucose monitoring. Methods A total of 102 overweight patients newly diagnosed as type 2 diabetes were randomly divided into study group and control group. The study group treated with metformin and flash glucose monitoring system for blood glucose management and life style intervention. The control group was treated with metformin and periodically detection of blood glucose level by fingertip blood glucose monitoring. The blood glucose at different time points were recorded. The metabolic indicators such as body weight, waist circumference, blood glucose, blood lipids and islet function before and after intervention were compared and the changes in self-administration behavior scale(SDSCA)scores of these patients were observed. Results After 14 days of intervention, the SDSCA scores of both two groups were higher than baseline, and the difference was statistically significant(P<0.05). The variations of body weight(△BW), body mass index(△BMI), waist circumference(△WC), triglyceride(△TG), fasting plasma glucose(△FPG), insulin(△Ins), uric acid(△UA), △SDSCA before and after intervention of two groups were statistically significant(P<0.05), but the variations of △TC(total cholesterol), low density lipoprotein cholesterol(△LDL-C), high density lipoprotein cholesterol(△HDL-C)- showed no statistically significant(P>0.05). During 14-day intervention period, the difference of standard deviation of blood glucose(SDBG)and mean amplitude of glycemic excursions(MAGE)were lower in the study group than in the controgroup(P< 0.05). Conclusion The flash glucose monitoring system promotes healthy life style compared with traditional fingertip blood glucose monitoring. It is beneficial for overweight patients newly diagnosed as type 2 diabetes to control weight, blood sugar and blood lipids, relieve insulin resistance and improve islet function.

     

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