CAJ | 학술논문

目的：探讨“3C”大剂量向导治疗方案控制糖尿病患者餐后血糖的效果。方法将本院收治的58例2型糖尿病患者在住院期间采用“3C”大剂量向导治疗方案控制糖尿病患者餐后血糖，同时给予饮食护理及健康教育。观察治疗后患者血糖控制情况。结果58例患者在3~6d内三餐后2h血糖控制在6.4~10.7mmol/L，24h血糖控制在4.8~10.7mmol/L。结论“3C”大剂量向导治疗方案可以在短时间内使患者餐后血糖达标，又可避免使用大剂量胰岛素所导致的低血糖发生。在使用过程中，对患者进行个体化饮食健康教育是治疗的基础，良好的护理配合是顺利实施治疗方案的前提保证。
목적：탐토“3C”대제량향도치료방안공제당뇨병환자찬후혈당적효과。방법장본원수치적58례2형당뇨병환자재주원기간채용“3C”대제량향도치료방안공제당뇨병환자찬후혈당，동시급여음식호리급건강교육。관찰치료후환자혈당공제정황。결과58례환자재3~6d내삼찬후2h혈당공제재6.4~10.7mmol/L，24h혈당공제재4.8~10.7mmol/L。결론“3C”대제량향도치료방안가이재단시간내사환자찬후혈당체표，우가피면사용대제량이도소소도치적저혈당발생。재사용과정중，대환자진행개체화음식건강교육시치료적기출，량호적호리배합시순리실시치료방안적전제보증。
ObjectiveTo explore the influence of 3C bolus wizard on postprandial glucose levels in diabetic patients. MethodFifty-eight patients with type 2 diabetes in our hospital were monitored with continuous glucose monitoring system(CGMS), continuous subcutaneous insulin infusion(CSII)and CareLink(3C for short)for 6 days.The function of “3C” bolus wizard was applied during treatment and all the patients were given dietary nursing and health education.The glucose level was observed.ResultThe level of P2hBG of the 58 patients was between 6.4~10.7mmol/L in 3~6 days.ConclusionsBolus wizard plays an important role in “3C” treatment.It can make the postprandial glucose of patients satisfactorily controlled in a short time only to avoid insulin hypoglycemia because of large doses of insulin.At the same time,health education on patients can achieve remarkable results as well.