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动态血糖监测对评估HbAlc<6.5%的2型糖尿病患者无症状低血糖事件的临床意义
作者:郭晓珍  
单位:江阴市人民医院内分泌科
关键词:2型糖尿病 动态血糖监测系统 自我血糖监测 无症状低血糖  
分类号:
出版年·卷·期(页码):2011··第四期(0-)
摘要:

[摘要]目的:评价动态血糖监测系统(CGMS)对糖化血红蛋白(HbAlc) <6.5%的2型糖尿病(T2DM)患者胰岛素强化治疗中无症状低血糖事件的重要意义。方法:将87例使用胰岛素降糖的HbAlc<6.5%的T2DM患者随机分成自我血糖监测(SMBG)组和CGMS组。CGMS组进行连续72小时血糖监测,SMBG组每天监测8次毛细血糖,共3天。比较两种监测方法对低血糖,尤其是无症状低血糖的检出情况。结果:SMBG组患者监测三天仅发现12例16次低血糖,其中4例无症状低血糖5次:而CGMS监测72小时发现29例出现108次低血糖,其中19例无症状低血糖47次,以夜间多见,多见于病程超过10年的患者。结论:CGMS在HbAlc<6.5%的T2DM患者胰岛素强化中可作为监测低血糖尤其是无症状低血糖的较好方法。

[Abstract]Objective:To evaluate the continuous glucose monitoring on hypoglycaemia reaction in type 2 diabetes mellitus patients(T2DM)with HbA1c<6.5%.Methods: 87 cases of T2DM undergoing insulin intensification therapy with HbA1c<6.5%were randomly divided into continuous glucose monitoring system(CGMS) group and self-monitoring of blood glucose (SMBG) group.The blood glucose levels of the CGMS group were monitored continuously using CGMS for 72 hours. The blood glucose levels of the SMBG group were monitored using finger tip blood glucose meters eight times a day for three days.Hypoglycemia, especially asymptomatic hypoglycemia’s detection rate was compared between two groups. Results:12 patients had hypoglycemia(16 times) and 4 of them had asymptomatic hypoglycemia(5 times) in SMBG group during three days. While 29 patients had hypoglycemia(108 times) and 19 of them had asymptomatic hypoglycemia(47 times) in CGMS group during 72 hours. Hypoglycemia was found more frequently in the night and more common in course of more than 10 years of patients. Conclusion:CGMS was a better method on detecting hypoglycemia, especially asymptomatic hypoglycemia in T2DM patients treated with insufin intensification therapy

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