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Effect of Frequent Self-Monitoring of Blood Glucose on HbA1c Level Among Type 2 Diabetic Patients

机译:频繁自我血糖监测对2型糖尿病患者HbA1c水平的影响

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Self-Monitoring of Blood Glucose (SMBG) is an integral part of management of type 2 diabetes mellitus on insulin and oral agents. SMBG is an important adjunct to HbA1c which is a standard assessment of glycemia. To evaluate the effectiveness of frequent use of SMBG on the level of HbA1c among type 2 diabetic patients. Across sectional study had been conducted at the specialized Center of Endocrinology and Diabetes for the period from October 2009 till August 2010. A convenient sample of 126 type 2 diabetic patients attending the center had been enrolled. The participants were classified into 3 groups according to the frequency of using SMBG, the demographic characteristic, Body Mass Index (BMI), duration of diabetes mellitus, line of treatment and the mean level of HbA1c of all participants had been assessed. No statistical differences had been found in the demographic characteristic, BMI duration of diabetes mellitus, line of treatment and the mean level of HbA1c among the three studied groups. Participants of secondary and higher education were more frequently use SMBG. Neither Patients on oral hypoglycemic drugs nor those on a regimen include insulin show differences in their HbA1c in relation to frequency of SMBG use. Use of SMBG regardless of it?s frequency among type 2 diabetic patients was not beneficial to achieve a better glycemic control as monitored by the level of HbA1c, optimization of it?s effectiveness may require advanced facility for better interpretation and response adapted by the patients and doctors.
机译:血糖自我监测(SMBG)是通过胰岛素和口服药物管理2型糖尿病的重要组成部分。 SMBG是HbA1c的重要辅助物质,HbA1c是血糖的标准评估。为了评估2型糖尿病患者频繁使用SMBG对HbA1c水平的有效性。在2009年10月至2010年8月期间,在专门的内分泌和糖尿病中心进行了横断面研究。该中心招募了126名2型糖尿病患者。根据使用SMBG的频率将参与者分为三类,评估了所有参与者的人口统计学特征,体重指数(BMI),糖尿病持续时间,治疗方法和HbA1c的平均水平。在三个研究组之间,在人口统计学特征,BMI持续时间,治疗方法和HbA1c平均水平方面没有统计学差异。中学和高等教育的参与者更频繁地使用SMBG。口服降糖药的患者和接受胰岛素治疗的患者均未显示与SMBG使用频率相关的HbA1c差异。如通过HbA1c水平监测的那样,在2型糖尿病患者中使用SMBG不论其频率如何,都无助于实现更好的血糖控制,其有效性的优化可能需要先进的设施,以便患者更好地解释和应对和医生。

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