血糖自我监测依从性对2型糖尿病患者糖脂代谢的影响

摘要

Objective To discuss the influence of blood glucose self-monitonng on glucolipid metabolism in patients with type 2 diabetes mellitus.Methods Blood glucose self-monitoring on glycolipin metabolism of 167 cases with type 2 diabetes mellitus for 12 years were analyzed retrospectively.Results The compliance rate of self monitoring of blood glucose was up by 84％ on 10 years ago.Among 167 patients,the control rates of fasting blood glucose (FPG),2-hour postprandial blood glucose (2hPBG),glycosylated hemoglobin (HbA1c),triglyceride (TG) and high density lipoprotein cholesterol (HDL-C),low density lipoprotein cholesterol (LDL-C) respectively were 17％,12％,18％,25％,24％,25％ in 2000,and were 64％,62％,49％,54％,60％,58％,respectively in 2011.The compliance rate of bloodglucose self-monitoring was positively correlated with the control rate of glucolipid metabolism (P ＜ 0.01).Conclusions The frequency of blood glucose self-monitoring has a great influence on the glucolipid metabolism.And the level of blood glucose self-monitoring is the key factor of prevention of risk factors.%目的 探讨2型糖尿病患者血糖自我监测依从性对血糖、血脂控制的影响.方法 回顾性分析167例2型糖尿病患者12年血糖自我监测频次达标率、血糖达标率、血脂达标率,并探讨其相关性.结果 2000年患者血糖自我监测频次达标率仅为14％,201 1年患者血糖自我监测频次达标率为98％；167例患者2000年的空腹血糖(FPG)、餐后2h血糖(2hPBG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)的达标率分别为17％,12％,18％,25％,24％,25％；2011年167例患者以上指标达标率分别为64％,62％,49％,54％,60％,58％.血糖自我监测达标率与血糖、血脂达标率呈正相关(P＜0.01).结论 2型糖尿病患者血糖自我监测频次达标率对血糖、血脂控制情况均有很大的影响,而教育患者重视疾病是提高血糖自我监测依从性的关键.