CGMS对HbA1c<7.5的2型糖尿病人的动态血糖观察

被引:9
作者
徐筱玮
张德宪
邹彦
机构
[1] 山东中医药大学附属青岛中医院内分泌糖尿病科
关键词
动态血糖监测; 糖化血红蛋白; 2型糖尿病;
D O I
暂无
中图分类号
R587.1 [糖尿病];
学科分类号
摘要
采用动态血糖监测系统(CGMS)对61例使用胰岛素治疗的HbA1c<7.5%的2型糖尿病人进行连续(72±3)h的血糖监测。结果61例病人全天67.8%±19.3%(48%89%)的时间在目标血糖(3.6~11.1)mmol/L范围内。53例(86.9%)餐后血糖最高值>11.1mmol/L,高峰时间在餐后(1.6±0.5)h。61例2型糖尿病人共发生临界低血糖事件224人次,其中无症状的108人次,占48.2%;低血糖事件117人次,其中无症状的48人次,占41.0%。16例老年组病人无症状性低血糖事件出现率(69.4%)与45例非老年组病人无症状性低血糖事件出现率(20.5%)比较有显著差异性(P<0.05),在夜间尤为明显(79.4%比28.5%,P<0.05)。结论大多数HbA1c达标的2型糖尿病人血糖实际控制不理想,存在缺陷,需要调整治疗方案。
引用
收藏
页码:40 / 41
页数:2
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