CAJ | 학술논문

目的探讨糖尿病健康管理对初次使用胰岛素患者血糖的影响.方法对100例首次使用胰岛素治疗的患者,按照随机表分成对照组(n=40)和强化组(n=43),对照组行一般糖尿病健康管理教育,强化组行4次强化教育,每3个月随诊查空腹血糖、糖化血红蛋白、低血糖发生率等指标,观察起始胰岛素治疗时强化健康管理教育和非强化教育对血糖控制的影响.结果强化组的空腹血糖较对照组的降低.3个月随访空腹血糖2组间的差异无统计学意义,6个月随访、9个月随访、12个月随访空腹血糖2组间的差异有统计学意义(P<0.05).强化组的HbA1c均比对照组的降低,4次随访的HbA1c2组间的差异均有统计学意义(P<0.05).结论起始胰岛素治疗时强化糖尿病管理可以使血糖得到更好的控制.
목적 탐토당뇨병건강관리대초차사용이도소환자혈당적영향.방법 대100례수차사용이도소치료적환자,안조수궤표분성대조조(n=40)화강화조(n=43),대조조행일반당뇨병건강관리교육,강화조행4차강화교육,매3개월수진사공복혈당、당화혈홍단백、저혈당발생솔등지표,관찰기시이도소치료시강화건강관리교육화비강화교육대혈당공제적영향.결과 강화조적공복혈당교대조조적강저.3개월수방공복혈당2조간적차이무통계학의의,6개월수방、9개월수방、12개월수방공복혈당2조간적차이유통계학의의(P<0.05).강화조적HbA1c균비대조조적강저,4차수방적HbA1c2조간적차이균유통계학의의(P<0.05).결론 기시이도소치료시강화당뇨병관리가이사혈당득도경호적공제.
Objective To investigate the effect of diabetes health management for the first time starting insulin for blood glucose in patients with type 2 diabetes mellitus(T 2DM). Methods 100 cases of first use of insulin therapy in type 2 diabetic patients, in accordance with the principles of randomized into control group (n=40) and strengthen the group(n=43), control group underwent general diabetes health management education, strengthen the group row 4 times to strengthen education, Followed up every three months to check fasting blood glucose, glycosylated hemoglobin,incidence of hypoglycemia. Observed starting insulin therapy to strengthen education and non-intensive education on glycemic control. Results Intensive group compared with the control group, fasting plasma glucose reduction, 3-month,6-month,12-month follow-up fasting glucose differences between the two groups was statistically significant (P<0.05), the first follow-up fasting glucose between the two groups showed no significant difference. Strengthen the group than the control group HbA1c reduction of HbA1c four visits between the two groups were statistically significant differences (P<0.05). Conclusion Starting insulin therapy to strengthen diabetes education health management can make to get better control of blood sugar.